Created at:1/16/2025
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Ko te nephropathy IgA tētahi āhuatanga o te whatukuhu e tāpiri ana te pūnaha ārai mate o tō tinana i te pūmua e kiia nei ko te immunoglobulin A (IgA) ki ngā wāhanga kānana o ō whatukuhu. Ka pā te whakatipuranga nei ki te mumura, ā, ka pēnei te pānga ki te mahi pai o ō whatukuhu. Koinei tonu te momo glomerulonephritis tino noa puta noa i te ao, ahakoa he tokomaha ngā tāngata e ora ana me tēnei āhuatanga me te kore e mōhio kei a rātou mō ngā tau.
Ka puta te nephropathy IgA ina he iti te tika o te mahi a te pūnaha ārai mate o tō tinana. I te nuinga, ka āwhina ngā antibody IgA ki te whawhai ki ngā mate, engari i roto i tēnei āhuatanga, ka piri ngātahi rātou, ka mau ki ngā kānana iti o ō whatukuhu e kiia nei ko ngā glomeruli.
Whakaarohia ō kānana whatukuhu hei kānana kōhi. Ka hanga te IgA, ka rite ki ngā whenu kōhi e mau ana ki te kānana, ka uaua ake te horoi i tō toto e ō whatukuhu. Ka puta tēnei mahi i te nuinga i te roa o ngā tau.
Ka rerekē te pānga o te āhuatanga ki ngā tāngata. Ka raru pea etahi i ngā tekau tau me ngā raruraru iti, ā, ka raru pea ētahi atu ki ngā tohu nui ake. He kaha rawa ngā whatukuhu, ā, ka taea e te kimi wawe te tiaki i tō rātou mahi.
Kaore te nuinga o ngā tāngata e pangia ana e te nephropathy IgA e kite i ētahi tohu i te tīmatanga, koia te take i karangatia ai i etahi wā he mate whatukuhu ‘ngāwari’. Ki te puta mai ngā tohu, he ngāwari, ā, ka ngāwari te tirohanga.
Ko ngā tohu tino noa ka kitea e koe ko:
Ka kite pea etahi i te rerekētanga o te tae o tō rātou mimi i te wā, i muri rānei i ngā mate manawa penei i te mate huka, te mate rewharewha rānei. Ka puta tēnei nā te mea ka taea e ngā mate te whakaoho i ngā tāpiringa IgA i roto i ō whatukuhu. Ahakoa ka rongo pea tēnei he whakawehi, he tohu whai hua tēnei mō ngā tākua i te wā e whakatau ana i te mate.
Kaore i tino marama te take pono o te nephropathy IgA, engari e whakapono ana ngā kairangahau kei roto i te whakakotahitanga o ngā take ira me te whakautu a tō pūnaha ārai mate ki ētahi whakaoho. Kāore ō ira e tino whakaoho i te āhuatanga, engari ka taea e rātou te whakapakari i a koe ki te whanake.
He maha ngā take e āhei ana te whakaoho i te āhuatanga:
He mea nui kia mārama kei te kore te nephropathy IgA e pā, ā, e kore e taea e koe te hopu i tēnei mai i tētahi atu. Kāore hoki i whakaohohia e tetahi mea i mahi koe, kāore rānei i mahi. He rerekē noa te whakautu a tō pūnaha ārai mate ki ngā whakaoho maha i ētahi atu.
Me whakapiri atu koe ki tō kaiwhakarato hauora ki te kite koe i te toto i roto i tō mimi, ki te pupuhi rānei tō mimi, ā, noho tonu. Kaore pea ngā rerekētanga nei e iti, engari he tohu wawe pea rātou e hiahia ana ō whatukuhu ki te tiaki.
Rapua te tiaki hauora i te wa poto ki te pāngia koe e te pupuhi e kore e ngaro, ina koa i ō kanohi, ringa, waewae rānei. Ko te piki o te taumaha mai i te pupuhi wai, te ngenge tonu, te pikinga o te toto teitei rānei he tohu whakatūpato nui.
Kaua e tatari ki te whanake i ngā tohu kino penei i te uaua o te manawa, te mamae o te uma, te hekenga nui rānei o te mimi. Ahakoa he iti te noa o ēnei, ka taea e rātou te tohu kei te heke haere te mahi o ō whatukuhu, ā, e hiahia ana ki te tiaki hauora i te wa poto.
Ma te mārama ki ō take pānga, ka taea e koe te noho mataara ki ngā tohu pea, ā, mahi tahi me tō rōpū hauora mō te kimi wawe. Kei tua atu o tō mana etahi take, ā, kei te pā atu ētahi ki tō hauora whānui me tō oranga.
Ko ngā take ka taea te whakapiki i tō pānga ko:
Ko te whai i ēnei take pānga kāore e tikanga ka whanake koe i te nephropathy IgA. Kaore te nuinga o ngā tāngata e whai ana i ngā take pānga maha e whanake i te āhuatanga, ā, ka mahi ētahi atu e whai ana i ngā take pānga iti.
Ahakoa he tokomaha ngā tāngata e ora ana me te nephropathy IgA i ngā oranga noa, hauora, he mea nui kia mārama ki ngā raruraru pea kia taea ai e koe te mahi tahi me tō rōpū hauora hei aukati i a rātou. Ka puta te nuinga o ngā raruraru i te roa o ngā tau, ā, ka taea te whakahaere i te nuinga o te wā ina kitea wawe.
Ko ngā raruraru matua me mōhio koe ko:
Ka rerekē te haere whakamua mai i te tangata ki te tangata. Ka pupuri etahi i te mahi whatukuhu pumau mō tō rātou oranga katoa, ā, ka raru pea ētahi atu ki te heke haere. Ka āwhina te tirotiro auau i tō rōpū hauora ki te hopu i ngā rerekētanga wawe, ā, whakarite i tō mahere maimoatanga.
E hiahia ana te whakatau i te nephropathy IgA ki te whakakotahitanga o ngā whakamātautau nā te mea ka rite ngā tohu ki ētahi atu āhuatanga whatukuhu. Ka tīmata tō tākua me ngā whakamātautau ngāwari ake, ā, ka taea te haere ki ngā mea taipitopito ake ki te hiahiatia.
Ko te tukanga whakatau i te nuinga e whakauru ana i ngā whakamātautau mimi hei tirotiro i te toto me te pūmua, ngā whakamātautau toto hei aromatawai i te mahi whatukuhu, hei whakakore i ētahi atu āhuatanga rānei, me ngā ine toto teitei. Ka taea hoki e tō tākua te tono i ngā rangahau whakaahua penei i ngā ultrasounds hei titiro ki te hanganga o ō whatukuhu.
Ko te huarahi anake ki te whakatau i te nephropathy IgA ko te biopsy whatukuhu. Ko tēnei tukanga e whakauru ana i te tango i te tauira iti o te kiko whatukuhu hei tirotiro i raro i te microscope. Ahakoa ka rongo pea te kupu ‘biopsy’ he wehi, he tukanga manawanui noa tēnei e āwhina ana i tō tākua ki te kite i te mea kei te puta i roto i ō whatukuhu.
Ka aro te maimoatanga mō te nephropathy IgA ki te tiaki i te mahi o ō whatukuhu me te whakahaere i ngā tohu. Kāore he rongoā e tango ana i ngā tāpiringa IgA, engari he maha ngā maimoatanga whai hua ka taea te whakaheke i te haere whakamua, ā, ka āwhina i a koe ki te pai ake te rongo.
Ka whakauru pea tō mahere maimoatanga i ngā rongoā toto teitei, ina koa ngā ACE inhibitors, ngā ARBs rānei, e āwhina ana ki te tiaki i ō whatukuhu. Ka taea hoki e tō tākua te tūtohutia ngā rongoā hei whakaheke i te pūmua i roto i tō mimi, ā, i ētahi wā, ngā rongoā ārai mate hei whakahaere i te mumura.
He mea nui ngā huringa oranga ki roto i tō maimoatanga. Kei roto i ēnei te whai i te kai pai mō te whatukuhu me te pūmua, te tote whakahaeretia, te noho mahi me te whakakori auau, me te pupuri i te taumaha hauora. Ka mahi tahi tō rōpū hauora me koe hei hanga i te mahere e pai ana ki tō āhuatanga motuhake me tō oranga.
He mea nui te tiaki i a koe i te kāinga, ka rite ki tō maimoatanga hauora. Ka taea e ngā whiringa iti o ia rā te whakarereke nui ki te āhua o tō rongo me te mahi pai o ō whatukuhu i te roa o te wā.
Arotake ki te kai i te kai tōtika me te pūmua iti, te tote iti. Noho makuku ma te inu i te wai nui i te rā katoa, ki te kore tō tākua e tohutohu ke. Kaua e inu i ngā rongoā mamae kore-tūtohu penei i te ibuprofen, ka taea te whakamātautau i ō whatukuhu.
Aromatawai i tō toto teitei auau ki te whai koe i te whakaatu kāinga, ā, tuhia ngā rerekētanga i roto i tō mimi, te pupuhi rānei. Ko te whiwhi moe tika, te whakahaere i te ahotea mā ngā tikanga whakahaerenga, me te noho hou me ngā whakakō me te aukati i ngā mate ka taea te tautoko i tō hauora whatukuhu whānui.
Ko te whakamahere mō ō hui ka āwhina i a koe ki te whiwhi i te nuinga o tō wā me tō rōpū hauora. Tīmata ma te pupuri i te rārangi ngāwari o ētahi tohu ka kitea e koe, tae atu ki te wā e puta mai ana, me te mea ka taea te whakaoho i a rātou.
Kawe mai i te rārangi katoa o ngā rongoā, ngā taapiri, me ngā huaora katoa e inu ana koe, tae atu ki ngā taonga kore-tūtohu. Tuhia ngā pātai e hiahia ana koe ki te ui i mua i to taenga mai, ā, kaua e whakaroa ki te ui ki tō tākua ki te whakamārama i tetahi mea kaore koe e mārama.
Whakaarohia te kawe mai i te mema whānau, te hoa rānei ki ngā hui nui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero, ā, whakarato i te tautoko. Kawe mai hoki ō kāreti inihua me ētahi hua whakamātautau o mua mai i ētahi atu kaiwhakarato hauora.
Ko te nephropathy IgA tētahi āhuatanga e taea te whakahaere e pā ana ki te tangata. Ahakoa he āhuatanga roa e hiahia ana ki te aro tonu, he tokomaha ngā tāngata e ora ana i ngā oranga tino, mahi me te maimoatanga tika me te tiaki whaiaro.
Ko te kimi wawe me te whakahaere tonu ō taputapu pai rawa atu mō te tiaki i te mahi o ō whatukuhu. Ko te mahi tata me tō rōpū hauora, te noho āta whai ki tō mahere maimoatanga, me te mahi i ngā whiringa oranga hauora ka taea te āwhina i a koe ki te pupuri i te kounga ora pai.
Kia mahara kei te kore te whai i te nephropathy IgA e whakatau i a koe, kāore rānei e whakamārama i te mea ka taea e koe te whakatutuki. Me te huarahi tika, ka taea e koe te haere tonu ki te whakatutuki i ō whāinga me te tiaki pai i tō hauora.
I tēnei wā, kāore he rongoā e tango katoa ana i ngā tāpiringa IgA mai i ō whatukuhu. Heoi, he maha ngā maimoatanga whai hua ka taea te whakaheke, te mutu rānei i te haere whakamua o te mate, ā, ka āwhina ki te whakahaere i ngā tohu. Me te tiaki tika, ka pupuri te nuinga o ngā tāngata i te mahi whatukuhu pumau mō ngā tekau tau.
Kaore te nuinga o ngā tāngata e whai ana i te nephropathy IgA e hiahia ana ki te dialysis. Ka haere haere te āhuatanga i te nuinga o te wā, ā, he whai hua ngā maimoatanga hou ki te tiaki i te mahi whatukuhu. Ko te 20-30% anake o ngā tāngata e whai ana i te nephropathy IgA ka whanake i te kore mahi whatukuhu e hiahia ana ki te dialysis, te whakawhiti rānei.
He tokomaha ngā tāngata e whai ana i te nephropathy IgA ka taea te whānau tamariki hauora. Heoi, e hiahia ana te hapu ki te tirotiro ata me te mahi tahi me tō tohunga whatukuhu me tō tohunga whānau. Me whakarite pea ētahi rongoā, ā, ka hiahia koe ki ngā tirotiro auau ake i te wā e hapu ana.
He waahanga ira te nephropathy IgA, engari kāore i tino whakawhitia penei i ētahi atu āhuatanga. Ko te whai i te mema whānau e whai ana i te nephropathy IgA ka whakapiki i tō tūponotanga iti, engari kaore te nuinga o ngā tāngata e whai ana i te āhuatanga e whai ana i ngā mema whānau e pāngia ana. He uaua, kāore hoki i tino mārama ngā take ira.
Ae, ka taea e ngā huringa kai te whakarereke nui ki te whakahaere i te nephropathy IgA. Ko te whakaheke i te tote ka āwhina ki te whakahaere i te toto teitei, ko te whakahaere i te pūmua ka taea te whakaheke i te mahi whatukuhu, ā, ko te pupuri i te taumaha hauora ka tautoko i te hauora whatukuhu whānui. Ka taea e tō rōpū hauora te āwhina i a koe ki te hanga i te mahere kai pumau e pai ana ki tō oranga.