He aha te mate whatukuhu? Tohutohu, Take, me te Maimoatanga

He aha te mate whatukuhu?

Ko te mate whatukuhu tētahi momo mate huka nui e puta ana ina haere ngā pūtau i tō pūngāwerewere ki tētahi whatukuhu, ki ngā whatukuhu rānei. Ko tēnei āhuatanga, e kiia ana ko te pyelonephritis i roto i te reo rongoā, he āhuatanga kino atu i te mate pūngāwerewere noa, ā, e hiahiatia ana te tiaki hauora tere.

He tino tūmomo kōpū ngā whatukuhu e tārai ana i ngā paru i roto i tō toto, ā, e hanga ana i te mimi. Ina tomo ngā pūtau ki ēnei kōpū, ka taea e rātou te whakaputa i te mumura, ā, ka whakaroa i te mahi whatukuhu noa. E tīmata ana te mate i roto i tō ara mimi iti, ā, ka neke ake, koia te take i whai muri ai i ngā tohu mate pūngāwerewere.

Ahakoa he āhuatanga āwangawanga ngā mate whatukuhu, ka pai te whakautu ki te maimoatanga ina kitea wawe. Ka ora katoa te nuinga o te iwi me te rongoā antibiotika tika me te tiaki tautoko.

He aha ngā tohu o te mate whatukuhu?

E puta ana ngā tohu mate whatukuhu i te tere, ā, ka taea e rātou te whakawehi i a koe. E tino kaha ana ngā tohu i te nuinga o te wā atu i ngā tohu o te mate pūngāwerewere noa, ā, e āwhina ana i ngā tākuta ki te wehewehe i ngā āhuatanga e rua.

Ko ētahi tohu noa ka kitea e koe:

• Te kirika nui, e neke atu ana i te 101°F (38.3°C)
• Te wiri me te wiri
• Te mamae o te tuara, o te taha rānei, i te taha kotahi
• Te ruaki me te ruaki
• Te mimi pinepine, te mamae rānei
• Te mimi kakara, te mimi parauri rānei
• Te toto i roto i tō mimi (ka puta pea he parauri, he whero rānei)
• Te tahumahu ina mimi
• Te ngoikore whānui me te ngenge

Ko te mamae o te tuara e hono ana ki ngā mate whatukuhu he tino tohu. E puta ana i roto i tō rohe taha, arā, te wāhi i waenganui i ō riu me tō hope i ngā taha o tō tuaiwi. E tino hohonu ana tēnei mamae, ā, e mau tonu ana, kāore i rite ki ngā mamae uaua.

Ka kitea hoki e ētahi te tohu o te ara mimi iti penei i te hiahia (te ngākau kia mimi tonu) me te pinepine (te hiahia kia mimi pinepine). Pea i puta ēnei tohu i ngā rā i mua i te whanaketanga o te mate whatukuhu.

He aha ngā take o te mate whatukuhu?

Ko te nuinga o ngā mate whatukuhu e puta ana i ngā pūtau e tomo ana ki tō pūnaha mimi mā te urethra, ā, ka neke ake. Ko te mea tino noa ko te E. coli, he pūtau e noho ana i roto i tō pūnaha kai.

E whai ana te mate i tēnei huarahi: e tino nui ana ngā pūtau i roto i tō pūngāwerewere, e puta ai te mate pūngāwerewere. Ki te kore e rongoā, ki te kore rānei e taea e tō tinana te whawhai i te mate, ka taea e ēnei pūtau te neke atu mā ngā pū (ureters) e hono ana i tō pūngāwerewere ki ō whatukuhu.

He maha ngā take ka piki ake tō tūponotanga ki te tae atu ngā pūtau ki ō whatukuhu:

• Ngā mate pūngāwerewere kaore i rongoā, kāore rānei i rongoā tika
• Ngā ārai ara mimi (penei i ngā kohatu whatukuhu)
• Ngā raruraru hanganga i roto i tō ara mimi
• Te pūnaha ātete ngoikore
• Te whakamahinga o te catheter
• Ētahi mahi rongoā e pā ana ki te ara mimi

Kaore i te noa, ka puta mai ngā mate whatukuhu i ngā pūtau e horapa ana mā tō toto mai i ngā mate i ētahi atu wāhi o tō tinana. E tino pea ana tēnei ki te hunga he pūnaha ātete ngoikore, he āhuatanga hauora kino rānei.

Nōhea te haere ki te tākuta mō te mate whatukuhu?

Me rapu wawe koe i te tiaki hauora mena ka whakaaro koe he mate whatukuhu koe. E hiahiatia ana tēnei āhuatanga te rongoā antibiotika tere kia kore ai e puta ngā raruraru kino me te pakaru whatukuhu mau tonu.

Whakapa atu ki tō kaiwhakarongo hauora inaianei mena ka kitea e koe te kirika me te mamae o te tuara me ngā tohu mimi. Ko te whakakotahitanga o ēnei rōpū tohu e toru e tohu ana i te mate whatukuhu, kāore i te mate pūngāwerewere noa.

Rapua te tiaki hauora āwangawanga mena ka puta mai:

• Te kirika nui i runga ake i te 103°F (39.4°C)
• Te ruaki me te ruaki kino e ārai ana i a koe ki te pupuri i ngā wai
• Ngā tohu o te maroke (te māuiui, te waha maroke, te mimi iti)
• Te whakapohehe, te āhua hinengaro rānei
• Te mamae o te kopu, o te tuara rānei
• Ngā tohu o te sepsis (te ngākau tere, te uaua ki te manawa, te ngoikore nui)

Kaua e tatari kia pai ake ngā tohu. Ka taea e ngā mate whatukuhu te kino tere, ā, ka arahi ki ngā raruraru kino mena kaore e rongoā wawe me ngā antibiotika tika.

He aha ngā take tūponotanga mō te mate whatukuhu?

Ka taea e te mārama ki ō take tūponotanga te āwhina i a koe ki te tango i ngā mahi ārai, ā, ki te mohio ina pea ka nui ake tō tūponotanga ki ngā mate whatukuhu. He maha ngā tangata e tino pā ana ki ēnei mate nā ngā take hanganga, ngā take tinana rānei.

Ko te wahine te mea nui e piki ake ai tō tūponotanga, nā te mea he poto ake ngā urethra o ngā wāhine, e ngāwari ai te tae atu ngā pūtau ki te pūngāwerewere, ā, pea ka neke atu ki ngā whatukuhu. Ka taea hoki e te mahi taane te kawe mai i ngā pūtau ki te ara mimi.

Ko ētahi atu take tūponotanga nui:

• Te hītori o ngā mate ara mimi
• Te hapu (nā ngā huringa homoni me te pehanga ki te ara mimi)
• Te mate huka (ka taea e te huka toto te whakaroa i te mahi ātete)
• Ngā kohatu whatukuhu, ētahi atu rerekētanga ara mimi rānei
• Te pūngāwerewere nui i ngā tāne
• Te pūnaha ātete ngoikore mai i ngā rongoā, ngā āhuatanga hauora rānei
• Te whakamahinga roa o ngā catheter mimi
• Te reflux vesicoureteral (te mimi e rere ana i muri mai i te pūngāwerewere ki ngā whatukuhu)

He mahi anō te tau, me ngā tamariki iti rawa me ngā kaumātua e nui ake ana te tūponotanga. I ngā tamariki, pea tēnei nā ngā rerekētanga hanganga, i ngā kaumātua, e hono ana ki te kore e whakapau i te pūngāwerewere, ki te pūnaha ātete ngoikore rānei.

Ko te maha o ngā take tūponotanga kāore e tikanga ka whanake koe i te mate whatukuhu, engari e tikanga ana me tino tupato koe ki ngā tohu mimi, ā, me rapu wawe koe i te rongoā mō ngā tohu o te UTI.

He aha ngā raruraru pea o te mate whatukuhu?

Ahakoa ka ora katoa te nuinga o ngā mate whatukuhu me te rongoā tika, ka taea e ngā mate kaore i rongoā, he mate kino rānei te arahi ki ngā raruraru kino. E whakakaupapa ana te mārama ki ēnei raruraru pea he aha te take i tino nui ai te tiaki hauora tere.

Ko te raruraru kino rawa atu ko te sepsis, he āhuatanga kino e horapa ana te mate ki tō toto. Ka taea e tēnei te whakaputa i te pakaru kōpū, ā, e hiahiatia ana te rongoā āwangawanga i roto i te hohipera.

Ko ētahi atu raruraru pea:

• Te tohu whatukuhu e arahi ana ki te mate whatukuhu roa
• Te pupuhi whatukuhu (ngā putea o te pū i roto i te whatukuhu)
• Te whara whatukuhu nui, te pakaru whatukuhu rānei
• Ngā mate whatukuhu hoki
• Te toto teitei mai i te pakaru whatukuhu
• Ngā raruraru hapu (te mahi whānau wawe, te taumaha iti o te pēpi)
• Te pyelonephritis roa (te mumura whatukuhu roa)

He nui ake ngā tūponotanga o ngā wāhine hapu, nā te mea ka taea e ngā mate whatukuhu te whakaputa i te mahi whānau wawe, ā, ka pā ki te whanaketanga o te pēpi. Koia te take i hiahia ai ngā wāhine hapu ki te aromatawai hauora tere mō ngā tohu o te UTI.

Ko te rongo pai ko ēnei raruraru ka taea te ārai i te nuinga o te wā me te kite wawe me te rongoā antibiotika tika. Ka ora katoa te nuinga o te hunga e whiwhi ana i te tiaki tere, kāore he pakaru whatukuhu mau tonu.

Me pēhea te ārai i te mate whatukuhu?

Ko te ārai i ngā mate whatukuhu e āta whakaaro ana ki te ārai i ngā mate ara mimi iti mai i te whanaketanga, te neke atu rānei ki ngā whatukuhu. He maha ngā tikanga ora ngāwari ka taea te whakaiti i tō tūponotanga.

Ko te rautaki ārai tino nui ko te noho makuku pai mā te inu i te wai maha i te rā. E āwhina ana tēnei ki te horoi i ngā pūtau i roto i tō pūnaha mimi i mua i te tino nui, te puta ai te mate.

Ko ngā rautaki ārai matua:

• Te inu i te 6-8 kapu wai i te rā
• Te mimi pinepine me te whakapau katoa i tō pūngāwerewere
• Te mimi i muri i te mahi taane
• Te horoi mai i mua ki muri i muri i te whakamahinga o te ruma
• Te karo i ngā hua wahine whakahirahira penei i ngā douches, ngā paura rānei
• Te kakahu i ngā kakahu raro miro manawa
• Te kaukau kaukau i te wā e taea ana
• Te rongoā i ngā mate pūngāwerewere tere, katoa rānei

Mō te hunga he UTIs hoki, pea ka tūtohu tō tākuta i ngā mahi ārai atu. Pea tēnei ngā antibiotika iti e inu pinepine ana, i muri rānei i te mahi taane, i runga i tō āhuatanga motuhake me ō take tūponotanga.

Mena he āhuatanga hauora koe penei i te mate huka, ko te pupuri i a rātou kia pai te whakahaere ka whakaiti i tō tūponotanga mate. Ka taea e ngā tirotiro hauora noa te āwhina i te kite me te whakaoti i ngā raruraru hanganga pea ka tino pā ki a koe ki ngā mate.

Me pēhea te whakatau i te mate whatukuhu?

Ko te whakatau i te mate whatukuhu e whakauru ana i te whakatau i ō tohu, te tirotiro tinana, me ngā whakamātautau taiwhanga. E hiahia ana tō tākuta ki te wehewehe i te mate pūngāwerewere noa me te mate whatukuhu kino atu.

Ka tīmata tō kaiwhakarongo hauora mā te uiui mō ō tohu, te kitea rānei o te kirika, te mamae o te tuara, me ngā tohu mimi. Ka mahi hoki rātou i te tirotiro tinana, e tirotiro ana i te ngawari i tō tuara me ō taha kei reira ō whatukuhu.

Ko ngā whakamātautau whakatau tino nui:

• Te tātaritanga mimi ki te tirotiro i ngā pūtau, ngā pūtau toto ma, me ngā pūtau toto whero
• Te whakawhanaketanga mimi ki te tohu i te pūtau e puta mai ana te mate
• Ngā whakamātautau toto ki te tirotiro i ngā tohu o te mate me te mahi whatukuhu
• Te kaute toto katoa ki te aromatawai i te whakautu o tō tinana ki te mate

I ētahi wā, ina koa ki te maha ō mate, ki te kore rānei koe e whakautu ki te maimoatanga tuatahi, pea ka tono tō tākuta i ngā ako whakaahua. Pea tēnei ngā ultrasound, ngā CT scans, ngā X-rays motuhake rānei ki te rapu i ngā rerekētanga hanganga, ngā raruraru rānei.

Ko te whakawhanaketanga mimi he mea nui nā te mea kāore i te whakau i te whakatau, engari e tohu ana i te antibiotika e tino whai hua ana ki te pūtau e puta mai ana tō mate. E 24-48 haora te roa o ngā hua.

He aha te maimoatanga mō te mate whatukuhu?

Ko te maimoatanga mate whatukuhu e āta whakaaro ana ki te rongoā antibiotika hei whakakore i te mate pūtau. Ko te antibiotika motuhake me te roa o te maimoatanga e whakawhirinaki ana ki te kino o tō mate me te momo pūtau e pā ana.

Ka taea te rongoā i te nuinga o ngā mate whatukuhu ngāwari me ngā antibiotika waha e inu ana i te kāinga. E tino tono ana tō tākuta i te 7-14 rā o ngā antibiotika, me ngā kōwhiringa e whakamahia ana ko ngā fluoroquinolones, trimethoprim-sulfamethoxazole, ngā antibiotika beta-lactam rānei.

Mō ngā mate kino atu, pea ka whakauru te maimoatanga:

• Te noho i te hohipera mō ngā antibiotika intravenous (IV)
• Ngā wai IV hei ārai i te maroke
• Te rongoā mamae hei whakahaere i te mamae
• Te rongoā anti-nausea mena he kino te ruaki
• Te tirotiro tata o te mahi whatukuhu

Me tīmata koe ki te pai ake i roto i te 48-72 haora i muri i te tīmatanga o te maimoatanga antibiotika. Engari, he mea nui kia whakaoti i te katoa o ngā antibiotika ahakoa ka pai ake koe, nā te mea ka taea e te mutu wawe te arahi ki te ātete antibiotika, ki te hokinga mai rānei o te mate.

Pea ka hiahia tō tākuta ki te kite i a koe mō te whai muri i roto i ngā rā torutoru hei whakau i tō whakautu ki te maimoatanga. Pea ka tono hoki rātou i ngā whakamātautau mimi i muri i tō whakaoti i ngā antibiotika hei whakau i te horoi o te mate.

Me pēhea te whakahaere i te mate whatukuhu i te kāinga?

Ahakoa ko ngā antibiotika te maimoatanga matua mō te mate whatukuhu, he maha ngā mahi tiaki kāinga ka taea te āwhina i a koe ki te pai ake te ngākau, ki te tautoko i tō ora. E mahi ana ēnei rautaki me te rongoā hauora i whakaritea, kāore i te wāhi.

He mea nui te okioki i te wā o te mate whatukuhu, nā te mea e hiahia ana tō tinana ki te kaha hei whawhai i te mate. Tangohia te wā i te mahi, i te kura rānei mena e taea ana, ā, karohia ngā mahi kaha kia pai ake koe.

Ko ngā mahi tiaki kāinga tautoko:

• Te inu i te wai maha hei āwhina i te horoi i ngā pūtau i roto i tō pūnaha
• Te whakamahana i tō tuara, tō taha rānei hei whakaora i te mamae
• Te tango i ngā kaiwhakaora mamae-i runga-i-te-kaute penei i te acetaminophen, te ibuprofen rānei
• Te whiwhi i te okioki me te moe pai
• Te kai i ngā kai māori, ngāwari ki te kai mena kei te ruaki koe
• Te karo i te caffeine me te waipiro, ka taea te whakahirahira i tō pūngāwerewere

Tirohia ō tohu tata i te wā e ora ana koe i te kāinga. Me kite koe i te pai ake i roto i te 2-3 rā i muri i te tīmatanga o ngā antibiotika. Whakapa atu ki tō tākuta mena kei te mau tonu tō kirika, te kino o te mamae, te puta mai rānei o ngā tohu hou.

Kaua rawa e ngana ki te rongoā i te mate whatukuhu me ngā rongoā kāinga anake. Ahakoa pea ka āwhina te wai cranberry me ētahi atu rongoā taiao ki te ārai i ngā UTIs, kāore rātou e rongoā tika mō te mate whatukuhu mahi, e hiahiatia ana ngā antibiotika i whakaritea.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui tākuta ka taea te āwhina i te whakau i tō whiwhi i te tiaki tika mō tō mate whatukuhu. Ko te whakarite i ngā mōhiohio matua ka āwhina i tō kaiwhakarongo hauora ki te hanga i te whakatau tika me te mahere maimoatanga.

I mua i tō hui, tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te āhua o te whakawhānui. Kia tino mōhio koe mo te wāhi me te āhua o te mamae e kitea ana e koe.

Ko ngā mōhiohio nui hei kawe mai:

• Te rārangi katoa o ngā tohu o nāianei me tō rā
• Ngā rongoā me ngā tāpiringa e inu ana koe
• Ngā mate pāwera e mohiotia ana, ina koa ki ngā antibiotika
• Ngā mahi rongoā hou, ngā noho hohipera rānei
• Te hītori o ngā mate ara mimi
• Tō pāmahana mena kua tirotirohia e koe
• Ngā pātai mō tō āhuatanga me tō maimoatanga

Mena e taea ana, kawe mai tētahi tauira mimi i roto i te ipu ma, nā te mea pea ka hiahia tō tākuta ki te whakamātautau tonu. Engari, karanga atu ki te whakau mena he mea tika tēnei, ki te pai rānei ki a rātou te kohikohi i te tauira i te tari.

Kaua e whakaroa ki te uiui i ngā pātai i tō hui. Ko te mārama ki tō āhuatanga me tō mahere maimoatanga ka āwhina i a koe ki te ora ake, ki te mohio rānei ki ngā tohu whakatūpato pea ka hiahia ki te tiaki hauora atu.

He aha te mea nui mō te mate whatukuhu?

He āhuatanga kino engari he āhuatanga tino rongoā ngā mate whatukuhu e hiahiatia ana te tiaki hauora tere. Ko te ki ki te ora katoa ko te kite wawe i ngā tohu me te rapu i te rongoā antibiotika tika kāore he whakaroa.

Kia mahara ko ngā mate whatukuhu e tino puta ana te torutoru o te kirika, te mamae o te tuara, me ngā tohu mimi. Mena ka kitea e koe ēnei tahi, whakapa atu ki tō kaiwhakarongo hauora tonu kāore e tatari kia pai ake ngā tohu.

Me te rongoā tika, ka ora katoa te nuinga o te iwi i ngā mate whatukuhu kāore he raruraru mau tonu. He tino whai hua ngā antibiotika i whakaritea e tō tākuta ina tangohia e ia, ā, ka tīmata te nuinga o ngā turoro ki te pai ake i roto i ngā rā torutoru i muri i te tīmatanga o te maimoatanga.

Ko te ārai tonu tō parenga pai ki ngā mate whatukuhu a muri ake nei. Noho makuku, mahi i te horoi pai, ā, rapu i te rongoā tere mō ngā tohu mate pūngāwerewere katoa kia kore ai e neke atu ki ō whatukuhu.

Ngā pātai uiui noa mō te mate whatukuhu

P1. E hia te roa te ora mai i te mate whatukuhu?

Ka tīmata te nuinga o te iwi ki te pai ake i roto i te 48-72 haora i muri i te tīmatanga o te maimoatanga antibiotika, me te pai nui i te rā 3-5. E 1-2 wiki te roa o te ora katoa, ahakoa me whakaoti koe i tō katoa o ngā antibiotika ahakoa ka pai ake koe i mua. Pea ka mau tonu te ngenge mō ngā rā maha i muri i te mutu o ētahi atu tohu.

P2. Ka taea te horapa o ngā mate whatukuhu?

Kāore ngā mate whatukuhu e horapa, kāore hoki e taea te tuku atu i te tangata ki te tangata. Engari, ka taea te whakawhiti i ngā pūtau e puta mai ana ngā UTIs i te wā o te mahi taane, koia te take i tūtohu ai te mimi i muri i te taane hei mahi ārai. E whanake ana te mate ina neke atu ngā pūtau kei roto i tō tinana ki ō whatukuhu.

P3. He mea haumaru te whakakori tinana me te mate whatukuhu?

Me karo koe i te whakakori tinana me ngā mahi tinana kaha i te wā kei a koe te mate whatukuhu mahi. E hiahia ana tō tinana ki te tiaki i te kaha hei whawhai i te mate, ā, ka taea e te whakakori tinana te whakaiti i ngā tohu penei i te kirika me te mamae o te tuara. Tatari kia whakaoti koe i tō kaupapa antibiotika, kia pai katoa koe i mua i te whakahoki mai i ngā mahi tinana noa.

P4. Ka taea e ngā mate whatukuhu te whakaputa i te pakaru mau tonu?

Ina rongoā wawe, tika rānei, kāore ngā mate whatukuhu e tino whakaputa i te pakaru mau tonu. Engari, ka taea e ngā mate kaore i rongoā, he mate kino rānei te arahi ki te tohu whatukuhu, te mate whatukuhu roa, ētahi atu raruraru rānei. Koia te take i tino nui ai te maimoatanga hauora wawe – e ārai ana i te mate ki te neke atu ki te wāhi pea ka puta te pakaru mau tonu.

P5. He aha ngā kai me karo i te wā o te mate whatukuhu?

I te wā e ora ana koe i te mate whatukuhu, he pai te karo i te waipiro, te caffeine, ngā kai kawa, me tetahi mea pea ka whakahirahira i tō pūngāwerewere, tō pūnaha kai rānei. Āta whakaaro ki te noho makuku me te wai me te kai i ngā kai māori, ngāwari ki te kai mena kei te ruaki koe. Ina pai ake koe, ka taea e koe te hoki haere ki tō kai noa.