E ʻike pono kākou i ke ʻano o kēia mau mea e pili ana i kou mau puʻupaʻa.

I kēia lā, e kamaʻilio kākou e pili ana i kahi ʻōkana koʻikoʻi loa i loko o ko kākou kino. ʻO ia hoʻi nā puʻupaʻa. Ua lohe paha ʻoe e pili ana i nā puʻupaʻa, akā ua ʻike maopopo anei ʻoe i ka paʻakikī o kā lākou hana a me ka nui o kona hopena i ko kākou olakino? E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha nā puʻupaʻa?

I ka ʻōlelo maʻalahi, ʻo nā puʻupaʻa he mau ʻāpana ʻano pīni e kānana a hoʻomaʻemaʻe i kou koko. He ʻāpana nui lākou o kāu ʻōnaehana mimi.

E noʻonoʻo, kānana kou mau puʻupaʻa ma kahi o 200 lita o ka wai i kēlā me kēia lā. Ua lawa kēlā e hoʻopiha i kahi ʻauʻau nui! Ma kēia kaʻina hana, hoʻopau nā puʻupaʻa i nā huahana ʻōpala, kahi e hoʻokuʻu ʻia mai ke kino ma ke ʻano he mimi. Hoʻokuʻu ka hapa nui o ka poʻe ma kahi o ʻelua lita o ka mimi i kēlā me kēia lā. Hoʻihoʻi hou ʻia nā 198 lita o ka wai i loko o ke kino.

Kōkua pū nā puʻupaʻa i ka mālama ʻana i ke kaulike o nā wai (ʻo ka wai ka hapa nui) a me nā electrolytes i loko o kou kino. He mau minelala koʻikoʻi kēia mau electrolytes e like me ka sodium a me ka potassium.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā pilikia puʻupaʻa?

ʻO ka poʻe me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe ka mea i loaʻa i ka pilikia nui o ka loaʻa ʻana o nā pilikia puʻupaʻa. Eia kekahi, hiki i nā ulia pōpilikia, nā ulia kaʻa, a me nā ʻeha haʻuki ke hōʻino i nā puʻupaʻa.

He aha ka mea e hana maoli ai i nā puʻupaʻa?

Hana kou mau puʻupaʻa i nā hana koʻikoʻi he nui. ʻO ka mea nui loa, ʻo ia ke kānana i nā mea ʻawahia a me nā huahana ʻōpala mai ke koko. ʻO kēia mau mea me nā huahana ʻōpala nitrogenous (urea), nā huahana ʻōpala ʻiʻo (creatinine), a me nā waikawa. E noʻonoʻo i kēia ʻano: ma kahi o ka hapalua kīʻaha o ke koko e kānana ʻia ma o nā puʻupaʻa i kēlā me kēia minuke.

Penei ke ʻano o kēia kaʻina hana:

• Holo ke koko i nā puʻupaʻa ma o kahi kīʻaha koko nui i kapa ʻia ʻo ke aʻa renal.
• A laila kānana ʻia kēia koko ma o nā kīʻaha koko lahilahi loa i loko o nā puʻupaʻa.
• ʻO ke koko, i kānana ʻia ma kēia ʻano, hoʻi i kāu ʻōnaehana kaʻapuni ma o kekahi kīʻaha koko nui ʻē aʻe i kapa ʻia ʻo ka renal vein.
• Hele ka mimi i hana ʻia ma o nā ʻōpū ʻiʻo i kapa ʻia ʻo ureters i ka ʻōpū mimi. Mālama ka ʻōpū mimi i ka mimi a hiki i kou mimi ʻana.

ʻO nā mea ʻē aʻe e hana ʻia me nā puʻupaʻa:

• Hoʻokele ia i ke kaulike acid-base (pH balance) o kou koko.
• Inā ʻaʻole lawa ke kō i loko o ke koko, hana ʻia ke kō (glucose).
• Hoʻopuka ia i kahi protein i kapa ʻia ʻo renin, kahi e hoʻonui ai i ke koko.
• Hoʻopuka ia i ʻelua mau hormones i kapa ʻia ʻo calcitriol a me erythropoietin. ʻO Calcitriol kahi ʻano o ka wikamina D e kōkua ana i ke kino e omo i ka calcium. Kōkua ʻo Erythropoietin i ke kino e hana i nā hunaola koko ʻulaʻula.

Ma luna o kēlā me kēia puʻupaʻa he kelepa adrenal. Hoʻopuka kēia i nā hormones e like me cortisol. He hormone ʻo Cortisol e kōkua i kou kino e pane i ke kaumaha.

Hoʻokomo pū ʻo Cortisol i loko o:

• Hoʻomalu i ka metabolism.
• Hoʻemi i ka mumū.
• Hoʻoponopono i ke kaomi koko.
• Hoʻonui i nā pae kō koko.

Pehea e kānana ai koʻu mau puʻupaʻa i ke koko?

Loaʻa i kēlā me kēia puʻupaʻa ma mua o hoʻokahi miliona mau ʻāpana kānana i kapa ʻia he nephrons. Hana ʻia kahi nephron me kēia mau ʻāpana:

• Nā Glomeruli : He mau ʻano hana kēia i hana ʻia me nā kīʻaha koko lahilahi he nui. Ma ʻaneʻi ke kahua mua o ka kānana koko. A laila hoʻouna ʻia ka mea i kānana ʻia i nā tubules renal. Ua kapa ʻia kēia kaʻina hana he kānana glomerular.
• Nā ʻōpū o ka puʻupaʻa : Hoʻopili hou kēia mau ʻōpū liʻiliʻi i ka wai, nā meaʻai, a me nā minelala e like me ka sodium a me ka potassium. Hoʻoneʻe ʻia nā waikawa keu a me nā huahana ʻōpala, me ka wai, e kahi hana i kapa ʻia ʻo diffusion. Hoʻouna ʻia nā huahana ʻōpala i koe ma o nā ducts hōʻiliʻili o nā puʻupaʻa a hoʻokuʻu ʻia mai ke kino ma ke ʻano he mimi.

Hiki ke ola me hoʻokahi puʻupaʻa?

ʻAe, hiki iā ʻoe ke ola me hoʻokahi wale nō puʻupaʻa . I kekahi manawa, wehe nā kauka i hoʻokahi puʻupaʻa i kahi ʻoki kino "radical nephrectomy" no nā kūlana e like me ke kanesa.

Hiki i kēia mau mea ke hoʻoikaika i kekahi e loaʻa hoʻokahi wale nō puʻupaʻa:

• ʻO ka wehe ʻia ʻana o kekahi puʻupaʻa ma muli o ke kanesa a i ʻole ka ʻeha.
• Ke hāʻawi ʻana i kahi puʻupaʻa i kekahi kanaka no ka hoʻoili puʻupaʻa.
• ʻO ka agenesis Renal ka loaʻa ʻana o hoʻokahi wale nō puʻupaʻa i ka wā hānau.
• Hānau ʻia me ʻelua mau puʻupaʻa, hoʻokahi wale nō i hana pono (kidney dysplasia).

Aia i hea kou mau puʻupaʻa?

Aia kou mau puʻupaʻa ma lalo o kou iwi ʻaoʻao, ma hope o kou ʻōpū . Aia lākou ma nā ʻaoʻao ʻelua o kou kua. Aia lākou ma waena o kou mau ʻōpū a me ka diaphragm. Hoʻopili ʻia kēlā me kēia puʻupaʻa i kou ʻōpū mimi e kahi ureter.

He aha nā ʻāpana nui o ka puʻupaʻa?

He ʻōkana paʻakikī loa kou mau puʻupaʻa a he nui nā ʻāpana. Eia kekahi o nā ʻāpana nui o ke kino o ka puʻupaʻa:

• ʻO ke kāpule puʻupaʻa : He ʻiʻo hoʻohui kēia a i ʻole ka ʻiʻo momona e uhi ana i nā puʻupaʻa. Mālama ia i nā puʻupaʻa mai ka ʻeha, hoʻonui i ko lākou kūpaʻa, a hoʻopili iā lākou i nā ʻiʻo a puni.
• ʻO ke aʻa renal : ʻO kēia ke kīʻaha koko nui e kaohi ana i ke kahe o ke koko i nā puʻupaʻa. I ka wā hoʻomaha, ʻoi aku ka nui o nā puʻupaʻa o ka poʻe ma mua o 5 mau kīʻaha (1.2 lita) o ke koko i kēlā me kēia minuke.
• ʻO ke kino o ka puʻupaʻaʻO kēia ka papa waho loa o ka puʻupaʻa. Hoʻomaka nā nephrons (nā ʻāpana kānana koko) ma aneʻi. Hoʻopuka pū ka cortex renal i kahi hormone i kapa ʻia ʻo erythropoietin (EPO). Kōkua kēia i ka iwi iwi e hana i nā hunaola koko ʻulaʻula.
• ʻO ka medulla Renal : ʻO kēia ka ʻāpana o loko o ka puʻupaʻa. Aia i loko ka hapa nui o nā nephrons, me nā glomeruli a me nā renal tubules. Lawe nā renal tubules i ka mimi i kahi i kapa ʻia ʻo ka renal pelvis.
• ʻO ka papilla renal : Hoʻouna kēia mau ʻano pyramid i ka mimi i loko o nā ureters. ʻO ka maloʻo a me kekahi mau lāʻau lapaʻau, ʻoiai nā lāʻau anti-inflammatory nonsteroidal (NSAID), hiki ke hōʻino i kēia mau papilla renal.
• ʻO ke pelvis Renal : Hōʻiliʻili kēia ʻano funnel i ka mimi a hoʻouna i lalo i nā ureters. Hele ka mimi ma o nā ureters i ka ʻōpū mimi, kahi e mālama ʻia ai.
• ʻAʻa koko renal : ʻO kēia aʻa koko ke kīʻaha koko nui e lawe ana i ke koko i kānana ʻia mai nā puʻupaʻa i ka puʻuwai. Loaʻa i kēlā me kēia puʻupaʻa kahi aʻa koko renal.

E aʻo iki kākou e pili ana i ke kala, ka nui, a me ke kaumaha o nā puʻupaʻa.

He ʻulaʻula-ʻeleʻele ke kala o kou mau puʻupaʻa. ʻO ka lōʻihi o kēlā me kēia puʻupaʻa ma kahi o 4 a 5 ʻīniha, e like me ka nui o kahi lima i ʻūmiʻi ʻia .

ʻOkoʻa ke kaumaha o kēlā me kēia puʻupaʻa mai kēlā kanaka a kēia kanaka. Hiki ke ʻokoʻa kēia ma muli o nā mea e like me kou kiʻekiʻe, ke kaumaha, ka makahiki, ka helu nui o ke kino (BMI), a me kou wahi e noho ai.

• Inā he kāne ʻoe, hiki i ke kaumaha o ka puʻupaʻa ʻākau ke kaupaona mai 79 grams (ma kahi o 1/5 paona) a i 223 grams (ʻoi iki aʻe ma mua o 1/2 paona). Hiki i ke kaumaha o ka puʻupaʻa hema ke kaupaona mai 74 grams (ma lalo iki aʻe o 1/5 paona) a i 235 grams (ʻoi iki aʻe ma mua o 1/2 paona).
• Inā he wahine ʻoe, hiki i ke kaumaha o ka puʻupaʻa ʻākau ke kaupaona mai 55 grams (ʻoi iki aʻe ma mua o 1/10 paona) a i 274 grams (ma kahi o 3/5 paona). Hiki i ke kaumaha o ka puʻupaʻa hema ke kaupaona mai 67 grams (ma kahi o 3/20 paona) a i 261 grams (ma lalo iki o 3/5 paona).

He aha nā kumu o ka hōʻino ʻana o nā puʻupaʻa?

Hana kou mau puʻupaʻa i kahi hana koʻikoʻi loa i loko o kou kino. No laila, hiki iā lākou ke hoʻopilikia ʻia e nā ʻano maʻi like ʻole. Eia kekahi mau kūlana maʻamau e hoʻopilikia ai i nā puʻupaʻa:

• Maʻi puʻupaʻa mau loa (CKD) : Hiki i kēia kūlana ke hoʻōki i ka hana pono ʻana o nā puʻupaʻa. ʻO ka maʻamau, ʻo CKD ka maʻi diabetes a i ʻole ke koko kiʻekiʻe.
• Ka maʻi ʻaʻai puʻupaʻa : ʻO ka renal cell carcinoma ke ʻano maʻamau o ka maʻi ʻaʻai puʻupaʻa.
• Ka hāʻule ʻana o ka puʻupaʻa / ka hāʻule ʻana o ka puʻupaʻaHiki ke hiki koke mai ka hāʻule ʻana o nā puʻupaʻa (ʻoi) a i ʻole he emi lōʻihi o ka hana o nā puʻupaʻa (mau). ʻO ka maʻi puʻupaʻa hope loa ka wā e pau loa ai ka hana ʻana o nā puʻupaʻa. ʻO kēia ka manawa e pono ai ka dialysis (kahi lāʻau e kānana ai i ke koko ma kahi o nā puʻupaʻa).
• ʻO ka maʻi puʻupaʻa (pyelonephritis) : Hiki ke loaʻa nā maʻi puʻupaʻa ke hele ka bacteria i luna o ke ala mimi a komo i loko o nā puʻupaʻa. Hoʻoulu kēia mau maʻi i nā hōʻailona koke. Hoʻōla nā kauka iā lākou me nā antibiotics.
• Nā pōhaku puʻupaʻa : ʻO nā pōhaku puʻupaʻa he mau kristal e hana ʻia i loko o ka mimi a hiki ke ālai i ke kahe ʻana o ka mimi. I kekahi manawa hele wale kēia mau pōhaku. A i ʻole, hiki i nā kauka ke mālama iā lākou ma ka wāwahi ʻana iā lākou a i ʻole ka wehe ʻana iā lākou.
• Nā cysts puʻupaʻa : He mau ʻeke piha wai kēia e hana ʻia ana i loko o nā puʻupaʻa. Hiki i kēia mau cysts ke hōʻino i nā puʻupaʻa. Hiki i nā kauka ke wehe iā lākou.
• ʻO ka maʻi puʻupaʻa Polycystic (PKD) : ʻO kēia kūlana ke kumu o ka nui o nā cysts e hana ʻia i loko o nā puʻupaʻa. He kūlana genetic ka PKD. Hiki iā ia ke hana i ke koko kiʻekiʻe a me ka hāʻule ʻana o nā puʻupaʻa. Pono ka poʻe me PKD i ka nānā mau ʻana o ke kauka.

Ma waho aʻe o kēia, hiki i nā maʻi ʻē aʻe he nui ke hoʻopilikia i nā puʻupaʻa. ʻO kekahi o lākou:

• Acidosis : Hōʻiliʻili ka waikawa keu i loko o nā puʻupaʻa, hiki ke hoʻopilikia i nā pilikia olakino a hiki ke hoʻoweliweli i ke ola.
• ʻO ka nephritis koʻikoʻi a i ʻole interstitial : Ma hope o ka hoʻopili ʻia ʻana i kekahi mau lāʻau antibiotic, hiki i nā puʻupaʻa ke mumū a hāʻule hope.
• ʻAzotemia : Hōʻiliʻili nā ʻōpala naikokene i loko o nā puʻupaʻa. Inā ʻaʻole mālama ʻia, hiki ke make.
• Caliectasis : ʻO ka wai nui ke kumu o ka pehu ʻana o nā calyces (kahi e hoʻomaka ai ka mimi e hōʻiliʻili). Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka hāʻule ʻana o nā puʻupaʻa.
• ʻO ka nephropathy e pili ana i ka maʻi diabetes a i ʻole ka nephropathy hypertensive : Hana ʻia ka hōʻino ʻana o nā puʻupaʻa ma muli o ka maʻi diabetes i kāohi ʻole ʻia a i ʻole ke koko kiʻekiʻe no ka manawa lōʻihi.
• Nā maʻi glomerular : Hoʻoulu kēia mau maʻi i ka mumū a i ʻole ka hōʻino ʻana i ka glomeruli, hiki ke alakaʻi i ka hāʻule ʻana o ka puʻupaʻa.
• ʻO ka maʻi loli liʻiliʻi a me ka maʻi nephrotic : Hoʻopuka kēia mau kūlana i ka protein keu mai nā puʻupaʻa i loko o ka mimi.
• ʻO ka necrosis papillaryMake nā ʻāpana o ka ʻiʻo puʻupaʻa i loko o ka medulla a me ka papilla. Hiki i kēia ʻiʻo ke wāwahi a ālai i nā puʻupaʻa, e hana ana i ka hāʻule ʻana o ka puʻupaʻa.
• Proteinuria : ʻO ke ʻano kēia he kiʻekiʻe nā pae o ka protein i loko o kou mau puʻupaʻa. Hiki i kēia ke lilo i hōʻailona o ka hōʻino ʻia ʻana o nā puʻupaʻa.
• Pyelonephritis : He maʻi puʻupaʻa koke kēia e hoʻoulu ai i ka pehu (edema) i loko o nā puʻupaʻa. Hiki ke hoʻoweliweli i ke ola.
• ʻUremia : Hōʻiliʻili nā mea ʻawahia i hoʻokuʻu ʻia i loko o ke koko i loko o ka mimi. Inā ʻaʻole mālama ʻia, hiki ke make.

He aha nā hōʻailona mua o nā pilikia o ka puʻupaʻa?

ʻAʻole hōʻike ka nui o nā pilikia puʻupaʻa i kekahi mau hōʻailona nui i nā pae mua. I ka holomua ʻana o ka hōʻino ʻana o ka puʻupaʻa, e ʻike paha ʻoe i nā mea e like me:

• ʻUala ʻeha : Lilo nā ʻiʻo i mea paʻakikī ma muli o ke kaulike ʻole o nā electrolyte.
• Mimi ʻeleʻele a mimi koko paha : Ke hōʻino ʻia nā kānana i loko o nā puʻupaʻa, e kahe nā hunaola koko i loko o ka mimi.
• Mimi huʻa : Inā he mau pehu i loko o ka mimi, he hōʻailona paha ia o ka nui o ka protein.
• ʻIli maneʻo a maloʻo : Lilo ka ʻili i maneʻo ma muli o ke kaulike ʻole o nā minelala a me nā meaʻai i loko o ke koko.
• Ka mimi pinepine ʻana : Pono paha ʻoe e mimi pinepine ma muli o nā pilikia me ka kānana ʻana i nā ʻōpala.
• ʻO ka pehu ʻana a puni nā maka a i ʻole ka pehu ʻana ma nā kuʻekuʻe wāwae a me nā wāwae : Ke emi ka hana o nā puʻupaʻa, hiki i ke kino ke mālama i ka protein a me ka sodium, kahi e hoʻoulu ai i ka pehu.
• ʻO ka hiamoe ʻole, ka luhi, a me ka nalowale o ka makemake : Inā hōʻiliʻili nā mea ʻawahia i loko o ke koko, e loli paha kou hiamoe, makemake, a me ka pae ikehu.

He aha nā hoʻokolohua maʻamau e hana ʻia e nānā i ke olakino o koʻu mau puʻupaʻa?

Hoʻohana nā kauka i kekahi mau hoʻokolohua e ana i ka hana o nā puʻupaʻa a ʻike i nā pilikia o nā puʻupaʻa. Hiki i kāu kauka ke paipai i nā hoʻokolohua e like me kēia:

• Kiʻi kiʻi holomua : Hiki i nā kukuna X, nā scan CT, MRI, ultrasounds, a i ʻole nā ​​kiʻi lāʻau lapaʻau nukelea ke hōʻike i nā mea ʻē aʻe a i ʻole nā ​​​​​​mea ālai ʻia i loko o nā puʻupaʻa.
• Nā hoʻāʻo koko : Hōʻike nā hoʻāʻo koko i ka maikaʻi o ke kānana ʻana o kāu glomeruli i ke koko.
• ʻO ka biopsy puʻupaʻa : I loko o ka biopsy puʻupaʻa, lawe ke kauka i kahi ʻāpana liʻiliʻi o kou ʻiʻo puʻupaʻa a nānā iā ia ma lalo o kahi microscope.
• Ureteroscopy : Hoʻokomo ke kauka i kahi paipu (endoscope) ma o kou urethra i loko o kou ʻōpū mimi a me nā ureters e nānā i nā mea ʻē.
• Ka nānā ʻana i ka mimiHoʻopili ka urinalysis i kāu mimi. Ana ia i nā mea kikoʻī, e like me ka protein a i ʻole ke koko.

Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu mau puʻupaʻa?

He mea nui e hana i nā hoʻokolohua lapaʻau maʻamau a me nā hoʻāʻo koko a me ka mimi e nānā i ke olakino o kou mau puʻupaʻa. Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia o ka loaʻa ʻana o nā pilikia puʻupaʻa:

• E ho'ōki a hō'alo paha i ka puhipaka a me ka ho'ohana 'ana i nā huahana paka (hiki i kāu kauka ke kōkua iā 'oe e 'imi i nā ala e ha'alele ai).
• E hōʻemi i ka hoʻohana nui ʻana i ka paʻakai , no ka mea, hiki i kēia ke hoʻopilikia i ke kaulike mineral i loko o ke koko.
• E inu i ka wai he nui .
• E hoʻonui i ka hoʻoikaika kino i kēlā me kēia lā , hiki i kēia ke hoʻemi i ke koko kiʻekiʻe.
• E kaupalena i ka hoʻohana ʻana i nā lāʻau anti-inflammatory non-steroidal (NSAIDs) , no ka mea, ʻo ka lawe nui ʻana i kēia mau mea hiki ke hōʻino i nā puʻupaʻa.
• E mālama i ke kaumaha olakino .
• E nānā i kou pae koko .
• Inā loaʻa iā ʻoe ka maʻi diabetes, e mālama pono i kou pae kō koko .

He mea maikaʻi anei ka inu ʻana i ka wai he nui no nā puʻupaʻa?

ʻAe, he mea maikaʻi loa ka inu ʻana i ka wai lawa no kou mau puʻupaʻa . Kōkua ka wai i kou mau puʻupaʻa e hoʻokuke aku i nā mea ʻawahia a me nā huahana ʻōpala ma o ka mimi. Kōkua nō hoʻi ia i ka mālama ʻana i kou mau kīʻaha koko i ke olakino, kahi e hiki ai i kou koko ke lawe maʻalahi i nā meaʻai i kou mau puʻupaʻa.

Eia kekahi, he manaʻo maikaʻi ka inu ʻana i ka nui o ka wai e pale aku ai i nā pōhaku puʻupaʻa a me nā maʻi ʻaʻai mimi (UTI). Ke lawa ka wai o kou mau puʻupaʻa, ʻaʻole nui ka loaʻa ʻana o nā pōhaku puʻupaʻa. Ke inu ʻoe i ka nui o ka wai, ʻaʻole nui ka loaʻa ʻana o nā UTI no ka mea ʻoi aku kou mimi pinepine ʻana. ʻO kēia no ka mea ke mimi ʻoe, ua holoi ʻia nā bacteria e hoʻoulu ai i nā UTI.

"Ma keʻano laulā, hiki iā ʻoe ke ʻike inā ʻoe e inu ana i ka wai lawa ma ke kala o kou mimi. Inā ʻoe e inu ana i ka wai lawa, pono e melemele māmā a moakaka paha kou mimi. Inā maloʻo ʻoe, e melemele ʻeleʻele kou mimi."

ʻEhia ka wai e pono ai iaʻu e inu e mālama i ke olakino o koʻu mau puʻupaʻa?

I ka awelika, pono nā kāne e inu ma kahi o 13 kīʻaha (3 lita) o ka wai i ka lā. Pono nā wāhine e inu ma kahi o 9 kīʻaha (ʻoi aku ma mua o 2 lita) o ka wai i ka lā.

Hiki ke inu nui i ka wai? He aha ka hopena inā ʻoe e hana pēlā?

ʻAe, hiki ke inu nui i ka wai. Inā ʻoe e hana pēlā, hiki iā ʻoe ke loaʻa i kahi maʻi i kapa ʻia ʻo ka ʻona wai a i ʻole hyponatremia (polydipsia mua). Inā ʻaʻole mālama ʻia, hiki i kēia mau maʻi ke alakaʻi i nā hopu ʻana, ka coma, ke kūlana noʻonoʻo i hoʻololi ʻia, a me ka make.

He ʻeha puʻupaʻa kēia a he ʻeha kua paha? Pehea ʻoe i ʻike ai?

Huikau ka poʻe ma waena o ka ʻeha o nā puʻupaʻa a me ka ʻeha o ke kua no ka mea ua like ke kani ʻana. ʻAe, e nānā kākou pehea e hoʻomaopopo ai i kēia.

ʻO ka maʻamau, ʻeha ke kua ma kou ʻaoʻao haʻahaʻa.

ʻIke ʻia ka ʻeha o nā puʻupaʻa i loko o ke kino, ma ke kua o luna . E ʻike pinepine ʻoe i ka ʻeha ma kēlā ʻaoʻao kēia ʻaoʻao, ma ka ʻaoʻao waena a i luna o ke kua (pinepine ma lalo o nā iwi ʻaoʻao, ma ka ʻaoʻao ʻākau a hema paha o ke kua). Hiki ke laha aku kēia ʻeha i nā wahi ʻē aʻe, e like me ka ʻōpū a i ʻole ka ʻāpana groin.

ʻO ka ʻeha o nā puʻupaʻa ke kumu o ka pehu ʻana a i ʻole ka paʻa ʻana o nā puʻupaʻa a i ʻole ke ala mimi. ʻO nā hōʻailona e komo pū me ke kuni, ka nausea, ka luaʻi ʻana, a me ka ʻeha i ka wā e mimi ai.

Āhea wau e kamaʻilio ai me ke kauka e pili ana i koʻu mau puʻupaʻa?

Hiki i nā maʻi puʻupaʻa ke hana i nā hōʻailona like ʻole. Inā ʻaʻole hana pono kou mau puʻupaʻa, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:

• Nā loli i ka mimi a i ʻole nā ​​​​​​hana mimi (e like me ka hele pinepine ʻana i ka lua).
• Ka huikau a paʻakikī paha i ka noʻonoʻo ʻana.
• ʻIli maloʻo a ʻānai paha.
• Luhi nui.
• Ke koko kiʻekiʻe (hypertension).
• Nā ʻūlū ʻiʻo.
• Ka nalowale ʻana o ka makemake a i ʻole kahi ʻono metala i ka meaʻai.
• ʻEha ka ʻōpū a i ʻole ka luaʻi ʻana.
• Ka pehu ʻana, ʻoi aku hoʻi a puni nā lima a i ʻole nā ​​​​kuʻekuʻe wāwae.

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e nānā pinepine i kāu hana puʻupaʻa:

• Inā he moʻolelo maʻi puʻupaʻa ko kekahi o ka ʻohana.
• Ka maʻi diabetes.
• Maʻi puʻuwai.
• Ke koko kiʻekiʻe.
• Ka momona a i ʻole ke kaumaha nui.
• Inā ʻoe e hoʻohana mau i kekahi mau lāʻau lapaʻau, e like me ka lāʻau lapaʻau koko.

No laila, ka leka lawe home hope loa:

No laila, i kēia manawa ua ʻike ʻoe he ʻelua mau ʻōkana liʻiliʻi akā koʻikoʻi nā puʻupaʻa i loko o ko kākou kino. Mai ka hoʻomaʻemaʻe ʻana i ke koko, a hiki i ke kaulike ʻana i nā pae wai o ke kino, nā paʻakai mineral, a me ka hana ʻana o nā hormone, kōkua kēia mau puʻupaʻa ʻelua i nā mea nui he nui.

No laila, he mea nui loa ia e mālama i kou mau puʻupaʻa i ke olakino . Hiki iā ʻoe ke mālama i kou mau puʻupaʻa ma ka hana ʻana i nā mea maʻalahi e like me ka inu ʻana i ka wai he nui, ka hōʻemi ʻana i ka ʻai ʻana i ka paʻakai, ka hoʻoikaika kino, a me ka pale ʻana i ka puhipaka.

Inā ʻoe e pilikia ana i ka loaʻa ʻana o ka maʻi puʻupaʻa, a inā paha he mau hōʻailona kāu i ʻōlelo ʻia ma luna, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka me ka hilahila ʻole a me ka makaʻu ʻole . E hoʻomanaʻo, hiki i ka ʻike mua ʻana ke ho'ōla i nā maʻi he nui!

"E like me kou mālama ʻana i kou mau puʻupaʻa iā ʻoe i kou ola a pau, pono ʻoe e mālama iā lākou me ke aloha!"

ʻO nā puʻupaʻa, nā maʻi puʻupaʻa, nā puʻupaʻa olakino, ʻōnaehana mimi, hoʻomaʻemaʻe koko, hana puʻupaʻa, olakino puʻupaʻa