Ngā mea e hiahia ana koe ki te mōhio mō te whakawhitinga whatukuhu

Ko ngā whatukuhu tētahi o ngā okana tino nui o te tinana. He rite rātou ki te tātari i roto i te tinana. Ka tātarihia e rātou ngā para i roto i te toto, ā, ka tukuna hei mimi. Engari i ētahi wā, nā ngā take maha, ka heke haere te mahi a ēnei whatukuhu e rua, ka mutu rānei. Ka kiia tēnei āhuatanga ko te ngoikore o te whatukuhu. Ina tupu tēnā, me mahi tātou i te dialysis, me whai rānei i te whakawhitinga whatukuhu. Nō reira, i tēnei rā ka kōrero tātou mō te tikanga o tēnei whakawhitinga whatukuhu, me ngā mea e tika ana kia mōhio koe mōna.

He aha te tikanga o te whakawhitinga whatukuhu?

He pokanga te whakawhitinga whatukuhu e tangohia ai tētahi whatukuhu hauora, ka whakatōkia ki roto i te tinana o tētahi tangata kua ngoikore tōna whatukuhu. Kātahi ka tangohia e te whatukuhu hou te mahi tātari i ngā para i roto i te tinana. He rite ki te tango i tētahi tātari tawhito, pakaru, ka whakakapia ki tētahi mea hou.

E rua ngā huarahi matua e taea ai e tātou te whiwhi i te whatukuhu hauora e hiahiatia ana mō tēnei.

1. Mai i tētahi kaituku ora: Ko te tikanga tēnei ka tukuna e tētahi tangata ora me ōna whatukuhu hauora tētahi o ōna whatukuhu.

2. Kaiwhakawhiwhi Mate: Ko te tikanga o tēnei ko te whiwhi i tētahi whatukuhu mai i tētahi kua mate te roro engari kei te mahi tonu ōna whekau.

Kia tirohia ēnei tikanga e rua me ētahi atu taipitopito.

Ko wai e hiahia ana ki te whakawhitinga whatukuhu?

Ko te whakawhitinga whatukuhu te mea nui mō te hunga kei ngā wāhanga whakamutunga o te mate whatukuhu mau tonu . Ka kiia tēnei ko te ngoikore o te whatukuhu wāhanga whakamutunga. I tēnei wāhanga, ka ngaro katoa te kaha o ō whatukuhu ki te tātari i ngā para.

Ko ngā kōwhiringa matua e rua mō tētahi tūroro pēnei ko:

• Dialysis: Te horoi i te toto o te tinana mā te whakamahi i tētahi mīhini.
• Te Whakatō Whatukuhu: Te whakatōnga o tētahi whatukuhu hauora.

O ngā mea e rua, ko te whakawhitinga whatukuhu te kōwhiringa pai rawa atu mō te tūroro e tika ana, nā te mea ka taea e rātou te ora i tētahi oranga pai ake, i tētahi oranga noa ake i te noho herea ki te dialysis.

Me pēhea koe e tika ai mō te whakawhitinga whatukuhu?

He rerekē pea ngā paearu mō tēnei i ia hōhipera, engari i te nuinga o te wā, me tutuki ēnei whakaritenga e whai ake nei:

• Kei te wāhanga whakamutunga o te mate tākihi, ā, e whiwhi ana i te maimoatanga dialysis.
• Te Tere Tātari Pūkahukahu (GFR) i raro i te 20 mL/min.
• Te mārama pai ki ngā tohutohu me ngā rongoā hei whai i muri i te pokanga.
• Kia pai te hauora tinana me te hinengaro kia taea ai e koe te tu atu i te whakawhitinga uri.
• Kia whai tautoko pai te whānau (tautoko pāpori) hei manaaki me te āwhina i a koe.

Me pēhea te mahi i te pokanga?

Ahakoa he tokomaha te hunga e mataku ana ki tēnei, he pokanga angitu tēnei o te ao ināianei. I te wā o te pokanga, ka tapahia e ngā tākuta he kōhao iti ki tō puku o raro, ki te taha matau, ki te taha maui rānei, ka whakauruhia te whatukuhu hou. Kātahi ka honoa ki ō uaua toto e tata ana. Ka honoa te ureter o te whatukuhu hou ki tō mimi. Ko te wā tēnā e puta ai te mimi i hangaia e te whatukuhu hou i tō tinana.

"Kātahi ka pēhea aku whatukuhu tawhito e rua?"

I te nuinga o te wā, kāore ō whatukuhu tawhito, kāore e mahi tika ana, e tangohia mā te pokanga. Ka waihotia ēnei ki roto i tō tinana. Heoi, mō te hunga whai mate pēnei i te mate whatukuhu polycystic, me tango pea ngā whatukuhu tawhito.

E whā ki te ono hāora te roa o tēnei pokanga.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, me noho koe ki te hōhipera mō te toru rā pea. I taua wā, ka tiakina koe e ngā tākuta me ngā nēhi.

I ētahi wā ka tīmata tonu te mahi a te whakawhitinga whatukuhu hou. Engari i ētahi wā, ka roa pea ētahi rā, wiki rānei kia tīmata ai te mahi. I taua wā, me haere pea koe ki te dialysis mō tētahi wā poto.

Ka mahi ēnei rongoā mā te whakaiti i te kaha o te pūnaha ārai mate o tō tinana. Ki te kore, ka mōhio tō tinana he "tangata ke" te whatukuhu hou, ā, ka ngana ki te whakakore . Ka āraihia e ēnei rongoā tēnā. Nō reira , he mea tino nui kia tangohia ēnei rongoā kia rite ki tā te tākuta i tohutohu ai, me te kore e ngaro i tētahi rā.

He pēhea te oranga i muri i te pokanga?

He rite te angitu o te whakawhitinga whatukuhu ki tētahi whai wāhitanga tuarua ki te ora. Ka tīmata koe ki te kaha ake, ki te hihiko ake i tō mua. Ka wātea koe i te oranga i whakawhāitihia e te dialysis. Ka wātea koe ki te kai me te inu i tāu e pai ai (he pono, he here kei reira). Ka whakatauhia hoki ngā raruraru pēnei i te anemia e puta mai ana i te mate whatukuhu.

Ngā mea hei whakaaroaro i te wā whakaora

E ono wiki te roa o te wā whakaora. I tēnei wā, tiakina ēnei mea.

• Kaua e hiki i ngā mea taumaha: Kaua e hiki i ngā mea taumaha mō te iti rawa i te rua marama.
• Te taraiwa: Kaua e taraiwa mō te ono wiki pea.
• Inumia he nui te wai: He tino pai te inu i te 2 rita wai i te rā mō te hauora o te whatukuhu hou.
• Āta karohia te kai i ngā kai mata: Nā te ngoikore o tō pūnaha ārai mate, mā te kai i ngā mea pēnei i te mīti mata, te ika mata, te huamata mata, me ngā hua manu kāore i tino maoa ka nui ake te tūponotanga o te mate.
• Kaua e kai i ēnei mea:
• Karepe: Ka taea e te karepe me te wai karepe te taunekeneke ki ngā rongoā o tō pūnaha ārai mate, nō reira karohia rawatia.
• Ngā rongoā mamae (NSAID): Ko ētahi rongoā mamae ka taea e koe te hoko mai i te whare rongoā, pērā i te Ibuprofen me te Naproxen, ka pā kino ki ō whatukuhu. Kaua e tango i tētahi rongoā me te kore e kōrero ki tō tākuta mō tētahi take.
• Ētahi huaora me ngā tāpiringa otaota: Ka taea hoki e ēnei te taunekeneke me ō rongoā, nō reira me kōrero ki tō tākuta i mua i te whakamahi i tētahi tāpiringa.

Āhea koe me toro atu ki te tākuta?

Ka haere tonu koe ki te whare hauora. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera.

• He kirika 37 Celsius (100 Fahrenheit) neke atu rānei.
• Te mamae hou, te ngawari rānei ki te wāhi e takoto ana te whatukuhu kua whakatōkia.
• Te pupuhi o te tinana (edema).
• Ngā tohumate rite ki te rewharewha ( te makariri , te mamae o te tinana, te ānini, te whakapairuaki).
• Ki te heke ohorere te nui o te mimi e whakaputaina ana e koe.
• Mena ka pāngia koe e ētahi tohu rerekē, kāore rānei i te tino kitea.