Kua kōrero kē te tākuta ki a koe mō te "whakawhitinga whatukuhu"? Kua pāngia rānei tētahi o tō whānau, tō hoa rānei e tēnei momo mahi? He mea noa te taumaha me te mataku ina rongo koe i tēnei ingoa. Ko wai kāore e pai ki ngā kupu "pokanga" me te "whakawhitinga whatukuhu", tika? Kaua e mataku. Ka kōrerohia tēnei mea mā te tino māmā, i te reo Sinhala e mārama ana koe, me te mea kei te kōrero koe ki tētahi hoa.
He aha te tikanga o te whakawhitinga whatukuhu?
Whakaarohia tō tātou tinana he motuka. E rua ngā tātari o tēnei motuka, arā, ko ō tātou whatukuhu. Ko te mahi matua o ēnei tātari e rua he horoi i ō tātou toto, me te tango i ngā para me ngā paitini kāore e hiahiatia ana e te tinana hei mimi. Heoi, nā ētahi mate, i roto i te wā, ka heke haere te kaha o ēnei whatukuhu e rua ki te mahi, ā, i te mutunga ka mutu katoa tā rātou mahi.
He pokanga te whakawhitinga whatukuhu e whakawhitia ai he whatukuhu hauora mai i tētahi tangata hauora ki roto i tō tinana hei whakakapi i tētahi, i ētahi rānei whatukuhu kāore e mahi tika ana. He rite ki te tango i tētahi tātari tawhito, paru hoki mai i tētahi motuka, kātahi ka tāpirihia he tātari hou. Kātahi ka tangohia e tēnei whatukuhu hou te mahi horoi i te toto i roto i tō tinana .
Me pēhea te whiwhi i tētahi whatukuhu hou? (Ngā momo kaituku)
E rua ngā huarahi matua hei whakatutuki i te hauora o ngā whatukuhu. He mea tino nui tēnei.
| Momo Kaituku | He aha te tikanga o tēnei? |
|---|---|
| Kaiwhakawhiwhi Ora | Ko te tikanga o tēnei, ka tuku noa mai tētahi tangata hauora i tētahi o ōna whatukuhu ki a koe. Ko te tikanga he mema whānau (whaea, pāpā, tuākana/teina), hoa rangatira, hoa tata rānei. He tino angitu tēnei tikanga nā te mea he tino pai te whatukuhu mō te tinana. Heoi, he uaua ki te kimi i tētahi kaituku pēnei. |
| Kaiwhakawhiwhi Mate | He whatukuhu tēnei i tangohia mai i tētahi tangata kua mate te roro. Arā, he tangata kua mate i tētahi mea pērā i te aituā, engari kei te pai tonu te āhua o ōna whatukuhu. He tokomaha kua whakaae kia kohaina ō rātou whekau i a rātou e ora tonu ana. Mēnā rānei, ka tupu tēnei me te whakaaetanga a ō rātou whānau. Ko tēnei momo whakawhitinga toto te mea tino noa i Sri Lanka. |
Ko te mea nui ko te whakarite kia ōrite te momo toto me ngā momo kiko o te kaituku me te kaiwhiwhi. Mēnā he pai ake te ōritetanga, ka nui ake te tūponotanga ka angitu te pokanga.
He aha i hiahiatia ai te whakawhitinga whatukuhu?
Ka whakaarohia te whakawhitinga whatukuhu ina mutu katoa te mahi a ō whatukuhu. Ka kiia tēnei āhuatanga ko te "whakamutunga o te ngoikore o te whatukuhu".
I tēnei āhuatanga, e rua āu kōwhiringa matua:
1. Te Dialysis: Ko te whakamahi i tētahi mīhini hei tango i ō toto i tō tinana, hei tātari i ngā para, kātahi ka whakahokia te toto ma ki roto i tō tinana. He mahi tēnei māu mō ngā hāora, mō ētahi rā o te wiki. Ko taua mīhini te nuinga o tō oranga.
2. Te Whakatō Whānau: I muri i te angitu o te whakatō whānau, kāore koe e hiahia ki te dialysis. Ka taea e koe te noho noa, te kai noa, me te mahi noa.
I ngā wā maha, ko te whakawhitinga whatukuhu te kōwhiringa pai rawa atu mō te tangata e tika ana, kaua ki te dialysis.
Ko wai e tika ana kia whiwhi i te whakawhitinga whatukuhu?
Kāore e taea e te katoa te whiwhi i te whakawhitinga whatukuhu. Me tutuki ētahi whakaritenga. Me whai take anō hoki ētahi e kore ai e taea te whiwhi i tētahi. Ka whakatauhia ēnei whakatau e tētahi rōpū tākuta i muri i te tirotiro mārire i a koe.
| Ngā tohu mātauranga e whakaarohia whānuitia ana | Ngā take pea mō te kore whai mana |
|---|---|
| - Te mate whatukuhu o te wāhanga whakamutunga, ā, e rongoatia ana ki te dialysis. | - Kei te pāngia koe e tētahi atu mate, pērā i te mate ngākau kino e kore e taea te whakahaere. |
| - Te tere tātari glomerular (GFR) i raro iho i te 20. | - Kei te pāngia te tinana e te mate urutā kāore e taea te rongoā, ā, kua horapa whānuitia. |
| - Te āheinga ki te mārama pai ki ngā tohutohu hei whai i muri i te pokanga. | - Kua kitea tata nei te mate pukupuku, kei te rongoatia rānei mōna. |
| - Kia ora tinana, kia ora hinengaro hoki. | - Ngā mate hinengaro kino. |
| - Te whai tautoko pai a te whānau, te tautoko pāpori rānei hei manaaki, hei āwhina i a koe. | - Kei a koe tētahi hītori o te kore whakamahi tika i te rongoā i whakaritea e te tākuta, te kore rānei e whai i ngā tohutohu. |
He raruraru te pakeketanga? Ina hoki, ko te mea nui atu i te pakeketanga ko tō hauora whānui. Kua angitu te mahi whakatō whatukuhu ki ngā pakeke tino hauora, kaha.
Me pēhea te mahi i te pokanga?
Ahakoa he āhua whakamataku tēnei, he tino angitu tēnei pokanga o te ao i ēnei rā.
E whā ki te ono hāora te roa o tēnei pokanga.
Koinei te mea ka tupu:
1. Kei hea te whatukuhu hou: Ko ō whatukuhu tawhito, kāore e mahi ana, kāore e tangohia. I a rātou e noho tonu ana i roto i tō tinana, ka whakatōkia e tō tākuta te whatukuhu hou ki roto i tō puku o raro, ki te taha matau, ki te taha maui rānei. Kia whakanohoia ki reira, ka māmā ake te hono atu ki ngā uaua toto me te pūkahukahu.
2. Hononga: Ka honoa ngā oko toto ( ngā uaua me ngā uaua) i roto i te whatukuhu hou ki ngā oko toto matua o tō waewae. Kātahi ka honoa te ngongo e kawe ana i te mimi mai i te whatukuhu hou (ureter) ki tō pūhā.
3. Tīmatanga mahi: Kia tika te hanga o ēnei hononga, ka rere te toto ki te whatukuhu hou, ka tīmata te mahi, ā, ka tīmata hoki te hanga mimi.
I muri i te pokanga, ka noho koe ki te hōhipera mō te toru rā pea. I tēnei wā, ka tirotirohia koe e te tīma hauora kia mōhio ai kei te mahi tika tō whatukuhu hou, me te kite mēnā he raruraru kē atu. I ētahi wā, ka roa pea ētahi rā, wiki rānei kia tīmata ai te mahi a tō whatukuhu hou. Me haere pea koe ki te dialysis mō tētahi wā poto i tēnei wā. He mea noa tēnei.
He aha te "whakakorenga whatukuhu"? Me pēhea te ārai i tēnei?
Koinei te mea tino nui hei aro atu māu i te wā e whakawhitinga ana i te whatukuhu.
He tino mīharo te pūnaha parepare o tō tātou tinana. Ka kiia e tātou ko te Pūnaha Ārai Mate. Ko tāna mahi he kite i ngā mea katoa e puta mai ana i waho o te tinana (pēnei i ngā huaketo, ngā huakita) ka whakaeke, ka whakangaro hoki. Nō reira, ahakoa he whatukuhu hou kua whakaurua ki roto i tō tinana, ka kite tō tinana he "mea tauhou". Nō reira, ka ngana tēnei pūnaha parepare ki te whakaeke, ki te "whakakahore" rānei i taua whatukuhu hou.
Hei aukati i tēnei whakakorenga, ka hoatu e ngā tākuta he rongoā motuhake ki a koe. Ka kiia ēnei he rongoā ārai mate . I roto i ngā kupu māmā, ka whakaroa ēnei rongoā i tō pūnaha ārai mate, ā, ka "whakamarie". Mā tēnei ka aukati i te whakaeke i te whatukuhu hou.
He mea nui kia tangohia e koe ēnei rongoā mō te toenga o tō oranga, kia rite ki tā tō tākuta i tohutohu ai, kaua e ngaro tetahi rā. Koinei te mea pai rawa atu ka taea e koe te mahi hei tiaki i tō whatukuhu hou.
He aha taku e hiahia ana kia mōhio i te wā whakaora?
E ono wiki pea te roa o te wā hei whakaora katoa, engari he rerekē tēnei i ia tangata, i ia tangata. Me tino tiaki koe i a koe anō i tēnei wā.
Ngā mahi me ngā wā wātea
- Te hiki i ngā mea taumaha: Kaua e hiki i ngā mea taumaha mō te iti rawa i te rua marama. Pātai atu ki tō tākuta he aha ngā momo mahi haumaru, me ngā momo mahi kāore.
- Te taraiwa: Kaua e taraiwa mō te ono wiki pea i muri i te pokanga.
- Ngā Hākinakina: Āta karohia rawatia ngā hākinakina pā. Ka taea e rātou te kino i te whatukuhu hou.
Ngā mea hei tūpato i te wā e kai ana, e inu ana hoki
I te mea kua ngoikore tō pūnaha ārai mate, me tino tupato koe ki tāu e kai ana, e inu ana hoki.
- Wai: Inuhia kia rua rita wai i te rā. He mea nui te noho wai pai mō te hauora o ngā whatukuhu.
- Kai mata: Kaua e kainga te mīti, te ika, te hua manu rānei, te mea mata, te mea kāore i tino maoa. He tino tūponotanga ka pā mai he mate ki ēnei.
- Pūmua: Kai i ngā kai whai pūmua (ika, hua manu, miraka) hei hanga i te tinana i te wā e ora ai.
- Kaua e kai i tēnei hua: te karepe me te wai karepe. Ka pā kino pea ēnei ki ētahi rongoā e tangohia ana e koe.
- Ngā rongoā whakamamae: Kaua e tango i ngā rongoā whakamamae, inā koa ngā rongoā anti-inflammatory kore-steroidal (NSAIDs) pērā i te Ibuprofen, i te Naproxen rānei, me te kore kōrero ki tō tākuta. Ka kino pea ēnei ki ō whatukuhu.
- Ngā huaora me ngā otaota:Kaua e whakamahi i tētahi huaora, i tētahi atu tāpiringa otaota rānei, me te kore e kōrero tuatahi ki tō tākuta.
Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu.
I muri i te pokanga, me haere tonu koe ki te whare hauora. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei i te wā o tō pokanga, he tohu pea tēnei kua whakakorengia, kua pangia rānei. Nō reira, me kōrero tonu atu ki tō tākuta, ki tō hōhipera rānei.
- He kirika 100 Fahrenheit (37 Celsius) neke atu rānei.
- Te mamae hou, te ngawari rānei i te wāhi i whakatōkia ai te whatukuhu hou.
- Te pupuhi (edema).
- He rite ngā tohu ki ērā o te makariri, te rewharewha rānei, pērā i te ngenge, te mamae o te tinana, te ānini, me te whakapairuaki.
- He hekenga ohorere, nui hoki o te nui o te mimi e mimia ana e koe.
- He tohu rerekē tēnei i tō hauora noa.
Kia pēhea te roa e ora ai te whatukuhu kua whakatōkia?
He rerekē tēnei i ia tangata, i ia tangata. Engari i te nuinga o te wā,
- Ka pai te mahi a te whatukuhu i tangohia mai i tētahi kaituku ora mō te 12-20 tau .
- Ka pai te mahi a te whatukuhu i tangohia mai i tētahi kaituku kua mate mō te 8-12 tau .
E rua, e toru rānei ngā whakawhitinga whatukuhu o ētahi tāngata i roto i ō rātou oranga, ā, ka ora noa iho rātou. Whai muri i te angitu o te whakawhitinga whatukuhu, ka taea e koe te ora hauora, harikoa hoki. Nā te hangarau o ēnei rā, ko te angitu o ēnei pokanga he 90% ki te 95%.
He tino uaua te noho me te mate tākihi. Engari mā te whakawhitinga tākihi ka taea e koe te hoatu he oranga hou me te tumanako hou. Ki te mataku koe ki tēnei, kaua e mataku, kōrero noa ki tō tākuta. Māna koe e whakamōhio ki te maimoatanga tino tika māu.
Karere Tangohia ki te Kāinga
- He maimoatanga te whakawhitinga whatukuhu e whakarato ana i te kounga o te oranga me te herekoretanga pai ake i te maimoatanga dialysis.
- Kia angitu ai te pokanga, he mea tino nui te ōritetanga pai i waenganui i te kaituku me te kaiwhiwhi.
- He mea nui kia tangohia ngā rongoā ārai mate kua tohua e tō tākuta mō te roanga o tō oranga, kaua e mahue tetahi rā.
- I te wā e ora ana koe, me tino tupato koe ki te kai, ki te tiaki i a koe mai i ngā mate urutā, me te tango i ētahi atu rongoā.
- Ki te pāngia koe e ētahi tohu rerekē, whakamōhio atu ki tō tākuta tonu. Ka taea e koe te whiwhi i ngā hua pai rawa atu mā te kore e mataku, me te kōrero tuwhera ki tō tīma hauora.











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