He aha te Glomerulonephritis? Ngā Tōmhā, Ngā Take, me te Maimoatanga

Ko te glomerulonephritis te mumura o ngā kaitātari iti i roto i ō whatukuhu e kiia nei ko ngā glomeruli. E mahi ana ēnei hanganga iti rite tonu ki ngā kāpeka kōhi, e horoi ana i ngā paru me te wai nui atu i tō toto kia waiho hei mimi. Ki te mumura rātou, kāore e taea e ō whatukuhu te tātari tika, ā, ka arahi ki ngā raruraru ki te tango paru me te taurite o te wai i roto i tō tinana.

Ka taea e tēnei āhuatanga te whanake tere, te whanake haere rānei i te wā. Ahakoa he wehi te ahua, he maha ngā momo glomerulonephritis e whakautu pai ana ki te maimoatanga, ina koa ki te hopukina wawe. Ko te mārama ki te mea kei te puta i roto i tō tinana ka āhei koe ki te mahi tahi me tō rōpū hauora kia tiaki ai i te hauora o ō whatukuhu.

He aha ngā tōmhā o te glomerulonephritis?

Ka rerekē ngā tōmhā o te glomerulonephritis i runga i te tere o te whanaketanga o te āhuatanga. Ka kite etahi i ngā huringa tika tonu, engari kaore etahi atu e mohio kei te he tetahi mea kia kitea ra ano ngā raruraru whatukuhu i roto i ngā whakamātau toto noa.

Ko ēnei ngā tohu tino noa ka whakaatu pea tō tinana ina kore e mahi tika ngā kaitātari whatukuhu:

• Mimi pupū, pupū rānei e rite ana ki te hukapapa pia
• Mimi whero, whero, whero parauri rānei i te toto
• Pūngāwerewere i tō mata, ringa, waewae, kātua rānei
• Teitei te toto
• Te ngenge me te ngoikore
• Te iti o te mimi, te iti rānei o te mimi
• Te poto o te manawa
• Te ruaki me te ruaki

Ka puta te mimi pupū nā te mea kei te rere te pūmua i roto i ō kaitātari whatukuhu kua pakaru. Ka puta te pūngāwerewere ina kore e taea e ō whatukuhu te tango i te wai nui atu i tō tinana. Ka taea e ēnei tōmhā te ahua ohorere, engari ko te huarahi tēnei a tō tinana ki te tohu kei te hiahia ia i te tiaki hauora.

He aha ngā momo glomerulonephritis?

E rua ngā momo matua o te glomerulonephritis i runga i te tere o te whanaketanga o ngā tōmhā. Ko te mohio ki te momo kei a koe ka āhei ai tō tākuta ki te whiriwhiri i te huarahi maimoatanga pai mō tō āhuatanga motuhake.

Ka puta tere te glomerulonephritis koi, i roto i ngā rā, wiki rānei. Ka kite pea koe i ngā tōmhā penei i te pūngāwerewere, te mimi pouri, me te toto teitei e puta ana tere. I te nuinga o te wā, ka whai muri tēnei momo i te mate, penei i te korokoro strep, ā, he maha ngā tāngata e ora tonu ana me te maimoatanga tika.

Ka whanake haere te glomerulonephritis roa i roto i ngā marama, tau rānei. Kaore pea koe e kite i ngā tōmhā i te tīmatanga, ā, i te nuinga o te wā ka kitea tēnei āhuatanga i roto i ngā whakamātau toto noa. Ka taea e tēnei momo te pakaru haere i ō whatukuhu i te wā, engari ka taea e te maimoatanga wawe te whakaheke, te mutu rānei i te whanaketanga.

He aha ngā take o te glomerulonephritis?

Ka taea te whanaketanga o te glomerulonephritis mai i te maha o ngā take rerekē, ahakoa i etahi wā kaore e taea e ngā tākuta te tohu i te take tika. He tino mahi tō pūnaha ārai i te nuinga o ngā take, mā te whawhai i te mate, mā te whakaeke rānei i te kiko whatukuhu ake.

Ko ēnei ngā take tino noa:

• Ngā mate penei i te korokoro strep, te hepatitis B, C rānei, me te HIV
• Ngā mate ārai-tinana penei i te lupus me te vasculitis
• Ngā āhuatanga ira tuku iho penei i te mate Alport
• Etahi rongoā me ngā poizon
• Te mate huka me te toto teitei i te wā
• Ngā mate oko toto e pā ana ki ngā whatukuhu

I etahi wā, ka hanga e tō pūnaha ārai ngā antibodies hei whawhai i te mate, engari ka pakaru hoki ēnei antibodies i ō kaitātari whatukuhu. I roto i ngā take ārai-tinana, ka whakaaro heke te pūnaha ārai i te kiko whatukuhu hauora he ke, ka whakaeke i a ia. Ko te mārama ki te take ka āhei ai tō tākuta ki te whakawhāiti i te maimoatanga.

I roto i ngā take onge, ka taea te puta mai o te glomerulonephritis mai i ngā āhuatanga penei i te mate Goodpasture, i reira ka whakaeke ngā antibodies i ngā pūkahukahu me ngā whatukuhu, mai rānei i etahi mate pukupuku e whakaoho ana i ngā whakautu ārai e pā ana ki ngā whatukuhu.

Nōhea te haere ki te tākuta mō te glomerulonephritis?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te kite koe i ngā huringa i te tae o tō mimi, ngā tauira mimi, te pūngāwerewere rānei kaore i te whakamārama. Ka taea e ēnei tōmhā te ahua iti, engari ka taea e rātou te tohu i ngā raruraru whatukuhu nui e hiahia ana ki te tiaki tere.

Rapua te tiaki hauora tere ki te pāngia koe e ngā tōmhā nui penei i te pūngāwerewere nui, te uaua o te manawa, te mamae uma, te iti rawa rānei o te putanga mimi. Ka taea e ēnei tohu te tohu kei te heke tere te mahi o ō whatukuhu, ā, e hiahia ana ki te maimoatanga āwangawanga.

Kaua e tatari ki te whai koe i ngā take morearea penei i ngā mate hou, ngā mate ārai-tinana, te hītori whānau rānei o ngā raruraru whatukuhu. Ka taea e te kite wawe me te maimoatanga te aukati i te pakaru whatukuhu pumau, ā, ka āhei te tiaki i te mahi whatukuhu mō ngā tau maha.

He aha ngā take morearea mō te glomerulonephritis?

He maha ngā take ka piki ake ō tūmanako ki te whanake glomerulonephritis, ahakoa ko te whai i ngā take morearea kaore e tikanga ka whiwhi koe i te āhuatanga. Ko te mārama ki ēnei take ka āhei ai koe me tō tākuta ki te mataara mō ngā tohu wawe.

Ka piki pea tō morearea ki te whai koe i:

• Ngā mate huaketo hou, ina koa te korokoro strep
• Ngā mate ārai-tinana penei i te lupus, te mate rheumatoid rānei
• Te hītori whānau o te mate whatukuhu, te glomerulonephritis rānei
• Te mate huka, te toto teitei rānei
• Ngā mate huaketo penei i te hepatitis, te HIV rānei
• Te whakamahinga i ētahi matū, rongoā rānei
• Ko te tane me te pakeke atu i te 60

He mahi nui te pakeke me te ira. He maha ngā momo ira tuku iho o te glomerulonephritis e rere ana i roto i ngā whānau, i te wā e whanake ana ētahi atu i roto i ētahi rōpū pakeke. Ko te whai i ngā take morearea maha kaore e tikanga kei te tūmanako koe ki te whanake i ngā raruraru whatukuhu, engari e tikanga ana te tirotiro noa he mea nui.

He aha ngā raruraru pea o te glomerulonephritis?

Ki te kore e maimoatia tika te glomerulonephritis, ka taea e ia te arahi ki ngā raruraru nui e pā ana ki tō hauora whānui. Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati, te whakahaere rānei me te tiaki hauora tika me ngā huringa oranga.

Ko ēnei ngā raruraru pea:

• Te mate whatukuhu roa e kino haere ana i te wā
• Te toto teitei e uaua ana ki te whakahaere
• Te pakaru whatukuhu e hiahia ana ki te dialysis, te whakawhiti rānei
• Ngā raruraru ngakau mai i te kohinga wai me te toto teitei
• Ngā koretake o te electrolyte e pā ana ki tō tere ngakau
• Te piki o te morearea o ngā mate
• Ngā raruraru wheua mai i ngā koretake o te kohuke

Ko te raruraru tino nui ko te pakaru whatukuhu e haere ana, i reira ka ngaro haere ai te kaha o ō whatukuhu ki te tātari paru i tō toto. Heoi, me te kitenga wawe me te maimoatanga tika, he maha ngā tāngata e whai ana i te glomerulonephritis e pupuri ana i te mahi whatukuhu pai mō ngā tekau tau.

I roto i ngā take onge, ka taea e te glomerulonephritis koi te arahi ki te pakaru whatukuhu tere i roto i ngā wiki, marama rānei, e hiahia ana ki te maimoatanga nui tonu kia aukati ai i te kino pumau.

Me pēhea te aukati i te glomerulonephritis?

Ahakoa kaore e taea e koe te aukati i ngā momo glomerulonephritis katoa, ina koa ngā momo ira tuku iho, ka taea e koe te mahi kia whakaiti ai i tō morearea me te tiaki i te hauora o ō whatukuhu. Ko te arotahi o te aukati ki te whakahaere i ngā āhuatanga taketake me te karo i ngā whakaoho ina taea.

Hei awhina i te aukati i te glomerulonephritis, ka taea e koe te maimoatanga tere i ngā mate, ina koa te korokoro strep me ngā mate kiri ka whakaoho pea i te mumura whatukuhu. Ko te whakahaere i ngā āhuatanga roa penei i te mate huka me te toto teitei ka tiaki hoki i ō whatukuhu mai i te kino i te wā.

Ko ētahi atu mahi aukati ko te karo i ngā rongoā kaore e hiahiatia e taea te kino ki ō whatukuhu, te noho makuku, te pupuri i te taumaha hauora, te kore rānei e pāpaho. Ki te whai koe i te mate ārai-tinana, ko te mahi tata atu ki tō tākuta ki te whakahaere ka taea te aukati i ngā raruraru whatukuhu.

He mea nui ngā tirotiro noa, ina koa ki te whai koe i ngā take morearea. Ka taea e tō tākuta te tirotiro i te mahi o ō whatukuhu me ngā whakamātau toto me te mimi ngāwari, te hopu i ngā raruraru wawe ina tino whai hua te maimoatanga.

Me pēhea te whakatau i te glomerulonephritis?

Ko te whakatau i te glomerulonephritis e whakauru ana i ngā whakamātau maha hei tirotiro i te pai o te mahi o ō whatukuhu me te tohu i te take taketake. Ka tīmata tō tākuta me tō hītori hauora me te whakamātau tinana, te titiro hoki ki ngā tohu penei i te pūngāwerewere me te toto teitei.

Ko ngā whakamātau whakatau matua ko ngā whakamātau mimi hei tirotiro i te pūmua, te toto, me ētahi atu koretake e tohu ana i te kino o te kaitātari whatukuhu. Ka ine ngā whakamātau toto i ngā hua paru penei i te creatinine me te urea, e hanga ana ina kore e tātari tika ō whatukuhu.

Ka tono pea tō tākuta i ngā whakamātau whakaahua penei i ngā ultrasounds hei titiro ki te hanganga me te rahi o ō whatukuhu. I etahi wā, he mea hiahiatia te biopsy whatukuhu, i reira ka tirotirohia te wahi iti o te kiko whatukuhu i raro i te microscope hei whakatau i te momo glomerulonephritis tika me te arahi i ngā whakatau maimoatanga.

Ka taea e ngā whakamātau atu te tirotiro i ngā tohu ārai-tinana, ngā taumata whakakotahi, me ngā antibodies motuhake ka taea te tohu i te take taketake. Ka āhei ēnei whakamātau ki tō tākuta te hanga i te mahere maimoatanga e whai take ana mō tō āhuatanga motuhake.

He aha te maimoatanga mō te glomerulonephritis?

Ko te maimoatanga mō te glomerulonephritis e whakawhirinaki ana ki te take taketake, te kino, me te momo āhuatanga kei a koe. Ko ngā whāinga matua ko te whakaiti i te mumura, te tiaki i te mahi whatukuhu e toe ana, me te aukati i ngā raruraru.

Ko ēnei ngā maimoatanga noa:

• Ngā corticosteroids hei whakaiti i te mumura
• Ngā rongoā immunosuppressive mō ngā take ārai-tinana
• Ngā rongoā toto teitei, ina koa ngā kaihoroi ACE
• Ngā diuretics hei awhina i te tango i te wai nui atu
• Ngā antibiotics ki te mate te take
• Ngā huringa kai hei whakaiti i te mahi whatukuhu
• Te dialysis i roto i ngā take kino

Ka whakarite tō tākuta i tō mahere maimoatanga i runga i tō momo glomerulonephritis motuhake. He maha ngā tāngata e hiahia ana ki te maimoatanga nui me ngā rongoā kaha, i te wā e hiahia ana ētahi atu ki te whakahaere toto teitei me te tirotiro noa.

Mō ngā momo onge penei i te glomerulonephritis tere, ka taea te whakauru i te maimoatanga ki te plasmapheresis, i reira ka tātarihia tō toto hei tango i ngā antibodies kino. I roto i ngā take o te mate Goodpasture, he mea hiahiatia te rongoā immunosuppressive kaha ki te aukati i ngā raruraru morearea.

Me pēhea te whakahaere i te glomerulonephritis i te kāinga?

Ko te whakahaere i te glomerulonephritis i te kāinga e whakauru ana i te hanga i ngā huringa oranga e tautoko ana i te hauora o ō whatukuhu me te whakakotahi i tō maimoatanga hauora. Ka taea e ēnei mahi te awhina i te whakaiti i ngā tōmhā me te whakaheke i te whanaketanga o te mate.

He tino mahi te kai i te whakahaere i tō āhuatanga. Ka hiahia pea koe ki te whakaiti i te tote hei whakaiti i te pūngāwerewere me te toto teitei, te whakaiti i te pūmua ki te pakaru ō whatukuhu, te tirotiro rānei i te inu wai ki te pupuri wai koe. Ka taea e tō tākuta, te kaiwhakaako kai rānei te awhina i te hanga i te mahere kai e pai ana ki te whatukuhu.

He mea nui te tango i ngā rongoā rite tonu ki te whakaritea, ahakoa kei te pai ake koe. Tirohia tō toto teitei i te kāinga ki te tūtohu, ā, pupuri i te tuhi o tō taumaha i ia rā hei mataara mō ngā pikinga ohorere ka tohu pea i te pupuri wai.

Noho mahi i roto i ō rohe, whiwhi okiokinga tika, ā, karohia ngā rongoā mamae kore-whakahaunga e taea te kino ki ō whatukuhu. He mea nui ngā hui whai muri kia tirotiro ai i tō ahunga whakamua me te whakarite i te maimoatanga kia rite ki te hiahia.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka āhei ai koe ki te whiwhi i te tino hua mai i tō haerenga, ā, ka whakarato hoki i tō tākuta ki ngā korero nui mō tō āhuatanga. Tīmata mā te tuhi i ō tōmhā katoa, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa i te wā.

Kawe mai i te rārangi o ngā rongoā, ngā taapiri, me ngā huaora katoa e tango ana koe, tae atu ki ngā taonga kore-whakahaunga. Whakaritea hoki he rārangi o ngā pūrongo mō tō whakatau, ngā whiringa maimoatanga, me te mea e tatari ana koe ki te haere whakamua.

Kohikohia ngā hua whakamātau o mua, ina koa ngā mahi toto me ngā whakamātau mimi mai i ētahi atu kaiwhakarato hauora. Whakaarohia te kawe mai i te mema whānau, te hoa rānei hei awhina i a koe ki te mahara ki ngā korero nui i korerohia i te hui.

Tuhia tō hītori whānau o te mate whatukuhu, ngā āhuatanga ārai-tinana, me ngā mate, mate rānei hou kua pāngia koe. Ka āhei ēnei korero ki tō tākuta te mārama ki ngā take pea me ngā take morearea mō tō āhuatanga.

He aha te mea nui mō te glomerulonephritis?

Ko te glomerulonephritis he āhuatanga e taea te maimoatanga e pā ana ki te pūnaha tātari o ō whatukuhu, ā, he tino rerekē te kitenga wawe i ngā hua. Ahakoa ka taea te ahua wehi, he maha ngā tāngata e whai ana i te glomerulonephritis e ora ana i te ora hauora, mahi, me te tiaki hauora tika me te whakahaere oranga.

Ko te mea tino nui hei mahara ko te tiaki hauora tere ina kite koe i ngā tōmhā ka taea te aukati i ngā raruraru nui. Ko te mahi tata atu ki tō rōpū hauora, te tango i ngā rongoā rite tonu ki te whakaritea, me te hanga i ngā whiringa oranga e pai ana ki te whatukuhu ka taea te tiaki i te mahi whatukuhu mō ngā tau maha.

He rerekē te wheako o ia tangata ki te glomerulonephritis, na reira arotahi ki tō mahere maimoatanga motuhake kaua ki te whakataurite i a koe ki ētahi atu. Me ngā whiringa maimoatanga o nāianei me ngā whakahaere hauora e haere ana, kei te pai haere tonu te tirohanga mō ngā tāngata e whai ana i te glomerulonephritis.

Ngā pūrongo e uiui pinepinetia ana mō te glomerulonephritis

Ka taea te whakaora katoa te glomerulonephritis?

Ka taea te whakaora katoa ētahi momo glomerulonephritis, ina koa ngā mea i puta mai i ngā mate, me te maimoatanga tika. Heoi, i te nuinga o te wā ka whakahaerehia ngā momo roa kaua e whakaora, me te arotahi o te maimoatanga ki te whakaheke i te whanaketanga me te aukati i ngā raruraru. He maha ngā tāngata e pupuri ana i te mahi whatukuhu pai mō ngā tekau tau me te tiaki tika.

E hia te roa te ora mai i te glomerulonephritis?

He tino rerekē te wā ora i runga i te momo me te take o tō glomerulonephritis. Ka taea te whakatau i ngā take koi e whai ana i ngā mate i roto i ngā wiki ki ngā marama, i te wā e hiahia ana ngā momo roa ki te whakahaere haere tonu. Ka taea e tō tākuta te hoatu i te waa pai ake i runga i tō āhuatanga motuhake me te pai o tō whakautu ki te maimoatanga.

He ira tuku iho te glomerulonephritis?

He maha ngā momo glomerulonephritis e ira tuku iho ana, penei i te mate Alport me ētahi mate whatukuhu ira tuku iho. Heoi, ko te nuinga o ngā take kaore i te ira tuku iho, ā, ka whanake mai i ngā mate, ngā āhuatanga ārai-tinana, ngā take whiwhi rānei. Ki te whai koe i te hītori whānau o te mate whatukuhu, kōrerohia te tohutohu ira ki tō tākuta.

Ka taea tonu e au te whakakori tinana me te glomerulonephritis?

Ka taea e te nuinga o ngā tāngata e whai ana i te glomerulonephritis te whakakori tinana tonu, ahakoa ka hiahia pea koe ki te whakarereke i tō mahi i runga i ō tōmhā me ō taumata kaha. I te nuinga o te wā, he pai te whakakori mārama ki te whakahaere i te toto teitei me te hauora whānui. Tirohia tonu ki tō tākuta i mua i te tīmatanga, te whakarereke rānei i tō kaupapa whakakori.

Ka hiahia ahau ki te dialysis ki te whai ahau i te glomerulonephritis?

Kaore te katoa e whai ana i te glomerulonephritis e hiahia ana ki te dialysis. He maha ngā tāngata e pupuri ana i te mahi whatukuhu tika me te maimoatanga tika, kāore hoki e hiahia ki te dialysis. Heoi, ki te heke nui te mahi whatukuhu ahakoa te maimoatanga, ka hiahia pea te dialysis. Ko te kitenga wawe me te maimoatanga e whakaiti nui ana i tenei morearea.