Kei te pupuhi tō tinana? Kua piki ohorere tō taumaha? Tērā pea he nui rawa te wai (Hypervolemia)!

I mōhio koe kei waenganui i te 50% me te 60% o ō tātou tinana he wai? Arā, ko ngā mea pēnei i te wai me te toto. He mea nui te pupuri i tēnei taumata wai kia taurite mō tō tātou hauora. Engari, ki te mea he take ka whakararuraruhia tēnei taurite, inā koa ka nui rawa te nui o te wai i roto i te tinana, ka arahi pea ki te maha o ngā raruraru hauora nui. I tēnei rā ka kōrero tātou mō tēnei āhuatanga o te nui haere o te wai i roto i te tinana.

He aha te nui rawa o te wai (hypervolemia)?

Ki te kī māmā noa, ko te Fluid Overload he nui rawa te wai i roto i tō tinana. Ko te kupu hauora mō tēnei ko Hypervolemia . He tino māmā te tikanga o tēnei kupu. Ko te tikanga o te 'Hyper' he "nui rawa", ā, ko te tikanga o te 'vol' he "rahinga" he "rahinga" rānei. Nō reira, ko te tikanga o te Hypervolemia he pikinga o te nui o te wai i roto i te tinana. Kei reira anō te taha kē atu o tēnei, e kiia nei ko te Hypovolemia. Ko te tikanga o te 'Hypo' he "iti". Ko te tikanga he hekenga o te taumata o te wai i roto i te tinana, he āhuatanga rānei pēnei i te matewai. Engari i tēnei rā ka arotahi tātou ki te āhuatanga o te Hypervolemia, arā, he pikinga o te wai. Ka taea tēnei āhuatanga te puta mai i ngā take maha pēnei i te ngoikore o te ngākau, te ngoikore o te whatukuhu, te mate ate (cirrhosis), me te hāputanga.

He aha ngā tohu o te nui rawa o te wai?

Ina nui haere te wai i roto i te tinana, ka puta ngā tohu maha. I ētahi wā, ka puta ēnei tohu i tētahi mate hauora e take ana i te nui rawa o te wai. Ka puta pea tēnei i ngā mate kino, nō reira, ki te whai koe i tētahi o ēnei tohu e whai ake nei, me toro atu koe ki tō tākuta .

He aha tēnei e tupu nei? Ko wai kei te mōrearea nui ake?

Ka puta te nui rawa o te wai ina tīmata ō whatukuhu ki te pupuri i te konutai (tote) i roto i tō tinana. I te nuinga o te wā, ko ngā whatukuhu te kaiwhakahaere i te toenga o te tote me te wai i roto i ō tātou tinana. Ina meinga ngā whatukuhu e te mate kia pupuri i te konutai, ka piki ake ngā taumata konutai o te tinana. Hei whakautu, ka tīmata te tinana ki te whakaputa i te nui rawa o te wai. He maha ngā take me ngā rōpū mōrearea ka puta ai tēnei:

• Te ngoikore o te ngākau : Ina ngoikore te uaua o tō ngākau, kāore e taea e ia te pupuhi tika i te toto. Ko te tikanga tēnei kāore ō whatukuhu e whiwhi i te toto e hiahiatia ana e rātou. Ka ngana tō tinana ki te whakakapi mā te pupuri i te tote me te wai. Ko te mutunga mai he pupuri wai.
• Te ngoikore o te whatukuhu : Ka horoia e ngā whatukuhu ō tātou toto, ka tangohia hoki ngā paitini . Ina kore e mahi tika ngā whatukuhu, kāore e taea e rātou te tango i te wai me te tote tāpiri mai i te tinana, ā, ka kohia ki roto i te tinana.Ka pā mai anō hoki tēnei nā ngā mate tākihi pērā i te Nephrotic Syndrome .
• Ngā Mate Ate : Ka kore e pai te mahi a te ate i ngā mate ate pēnei i te cirrhosis . Ka puta he wai i roto i te puku (e kiia ana ko te ascites ), me te pupuhi i ngā ringa, ngā waewae, me te mata.
• Mate huka : Ka taea e te mate huka te kino i ngā whatukuhu, ka taea hoki e tēnei te whakaemi wai i roto i te tinana.
• Te kai nui rawa i te tote: Ki te tāpirihia e koe he nui te tote ki tāu kai, inā koa mēnā he nui ngā kai tukatuka e kainga ana e koe, ka pupuri te tinana i te wai.
• Ētahi rongoā: Ko ētahi rongoā mō te toto toto tiketike me te mamae ka taea te pupuri wai i roto i te tinana hei pānga taha.
• Te Hapūtanga: Ko ngā huringa homoni i te wā e hapū ana, me te pēhanga ki runga i ngā uaua toto e te kōpū e tipu haere ana, ka nui ake te kohikohi wai i roto i te tinana.

Me pēhea te rongoā?

I te rongoā i te nui rawa o te wai, ka ngana tuatahi tō tākuta ki te rongoā i te mate taketake i puta ai. Ka rerekē pea ngā kōwhiringa maimoatanga i runga i tō mate.

Te maimoatanga hauora

• Ngā rongoā whakaheke toto: Ka kiia hoki ēnei ko ngā 'pire wai.' Ka āwhina ēnei rongoā i te tinana ki te whakakore i te wai nui mā te mimi.
• Dialysis: Ka whakamahia tēnei maimoatanga mō ngā tūroro e pāngia ana e te ngoikore o te whatukuhu. Ka horoia te toto e te mīhini, ka tangohia te wai nui.
• Paracentesis: He tikanga hei tango i te wai mai i te puku (ascites) mā te whakamahi i tētahi ngongo iti.

Ngā huringa āhua noho

Haunga te maimoatanga hauora, mā ētahi huringa ka taea e tātou te mahi ki roto i tō tātou āhua noho ka āwhina nui ki te whakahaere i tēnei mate.

• Whakahaerehia te tote: Koinei te mea nui rawa atu. Whakaitihia te nui o te tote e tāpirihia ana e koe ki tāu kai. He nui te tote kei roto i ngā kai tukatuka pērā i ngā ranu, ngā kai kēne, ngā hōtiti, ngā keke me ngā pihikete.
• Paunatia koe i ia rā: Paunatia koe i te wā kotahi, me te mau i ngā kākahu ōrite. Ki te piki haere tō taumaha, tera pea he pupuri wai. Me whakamōhio atu ki tō tākuta.
• Te whakawhāiti i te inu wai: Ko ētahi tūroro e tohutohu ana kia whakawhāitihia te nui o te wai ka taea e rātou te inu i ia rā. Me āta whai i ēnei tohutohu.
• Tangohia ngā rongoā kua tohua kia rite ki te mea kua tohua: Tangohia te rongoā kua tohua e te tākuta, i te wā tika, me te horopeta tika.
• Te āhua noho hauora:Kaua e kai hikareti, kaua e inu waipiro, kai i ngā kai hauora, ā, me whakakori tinana e tika ana kia rite ki ngā tohutohu a tō tākuta.

Ngā raruraru mēnā kāore e rongoatia

Ka taea e te nui rawa o te wai te arahi ki ngā raruraru nui mēnā kāore e tika te rongoā.

• Te Pupuhi Pūkahukahu: He āhuatanga ohorere e morearea ai te ora e uaua ai te manawa.
• Te ngoikore o te ngākau: Mā te tāpiri atu i te taumahatanga ki te ngākau ngoikore ka kino ake te āhua.
• Te whakaroa i te whakaora o te patunga.
• Te pakaru o te kiko.

Nō reira, he mea tino nui te rapu tohutohu hauora i te wā tonu ka kitea ngā tohu. Te nui rawa o te wai, te nui rawa o te pūmua, te pupuhi o te tinana, te pupuhi, te mate tākihi, te mate ngākau, te toto toto tiketike, te wai tinana, te pupuhi o te pūkahukahu, ngā rongoā whakaheke toto, te dialysis, te whakahaere tote