He aha te Mate Huka Koretake? Tohutohu, Take, me te Maimoatanga

Ko te mate huka koretake he āhuatanga onge e hanga ai e koe te nui o te mimi wai, kore tae, me te hiahia tonu ki te inu wai. Kāore i rite ki te mate huka mellitus tino noa (e pā ana ki te huka toto), ko tenei āhuatanga e pā ana ki ngā raruraru o te whakahaere wai e tohungia ana e to tinana. Ahakoa te rite o te ingoa ki te mate huka noa, he rerekē katoa enei āhuatanga e ngāwari ana te whakaatu i ētahi tohu rite ki te mimi maha.

He aha te mate huka koretake?

Ka puta te mate huka koretake ina kore e taea e to tinana te whakahaere tika i te nui o te wai e pupuritia ana e ia, e tukuna atu rānei. Ko o whatukuhu e whakauru ana i te mimi kia tiakina ai te wai, engari ki tenei āhuatanga, ka whakaputa ratou i te nui o te mimi wai. Whakaarohia he taputapu wai kaore e taea te kati tika.

Ko te ingoa o te āhuatanga mai i te nui o te mimi "koretake" wai ranei e whakaputahia ana. Ko te nuinga o te hunga e mate huka koretake ana e mimi ana i waenga i te 3 ki te 15 rita ia rā, i te whakaaturanga noa o te 1 ki te 2 rita. Ko tenei mimi nui ka puta he hiahia nui ki te inu wai i te ngana a to tinana ki te whakakapi i ngā wai kua ngaro.

He aha ngā tohu o te mate huka koretake?

Ko ngā tohu matua o te mate huka koretake e noho ana ki te pakanga o to tinana ki te pupuri i te rite o te wai. Ka taea e enei tohu te whanake haere mā te iti, te puta rānei ohorere, kei te whakawhirinaki ki te take o te āhuatanga.

Ko ngā tohu tino noa ko:

• Te mimi nui (polyuria) - he maha tonu te 3 ki te 15 rita ia rā
• Te hiahia nui, tonu ki te inu wai (polydipsia) ka uaua ki te makona
• Te ara ake i ngā wā maha i te pō ki te mimi
• Te manako ki ngā inu makariri rawa
• Te ngenge me te ngoikore mai i te moe morearea
• Te riri, te uaua rānei ki te aro

I roto i ngā keehi kino, ka pāngia pea koe e ngā tohu maroke penei i te wiri, te ngāwari o te ngakau, te waha maroke rānei. Ko ngā tamariki e pangia ana e tenei āhuatanga ka taea te makuku i te moenga, te ahua rānei ohorere, te uaua rānei ki te piki o te taumaha. Ka taea e enei tohu te pā kino ki tō oranga o ia rā me te kounga o te moe.

He aha ngā momo o te mate huka koretake?

E whā ngā momo matua o te mate huka koretake, ia momo he take rerekē. Ko te matauranga ki te momo kei a koe e āwhina ana ki te whakatau i te huarahi maimoatanga pai.

Ko te mate huka koretake o te pūtau te momo tino noa. Ka puta ina kore e whakaputahia e tō roro te nui o te homoni antidiuretic (ADH), e kiia ana hoki ko te vasopressin. Ko tenei homoni e korerotia ana ki ō whatukuhu kia tiakina te wai mā te whakauru i te mimi.

Ka puta te mate huka koretake nephrogenic ina kore e whakautu tika ō whatukuhu ki te ADH, ahakoa te whakaputa a tō roro i ngā nui noa. Ko ō whatukuhu e whakakahore ana i te tohu a te homoni ki te tiaki wai.

Ka whanake te mate huka koretake gestational i te wa hapu ina whakaputa te placenta i ngā enzymes e wawahi ana i te ADH. Ko tenei momo e whakatau ana i muri i te whānau, engari e hiahia ana ki te tirotiro tika i te wa hapu.

Ko te polydipsia matua, e kiia ana hoki ko te mate huka koretake dipsogenic, ka puta ina inu koe i te nui o te wai na te raru ki tō pūnaha hiahia wai. Ka nui atu tenei i te kaha o ō whatukuhu ki te whakauru i te mimi, ka hangaia ngā tohu rite ki te mate huka koretake pono.

He aha ngā take o te mate huka koretake?

Ko ngā take o te mate huka koretake e rerekē ana kei te whakawhirinaki ki te momo kei a koe. Ko te nuinga o ngā keehi e whanake ana na te kino, ngā raruraru rānei i ngā wāhanga motuhake o to tinana e whakahaere ana i te rite o te wai.

Ko te mate huka koretake o te pūtau e puta ana i:

• Ngā whara o te upoko, te pokanga roro rānei e kino ana te hypothalamus, te pūtake pituitary rānei
• Ngā mate pūtau o te roro, ina koa ngā mea e pā ana ki te rohe pituitary
• Ngā mate pukupuku penei i te meningitis, te encephalitis rānei
• Ngā whakawhiti genetic i tukuna i roto i ngā whānau
• Ngā āhuatanga autoimmune i te whakaeke a tō pūnaha mate ki ngā pūtau e whakaputa ana i te homoni

Ka taea te whanake o te mate huka koretake nephrogenic mai i:

• Ngā whakawhiti genetic e pā ana ki te mahi whatukuhu
• Te mate whatukuhu roa, te kino rānei o te whatukuhu
• Ētahi rongoā, ina koa te lithium e whakamahia ana mō te mate bipolar
• Ngā taumata teitei o te kārati i roto i te toto
• Ngā taumata iti o te pōtāhiuma

I ētahi wā, ina koa ki te mate huka koretake o te pūtau, kaore e taea e ngā tākuta te kimi i te take motuhake. Ko enei keehi e kiia ana he idiopathic, ko te tikanga ka whanake te āhuatanga kaore he whakaohooho marama. Ahakoa ka taea tenei te ahua pouri, he maimoatanga whai hua tonu e wātea ana ahakoa te take.

Nō hea te haere ki te taote mō te mate huka koretake?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te mimi koe i te neke atu i te 3 rita ia rā, te hiahia tonu rānei ki te inu wai ahakoa te inu i te nui o ngā wai. Ko enei tohu, ina koa ka mau tonu mō ngā rā maha, e hiahia ana ki te aromatawai hauora.

Rapua te awhina hauora tonu ki te pāngia koe e ngā tohu o te maroke kino. Kei roto i ēnei te wiri i te tū, te ngāwari o te ngakau, te whakapohehe, te kore rānei e taea te pupuri i ngā wai. Ka taea te kino o te maroke tere ki te mate huka koretake.

Mō ngā tamariki, kia titiro ki te nui o te makuku moenga i roto i te tamaiti kua whakangungua i mua, te ahua rānei ohorere, te kore rānei e piki. Ko ngā pepeha ka whakaatu i ngā tohu penei i ngā kakahu maroke ahakoa te whāngai noa, te whāngai ngoikore, te tangi nui rānei. Ko te taumata whakamātautau me te maimoatanga wawe ka taea te aukati i ngā raruraru me te whakapai ake i te kounga o te ora.

He aha ngā take morearea mō te mate huka koretake?

He maha ngā take ka taea te whakapiki ake i tō tūponotanga ki te whanake i te mate huka koretake. Ko te matauranga ki enei take morearea e āwhina ana i a koe ki te pupuri i te mataara ki ngā tohu wawe me te kimi i te tiaki tika.

Ko ngā take morearea tino nui ko:

• Te hītori whānau o te mate huka koretake, ina koa mō ngā momo genetic
• Te pokanga roro, te whara upoko rānei e pā ana ki te rohe pituitary
• Te tango i te rongoā lithium mō ngā wā roa
• Te whai i ngā āhuatanga autoimmune ka pā pea ki te whakaputa homoni
• Te hapu, ka taea te whakaohooho i te mate huka koretake gestational
• Te mate whatukuhu roa, ētahi atu mate whatukuhu rānei

Ka taea hoki e te tau te whai wāhi, me te mate huka koretake o te pūtau i ētahi wā e puta ana i te tamarikitanga na ngā take genetic. Heoi, ka taea te whanake o te āhuatanga i tetahi tau, ina koa i muri i ngā whara o te roro, ngā mate pukupuku rānei. Ko te whai i tetahi take morearea kaore e whakamana ka whanake koe i te āhuatanga, engari he mea tika te kōrero ki tō taote ki te kite koe i ngā tohu e tika ana.

He aha ngā raruraru pea o te mate huka koretake?

Ina whakahaeretia tika, ko te mate huka koretake kaore e tino puta he raruraru hauora roa. Heoi, ko te mate huka koretake kaore i te maimoatia, te whakahaere rānei kino ka arahi ki ngā raruraru maha e pā ana ki tō oranga katoa.

Ko ngā āwangawanga tino tere ko:

• Te maroke, ka taea te kino ki te kore te inu wai e rite ana ki te putanga
• Ngā koretake o te waipiro, ina koa ngā taumata iti o te konutai (hyponatremia)
• Te morearea o te moe mai i te mimi i te pō
• Ngā raruraru whatukuhu mai i te maroke roa
• Ngā whakaroa tipu i ngā tamariki na te moe, te kai rānei ngoikore

Ka taea te puta o ngā raruraru onge engari kino ki te whanake koe i te wai nui mai i te inu nui rawa, tere rawa. Ka taea e tenei te puta i ngā taumata konutai kino, ka arahi ki te pupuhi o te roro, ngā hopu, te coma rānei. Ka taea hoki te whanake o ngā pānga hauora hinengaro penei i te awangawanga, te pouri rānei na te āhuatanga roa o ngā tohu me o rātou pānga ki ngā mahi o ia rā.

Ma te maimoatanga tika me te tirotiro, ka taea te aukati i enei raruraru. Ko te nuinga o te hunga e mate huka koretake ana ka taea te pupuri i ngā oranga noa, mahi ina whakahaeretia pai to ratou āhuatanga.

Me pēhea te whakamātautau i te mate huka koretake?

Ko te whakamātautau i te mate huka koretake e whakauru ana i ngā whakamātautau maha ki te whakau i te mimi nui me te whakatau i te take. Ka tīmata tō taote mā te arotake i ō tohu me tō hītori hauora, te arotahi motuhake ki te nui o tō inu me tō mimi.

Ko ngā whakamātautau tuatahi e whakauru ana i te tātaritanga mimi ki te tirotiro i te whakauru me te kohikohi mimi 24-haora ki te ine i te putanga katoa. Ko ngā whakamātautau toto e āwhina ana ki te aromatawai i ō taumata waipiro, te mahi whatukuhu, me ngā taumata homoni. Ko enei whakamātautau take e āwhina ana ki te wehe i te mate huka koretake mai i ētahi atu āhuatanga penei i te mate huka mellitus.

Ka taea e tō taote te mahi i te whakamātautau whakaheke wai, e whakaarohia ana ko te paerewa koura mō te whakamātautau. I tenei whakamātautau tirotiro, ka mutu tō inu wai mō ngā haora maha i te wa e tirotiro ana ngā tākuta i tō putanga mimi me tō whakauru. E āwhina ana tenei ki te whakatau mena ka taea e ō whatukuhu te whakauru tika i te mimi ina hiahiatia.

Ko ētahi atu whakamātautau ka whakauru pea i te whakaahua roro me te MRI ki te tirotiro mō ngā mate pūtau, te kino rānei i te rohe pituitary. Ka tūtohutia pea te whakamātautau genetic ki te whai koe i te hītori whānau o te āhuatanga. Ko te tukanga whakamātautau ka roa, engari ko te whiwhi i te taumata tika e whakarite ana ka whiwhi koe i te maimoatanga tino whai hua.

He aha te maimoatanga mō te mate huka koretake?

Ko te maimoatanga mō te mate huka koretake e arotahi ana ki te whakakapi i ngā homoni ngaro, te āwhina rānei i ō whatukuhu ki te mahi pai ake. Ko te huarahi motuhake e whakawhirinaki ana ki te momo kei a koe me te take.

Mō te mate huka koretake o te pūtau, ko te maimoatanga matua ko te desmopressin (DDAVP), he putanga hangai o te homoni ngaro ADH. Ka puta mai tenei rongoā hei puehu ihu, papa waha, te werohanga rānei. Ka whakaiti pai i te putanga mimi me te hiahia ki te inu wai i te nuinga o te hunga e pangia ana e tenei momo.

He uaua ake te maimoatanga o te mate huka koretake nephrogenic mai i te kore e mahi te whakakapi homoni. Ko ngā whiringa maimoatanga ko:

• Ngā diuretics thiazide, e āwhina ana ki ngā whatukuhu ki te whakauru i te mimi
• Ngā rongoā anti-mumura penei i te indomethacin
• Ngā kai iti-konutai, iti-pūmua ki te whakaiti i te mahi whatukuhu
• Te mutu i ngā rongoā ka pāngia pea te take, ina taea

Mō te mate huka koretake gestational, ko te desmopressin he haumaru i te wa hapu, ka whakatau ana i ngā tohu. Ko te polydipsia matua e hiahia ana ki te maimoatanga i te take o te hiahia nui ki te inu wai, ka whakauru pea i ngā rongoā hinengaro, ngā whakawhitinga whanonga rānei.

Ko te tirotiro noa e āwhina ana ki te whakarite ka mau tonu ngā maimoatanga whai hua, ka taea te whakarite i ngā horoinga i te mea e hiahiatia ana. Ko te nuinga o te hunga e kite ana i te whakaora nui me te maimoatanga tika.

Me pēhea te whakahaere i te mate huka koretake i te kāinga?

Ko te whakahaere i te mate huka koretake i te kāinga e whakauru ana i te aro nui ki te rite o te wai me ngā kaupapa rongoā. Ma ngā rautaki tika, ka taea e koe te pupuri i te whakahaere pai o ngā tohu me te aukati i ngā raruraru.

Ko te tango i ngā rongoā tonu he mea nui mō te whakahaere tohu. Whakaritea ngā whakamaharatanga mō ngā horoinga desmopressin, kaua hoki e ngaro, i te mea ka arahi tenei ki te hoki tere mai o ngā tohu. Pupurihia ngā rongoā atu i te wa e haere ana, ngā āhuatanga rānei.

Tirohia tō inu wai me tō putanga ki te āwhina i te kimi i ngā tauira, ngā raruraru rānei. Pupurihia he rārangi ngāwari o te nui o tō inu me tō mimi, ina koa i te wa e whakarite ana i ngā maimoatanga. Kia titiro ki ngā tohu o te maroke penei i te wiri, te ngāwari o te ngakau, te mimi pouri rānei.

Ko te whakahaere o ia rā e whakauru ana:

• Te mau tonu i ngā pounamu wai me te mohio ki te wāhi o ngā ruma mimi
• Te mau i ngā whakapaipai whakatūpato hauora e tohu ana i tō āhuatanga
• Te whakarite i ngā mahi i ngā kaupapa rongoā me te wātea o te ruma mimi
• Te pupuri i ngā inu whakakapi waipiro i te wa mate, te rangi wera rānei
• Te whiwhi i te moe tika mā te whakarite i ngā rongoā ahiahi

I te wa mate, ina koa ki te kirika, te ruaki rānei, whakapiri atu ki tō kaiwhakarato hauora tere. Ka taea e enei āhuatanga te arahi tere ki te maroke kino i roto i te hunga e mate huka koretake ana.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite pai mō tō haerenga ki te taote e āwhina ana ki te whakarite ka whiwhi koe i te taumata tino tika me te mahere maimoatanga whai hua. Ko te whakarite pai ka taea te whakaora i te wā me te arahi ki ngā hua tiaki pai ake.

I mua i tō hui, kia aroturuki i ō tohu mō te kotahi wiki. Tuhia te nui o tō inu me tō mimi, te wā e kino ana ngā tohu, me te mea e āwhina ana, e kino ake rānei. Kia tuhia ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā-a-te-kāinga me ngā taapiri.

Kohikohia ngā rēkōta hauora e tika ana, ina koa ki te whai koe i ngā whara o te upoko hou, te pokanga roro, ngā raruraru whatukuhu rānei. Kawea mai he rārangi katoa o ō rongoā katoa me ngā horoinga me te wā. Ki te whai koe i te hītori whānau o te mate huka koretake, ngā āhuatanga e pā ana rānei, tuhia te mea e mōhio ana koe.

Whakaritea ngā pātai ki te ui ki tō taote:

• He aha te momo mate huka koretake kei ahau?
• He aha te take o taku āhuatanga?
• He aha ngā whiringa maimoatanga e wātea ana?
• Me pēhea te tirotiro i toku ahuatanga?
• He aha ngā āhuatanga āwangawanga me titiro atu ahau?
• Me pēhea te pānga o tēnei ki aku mahi o ia rā?

Whakaarohia te kawea mai i te mema whānau, te hoa rānei ki te āwhina i te maumahara i ngā korero nui. Ka taea hoki e rātou te whakarato i ētahi atu tirohanga mō ō tohu kaore pea koe e kite.

He aha te mea nui mō te mate huka koretake?

Ko te mate huka koretake he āhuatanga e taea te whakahaere, ahakoa te morearea, kaore e hiahia ki te whakahaere i tō oranga. Ma te taumata tika me te maimoatanga, ko te nuinga o te hunga e kite ana i te whakapai ake nui i ō rātou tohu, ka taea te pupuri i ngā oranga noa, mahi.

Ko te mea nui rawa ki te maumahara ko ngā maimoatanga whai hua e wātea ana mō ngā momo katoa o te mate huka koretake. Ahakoa e hiahia ana koe ki te whakakapi homoni, ngā whakarerekētanga kai, ētahi atu rongoā rānei, ko te mahi tata atu ki tō rōpū hauora e arahi ana ki ngā hua pai.

Ko te matauranga wawe me te maimoatanga e aukati ana i ngā raruraru me te whakapai ake i te kounga o te ora. Kaua e whakaroa ki te kimi i te awhina hauora ki te pāngia koe e te hiahia nui ki te inu wai me te mimi, i te mea ko te taumata tere me te maimoatanga ka taea te whakarereke nui i tō ahua o ia rā.

Ngā pātai e ui pinepine ana mō te mate huka koretake

He rite te mate huka koretake ki te mate huka noa?

Kāo, he rerekē katoa te mate huka koretake i te mate huka mellitus (mate huka noa). Ahakoa e rua ngā take e mimi ana, ko te mate huka mellitus e pā ana ki ngā raruraru huka toto, ko te mate huka koretake e pā ana ki ngā raruraru o te rite wai. He rerekē katoa ngā maimoatanga me ngā raruraru, ahakoa he whakapohehe te rite o ngā ingoa.

Ka taea te whakaora katoa i te mate huka koretake?

Ka taea te whakaora i ētahi momo ki te taea te maimoatanga i te take, penei i te tango i te mate pūtau o te roro, te mutu rānei i te rongoā e pāngia ana te take. Heoi, ko te nuinga o ngā keehi e hiahia ana ki te maimoatanga haere tonu ki te whakahaere i ngā tohu. Ko te rongo pai, ma te maimoatanga tika, ko te nuinga o te hunga e ora ana i ngā oranga noa, hauora.

E hia te wai me inu e au me te mate huka koretake?

Me inu koe i te nui hei makona i tō hiahia me te pupuri i te makuku tika, ko te tikanga he nui atu i te noa. Kaua e whakaiti i ngā wai ki te kore e tohutohuhia motuhake e tō taote, i te mea ka arahi tenei ki te maroke kino. Ka āwhina tō rōpū hauora i a koe ki te kimi i te rite tika e whakawhirinaki ana ki tō āhuatanga motuhake.

Ka taea e ngā tamariki e mate huka koretake ana te ora i ngā oranga noa?

Ae, ka taea e ngā tamariki e mate huka koretake ana te ora i ngā oranga noa, mahi me te maimoatanga tika me te tautoko. Ka taea e ngā kura te whakarite i ngā hiahia ruma mimi me ngā kaupapa rongoā. Ko te nuinga o ngā tamariki e whakahaeretia pai ana te mate huka koretake e whai wāhi ana ki ngā hākinakina, ngā mahi, me ngā huihuinga hapori kaore he herenga nui.

Me tango tonu rānei ahau i te rongoā mō te mate huka koretake?

E whakawhirinaki ana tenei ki te take o tō mate huka koretake. Ko ētahi e hiahia ana ki te maimoatanga ora, ko ētahi atu ka ora mena ka whakatau te take. Ka arotake tonu tō taote mena e hiahia ana koe ki te rongoā, ka taea te whakarite, te mutu rānei i te maimoatanga e whakawhirinaki ana ki tō whakautu me tō āhuatanga.