He rite ngā whatukuhu e rua o tō tātou tinana ki ngā tātari tino pai e rua. Ko te mahi matua a ngā whatukuhu he tātari i ngā para katoa me ngā wai koretake o te tinana, ka tukuna atu hei mimi. Heoi, nā ngā take maha pērā i te mate huka me te toto toto tiketike, ka heke haere te mahi a ēnei whatukuhu. Ina kore e mahi pai ngā whatukuhu, ka kohikohi ngā para ki roto i te tinana, ā, ka tūpono nui ki te ora. Koinei te wā e hiahiatia ana he maimoatanga e kiia nei ko te dialysis.
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He aha te tikanga o te dialysis?
Ko te dialysis he tikanga e mahia ana i roto i te ringa ina ngoikore ō whatukuhu, mā te whakamahi i tētahi mīhini, i tētahi atu tikanga rānei hei mahi i ngā mahi e tika ana mā ō whatukuhu. Hei whakamārama ake, ko te tango i ō toto, te tātari i ngā para (pēnei i te urea me te creatinine) me ngā wai kāore e hiahiatia, me te whakahoki i te toto kua horoia ki tō tinana. Kāore tēnei e whakaora i ō whatukuhu, engari ka āwhina i ō whatukuhu ki te mahi i tā rātou mahi, ka taea ai e koe te noho ora.
He aha te momo tāngata e hiahia ana ki te dialysis?
Me whakamātau te tangata whai mate tākihi whakamutunga (ESKD) ki te dialysis, arā, kua heke te mahi a ā rātou tākihi neke atu i te 15%. He maha ngā tino take o te ngoikore o te tākihi.
- toto toto tiketike
- Mate huka
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I ētahi wā ka ngoikore ngā whatukuhu, kāore he take e kitea ana. I ētahi wā, ka ngoikore ohorere ngā whatukuhu i te mate kino, i te aituā rānei. I roto i tēnei āhuatanga, tera pea ka ora ake ngā whatukuhu.
He mate kino te dialysis. Mēnā ka whakatau tō tākuta me dialysis koe, ā, kāore koe e mahi i tēnā, ka nui haere ngā para paitini i roto i tō tinana (uremia) ka noho hei mate mōrearea. Nō reira, he maimoatanga whakaora ora tēnei.
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Check Availability →E rua ngā momo matua o te dialysis.
E rua ngā momo matua o te dialysis. Mā tō tākuta koe e whakamārama ko tēhea te tikanga pai rawa atu māu, i runga i tō āhua noho me tō hauora.
| Momo dialysis | Te āhua o te tupu | Te wā me te auau |
|---|---|---|
| Hemodialysis | Ka tangohia te toto mai i te uaua i te ringa, ka tukuna mā roto i te mīhini (dialyzer) hei horoi, kātahi ka whakahokia ki te tinana. I te nuinga o te wā ka mahia tēnei i roto i te hōhipera, i te pokapū dialysis rānei. | Tata ki te 3 ngā rā o te wiki, 3-4 hāora i te wā kotahi. |
| Te Dialysis Peritoneal | Ka whakaurua he ngongo (catheter) ki roto i te kōhao puku (i roto i te puku), ka werohia he wai motuhake (dialysate) mā roto, ā, ka horoia te toto mā te whakamahi i te arai o te puku (peritoneum). Ka taea te mahi i te kāinga. | Ka taea e koe te mahi i tēnei 3-5 ngā wā i te rā (30-40 meneti ia wā), i te pō rānei i a koe e moe ana me te mīhini (8-10 hāora). |
Hemodialysis
Koinei te tikanga tino noa. I mua i te tīmatanga o tēnei maimoatanga, ka hangaia he oko toto nui (fistula) mā te hono i te uaua toto me te uaua toto i tō ringa. Ka mahia tēnei kia māmā ake ai te tango toto ki roto, ā, ka whakahokia ki te mīhini dialysis.
Te Dialysis Peritoneal
I mua i te tīmatanga o tēnei tikanga, ka pokangahia he ngongo ngohengohe (catheter) ki roto i tō puku. Mā te hōhipera koe e ako ki te wero me te tango i tēnei wai i te kāinga. E rua ngā tikanga matua mō tēnei:
- CAPD (Continuous Ambulatory Peritoneal Dialysis): I roto i tēnei mahi, ka whakawhitia ā-ringa te wai i ngā wā maha i te rā.
- APD (Aunoa Peritoneal Dialysis): Kei roto i tēnei ko te whakawhiti wai aunoa mā te whakamahi i tētahi mīhini i a koe e moe ana.
He tūponotanga kei te haere mai te dialysis?
Ae, he mōrearea kei ngā maimoatanga e rua. Ko te mōrearea matua ko te tūponotanga o ngā mate pāwera.
- I te wā o te hemodialysis: ka puta pea ngā āhuatanga pēnei i te koretake o te tohanga toto, te pupuhi toto, me te whara i te wāhi i werohia ai te ngira.
- Te dialysis peritoneal: Ko te peritonitis he mate pukupuku o te arai o te puku. I roto i te wā, ka ngoikore pea ngā uaua o te puku, ā, ka puta he hernia.
Mā tō tākuta koe e whakamōhio atu ki ngā āhuatanga mōrearea katoa.
Ka taea e koe te noho i te oranga noa i a koe e dialysis ana?
Ae rā, ka taea e koe. Ko te nuinga o te hunga e dialysis ana ka mahi i ā rātou mahi, i ō rātou oranga whānau, me ā rātou whakangahau pērā i te tikanga. Ka taea e koe te haereere. Mena kei te hemodialysis koe, ka taea e tō tākuta te āwhina i a koe ki te hono atu ki tētahi pokapū dialysis i tō rohe. Mena kei te peritoneal dialysis koe, ka taea e koe te kawe i ngā putea wai me te mīhini e tika ana.
He pai hoki te whakakori tinana. Heoi, ki te mea kei te peritoneal dialysis koe, me whakawhāiti pea ētahi mahi uaua i te wā e kī ana tō puku i te wai. Kōrero ki tō tākuta mō tēnei, ā, rapua he tohutohu.
Āhea te waea atu ki te tākuta tonu
Ki te pāngia koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei, me kōrero wawe tonu ki tō tākuta.
| Āhuatanga mōrearea | Whakaahuatanga |
|---|---|
| Ngā tohu o te mate | Te kirika, te makariri, te ānini, me te rere o te wai, te whero, te rerekē rānei o te tae o te wāhi i puta ai te ngongo. |
| Ngā tohu o te toto toto iti | Pōuriuri, ngoikore, matewai rerekē. |
| Mamae puku | Te mamae puku nui, pumau (ina koa mō te hunga e tango ana i te peritoneal dialysis). |
| Ētahi atu āhuatanga | Te uaua ki te mimi, te whakapairuaki me te ruaki, te pupuhi rerekē i roto i te puku, i te hope rānei (ngā tohu o te hernia). |
He maimoatanga nui te dialysis hei pupuri i a koe kia ora, kia ora hoki tae noa ki te wā e whakatōkia ai ō whatukuhu. He iti te wā e pau ana, ā, he nui te rerekētanga o tō oranga, engari ka hoatu e ia tō oranga ki a koe.
Karere Tangohia ki te Kāinga
- He rongoā whakaora ora te dialysis mō te ngoikore o te whatukuhu, ehara i te rongoā.
- E rua ngā momo matua: te hemodialysis me te peritoneal dialysis. Mā tō tākuta koe e āwhina ki te whiriwhiri i te tikanga e pai ana māu.
- He tokomaha te hunga e kaha ana ki te noho ora, tae atu ki te mahi me te oranga whānau, i a rātou e whiwhi ana i te maimoatanga dialysis.
- Kia tūpato tonu ki ngā tohu o te mate pāwera, te mamae nui, me te whanoke. Mēnā he āwangawanga āu, kōrero tonu atu ki tō tākuta.
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