He mea noa te matewai i muri i te kai i ngā kai raukikī, i te whakakori tinana rānei, me te werawera. I te nuinga o te wā, he karāhe wai anake hei whakamāmā i taua matewai. Engari kua pāngia koe e te matewai tonu, e kore e memeha ahakoa te nui o te wai e inuhia ana e koe? Ki te mau tonu tēnei mō ngā rā, mō te roa rānei, ehara i te matewai noa iho. I roto i te ao hauora, ka kiia tēnei ko te Polydipsia, te matewai nui rawa rānei.
He aha rawa te Polydipsia?
Ki te whakarapopoto, ko te Polydipsia he matewai nui, he rerekē, e kore e hiahiatia ana e te tinana. He maha ngā wā ka puta he urupare a te tinana ki te kore taurite o te wai. He maha ngā wā ka haere tahi tēnei mate me te waha maroke (xerostomia) me te hiahia kia mimi pinepine.
He mea nui te wai kia pai ai te mahi a tō tinana, nō reira he mea nui kia noho makuku tonu. Heoi, me te Polydipsia, ka rongo pea koe ahakoa te nui o te inu, kāore tonu tō matewai e makona. Ka roa pea tēnei kare ā-roto mō ngā rā, wiki, marama rānei.
Ki te mau tonu tō matewai, nui rawa atu rānei, he tohu tōmua pea tēnei mō ngā mate hauora kino pērā i te mate huka.
He aha te take o te nui o te matewai?
Ka puta pea te matewai nui i ngā āhuatanga noa, rangitahi rānei, i ngā āhuatanga hauora rānei e hiahia ana kia arohia. Me wehewehe tātou i ngā mea e rua.
Ngā Take Noa o te Oranga o Ia Rā
He wā poto noa iho ēnei āhuatanga, ā, kāore he take e manukanuka ai:
- Ngā kai he nui te konutai, he kai raukikī rānei: Ko ngā kai he nui te tote, he kai raukikī rānei, ka whakaoho i te matewai.
- Te inu kawheine, te inu waipiro rānei: He rongoā diuretic ēnei, ka taea te whakaiti i te nui o te wai o te tinana.
- Te taumaha o te whakakori tinana: Mā te nui o te ngaronga o te wai me te electrolyte i roto i te werawera ka matewai.
- Mate: Ka tere te ngaronga o ngā wai o te tinana i ngā āhuatanga pēnei i te kirika, te korere, te ruaki rānei.
- Te Hapūtanga: Ko ngā huringa homoni me ngā huringa ā-tinana i te wā e hapū ana ka nui ake te hiahia ki te wai.
- Ngā Rongoā: Ka taea e ētahi rongoā te whakarārangi i te waha maroke me te nui haere o te matewai hei pānga taha.
Ngā Take Hauora hei Aroturuki
Ki te kore tō matewai e memeha i muri i ētahi rā, tera pea he tohu tēnei mō tētahi raruraru hauora nui ake. Anei ētahi o ngā āhuatanga ka pā mai pea.
| Āhua | Whakamārama Māmā |
|---|---|
| Mate huka | Koinei te tino take hauora o te matewai nui. Ina teitei te taumata o te huka i roto i tō toto (hyperglycemia), ka kaha ake te mahi a ō whatukuhu ki te tātari me te tango i te huka nui mā roto i tō mimi. Ka hua ake tēnei i te mimi pinepine, ka mutu ka maroke te wai, ka matewai tonu. |
| Mate huka insipidus | Ahakoa te ingoa ōrite, kāore tēnei e pā ana ki te huka toto. He mate e pā ana ki ngā homoni, ki ngā whatukuhu rānei, e kore ai e taea e te tinana te pupuri tika i te wai, ka hua ake he nui o te mimi me te matewai roa, kaha hoki. |
| Te maroketanga | Ki te kore e nui te wai i inuhia e koe mō ngā rā maha, ka tino maroke tō tinana, ka puta ai te matewai nui. |
| Te Polydipsia Hinengaro | Ko ētahi āhuatanga hauora hinengaro, pērā i te manukanuka nui, te mate hinengaro schizophrenia rānei, ka puta ai te hiahia nui, te hiahia kore e taea te whakahaere, ki te inu nui i te wai. |
| Te iti o te pāhare pākawa waro (te iti o te pāhare pākawa waro) | Ka pāngia te mahi a te whatukuhu e te iti o te pāhare pāporo i roto i tō toto, ā, ka nui ake pea te matewai. |
| Ētahi atu Take | Ka taea e ngā wera nui, te sepsis, ngā mate pūmau rānei pērā i te ngākau, te ate, te whatukuhu rānei te whakararuraru i te taurite wai o tō tinana, ā, ka nui te matewai. |
Āhea koe me toro atu ki tētahi tākuta?
Ki te haere tahi mai tō matewai nui me tētahi o ngā tohu e whai ake nei, kaua e whakaroa—rapuhia he tohutohu hauora tonu.
- Ka mau tonu tō matewai mō ngā rā maha, ahakoa kua nui ake te wai e inuhia ana e koe.
- Kei te mimi pinepine koe, ā, he nui hoki te rahinga (e mōhiotia ana i te taha hauora ko te polyuria).
- Ka pōuriuri tō tirohanga.
- Kāore he whakamāramatanga e pā mai ana, e tino ngenge ana koe, e ngoikore ana rānei.
- He nui rawa tō hiakai (polyphagia).
Ina puta ngātahi ēnei tohu—ina koa te matewai nui, te mimi pinepine, me te hiakai nui—he tohu nui ēnei mō te mate huka. Ki te kite koe i ēnei, tēnā toro atu ki te whare hauora, ki te hōhipera rānei i taua wā tonu.
I a koe e kōrero ana ki tō tākuta, ka whakahaerehia e ia he whakamātautau tinana, ā, ka pātai pea ia:
- Kia pēhea te roa o tēnei matewai e whakararuraru ana i a koe?
- I tīmata ohorere, i āta haere rānei?
- Kua puta he huringa ki tō kai, ki tō taumaha rānei?
Hei tautuhi i te take, ka tonoa pea e rātou he whakamātautau toto (mō te huka me ngā electrolytes) me te tātaritanga mimi.
Ka whakaritea te maimoatanga kia rite ki te pūtake o te mate. Mena he mate huka, mā tō tākuta koe e āwhina ki te whakahaere i tō huka toto. Mena he pānga taha o te rongoā, ka whakarerekē pea rātou i tō horopeta. Ko te mahi nui ko te toro atu ki tētahi tohunga kia tika ai te tātaritanga.
Karere Kawea ki te Kāinga mai i Nirogi Lanka
- He rerekē te matewai noa i te matewai pumau, kore e taea te tineia (polydipsia).
- Ko te matewai nui tonu te tohu matua o ngā mate kino pēnei i te mate huka.
- Mena kei te haere tahi mai tō matewai me te mimi pinepine, te tirohanga pōuri, te ngenge nui rānei, kaua e warewarehia ēnei tohu whakatūpato.
- Ki te pāngia koe e te matewai rerekē, kore e mutu, kaua e whakaaro noa—me toro atu ki tō tākuta kia kitea ai te take, kia whiwhi ai hoki i te tiaki tika.
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He aha te Polydipsia, ā, he aha tōna rerekētanga mai i te matewai noa?
He mea noa te matewai i muri i te whakakori tinana, i te mahi rānei i te werawera. Heoi, he rerekē te 'Polydipsia'; ahakoa e inu ana koe i te 4–5 rita wai i te rā, ka pā tonu te waha maroke rawa, kāore e memeha. Ehara i te matewai noa iho tēnei—he tohu whakatūpato nui mai i tō tinana kei reira pea he mate hauora nui e hiahia ana kia tirohia e te tīma o Nirogi Lanka.
💬 He aha ngā tino take o te matewai roa, kore e taea te whakahaere (Polydipsia)?
Ko tētahi o ngā tino take ko te 'Diabetes Mellitus'. Ina teitei te taumata o te huka toto, ka ngana tō tinana ki te tango i te nui o te huka mā te mimi, ka matewai, ka akiaki i tō roro kia inu wai tonu. Ko ētahi atu take ko te 'Diabetes Insipidus' (e pā ana ki te mahi a te whatukuhu, te mahi a te roro rānei), ētahi rongoā ārai pouri, te hypercalcemia (te nui o te konupūmā toto), te psychogenic polydipsia rānei.
💬 Āhea ahau me rapu awhina hauora ohorere mō te nui o te matewai (Ngā Tohu Whero)?
Mena kei te haere tahi mai tō matewai me ēnei: 1) te mimi pinepine (polyuria, neke atu i te 10 ngā wā i te rā), 2) te whakahekenga taumaha tere kāore i te whakamāramatia, 3) te tirohanga pōuri, te whanoke, te ngenge nui rānei, me tere tō mahi. He tohu ēnei o tētahi raruraru mate huka e morearea ana ki te ora (pēnei i te DKA, te huka toto tino tiketike rānei). Tena koa toro atu ki tētahi tari urupare ohorere, whakapā atu rānei ki te 911 tonu, kia tere ai te whakamātautau Huka Toto Nohopuku, HbA1c rānei.
