I mōhio koe ki tēnei uaua nui i roto i ō whatukuhu? Me kōrero tātou mō te uaua whatukuhu!

Kua rongo kē koe i te "uaua whatukuhu"? Tērā pea kua rongo koe i tētahi tākuta e kī ana, kua pānui rānei koe i tētahi wāhi. He wāhanga tino nui tēnei o tō tātou tinana, inā koa e pā ana ki te mahi a ō tātou whatukuhu. Nō reira, me kōrero tātou mō tēnei i tēnei rā i roto i tētahi huarahi māmā e mārama ai koe?

He aha tēnei uaua whatukuhu?

Ki te whakarāpopototanga, ko te uaua whatukuhu he uaua toto e kawe ana i te toto mai i ō whatukuhu ki tō ngākau. Ko te tikanga o te kupu "whatukuhu" ko "e pā ana ki ngā whatukuhu." He rite ngā whatukuhu ki te tātari wai i roto i tō mātou whare. Me whai huarahi hei tuku i taua toto kua tātarihia, kua purea ki te tinana. Ko te uaua whatukuhu tēnā.

I te nuinga o te wā, e rua ngā whatukuhu o tātou katoa. Nō reira, he uaua whatukuhu ōrite kei ia whatukuhu. Arā, e rua ngā uaua motuhake e kawe ana i te toto mai i ngā whatukuhu e rua ki te ngākau.

He aha te mahi a te uaua whatukuhu me te uaua whatukuhu?

Tērā pea kei te whakaaro koe, kāore i te rawaka te whai uaua hei kawe toto ki te whatukuhu? Āe, he tika tāu! Ko te uaua e kawe toto ana ki te whatukuhu e kiia ana ko te uaua whatukuhu . Ko te uaua whatukuhu me te uaua whatukuhu he wāhanga o tā tātou pūnaha tohanga toto .

Whakaarohia te pūnaha tohanga toto hei pūnaha o ngā ara nui e kawe ana i te toto puta noa i ō tātou tinana. Ko tēnei toto:

• Ka haria e ia te hāora, ngā homoni, me ngā matūkai ki ō tātou whekau, uaua me ngā kiko.
• Ka āwhina anō hoki ia ki te tango i ngā para kāore e hiahiatia ana i roto i ō tātou tinana, pērā i te hauhā waro, ngā waikawa, me te wai nui.

Nō reira, ka haria e te uaua whatukuhu te toto whai hāora mai i te ngākau ki ngā whatukuhu. Kātahi ka tātarihia e ngā whatukuhu ngā paitini me ngā mea rauropi kāore e hiahiatia ana i roto i taua toto. Ko te toto kore hāora, kua horoia pēnei, ka haria anō mai i ngā whatukuhu ki te ngākau mā te uaua whatukuhu. Kei te mārama koe? He rite ki te kawe mai i ngā rauemi mata ki tētahi wheketere, ā, ka tangohia te hua kua oti.

Kei hea ēnei i roto i ō tātou tinana?

Kei muri o te puku (puku) ō tātou whatukuhu, kei raro i te rara i te uma, ā, kei runga ake i te hope.

• Uira Tākihi Mauī: Kei te taha mauī o te tinana tēnei, kei muri i te uaua whēkau me te repeure. He roa ake te uaua tākihi mauī i te uaua matau nā te mea kei tawhiti atu i te vena cava o raro, tētahi o ngā uaua nui rawa atu o te tinana. E 6 ki te 10 henimita te roa (tata ki te 2 ki te 4 inihi).
• Uaua Tākihi Matau:Kei te taha matau o te tinana, kei muri i te wāhanga o runga o te whekau iti (duodenum). He poto ake i te taha maui, tata ki te 2 ki te 4 henimita (tata ki te ¾ ki te 1.5 inihi) te roa.

Nō hea te toto e puta mai ana i te uaua whatukuhu?

He roa te uaua whatukuhu maui, e ai ki taku kōrero, nō reira, ehara i te mea mai i te whatukuhu maui anake te toto e whiwhihia ana, engari mai i ētahi atu okana anō hoki. Kia tirohia tātou he aha ēnei:

• Uaua Mimi Mauī: Ko ngā ureter ngā ngongo e rua e kawe ana i te mimi mai i ngā whatukuhu ki te pūhā. Ka kohia te toto mai i te ureter i te taha mauī ki roto i tēnei uaua.
• Uaua Gonadal Mauī: Ko ngā gonads, e kiia ana ko ngā ovaries i roto i ngā wāhine me ngā testicles i roto i ngā tāne, ka rere ki roto i te ua whatukuhu maui.
• Utauta Repe Mauī: Ko ngā repe repe adrenal he repe iti e rua, he rite ki te taupoki, kei runga ake i ngā whatukuhu. Ka whakaputahia e rātou ngā homoni nui pēnei i te cortisol, epinephrine (adrenaline), me te norepinephrine (noradrenaline) . Nō reira, ka hono atu hoki te toto mai i te repe repe mauī ki tēnei uaua.
• Uaua Phrenic Mauī o Raro: He uaua nui te diaphragm e āwhina ana i a tātou ki te manawa. Ka rere hoki te toto mai i tēnei uaua ki roto i te Uaua Tākihi Mauī.

Heoi, ko te uaua whatukuhu matau anake ka whiwhi toto mai i te whatukuhu matau. Kāore e kohia te toto mai i ngā wāhi maha pērā i te whatukuhu maui.

Kei hea te toto e rere ana i muri i te uaua whatukuhu?

E ai ki tā mātou i kōrero ai i mua ake nei, ka tātarihia e ngā whatukuhu ngā para o te toto. Hei tāpiri, ka whakamahia e rātou te hāora me te huka (glucose) i roto i te toto hei whakaputa pūngao. Ko te toto, kua horoia pēnei, engari kua kore nei he hāora, ka haere mā roto i ngā uaua whatukuhu ka hono atu ki te vena cava o raro . Koinei te uaua nui matua e kawe ana i te toto kore hāora mai i te taha o raro o tō tātou tinana ki te ngākau. Kātahi ka haere te toto ki te ngākau, ka kohia anō te hāora ka tīmata tana haerenga puta noa i te tinana.

He aha ngā mate e pāngia ai ngā uaua whatukuhu e te mate pukupuku?

Ahakoa he pai ngā mea katoa ina pai te haere o ngā mea, i ētahi wā ka pāngia ngā uaua whatukuhu e ētahi āhuatanga hauora. Ko ngā mea matua ko:

• Te Mate Nutcracker: Ka pā tēnei ki te uaua whatukuhu maui. I tēnei āhua, ka mau te uaua whatukuhu maui i waenganui i te Aorta puku me tētahi atu uaua i roto i te puku (te Superior Mesenteric Artery). He rite ki te naticracker e mau ana i ngā taha e rua. Ka piki ake te toto toto i roto i te uaua, ka aukati i te rere o te toto ki te whatukuhu.
• Te toto toto i roto i te uaua whatukuhu: Koinei te hanganga o te toto totoka i roto i te uaua whatukuhu. Ko ētahi āhuatanga hauora, pērā i ngā mate totoka, te mate pukupuku, me te mate pukupuku, ka taea te whakaputa i tēnei momo toto totoka.

He aha te mea ka tupu mēnā ka aukatia te uaua whatukuhu?

Ki te aukatia te uaua whatukuhu, ahakoa he aituā, he toto totoka rānei, ka puta he maha ngā raruraru. Anei ētahi tauira:

• Tērā pea ka puta he mamae nui , inā koa ki te rohe hope.
• Tērā pea he toto kei roto i tō mimi (hematuria).
• Tērā pea ka pā te whanoke (ngoikore) i te wā e tū ana (Orthostatic Hypotension).
• Ka taea e ia te whakawhānau tamariki i roto i ngā tāne, i ngā wāhine rānei .
• Tērā pea ka pā te kino ki te whatukuhu.
• Tērā pea ka iti iho i te tikanga te putanga mimi (oliguria).
• Ko te mea tino mōrearea ko te pakaru o tētahi wahi o taua toto totoka ka mau ki roto i tētahi uaua o ngā pukahukahu (Pulmonary Embolism). Ka taea e tēnei te whakararu i te ora.

He mea nui: Ki te puta mai ēnei tohu, me rapu tohutohu hauora tonu koe.

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

Ki te whakapae tō tākuta he raruraru kei roto i ō uaua whatukuhu, ka tonoa pea e rātou ētahi whakamātautau. Ko ngā whakamātautau tino noa ko:

• Matawai CT (CT - Matawai Tomography Rorohiko)
• Te Whakamātautau Uira Tuarua/Doppler
• Matawai MRI (MRI - Whakaahua Aukume)
• Ultrasound
• Venogram: I tēnei mahi, ka werohia he wai motuhake ki roto i ngā uaua, ā, ka tangohia he hihi-X.

Tērā pea ka whai whakamātautau mimi koe hei tirotiro mō ngā taumata pūmua teitei (proteinuria) me te toto rānei i roto i tō mimi. He tohu ēnei e rua mō te kino o te whatukuhu.

Me pēhea te pupuri i te hauora o ō tātou uaua whatukuhu?

He uaua ki te mōhio mēnā he mea e pā ana ki ngā uaua whatukuhu. Heoi, mā te pupuri i te hauora o ō tātou whatukuhu me te pūnaha tohanga toto katoa ka tiakina hoki te hauora o ngā uaua whatukuhu.

• He mea pai kia tirohia tō tinana i ia tau. Mā tēnei ka āwhina i a koe ki te mōhio i mua i te wā mēnā kei te tūpono koe ki te pāngia e te toto totoka.
• Ka tūtohu pea tō tākuta i ēnei e whai ake nei:
• Ngā rongoā mō te toto toto tiketike (mēnā he toto toto tiketike tōu).
• Ngā rongoā ārai toto totoka, ngā rongoā whakaiti toto rānei (mēnā he tūponotanga kei puta he toto totoka).
• Mā te whakakori tinana auau ka pai te rere o te toto i roto i te tinana.
• Inumia he nui te wai me ngā wai.
• Tāpirihia atu he huawhenua me he hua ki tō kai.
• Ki te kai hikareti koe, kati.

Hei whakamutunga, ngā mea hei maumahara

E kite ana koe, he wāhanga tino nui ngā uaua whatukuhu o tā tātou pūnaha tohanga toto, inā koa ko ērā e kawe ana i te toto mai i ngā whatukuhu. Tērā pea kāore tātou e mōhio tonu kei reira ngā raruraru. Heoi, mā te tirotiro hauora auau, ka taea e ngā tākuta te rapu tohu mō ēnei mate.

Ko tō tākuta te puna kōrero pai rawa atu mō te pupuri i te hauora o ō whatukuhu me ō uaua whatukuhu. Mā rātou anō hoki koe e kōrero ki ngā mea hei tumanako atu mēnā he raruraru kei te pā mai. Nō reira, kaua e wehi ki te kōrero ki a rātou!

` Uaua Tākihi, Whatukuhu, Tohanga Toto, Uaua, Mate Uaua, Hauora Whatukuhu