He nui te kaha o tā tātou mahi i ia rā, kāore? Engari i mōhio koe i a koe e mahi ana i ēnei mea, e rua ngā okana whakamiharo i roto i tō tinana e mahi puku ana, 24 hāora ia rā, kāore e mutu mō tētahi hēkona? Ko ō tātou whatukuhu ēnā. He māmā noa iho, koinei te 'pūnaha tātari' tino kaha i roto i tō tātou tinana. Ki te mutu ēnei, ka pōrearea tō tātou tinana katoa. Nō reira, me kōrero tātou mō ēnei whatukuhu utu nui i tēnei rā.
Renal function (eGFR)
Measure kidney function based on creatinine value
He aha ngā whatukuhu?
Ko ngā whatukuhu he okana e rua he āhua pīni te rahi, tata ki te nikau o te ringa. Kei ia taha o te tuaiwi, kei raro i te tuara, i raro noa iho i te rara. He wāhanga nui ēnei o te pūnaha mimi.
Whakaarohia, e tātarihia ana e ō whatukuhu te 180-190 rita o te wai i ia rā . He nui tēnā hei whakakī i tētahi kaukau nui! I roto i tēnei tukanga tātari, ka wehea ngā para me ngā paitini, ka tukuna atu i te tinana hei mimi (e kiia ana e mātou ko te ' mimi '). I te nuinga o te wā ka tukuna e tātou te 1.5 - 2 rita o te mimi i ia rā. Ā, me pēhea te toenga o te wai kua tātarihia? Ka whakamahia anō e tō tātou tinana. He mea whakamiharo?
Hei tāpiritanga, he mahi nui anō tā ngā whatukuhu ki te pupuri i te taurite i waenga i te nui o te wai me ngā kohuke nui e kiia nei ko ngā electrolytes (pērā i te konutai me te pāhare pāporo) i roto i tō tātou tinana.
He aha ngā mahi matua a ngā whatukuhu?
Ehara ngā whatukuhu i te mīhini tātari toto noa iho. He nui atu ngā mahi a ēnei okana iti e rua i tua atu i tēnā. Me titiro tātou ki ngā mea tino nui.
| Mahi | He whakamārama māmā |
|---|---|
| Tātari para | Ka tangohia e ia ngā para kino me ngā waikawa mai i te toto, pērā i te urea me te creatinine, ā, ka tukuna atu hei mimi. Tata ki te hawhe kapu toto ka purea i tēnei ara ia meneti. |
| Te whakahaere i te toto toto | Ka whakaputahia he pūmua e kiia nei ko te renin, e āwhina ana ki te pupuri i te toto toto ki te taumata e hiahiatia ana. |
| Te whakaputanga homoni | Ka whakaputahia e ngā whatukuhu te momo hohe o te huaora D (calcitriol), e āwhina ana i te tinana ki te mimiti i te konupūmā. Ka whakaputahia hoki e rātou he homoni e kiia nei ko te erythropoietin, e whakaoho ana i te hinu wheua ki te hanga i ngā toto whero. |
| Te taurite waikawa-pūtake (taurite pH) i roto i te tinana | Ka āwhina i te pupuri i te taumata tika o te waikawa i roto i ō tātou toto, kia kore ai e piki haere. |
| Te whakaputa huka | Ki te tino heke te taumata huka o te tinana, ka taea e ngā whatukuhu te hanga huka ) mēnā e tika ana. |
Me pēhea te puta o tēnei tukanga 'tātari' toto?
He tukanga tino uaua tēnei, engari he mea whakamiharo. I roto i ia whatukuhu, neke atu i te miriona ngā wae tātari iti e kiia nei ko ngā nephron . He rite ki te tātari tī e tātari ana i ngā rau tī. E rua ngā wāhanga matua o ia nephron:
- Glomerulus: Koinei te 'tātari' tuatahi. I te rerenga o te toto mā roto i tēnei whatunga o ngā uaua toto tino angiangi, ka tātarihia ngā mea pēnei i te wai, te paru, me ngā tote.
- Ngā ngongo whatukuhu: I te wa e haere ana te wai i tātarihia e te glomerulus mā roto i ēnei ngongo, ka mimitihia anō e te tinana te wai, ngā matūkai, me ngā kohuke e hiahiatia ana e ia . Ko ngā para anake, te wai tāpiri, me ngā waikawa ka tukuna hei mimi.
Clinical vitamins and nutritional supplements
Clinically proven high quality vitamins, minerals and immune nutritional supplements.
Check Availability →He aha ngā āhuatanga noa ka pā ki ngā whatukuhu?
Heoi, he maha ngā āhuatanga hauora ka kino pea ēnei okana utu nui o tātou. He mea nui kia mōhio ki ētahi o ēnei.
- Te Mate Tākihi Mau tonu (CKD): He āhuatanga tēnei e ngaro haere ai te mahi a ngā tākihi i roto i te wā. He maha ngā wā, ko te mate huka kāore i te whakahaeretia me te toto toto tiketike te tino take.
- Te ngoikore o te whatukuhu: Ko te ngaronga ohorere (whakamataku) te ngaronga roa rānei o te mahi whatukuhu. He mate tino kino tēnei.
- Ngā Kōhatu Tākihi: Ka kohia ngā tote kohuke i roto i te mimi, ka hanga hei kongakonga iti, rite ki te kōhatu. Mēnā ka noho ēnei ki roto i te ara mimi, ka mamae nui pea.
- Mate whatukuhu:Ka puta tēnei āhuatanga ina piki ake ngā huakita i te ara mimi ka tomo ki ngā whatukuhu.
- Te Mate Tākihi Polycystic (PKD): He mate ira tēnei. He maha ngā pūkahukahu kī tonu i te wai ka puta i roto i ngā tākihi. Ka arahi pea tēnei ki te ngoikore o te tākihi.
- Matepukupuku Tākihi: Ka puta te matepukupuku ina tupu rerekē ngā pūtau tākihi.
He aha ngā tohu e whakapae ana i te mate tākihi?
Ko te raru nui o te nuinga o ngā mate tākihi ko te kore e kitea ngā tohu i ngā wāhanga tōmua . Mō te nuinga o te tangata, ka puta noa ēnei tohu ina kaha ake te mate. Nō reira, he mea nui kia tupato ki ēnei mea.
- Te pupuhi i ngā waewae, ngā pona waewae, me te mata: Ina kore e taea e ngā whatukuhu te tango tika i te wai me te konutai nui, ka kohia te wai i roto i te tinana, ka pupuhi. Kia tino manukanuka mēnā ka kite koe i te pupuhi huri noa i ō kanohi ina ara ake koe i te ata.
- Ngā huringa o te mimi:
- Te pikinga ake o te auau o te mimi (ina koa i te pō).
- He toto kei roto i te mimi (tērā pea ka māwhero, ka parauri pouri rānei te āhua o te mimi).
- He mimi huka (tērā pea he tohu tēnei he nui rawa te pūmua e tukuna ana i roto i te mimi).
- Kiri mākūkū me te maroke: Ka tupu pea tēnei ina kohia ngā para ki roto i te toto, ā, ka pā ki te kiri.
- Te ngenge me te ngoikore tonu: Ina heke te hanga o te homoni hanga toto whero (erythropoietin), ka puta te anemia, ā, ka puta te ngenge.
- Te kore hiahia kai, te whakapairuaki, me te ruaki: Ka puta ēnei tohu ina piki ake ngā para pēnei i te urea i roto i te toto.
- Te mamae me te pakari o te uaua: Ka tupu pea tēnei ina pakaru te taurite o ngā electrolytes.
Ko te mea nui, ki te pā mai tētahi, ētahi rānei o ēnei tohu ki a koe, kaua e mataku , engari me toro atu ki tō tākuta tonu mō ētahi tohutohu . Kaua e whakaaro noa iho.
He aha ngā whakamātautau e mahia ana hei tirotiro mēnā kei te hauora ōku whatukuhu?
He maha ngā whakamātautau māmā ka taea e tō tākuta te mahi hei tirotiro i te hauora o ō whatukuhu.
| Whakamātautau | He aha tāu e kite nei i roto i tēnei? |
|---|---|
| Te tātaritanga mimi | Ka tirohia te mimi mō ngā mea pēnei i te pūmua, te toto, me te huka. Kāore i te pai te noho o ēnei mea ki roto i te mimi i te nuinga o te wā. |
| Ngā Whakamātautau Toto | Ina koa, ka inehia te taumata o te creatinine i roto i te toto. He para te creatinine. Mena he nui i roto i te toto, ko te tikanga kāore e tātarihia tika ana e ngā whatukuhu. |
| Matawai Ultrasound | Mā tēnei ka āwhina i te kite i te rahi, te āhua, me te aroaro o ngā kōhatu, o ngā pukupuku rānei i roto i ngā whatukuhu. |
| Te Kohikohi i te Whatukuhu | Ki te mea e tika ana, ka tangohia e te tākuta tētahi wahi kiko iti rawa mai i te whatukuhu ka tirotirohia i raro i te karu hiko. |
Ngā mea ka taea e tātou te mahi hei pupuri i te hauora o ō tātou whatukuhu utu nui
He pai ake te ārai i te mate tākihi i te pāngia ina pā mai. Whakauruhia ēnei tikanga ngāwari ki roto i tō oranga.
- Inuhia he wai kia nui: Inuhia kia 8-10 karāhe wai i te rā. Mā tēnei ka āwhina i ngā whatukuhu ki te tātari ngāwari i ngā para.
- Whakahaerehia tō toto toto me te mate huka: Mena kei a koe ēnei āhuatanga, me tango te rongoā i tohua e tō tākuta kia rite ki tāu e hiahia ana. Ko ēnei e rua ngā hoariri nui o ngā whatukuhu.
- Whakaitihia te tote e kainga ana: Whakaitihia te nui o te tote e tāpirihia ana e koe ki tāu kai. He nui te tote i roto i ngā kai kua tākaihia me ngā kai tere.
- Kaua e whakamahi pinepine i ngā rongoā whakamamae mamae: Ki te whakamahi tonu i ngā rongoā whakamamae mamae, inā koa ngā NSAID (hei tauira, Ibuprofen, Diclofenac), me te kore tohutohu a te tākuta, ka kino pea ngā whatukuhu.
- Āta karohia te kai hikareti: Ka kino te kai hikareti i ngā uaua toto e tuku toto ana ki ngā whatukuhu.
- Kia mau ki te taumaha hauora: Whakakorikori tinana i ngā wā katoa. Kai i te kai taurite.
- Tikina ngā whakamātautau hauora:Ina koa mēnā he mate tākihi tō tētahi o tō whānau, he mate huka, he toto toto tiketike rānei tōu, me tirotiro te mahi a tō tākihi i te iti rawa kotahi i te tau.
Karere Tangohia ki te Kāinga
- Ko ō whatukuhu he whekau nui e rua e tātari ana i ngā para i te tinana, e whakahaere ana i te toto toto tiketike, ā, he maha atu anō ngā mahi nui e mahia ana e rātou.
- Ko te mate huka me te toto toto tiketike ngā tino take e rua o te kino o te whatukuhu. He mea nui kia pai te whakahaere i ēnei.
- Kia tūpato ki ngā tohu pēnei i te pupuhi o ngā waewae, ngā panonitanga o te mimi, me te ngenge nui. Mēnā kei te ruarua koe, rapua tonutia he tohutohu hauora.
- He mea tino nui mō te hauora o ngā whatukuhu te inu wai nui, te whakaiti i te tote e kainga ana, me te kore e tango tonu i ngā rongoā whakamamae me te kore he tohutohu hauora.
- He mahi pai te tirotiro i te hauora o ō whatukuhu i ia wā, ina koa mēnā he āhuatanga mōrearea tōu.
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