Mena he mate huka tōu, e mōhio ana pea koe ki te hiranga o te whakahaere i ō taumata huka toto. Engari i mōhio koe ka tiakina hoki e ia ngā whekau iti e rua o tō tinana, arā, ngā whatukuhu? Koinei ngā whekau nui e horoi ana i ō tātou toto, e tango ana hoki i ngā para kore e hiahiatia mai i te tinana. Engari ki te kore e whakahaeretia te mate huka, ka tīmata pea ēnei whatukuhu utu nui ki te pakaru, ā, kāore hoki he tohu nui.
He aha te mate tākihi e pā mai ana i te mate huka?
Ki te kī ngāwari, ina kore e tika te whakahaere i te mate huka, ka pakaru ngā oko toto ngawari o ngā whatukuhu i roto i ngā taumata huka toto tiketike i roto i te wā. Ka ārai tēnei i ngā whatukuhu ki te mahi i tā rātou mahi matua o te horoi i te toto. Koinei te mea e kiia nei e tātou ko te mate whatukuhu mate huka, e kiia nei rānei e ngā tākuta , ko te mate whatukuhu mau tonu (CKD) .
He mea whakamāharahara, kua kitea e ngā rangahau kotahi i roto i te toru (1 i roto i te 3) o ngā pakeke e mate huka ana, he mate tākihi anō hoki tēnei.
Mā tēnei mate ka ngaro haere te kaha o ngā whatukuhu ki te tātari i ngā para me te wai nui mai i te tinana. Ki te kore e rongoatia tika, ka mutu ka raru pea te whatukuhu. Mēnā koinā, me hiahia koe ki te dialysis , ki te whakawhitinga whatukuhu rānei kia ora ai koe.
Kia pēhea te roa ka pakaru ngā whatukuhu i te mate huka?
He maha ngā tau e pau ana mō tēnei kino. Engari ko te raruraru nui rawa atu i konei ko te maha o ngā tāngata e noho roa ana me te kore e mōhio kei a rātou te mate huka momo 2. Whakaarohia, ko ētahi tāngata ka kitea noa kei a rātou te mate huka, ā, kua pakaru kē ō rātou whatukuhu i roto i ngā whakamātautau ina haere rātou ki te tākuta mō tētahi atu mate.
Nō reira, ahakoa kāore koe i te mate huka i tēnei wā, he mea nui kia mōhio koe ki ngā āhuatanga mōrearea. Mā te kitenga wawe i te mate ka ārai i te kino o te whatukuhu.
Kia tūpato ki ēnei tohu tōmua o te mate huka
Tirohia te ripanga i raro nei kia kite ai mēnā kei a koe ētahi o ngā tohu kua whakarārangihia. He tohu noa ēnei ka kitea i ngā wāhanga tōmua o te mate huka.
| Tohu | I roto i ngā kupu māmā noa iho... |
|---|---|
| Te mimi pinepine | Te hiahia kia mimi i ngā wā maha atu i te tikanga. |
| Te matewai rerekē | Ka nui ake te matewai ahakoa te nui o te wai e inuhia ana e koe. |
| Te nui ake o te hiakai | Ahakoa kua kai pai koe, ka hiakai anō koe i muri i tētahi wā. |
| Ngenge tonu | Te tino ngenge me te hiamoe, kāore he take. |
| Te tirohanga pōuri | Te ahua o te tirohanga pōuri. |
| Te whakaroa i te whakaora o te patunga | Ahakoa he motu iti, he karawarawa rānei, ka roa te wā e ora ai. |
| Te ngoikore, te mamae rānei o ngā peka | Te wiri, te wera, te mamae rānei o ngā ringa me ngā waewae (he mea noa i roto i te mate huka momo 2). |
He aha ngā tohu o te mate tākihi? He aha i puta ai i muri mai?
Koinei te mea tino nui me mōhio tātou katoa. Ka tīmata noa te puta o ngā tohu o te mate tākihi ina tino kino te mate.
Ko te take, he tino pakari ngā okana o ō tātou whatukuhu, ā, kāore e ngāwari ki te hinga. Kia pakaru rā anō te 75% o rātou, ka kaha ake te mahi a ngā wāhanga hauora e toe ana ki te pupuri i te taurite o ngā mahi o te tinana. Koia te take kāore tātou e rongo i tetahi mea kia puta rā anō he kino nui.
Kia puta mai ngā tohu, kua pakaru kē pea te nuinga o ngā whatukuhu. Nō reira, ehara i te mea pai te tatari kia puta mai ngā tohu.
Koinei ngā tohu ka puta ake i te nuinga o te wā ina kaha haere te mate:
- Te pupuhi o ngā waewae, ngā pona, me ngā waewae
- Te pupuhi huri noa i ngā kanohi i te oho ake i te ata
- Te iti haere o te mimi, te mimi huka rānei
- Te uaua ki te manawa me te ngenge pinepine
- Te ngaronga o te hiahia kai me te whakapairuaki
- Kiri maroke me te kiri mākūkū
- Te kore moe
- Ngā mamae o te uaua
Nā, he aha tā tātou mahi? Me pēhea tā tātou tiaki i ō tātou whatukuhu utu nui?
Waimarie, he maha ngā mea ka taea e tātou te mahi hei ārai i tēnei mate, hei whakahaere rānei i tōna whanaketanga. Ko te mea nui ko te tirotiro hauora i te wā tika.1. Kōrero ki tō tākuta: Mena he mate huka tōu, kōrero mārire ki tō tākuta mō te hauora o tō whatukuhu. He mea nui kia tirohia ō whatukuhu i te iti rawa kotahi i te tau.
2. Whakamātautau ACR Mimi: He whakamātautau tino māmā tēnei. Ka tirohia mēnā he iti noa te pūmua e kiia nei ko te albumin i roto i tō mimi. Kāore ngā whatukuhu hauora e tātari i tēnei pūmua i roto i te toto. Ko te noho mai o tēnei i roto i te mimi he tohu wawe kei te tīmata te pakaru o ngā whatukuhu.
3. Whakamātautau toto (Whakamātautau Toto eGFR): He ine tēnei mō te pai o te tātari toto a ō whatukuhu, hei ōrau. Ka kiia tēnei ko te eGFR (Estimated Glomerular Filtration Rate) . Ko te hekenga o tēnei uara ko te tikanga kāore ngā whatukuhu e mahi tika ana.
4. Whakahaerehia te toto toto me ngā taumata huka:
- Te toto toto tiketike: Ko te toto toto tiketike tētahi atu hoariri nui o ngā whatukuhu. Tirohia tō toto toto i ia wā, ā, tangohia te rongoā i tohua e tō tākuta.
- Huka Toto: Kia mau tonu te taumata huka toto ki roto i ngā taumata e hiahiatia ana. Kōrero ki tō tākuta mō te whakamātautau HbA1c , ā, tirohia anō kia rite ki tēnā.
5. Whāia ngā tohutohu a tō tākuta: I ētahi wā ka tohua pea e tō tākuta he rongoā motuhake (hei tauira, ngā aukati ACE, ngā ARB) hei tiaki i ō whatukuhu. Whakamahia kia rite ki ngā tohutohu. Waihoki, kaua e whakamahi tonu i ngā rongoā pēnei i ngā rongoā whakamamae mamae me te kore kōrero ki tō tākuta.
6. He oranga hauora:
- Whakaitihia te kai tote i roto i ngā kai.
- Kai i tētahi kai hauora.
- Whakakorikori tinana i ia wā, i ia wā.
- Āta karohia te momi hikareti.
Āhea koe me toro atu ki te tākuta tonu?
Mena he mate huka tōu, ā, ka pāngia koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei, me toro atu ki tō tākuta i te wā e taea ai.
- Te pupuhi rerekē o ngā waewae, ngā ringa, te mata rānei.
- Te panonitanga o te tauira mimi (te iti haere, te nui haere, te huka).
- Te ngenge nui, te uaua rānei ki te manawa.
- Te ngaronga o te hiahia kai, te whakapairuaki rānei.
Mēnā he āhuatanga ohorere: Ki te pā mai he uauatanga ohorere ki te manawa, he mamae nui ki te uma, ki te ngaro rānei tō māramatanga, haere tonu ki te Tari Ohorere o te hōhipera tata (ETU).
Karere Tangohia ki te Kāinga
- Mena he mate huka tōu, me tiaki tonu hoki ō whatukuhu. He wāhanga tēnei o te whakahaere i tō mate huka.
- Ka puta noa ngā tohu o te mate tākihi ina kua horapa te mate. Nō reira kaua e tatari kia puta mai ngā tohu, kia kaha ki te mahi.
- Me whai whakamātautau mimi (Urine ACR) me te toto (eGFR) māmā hei tirotiro i te mahi a tō whatukuhu i te iti rawa kotahi i te tau.
- Ko te pupuri i tō huka toto me tō toto toto kia pai te whakahaere te huarahi pai rawa atu hei tiaki i ō whatukuhu.
- Mena he iti noa iho ō raruraru, he ruarua rānei mō tō hauora, kaua e mangere ki te kōrero mārama ki tō tākuta.
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