He mamae tō tuara, tō taha, tō hope rānei i ētahi wā? Kua kite rānei koe i te toto i roto i tō mimi? Tērā pea nā te raruraru o te whatukuhu ēnei. He maha ngā tāngata e kore e aro ki ēnei mea, engari he tohu nui pea ēnei. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te 'Cystic Kidney Disease' e pāngia ana e te tini o ngā tāngata, engari kāore i te tino mōhio. Kia titiro tātou he aha tēnei, he aha i puta ai, me ngā mea ka taea te mahi mōna.
Renal function (eGFR)
Measure kidney function based on creatinine value
He aha te mate whatukuhu pūkahukahu?
He whakarāpopototanga noa iho tēnei, he rōpū āhuatanga e puta ai tētahi, ētahi rānei o ngā pēke kī tonu i te wai (e kiia nei ko ngā cyst) i roto, i te taha rānei o ō whatukuhu. Whakaarohia ēnei he poihau iti kua whakakiia ki te wai. Ina puta ēnei pēke i roto i ngā whatukuhu, ka taea e rātou te whakararuraru i te mahi matua a ngā whatukuhu ki te tātari i ngā para me te wai nui mai i te toto. I roto i te wā, ka taea e tēnei āhuatanga te arahi ki te ngoikore o te whatukuhu.
He pēhea te noa o tēnei āhuatanga?
Kei te momo mate te mea e tino kitea ana. Hei tauira, he mea tino noa te momo e kiia nei ko 'Simple Kidney Cysts'. I te toharite, tata ki te kotahi i roto i te tekau tāngata ka kitea. Engari he onge ake ētahi atu momo o tēnei rōpū mate.
He aha ngā tohu matua o tēnei mate?
Nā te mea he rerekē ngā momo mate tākihi cystic, ka rerekē pea ngā tohu i waenga i te tangata me te tangata. Heoi, he iti noa ngā tohu e kitea ana. Me titiro tātou ki ēnei tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Mamae tuara me te kaki | Nā te mea kei te taha o te tuaiwi ngā whatukuhu, ka pā te mamae i te rahi haere o ngā pukupuku. |
| Te toto i roto i te mimi (Hematuria) | Ka taea e te toto te kohi i roto i te mimi nā te pakaru o ngā pukupuku, nā te kino rānei o te whatukuhu. |
| Te uaua ki te mimi | He iti iho te mimi e mimihia ana i tō te tikanga, he ahua kore rānei e pai ki a koe. |
| Te toto toto tiketike | Ka pāngia te whakahaere toto toto e te ngoikore o te mahi whatukuhu. |
| Ngā mate urutā mimi auau | Ka piki ake te mōrearea o te mate i ngā panonitanga o te mahi a te whatukuhu. |
| Ngā Kōhatu Tākihi | Ka piki ake te mōrearea o te hanganga kōhatu i ngā panonitanga o te mahi a te whatukuhu. |
He aha i pēnei ai te āhua o ngā pukupuku? He aha te take o tēnei?
He maha ngā take mō tēnei. Ko ētahi momo he mea tuku iho , arā, ka taea te tuku iho i ngā mātua ki ngā tamariki. Ko ētahi atu momo ka puta ake i muri mai i te ao, nā ētahi atu mate, ngā whānautanga hapa, te koroheketanga rānei.
He whakarāpopototanga noa iho, he mano tini ngā ngongo ririki (ngā ngongo whatukuhu) o roto i ō tātou whatukuhu e tātari ana i te toto. Ka puta he pūkahukahu ina pakaru tetahi wāhanga iti o tētahi o ēnei ngongo, ā, ka kohia he wai ki roto.
Ko wai te mea tino mōrearea ki te whakawhanake i tēnei mate?
Ahakoa he rerekē ngā āhuatanga mōrearea mō ia momo, i te nuinga o te wā, he paku teitei ake te mōrearea o ēnei tāngata:
- Ngā tāngata neke atu i te 50 tau te pakeke.
- Ngā tāngata e pāngia ana e te mate whatukuhu mau tonu (CKD) me te ngoikore rānei o te whatukuhu.
- Ko te hunga he hītori whānau tō rātou kua pā ki tēnei mate, he ira rerekē rānei e pā ana ki a rātou.
Me pēhea te tautuhi a te tākuta i tēnei mate?
Ina haere koe ki te kite i tō tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate. Ka pātai anō hoki ia mēnā kua pāngia tētahi o tō whānau e ēnei mate. Kātahi ka tūtohu ia i tētahi, i ētahi rānei o ngā whakamātautau e whai ake nei hei tirotiro i ngā kōhatu tākihi:
- Matawai Ultrasound: Koinei te tikanga e whakamahia whānuitia ana, e māmā ana, e kore hoki e mamae.
- Matawai CT: Ka taea te whakarato i ngā whakaahua mārama ake, taipitopito ake hoki o ngā whatukuhu.
- Matawai MRI: Ko tētahi atu tikanga tēnei e whakarato ana i ngā whakaahua tino mārama.
Hei tāpiritanga, tera pea ka whakahaerehia he whakamātautau toto me te tātari mimi hei tirotiro i te pai o te tātari toto a ō whatukuhu.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te momo mate kei a koe, te āhua o ngā pukupuku, me te kaha o ō tohu.
Mō ngā Pūngāwerewere Tākihi Māmā
I te nuinga o te wā, ko ngā whēkau māmā kāore he tohu, ā, kāore he raruraru e puta, kāore e hiahiatia he maimoatanga motuhake. Ka tirotirohia e tō tākuta ia tau hei tirotiro mēnā kei te nui haere te whēkau . Heoi, mēnā kei te mamae, kei te raru rānei te whēkau, ka taea e koe te mahi i ēnei e whai ake nei:
- Te mimiti i te ngira pai: I a koe e mātakitaki ana i te matawai, ka werohia he ngira pai hei tango i te wai i roto i te pukupuku.
- Pokanga laparoscopic: Te tango, te tahu rānei i te pukupuku mā te whakamahi i te kāmera mā roto i tētahi tapahi iti.
Mena ka puta te ngoikore o te whatukuhu
Mena ka kino haere te mate, ā, ka pā mai te ngoikore o te whatukuhu, ka tūtohu pea tō tākuta i ngā maimoatanga pēnei i:
- Dialysis: He mīhini e mahi ana i te mahi horoi i ō toto e kore e taea e ō whatukuhu te mahi.
- Te Whakatō Whatukuhu: He whakatōnga whatukuhu hauora mai i tētahi kaituku ora, kua mate rānei.
- Ngā rongoā mō te toto toto tiketike: Te hoatu rongoā ("ngā rongoā antihypertensives") hei whakahaere i te toto toto tiketike.
- Ngā huringa āhua noho: Ka taea e koe te whakahaere i te toto toto mā te mahi i ngā mahi pēnei i te whakakori tinana i ia rā, te pupuri i te taumaha hauora, me te karo i te momi hikareti.
He aha ngā momo rerekē o te mate whatukuhu cystic?
Ae, he maha ngā momo matua o tēnei mate. Ko ētahi ka puta mai i ngā take ira, ko ētahi ka riro mai i te wā e ora ana.
| Momo mate | Whakamārama |
|---|---|
| Ngā momo i puta mai i ngā take ira | |
| Te Mate Tākihi Polycystic (PKD) | Ko te momo ira tino kitea. He nui ngā pūkahukahu ka puta i roto i ngā whatukuhu e rua, ka nui haere ngā whatukuhu, ka ngaro hoki te mahi. |
| Te Mate Tākihi Pūkahukahu Waenga (MCKD) | Ka puta ngā pukupuku i te wāhanga o roto (medulla) o ngā whatukuhu. Ka kino ngā ngongo whatukuhu i tēnei, ka puta te mumura me te whara. |
| Ngā momo i riro mai | |
| Ngā Pūkahukahu Whatukuhu Māmā | Ko te momo melanoma tēnei e tino kitea ana i roto i te hunga neke atu i te 50 tau te pakeke, kāore he kino, engari he onge te huri hei mate pukupuku. |
| Te Mate Tākihi Pūkahukahu i Whiwhihia | Ngā pūkahukahu e puta ake ana i muri mai i te oranga nā te mate tākihi mau tonu, te ngoikore rānei o te tākihi. He mea tino kitea i waenga i ngā tūroro e tangohia ana te dialysis. |
He aha ngā kai me karo mēnā he kōhatu tākihi tōu?
Mena he mate tākihi tōu, ā, kāore ō tākihi e mahi tika ana, he mea nui kia kōrero koe ki tētahi tohunga kai tākihi hei whakawhanake i tētahi mahere kai e tika ana māu. I te nuinga o te wā, me whakawhāiti e koe ēnei e whai ake nei:
- Ngā kai he nui te tote (konutai): Ngā mea pēnei i te pīkara, te ika maroke, ngā ranu, me ngā kai kēne.
- Ngā kai whai pūmua: Te whakawhāiti i ngā kai pēnei i te mīti, te ika, me ngā hua manu ki te nui e tika ana.
- Ngā kai he nui te pāhare pāporo me te whākōkī: Ngā hua miraka, ngā nati, ngā panana, ngā karaka, ngā rīwai, me ētahi atu.
- He mea nui anō hoki kia nui ake ngā kai e pai ana mō te ngākau ki roto i tāu kai.
Āhea koe me toro atu ki te tākuta tonu?
He tohu pea ēnei mō te ngoikore ohorere o te whatukuhu. Mēnā kei a koe tētahi, neke atu rānei o ēnei, me toro atu ki te tākuta tonu , me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
Kia tūpato ki ngā tohu pēnei i te mamae o te puku, te iti o te mimi, te pupuhi o ngā ringa, ngā pona waewae, me te mata (edema), te tino ngenge, te mākūkū o te kiri, te kore hiahia kai, te whakapairuaki me te ruaki, me te uaua ki te manawa.
Ahakoa kāore e taea te whakaora katoa i tēnei mate, mā te maimoatanga tika me ngā huringa momo noho, ka taea te whakahaere i te mate, ka taea te whakaiti i te kino o ngā whatukuhu, ā, ka taea e koe te ora pai mō ngā tau maha. Nō reira, ki te pā mai ngā tohu, he mea nui kia kaua e mataku, me kōrero ki tō tākuta.
Karere Tangohia ki te Kāinga
- He tino noa ngā pukupuku māmā i roto i ngā whatukuhu, ā, he kore noa iho he kino.
- Heoi anō, ko ētahi momo (ina koa ko te Mate Tākihi Polycystic - PKD) ka taea te tuku iho, ka arahi atu ki ngā mate kino ake.
- Kaua rawa e warewarehia ngā tohu pēnei i te mamae o te tuara, o te hope rānei, te toto rānei i roto i tō mimi. Kōrero tonu ki tō tākuta.
- Mā te tautuhi wawe me te maimoatanga tika ka whakaiti i te kino ki ngā whatukuhu.
- He mea tino nui mō te hauora o ngā whatukuhu ngā mahi pēnei i te whakahaere i te toto toto, te whai i tētahi kai hauora, me te karo i te momi hikareti.
No comments yet. Be the first to share your question or experience below.