Ua olakino kou mau puʻupaʻa? E kamaʻilio kākou e pili ana i ka hoʻāʻo Blood Urea Nitrogen (BUN)!

Ke hele ʻoe e ʻike i ke kauka, lohe paha ʻoe i kekahi e ʻōlelo ana, "E hana kākou i kahi hoʻāʻo BUN." Ke noʻonoʻo nei paha ʻoe, "He aha kēia BUN?" Mai hopohopo, he hoʻāʻo koko maʻalahi loa ia. ʻO ke kumu nui o kēia hoʻāʻo, ʻo ia ke ʻike i ka hana maikaʻi o kou mau puʻupaʻa. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku, ʻeā?

He aha ka Blood Urea Natrogen (BUN)?

I ka ʻōlelo maʻalahi, ʻo ke Blood Urea Nitrogen , a mākou e kapa nei he BUN no ka pōkole, ke ana i ka nui o ka urea nitrogen i loko o ko mākou koko. ʻAe, ke nīnau nei ʻoe, "He aha kēia urea nitrogen?"

Ma hope o ka hoʻoheheʻe ʻia ʻana o ka protein i loko o ka meaʻai a mākou e ʻai ai, hoʻokumu ʻia kahi huahana ʻōpala i kapa ʻia ʻo urea nitrogen . Hoʻokumu ʻia kēia i loko o ko kākou ake. A laila hele ia ma ke koko i nā puʻupaʻa. Hana nā puʻupaʻa e like me kahi kānana, e wehe ana i kēia urea nitrogen i makemake ʻole ʻia mai ke koko a hoʻokuʻu iā ia i loko o ka mimi.

No laila, ma ka nānā ʻana i ka nui o ka urea nitrogen i loko o kou koko, hiki i kāu kauka ke loaʻa kahi manaʻo no ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa. He mea maʻamau ka loaʻa ʻana o kahi urea nitrogen i loko o kou koko. Eia nō naʻe, inā kiʻekiʻe loa ia, ʻo ia hoʻi ʻaʻole e hoʻoneʻe pono ana kou mau puʻupaʻa i kēia mau huahana ʻōpala, a aia paha kekahi mea hewa me kou mau puʻupaʻa.

No ke aha e ʻōlelo ai nā kauka i kēia hoʻāʻo BUN?

Aia kekahi mau kumu e noi ai ke kauka iā ʻoe e hana i kahi hoʻāʻo BUN.

• Ma ke ʻano he ʻāpana o ka nānā ʻana i ke olakino maʻamau: I kekahi manawa, hana ʻia kahi hoʻāʻo BUN i ka wā o kāu nānā ʻana i ke olakino makahiki, a i ʻole ma ke ʻano he ʻāpana o kahi moʻo o nā hoʻāʻo koko, e like me ka Comprehensive Metabolic Panel (CMP) a i ʻole Basic Metabolic Panel (BMP). Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo laulā o kou olakino holoʻokoʻa.
• Inā pilikia ʻoe i ka maʻi puʻupaʻa: Inā pilikia nui ʻoe i ka maʻi puʻupaʻa, hiki i kāu kauka ke ʻōlelo i kēia hoʻāʻo. ʻAʻohe nui nā hōʻailona o ka maʻi puʻupaʻa i nā pae mua. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau mea, ʻoi aku ka kiʻekiʻe o kou pilikia:
• Inā ua loaʻa kekahi o ka ʻohana i ka maʻi puʻupaʻa.
• Inā he maʻi diabetes kou.
• Inā he koko kiʻekiʻe kou (hypertension).
• Inā he maʻi puʻuwai kou.
• Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi puʻupaʻa: Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana i ka maʻi puʻupaʻa holomua, he manaʻo maikaʻi e loaʻa i kahi hoʻāʻo BUN. Hiki i nā hōʻailona ke komo pū me:
• Pono e mimi pinepine ma mua o ka maʻamau.
• He ʻano huʻa ko ka mimi.
• Ke kahe nei ke koko me ka mimi.
• Ua luhi loa wau.
• Ua nalowale koʻu makemake e ʻai.
• ʻOi loa aku ka pehu ʻana o nā lima, nā wāwae, a me nā kuʻekuʻe wāwae.

He aha ka waiwai BUN maʻamau?

ʻOkoʻa nā waiwai BUN maʻamau ma muli o kou makahiki a me kou kāne.No laila, ʻo kāu kauka wale nō ke haʻi pololei iā ʻoe inā he maʻamau kāu pae BUN a ʻaʻole paha. ʻOi aku ka haʻahaʻa o nā pae BUN i nā keiki ʻōpio a me nā pēpē ma mua o nā pākeke.

He aha ka pae BUN e hōʻike ana i ka hāʻule ʻana o ka puʻupaʻa?

ʻAʻole ʻike nā kauka i ka hemahema o ka puʻupaʻa ma muli o ka BUN wale nō. Eia nō naʻe, inā ʻoi aku ke kiʻekiʻe o kāu BUN ma mua o ka maʻamau, a he kiʻekiʻe nō hoʻi kekahi huahana ʻōpala i loko o ke koko i kapa ʻia ʻo creatinine, a laila loaʻa paha iā ʻoe ka hemahema o ka puʻupaʻa.

He aha ke ʻano o ka pae BUN kiʻekiʻe?

ʻO ke kiʻekiʻe o ka pae BUN ke ʻano maʻamau ʻaʻole hana pono kou mau puʻupaʻa . Eia nō naʻe, hiki i ka poʻe me nā puʻupaʻa olakino ke loaʻa i kekahi manawa nā pae BUN kiʻekiʻe. Eia kekahi o nā mea e hiki ai ke kumu:

• ʻAi nui i ka protein: Inā ʻai ʻoe i nā meaʻai waiwai i ka protein e like me ka ʻiʻo, ka iʻa, a me nā hua manu, e piʻi aʻe paha kāu mau pae BUN.
• Dehydration: Ke inu ʻole ke kino i ka wai lawa.
• Ka ʻelemakule: Hiki ke piʻi iki aʻe nā pae BUN i kou wā ʻelemakule.
• Kekahi mau lāʻau lapaʻau: No ka laʻana, hiki i kekahi mau lāʻau lapaʻau e like me `(Carbamazepine)`, `(Methotrexate)`, a me `(Tetracycline)` ke hoʻonui i nā pae BUN. He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei.
• Nā kuni: ʻO ke kanaka me nā kuni nui e loaʻa paha kahi pae BUN kiʻekiʻe.
• Ka ālai ʻana o ke ala mimi: Inā he ālai e pale ai i ka mimi mai ke kahe pono ʻana i waho.
• Kaumaha: Hiki i ke kaumaha nui ke loaʻa ka hopena i kekahi manawa.
• Maʻi hohola.
• Ke kahe koko ʻana o ka ʻōpū.

He aha ke ʻano o ka pae BUN haʻahaʻa?

ʻAʻole he mea maʻamau nā pae BUN haʻahaʻa, akā aia kekahi mau kumu hiki ke hana ʻia:

• ʻAi haʻahaʻa protein: Inā haʻahaʻa loa ka nui o ka protein i ka meaʻai āu e ʻai ai.
• Inā he kanaka liʻiliʻi ʻoe.
• Ka nui o ka wai: Inā inu ʻoe i ka wai ma mua o ka mea e pono ai kou kino.
• Maʻi akepaʻa: Inā loaʻa iā ʻoe kekahi maʻi akepaʻa.

He aha kaʻu e hana ai ma mua o ka hoʻāʻo BUN?

Ma mua o kou loaʻa ʻana o kahi hoʻāʻo BUN, pono ʻoe e haʻi i kāu kauka inā he maʻi kahe koko kou a inā paha ʻoe e lawe ana i nā lāʻau hoʻokahe koko . I kekahi manawa, e paipai paha kāu kauka i nā hoʻāʻo koko ʻē aʻe me ka hoʻāʻo BUN. No nā hoʻāʻo koko ʻē aʻe, pono ʻoe e hoʻokē ʻai (ʻaʻole e ʻai a inu paha) no 8 a 12 mau hola.He mea pono paha. No laila, e nīnau i kāu kauka inā pono ʻoe e hoʻokē ʻai ma mua o kahi hoʻāʻo BUN a i ʻole kekahi hoʻāʻo koko ʻē aʻe.

Pehea e hana ʻia ai ka hoʻāʻo BUN?

Hoʻoholo ʻia nā pae BUN me kahi hoʻāʻo koko maʻalahi loa.

• E hoʻomaʻemaʻe ke kauka a kahu maʻi paha i ka wahi i loaʻa ai kahi aa koko ma kou lima ma ka holoi ʻana me ka iodine, ka isopropyl alcohol, a i ʻole kekahi mea hoʻomaʻemaʻe ʻē aʻe.
• A laila, me ka hoʻohana ʻana i kahi nila lahilahi (ʻoi iki ka liʻiliʻi ma mua o ke pou apo pepeiao), e huki ʻia kahi koko liʻiliʻi mai kahi aa koko ma kou lima i loko o nā ʻōmole liʻiliʻi.
• E ʻeha iki paha ʻoe, me he mea lā ua nahu ʻia ʻoe e kahi ʻanuʻu mimi . E ʻeha iki paha ʻoe ma kahi i huki ʻia ai ke koko. Akā e ola koke kēlā mau māka nila.
• A laila, hoʻouna ʻia kāu hāpana koko i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Hiki ke hala i ʻelua a ʻekolu mau lā ma mua o ka hōʻea ʻana o ka hōʻike.

He aha ka mea e hana ma hope o ka hoʻāʻo BUN?

Ke pau ka hoʻāʻo ʻana o ka lab i kāu hāpana koko, e kāhea aku kāu kauka iā ʻoe e wehewehe i nā hopena o ka hōʻike hoʻāʻo a pane i nā nīnau āu e loaʻa ai. Inā kānalua kāu kauka he maʻi puʻupaʻa kou, hiki iā ia ke kauoha i kekahi mau hoʻāʻo hou aʻe. ʻO nā mea nui:

• Hoʻāʻo Creatinine Serum: Nānā kēia i ka hōʻiliʻili ʻana o kahi huahana ʻōpala i kapa ʻia ʻo creatinine i loko o ke koko.
• Ka Manaʻo o ka Holoʻokoʻa o ka Holoʻokoʻa (eGFR): He helu kēia a kāu kauka e helu ai ma muli o ka nui o ka creatinine i loko o kou koko. Hāʻawi ia i kahi manaʻo no ke ʻano o ka hoʻomaʻemaʻe ʻana o kou mau puʻupaʻa i kou koko. Ua helu ʻia kēia helu kānana ma muli o kou mau pae protein, ka makahiki, ke kāne, ka nui o ke kino, a me ka lāhui.

Pehea e hoʻemi ai i nā kiʻekiʻe o ka BUN?

Ma mua o ka ʻōlelo pololei ʻana "haʻahaʻa i nā pae BUN," hoʻāʻo nā kauka e ʻimi i ke kumu o nā pae BUN kiʻekiʻe a mālama i kēlā pilikia . Eia nō naʻe, ʻo kekahi o nā ala maʻalahi e kōkua ai i ka hoʻohaʻahaʻa ʻana i nā pae BUN, ʻo ia ka hoʻololi ʻana i kāu meaʻai.

Inā ʻaʻole ʻoe he maʻi puʻupaʻa a i ʻole ʻoe e hana ana i ka dialysis puʻupaʻa, he mea nui e inu i nā wai he nui . Inā maʻamau kāu serum creatinine akā kiʻekiʻe kāu BUN, hōʻike pinepine kēia i ka dehydration.

• I ka awelika, pono i ke kāne ke inu ma kahi o 13 mau aniani wai (ma kahi o 3 lita) i ka lā.
• Pono ka wahine e inu ma kahi o 9 mau kīʻaha wai (ma kahi o 2.2 lita) i ka lā.

Eia kekahi, ʻo ka ʻai ʻana i ka meaʻai haʻahaʻa-protein hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i nā pae BUN. ʻO nā meaʻai olakino a haʻahaʻa-protein:

• Nā ʻano palaoa: oats, laiki, berena, noodles, pasta.
• Nā huaʻai: nā ʻāpala, nā hua waina, nā maiʻa.
• Nā mea kanu: Nā mea kanu ʻōmaʻomaʻo, chili, broccoli.
• Nā momona olakino:ʻAvokado, nati, ʻaila niu.

He aha nā meaʻai pono ʻole ʻoe e ʻai inā kiʻekiʻe kāu pae BUN?

Inā kiʻekiʻe kāu BUN, ʻoi aku ka maikaʻi o ka kaupalena ʻana a i ʻole ka hoʻopau ʻana i nā meaʻai waiwai i ka protein . ʻO nā hiʻohiʻona o nā meaʻai waiwai i ka protein:

• ʻAiʻo: pipi, moa, puaʻa, samona.
• Nā meaʻai waiū: waiū, tīhi, yogurt.

Pono ka hapa nui o nā kānaka e ʻai ma waena o 40 a me 60 grams o ka protein i kēlā me kēia lā. Eia nō naʻe, inā kiʻekiʻe kāu BUN, pono paha ʻoe e hōʻemi i kāu lawe ʻana i ka protein i ka hapalua o kēia nui. ʻOi aku ka maikaʻi o ke kūkākūkā ʻana me kāu kauka a i ʻole kekahi meaʻai meaʻai e pili ana i kēia.

Aia kekahi mau lāʻau lapaʻau e mālama ai i nā waiwai BUN kūpono ʻole?

ʻAʻole kuhikuhi pinepine nā kauka i nā lāʻau lapaʻau kikoʻī e hoʻoponopono i nā pae BUN . Hoʻōla lākou i ke kūlana kumu i hoʻokumu ai i nā pae BUN ʻē.

Āhea ʻoe e makemake ai e ʻike hou i ke kauka?

Inā ua hala kekahi mau lā mai kou hoʻāʻo ʻana i ka BUN a ʻaʻole ʻoe i loaʻa i kekahi ʻike mai kāu kauka e pili ana i ka hōʻike, he mea maikaʻi ke kāhea aku iā ia a nīnau e pili ana i ia mea.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ma hope o kāu hoʻāʻo BUN, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:

• "E ke kauka, he aha ka manaʻo o kaʻu hōʻike hoʻāʻo?"
• "Makemake ʻoe e hoʻāʻo i kekahi mea ʻē aʻe?"
• "He aha kaʻu e hana ai e hoʻohaʻahaʻa i kaʻu BUN?"
• "Aia kekahi maʻi e hoʻopilikia ai i koʻu pae BUN?"

E hoʻomanaʻo, he huahana ʻōpala ka urea nitrogen i hana ʻia e ko kākou akepaʻa mai ka protein a kākou e ʻai ai. I kekahi manawa, hiki ke kiʻekiʻe loa a haʻahaʻa paha ka nui o ka urea nitrogen i loko o ke koko. Hiki i kēia ke hana i nā pilikia olakino. Inā loaʻa iā ʻoe nā hōʻailona o ke kiʻekiʻe a haʻahaʻa paha o ka urea nitrogen koko, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. A laila hiki iā ia ke hana i kahi hoʻāʻo BUN e ʻike i ke ʻano o ka hana ʻana o kou mau puʻupaʻa a kuhikuhi i ka lāʻau lapaʻau e pono ai.

ʻO ka mea hope loa, he aha e hoʻomanaʻo ai

ʻAe, mai nā mea a mākou i kamaʻilio ai i kēia lā, ua maopopo iā ʻoe ke ʻano o ka hoʻāʻo Blood Urea Nitrogen (BUN) , ke kumu e hana ʻia ai, a me nā mea hiki iā ia ke haʻi iā ʻoe.

I ka pōkole:

• Nānā ka hoʻāʻo BUN i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa .
• ʻO ka naikokene Urea kahi huahana ʻōpala i hana ʻia mai ka protein āu e ʻai ai.
• Aia kekahi mau kumu like ʻole e piʻi ai a emi paha nā pae BUN. ʻAʻole pono ia he pilikia puʻupaʻa i nā manawa a pau.
• Inā he mau nīnau kāu e pili ana i kāu mau pae BUN a i ʻole ke olakino o nā puʻupaʻa, mai kānalua e kamaʻilio me kāu kauka . E wehewehe ʻo ia i nā mea āpau iā ʻoe me nā kikoʻī.

He mea nui loa ka mālama ʻana i kou olakino, no laila he mea maikaʻi loa iā ʻoe ke makaʻala i kēia mau hoʻokolohua!

ʻUrea koko naikokene, hoʻāʻo BUN, hana puʻupaʻa, maʻi puʻupaʻa, creatinine, protein, nā hoʻāʻo olakino, nā hoʻāʻo koko