Mena he mate huka tōu, kua tae ki te wā ki te tiaki i ō whatukuhu. Ko tētahi o ngā raruraru matua o te mate huka ko te kino o ngā whatukuhu. E kiia ana tēnei mate e te hauora ko te " Diabetic Kidney Disease." Tērā pea kua rongo koe i tō tākuta e kī ana ko te Diabetic Nephropathy . He māmā noa iho, koinei te wā e kino ai ō whatukuhu i te toto toto tiketike me te huka toto tiketike kāore i te whakahaeretia mō te wā roa.
Ina pakaru ngā whatukuhu i tēnei ara, ka heke haere te kaha ki te tātari me te tango i ngā para i te tinana. Kāore tēnei e puta katoa i te wā kotahi, ka haere haere te mate mā roto i ngā wāhanga e rima. Engari ko te mea pai rawa atu, mā te maimoatanga tika me ngā huringa momo noho, ka taea e tātou te whakahaere i tēnei āhuatanga me te ārai i ngā raruraru.
I ngā wāhanga tōmua o tēnei mate tākihi, kāore he tohu e kitea ana. Koia te mea nui kia kōrero koe ki tō tākuta, kia tirohia hoki te mahi a tō tākihi i te iti rawa kotahi i te tau.
I te nuinga o te wā ka tirohia e tō tākuta ō tauira mimi me ō tauira toto, me te rapu tika i tētahi momo pūmua e kiia nei ko te microalbumin i roto i tō mimi. He tohu tōmua tēnei kei te tīmata te pakaru o ō whatukuhu.
Renal function (eGFR)
Measure kidney function based on creatinine value
He aha ngā wāhanga e rima o te mate tākihi mate huka?
Kia mārama tātou inaianei ki ngā wāhanga e rima o tēnei mate, kia māmā ake hoki. Mā te mōhio ki tēnei ka tino āwhina i te tautuhi me te whakahaere wawe i te mate.
| Atamira | He aha te mea ka pā ki ngā whatukuhu? | Ngā āhuatanga matua me ngā mea hei mahi |
|---|---|---|
| Wāhanga 1 | Kei te kaha ake te mahi a ngā whatukuhu i tō te tikanga, ā, tera pea ka nui ake te rahi. | Kāore he tohu o waho. He iti noa te nui o te pūmua (microalbumin) ka kitea i roto i te mimi. He mea tino nui ngā huringa o te āhua noho. |
| Wāhanga 2 | Kei te tīmata ngā whatukuhu ki te whakaatu i ētahi pakaru iti. Kei te pai tonu te mahi. | Kāore he tohu o waho. He paku teitei ake te nui o te pūmua i roto i te mimi i tērā o te wāhanga 1. Me whai tonu koe i ngā tohutohu mō te wāhanga 1. |
| Wāhanga 3 | Kua tino heke te mahi a te whatukuhu. | He maha ngā wā kāore he tohu. Tērā pea ka pupuhi ngā peka o ētahi tāngata, ka nui te toto toto tiketike, ka kore hoki e toto. He mea nui kia toro atu ki tētahi tākuta tohunga ki ngā mate tākihi (Nephrologist). |
| Wāhanga 4 | Kua tino pakaru ngā whatukuhu. He tino ngoikore te mahi a ēnei whatukuhu. | Ko ngā tohu ko te pupuhi o ngā peka me ngā huringa o te auau o te mimi. Ka piki ake te pāhare pāporo, te whākōkī, me te waikawa i roto i te toto. Me tirotirohia tata te tākuta hei ārai i te ngoikore o te whatukuhu. |
| Wāhanga 5 | Kua tata te ngoikore o te whatukuhu, kua tino ngoikore rānei. | Ka puta ake ngā tohu kino, ā, e hiahiatia ana he dialysis, he whakawhitinga whatukuhu rānei. |
Ngā Wāhanga Tīmatanga (Wāhanga 1 me te 2) - Whakatūpato Wahangu
Kaua e whakaaro ahakoa kāore koe e rongo i tetahi mea i ēnei wāhanga tuatahi e rua, ehara i te mea morearea. Koinei te wā pai rawa atu hei mahi. Koinei te wā pai rawa atu hei whakamutu, hei whakaroa rānei i te kino o ō whatukuhu.
Ngā mea ka taea e koe te mahi i tēnei wā
- Whakahaerehia tō huka toto me tō toto toto: Koinei te mea nui rawa atu. Tangohia te rongoā e tohua ana e tō tākuta i te wā tika. He mea pai mēnā ka taea e koe te whai taputapu i te kāinga hei ine i tō huka me tō toto toto.
- Kai hauora: Whakaitihia te kai tote i te mea e taea ana. Kaua e kai i ngā mea reka, i ngā kai hinuhinu, me ngā kai tere. Whakaurua ngā huawhenua, ngā hua rākau, me ngā otaota ki roto i tō kai.
- Whakangungu:Whakakorikori tinana kia 30 meneti pea te iti rawa i te rā. He pai ngā kōwhiringa hikoi, oma, eke pahikara rānei.
- Kia mau ki te taumaha hauora: Mā te pupuri i te taumaha e tika ana mō tō teitei ka whakaiti i te pēhanga ki ō whatukuhu.
- Ki te kaipaipa koe, kati inaianei: Ka kino te kaipaipa i ngā uaua toto e kawe ana i te toto ki ngā whatukuhu.
Ngā Wāhanga 3 me te 4 - Kua tae ki te wā kia tūpato
Ahakoa i te wāhanga tuatoru, kāore pea koe e kite i ngā tohu nui. Heoi, ka tīmata ētahi tāngata ki te pupuhi i ō rātou waewae me ō rātou ringa. Ka piki ake pea tō toto toto, ā, ka pāngia pea koe e te anemia. I tēnei wāhanga, ka tukuna koe e tō tākuta ki tētahi tākuta tohunga ki ngā mate tākihi, e kiia nei ko te nephrologist . He mea tino nui kia whai i āna tohutohu.
He mate kino rawa atu te wāhanga tuawhā. I tēnei wā, kua tino heke te mahi a ngā whatukuhu. Ko ngā tohu ko te pupuhi o ngā peka, te huringa o te auau, te nui rānei o te mimi, me te pikinga o te pāhare pāporo me te whākōkī i roto i te toto. I tēnei wā, me kaha te mahi tahi kōrua ko tō tākuta ki te ārai i te ngoikore katoa o te whatukuhu.
Wāhanga 5 - Te ngoikore o te whatukuhu
Koinei te wāhanga whakamutunga. I konei, kua mutu katoa te mahi a ngā whatukuhu e rua, kua tata rānei te mutu. I tēnei wā, ka puta ngā tohu rerekē nā te kohikohinga o ngā para i roto i te tinana me te paihana.
- Te pupuhi o ngā peka
- Kiri mākūkū rawa
- Ngā mamae o te uaua
- Whakapairuaki me te ruaki
- Mamae tuara
- Hiahia kai
- He iti noa iho, kāore rānei he putanga mimi
- Te uaua ki te manawa, te kore moe
- Ngā raruraru o te mahara me te hinengaro (Pōhēhētanga)
- Ngā mate hopuhopu
- Te rongo i te reka whakarewa i roto i te mangai
Hei oranga i muri i te taenga ki tēnei wāhanga, me mahi te mahi a ngā whatukuhu i tētahi atu huarahi. E rua ngā tikanga matua mō tēnei.
1. Dialysis: Koinei te wāhi e horoia ai te toto o te tinana mā te āwhina o tētahi mīhini, hei tango i te wai taikaha me ngā para. E rua ngā momo o tēnei: Hemodialysis (he tikanga e mahia ana i roto i te hōhipera mā te hono atu ki tētahi mīhini) me te Peritoneal Dialysis (he tikanga e mahia ana i te kāinga mā roto i te kōhao puku).
2. Te Whakatō Whatukuhu: Ko te whakato pokanga o tētahi whatukuhu hauora (mai i tētahi kaituku ora, kua mate rānei) ki roto i te tinana.
Karere Tangohia ki te Kāinga
- Ki te mea he mate huka tōu, kia maumahara tonu ka pā ki ō whatukuhu. Kaua e manukanuka, ka taea te whakahaere i tēnei.
- Ko te mea nui ko te pupuri i te huka toto me te toto toto kia pai te whakahaere. Tangohia te rongoā kia rite ki te whakahaunga a tō tākuta.
- Nā te mea kāore he tohu i ngā wāhanga tōmua, me tirotiro e tō tākuta te mahi a tō whatukuhu i te iti rawa kotahi i te tau (te pūmua i roto i tō mimi me te creatinine i roto i tō toto).
- He rite te noho hauora (te kai pai, te whakakori tinana, me te karo i te momi hikareti) ki te taiepa nui hei tiaki i ō whatukuhu.
- Ki te kitea he mate tākihi tōu, kaua e mataku, engari me whai i ngā tohutohu a tō tākuta . Mā te whakahaere tika, ka taea e koe te ora hauora.
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