Tauira Pātai Kōrero: Ngā Mate i roto i te Whakawhiti me te Kawe i ngā Matū
He tukanga nui te whakawhiti me te kawe i ngā matū i roto i te tinana, e whakarite ana kia whiwhi ā tātou pūtau i ngā matūkai e tika ana, kia tangohia hoki ngā para. Kei roto i tēnei tukanga ngā pūnaha tinana maha, tae atu ki ngā pūnaha manawa, pūnaha ngākau, me ngā pūnaha whakaputa paru. Ka pā kino pea ngā āhuatanga rerekē o ēnei tukanga ki te hauora. I roto i tēnei tuhinga, ka matapakihia e tātou ētahi tauira raruraru me ngā mate e pā ana ki te whakawhiti me te kawe i ngā matū i roto i te tinana.
Ngā Mate e Pā Ana ki te Whakawhiti me te Kawe i ngā Matū
1. Te mate toto iti
– Pātai: Whakamāramahia te pānga o te anemia ki te tukanga whakawhiti hāora i roto i te tinana!
– Kōrero: Ko te mate toto kore toto he āhuatanga e iti ai te maha o ngā toto toto whero i roto i te tinana, e iti ai rānei te kukū o te hemoglobin, ā, ka whakaiti i te kaha o te toto ki te kawe i te hāora ki ngā kiko o te tinana. Ko te hemoglobin he pūmua i roto i ngā toto toto whero e herea ana te hāora ki roto i ngā pukahukahu me te kawe puta noa i te tinana. Ina iti te hemoglobin, ka iti te hāora e wātea ana hei whakawhiti i te taumata pūtau, ka pā ki te mahi pūtau, ā, ka pāngia pea te ngenge, te ngoikore, me ētahi atu tohu.
2. Te Waikawa me te Alkalosis
– Pātai: He aha te tikanga o te waikawa me te kawakore, ā, me pēhea te pānga o ēnei āhuatanga e rua ki te taurite o ngā matū i roto i te tinana?
– Kōrero: Ko te waikawa he āhuatanga e tino waikawa ai te toto (he iti te pH), ko te alkalosis ia he āhuatanga e tino taketake ai te toto (he piki te pH). He mea nui te taurite waikawa-pūtake i roto i te tinana mō te mahi noa o ngā pūtau me ngā whekau. Ka puta te waikawa i te pikinga o te hanga waikawa (pērā i te waikawa lactic), te hekenga o te whakaputanga waikawa (mō te mate tākihi), te hekenga rānei o ngā taumata paikāponate. I tetahi atu taha, ka puta te alkalosis i te hekenga o ngā taumata CO2 i te toto (hei tauira, nā te manawa nui) te pikinga rānei o ngā taumata paikāponate. Ka whakararuraru ēnei āhuatanga e rua i te taurite electrolyte me te mahi whākōkī, ka pā ki te whakawhiti me te kawe i ngā matū i te taumata pūtau.
3. Te ngoikore o te whatukuhu
– Pātai: He aha te pānga o te ngoikore o te whatukuhu ki te tukanga whakaputa me te taurite o ngā electrolytes i roto i te tinana?
– Kōrero: He whekau nui ngā whatukuhu i roto i te tukanga whakaputa me te whakahaere i te taurite o te electrolyte. I roto i te ngoikore o te whatukuhu, ka heke, ka ngaro rānei te kaha o ngā whatukuhu ki te tātari me te whakaputa i ngā hua para me te whakahaere i te taurite wai me te electrolyte o te tinana. Ka kohikohi ngā hua para pākia pērā i te urea me te creatinine i roto i te toto, ka puta ngā tohu pēnei i te ngenge, te whakapairuaki, me te ngoikore o te hinengaro. Hei tāpiri, ka puta pea ngā kore taurite o te electrolyte, ka pā ki te mahi a te uaua me te io, ā, ka arahi pea ki ngā raruraru o te ngākau.
4. Te mate pūkahukahu
– Pātai: He aha i ngoikore ai te whakawhiti hau i roto i te hunga e pangia ana e te emphysema?
– Kōrero: Ko te emphysema he mate pūkahukahu e tohuhia ana e te kino o ngā alveoli, arā, ngā pēke hau iti i roto i ngā pūkahukahu e puta ai te whakawhiti hāora me te hauhā waro. Ka whakaitihia e tēnei kino te horahanga o te mata mō te whakawhiti hau, ā, ka ngaro te ngāwari o ngā alveoli. Nā tēnei ka uaua te whakaputa i te hauhā waro me te whakaiti i te mimiti hāora, ka hua ake te hemokai hāora. Ko ngā tohu noa ko te poto o te manawa, te maremare mau tonu, me te heke o te manawanui ki ngā mahi ā-tinana.
5. Te Mate Huka
– Pātai: He aha te pānga o te mate huka ki te kawe huka ki roto i ngā pūtau?
– Kōrero: Ko te mate huka he mate pāwera e tohuhia ana e te nui o te huka toto, e puta mai ana i te koretake o te hanga insulin (mate huka momo 1) te ātete rānei ki te insulin (mate huka momo 2). Ko te insulin he homoni e āwhina ana i te huka ki roto i ngā pūtau hei whakamahi hei puna pūngao. I roto i te mate huka, ka ngoikore te kaha o te tinana ki te kawe i te huka ki roto i ngā pūtau, ka hua ake he pikinga o te taumata huka toto me te hekenga o te waatea o te huka ki ngā pūtau. Ki te kore e taea te whakahaere, ka taea e te mate huka te kino ki ngā oko toto, ki ngā io, me ētahi atu okana.
Rautaki Whakahaere
Hei whakatika i ngā āhuatanga rerekē o te whakawhiti me te kawe i ngā matū, me whakatinana ngā rautaki maimoatanga tika i runga i te pūtake me te momo o te mate. Anei ētahi huarahi noa:
1. Maimoatanga Hauora
– Rongoā: Te whakamahinga o ngā rongoā, pērā i ngā tāpiringa rino mō te anemia, te insulin mō te mate huka, ngā paturopi rānei mō ngā mate e pā ana ki te emphysema.
– Te Dialysis, te Whakatō Whatukuhu rānei: Mō te ngoikore o te whatukuhu, ka taea e tēnei tikanga te āwhina i te whakakapi i te mahi whatukuhu kua ngaro.
2. Te Whakaora Hāora
– Ka whakamahia mō ngā āhuatanga pēnei i te emphysema hei whakanui ake i ngā taumata hāora i roto i te toto, hei whakapai ake hoki i te kaha whakawhiti hau.
3. Te Kai me te Āhua Noho
– Te Kai Totika: Mā te kai hauora, taurite hoki ka āwhina i te whakahaere i ngā taumata huka toto i roto i te mate huka me te whakaiti i te hanga waikawa lactic i roto i te tinana.
– Te Whakakorikori Tinana: Mā te whakakorikori tinana auau ka pai ake te whakamahi hāora me te whakahaere i te huka toto.
4. Te Aroturukitanga me te Tirotiro Auau
– He mea nui te aroturukitanga auau mō ngā tohu me ngā tohu matū koiora mō te tautuhi wawe me te whakahaere i te mate.
Mā te huarahi whānui me te tika, ka taea te whakahaere pai i ngā mate maha o te whakawhiti me te kawe matū, ka whakapai ake i te kounga o te oranga o te hunga e pāngia ana. Hei ākonga, hei tohunga hauora rānei, he mea nui te mārama ki ngā tikanga taketake me ngā pānga haumanu o ēnei āhuatanga hei whakarato i te tiaki pai rawa atu.
Whakamutunga
He pānga nui tō ngā mate whakawhiti matū ki te hauora. He mea nui te mārama ki ngā kaupapa matua o te mahi a ēnei pūnaha whakawhiti matū me te puta o ngā mate hei tautuhi me te aro atu ki ngā raruraru pea. Mā te mātauranga me ngā rautaki maimoatanga whai hua, ka taea e tātou te āwhina ki te whakapai ake i te tirohanga me te kounga o te oranga mō te hunga e pāngia ana e ēnei mate.
