He rite ngā whatukuhu o roto i tō tātou tinana ki ngā kaimahi puku, kāore? He nui ā rātou mahi, kāore tātou e mōhio. Ka horoia ō tātou toto i te rā roa, ka whakahaere i te nui o te wai i roto i te tinana, ā, ka tangohia ngā para kore e hiahiatia. Engari i ētahi wā, he raruraru anō hoki ō ēnei whatukuhu. I tēnei rā ka kōrero tātou mō tētahi mate e pā ana ki aua whatukuhu. Ko te mate parenchymal renal, arā, i te reo Pākehā ko '(Renal Parenchymal Disease)' . Tērā pea he ahua uaua tēnei ingoa ina rongo koe, engari kia māmā noa te mārama.
He aha te mate parenchymal whatukuhu?
He whakarāpopototanga noa iho tēnei, he rōpū mate e kino ai ngā whatukuhu. Ka pā te nuinga ki te wāhanga o te whatukuhu e kiia nei ko te "Parenchyma" . Tērā pea kei te whakaaro koe he aha tēnei parenchyma. Arā, ko ngā wāhanga matua o te whatukuhu e mahi ana, e āwhina ana rānei i te mahi a te whatukuhu. E rua ngā wāhanga matua o tēnei parenchyma:
1. Te Uho o te Tākihi : Koinei te wāhanga o waho rawa o te tākihi. Ko ngā wae tātari iti i roto i ō tātou tākihi, e kiia nei ko ngā nephron , ka tīmata i konei. He rite ēnei nephron ki ngā tātari iti. E rua ō rātou wāhanga. Ko tētahi he oko toto e kiia nei ko te glomerulus . Ko tētahi he ngongo iti e kiia nei ko te renal tubule .
- Ka tātarihia te toto i te tuatahi e ngā glomeruli .
- Ko te mahi a ngā ngongo whatukuhu he mimiti anō i te wai, i ngā matūkai, me ngā kohuke e hiahiatia ana e te tinana, me te whakaputa anō i ngā para kore e tika ana mā te mimi.
- Hei tāpiritanga, ka whakaputahia hoki e te cortex whatukuhu he homoni e kiia nei ko te 'Erythropoietin (EPO) .' Mā tēnei homoni '(EPO)' ka āwhina i tō tātou 'Bone Marrow' ki te whakaputa i ngā toto whero.
2. Te Medulla Renal : Kei te taha o roto o te whatukuhu tēnei. Kei tēnei wāhanga te nuinga o ngā nephrons.
Nō reira, ka karangahia e ngā tākuta tētahi āhuatanga e pā ana ki te cortex, ki te medulla rānei o te whatukuhu he mate parenchyma whatukuhu. Ka karangatia hoki ki ētahi atu ingoa, hei tauira, ko ngā mate parenchyma whatukuhu bilateral, me te mate parenchymal whatukuhu.
He aha ngā momo matua o tēnei mate?
Ka taea te wehewehe i tēnei mate ki ngā momo matua e rua:
- Te Mate Parenchymal Whatukuhu Whakapeka : Ka tīmata ohorere tēnei.
- Te Mate Parenchymal Whatukuhu Mau tonu : Ka āta haere tēnei, ā, ka roa te wā e mau ana.
He morearea tēnei mate?
Kei te pūtake me te kaha o te mate te mea e whakawhirinaki ana. Ka taea e ētahi mate ngawari te ora ake mā te rongoā. Engari i ngā mate kino,Ka taea te whanake hei 'Ngāwari o te Whatukuhu.' E mōhio ana koe, he mea morearea te ngoikore o te whatukuhu mēnā kāore e rongoatia.
He aha ngā tohu wawe ka taea te kite?
He maha ngā wā, kāore he tohu nui e kitea ana i ngā wāhanga tōmua o tēnei mate. Koia te mea e mataku ai. Engari i te haere whakamua o te mate, me te kore e mahi a ō whatukuhu, ka pāngia pea koe e ēnei tohu:
- Te toto i roto i te mimi (Hematuria)
- Kiri maroke me te kiri mākūkū
- Te ahua o te ngenge nui
- Hiahia kai
- Te hekenga o te maha o ngā toto whero i roto i te toto (Anemia)
- Whakapairuaki me te ruaki
- Te mimi nui atu i te tikanga
- Te pupuhi i te taha o ngā kanohi
- Te pupuhi o ngā ringa, ngā waewae, me ngā pona waewae (Edema)
Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he mea tino nui kia toro atu koe ki tētahi tākuta.
He aha te take o tēnei?
Ko ngā tino take e rua o te mate tākihi mau tonu ko te toto toto tiketike me te mate huka . Heoi anō, tera pea ētahi atu take:
- Ngā mate pūnaha ārai mate , pērā i te Lupus Nephritis
- Glomerulonephritis (mumura o ngā wāhanga tātari o ngā whatukuhu)
- `Te Mate Pukupuku o te Whatukuhu`
- Te Mate Tākihi Polycystic ( ngā whēkau whatukuhu)
- 'Mate Pūtau Hārire'
Ko ngā mea ka pā mai ai te mate parenchymal whatukuhu ohorere (whakamataku):
- Te uruparenga mate pāwera nui (Anaphylaxis)
- Ngā Mate Pukupuku
- Ngā Kōhatu Whatukuhu
- Ngā Puku o te Whatukuhu
- Te toto totoka i roto i te oko toto e arahi ana ki ngā pukahukahu (te toto totoka i roto i te oko toto e arahi ana ki ngā pukahukahu)
- `Te matewai nui`
- Ngā Mate Huaketo
Ka taea hoki e ētahi rongoā te whakaputa i tēnei āhuatanga `(Āwhati)`. Hei tauira:
- `Ngā aukati whākōkī huri-angiotensin (ngā aukati ACE)`
- Ngā aukati i te angiotensin II receptor (ARB)
- Ngā Rongoā Ārai-mumura Kore-steroidal (NSAID) (hei tauira, Ibuprofen, Diclofenac)
Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?
Ka pāngia te tangata katoa e tēnei mate, engari he nui ake tō tūponotanga ki te pāngia koe e ēnei āhuatanga:
- Mena kei roto i te whānau tēnei mate parenchyma whatukuhu
- Mena he mate huka tōu
- Mena he mate ngakau tōu
- Mena he 'Toto Toto Teitei' tōu
Waihoki, ki te neke atu i te 60 tau te pakeke, ā, ka whakamahia tonutia e koe ngā rongoā whakamamae mamae NSAID kāore i te tūtohutia (OTC) me ngā rongoā kua tohua, tera pea ka nui ake tō mōrearea.
He aha ngā raruraru pea ka pā mai i tēnei mate?
Ki te kore e whakahaeretia tika tēnei mate, ka puta pea ngā raruraru maha. Ko ētahi o ēnei:
- Te nui haere o te waikawa o ngā wai o te tinana (Metabolic Acidosis)
- Te pikinga o ngā taumata phosphate (phosphorus) i roto i te toto (Hyperphosphatemia)
- Te pikinga o ngā taumata pāhare pāporo i roto i te toto (Hyperkalemia)
- Te hekenga o te maha o ngā toto toto whero (anemia)
- Te mamae i puta mai i te whakatakotoranga o te waikawa uric ki roto i ngā hononga (Gout)
- Osteoporosis
- Pūnaha ārai mate ngoikore
He mea nui: Ehara i te katoa ka pāngia e ēnei raruraru. Heoi, ki te tiaki koe i te mate, ā, ka whiwhi maimoatanga tika, ka taea e koe te karo i aua raruraru.
Me pēhea te tautuhi tika i tēnei mate? (Tautuhinga)
Ka pātai te tākuta mō ō tohumate, ka arotake i tō hītori hauora, ka pātai mō ngā rongoā e tangohia ana e koe, ā, ka whakahaere i tētahi whakamātautau tinana. Kātahi, ki te whakapae rātou kei a koe te mate, ka whakahaua e rātou ētahi whakamātautau hei whakaū i te mate. Ko ētahi o ēnei ko:
- Ngā Whakamātautau Mahi Tākihi : Kei roto i ēnei ko ngā whakamātautau toto me ngā whakamātautau mimi. Ka tirohia e ngā whakamātautau toto tō tere tātari glomerular (eGFR) me te taumata creatinine toto . Ka tirohia e ngā whakamātautau mimi te pūmua mimi me te toto i roto i te mimi.
- Ngā whakamātautau whakaahua : Ka āwhina ēnei i ngā tākuta kia mārama te rahi, te āhua, me te hanganga o ngā whatukuhu. Tērā pea ka tonoa he matawai ultrasound , he matawai MRI (Magnetic Resonance Imaging) , he matawai CT (Computed Tomography) rānei.
- Kohikohi ira o te whatukuhu : I tēnei whakamātautau, ka tangohia e te tākuta tētahi wahi iti o te kiko o te whatukuhu ka whakamātauria i roto i te taiwhanga. Ka taea e tēnei kohikohi te whakarato i ngā mōhiotanga e kore e taea e ētahi atu whakamātautau.
Me pēhea te rongoā?
Ko te maimoatanga o te mate parenchymal whatukuhu e whakawhirinaki ana ki ētahi āhuatanga. Kei roto i ēnei:
- He aha tonu te pūtake o te mate, me te kaha o tōna kino.
- Tō tau me tō hauora whānui.
Ko ētahi o ngā kōwhiringa maimoatanga mōu ko:
- Āta karohia te whakamahi i ngā rongoā mamae NSAID me ētahi atu rongoā ka kino ake te mate tākihi.
- Kaua rawa e whakamahi tupeka (momi hikareti, vaping, ngaungau tupeka, me ētahi atu).
- Te whai wāhi ki te whakakorikori tinana i ia wā.
- Te pupuri i te taumaha hauora e tika ana mōu.
- Te tango i ngā rongoā e tika ana hei whakahaere i te toto totoka, te cholesterol, me te mate huka.
- Kōrero ki tētahi Kai Tohunga Tinana hei whakawhanake i tētahi kai e whai hua ana mō ngā whatukuhu. Tērā pea kei roto i tēnei he kai e whakaiti ana i te pūmua, e whakaiti ana i te taumata o te cholesterol i roto i te toto, me te whakawhāiti i te tote (konutai) me te pāhare pāporo.
Mena he kino te mate, ka hiahiatia pea ngā maimoatanga e whai ake nei:
- Ngā corticosteroids (he momo rongoā hei whakaiti i te mumura)
- Dialysis (te horoi i te toto mā te whakamahi i tētahi mīhini ina kore e mahi tika ngā whatukuhu)
- Ngā rongoā ārai mate (ngā rongoā e whakaiti ana i te mahi a te pūnaha ārai mate)
- `Whakawhitinga Whatukuhu`
Mena kei a au tēnei mate, he aha taku e tumanako ai?
Mena kei a koe tēnei mate, me mahi tahi koe me tō tīma hauora ki te whakahaere i te kino o ō whatukuhu, me te pupuri i tā rātou mahi mō te wā roa rawa atu. Anei ētahi mea hei mahi:
- Te pupuri i tētahi kai e whai hua ana mō ngā whatukuhu.
- Aroturukihia tonutia ō taumata huka toto me tō toto toto tiketike.
- Haere ki te tākuta whatukuhu , ā, kia tirohia ō whatukuhu i ia wā.
- Te tango i te rongoā i whakaritea e te tākuta i te wā tika, me te wā tika hoki.
Kia pēhea te roa ka taea e koe te ora me tēnei mate?
He uaua ki te hoatu i tētahi whakautu kotahi ki tēnei pātai. Nā te mea he maha ngā mea e whakawhirinaki ana ki tēnei, pērā i te kaha o te mate, tō tau, tō ira tangata, me tō hauora whānui. Mena kua tino pakaru ō whatukuhu, ka taea te whakaiti i tō roanga o te oranga. Mena kei runga koe i te dialysis, e tika ana kia ora koe mō te 5 ki te 10 tau.
Engari kia maumahara! He toharite noa iho tēnei. He maha ngā tāngata ka roa ake te ora me te maimoatanga tika me te whakawhitinga whatukuhu. Ahakoa te hunga whai mate whatukuhu wāhanga whakamutunga ka taea te ora mō te 20-30 tau. Nō reira, kōrero ki tō tākuta kia mōhio ai koe ki tō āhua.
He huarahi hei karo i tēnei mate? (Te ārai)
Ahakoa kāore e taea te ārai i ngā take katoa, ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te mate mā te mahi i ēnei mea:
- Whakakorikori tinana kaha i te iti rawa e rima ngā rā o te wiki, mō te iti rawa 30 meneti ia rā.
- Te whakawhāiti i te inu waipiro.
- Te pupuri i te taumaha hauora e tika ana mōu.
- Mena he nui te tūponotanga o te pāngia e te mate tākihi (hei tauira, te mate huka, te toto toto tiketike), me toro atu koe ki te tākuta i ia wā mō ngā tirotiro hauora.
- Kaua rawa e kai paipa.
- Te whakaiti i te nui o te tote e tāpirihia ana ki ngā kai.
- `NSAID`Whakamahia ngā rongoā whakamamae mamae kia rite ki ngā tohutohu a te tākuta.
He aha ngā kai me karo e te tangata e pāngia ana e tēnei mate?
Mena he mate parenchymal whatukuhu tōu, he mea tino nui kia kite koe i tētahi tohunga kai whatukuhu . Māna e waihanga he mahere kai e tika ana māu, ā, he pai hoki mō ō whatukuhu. Me whakawhāiti e koe ngā kai he nui te tote, te pūmua, te whākawa, me te pāhare pāporo. Ko ētahi tauira ko:
- Āwōkātō
- Panana
- Kai kēne
- Ngā kai reka tote pērā i te parai me te pretzel
- Ngā hua citrus me ngā wai, pērā i te karaka
- Ngā hua maroke
- Ngā mīti tukatuka (pērā i te hōtiti, te mītiporo)
- Pīnihi
He mea nui: Kāore pea tēnei rārangi e pai mō te katoa. Pātai atu ki tō tohunga kai mō ngā tohutohu motuhake mō ngā kai e pai ana mōu me ngā kai me karo e koe.
Āhea koe me toro atu ki te tākuta?
Mena he mate huka tōu, he toto toto tiketike, he mate rānei ka arahi atu ki te mate tākihi, me toro atu ki tō tākuta i ia wā mō ngā tirotiro hauora. Mā te kite wawe me te mārama ki ngā āhuatanga mōrearea ka āwhina i te ārai i ngā kino atu ki ō tākihi.
Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?
Ko ngā tohu o te mate parenchymal whatukuhu ka puta i muri i te pakaru nui o ngā whatukuhu. Mēnā ka pāngia koe e tētahi o ēnei tohu, me toro atu ki te tākuta tonu:
- Mena he maha ngā wā ka piko ngā uaua
- Ki te hiahia koe
- Ki te tino ngenge koe
- Mena he uaua ki a koe te arotahi, te moe rānei
- Mena he kiri mākūkū tōu
- Mena he hūpē tōu e kore e mutu
- Mena kua pupuhi ō ringaringa, ō pona waewae, ō waewae rānei
- Ki te nui ake, ki te iti iho rānei tō mimi i te mea noa
He aha ngā pātai me pātai atu koe ki te tākuta?
Ina toro atu koe ki te tākuta, he pai pea te pātai i ēnei pātai:
- Me pēhea koe e mōhio ai mēnā he mate parenchymal whatukuhu tōku?
- He pēhea te kino o tēnei?
- He aha ngā maimoatanga e taunaki ana koe?
- He aha taku e taea ai hei tiaki i ōku whatukuhu?
- Ka taea e koe te tūtohu i tētahi tohunga kai mā ngā tūroro whatukuhu?
- Ka taea e koe te kōrero mai mō tētahi rōpū tautoko e āwhina ana i te hunga e pāngia ana e tēnei mate?
Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
Ko te Mate Parenchymal Renal he mate e pā ana ki te mahi a ō whatukuhu. Ko te whāinga matua o te maimoatanga he whakahaere i te mate kia mau tonu ai te mahi a te whatukuhu mō te roa e taea ai. He maha ngā tāngata e noho tahi ana me tēnei mate mō ngā tau maha.
Heoi, ina whiwhi koe i tētahi tātaritanga pēnei, ā, me haere tonu te maimoatanga, tera pea ka pōuri koe, ka riri hoki. He mea noa tēnei. Mā te kōrero mō tēnei ki tō whānau me ō hoa pono ka āwhina i a koe. Ka taea hoki e koe te whakauru atu ki ngā rōpū tautoko mō te hunga whai mate pēnei. Mena he pātai āu, kaua e wehi ki te kōrero ki tō tākuta. Mā rātou koe e āwhina. Kāore koe i te mokemoke!
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