Ina rongo koe i te kupu 'mate huka', ka whakaaro koe ki te huka toto tiketike, tika? Koinei te mea e mōhiotia ana e te nuinga o te tangata. Engari i tēnei rā kei te kōrero tātou mō tētahi mate tino rerekē, kāore i te tino kitea, he rite te ingoa. Ko te Mate Huka Insipidus (DI) tēnei. Ko te mea ka tupu i tēnei kēhi ehara i te mea ka piki te taumata huka toto, engari he raruraru kei te whakahaere wai o te tinana.
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He aha rawa te Mate Huka Insipidus (DI)?
Ki te kī māmā noa iho, ko te mea e tupu ana i konei, ko te homoni e tuku karere ana ki ō tātou whatukuhu, "Puritia te wai e hiahiatia ana e tō tinana, kaua e tukuna katoatia hei mimi," ka heke iho rānei i roto i ō tātou tinana, kāore rānei ngā whatukuhu e aro ki taua homoni.
Nā tēnei, kāore e taea e ngā whatukuhu te pupuri wai i roto i te tinana. Nō reira, ka puta he nui o te wai i roto i te tinana me te mimi. Nō reira ka tino matewai koe. I tapaina tēnei mate nā te mea kāore he reka o te mimi e puta mai ana, ā, he rite ki te wai. Koia te take e kiia ai e ētahi ko te "wai mate huka".
He āhuatanga morearea tēnei?
Ehara tēnei i te mate kino, he mate morearea ki te ora. Mēnā he nui te wai e inuhia ana e te pakeke, he iti noa te tūponotanga ka mate ia i taua mate. Heoi, he nui ake te mōrearea mō ngā tamariki nohinohi, ngā kaumātua, me te hunga whai mate hinengaro. Nā te mea kāore pea rātou e matewai tika, kāore rānei e taea te tono wai.
Whakaarohia, e 1-2 rita o te mimi ka puta i te tangata hauora i te rā. Engari ko te tangata whai DI ka taea e ia te whakaputa i te 3-20 rita o te mimi i te rā! Ko te "Polyuria" te ingoa o tēnei mimi nui. Mā tēnei ka ngaro te nui o te wai i roto i te tinana, ā, ka maroke . Ehara i te mea koinā anake, engari ka ngaro hoki te toenga o ngā "irahiko", pērā i te "konutai" me te "pāhare pākawa", he mea nui mō te mahi a tō tātou pūnaha io.
Ngā momo matua e whā o te Mate Huka Insipidus (DI)
E whā ngā momo matua o tēnei mate. He rerekē ngā take, ngā maimoatanga, me ngā pānga roa o ia momo. Engari i te nuinga o te wā, ka taea e koe te whakahaere pai i te mate me te tohutohu a tō tākuta.
1. Te Mate Huka Waenga (Te Mate Huka Waenga)
Koinei te momo tino noa. Ko te mea e tupu ana i konei, kāore te tinana e whakaputa i te nui o te homoni "vasopressin", e āwhina ana ki te pupuri i te taurite wai i roto i tō tātou tinana.
Ko te whara o te upoko pea te tino take o tēnei.. Te kino ki te wāhanga o te roro e hanga ana i te homoni vasopressin, ki te repe pituitary rānei e pupuri ana i taua homoni. Ka taea hoki tēnei te puta mai i ngā mate pāwera, te pokanga, me ngā pukupuku roro. I ētahi wā, ka whānau mai ngā pēpi me tēnei mate nā ngā take ira.
Ka taea te whakahaere i te DI ngawari mā te kai iti-konutai. Heoi, he maha ngā tāngata me tango i tētahi homoni hangai e kiia nei ko te desmopressin. Ka taea tēnei te tango hei pire, hei rehu ihu, hei werohanga rānei.
Ko te mea nui ko te tango i te horopeta tika e tohutohu ana tō tākuta kia tangohia e koe, me te whakahaere i te nui o te wai e inuhia ana e koe. Ka pāngia pea koe e te ānini, te whanoke, me te heke kino o ngā taumata konutai i roto i te tinana i te nui rawa o te wai.
2. Te Mate Pukupuku e pā ana ki te Whatukuhu (Te Mate Huka Insipidus Nephrogenic)
Ko te mea e tupu ana i konei, ahakoa kei te whakaputa tika te roro i te homoni vasopressin, kāore e taea e ngā whatukuhu te 'rongo' ki taua karere. Ko te tikanga kāore ngā whatukuhu e aro atu ki taua karere. Tērā pea kei roto tēnei i te whānautanga mai, ka taea rānei te whanake i muri mai.
Ko ngā mea ka puta ai tēnei:
- Te mate whatukuhu mō te wā roa.
- Ētahi rongoā. Hei tauira, ngā rongoā pēnei i te lithium, te foscarnet, me te clozapine.
- Te pikinga o te taumata konupūmā i roto i te toto (hypercalcemia).
- Te hekenga o te taumata pāhare pāporo i roto i te toto (hypokalemia).
- Te aukati i te ara mimi.
Mena ka rongoatia te pūtake o tēnei mate, i ētahi wā ka taea te whakaora katoa i tēnei mate DI.
3. Te mate huka Dipsogenic Diabetes Insipidus) i puta mai i te matewai nui
Nā te koretake o te mahi a te hypothalamus, te pokapū matewai i roto i te roro, ka puta ai te hiahia ki te inu wai me te kore e taea te whakahaere. Tērā pea ka puta mai i ētahi mate hinengaro. Kāore anō kia kitea he rongoā whai hua mō tēnei. Heoi, ko ngā mea pēnei i te hukapapa me ngā horoi waha ka āwhina i te whakaiti i te maroke o te waha. Ko tētahi mōrearea kino i konei ko te inu nui rawa o te wai ka arahi ki te haurangi wai .
4. Te Mate Huka Insipidus Hāputanga (DI) e puta ana i te wā e hapu ana
He maha ngā wāhine ka pāngia e tēnei mate i ngā marama whakamutunga e toru o te hapūtanga. Nā ngā huringa homoni, nā te whākōkī rānei i roto i te whenua e pakaru ana i te homoni vasopressin. He nui ake te mōrearea o te hunga e whānau ana i ngā māhanga. Heoi, he mate ngawari noa iho tēnei, ā, ka memeha katoa i roto i ētahi wiki i muri i te whānautanga o te pēpi.
Te whakahaeretanga o te DI me ngā āhuatanga hei tirotiro māu
Ko ngā mea e rua e tino āwangawanga ai tātou mō tētahi momo DI ko te matewai me te kore taurite o ngā electrolytes . Me mōhio tonu koe ki ngā tohu o ēnei.
| Āhuatanga whakatūpato | He aha te tikanga o tēnei? |
|---|---|
| Te matewai nui | Ko te tohu tino kaha e hiahia ana te tinana ki te nui ake o te wai. |
| Waha maroke, ngutu, me te kiri | He tohu tēnei e heke ana te nui o te wai i roto i te tinana. |
| Te ngenge, te whanoke rānei | Tērā pea nā te toto toto iti, nā te kore rānei e ranea te toto e tae atu ki te roro. |
| Te mimi pinepine i te pō | He āhuatanga matua o te mate DI. |
| He mimi pouri, he mimi iti rānei | He tohu pea tēnei mō te matewai nui, me rapu tohutohu hauora tonu atu. |
| Te tere o te manawa, te koretake rānei o te manawa | Tērā pea ka puta mai i te kore taurite o ngā electrolytes i roto i te tinana. |
Mena kei a koe ēnei tohu, ko te mea pai rawa atu māu ko te toro atu ki tō tākuta whānau i te wā e taea ai. Mēnā kei a koe tēnei mate, ka taea e koe te noho ora noa, hauora hoki me te maimoatanga tika me te ārahi hauora.
Karere Tangohia ki te Kāinga
- Ehara te Mate Huka Insipidus (DI) i te mate huka e mōhiotia ana e tātou katoa. He raruraru e pā ana ki te taurite wai o te tinana.
- Ko ngā tohu matua ko te nui o te matewai me te nui o te mimi.
- Kāore tēnei āhuatanga i te mea morearea i te nuinga o te wā, ā, ka taea te whakahaere pai mā te maimoatanga hauora tika.
- Ki te whakaaro koe kei a koe ēnei tohu, kaua e whakapae noa, engari me toro atu ki te tākuta.
- He mea tino nui kia tangohia te rongoā kia rite ki te whakahau a te tākuta, me te inu wai hoki kia rite ki te whakahau.
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