He maha ngā wā ka tino matewai koe? Ā, he maha hoki ō mimi? Ahakoa he āhua noa tēnei, i ētahi wā, tera pea he mate hauora kāore i te mōhiotia kei muri. I tēnei rā ka kōrero tātou mō tētahi mate hauora onge engari he mea tino nui hei mōhio.
He aha rawa te Mate Huka Insipidus Nephrogenic?
Ina rongo koe i tēnei ingoa, tera pea ka whakaaro koe he rite tēnei ki te Mate Huka Mellitus, e mōhiotia ana e tātou katoa. Engari ehara tēnei i te mate huka e pā ana ki te huka . E mōhio ana tātou, ko te mate huka ka puta mai i te nui o te huka toto. Engari ko te mate huka insipidus nephrogenic he raruraru e pā katoa ana ki ngā whatukuhu .
He whakarāpopototanga noa iho, he homoni motuhake kei te roro hei whakahaere i te nui o te wai i roto i ō tātou tinana. Ko tēnei te homoni antidiuretic, ko te "Homoni Antidiuretic - ADH" rānei. Ina matewai koe, ina maroke rānei, ka tukuna tēnei homoni "ADH" mai i te roro ka tukuna he tohu ki ngā whatukuhu, e mea ana, "Āe, pupurihia te wai i roto i tō tinana, ā, whakaitihia te nui o te mimi e whakaputaina ana e koe."
Heoi, i roto i te tangata e pāngia ana e te mate huka insipidus nephrogenic, ahakoa te nui o te ADH e whakaputaina ana e te roro, kāore e taea e ngā whatukuhu te kite i taua tohu. Me te mea kāore koe e rongo i tētahi e kōrero ana ki a koe. Nā te mea kāore ngā pūoko ADH i roto i ngā whatukuhu e mahi tika ana, kāore e taea e ngā whatukuhu te mimiti me te pupuri i te wai i roto i te tinana. Nō reira, ka tukuna he nui o te wai e hiahiatia ana e te tinana ki roto i te mimi.
Nā te aha i huaina ai tēnei ko "Insipidus"? Ko te tikanga o "Insipid" he kore reka, he mangu. I ngā wā o mua, i whakamātau ngā tākuta i te mimi hei tātaritanga i ngā mate. I roto i te mate huka, he reka te mimi (koia i huaina ai ko "mellitus," ko tōna tikanga he reka). Engari i roto i tēnei mate, he mangu te mimi, he rite ki te wai. Koia i huaina ai ko "Insipidus."
He aha ngā tohu matua o tēnei mate?
Koinei ngā tohu matua o te ngoikore o te whatukuhu. Mō ētahi tāngata, ka tino kino rawa atu ēnei tohu, ā, kāore e taea te manawanui.
| Tohu | Whakaahuatanga |
|---|---|
| He nui te matewai mō te wai. | He kare ā-roto o te matewai e kore e taea te tohe, e kore e memeha. |
| Te nui o te mimi (Polyuria) | Te putanga pinepine, nui o te mimi mārama , wai, puta noa i te rā. |
| Te maroketanga | Ko te nui o te wai e ngaro ana i te tinana ka puta ngā tohu pēnei i te kiri maroke, te waha maroke, me te ānini. |
| Te Tauritekore o te Irahiko | Ka taea e te nui o te wai e ngaro ana te whakaputa i ngā huringa ki te nui o ngā tote i roto i te toto, pērā i te konutai me te pāhare pāporo. Ka taea e tēnei te whakaputa i ngā tohu e whai ake nei:
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Whakaarohia, me inu ētahi tāngata i tētahi karāhe wai nui i ia 15 meneti. I te rā katoa, i ia rā. Nā te mea kāore taua wai e noho ki te tinana, me haere rātou ki te wharepaku i ia wā, i ia wā. Ka taea e koe te whakaaro ki te nui o te whakararuraru i tēnei ki te oranga, tika?
He aha te take o tēnei āhuatanga?
He maha ngā take o te mate huka insipidus nephrogenic.
I roto i ngā tamariki nohinohi me ngā pēpi
He maha ngā wā ka puta tēnei āhuatanga i te hapa ira o ngā pēpi. Ko te tikanga, kāore te wāhanga o ngā whatukuhu e aro ana ki te homoni ADH (kaiwhakawhiwhi) e mahi tika ana.
I roto i ngā pakeke
Ehara tēnei āhuatanga i roto i ngā pakeke i te mea nā ngā āhuatanga ira. He mea awe mai i ētahi atu āhuatanga.
- Ētahi rongoā: Ina koa ko te rongoā 'Lithium'. He rongoā tēnei e hoatu ana hei rongoā i ngā mate hinengaro pēnei i te bipolar. Tata ki te 20% o te hunga e tango ana i te 'Lithium' ka pāngia e tēnei mate. Waihoki, ko ētahi atu rongoā pēnei i te 'Demeclocycline' me te 'Ofloxacin' ka pāngia e tēnei mate.
- Ngā huringa o ngā taumata huware:
- Te nui o te konupūmā i roto i te toto (Hypercalcemia).
- Te iti o te pāhare pāporo i roto i te toto (Hypokalemia).
- Mate tākihi: Ina koa ko ngā mate tākihi mau tonu pērā i te mate tākihi polycystic.
Tērā anō tētahi atu momo o te "diabetes insipidus". Ka kiia ko te central diabetes insipidus. Ko te mea ka tupu i tēnei kēhi ko te mahi pai a ngā whatukuhu, engari kāore te roro e whakaputa i te nui o te homoni ADH . Ehara i te mea he raruraru ki ngā whatukuhu, engari he raruraru ki te roro.
Me pēhea te rongoā?
He pono, he uaua te rongoā i te mate huka insipidus nephrogenic. Nā te mea kāore ngā whatukuhu e aro ki te homoni `ADH`, kāore e āwhina te hoatu `ADH` ki waho. Heoi, he huarahi hei whakahaere i ngā tohu.
1. Te rongoā i te pūtake: Ki te whakatau tō tākuta nā te rongoā e tangohia ana e koe, pērā i te lithium, ka taea te whakarerekē, te whakamutu rānei i te rongoā.
2. Ngā huringa āhua noho:
- Inu wai i ngā wā katoa: Koinei te mea nui rawa atu . Me inu wai i ngā wā katoa hei whakakī anō i te nui o te wai i ngaro i te tinana. He mea nui tēnei hei ārai i te matewai.
- Kai: Mā te kai i ngā kai iti te tote me te pūmua ka āwhina i te whakaiti i te nui o te mimi e tukuna ana e koe. Kōrero ki tō tākuta mō tēnei, kia whiwhi tohutohu ai.
3. Ngā rongoā:
- Ngā NSAID: Ka taea e ngā rongoā mamae pēnei i te ibuprofen te āwhina i te whakaiti i te mimi. Heoi anō, me kōrero koe ki tō tākuta i mua i te whakamahinga mō te wā roa.
- Ngā rongoā whakaheke toto: Tērā pea ka ohorere koe i tēnei. Ko ēnei mea e kiia nei ko ngā "pire wai" ka hoatu hei āwhina i te tinana ki te tango i te wai. Engari he mea miharo, ka taea e te rongoā whakaheke toto pēnei i te 'Hydrochlorothiazide' te āwhina ki te whakaiti i te putanga mimi i roto i tēnei āhuatanga. He uaua te tikanga mahi, nō reira me whakamahi kia rite ki te whakahau a tō tākuta.
He mea tino nui: Me mimi pinepine te hunga whai mate pēnei. Mā te pupuri kia kī tonu te pūkahukahu ka pā he kino mō te wā roa. Nō reira, mimi tonu ina hiahia koe.
Ki te pā mai ēnei tohu ki a koe, kaua e mataku, engari me toro atu ki te tākuta kia whiwhi tohutohu ai koe. He mea nui kia mahia ngā whakamātautau e tika ana, kia mōhio ai koe he aha te āhua o tō mate.
Karere Tangohia ki te Kāinga
- Ehara te mate huka insipidus nephrogenic i te mate huka, engari he mate e puta mai ana i te kore e taea e ngā whatukuhu te aro ki tētahi homoni .
- Ko ngā tohu matua ko te matewai kore e taea te tohe me te mimi nui rawa .
- Ko te rongoā tino nui mō tēnei ko te inu i te nui o te wai , me te karo i te matewai.
- Ka taea e ētahi rongoā, ngā panonitanga o te taumata tote toto, me ētahi atu mate tākihi te take o tēnei.
- Ki te puta mai ēnei tohu, kaua e whakapae noa , engari me toro atu ki te tākuta kia tika ai te tātaritanga me te maimoatanga .
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