He aha ngā kōhatu whatukuhu? Ngā tohu, ngā take, me te rongoā

Ko ngā kōhatu whatukuhu he kōhatu pūngāwerewere e hanga ana i roto i ō whatukuhu ina tino nui haere te tāpiri o ētahi mea i roto i tō mimi. Whakaarohia he iti nei ngā kōhatu e piri tahi ana, mai i ngā pūngāwerewere iti ki ngā kōhatu nui e rite ana te rahi ki te pōro korowhiti.

He maha ngā kōhatu whatukuhu e ngāwari ana te whakahaere, ā, he tokomaha ngā tāngata e tukuna atu ana e rātou ano, kāohore he pokanga. Ahakoa ka tino mate pēhea rātou, ko te mōhio ki te aha rātou me te pēhea te whakahaere i a rātou ka āhei ai koe ki te whakapono atu ki tō haerenga hauora.

He aha ngā kōhatu whatukuhu?

Ka whanake ngā kōhatu whatukuhu ina nui atu te nui o ngā mea e hanga ana i ngā kōhatu, pēnei i te kāratiuma, te oxalate, me te waikawa uric i roto i tō mimi i te wai i roto i tō mimi e taea te whakawaiho. Ko ō whatukuhu te tikanga ka tāpiri i ngā paru i roto i tō toto ka hanga i te mimi, engari i etahi wā ka piri tahi ēnei paru, kāohore i te tino rewa.

Ko te tikanga ka puta tenei mahi i te wa roa, i ngā wiki, i ngā marama rānei. Ka ngana tō tinana ki te horoi i ēnei pūngāwerewere, engari ka taea e rātou te nui ake ka mau ki roto i tō ara mimi. Koinei te wā ka tīmata pea koe ki te kite i ngā tohu.

E whā ngā momo nui o ngā kōhatu whatukuhu e taea te hanga, ia momo he take me ngā āhuatanga rerekē. Ko ngā kōhatu kāratiuma te nuinga, e 80% o ngā take katoa, ā, ko ngā kōhatu waikawa uric, struvite, me te cystine he iti ake te maha, engari he mea nui tonu te mōhio ki a rātou.

He aha ngā tohu o ngā kōhatu whatukuhu?

Kāohore pea koe e kite i tetahi mea ina iti ngā kōhatu whatukuhu, ā, kei roto tonu i ō whatukuhu. Ka puta ngā tohu ina neke te kōhatu i roto i tō ara mimi, i nui rawa rānei te rahi kia ārai ai i te rere o te mimi.

Ko ēnei ngā tohu ka kite pea koe, mā te tīmata ki ngā tohu tino noa:

• Tō ngā mamae koi, me te kōpū, kei ō tou tuara, taha, raro o te kopu, kei te uaua rānei e puta mai ana, e haere ana hoki i roto i ngā ngaru
• Te mamae, te tahumaero rānei ina mimi koe
• Te mimi kikorangi, whero, parauri rānei, nā te toto
• Te mimi mōrearea, te kakara kino rānei
• Te hiahia kia mimi atu i te mea noa
• Te mimi iti i te maha o ngā wā
• Te ruaki me te ruaki
• Te kirika me te wiri mena ka puta he mate pāwera

Ko te mamae mai i ngā kōhatu whatukuhu e kiia ana he tino uaua te wheako o te tangata. Ka neke te waahi ina neke te kōhatu i roto i tōu ara mimi, he mea noa tenei engari he āwangawanga.

Kaore i te noa, ka rongo etahi i te mamae ngawari tonu i te mamae koi, ina koa ki ngā kōhatu nui kaore e neke haere. Ka kite pea koe i ngā huringa i te tae o tō mimi, i te kakara rānei ahakoa kaore he mamae marama.

He aha ngā momo kōhatu whatukuhu?

Ko te matauranga i te momo kōhatu whatukuhu kei a koe e āwhina ana i tō tākuta ki te hanga i te mahere maimoatanga pai mōu. Ka hangaia ia momo mō ngā take rerekē, ā, ka hiahia pea ki ngā huarahi motuhake hei ārai i ngā kōhatu a muri ake nei.

Ko ngā kōhatu kārati te momo tino noa, te nuinga o te wā he oxalate kārati, he phosphate kārati rānei. Ka tupu pea enei ina nui te nui o te kārati, o te oxalate rānei i roto i tō mimi, ahakoa ko te iti o te citrate ka taea te awhina.

Ka hangaia ngā kōhatu waikawa uric ina tino waikawa tō mimi, e hono ana ki te kai nui o te pūmua kararehe, ki te whai rānei i ētahi āhuatanga hauora penei i te gout. He motuhake enei kōhatu, na te mea ka taea te whakakore i ētahi wā me te rongoā, kaore hoki e hiahiatia te tango tinana.

Ko ngā kōhatu struvite te nuinga o te wā ka tupu i muri i ngā mate pāwera o te ara mimi me ngā pūtau motuhake e hanga ana i tō mimi ki te alkaline. Ka tupu pea enei nui rawa atu, ā, ka kiia ko ngā kōhatu "staghorn" nā to rātou āhua pekapeka.

Ko ngā kōhatu cystine te momo tino onge, e puta mai ana i te mate pūngao e kiia nei ko te cystinuria, te wahi e nui rawa atu te ngongo o te amino waikawa cystine o ō whatukuhu ki roto i tō mimi. Ki te pēnei koe, ka tino puta mai ngā kōhatu mō te ora katoa.

He aha ngā take o ngā kōhatu whatukuhu?

Ka hangaia ngā kōhatu whatukuhu ina pakaru te toenga o te wai, te tote, me ngā kohuke i roto i tō mimi. Ko te take tino nui ko te kore e inu wai nui, e kaha ake ai tō mimi, ā, ka ngāwari ake te hanga kōhatu.

He maha ngā take kai e piki ai tō tūponotanga ki te whanake i ngā kōhatu:

• Te kai nui o te tote, e piki ai te kōhatu i roto i tō mimi
• Te kai nui o ngā pūmua kararehe pēnei i te mīti, te ika, me te manu
• Te nui rawa atu te iti rānei o te kōhatu i roto i tō kai
• Te kai i ngā kai e nui ana te oxalate pēnei i te pīnati, ngā nati, me te tihokahoka
• Te kore e whiwhi citrate nui i ngā hua me ngā huawhenua

Ka taea hoki e ngā āhuatanga hauora te whakauru ki te hanganga kōhatu. Ko ngā mate huaketo o te ara mimi, te mate pūngao o te kopu, me te hyperparathyroidism katoa ka whakarereke i te matū o tō mimi i ngā huarahi e whakatairanga ana i te hanganga kōhatu.

Ka piki ake te tūponotanga o ngā kōhatu e etahi rongoā, tae atu ki ētahi diuretics, ngā antacids kōhatu-pū, me ngā taapiri hua C i ngā rāhui nui. Kei te whai wāhi hoki ō kōrero pūngao, i te mea ka tupu ngā kōhatu whatukuhu i roto i ngā whānau.

Kaore i te tino noa, ka taea e ngā raruraru hanganga o tō ara mimi te hanga i ngā wāhi e kohikohi ai te mimi, ā, ka nui ake te wā o ngā kōhatu ki te hanga. Ka taea hoki e ētahi mate pūngao onge te piki nui i tō tūponotanga kōhatu.

Nōhea te haere ki te taote mō ngā kōhatu whatukuhu?

Me rapu awhina hauora tonu koe ki te pāngia koe e te mamae nui e kore ai e noho marie, e kore rānei e kitea he tūranga ngāwari. Ko te taumata o te mamae nei e tohu pinepine ana kei te neke te kōhatu i roto i tō ara mimi, ā, me whakahaerehia pea e te tohunga.

Waea atu ki tō tākuta tonu mēnā kei te mamae koe me te kirika me te wiri, nā te mea ko te whakakotahitanga nei e whakaatu ana pea he mate e hiahia ana ki te rongoā wawe. Ko te toto i roto i tō mimi, ina koa ki te kitea e te kanohi, he take ano hei waea atu ki tō kaiwhakarato hauora.

Me whakapiri atu hoki koe ki tō tākuta ki te kore e taea e koe te mimi, no te mea pea ka aukati katoa te kohatu i tō ara mimi. Ko te ruaki me te ruaki tonu e kore ai e taea e koe te pupuri i ngā wai, he take anō tēnā hei rapu awhina.

Ahakoa ngāwari ake ō tohu, he mea tika kia whakarite he whakatau mēnā kei te whakaaro koe kei a koe etahi kohatu whatukuhu. Ka taea e tō tākuta te whakau i te whakatau me te āwhina i a koe ki te whakawhanake i te mahere hei whakahaere i ngā kohatu o nāianei me te aukati i ngā kohatu o muri mai.

He aha ngā take morearea mō ngā kohatu whatukuhu?

He maha ngā take ka nui ake te tūponotanga o te whanaketanga o ngā kohatu whatukuhu, ahakoa ehara i te mea ka whiwhi koe i a rātou ki te whai take morearea. Ka taea e te mārama ki tō morearea whaiaro te āwhina i a koe ki te tango i ngā mahi aukati.

He tino mahi ngā tau me te ira tangata i te hanganga kohatu. He nui ake te tūponotanga o ngā tāne ki te whanake i ngā kohatu i ngā wāhine, ā, ka piki ake tō tūponotanga i te wā e koroheke ana koe, me te nuinga o te iwi e wheako ana i tō rātou kohatu tuatahi i waenga i ngā tau 20 me te 50.

He tino nui tō hītori whānau. Ki te whai kōhatu whatukuhu ō mātua, ō teina rānei, he nui ake te tūponotanga o te whanaketanga i a koe ake na te whakawhitinga o ngā āhuatanga ira e pā ana ki te whakahaere a ō whatukuhu i ngā kohuke.

Ko ēnei ētahi atu take morearea nui hei matapaki:

• Te noho i ngā āhuarangi wera, maroke, kei reira te ngaro atu o te wai nui ake mā te werawera
• He oranga noho noho, he iti ngā mahi tinana
• Te momona, e whakarerekē ana i ngā taumata waikawa o tō mimi
• Te mate huka, e pā ana ki te tukatuka a tō tinana i ngā huka me ngā kohuke
• Te toto teitei
• Te hītori o mua o ngā kōhatu whatukuhu
• Ngā mate pūnaha kai pērā i te mate Crohn
• Te pokanga gastric bypass kua mahia

Ka taea e ētahi rongoā te whakapiki ake i tō tūponotanga, inā koa ki te inu koe i a rātou mō te wā roa. Kei roto i ēnei ngā rongoā toto teitei, ngā antacid, me ngā taapiri huaora ina inuhia i ngā rahinga nui.

Ko ngā āhuatanga ira tino onge penei i te hyperoxaluria, cystinuria rānei e whakapiki nui ana i te tūponotanga o te kōhatu, ā, e hiahiatia ana te whakahaere hauora motuhake i te ora katoa.

He aha ngā raruraru pea o ngā kōhatu whatukuhu?

Ko te nuinga o te iwi e pā ana ngā kōhatu whatukuhu kaore e pāngia e ngā raruraru kino, engari he whakaaro nui kia mōhio ki ngā raruraru ka puta mai. Ko te mōhio ki ēnei whakaaro ka āwhina i a koe ki te mohio ina hiahia koe ki ētahi atu rongoā hauora.

Ko te raruraru tino noa ko te mate huaketo o te ara mimi, ka taea te whanake ina aukatitia e te kōhatu te rere o te mimi, ā, ka hanga he taiao ka taea te whakaputa i ngā pūtau mate. Ka kite pea koe i te kirika, te wiri, me te mamae kino ake ki te pēnei.

Ka taea te pakaru o te whatukuhu ki te aukatitia e te kōhatu nui te rere o te mimi mō te wā roa. Me whakaheke pai te whatukuhu kia ora ai, ā, ko te aukatinga roa ka ārai ki te pupū me te whakaiti i te mahi o te whatukuhu.

Ko ēnei ētahi atu raruraru ka taea te whanake:

• Ngā mate whatukuhu roa mai i ngā tūāhua kōhatu maha
• Te ngaunga o te wai i te ruaki tonu
• Te mate pūngāwerewere, he mate kino e horapa ana i roto i tō toto
• Te hiahia kia whakahaerehia ngā mahi tākuto kia tangohia ngā kōhatu kua mau
• Te whākāka i roto i tō ara mimi mai i te nekehanga kōhatu maha

Ka whanake etahi i ngā kōhatu e puta ana, arā, ka mau tonu ki te hanga i ētahi hou ahakoa kua whakaorahia. Ko tēnei āhuatanga te nuinga o te wā e tohu ana i te raruraru metabolic kei raro e hiahia ana ki te whakahaere tonu.

Ko te tino iti, ko ngā kōhatu nui rawa ka taea te aukati katoa i te whatukuhu, te hiahia rānei kia maha ngā mahi kia tangohia. He onge enei āhuatanga, engari e whakatenatena ana i te hiranga o te rapu i te tiaki hauora tika ina puta mai ngā tohu.

Me pēhea te aukati i ngā kōhatu whatukuhu?

Ko te rongo pai ko te nuinga o ngā kōhatu whatukuhu ka taea te aukati me ngā huringa oranga ngāwari. Ko te mahi nui rawa atu ka taea e koe ko te inu i te wai nui i te rā katoa kia waiho ai tō mimi hei wai whakaheke.

Whakatauritea kia 8-10 karapu wai i te rā, ka whakapiki ake i tēnei nui mena kei te noho koe i tetahi āhuarangi wera, te whakakori rānei i te nuinga o te wā. Me kowhai mārama, te tata rānei ki te mā te mimi ina pai to wai.

Ka taea e ngā huringa kai te whakaiti nui i tō tūponotanga kōhatu. Ko te whakaiti i te kai tote e āwhina ana ki te aukati i te kōhatu kōhatu i roto i tō mimi, i te whakamahinga o ngā kai nui o te kōhatu kōhatu e āwhina ana ki te aukati i ētahi momo kōhatu.

Ko ēnei ngā rautaki kai matua e taea ai te āwhina:

• Whakaitihia te kai konutai ki raro i te 2,300 mg ia rā
• Kai i ngā rahinga noa o te kōhatu, engari kia kaua e inu i ngā taapiringa nui, ki te kore e tohua
• Whakaitihia te pūmua kararehe ki ngā rahinga mahi tika
• Whakapikihia ngā hua me ngā huawhenua, ina koa ngā hua citrus
• Whakaitihia ngā kai nui i te oxalate ki te mea kua whiwhi koe i ngā kōhatu oxalate
• Whakaitihia ngā inu huka-reka

Ko te pupuri i te taumaha hauora mā te whakakori tinana tūturu me te kai tōtika e āwhina ana hoki ki te aukati i ngā kōhatu. Ka āwhina pea te mahi tinana kia noho te kōnati i roto i ō iwi, kāo ki te whakāro i roto i tō mimi.

Mēnā kua pāngia koe e ngā kōhatu i mua, ka tūtohu pea tō tākuta i ētahi rongoā motuhake, i ētahi tāpiringa kai rānei, e whakaū ana ki te momo kōhatu me ngā take morearea kei raro.

Pehea te whakamārama i ngā kōhatu whatukuhu?

Ka tīmata tō tākuta mā te uiui ki ō tohu me tō hītori hauora, mā te aro nui ki te momo me te wāhi o tō mamae. Ka hiahia hoki ia ki te mohio ki tō hītori whānau, ngā rongoā, me ngā tikanga kai.

Ka āwhina te whakamātau tinana i tō tākuta ki te aromatawai i tō mamae me te tirotiro i ngā tohu o te mate, i ētahi raruraru rānei. Ka pēhi pea ia ki tō tua me tō kopu hei kimi i ngā wāhi mamae, ā, ka tirotiro pea i ō tohu oranga.

Ka whakaatu ngā whakamātau toto i ngā mōhiohio nui mō te mahi o ō whatukuhu, ā, ka āwhina ki te kimi i ngā āhuatanga kei raro i te whenua e āhei ana te whakauru ki te hanganga kōhatu. Ka titiro ēnei whakamātau ki ngā taumata o te kōnati, te phosphorus, te waikawa uric, me ētahi atu mea kei roto i tō toto.

He tino nui ngā whakamātau mimi mō te whakamārama i ngā kōhatu whatukuhu. Ka tātari tō tākuta i tō mimi mō ngā konganuku, ngā pūtau, te toto, me ētahi atu mea e tohu ana i te hanganga kōhatu, i te mate rānei.

Ka āwhina ngā whakamātau whakaahua i tō tākuta ki te kite i ngā kōhatu me te whakatau i tō rātou rāhi me tō rātou wāhi:

• Ka homai e ngā tātaritanga CT ngā whakaahua tino taipitopito, ā, ka taea te kite i ngā momo kōhatu katoa.
• He haumaru, he whai hua ngā whakamātau ultrasound, inā koa mō ngā wāhine hāpai.
• Ka taea e ngā X-ray te whakaatu i ētahi momo kōhatu, engari ka ngaro pea ngā kōhatu iti.
• Ka whakamahi te IVP (intravenous pyelogram) i te tae whakakāhua hei whakakī i tō ara mimi.

Mēnā ka tukuna e koe tetahi kōhatu, ka hiahia pea tō tākuta ki te tātari kia mōhio ai te hanganga. Ka āwhina tēnei mōhio ki te arahi i ngā rautaki aukati me ngā mahere whakaora i muri mai.

He aha te rongoā mō ngā kōhatu whatukuhu?

Ko te rongoā mō ngā kōhatu whatukuhu e whakawhirinaki ana ki te rahi, te wāhi, me te kino o ō tohu. Ka tukuna e te nuinga o ngā kōhatu iti i a rātou ano me te tiaki tautoko, engari ko ngā kōhatu nui ake pea ka hiahia ki te whakauru hauora.

Mō ngā kōhatu iti e pā ana ki te tukunga mā te tūturu, ka aro tonu tō tākuta ki te whakahaere i tō mamae me te awhina i te kōhatu ki te neke puta noa i tō pūnaha. Ko tēnei huarahi, e kiia nei ko te "tūmanako mataara," e mahi ana mō te nuinga o ngā kōhatu iti iho i te 4 millimeters.

Ko te whakahaere mamae te take tino nui. Ka tāpā te tākuta i ngā rongoā mamae mai i ngā kōwhiringa ka hokona atu ki ngā rongoā ka tohua e te tākuta, kei runga i tō taumata mamae.

Ko ēnei ngā kōwhiringa rongoā matua ka tūtohu pea tō tākuta:

• Ngā kai aukati Alpha hei whakahaere i ngā uaua i roto i tō ureter me te awhina i te tukunga o ngā kōhatu
• Te piki o te inu wai hei horoi i te kōhatu
• Ngā rongoā anti-matewai mēnā kei te ruaki koe
• Ngā rongoā Antibacterial mēnā he tohu o te mate

Mō ngā kōhatu nui ake, kāore rānei e pā ana ki ngā tohu kino, pea ka hiahiatia ngā tikanga hauora. Ka whakamahi te lithotripsy ngaru whakāngā ki te wawahi i ngā kōhatu ki ngā kōwae iti ake ka taea te tukunga māmā ake.

Ko te Ureteroscopy e whakauru ana i te pūpoi angiangi puta noa i tō ara mimi ki te tango, kāore rānei ki te wawahi i ngā kōhatu tika. Ko tēnei tikanga te nuinga o te whakamahi mō ngā kōhatu kua mau ki te ureter, kāore rānei i te nui rawa te tukunga mā te tūturu.

Ko te iti rawa, ko ngā kōhatu nui rawa pea ka hiahia ki te percutaneous nephrolithotomy, kei hea ngā tākuta e hanga ana i te wahi iti i tō tua ki te tango tika i te kōhatu. Ko tēnei huarahi te nuinga o te whakarite mō ngā kōhatu nui atu i te 2 henimita.

Me pēhea te whakahaere i ngā kōhatu whatukuhu i te kāinga?

He nui te mahi a te tiaki whare i te awhina i te pahemo o ngā kōhatu iti, me te whakahaere pai i ō tohu. Ko te mea nui rawa atu e taea e koe ko te inu wai maha hei horoi i te kōhatu i roto i tō pūnaha.

Whakaarohia te inu wai nui kia taea ai e koe te mimi i te iti rawa o te 2 rita ia rā. Ka taea e tēnei rere mimi nui te whakamahi i te kōhatu me te whakaiti i tō tūponotanga ki te whanake i ngā kōhatu hou.

Ka taea e ngā rongoā mamae kore-whakahaunga penei i te ibuprofen, te acetaminophen rānei te whakahaere i te kore-āwhina, engari kia whai i ngā tohutohu horoinga. Ka taea hoki e te rongoā wera, penei i te papa wera i runga i tō tua, i tō taha rānei, te hoatu i ētahi whakaora.

Ko ēnei atu ngā rautaki tiaki whare e taea te awhina:

• Noho mahi tonu, i te mea ka taea e te nekehanga te awhina i te pahemo o te kōhatu
• Whakakā te mimi ma te whatu pai kia hopukina ngā kōhatu e pahemo ana
• Tāruahia ō taumata mamae me ō tohu
• Kai ngā kai māmā, ngāwari ki te whakahaere mena kei te ruaki koe
• Whakamātau i ngā tikanga whakahaumaru hei awhina i te whakahaere i te mamae me te manukanuka

Aroturukihia ō tohu me te kore e whakaroa ki te whakapiri atu ki tō tākuta mena ka nui rawa tō mamae, ka pangia koe e te kirika, kāore rānei e taea e koe te mimi. Ka tohu ēnei tohu kei te hiahia koe ki te tiaki hauora tonu.

Ka kite etahi tangata ko etahi tuunga, penei i te takoto i te taha e kore e tu ana te kōhatu, ka taea te hoatu i te whakaora wa poto. Ka taea hoki e ngā kaukau mahana te awhina i te whakahaumaru i ō uaua me te whakaora i te kore-āwhina.

Me pēhea te whakarite mō tō whakatau ki te tākuta?

Ko te whakarite pai mō tō haerenga ki te tākuta ka awhina i te whakarite kia whiwhi koe i te taunakitanga tino tika me te mahere maimoatanga whai hua. Tīmatahia mā te tuhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te kaha o rātou.

Kia mau ki te rekoata taipitopito o tō mamae, mā te tohu i tō āhua, te kaha i runga i te pātene 1-10, me te aha e pai ake ai, e kino ake rānei. Tāruahia hoki ngā huringa katoa i tō mimiti, tae atu ki te tae, te auau, me ngā āwangawanga tahuna.

Ka mau mai te rārangi kākā o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā tākuto, ngā rongoā kore-tākuto, ngā huaora, me ngā taapiri. Me whai te taakuta i ēnei kōrero hei whakamārama i ngā take āwhina pea.

Ko ēnei atu mea hei whakarite i mua i tō whakatau:

• Tuhia ngā pātai e hiahia ana koe ki te ui ki tō taakuta
• Ka mau mai te mema whānau, te hoa rānei hei tautoko mena e hiahiatia ana
• Kohikohia ngā rēkōta hauora o mua e pā ana ki ngā raruraru whatukuhu
• Tātaihia te hītori whānau o ngā kōhatu whatukuhu, ngā āhuatanga e pā ana rānei
• Ka mau mai ngā kōhatu kua puta atu mō te tātaritanga
• Rārangihia tō inu wai noa i ia rā me ngā tikanga kai

Mena e taea ana, ka mau mai tētahi tauira mimi mai i tō mimi tuatahi o te rā, i te mea koinei te nuinga o te tāpiri me te whakamārama. Ka taea e te tari o tō taakuta te whakarato i ngā tohutohu motuhake mō te kohikohi tika i tēnei tauira.

Whakaarohia te pupuri i te tātai kai mō etahi rā i mua i tō whakatau, i te mea ka taea e ēnei kōrero te awhina i te tautuhi i ngā take kai pea e āwhina ana ki te hanganga kōhatu.

He aha te mea nui mō ngā kōhatu whatukuhu?

He āhuatanga noa, he āta whakaora hoki ngā kōhatu whatukuhu e pā ana ki te miriona o te iwi ia tau. Ahakoa ka taea e rātou te whakaputa i te mamae nui, ka puta noa te nuinga o ngā kōhatu me te tiaki tautoko, kāore hoki e whakaputa i ngā raruraru hauora roa.

Ko te mea nui rawa ki te mahara ko te nuinga o ngā kōhatu whatukuhu ka taea te aukati ma ngā huringa oranga ngāwari, ina koa te noho makariri me te pupuri i te kai rite. Ahakoa kua whiwhi koe i ngā kōhatu i mua, ka taea e te whai i ngā rautaki aukati te whakaiti nui i tō tūponotanga ki te whanake i ētahi hou.

Kaua e tuku i te wehi ki ngā kōhatu whatukuhu ki te whakahaere i tō oranga. Ma te tiaki hauora tika me ngā whakaritenga oranga, ka taea e koe te whakahaere i tēnei āhuatanga pai me te haere tonu ki te noho mahi me te maia.

Mēnā kei te pāngia koe e ngā tohu e āhei ana te tohu i ngā kōhatu whatukuhu, tēnā whakapā atu ki tō kaiwhakarato hauora i te wa poto. Ka taea e te whakamātautau wawe me te rongoā te awhina i a koe kia pai ake te ahua i te tere ake me te aukati i ngā raruraru pea.

Pātai maha e ui ana mo ngā kōhatu whatukuhu

Ka hoki mai rā ngā kōhatu whatukuhu i muri i te rongoā?

Ae, ka taea e ngā kōhatu whatukuhu te hoki mai, inā karekau ngā take morearea e whakatikahia. E tata ana ki te haurua o te hunga kua pangia e ngā kōhatu whatukuhu ka whanake i tētahi atu i roto i ngā tau tekau. Heoi, ko te whai i ngā rautaki aukati pēnei i te noho makuku, te kai kai tōtika, me te tango rongoā i whakaritea ka taea te whakaiti nui i tō morearea o te hoki mai.

He maha ake rā ngā kōhatu whatukuhu i roto i ngā tāne, i ngā wāhine rānei?

E rua te tūponotanga o ngā tāne ki te whanake i ngā kōhatu whatukuhu i te wāhine, ahakoa kua iti haere te wehenga i ngā tau tata nei. Ka piki ake te morearea o ngā wāhine i muri i te menopause na te huringa o te homoni e pā ana ki te whakahaere o te kōtē. Ka taea hoki e te hapu te whakapiki wawe i te morearea o te kōhatu na te huringa o te matū mimi me te mahi whatukuhu.

E hia te roa o te haerenga o te kōhatu whatukuhu?

Ka haere ngā kōhatu iti i roto i te 1-3 wiki, ahakoa ka rereke nui tenei i runga i te rahi o te kōhatu, te wāhi, me tō tinana ake. Ko ngā kōhatu iti iho i te 4mm ka haere i roto i ngā rā torutoru ki ngā wiki e rua, ā, ko ngā kōhatu nui ake pea ka roa ake te wa, ka hiahia rānei ki te whakauru hauora hei tango.

Ka taea te awhina i te inu pia, i ētahi atu waipiro rānei ki te haere o ngā kōhatu whatukuhu?

Ahakoa he iti te pānga diuretic o te waipiro, ehara i te rongoā whai hua mō ngā kōhatu whatukuhu, ā, ka taea te whakaiti i te mate wai. Ko te wai tonu te wai pai rawa atu mō te awhina i ngā kōhatu ki te haere. Kei etahi rangahau e whakaatu ana pea he iti te whakamarumaru o te pia ki te hanganga kōhatu, engari ehara i te kaha o te mōhiohio hei tūtohutanga i te waipiro hei aukati.

Ka puta tonu rā te mamae nui i ngā kōhatu whatukuhu?

Kāore ngā kōhatu whatukuhu katoa e pāngia ai te mamae nui. Ko ngā kōhatu iti e ngāwari ana te neke atu, pea ka pāngia noa te kore ngāwari iti rānei, kāore rānei e kitea. Ko ngā kōhatu nui e noho pūmau ana i te whatukuhu pea ka pāngia te mamae ngāwari tonu atu i te mamae koi. Ko te mamae nui te tikanga ka puta ina neke ngā kōhatu i te ureter pakupaku rānei, kei te aukati rānei i te rere o te mimi.