Kua pāngia hoki koe e te hekenga o te nui o te mimi e whakaputaina ana e koe? Me kōrero tātou mō te Oliguria

Kua rongo koe i te iti o te mimi , i te iti rānei o te mimi? I te nuinga o te wā, ka whakaputa mimi ā tātou whatukuhu i te mea e tika ana hei pupuri i te taurite o te tinana. Arā, ka mahi ngā whatukuhu i tā rātou mahi mā te tirotiro i ngā mea pēnei i te nui o te wai e inuhia ana e tātou me te nui o te werawera e whakaputaina ana e tātou. Heoi, ki te pā mai he hekenga ohorere o te nui o te mimi e whakaputaina ana e koe, he tohu pea tēnei mō tētahi raruraru hauora. I tēnei rā ka kōrero tātou mō tēnei āhuatanga e kiia nei ko te 'Oliguria'.

He aha rawa te Oliguria?

Ki te kī māmā noa, ko te oliguria te wā e iti ake ai te mimi e whakaputaina ana e tō tinana i te tikanga. Mō te pakeke, ka kiia he oliguria mēnā he iti iho i te 400 miririta te nui o te mimi e whakaputaina ana i ia rā. Mō ngā tamariki nohinohi me ngā pēpi, ka tatauhia tēnei nui i runga i tō rātou taumaha.

Engari i tua atu i tēnei, tētahi atu mate kino me mōhio tātou. Ko Anuria tēnā. Ki te kore e rongoatia tika te mate oliguria, ka taea te huri hei anuria. Ko te anuria te wā e tino heke ai te hanga mimi e ngā whatukuhu, me te 100 miririta, iti iho rānei, e tukuna ana i ia rā. He mate tino kino tēnei. Nā te mea ko te tikanga kei te ngaro te kaha o ngā whatukuhu ki te tātari toto. Nō reira, he mea nui kia rapua tonutia he maimoatanga hauora.

He aha ngā take o te hekenga o te mimi?

He maha ngā take mō te hekenga o te mimi. Ko ētahi he mea noa, ko ētahi me rapu awhina hauora.

Take matua: Te maroke o te wai

Koinei te tino take o te oliguria. Ka puta te matewai ina kore e nui te wai e whiwhihia ana e te tinana, ina nui rawa rānei te wai e ngaro ana i te tinana. Whakaarohia, kei te ruaki koe, kei te pupuhi rānei tō puku. Kātahi ka ngaro te nui o te wai i te tinana. I taua wā, ka whakaitihia e ngā whatukuhu te hanga mimi hei penapena wai i roto i te tinana. Nō reira, he mea tino nui te inu i te nui o te wai.

Ngā weranga me ngā aituā kino

I muri i te wera nui, ka ngaro te nui o te wai i te tinana. Ka arahi pea tēnei ki te matewai nui me te heke o te mimi . Waihoki, ka taea e ngā aituā kino te whakaputa toto nui (hemorrhage) , te anaphylactic shock (te ohorere i puta mai i te mate pāwera nui) , te septic shock rānei (te ohorere i puta mai i te mate i muri i te pokanga).Ka puta pea tēnei āhuatanga nā ngā mea pēnei i te ).

Te aukati i te ara mimi

Ka haere te mimi e puta ana i roto i ō tātou whatukuhu ki te pūkahukahu, ka puta atu mā roto i tētahi pūnaha ngongo. He rite ki te pūnaha paipa i roto i tētahi whare. Mēnā ka mau tētahi mea i roto i tēnei pūnaha, ka mutu te rere o te mimi ki waho.

• Ngā kōhatu whatukuhu
• Te kiko whara e puta mai ana i muri i te pokanga
• Ka taea e ngā mea pēnei i te pukupuku te whakararu i ēnei ārai.

Ētahi rongoā

Ka taea hoki e ētahi rongoā e tangohia ana e koe te whakaiti i te mimi.

Ētahi atu mate

• Mate whatukuhu: I ētahi wā, ehara te oliguria i te hua o te ngoikore o te whatukuhu, engari he tohu pea nō te mate whatukuhu. Arā, he tohu tēnei kāore ngā whatukuhu e mahi tika ana.
• Te mate manawa, te mate pūkahukahu rānei:I roto i ngā āhuatanga pēnei i te ngoikore o te ngākau, kāore e taea e te ngākau te pupuhi i te toto e ranea ana ki te tinana. Ka whakaitihia te nui o te toto e haere ana ki ngā whatukuhu, ā, ka whakaitihia te whakaputanga mimi. Mena kei a koe ēnei āhuatanga, he mea nui kia mōhio koe ki tō tākuta mō te hekenga o tō putanga mimi.

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Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te tākuta, ka pātai atu ia ki a koe i ētahi pātai. Kia pēhea te roa o tō pāngia e tēnei raruraru, kia pēhea te nui o te mimi e tukuna ana e koe, mēnā he tohu kē atu āu pēnei i te ruaki, te mamae puku rānei, me ngā rongoā e tangohia ana e koe.

Kātahi ka whakahaerehia he whakamātautau tinana, ā, ka tonoa he tauira mimi . Ka taea e te whakamātautau mimi te tirotiro i ngā mate pāwera, i ētahi atu raruraru rānei. I ētahi wā, ka whakahaerehia he matawai ultrasound hei tirotiro i ngā whatukuhu, i ētahi atu whekau rānei. I ētahi atu wā, ka whakahaerehia he cystoscopy , arā, ko te whakauru i tētahi ngongo iti me te kāmera (endoscope) ki roto i te pūkahukahu hei tirotiro i roto.

Ko te mea nui ko te kōrero ki te tākuta mēnā ka kite koe i te hekenga o te mimi, me te kore e aro atu ki tēnā. Mā te tere o te kitea o te pūtake, ka māmā ake te rongoā.

Me pēhea te rongoā?

Ko te maimoatanga e whakawhirinaki ana ki te pūtake o tō mate.

• Mena nā te matewai: Ka kī atu tō tākuta kia nui te wai me ngā wai kei roto ngā electrolytes, pērā i a Jeevani. Mena he kino te mate, me hoatu pea he tote (wai IV) ki roto i te uaua.
• Mena he aukati: Mena he iti ngā kōhatu tākihi kei a koe, mā te inu nui i te wai ka āwhina i a rātou kia puta. I ētahi wā, ka taea te hoatu rongoā ki a koe hei āwhina i a koe kia puta ngā kōhatu. Mena he nui ngā kōhatu, me whiwhi pea koe i tētahi maimoatanga e kiia nei ko te lithotripsy, e whakamahi ana i ngā ngaru oro hei wawahi i a rātou, i tētahi pokanga rānei.
• Mena nā te rongoā: Tērā pea ka whakatau tō tākuta ki te whakaiti i tō horopeta, ki te hoatu rānei i tētahi atu rongoā ki a koe. Engari kia maumahara, kaua e mutu te tango i tētahi rongoā, kaua hoki e whakarerekē i te horopeta me te kore e kōrero tuatahi ki tō tākuta.
• Mena nā te mate tākihi: Ka tukuna koe ki tētahi tākuta tohunga ki te mate tākihi, e kiia nei ko te nephrologist . Mena he kino te mate, tera pea e hiahiatia he whakawhitinga tākihi, he maimoatanga dialysis rānei, he mīhini e horoi ana i te toto.