Kia ako tātou mō ō whatukuhu me tō ara mimi.

He maha ngā mea whakamiharo e tupu ana i roto i ō tātou tinana katoa, tika? He rite ki tētahi wheketere nui. Nō reira, me whai huarahi hei whakakore i ngā para e puta mai ana i tēnei wheketere. Ko tētahi o ngā huarahi matua hei whakakore i ngā para i roto i ō tātou tinana ko te pūnaha mimi . E rua ngā toa o tēnei pūnaha mimi , ko ngā whatukuhu . I tēnei rā ka kōrero tātou mō ēnei whatukuhu me te ara mimi. He tino māmā noa iho, e mārama ana koe.

He aha ēnei whatukuhu? Kei hea rātou e noho ana i roto i tō tātou tinana?

Inaianei kei te whakaaro pea koe he aha ēnei whatukuhu, ā, kei hea rātou e noho ana, tika? He tino māmā noa iho. E rua ngā okana āhua pīni ngā whatukuhu. He rite te rahi o ia whatukuhu ki tō ringa. Kei ia taha o tō tātou tuaiwi ēnei, kei raro noa iho i ngā rara i te uma, ki muri o te tinana. He rite ēnei ki ngā tātari tino kaha o tō tātou tinana.

He pūnaha tino uaua kei roto i ēnei whatukuhu. Engari ki te kī māmā, he wāhanga o waho, he wāhanga o roto hoki o te whatukuhu. Kei roto i ēnei he miriona ngā wae tātari iti e horoi ana i te toto . Ka kiia ēnei he nephrons . Whakaarohia te nui o te mahi ātaahua e mahia ana i roto i tētahi wāhi iti nei!

He aha te mahi matua a ngā whatukuhu? He aha i tino hira ai rātou?

Ko te mahi matua, ko te mahi nui rawa atu hoki a ngā whatukuhu, ko te horoi i ō tātou toto . He rite ki te tātari wai i roto i te kīhini, engari he uaua ake, he matatau ake. Ka tātarihia e ngā whatukuhu ngā para i puta mai i te mahi a ngā pūtau o tō tātou tinana - hei tauira , te urea, ka hangaia ina nakunaku te pūmua e kainga ana e tātou - tae atu ki ngā tote me te wai, ka tātarihia katoatia ēnei i roto i te toto ka hangaia hei mimi.

Whakaarohia pēnei:

• Ka tomo te toto poke ki roto i ngā whatukuhu.
• Ka purea tēnei toto e ngā tātari ririki i roto i ngā whatukuhu e kīia nei ko ngā nephron i kōrerotia e au i mua ake nei.
• Ka kohia ngā para me te wai tāpiri hei mimi.
• Ka rere anō te toto kua purea puta noa i te tinana.

He mea whakamiharo! I roto i te rā kotahi, e rua tekau ki te toru tekau ngā wā o te nui o te toto e purea ana e ō tātou whatukuhu e rua i roto i tō tātou tinana katoa! Ko te tikanga kāore he wā mō ēnei whatukuhu e rua kia noho noa iho.

He maha atu anō ngā mahi whakamiharo a ngā whatukuhu!

Haunga te pure i te toto, he maha atu anō ngā mahi nui a ngā whatukuhu mō ō tātou tinana. Me titiro tātou ki tā rātou mahi.

1. Te Whakahaere i te Pēhanga Toto

Āe, nāu.Ka āwhina hoki ngā whatukuhu ki te pupuri i te toto toto . Mā te whakahaere i te nui o te wai me te tote i roto i te tinana, me te whakaputa i ngā homoni (pērā i te renin) e whakahaere ana i te toto toto .

2. Te āwhina ki te hanga i ngā pūtau toto whero

Ka whakaputahia hoki e ngā whatukuhu te homoni erythropoietin, e whakaoho ana i tō tātou hinu wheua ki te whakaputa i ngā toto whero. Ko te tikanga o tēnei, ka pāngia hoki te hauora o te whatukuhu e te mate toto iti, te mate toto iti rānei. Kua whakaarohia e koe tēnā?

3. Te whakahohe i te Huaora D

E mōhio ana tātou ki te hiranga o te huaora D hei pupuri i te kaha o ō tātou wheua. Nō reira, ko te huaora D e whiwhi ana tātou mai i te kai me te rā ka whakahohehia e ngā whatukuhu kia taea ai te whakamahi e te tinana.

4. Te pupuri i te taurite o te tote me te wai i roto i te tinana

He mahi tino pai tā ngā whatukuhu ki te pupuri i te taurite tika o ngā tote, pērā i te konutai me te pāhare pāporo, me te wai i roto i ō tātou tinana. Ki te kore tēnei e tika te mahi, ka puta he maha ngā raruraru.

5. Te taurite waikawa-pūtake i roto i te tinana

Ka āwhina hoki ngā whatukuhu ki te pupuri i te pH (te taurite i waenga i te waikawa me te kawakore) o ngā wai i roto i ō tātou tinana. Me tino āta whakahaere hoki i tēnei.

Titiro mai, ehara ngā whatukuhu i te mīhini tātari toto noa iho, he nui atu ā rātou mahi i tērā!

Nā, he aha tēnei ara mimi?

Ko te pūnaha mimi te ara e haere ai te mimi, e hangaia ana i roto i ngā whatukuhu, kia puta rā anō i te tinana. He maha ngā wāhanga o tēnei pūnaha:

• Ngā ureter: Ko ēnei ngā ngongo angiangi e rua e kawe ana i te mimi mai i ngā whatukuhu ki te pūhā. He rite ēnei ki ngā karere e rua e kawe ana i te mimi mai i ngā whatukuhu ki te pūhā.
• Pūngāwerewere Mimi: He pēke iti tēnei i hangaia ki ngā uaua hei kohi me te pupuri i te mimi. Ka taea te totoro pērā i te poihau rapa. Ka nui haere i te wā e kohia ana te mimi. I te nuinga o te wā, ka hiahia tātou ki te mimi ina e rua kapu (400-500 ml) te mimi.
• Urethra: Koinei te ngongo whakamutunga e kawe ana i te mimi mai i te pūkahukahu ki waho o te tinana. He roa ake te urethra o ngā tāne, he poto ake ia te urethra o ngā wāhine. Nā tēnei rerekētanga ka nui ake te tūponotanga o ngā wāhine ki te pāngia e ngā mate mimi (UTI).

He whakarāpopototanga noa iho, te āhua o te hanganga o te mimi...

He tino uaua te tukanga hanga mimi i roto i ngā whatukuhu, engari kia māmā noa iho. E toru ngā mahi matua:

1.Tātari: Ka uru te toto ki roto i ngā mata iti e kīia nei ko ngā nephron i whakahuatia ake nei. I reira, ka tātarihia ngā mea pēnei i ngā para, te wai tāpiri, me ngā tote. Kāore e tātarihia ngā mea pēnei i ngā matūriki pūmua nui me ngā toto whero i roto i te toto, engari ka hoki anō ki roto i te toto.

2. Te mimiti anō: Tērā pea kei roto i te wai kua tātarihia ngā matū nui e hiahiatia ana e te tinana. Hei tauira, ka mimiti anō ētahi o te wai, te hukahuka (glucose), me ētahi tote ki roto i te tinana. Nā te mea kāore e taea te moumou i ngā matū whai hua.

3. Tāpiri atu i ngā mea kāore e hiahiatia ana `(Hunga)`: Ko ētahi para e toe ana i roto i te toto, pērā i ngā maramara rongoā, ka tāpirihia tika ki te wai kua tātarihia.

Ko te wai e puta mai ana ina oti ēnei mahi e toru ko te mea e kiia nei e tātou he mimi . Kātahi ka haere tēnei mimi mā roto i ngā ureter ki te pūkahukahu, ki reira ka kohia, ā, ka puta atu mā te urethra.

Me aha tātou hei pupuri i te hauora o ngā whatukuhu me te pūnaha mimi?

He tino pukumahi, engari he uaua ki te ngenge ō tātou whatukuhu. Ko tā tātou kawenga kia ora tonu rātou. Anei ētahi mea ngāwari ka taea e tātou te mahi:

• Inumia he nui te wai i te rā: Me inu e koe kia 8 karāhe wai i te rā. Mā tēnei ka āwhina i ngā whatukuhu ki te tātari ngāwari i ngā para, ā, ka whakaitihia hoki te tūponotanga o ngā mate mimi.
• Kai i tētahi kai hauora: Whakaitihia te kai tote . Whakaitihia ngā kai kua takaihia me ngā kai he kakara horihori. Kai atu i ngā huawhenua me ngā hua.
• Whakahaerehia te toto toto tiketike me te mate huka: Mena he toto toto tiketike tōu (hypertension) he mate huka rānei (Diabetes Mellitus), he mea tino nui te whakahaere pai i aua toto hei ārai i te kino o te whatukuhu.
• Kaua e whakamahi i ngā rongoā whakamamae mamae i te nui rawa atu i te mea e tika ana: Ko te whakamahi tonu me te nui rawa o ngā rongoā whakamamae mamae, inā koa ko ngā momo e kiia nei ko ngā "NSAID" (hei tauira, ibuprofen, diclofenac), he kino ki ngā whatukuhu. Kaua e tango tonu i ēnei me te kore he tohutohu hauora.
• Kaua e whakaroa te mimi: Mā te pupuri i te mimi ka pēhia te pūkahukahu, ā, ka pāngia pea te ara mimi e ngā mate.
• Whakakorikori tinana i ia wā, i ia wā.
• Kaua e kai paipa: Ka taea e te kai paipa te kino i ngā oko toto e tuku toto ana ki ngā whatukuhu.
• Me tirotiro hauora i ia wā: Ina koa mēnā kei te tūpono koe ki te pāngia e te mate tākihi (hei tauira, mēnā kei roto i tō whānau tēnei mate, mēnā he mate huka, he toto toto tiketike tōu), me toro atu ki te tākuta i ia wā mō ngā tohutohu, me te whakahaere hoki i ngā whakamātautau e tika ana.

He kōrero poto: Te wheako o Kamal

He taitama pukumahi a Kamal. I tētahi rā, ka pāngia ia e te wera iti i a ia e mimi ana. Engari nā ana kawenga mahi, kāore ia i aro nui ki tēnā. "Kāore pea ia i inu wai nui," tana whakaaro. I muri i ētahi rā, ka piki ake te wera, ā, me mimi pinepine anō hoki ia. I pāngia anō hoki ia e te mamae iti i tōna tuara. Nō tana haerenga ki te tākuta ka mōhio ia he mate mimi tōna (UTI) . Ka mea te tākuta, "E Kamal, me i tatari koe mō tētahi wā roa ake, kua pā pea tēnei ki ōna whatukuhu. Me aro anō hoki koe ki ngā tohu iti e tukuna ana e tō tinana ki a koe." Mai i taua rā, ka tīmata a Kamal ki te whakaaro nui atu mō ōna whatukuhu me te pūnaha mimi.

Āhea tātou me toro atu ki te tākuta?

Mena he raruraru kei ō whatukuhu, kei tō pūnaha mimi rānei, ka hoatu e tō tinana he tohu ki a koe. Mena kei a koe ētahi o ēnei tohu, me toro atu koe ki te tākuta:

• Mena ka pāngia koe e te mamae, e te wera rānei i a koe e mimi ana.
• Mena me mimi pinepine koe, mehemea rānei ka puta ohorere mai te hiahia nui ki te mimi (Whakahauā).
• Mena he toto kei roto i tō mimi (hematuria) .
• Mena he mangu te tae o te mimi, he kaha rānei te kakara.
• Mena kei te mamae koe i ngā taha e rua o tō tuara (kei hea ō whatukuhu).
• Mena kei te pupuhi ō waewae, ō pona waewae, ō kanohi rānei.
• Ki te mea ka pāngia koe e te ngenge nui tonu.
• Mena he rerekētanga nui te nui o te mimi e mimihia ana e koe (he iti rawa, he nui rawa rānei).

Ki te pā mai tētahi, ētahi rānei o ēnei tohu, kaua e warewaretia. Mā te rapu tohutohu hauora i te wā tonu ka ārai i tētahi raruraru nui.

Hei whakamutunga, kia mahara ki tēnei...

E rua ngā kaimahi puku o tō tinana e mahi ana i ō whatukuhu. Ahakoa kāore tātou e mōhio ana ki tā rātou mahi, e kore e taea e tātou te ora me te kore rātou. Nō reira, ko tō kawenga te tiaki pai i ēnei whekau utu nui e rua.

Whakauruhia ngā huringa āhua noho māmā kua kōrerotia e tātou ki roto i tō koiora. Whakarongo ki ngā kōrero a tō tinana. Mena he ruarua, he pātai rānei āu, kaua e whakaroa ki te toro atu ki te tākuta. He manaakitanga nui te rua o ngā whatukuhu hauora mō te oranga hauora!

Nō reira, i kōrero tātou i tēnei rā mō ngā mea ngāwari maha e pā ana ki ngā whatukuhu me te pūnaha mimi. Ko tāku tumanako i whai hua ēnei kōrero ki a koe. Kia tiakina tō hauora!

Ngā whatukuhu, Pūnaha mimi, Ngā whatukuhu hauora, Ngā mate urutā o te ara mimi, Ngā mate whatukuhu, Hauora o Sri Lanka, Hauora whatukuhu Sinhala