Ko te wai, kāore e kore, te mea tino nui mō tō tinana. Tērā pea ka waiho hei tikanga māu te inu nui i te wai ina werawera koe, ina ngenge koe, ina whai rānei i tētahi mahi whakakori tinana uaua—ā, he mahi hauora tēnā. Heoi, kua whakaarohia e koe ko te inu nui rawa i te wai—he nui atu i te mea ka taea e tō tinana te tukatuka haumaru—ka arahi pea ki ngā raruraru hauora nui? He pono. I Nirogi Lanka i tēnei rā, kei te kōrero mātou mō tētahi āhuatanga ka tūpono ki te ora mēnā ka kore e arohia: Te Paitini Wai (Hyponatremia).
He aha rawa te haurangi wai?
Ki te kī ngāwari, ka puta te haurangi wai ina nui atu te wai e kainga ana e koe i tā te tinana e taea ai te tukatuka. Ina tupu tēnei, kāore e taea e ō whatukuhu te tuku tere i te wai nui mā te werawera, te mimi rānei.
Whakaarohia pēnei: ki te nui rawa te wai e inuhia ana e koe, ka memeha haere ō toto. Ka heke te konutai, he electrolyte nui i roto i tō tinana — he āhuatanga e mōhiotia whānuitia ana ko te hyponatremia . I te hekenga o ngā taumata konutai, ka neke te wai ki roto i ō pūtau, ka pupuhi. He tino morearea tēnei ina tupu i roto i tō roro, te wāhi e nui haere ai te pēhanga, ka whakararuraru i te mahi a tō roro. Ka taea e tēnei te arahi ki te pōhēhē, ngā raruraru nekehanga, me ngā huringa whanonga, e mōhiotia ana ko tete āhua hinengaro kua rerekē. He mea nui kia maumahara ko te haurangi wai, i ngā wā kino, ka noho hei mōrearea ki te ora.
I te nuinga o te wā, ki te mea he hauora ō whatukuhu, he uaua ki te tae ki tēnei āhua. Heoi, ki te mea he raruraru whatukuhu kei roto i a koe, he kaitākaro e kai nui ana i ngā wai, he nui rānei te wai e inu ohorere ana koe i te wā e matewai ana, me tūpato koe. Inuhia ina matewai koe; kaua e akiaki i a koe ki te inu wai ina kore koe e matewai.
He ingoa anō kei te pā mai mō te haurangi wai?
Ae, he maha ngā kupu e whakamahia ana e ngā tohunga hauora hei whakaahua i tēnei mate, tae atu ki:
- Te Paitini Wai
- Te Paitini o te Wai
- Te nui rawa o te wai
- Te nui rawa o te wai
- Te Toxemia Wai
- Hyponatremia Whakawaiwai
- Te Taurite o te Wai-Irahiko
Ka mate pea te tangata i te nui rawa o te wai?
Ae, ka mate pea te tangata i te nui rawa o te wai. He mate hauora nui tēnei e kore e tika kia whakahaweatia.
He aha ngā tohu, ā, me pēhea te tautuhi i aua tohu?
Kāore pea ngā tohu o te haurangi wai e puta wawe mai. Heoi anō, kia tūpato ki ēnei tohu whakatūpato:
- Whakapairuaki me te ruaki: Te āhua o te whakapairuaki, te ruaki tonu rānei.
- Pupuhi: He kare ā-roto e kī ana te puku, e pupuhi ana rānei.
- Ānini upoko: He ānini upoko roa, roa rānei.
- Hiamoe: Te ngenge nui, te ngoikore rānei.
- Te ngoikore o te uaua, te mamae, te kōpiripiri rānei: Te āhua nei he taumaha ō waewae, he mamae, he pāngia rānei e te kōpiripiri uaua kāore i te tūpato.
- Ngā huringa hinengaro: Te pōhēhē, te riri, te māuiui/te whanoke rānei.
- Edema: Te pupuhi i ngā ringa, i ngā waewae, i te puku rānei.
Hei tauira, whakaarohia tētahi e oma ana i tētahi reihi tawhiti. Nā te werawera o te tinana, ka nui rawa pea te wai e inumia ana e ia i te wehi kei matewai. Kāore i roa, ka tīmata te pōuriuri, ka uaua hoki ki te arotahi hinengaro. Ki te puta mai ēnei tohu, tera pea he haurangi wai.
Me pēhea taku mōhio kua nui rawa te wai i inumia e au?
He uaua pea te whakatau tika i tēnei, engari ko te tae o tō mimiHe tohu pai tēnei. Ki te nui te wai i roto i a koe, me kōwhai mārama tō mimi, he rite ki te kakau witi, ki te wai rēmana rānei. Ki te mārama tō mimi, pērā i te wai, tera pea kua nui rawa tāu inu.
Ki te mārama tō mimi, ā, ka kite koe i ngā tohu kua whakahuatia i runga ake nei, kati tonu te inu wai.
He aha ngā take o te haurangi wai?
Ko te nuinga o te wā ka puta te haurangi wai i te nui o te wai e inu ana. Ko ngā āhuatanga mōrearea noa ko:
- Korikori tinana, hākinakina rānei: I ngā hākinakina roa, kaha hoki pērā i te marathon, te hikoi, te eke pahikara rānei, ka piki ake te mōrearea mēnā ka inu nui koe i te wai hei ārai i te matewai.
- Te mahi i te wera nui: Te mahi i waho i te rangi wera, i ngā taiao pāmahana teitei rānei (hei tauira, ngā whare hanga whakarewa).
- Psychogenic Polydipsia: He mate hinengaro tēnei e kitea pinepine ana i roto i ngā tūroro e pāngia ana e ngā mate pēnei i te Schizophrenia , e ārahi ana i a rātou ki te inu wai i tua atu i ngā hiahia o te tinana.
- Te whakamahinga o te MDMA (Ecstasy/Molly): He whakaohooho hinengaro te MDMA ka taea te whakanui ake i te kaha. Ka werawera pea ngā kaiwhakamahi, kātahi ka inu i te nui o te wai hei whakakī anō i ngā wai kua ngaro.
- Te taumaha tinana iti: He nui te mōrearea o ngā pēpi kei raro iho i te kotahi tau te pakeke . Nā te mea he iti rātou, kāore e hiahiatia ana e ō rātou tinana he nui te wai. Ko te nuinga o ā rātou hiahia ka whakatutukihia mā te waiū ū, mā te miraka pēpi rānei. Ki te whakaaro koe me nui ake te wai e hiahiatia ana e tō pēpi, kaua e neke atu i te 3 hekere (tata ki te 90ml). Hei tāpiri, aroturukihia rātou i te wā o ngā akoranga kaukau kia kore ai rātou e horomia he nui te wai puna.
- Ētahi rongoā: Ka taea e ētahi rongoā ārai pouri me ngā rongoā ārai hinengaro te whakararu i te matewai nui (polydipsia).
Hei tāpiri atu, ko ngā āhuatanga hauora e ārai ana i ō whatukuhu ki te whakaputa i te wai nui mā te mimi ka arahi pea ki te haurangi wai. Hei tauira:
- Te Mate Tākihi Mau tonu (CKD)
- Mate ate
- Te ngoikore o te ngākau
- Te Mate o te Hunga Hormone Antidiuretic Kāore i te Tika (SIADH)
Ka taea hoki e ngā rongoā anti-inflammatory kore-steroidal (NSAID) te whakanui ake i te tūponotanga ka pupurihia e ō whatukuhu te wai nui.
Kia pēhea te nui o te wai e inuhia ana?
He rerekē te paepae mō te nui rawa o te wai i ia tangata, i ia tangata. He mea nui kia mārama koe ki te tukanga a tō tinana i te wai hei tautuhi i te wā e nui rawa ana te wai e inu ana koe. Ka tangohia e tō tinana te wai nui mā te mimi, ko te tikanga ka tukatukahia he 32 ki te 64 hekere (1 ki te 2 rita) ia rā. Ki ētahi, ko te inu i te karani (3 ki te 4 rita) i roto i te haora, e rua rānei, ka puta pea ngā tohu o te haurangi wai.
Hei āwhina i te ārai i te nui rawa o te wai, whai i ēnei tohutohu mai i Nirogi Lanka:
- Inu noa ina matewai koe.
- Whakarongo ki tō tinana.
- Kati te inu ina ngata tō matewai; kaua e akiaki i a koe ki te inu.
He aha ngā hua kino o te haurangi wai?
Ki te kore e rongoatia, ka taea e te haurangi nui o te wai te arahi ki ngā raruraru hauora nui, tae atu ki:
- Ngā mate hopuhopu
- Pōrangi
- Koma
- Mate
Me pēhea te tautuhi i tēnei?
Hei tātaritanga tika i te haurangi wai, tera pea ka mahi tō tākuta i ēnei:
- Arotakehia tō hītori hauora .
- Kōrerohia ō tohumate o nāianei .
- Whakahaerehia he whakamātautau tinana , me te tirotiro motuhake mēnā he pupuhi (edema) i ō ringaringa, waewae, puku rānei.
- Whakahaerehia he whakamātautau toto me te mimi hei aromatawai i te taumata o ō electrolytes.
He aha ngā maimoatanga?
Ko te maimoatanga mō te haurangi wai ko te tikanga:
- Te whakaiti, te whakawhāiti rānei i te nui o te wai e inumia ana.
- Te aro ki te pūtake o te mate , tae atu ki te whakamutu i te tango i ētahi rongoā.
- I runga i te kaha o te mate, ka tohua pea e tō tākuta ngā rongoā diuretic, ka tukuna rānei he wai intravenous (IV) hei whakaora i te taurite.
Kia pēhea te tere o taku ora ake?
I te nuinga o te wā, ina whakawhāitihia e koe te inu wai, ka tīmata koe ki te kite i te whakapai ake i roto i ētahi haora.
He aha taku e tumanako ai i te wā e ora ana?
He tino pai te matapae mō te ora mēnā he tika te tiaki hauora. Ka ora tonu ngā mate iti i roto i ētahi haora, engari ko ngā mate kino rawa atu me aroturuki pea i ētahi rā.
He tino onge te mate i te haurangi wai.
Ka taea te ārai?
Ahakoa e kore e taea te ārai i ngā take katoa o te haurangi wai—ina koa ka pā ki ngā raruraru tākihi—me kōrero koe ki tō tākuta mō ō āwangawanga mō te mōrearea.
Ngā tohutohu whānui hei tiaki i tō tinana:
- Inuhia ina matewai. Kaua e inu nui i te wai i roto i te wā poto; ko te inu neke atu i te 32 hekere (tata ki te 1 rita) ia haora he nui rawa.
- Aroturukihia te tae o tō mimi. Me kōwhai mā te tae o tō mimi. Mena he mārama tonu, he mārama tonu, tera pea he nui ake te wai e inuhia ana e koe i tā ō whatukuhu e taea ai te tukatuka.
- Kati te inu waipiro mēnā ka pāngia koe e te whakapairuaki, te pupuhi, te ānini rānei. He tohu whakatūpato wawe ēnei mō te nui rawa o te wai.
Mena kei te werawera nui koe, mā te inu i ngā inu electrolyte, ngā inu hākinakina, ngā wai hua māori rānei ka āwhina i te whakakī anō i te wai me ngā taumata konutai e tika ana, ka whakaiti i te tūponotanga o te kore taurite.
Āhea ahau me toro atu ki te tākuta?
Ki te whakaatu koe, tetahi atu rānei e mōhio ana koe i ngā tohu o te haurangi wai, rapua tonutia he awhina hauora, whakapā atu rānei ki ngā ratonga ohorere. Ko te tere o te whiwhi awhina hauora, ka iti ake te tuponotanga o ngā raruraru kino.
Ngā pātai hei pātai atu ki tō tākuta:
Whakaarohia te pātai atu ki tō tākuta i ēnei pātai e whai ake nei:
- Me pēhea te tautuhi i te haurangi wai?
- Kia pēhea te kaha o tōku mate haurangi wai?
- Ka taea e ngā inu ehara i te wai māori te whakapōrearea i te wai?
- Me pēhea te ārai i te haurangi wai a muri ake nei?
- Me inu koe i ngā inu hākinakina? Mena koinā, kia hia te nui me te auau?
E hia te wai me inu e koe i ia rā?
He ahurei tō tinana. Tērā pea he rerekē te nui o te wai e hiahiatia ana e koe i ia rā i ia rā. Heoi, hei aratohu whānui, ko te tikanga, ko ngā tohunga hauora e taunaki ana i te inu wai e whai ake nei mō ngā pakeke i ia rā:
- Mō ngā Tāne: 125 hekere (3.7 rita)
- Mō ngā Wahine: 91 hekere (2.7 rita)
Mena he nui tō whakakori tinana, he werawera te āhuarangi e noho ana koe, he teitei rānei te teitei o te whenua, tera pea ka nui ake te wai e hiahiatia ana e koe i tēnei toharite. Mena kāore koe i te tino mōhio mō ō hiahia wai, tēnā whakapā atu ki tētahi tākuta. Ka taea e rātou te whakarato i tētahi mahere whaiaro e hāngai ana ki ō hiahia hauora.
He Karere Whakamutunga mō te Hokona ki te Kāinga mai i Nirogi Lanka
Ahakoa kei te whakangungu koe mō te marathon, kei te mahi rānei i roto i tō māra, he mea nui te wai māori tika. Heoi, ahakoa kei te werawera nui koe,Ko te whakaōrite te kī ki te haumaru.
He mea nui te wai mō te ora, engari ka taea e te inu nui te arahi ki ngā raruraru nui. Whakarongo tonu ki tō tinana. Inuhia ina matewai koe, ā, aroturukihia te tae o tō mimi. Ki te werawera koe, whakaarohia te whakakī anō i ngā electrolytes kua ngaro ki te wai ORS, ki te inu hākinakina rānei. Mena he mate tākihi kei roto i a koe, kōrerohia tō inu wai o ia rā ki tō tākuta. Kia ora, kia haumaru hoki!
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He tino mōrearea te haurangi wai?
Āe. Ahakoa he mea miharo pea, he āhuatanga hauora nui tēnei. E mōhiotia ana i te pūtaiao ko te 'Hyponatremia,' ka puta tēnei ina nui rawa te wai e inuhia ana e koe i roto i te wā poto. Kāore e taea e ō whatukuhu te tātari tere i te wai, ka arahi ki te waimehatanga morearea o te konutai i roto i ō toto. Ka taea e tēnei te whakararu i te mahi pūnaha io me ngā āhuatanga ohorere e morearea ana ki te ora. Mena kei te whakapae koe he nui rawa te horopeta, rapua he awhina tonu mai i tō tari ohorere tata, waea atu rānei ki te 911.
💬 He aha te mea ka pā ki te roro ina heke te taumata o te konutai?
Ina nui rawa te wai i roto i tō tinana, ā, he iti rawa te konutai, ka tīmata te pupuhi o ngā pūtau. Ahakoa ka taea te whakahaere i te pupuhi i ētahi atu wāhanga o te tinana, he mea nui te 'Cerebral Edema' (pupuhi roro) nā te mea ka aukati i te whānui o te angaanga. Ka taea e tēnei te puta he ānini nui, he whakapairuaki, he ruaki, ā, i ngā wā tino kino, ka puta he haurangi, he koma rānei.
💬 Ko wai kei te mōrearea, ā, he aha te rohe haumaru?
He onge tēnei āhuatanga i roto i te marea engari he maha ake ngā wā ka pā ki ngā kaitākaro e tere ana te inu wai nui i muri i te werawera nui. Hei tikanga whānui, kaua e neke atu i te 1 rita (tata ki te 3-4 karāhe) o te wai ia hāora, nā te mea koinei te kaha tukatuka tata o ō whatukuhu. I te wā e kaha ana te mahi tinana, he huarahi haumaru ake te whakamahi i te ORS, i ngā inu hākinakina kei roto ngā electrolyte rānei, hei pupuri i te makuku i te inu wai noa iho.
Ngā Kupumatua: haurangi wai, hyponatremia, nui rawa te wai, paihana wai, electrolytes, maroketanga, hauora whatukuhu
