Ahakoa te nui o te wai e inuhia ana e koe, kei te matewai tonu koe? Me haere tonu koe ki te wharepaku i ngā wā katoa? Ina pērā koe, he wai te nuinga o te mimi e puta ana i a koe, kāore he tae? Ki te pā mai ēnei tohu ki a koe, kaua e whakaaro ko te "mate huka" anake, ko te mate huka rānei e mōhiotia ana e tātou katoa. I tēnei rā ka kōrero tātou mō tētahi mate he rite te ingoa, engari he tino rerekē.
He aha te Mate Huka Insipidus?
He māmā noa iho, he tino onge te Mate Huka Insipidus (DI). Ka puta mai tēnei ina kore e taea e tō tinana te whakahaere i te wai. Nō reira, ka matewai tonu koe, ā, ka nui te mimi e mimihia ana e koe. Kāore he tae, kāore hoki he kakara o tēnei mimi.
Whakaarohia, ko te tikanga ka puta he mimi i te tangata hauora i te 1-2 rita ia rā. Engari ko te tangata whai mate pēnei ka taea e ia te puta he mimi mai i te 3 ki te 20 rita ia rā. Ahakoa e kiia ana he "mate huka", kāore he pānga ki ngā taumata huka toto. He raruraru homoni katoa e pā ana ki te whakahaere wai o te tinana.
He aha ngā momo matua o te mate huka insipidus (DI)?
He maha ngā momo matua o tēnei mate, kei runga i te āhua o tōna putanga mai.
1. Te Mate Huka Insipidus o te Waenganui
Koinei te momo tino noa. Ka puta pea tēnei āhuatanga nā te kino o te hypothalamus me te pituitary gland i roto i tō tātou roro. Ka whakaputahia, ka whakahaeretia hoki e ēnei wāhanga tētahi homoni e kiia nei ko te vasopressin. E kiia ana hoki tēnei ko te ADH (Antidiuretic Hormone).
Ko te mahi a tēnei homoni ADH he tuku "tohu" ki ō tātou whatukuhu, me te kī atu ki a rātou kia penapena i te nui o te wai e hiahiatia ana e te tinana. He rite ki te kuaha i runga i te tāke wai. Ina kei reira te ADH, ka kati te kuaha, ka puritia te wai. Ina ngaro te ADH, ka tuwhera katoa te kuaha, ka tukuna te wai katoa. I roto i te DI Waenga, kāore e nui te hanga o tēnei homoni ADH. Nō reira, ka tukuna te wai e ngā whatukuhu me te kore e taea te whakahaere.
Tērā pea nā:
- Puku roro
- Te whara o te upoko
- Pokanga
- He mate urutā
2. Te Mate Huka Insipidus Nephrogenic
I tēnei momo, ka tika te whakaputa a te roro i te homoni ADH, engari kāore ngā whatukuhu e aro ki taua homoni. He rite ki te whakahau a te rangatira, engari kāore ngā hōia e whakarongo ki a rātou. He rite tonu te mutunga: he nui rawa te wai e tukuna ana mai i ngā whatukuhu.
Tērā pea nā:
- Ko ētahi rongoā (hei tauira, lithium)
- Mate tākihi mau tonu
- Te pikinga o te taumata konupūmā, te hekenga rānei o te taumata pāhare pāporo i roto i te toto.
3. Te Mate Huka Insipidus o te Hāputanga
He tino onge tēnei mate. E ai ki te ingoa, ka puta noa i te wā e hapu ana. I ētahi wā, ka taea e te whākōkī i hangaia e te whenua whānau, e whakarato ana i te kai ki te pēpi, te whakangaro i te homoni ADH. I te nuinga o te wā ka ngaro tēnei mate i muri i te whānautanga.
He aha ngā tohu o tēnei?
Ko ngā tohu matua ko te nui o te matewai me te nui o te mimi, engari he maha atu anō ngā tohu ka puta.
| Tohu | Whakaahuatanga |
|---|---|
| Te matewai nui | Ahakoa te nui o te wai e inuhia ana, kāore e taea te whakakore i te matewai. Ina koa te hiahia nui ki te wai hukapapa. |
| Te mimi nui rawa (Polyuria) | Neke atu i te 3 rita o te mimi e puta ana i te rā. Me haere pea ki te wharepaku kotahi i te hāora. |
| Te ara ake ki te mimi i te pō | Me ara ake i ngā wā maha i te moe ki te mimi. |
| Mimi kore tae | He tino waimeha te mimi, pērā i te wai. Kāore he tae, kāore hoki he kakara. |
| Te maroketanga | Te matewai nā te nui o te wai e ngaro ana i te tinana. Tērā pea ka puta ngā tohu pēnei i te waha me ngā ngutu maroke, te whanoke, me te ngenge nui. |
He aha te pānga o ēnei tohu ki ngā tamariki me ngā pēpi?
He uaua pea te kite mēnā ka pā tēnei mate ki ngā pēpi me ngā tamariki nohinohi, nō reira he mea nui kia mōhio koe hei mātua ki ēnei tohu.
- Te tangi pinepine me te koretake
- Te ngaronga o te taumaha, te kore rānei e piki te taumaha
- Te kore e pai ki te kai, ki te inu miraka rānei
- Te mākū pinepine o te nāpi
- Te kirika me te ruaki
- Te tipu whakaroa
Ko te mea nui ko te rapu tohutohu hauora mēnā kei a koe, kei tāu tamaiti rānei tētahi o ēnei tohu. Kaua e whakapae noa.
He aha te rerekētanga i waenga i te Mate Huka Insipidus (DI) me te Mate Huka Mellitus?
He wāhi tēnei e pōhēhē ai te tini o te tangata. Ahakoa te rite o te ingoa, he rerekē rawa ngā mate hauora e rua.
| Āhuatanga | Mate huka insipidus (DI) | Mate huka |
|---|---|---|
| Take matua | He raruraru kei te homoni vasopressin (ADH), e whakahaere ana i te wai. | He raruraru kei te homoni insulin, e whakahaere ana i te huka. |
| Taumata huka toto | Noa. | Kei te taumata teitei. |
| Te āhua o te mimi | He mimi wai, kāore he tae, he waimeha. Kāore he huka i roto. | Tērā pea kei roto he huka (glucose). |
| Mōrearea matua | Te maroketanga. | Ngā raruraru pērā i te mate manawa, te kino o ngā io, me te kino o ngā whatukuhu. |
Me pēhea te tautuhi i te mate?
Ka pātai tuatahi tō tākuta ki a koe i tētahi pātai taipitopito mō ō tohumate. Kātahi ka whakahaerehia pea e rātou ētahi whakamātautau hei whakaū i te mate.
- Tātaritanga mimi: Ka tangohia he tauira o tō mimi, ka whakamatautauria kia kitea ai tōna matotoru. Ka tirohia hoki mēnā he huka. I ētahi wā, ka kohia pea he mimi 24-hāora hei ine i te nui katoa.
- Ngā whakamātautau toto: Ka tirohia e ngā whakamātautau toto ngā taumata o te tote, pērā i te konutai, me te huka i roto i te toto.
- Whakamātautau Kore Wai: He whakamātautau motuhake tēnei. I roto i tēnei, ka tonoa koe kia kaua e inu wai mō ētahi haora. I tēnei wā, ka inehia tō taumaha, tō toto toto, me te kukū o te mimi i raro i te tirotiro a te rata. Mā tēnei ka taea e koe te kite tika i te whanonga o tō tinana me te kore wai.
- Matawai MRI: Mā tēnei whakamātautau ka kitea he raruraru kei te repe pituitary, kei te hypothalamus rānei i roto i te roro.
He aha ngā maimoatanga?
Ko te maimoatanga e whakawhirinaki ana ki te momo DI kei a koe.
- Mō te Central DI: Ka hoatu he homoni hangai e kiia nei ko te Desmopressin mō tēnei. He rite tēnei ki te hoatu i te homoni ADH kāore i roto i te tinana ki waho. Ka taea tēnei te tango hei rehu ihu, hei papa, hei werohanga rānei.
- Mō te Nephrogenic DI: He uaua ake te maimoatanga. Mena he rongoā te take o te mate, ka memeha pea te mate ina mutu te rongoā. Ki te kore, ka hoatu ētahi atu rongoā (pēnei i ētahi rongoā whakaheke toto) hei āwhina i te whakaiti i te nui o te mimi e whakaputaina ana e ngā whatukuhu.
- Mō te DI Hapūtanga: Ka taea te whakamahi haumaru i te desmopressin i te wā e hapū ana. I te nuinga o te wā ka memeha haere te mate i muri i te whānautanga.
Ko te mea nui ko te inu i te nui o te wai i ngā wā katoa . Nā te mea kei te ngaro tonu te wai i te tinana, me whakakī anō e koe taua wai kua ngaro.
Karere Tangohia ki te Kāinga
- Ehara te mate huka insipidus (DI) i te mate huka toto. He raruraru homoni e pā ana ki te whakahaere wai i roto i te tinana.
- Ko ngā tohu matua ko te matewai e kore e taea te tohe me te mimi nui kore tae.
- Ko te raruraru matua, me te mea tino morearea ka puta i tēnei āhuatanga, ko te matewai. Nō reira, inuhia he nui te wai i ia wā, i ia wā.
- Ki te pā mai ēnei tohu, kaua e whakapae, engari me toro atu ki te tākuta, me te rapu tohutohu.
- He mate e taea te whakahaere pai tēnei āhua, nō reira he mea tino nui kia whai tika i te maimoatanga kua tohua e te tākuta.
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