Me ako tātou i ētahi atu kōrero mō te "renal cortex" o ō whatukuhu.

E mōhio ana tātou katoa ki ngā whatukuhu, tika? Ko ēnei okana iti e rua e tātari ana, e wehewehe ana i ngā para o te tinana, ā, e tukuna ana hei mimi, e mōhio ana koe ki te nui atu o ā rātou mahi? Ko ngā whatukuhu, e mahi puku ana i tētahi mahi nui hei pupuri i te taurite o tō tātou tinana, he rite ki tētahi kaihoroi tino pai i roto i tō tātou tinana. I tēnei rā ka kōrero tātou mō tētahi wāhanga tino nui o ēnei whatukuhu, arā, ko te 'anga' Renal Cortex, koinei te wāhanga o waho rawa o te whatukuhu. Tērā pea he ingoa hou tēnei ki a koe, engari ka miharo koe ina mōhio koe ki te mahi a tēnei wāhanga!

He aha te tikanga o tēnei Renal Cortex?

Whakaarohia te whatukuhu he hua. Ko te wāhanga e rite ana ki te kiri o waho o te hua e kiia ana ko te Renal Cortex . Koinei te paparanga o waho rawa o te whatukuhu. E kiia ana hoki e ngā tākuta ko te 'renal cortex'. Ko te wāhanga waenga o te whatukuhu i roto i tēnei Cortex e kiia ana ko te Medulla . Nō reira, e karapoti ana tēnei Cortex i te Medulla, e tiaki ana hoki. I waho, e kapi ana tēnei whatukuhu katoa i tētahi atu kiriuhi tiaki kaha e kiia nei ko te Renal Capsule .

Ko te mea tino nui i roto i ngā whatukuhu ko ngā wae tātari toto. Ka karangatia ēnei e mātou ko ngā nephron . I mōhio koe, tata ki te miriona o ēnei nephron i roto i te whatukuhu kotahi! Ka tīmata ēnei nephron i te Renal Cortex. Ko te tātari matua i roto i te nephron ko te Glomerulus . Ka tātarihia e tēnei tātari te toto, ā, ka haere ngā para kore e hiahiatia mā roto i ngā ngongo. I roto i te Cortex, he tino pikopiko ēnei ngongo. Engari ina tae atu ki te Medulla, ka huri hei ngongo tika.

He aha ngā mahi matua a ngā whatukuhu me te cortex whatukuhu?

Ehara i te mea he okana hanga mimi anake ngā whatukuhu. He maha ngā mahi tino nui e mahia ana e rātou hei pupuri i te taurite o te tinana katoa. He mahi nui tā te Renal Cortex i roto i ēnei mea katoa.

• Te whakahaere i te toenga tote me te wai: Ka āwhina ngā whatukuhu ki te pupuri i ngā taumata tika o ngā electrolytes , pērā i te konutai me te pāhare pāporo, me te wai i roto i tō tātou tinana.
• Te whakahaere i te toto toto: He mea nui hoki ngā whatukuhu mō te whakahaere i te toto toto, nā te mea ka whakahaere i te nui o te wai me te tote i roto i te tinana.
• Te hanga toto whero: Ka hangaia he homoni (Erythropoietin) e ngā whatukuhu e āwhina ana ki te hanga toto whero.
• Taurite waikawa-pūtake: Ko tētahi atu mahi a ngā whatukuhu ko te pupuri i ngā taumata tika o te waikawa me te pūtake i roto i ō tātou toto.
• Te whakaputanga huaora D: Ka mahi tahi ngā whatukuhu me te ate ki te huri i te huaora D e kainga ana e tātou hei āhua ka taea e te tinana te whakamahi.
• Te taurite o te konupūmā me te phosphate: Ka āwhina hoki ngā whatukuhu ki te whakahaere i ngā taumata o te konupūmā me te phosphate, he mea nui ēnei mō te kaha o ngā wheua.
• Te whakaputanga hukahuka: Ko te huka (huka) e hiahiatia ana e te tinana ka hangaia e te ate, engari he iti noa iho ka hangaia e ngā whatukuhu. Ka kiia tēnei ko te hukakenekehanga .

He aha ngā mate me ngā āhuatanga e pā ana ki te cortex whatukuhu?

Heoi, he maha ngā āhuatanga ka pā ki ō tātou whatukuhu, inā koa ko te Renal Cortex. Me titiro tātou ki ētahi o aua āhuatanga.

Haunga tēnei, he maha atu anō ngā mate kino e pā ana ki ngā whatukuhu.

• Waikawa: Ina kore e mahi tika ngā whatukuhu, ka waikawa te toto. Ka tūpono pea tēnei ki te ora mēnā kāore e rongoatia.
• Nephropathy: Te kino o te whatukuhu i puta mai i te mate huka (Diabetic Nephropathy) me te toto toto tiketike (Hypertensive Nephropathy).
• Ngā mate o te pūkahukahu: Ka taea hoki e te kino, te pupuhi rānei o ngā tātari (glomeruli) i roto i ngā whatukuhu te arahi ki te ngoikore o te whatukuhu.
• Te Pūmua-mimi me te Mate Pūkahukahu: Ko te pūmua-mimi te putanga nui rawa o te pūmua i roto i te mimi. He tohu tēnei nō te pakaru o te whatukuhu. Mēnā he nui rawa te pūmua e tukuna ana, tera pea he āhuatanga e kiia nei ko te Mate Pūkahukahu.
• Uremia: He āhuatanga e kohia ai ngā paitini e tika ana kia tangohia e ngā whatukuhu i roto i te toto, kaua e tangohia mai i te tinana. He āhuatanga tino morearea anō hoki tēnei.

He aha ngā tohu noa o te mate tākihi?

Ko te mea tino mōrearea mō te nuinga o ngā mate tākihi ko te kore e kitea ngā tohu i ngā wāhanga tōmua . Ka tīmata noa te puta mai o ēnei tohu ina kua paku horapa haere te mate.

He aha ngā whakamātautau e mahia ana hei tirotiro i te hauora o ngā whatukuhu?

Mena kei te whakapae tō tākuta kei te mahi te whatukuhu, ka tonoa pea e ia ētahi whakamātautau hei whakaū.

• Ngā Whakamātautau Whakaahua (X-ray, CT scan, MRI, Ultrasound): Ka taea e ēnei whakamātautau te tirotiro i te āhua, te rahi, me te aroaro o ngā ārai, ngā hapa rānei o ngā whatukuhu. Hei tauira, ki te whakaitihia te matotoru o te cortex whatukuhu, ka taea te kī kua pakaru te whatukuhu.
• Ngā Whakamātautau Toto: Ka taea e ēnei te ine i te pai o te tātari toto a ngā tātari o ngā whatukuhu (glomeruli). Ko te Creatinine toto te whakamātautau tino noa.
• Kohikohi i te whatukuhu: I roto i tēnei mahi, ka tangohia he wahi iti rawa o te kiko whatukuhu ka tirotirohia i raro i te karu hiko.
• Tātaritanga mimi: Ka tangohia he tauira mimi, ka tirohia mēnā he pūmua, he toto, me ētahi atu. Mā tēnei ka taea te hoatu he tohu mō ngā mate pāwera, ngā āhuatanga hauora rānei.

Me pēhea te pupuri i te hauora o ō whatukuhu?

He pai ake te ārai i te mate tākihi i mua i te puta mai, kaua e rongoā i muri i te puta mai. Anei ētahi mea ngāwari ka taea e koe te mahi.

• Āta karohia te kai hikareti: Ka kino te kai hikareti i ngā uaua toto e tuku toto ana ki ngā whatukuhu.
• Whakaitihia te tote: Ka taea e te tote te whakanui ake i te toto toto me te kino i ngā whatukuhu.
• Inumia he nui te wai: Mā te inu i te nui o te wai ka āwhina i ngā whatukuhu ki te tango ngāwari i ngā paitini mai i te tinana.
• Whakakorikori tinana i ia rā: Ka āwhina te whakakorikori tinana ki te whakahaere i te toto toto me te pupuri i te taumaha hauora.
• Whakawhāitihia te whakamahinga o ngā rongoā whakamamae mamae: Ko te whakamahinga roa me te nui rawa o ngā rongoā ārai-mumura kore-steroidal (NSAID) , pērā i a Brufen me Diclofenac, he kino ki ngā whatukuhu. Kaua e whakamahi tonu i ēnei me te kore he tohutohu a te tākuta.
• Kia mau ki te taumaha hauora: Ka taea e te momona te arahi ki te mate huka me te toto toto tiketike.
• Whakahaerehia tō toto toto me ngā taumata huka toto: Mena he mate huka, he toto toto tiketike rānei tōu, he mea nui kia whakahaeretia pai aua taumata hei tiaki i ō whatukuhu.

Kia pēhea te wā me toro atu ahau ki te tākuta?

Ki te whakaaro koe he raruraru tākihi tōu, he mea nui kia rapu tohutohu hauora tonu. Kia tino tupato mēnā kei a koe ētahi o ēnei tohumate, ngā āhuatanga mōrearea rānei:

Mena kei a koe ēnei tohu:

• Te panonitanga o te tae o te mimi (he toto, he kapua rānei) te panonitanga rānei o ngā tikanga mimi (te mimi pinepine, te mamae i te wā e mimi ana).
• Kiri maroke, kiri mākūkū rānei.
• Tino ngenge te ngenge.
• Te toto toto tiketike (hypertension).
• Te wiri o ngā uaua.
• Te ngaronga o te hiahia kai, te reka whakarewa rānei o te kai.
• Te mamae o te puku, te ruaki rānei.
• Te pupuhi, inā koa i te taha o ngā pona waewae, o ngā ringaringa rānei.

Mena kei a koe ēnei āhuatanga mōrearea:

• He mate tākihi tō te whānau.
• Mate huka.
• Mate ngakau.
• Te toto toto tiketike.
• Te taumaha rawa, te momona rānei.

Mena kei a koe ēnei āhuatanga mōrearea, he mea tino nui kia tirohia te mahi a tō whatukuhu i ngā wā kua whakaritea e tō tākuta.