Ua ʻike anei ʻoe e pili ana i nā kīʻaha koko liʻiliʻi i loko o kou mau puʻupaʻa? (Peritubular Capillaries) E kamaʻilio kākou e pili ana i kēia!

Aloha! I kēia lā, e kamaʻilio ana mākou e pili ana i kahi ʻāpana kupaianaha a koʻikoʻi loa o ko mākou kino. ʻO ia kahi pūnaewele o nā kīʻaha koko liʻiliʻi i loko o ko mākou mau puʻupaʻa. Kāhea mākou i kēia mau capillaries peritubular . ʻOiai he paʻakikī iki ka inoa, he nui loa ka hana a kēia mau mea e hana ai, e like me nā kauwā leo ʻole o ko mākou kino.

He aha kēia mau capillaries peritubular? He aha kā lākou hana?

I ka ʻōlelo maʻalahi, ʻo kēia mau "(Peritubular Capillaries)" he ʻōnaehana o nā kīʻaha koko lahilahi loa, ʻaʻole i mānoanoa e like me ka lauoho i loko o kou mau puʻupaʻa. ʻO ka huaʻōlelo "peritubular" ʻo ia hoʻi "a puni nā kahawai liʻiliʻi." No laila, aia kēia mau aa koko a puni kahi ʻōnaehana o nā kahawai liʻiliʻi i loko o nā puʻupaʻa. E noʻonoʻo iā lākou e like me nā kumu waina i ʻōwili ʻia a puni kēia mau kahawai.

I kēia manawa, e nānā kākou i nā hana nui a kēia mau hoaaloha liʻiliʻi:

1. Ka hoʻopau ʻana i nā ʻōpala: ʻO kekahi o kā lākou hana nui, ʻo ia ke kōkua i kā mākou ʻōnaehana mimi a hoʻopau i nā ʻōpala i makemake ʻole ʻia mai ke kino. ʻO kēia ʻōpala ka mea e puka mai i waho ke mimi ʻoe (mimi).

• Urea: He huahana ʻōpala nitrogenous kēia i hana ʻia ke wāwahi ko mākou kino i nā protein.
• Creatinine: He huahana ʻōpala kēia e puka mai ana mai ko kākou mau ʻiʻo.
• Nā ʻakika: Hoʻoneʻe ʻia nā ʻakika keu e hōʻiliʻili ana i loko o ke kino ma o kēia kaʻina hana.

Kōkua kēia mau "Peritubular Capillaries" i ka lawe ʻana i kēia mau huahana ʻōpala a me ka wai keu mai ke kino ma o nā ʻāpana kānana "Nephrons" i loko o nā puʻupaʻa.

2. Ka hoʻihoʻi hou ʻana i nā meaola: ʻO kēia mau "Peritubular Capillaries" nā mea e hoʻopili ai i nā meaola e pono ai ko kākou kino a pono e hana hou i loko o ke koko. E noʻonoʻo e like me ka lawe ʻana i nā mea waiwai i loko ma kahi o ka hoʻolei ʻana iā lākou me ka ʻōpala.

• Nā waikawa amino
• Nā minelala
• Ke kō koko (glucose)

3. Ka hoʻolako ʻana i ke koko a me ka oxygen: ʻO kekahi hana koʻikoʻi o kēia mau '(Peritubular Capillaries)' ʻo ia ka hoʻolako ʻana i ke koko a me ka oxygen i nā ʻāpana i loko o ka ʻōnaehana tubular o nā puʻupaʻa.

ʻAuhea pololei kēia mau `(Peritubular Capillaries)`?

I kēia manawa, e nānā kākou i kahi o kēia mau mea. Ua ʻike anei ʻoe, ma kekahi o ko kākou mau puʻupaʻa, aia ma kahi o hoʻokahi miliona mau ʻāpana i kapa ʻia he nephrons . Ua like ka nephron me kahi ʻāpana kānana liʻiliʻi i loko o ka puʻupaʻa. Ua like ia me kahi kānana wai i loko o ko kākou hale, akā ʻoi aku ka paʻakikī.

Loaʻa i kēlā me kēia nephron kahi glomerulus (inā he nui kēia mau mea, ua kapa ʻia lākou he glomeruli) e kānana ana i ke koko, a me kahi ʻōnaehana o nā kahawai e hoʻihoʻi hou i nā mea i kānana ʻia i loko o ke kino. A puni kēlā mau kahawai he pūnaewele o nā capillaries peritubular. Ua like ia me nā alanui o ke kūlanakauhale i hoʻopiha ʻia me nā hale kūʻai.

Pehea ke ʻano o kēia mau "(Peritubular Capillaries)"?

He ʻuʻuku loa kēia mau "(Peritubular Capillaries)" ʻaʻole hiki iā mākou ke ʻike iā lākou me ko mākou mau maka. Pono mākou e nānā iā lākou me kahi "(microscope) . He ʻano kīʻaha koko kūikawā loa kēia. Ua kapa ʻia kēia mau mea he mau kīʻaha koko "(fenestrated)" . ʻO ia hoʻi, he mau lua liʻiliʻi loa "(pores) " ko kēia mau paia kīʻaha koko e like me ke kānana.

ʻO kēia mau lua ka mea e ʻae ai i nā wai, nā minelala, a me nā huahana ʻōpala e neʻe maʻalahi ma waena o kēia mau aa koko a me nā ʻiʻo a puni. He membrane lahilahi ko kēlā me kēia lua. Wehe a pani ia, e ʻae ana i nā ʻāpana nui e hele ma waena. ʻAʻole anei he hoʻolālā kupaianaha kēia?

Pehea e loaʻa ai ke koko i nā capillaries peritubular?

I kēia manawa, e nānā kākou pehea e komo ai ke koko i loko o kēia mau '(Peritubular Capillaries)' a pehea e puka hou ai. Hana ʻia kēia ma ke ʻano hoʻonohonoho pono loa, e like me kahi ʻōnaehana kaʻa i hoʻolālā maikaʻi ʻia:

1. ʻO ka mua, hele mai ke koko i nā puʻupaʻa ma o nā kīʻaha koko nui i kapa ʻia ʻo nā aʻa renal .

2. Māhele kēia mau aʻa nui i nā kīʻaha koko liʻiliʻi i kapa ʻia ʻo afferent arterioles . ʻO kēia nā mea e lawe i ke koko i nā nephrons.

3. A laila, kānana ʻia ke koko e ka glomerulus i loko o ka nephron.

4. Hele ke koko i kānana ʻia ma o kekahi moʻo o nā aʻa koko maikaʻi i kapa ʻia ʻo 'Efferent arterioles' ma mua o ke komo ʻana i kā mākou protagonist, ʻo ia hoʻi nā 'Peritubular Capillaries'.

5. Haʻalele ke koko i nā capillaries peritubular, hele mālie ma waena o nā aa koko nui, a puka hope loa i waho o ka puʻupaʻa ma o ke aa koko renal nui .

ʻOiai paha he mea paʻakikī loa ia, he hana ʻōnaehana a kupaianaha loa kēia, ʻeā?

He aha nā maʻi a me nā kūlana maʻamau e hoʻopilikia ai i nā `(Peritubular Capillaries)`?

ʻĀ, he aha ke ʻano o nā maʻi e hiki ke hōʻino i nā "Peritubular Capillaries" e hana ana i kahi hana koʻikoʻi? ʻO ka mea kaumaha, hiki i kēia mau aa liʻiliʻi ke loaʻa nā pilikia.

Hiki i kekahi mau kūlana olakino, nā maʻi, ʻoiai ka mumū a me ka ʻeha, ke hōʻino i kēia mau aa palupalu. Ke hana ʻia kēia hōʻino, emi ka nui o kēia mau aa. Ua kapa ʻia kēia he peritubular capillary rarefaction . I ka ʻōlelo maʻalahi, emi ka helu o nā aa a lilo kā lākou hana i mea ʻino.

ʻO kēia mau '(Peritubular Capillaries)' i hōʻino ʻia he haʻahaʻa loa ka hiki ke hoʻōla. No laila, ʻo kēia kūlana '(Peritubular capillary rarefaction)' he mea nui ia i ka ulu ʻana o nā maʻi koʻikoʻi e like me ka Chronic Kidney Disease (CKD)' a me ke koko kiʻekiʻe '(Hypertension ). He mau maʻi maʻamau loa kēia. Inā ʻaʻole mālama ʻia, hiki i ka maʻi puʻupaʻa ke holomua i ka hāʻule ʻana o ka puʻupaʻa . No laila, he mea nui loa ka makaʻala i kēia.

ʻO nā kumu ʻē aʻe e hiki ai ke hoʻoulu a hele pū paha me nā maʻi puʻupaʻa:

• nā maʻi glomerular, no ka laʻana, Glomerulonephritis.
• Maʻi puʻupaʻa.
• Ka pale ʻana o ka ureter.

He aha nā ʻano maʻamau o nā kūlana e pili ana me `(Peritubular Capillaries)`?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, inā he hewa kekahi mea me kēia mau '(Peritubular Capillaries)', he aha nā hōʻailona e hiki ai iā mākou ke ʻike e pili ana i ia mea. I kekahi manawa hiki ke loaʻa kēia mau kūlana me ka ʻole o nā hōʻailona . ʻO ia ka mea weliweli loa. Eia naʻe, inā ʻike ʻia nā hōʻailona, ​​​​hiki iā ʻoe ke ʻike i nā mea e like me kēia:

• ʻEha ʻaoʻao.
• Kuni.
• Ka luaʻi a me ka luaʻi.
• Manaʻo luhi loa a me ka paupauaho ʻole `(Fatigue)`.
• He loli i kāu mau ʻano mimi. ʻO ke ʻano kēia:
• ʻO ka mimi pinepine ʻana ka pono e mimi pinepine.
• Paʻakikī i ka mimi ʻana.
• Ke koko i loko o ka mimi (hematuria) .
• A i ʻole ka ʻeha i ka wā e mimi ai (dysuria) .
• He ao ke ʻano o ka mimi.
• ʻO ka pehu ʻana (edema) , ʻoiai ma nā wāwae a me nā kuʻekuʻe wāwae.
• Nā maʻi ʻōpū mimi hou (UTIs).

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

He aha nā hoʻokolohua maʻamau e nānā ai i ke olakino o nā `(Peritubular Capillaries)`?

Inā kānalua kāu kauka he pilikia me kēia mau "Peritubular Capillaries", hiki iā ia ke paipai i kekahi mau hoʻokolohua, e like me:

Nā hoʻokolohua hana puʻupaʻa

Hiki i kēia ke komo pū me:

• He hoʻāʻo mimi (urinalysis) .
• Nā hoʻāʻo koko. Eia kekahi laʻana:
• ʻO ka hoʻāʻo 'Blood Urea Natrogen' (BUN) .
• 'Hoʻāʻo hoʻomaʻemaʻe Creatinine' (`(Hoʻāʻo hoʻomaʻemaʻe Creatinine)`) .
• Nā hoʻokolohua e ana i ka 'estimated Glomerular Filtration Rate' (eGFR) .

Nā hoʻokolohua kiʻi

He mau hoʻokolohua ʻeha ʻole kēia e hiki ai iā ʻoe ke ʻike i loko o ke kino:

• ʻO ke kiʻi CT (`(CT scan - ʻO ke kiʻi Computed Tomography scan)`) .
• Hoʻāʻo MRI (Magnetic Resonance Imaging) .
• Hoʻāʻo ultrasound puʻupaʻa (`(Ultrasound Puʻupaʻa (renal))`) .

Hiki i kēia mau hoʻokolohua ke hāʻawi i kahi manaʻo maikaʻi o ke kūlana o nā puʻupaʻa.

Pehea lā e mālama ai i ke olakino o kēia mau `(Peritubular Capillaries)`?

ʻAe, pehea lā e mālama ai i kēia mau "Peritubular Capillaries" liʻiliʻi akā koʻikoʻi loa i ke olakino? ʻO ka nūhou maikaʻi, aia nā mea hiki iā mākou ke hana.

I kekahi manawa he mea paʻakikī ke pale aku i ka hōʻino hou ʻana i kēia mau aa koko. Eia nō naʻe, ma ka mālama ʻana i kou olakino holoʻokoʻa , hiki iā ʻoe ke hōʻemi i kou pilikia o nā pilikia puʻupaʻa a me nā maʻi ʻē aʻe. Eia kekahi mau mea hiki iā ʻoe ke hana e kōkua:

• E ʻai i ka meaʻai olakino i kēlā me kēia lā. ʻO nā huaʻai, nā mea kanu, a me ka wai maʻemaʻe nā hoaaloha maikaʻi loa o nā puʻupaʻa. E inu i ka wai nui ke make wai ʻoe.
• Inā loaʻa iā ʻoe nā maʻi mau e like me ka Diabetes Mellitus a me ke Hypertension, e kaohi pono iā lākou a e hahai pololei i nā ʻōlelo a kāu kauka.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• Inā ʻoe e puhipaka, e hoʻōki i kēia lā . ʻO ka puhipaka a me nā huahana paka ʻē aʻe e hōʻino i kou mau kīʻaha koko a hoʻoulu i nā maʻi vascular (vasculopathy) .

ʻO ka mea nui loa e pono ai kākou e lawe i ka home mai kēia moʻolelo!

Ua maopopo paha iā ʻoe i kēia manawa ke koʻikoʻi o kēia mau "Peritubular Capillaries" liʻiliʻi i loko o ko kākou mau puʻupaʻa. He mea nui lākou no ka mālama ʻana i ko kākou kino i ke olakino. Kōkua lākou i ka kānana ʻana i nā huahana ʻōpala mai ke koko a hoʻopili hou i nā meaʻai e pono ai ke kino.

He miliona o kēia mau "Capillaries Peritubular" i loko o kou mau puʻupaʻa. E like me kēia mau kīʻaha koko liʻiliʻi, pono kākou e mālama i ko kākou olakino holoʻokoʻa i mea e hana pono ai nā ʻāpana ʻē aʻe o ko kākou kino.

E hoʻomanaʻo: e inu i ka wai he nui, e ʻai i ka meaʻai momona, e hana i nā nānā lapaʻau maʻamau, a e mālama i ke kaumaha olakino nou. A laila e hana hauʻoli kēia mau hoaaloha liʻiliʻi i kā lākou hana, a e olakino pū ʻoe!

ʻO nā puʻupaʻa, nā capillaries peritubular, nā kīʻaha koko, nā nephrons, nā maʻi puʻupaʻa, ka ʻōnaehana mimi, ke olakino