Ua ʻike anei ʻoe i nā ala nui e lawe ai i ke koko i kou mau puʻupaʻa (Renal Artery)? E kamaʻilio kākou e pili ana i kēia!

Ua ʻike kākou a pau he ʻōkana koʻikoʻi nā puʻupaʻa i loko o ko kākou kino. Hana nā puʻupaʻa e like me ke kānana e kānana ana i nā ʻōpala i loko o ko kākou kino. No laila, he mea nui loa ka hoʻolako ʻana i kēia mau puʻupaʻa me ka lako koko kūpono. I kēia lā e kamaʻilio kākou e pili ana i kahi ʻōnaehana ala koko kūikawā e kōkua ana i kēlā hana, ka mea e lawe ana i ke koko i nā puʻupaʻa. ʻO kēia nā mea a kākou e kapa nei he `(Renal Artery)` a i ʻole ke aʻa renal.

He aha ke Renal Artery? I ka ʻōlelo maʻalahi...

ʻAe, e nānā kākou i kēia mau ʻaʻa "Renal Artery" a i ʻole nā ​​aʻa puʻupaʻa. ʻO kēia nā kīʻaha koko nui e lawe ana i ke koko maʻemaʻe mai ko kākou puʻuwai a i nā puʻupaʻa. ʻO ka huaʻōlelo Pelekania "Renal" ʻo ia hoʻi "pili i nā puʻupaʻa." No laila, ke ʻōlelo kākou "Renal Artery", ua maopopo koke ʻia he pili kēia i nā puʻupaʻa.

ʻElua mau aʻa renal nui i loko o ko kākou kino. Hoʻolako kekahi i ke koko i ka puʻupaʻa ʻākau, a mākou e kapa nei ʻo 'Right Renal Artery'. Hoʻolako kekahi i ke koko i ka puʻupaʻa hema, ʻo ia hoʻi ka 'Left Renal Artery'. I ka pololei, aia kekahi o kēia mau aʻa no kēlā me kēia puʻupaʻa.

He aha ka hana a kēia mau aʻa renal? No ke aha lākou i koʻikoʻi ai?

I kēia manawa, ke noʻonoʻo nei paha ʻoe no ke aha he mea nui loa ka `(Renal Artery)`. ʻĀ, he ʻāpana koʻikoʻi loa ka aʻa renal o kā mākou ʻōnaehana hoʻohele koko. Ma o kēia mau mea e lawe ʻia ai ke koko momona i ka oxygen mai ko mākou puʻuwai i nā puʻupaʻa ma o ko mākou aʻa nui, ʻo ka `(Aorta).`

E noʻonoʻo, ma kahi o ka hapalua kīʻaha koko e hele ana i nā puʻupaʻa ma o kēia aʻa renal i kēlā me kēia minuke . ʻO ia ka nui o ke koko e hele ana ma o kēia i hoʻokahi lā! No laila, ʻo ko kākou mau puʻupaʻa he ʻāpana o ka ʻōnaehana mimi. ʻO kēia nā mea e kānana i nā huahana ʻōpala a me ka wai pono ʻole i loko o ke koko. A laila hoʻokuʻu ʻia kēia mau huahana ʻōpala mai ke kino ma ke ʻano he mimi. Ua ʻōlelo ʻia e hiki i ʻelua mau puʻupaʻa olakino ke kānana ma kahi o 140 lita o ke koko i kēlā me kēia lā . E nānā i ka nui o ka hana! No laila, i mea e hana pono ai kēia hana, pono nā puʻupaʻa e loaʻa i ka nui kūpono o ke koko. ʻO ia ka mea e kōkua ai kēia `(Renal Artery)`.

Aia ma hea ke aʻa renal?

Loaʻa iā kākou ʻelua mau puʻupaʻa i loko o ko kākou kino. Aia kēia mau puʻupaʻa ʻelua ma hope o ko kākou ʻōpū, ma luna iki o ka pūhaka. No laila, ua pili ka aʻa renal ʻākau i ka puʻupaʻa ʻākau, a ua pili ka aʻa renal hema i ka puʻupaʻa hema.

ʻO ka maʻamau, ʻo kēlā me kēia aʻa renal ma waena o 4 a me 6 kenimika ka lōʻihi . Hoʻomaka lākou mai ka aorta abdominal, ke aʻa koko nui e lawe i ke koko mai ka puʻuwai a i ka ʻōpū.

E aʻo kākou e pili ana i ka mahele hou ʻana (lālā) o ke aʻa renal.

Komo kēlā me kēia aʻa renal i loko o ka puʻupaʻa ma kahi i kapa ʻia ʻo "Renal Hilum". Ua like kēia me ke komo ʻana i loko o ka puʻupaʻa. ʻO nā mea e like me nā kīʻaha koko a me nā aʻalolo e komo a puka i waho o ka puʻupaʻa ma o kēia "Renal Hilum".

Ma hope o ke komo ʻana i loko o ka puʻupaʻa, māhele ʻia kēia `(Renal Artery)` i nā kīʻaha koko liʻiliʻi he nui. E like me nā lālā e lālā ana mai ke kumu o kahi lāʻau. Hoʻolaha kēia mahele i ke koko ma loko o ka puʻupaʻa holoʻokoʻa. E nānā kākou i kēia mau lālā nui a me kā lākou mau kaʻina hana ma nā ʻōlelo maʻalahi.

E noʻonoʻo i ko kākou mau puʻupaʻa me he ʻōnaehana hoʻomaʻemaʻe super.

1. Nā Nephrons: ʻO ke koko mai ke aʻa renal e hele mua i nā ʻāpana kānana liʻiliʻi loa i loko o nā puʻupaʻa. Ua kapa ʻia kēia mau mea he nephrons. Aia ma kahi o hoʻokahi miliona o kēia mau nephrons i loko o hoʻokahi puʻupaʻa!

2. Glomeruli: Aia i loko o kēia mau Nephrons nā puʻu o nā kīʻaha koko liʻiliʻi. Kāhea mākou iā lākou he Glomeruli. E like me kāu kānana ʻana i ke kī, paʻa nā lau kī ma luna o ke kānana, kānana kēia mau Glomeruli i kekahi o nā huahana ʻōpala a me ka wai i loko o ke koko. Eia naʻe, ʻaʻole hele nā ​​mea nui e like me nā protein a me nā hunaola koko ʻulaʻula i loko o ke koko ma o kēia kānana, noho lākou i loko o ke koko.

3. Nā Tubules: ʻO nā huahana ʻōpala a me ka wai i kānana ʻia mai ka Glomeruli a laila hele i loko o kahi ʻōnaehana ʻē aʻe o nā kahawai liʻiliʻi i kapa ʻia ʻo Tubules. I ko lākou hele ʻana ma o kēia mau Tubules, ua hoʻihoʻi hou ʻia nā meaʻai a me nā minelala e pono ai ke kino i loko o ke koko. I nā huaʻōlelo ʻē aʻe, ʻo nā mea pono wale nō e mālama ʻia a hoʻoneʻe ʻia nā mea pono ʻole.

4. Renal Vein: ʻO ka hope loa, haʻalele ke koko i kānana ʻia i nā puʻupaʻa ma o ka renal vein. A laila kaʻapuni ke koko ma ke kino holoʻokoʻa. Hoʻokuʻu ʻia nā huahana ʻōpala a me ka wai keu e waiho ana i loko o nā tubules ma ke ʻano he mimi.

E nānā i ka paʻakikī a me ke kupaianaha o ke kaʻina hana e hana ʻia ana i loko o ko kākou mau puʻupaʻa!

He aha nā maʻi e hoʻopilikia ai i nā aʻa renal?

E like me ka hiki i ka paipu wai ke pani ʻia e ka lepo a me ka popo i ka hala ʻana o ka manawa, hiki i ka momona a me ka cholesterol ke hōʻiliʻili i loko o ko kākou mau aʻa. Kāhea mākou i kēia plaque. Hōʻiliʻili kēia plaque a hana i kahi papa ma nā paia o nā aʻa.

Ke hōʻiliʻili ʻia ka `(Plaque)` ma kēia ʻano, emi ka hakahaka i loko o ke aʻa, lilo ke aʻa i mea haiki, a paʻakikī. Ua kapa ʻia kēia ʻano he `(Atherosclerosis)` (paʻakikī o nā aʻa). ʻOi loa aku i ka wā e haiki ai ke aʻa renal ma kēia ʻano, ua kapa ʻia ʻo `(Renal Artery Stenosis)` (ka haiki ʻana o ke aʻa renal) .

No laila, he aha ka mea e hana ʻia ke emi kēia mau aʻa renal? Ke emi ke kahe o ke koko, lohi ke kahe o ke koko. E emi ana ka nui o ke koko e hiki ana i nā puʻupaʻa. A laila ʻaʻole hiki i nā puʻupaʻa ke hana pono. Eia kekahi, pono ka puʻuwai e hana ikaika e pamu i ke koko. Hoʻonui kēia i ke kaomi i loko o nā aʻa koko ma ke kino holoʻokoʻa.

ʻO nā pilikia nui e hiki ke kū mai ma muli o ka `(Renal Artery Stenosis)`:

• Ke koko kiʻekiʻe : ʻO kēia ke kūlana maʻamau a koʻikoʻi hoʻi. I kekahi manawa, ʻoiai me ka lāʻau lapaʻau, hiki ke paʻakikī ke kaohi i ke koko kiʻekiʻe.
• Ke koko kiʻekiʻe o ka Renal (Renovascular)He koko kiʻekiʻe kēia i hoʻokumu pololei ʻia e ka haiki ʻana o nā aʻa renal.
• Ka hāʻule ʻana o ka puʻuwai : Ke hana nui ka puʻuwai, hiki iā ia ke nāwaliwali a hāʻule.
• Maʻi puʻupaʻa a me ka hāʻule ʻana o ka puʻupaʻa : Ke loaʻa ʻole ke koko i nā puʻupaʻa, hoʻomaka mālie lākou e hāʻule.
• Hahau : Hiki i ke koko kiʻekiʻe ke hōʻino i nā kīʻaha koko i loko o ka lolo, e hana ai i nā kūlana e like me ka hahau.

E noʻonoʻo, inā e paʻa ka paipu wai e hoʻolako ana i ka wai i kahi motika wai, pehea ka nui o ka pilikia e hana ai no ka motika? ʻO ka mea like e hana ʻia i nā puʻupaʻa a me ka puʻuwai ke paʻa ka aʻa renal.

Pehea mākou e mālama ai i ke olakino o ko mākou mau aʻa renal?

ʻO ka mea pōmaikaʻi, inā ʻoi aku ka paʻa ʻana o kēia mau aʻa renal ma mua o 60%, ʻo ia hoʻi, ʻaʻole i paʻa loa ke aʻa, hiki i nā loli i ko kākou nohona a me ka ʻai ke hoʻomaikaʻi nui i ko kākou kūlana. Eia kekahi mau mea hiki iā kākou ke hana e mālama i ko kākou mau aʻa renal a me nā puʻupaʻa i ke olakino:

• E ʻai i ka meaʻai olakino no ka puʻuwai: E ʻai i ka meaʻai haʻahaʻa i ka cholesterol, ka momona, ka paʻakai, a me ke kō. E ʻai hou aku i nā huaʻai, nā mea kanu, nā palaoa piha, a me nā meaʻai waiwai i ka fiber.
• E hoʻoikaika kino i ka hapa nui o nā lā o ka pule: E hana ma ka liʻiliʻi he 30 mau minuke o ka hoʻoikaika kino i ka lā, e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana. Hoʻomaikaʻi kēia i ke kahe koko a mālama i nā aʻa koko i ka palupalu.
• Inā loaʻa iā ʻoe ka maʻi puʻupaʻa, e kaupalena i ka protein a me ka potassium: Pono ʻoe e kamaʻilio me kāu kauka e pili ana i kēia a loaʻa ka ʻōlelo aʻoaʻo.
• E mālama i ke kaumaha olakino: ʻO ka mālama ʻana i ke kaumaha kūpono i kou kiʻekiʻe e kōkua i ka pale ʻana iā ʻoe mai nā maʻi he nui.
• E kāohi i nā kūlana olakino e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol kiʻekiʻe: Inā loaʻa iā ʻoe kēia mau kūlana, e lawe i kāu mau lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka a kāohi i kāu ʻai.
• E pale loa i ka puhipaka a me nā huahana paka: He mea ʻino loa ka puhipaka i nā aʻa koko. Hoʻonui ia i ka hōʻiliʻili ʻana o ka `(plaque)`.

He mea maikaʻi loa ka hana ʻana i kēia mau mea no ke olakino ʻaʻole wale no nā puʻupaʻa, akā no ke kino holoʻokoʻa hoʻi.

Āhea ʻoe e ʻike ai i ke kauka?

I kekahi manawa, ke hewa kekahi mea i ko kākou kino, hōʻike ʻia ia ma nā ʻano hōʻailona like ʻole. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, pono ʻoe e ʻike i ke kauka a loaʻa ka ʻōlelo aʻo. He mau hōʻailona paha kēia o ka pilikia o ka puʻupaʻa.

• Koko i loko o ka mimi: Inā ʻulaʻula a ʻeleʻele paha ka mimi.
• Pehu (`Edema`): Inā pehu nā wahi e like me nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me ka maka.
• Ka paʻakikī o ka mimi ʻana a i ʻole ka mimi pinepine ʻana: Inā paʻakikī iā ʻoe ke mimi, e manaʻo e like me ka nui o ka mimi ma hope o kou hele ʻana, a inā ʻoe e mimi pinepine, e hele ana i kahi liʻiliʻi o ka mimi.
• ʻO ka luaʻi, ka luaʻi ʻana, a me ka pohō kaumaha: Inā loaʻa iā ʻoe ka luaʻi a me ka luaʻi ʻana me ka nalowale o ka makemake a me ka pohō kaumaha ma muli o ka hopena.
• Luhi nui a ʻeha poʻo paha me ke kumu ʻole: Inā manaʻo ʻoe he palaualelo a mau ka ʻeha poʻo, ʻoiai ma hope o ka hiamoe maikaʻi a me ka hoʻomaha ʻana.

Mai hoʻowahāwahā i kēia mau hōʻailona. ʻOi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe e ʻike ai i ke kumu.

Leka Hoʻihoʻi Hope Loa

Ua maopopo iā ʻoe i kēia manawa ʻo nā aʻa renal a mākou i kamaʻilio ai i kēia lā he mau kīʻaha koko ia e hoʻokani i kahi kuleana koʻikoʻi i ka mālama ʻana i ko kākou mau puʻupaʻa i ke olakino. ʻO kēia nā kīʻaha koko e hoʻolako i nā puʻupaʻa me ke koko e pono ai lākou, a kānana ʻia ke koko a hoʻokuʻu ʻia nā mea ʻino i loko o ke kino ma ke ʻano he mimi.

Eia nō naʻe, inā hoʻokumu ʻia nā waihona momona i loko o kēia mau aʻa (Renal Artery Stenosis), ʻaʻole hiki ke hoʻopilikia wale i ka hana o nā puʻupaʻa, akā hiki ke alakaʻi pū i nā pilikia koʻikoʻi e like me ke koko kiʻekiʻe a me nā maʻi puʻuwai.

No laila, ʻo ke ola kino olakino ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ia mau pilikia. He mea nui loa nā ʻano ʻai maikaʻi, ka hoʻoikaika kino mau , ka pale ʻana i ka puhipaka, a me ka kaohi ʻana i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe.

Inā he kānalua a nīnau paha kāu, mai kānalua e kamaʻilio me kāu kauka ʻohana. Hiki iā ia ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo āu e pono ai a kōkua iā ʻoe e pale iā ʻoe iho mai nā maʻi puʻupaʻa. E noho olakino!

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