Kei te āwangawanga koe mō ō whatukuhu? Me kōrero tātou mō te mate whatukuhu mau tonu

He okana iti, engari he kaha ngā whatukuhu i roto i tō tātou tinana. He rite rātou ki ngā tātari tino kaha e rua o tō tātou tinana. Ka horoia e rātou ō tātou toto, ka tangohia hoki ngā para, ngā paitini, me te wai nui hei mimi. Engari whakaarohia te mea ka puta mēnā ka ngoikore haere ēnei tātari e rua? Koinei te mea e kiia nei e tātou ko te Mate Whatukuhu Mau tonu (CKD) . Koinei te wā ka ngaro haere te kaha o ngā whatukuhu ki te mahi i roto i te wā.

Hei whakarāpopototanga, he pēhea te hiranga o ngā whatukuhu ki a tātou?

Kei ia taha o tō tuaiwi ēnei pīni whatukuhu e rua, i raro noa iho i tō rara. He rite te rahi o ia pīni whatukuhu ki te nikau o tō ringaringa.

Ahakoa ko tā rātou mahi matua he pure i te toto, he maha atu anō hoki ā rātou mahi nui:

• Ka pupuri i te taurite o ngā electrolytes, pērā i te tote me te pāhare pāporo, i roto i ō tātou tinana.
• Ka whakaputa i ngā homoni e hiahiatia ana hei whakahaere i te toto toto tiketike.
• Ka āwhina kia kaha tonu ō tātou wheua.
• Ka āwhina i te hanga i ngā pūtau toto whero .

Whakaarohia, ki te ngoikore ngā whatukuhu e rua, e nui ana te mahi, ka tīmata tātou te pāngia e te mate nā te para e kohia ana i roto i te tinana.

He aha ngā wāhanga e rima o te mate tākihi?

E rima ngā wāhanga o te mate tākihi mau tonu. Ka whakatauhia ēnei wāhanga e te pai o te tātari a ō tākihi i ngā para i roto i ō toto. Ka whakahaerehia e ngā tākuta he whakamātautau toto me te mimi hei rapu i te wāhanga kei roto koe.

Ko te ine matua e whakamahia ana i tēnei ko te GFR (Glomerular Filtration Rate) . He māmā noa iho, ka inehia e tēnei te maha o ngā miririta toto e tātarihia ana e ō whatukuhu ia meneti. Ka tirohia hoki te taumata o te para e kiia nei ko te creatinine i roto i te toto. Mēnā kei te pai te mahi a ngā whatukuhu, ka tukuna tēnei creatinine ki roto i te mimi. Ina ngoikore ngā whatukuhu, ka tīmata te kohikohi o te creatinine ki roto i te toto.

• Wāhanga 1: He tino ngawari te kino. Tērā pea he noa te GFR.
• Wāhanga 2: He iti te heke o te mahi a te whatukuhu.
• Wāhanga 3: He iti haere te mahi a te whatukuhu.
• Wāhanga 4: He tino heke te mahi a te whatukuhu.
• Wāhanga 5: Te ngoikore katoa o te whatukuhu. Ka kiia tēnei ko te mate whatukuhu wāhanga whakamutunga .

He aha ngā tohu? He maha ngā wā kāore e kitea wawetia ngā tohu.

Ko te mea tino mōrearea mō tēnei mate ko te kore e kitea ngā tohu i ngā wāhanga tōmua . Ina kaha rawa te mate ka tīmata te puta o ngā tohu. Nō reira, he mea nui kia mōhio ki ēnei tohu.

He aha ngā tino take o te mate whatukuhu?

Ka puta te mate tākihi ina pakaru ngā tākihi, ā, kāore e taea te tātari tika i te toto. I roto i te mate tākihi mau tonu, ka puta mārire tēnei kino i roto i ngā tau maha.

Ko ngā take matua e rua me ngā take tino noa mō tēnei ko:

1. Te toto toto tiketike

2. Te mate huka

Haunga ēnei take matua e rua, tera atu anō ētahi atu take.

• Glomerulonephritis: Koinei te wā e pakaru ai ngā wae tātari pai i roto i ngā whatukuhu.
• Mate tākihi polycystic: He mate ira tēnei e tukuna iho ana i roto i ngā whakatipuranga. He maha ngā whēkau kī tonu i te wai ka puta i roto i ngā tākihi, ka whakaiti i tā rātou mahi.
• Te aukati i te ara mimi: Te aukati i te rere o te mimi nā te mea he kōhatu mimi, he nui te repeure i roto i ngā tāne, he mate pukupuku rānei.
• Te reflux vesicoureteral: Koinei te wā ka hoki ake te mimi mai i te pūkahukahu ki ngā whatukuhu.
• Ngā mate pukupuku maha (Pyelonephritis).
• Ko ngā mate pēnei i te lupus , ka tahuri te pūnaha ārai mate o te tinana ki a ia anō.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

Ka pāngia te tangata katoa e te mate tākihi, engari ki te mea kei a koe ēnei āhuatanga e whai ake nei, he paku teitei ake tō mōrearea.

• Mena he mate huka tōu .
• Mena he toto toto tiketike tōu .
• Mena he mate ngakau tōu .
• Mena kua pāngia tetahi o te whānau e te mate tākihi (he pānga tuku iho).
• Mena kua neke atu i te 60 tau tō pakeke.
• Ngā rongoā whakamamae mamae momo NSAID(hei tauira, Ibuprofen, Diclofenac) mēnā ka whakamahia mō te wā roa me te kore he tohutohu hauora.
• Mena he rerekētanga kei roto i te hanganga, i te rahi rānei o ngā whatukuhu.

Me pēhea te rongoā? He aha tā tātou e taea ai?

Kāore e taea te whakaora katoa i te mate tākihi mau tonu. Heoi, he maha ngā mea ka taea e tātou te mahi hei whakahaere i te kino o ngā tākihi, hei pupuri hoki i tā rātou mahi mō te wā roa rawa atu .

Ngā huringa āhua noho

• Tirohia tō tākuta i te wā tika: Tirohia tō tākuta, tō tohunga roro rānei i te wā tika, ā, kia whakamātauria koe.
• Whakahaerehia te mate huka me te toto toto: Koinei te mea tino nui. Kia mau tonu te whakahaere i tō huka toto me tō toto toto.
• Āta karohia ngā rongoā e kino ana ki ngā whatukuhu: Me pātai atu ki tō tākuta, inā koa ka tango koe i ngā rongoā whakamamae.
• Kai e pai ana mō ngā whatukuhu: Whaia he kai e whakawhāiti ana i te tote (konutai), te pāhare pāporo, me te pūmua. He pai ake te kōrero ki tētahi tohunga kai mō tēnei mea, me te tiki tohutohu.
• Āta karohia te momi hikareti.
• Whakakorikori tinana i ngā rā maha atu i te wiki.
• Kia mau tonu te taumaha hauora.

Te maimoatanga me te rongoā

Ka tohua pea e tō tākuta ngā rongoā rerekē i runga i te take me te wāhanga o tō mate.

• ngā rongoā (ACE) aukati me ngā rongoā momo (ARB) hei whakaheke i te toto toto.
• Ngā rongoā diuretic hei tango i te wai nui mai i te tinana.
• Ngā rongoā hei whakaheke i ngā taumata cholesterol.
• Mena he anemia tōu, me tango e koe ngā rongoā hei āwhina i te hanga i ngā toto whero.
• Ngā rongoā pēnei i te huaora D hei pupuri i te kaha o ngā wheua.

A, mehemea ka tino ngoikore ngā whatukuhu? (Te Mate Whatukuhu Wāhanga Mutunga)

Ki te tae te mate ki te taumata 5, arā, kua tata kore mahi ngā whatukuhu, me whai huarahi kē atu hei oranga. Nā te mea ki te mutu te mahi a ngā whatukuhu, ā, ka kohia ngā para ki roto i te tinana, ka mate pea.

E rua ngā kōwhiringa matua:

1. Te tātaritanga whatukuhu (Dialysis)

2. Te Whakatō Whatukuhu

1. Te tātaritanga whatukuhu (Dialysis)

Ko te tikanga o tēnei ko te whakamahi i tētahi mīhini hei mahi hangai i te mahi purenga toto e tika ana kia mahia e ō whatukuhu. E rua ngā tikanga matua:

• Hemodialysis: I tēnei mahi, ka tukuna ō toto ki tētahi mīhini hei tango i ngā para, te wai tāpiri, me te tote mai i tō tinana, kātahi ka whakahokia te toto kua horoia ki tō tinana. I te nuinga o te wā ka mahia tēnei i roto i te hōhipera, e toru ngā wā i te wiki, mō te whā hāora i ia wā.
• Te Dialysis Peritoneal:I roto i tēnei, ka whakauruhia he ngongo (catheter) ki roto i tō puku, ā, ka werohia he wai motuhake mā roto. Kia mimiti te wai i ngā para i roto i tō tinana, ka tangohia, ā, ka werohia he wai hou. He tikanga tēnei ka taea e te tūroro te mahi i te kāinga.

2. Te Whakatō Whatukuhu

Ko te tikanga o tēnei ko te whakakapi i tētahi whatukuhu ngoikore mā te pokanga ki tētahi whatukuhu hauora. Nā te mea ka taea e te tangata hauora te noho pai me te whatukuhu kotahi, ka taea te tiki whatukuhu mai i ngā pūtake e rua mō tēnei kaupapa.

• Mai i te tangata ora: I te nuinga o te wā mai i tētahi tangata pēnei i te mema o te whānau, i te hoa rānei.
• Mai i te tangata kua mate: He whatukuhu mai i te tangata kua mate kua whakaatu i tōna hiahia ki te tuku okana.

Me aha tātou hei tiaki i a tātou i tēnei mate?

He mea nui rawa atu te ārai i te mate tākihi i mua i tōna whanaketanga i te rongoā i muri i tōna whanaketanga.

• Whai i tētahi momo noho hauora: He mea tino nui te kai taurite, te whakakori tinana e tika ana, me te karo i te momi hikareti me te waipiro koretake.
• Whakahaerehia tō toto toto me ngā taumata huka: Mena he mate huka, he toto toto tiketike rānei tōu, whakahaerea tika aua mea. Tangohia ō rongoā kia rite ki te whakahaunga.
• Kia tūpato ki ngā rongoā whakamamae mamae: Kaua e tango i ngā rongoā whakamamae mamae mō te wā roa me te kore he tohutohu a te taote.
• Inuhia he wai kia nui.
• Me tirotiro hauora i ia wā: Mena he āhuatanga mōrearea tōu, me whakamātau koe i tō toto me tō mimi i te iti rawa kotahi i te tau hei aroturuki i te āhua o ō whatukuhu.

He mate mō te wā roa te mate tākihi. Engari kāore he take e mataku ai. Mēnā ka tika te whakahaere me te maimoatanga, ka ora harikoa, ka ora noa te nuinga o te tangata. Ko te mea nui ko te noho hei mema kaha o tō rōpū maimoatanga. Kōrero noa ki tō tākuta, pātai atu, ā, whai i ana tohutohu.