Kua kōrerotia mai e tō tākuta kei a koe te Mate Tākihi Wāhanga 3? He mea noa te mataku me te ohorere ina rongo koe i ēnei kupu. "Aue, he aha te mea ka tupu i muri mai?", "He iti noa iho tōku ora?", me ētahi atu. He maha ngā pātai ka puta ake ki tō hinengaro. Engari kaua e manukanuka. Ehara tēnei i te mutunga o tō oranga. He tohu noa iho tēnei me tiaki nui atu koe i tō hauora i te tikanga. Me kōrero tātou mō tēnei i tēnei rā, me te mārama me te ngāwari, kia kitea ai ngā whakautu ki ngā pātai katoa kei roto i tō hinengaro.
He aha rawa te mate tākihi taumata 3?
He māmā noa iho, he rite ngā whatukuhu e rua o te tinana ki ngā tātari tino pai e rua. Ko tā rātou mahi matua he tātari i ngā para me ngā matū kāore e hiahiatia ana mai i te toto, ka tukuna atu hei mimi. Ko te mate whatukuhu te wā e heke haere ana te mahi a ēnei tātari e rua.
E rima ngā wāhanga o te mate tākihi. Ko te wāhanga 3 te tikanga kua heke te mahi a ō tākihi ki te haurua o te mahi noa. Whakaarohia he āhuatanga e 50 o roto i te 100 ngā mīhini i roto i te wheketere kāore e mahi ana.
Ka inehia tēnei e ngā tākuta mā te whakamātautau e kiia nei ko te GFR (Glomerular Filtration Rate). He māmā noa iho, ka whakaatu tēnei uara GFR i te nui o te toto ka taea e ō whatukuhu te tātari i ia meneti. I te wāhanga 3, kei waenganui i te 30 me te 59 tēnei uara GFR. E rua ngā wāhanga o tēnei, ko te 3A me te 3B. I te wāhanga 3B, he paku teitei ake te mōrearea.
He aha ngā tohu me ngā pānga hauora e pāngia ana i tēnei wā?
Ko te rongo pai, ko te nuinga o te hunga kei te wāhanga 3 kāore e pāngia e tētahi tohu motuhake. Heoi, tera pea ētahi tāngata ka pāngia e ētahi tohu.
- Te pupuhi o ngā ringa, o ngā waewae, o ngā pona rānei.
- Mamae tuara (te wāhi kei reira ngā whatukuhu).
- Ngā panonitanga o te tauira mimi (te mimi nui, te mimi iti rānei).
Heoi, he nui ake te mōrearea i ēnei tohu ko ngā pānga taha o te ngoikore o te mahi whatukuhu. Koinei ngā mea me tino aro atu tātou.
| He raruraru hauora pea | He whakamārama ngāwari noa iho |
|---|---|
| Te toto toto tiketike | Kāore e taea e ngā whatukuhu te āwhina i te whakahaere i te toto toto. Hei tāpiri, ka nui ake te kino o ngā whatukuhu i te toto toto tiketike. He huringa kino tēnei e mahi ana i ngā taha e rua. |
| Te mate toto iti | Ka whakaputahia e ngā whatukuhu he homoni (Erythropoietin) e āwhina ana ki te hanga i ngā toto whero. Ina ngoikore ngā whatukuhu, ka kore e ranea tēnei homoni, ā, ka puta te anemia. Ka taea e tēnei te whakapouri me te kore ora i ngā wā katoa. |
| Mate wheua | Mā ngā whatukuhu ka āwhina i te whakapakari i ngā wheua mā te whakahohe i te huaora D. Ina ngoikore tēnei tukanga, ka ngoikore ngā wheua, ka tīmata te mamae. |
Ki te kore tēnei āhuatanga e rongoatia, ā, kāore e whakahaeretia, ka taea e te mate te neke ki te wāhanga 4. He tino kino te wāhanga 4, he tata ki te ngoikore o te whatukuhu. Ki te tae koe ki taua wāhanga, me hiahia koe ki te maimoatanga dialysis, arā, he mīhini e horoi ana i ō toto, he whakawhitinga whatukuhu rānei, kia ora ai.
Me pēhea te whakahaere i te wāhanga 3? Me aha tātou?
Ko te mea tuatahi kia mārama , kāore e taea te whakakore katoa i te kino kua pā mai. Kaua e manukanuka. He maha ngā mea ka taea e tātou te mahi hei aukati i te kino o te whatukuhu, hei whakahaere hoki i ētahi atu mate kua pā mai. Koinei te wā tino nui o tō oranga.
Huringa āhua noho
He mea tino nui kia tino whai i ēnei mea.
| Ngā mea me mahi e tātou | He aha te hiranga o tēnā? |
|---|---|
| Te tūtaki ki te tākuta i te rā kua whakaritea | He mea nui tēnei hei aroturuki i tō āhua me te mahi i ngā huringa e tika ana. Me toro atu pea koe ki tētahi tohunga tākihi (Nephrologist). |
| Te whakahaere i te toto toto me te mate huka | Ko ēnei ētahi o ngā hoariri nui rawa atu o ngā whatukuhu. Mā te whakahaere i ēnei e rua ka tino whakaiti i te kino ki ngā whatukuhu. |
| Te whakarerekē i te kai | He mea tino nui tēnei. Ka tohutohu tō tākuta kia whakawhāitihia e koe ngā kai he nui te pūmua, te tote, te pāhare pāporo, me te cholesterol. |
| Te kore rawa e kai paipa | Ka kino te momi hikareti i ngā awa e tuku toto ana ki ngā whatukuhu. |
| Te whakakori tinana me te whakahaere taumaha | He pai te pupuri i te taumaha hauora mō te hauora whānui. |
| Te karo i ētahi rongoā whakamamae | Ka taea e ētahi rongoā mamae (NSAID) pērā i te ibuprofen me te naproxen te kino i ngā whatukuhu. Pātai atu ki tō tākuta i mua i te tango i tētahi rongoā. |
Ngā rongoā ka taea e te tākuta te tohu
I runga i tō āhua, ka tohua pea e tō tākuta ngā rongoā pēnei.
- Ngā rongoā whakaheke toto toto: Ngā rongoā pēnei i ngā aukati ACE, ngā ARB rānei.
- Ngā rongoā whakaheke toto: Ka āwhina i te tango i ngā wai e kore e hiahiatia me ngā hua para e kohia ana i roto i te tinana mā te mimi.
- Ngā rongoā whakaheke kolesterol.
- Te rongoā mō te mate toto iti: Ngā werohanga erythropoietin, e āwhina ana ki te whakaputa i ngā pūtau toto whero.
- Ngā here o te Huaora D me te Phosphate: Kia kaha ai ngā wheua, kia whakahaere hoki i ngā taumata phosphate i roto i te toto.
Ehara te mate whatukuhu taumata 3 i te mutunga o tō oranga. He wāhi pai tēnei ki te whakaaro anō ki tō momo noho me te tīmata i tētahi ara hou ki te hauora.
Kua whakaatuhia e ngā rangahau kāore te katoa i te wāhanga 3 e ahu whakamua ki te wāhanga 4. Arā, ki te whai koe i ngā tohutohu a tō tākuta me te whakarerekē i tō momo noho, ka taea e koe te pupuri i tō taumata mate huka o nāianei me te ora i te oranga hauora, roa. Ko te whakapau kaha me te whakahaere i a koe anō te mea nui. Hono atu ki tō tākuta i tēnei haerenga.
Karere Tangohia ki te Kāinga
- Ko te tikanga o te mate tākihi taumata 3 kua ngaro te haurua o ā rātou mahi a ngā tākihi. Engari ehara tēnei i te whiu mate.
- Ahakoa kāore e taea te whakaora i te kino o te whatukuhu, ka taea tonu te aukati, te whakaroa rānei i te kino haere o te mate.
- Ko ō whāinga matua kia mau tonu te whakahaere i tō toto toto me te mate huka (mēnā kei a koe).
- Tangohia te rongoā i tohua e te tākuta i te wā tika. Kaua e mutu te tango i tētahi rongoā me te kore whakaaro.
- Me whai i ngā tohutohu kai (me te whakaiti i te tote, te pūmua, me te pāhare pāporo).
- Kaua e mahue ngā wāhi hauora me ngā whakamātautau hauora kua whakaritea. Kei a ia te tikanga mō tō oranga.











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