E aʻo kākou e pili ana i ke kānana liʻiliʻi i loko o kou puʻupaʻa: ʻo Bowman's Capsule.

Ua noʻonoʻo paha ʻoe i ka nui o nā ʻāpana liʻiliʻi o ko kākou kino e hana ana i kahi hana maikaʻi loa? I kēia lā, e kamaʻilio kākou e pili ana i kahi ʻāpana koʻikoʻi like, akā ʻaʻole paha i lohe nui ʻia, o ko kākou mau puʻupaʻa. Ua kapa ʻia ʻo ia ʻo ke Kapule ʻo Bowman. E nānā kākou i ke ʻano o kēia koa liʻiliʻi a me kāna hana.

He aha ke ʻano o ka Bowman's Capsule?

I ka ʻōlelo maʻalahi, ʻo ke kāpule Bowman kahi ʻāpana o kahi nephron i loko o kou puʻupaʻa. ʻAe, he aha ka nephron? ʻO ka nephron ka ʻāpana kānana i loko o kou puʻupaʻa. Ua like ia me nā kānana liʻiliʻi i loko o kā mākou kānana wai ma ka home. E noʻonoʻo wale, aia ma kahi o hoʻokahi miliona nephrons i loko o hoʻokahi puʻupaʻa! ʻElua miliona kēlā ma nā puʻupaʻa ʻelua! ʻAʻole anei he mea kupaianaha? Loaʻa i kēlā me kēia nephron kahi ʻāpana i kapa ʻia he glomerulus. Maanei e hoʻomaka ai ka hana o ke kānana ʻana i nā huahana ʻōpala mai kou koko. ʻO ka glomerulus kahi pōpō liʻiliʻi o nā kīʻaha koko. ʻO ka ʻāpana e hoʻopuni ana i ka glomerulus, ka ʻāpana e uhi ana iā ia, ua kapa ʻia ʻo Bowman's capsule . Ua like ia me kahi uhi pale no ka glomerulus. ʻO ka hakahaka ma waena o nā paia ʻelua o kēia capsule ua kapa ʻia ʻo Bowman's space . Ua kapa ʻia hoʻi kēia Bowman's capsule. No ka laʻana, ua lohe anei ʻoe i nā inoa e like me ka glomerular capsule a me ka Malpighian capsule? ʻO ia ka mea i kapa ʻia ai lākou. Eia kekahi, ua kapa ʻia ʻo Bowman's space he glomerular capsule space.

He aha ka hana a ka Bowman's Capsule?

ʻO ke kāpule Bowman a me ka glomerulus e hui pū ana e hana i ka renal corpuscle. ʻO kēia nā ʻāpana a pau o ka puʻupaʻa. Ua ʻike ʻoe i ka nui o ka hana a nā puʻupaʻa no ko mākou kino. Hoʻomalu lākou i ka pH o ko mākou koko, hoʻoponopono i ke kaomi koko, a mālama i ke kaulike electrolyte i loko o ke kino. Eia kekahi, ma ke ʻano he ʻāpana o ka ʻōnaehana urinary, kuleana nā puʻupaʻa no ka wehe ʻana i nā huahana ʻōpala mai ke kino ma o ka mimi. No laila, ʻo ka hana a kēia kāpule Bowman, ʻo ia ke kōkua i ka glomerulus e kānana i ke koko. Komo nā mole liʻiliʻi i loko o ke koko i ka hakahaka Bowman me ka ʻole o ke keʻakeʻa. Eia naʻe, inā e hana pono ana ke kānana puʻupaʻa, noho nā mea e like me nā cell a me nā protein nui i loko o ke koko a ʻaʻole e puka i waho. A laila hele kēia mau ʻāpana liʻiliʻi ma o nā ʻōmole liʻiliʻi i loko o nā puʻupaʻa. Ma laila, hoʻoholo nā puʻupaʻa i nā ʻāpana e hoʻihoʻi hou i loko o ke koko a me nā mea e hoʻokuʻu i loko o ka mimi. He ʻano hana kupaianaha loa, ʻeā?

Aia i hea ʻo Bowman's Capsule?

Aia ke capsule Bowman ma ka renal cortex, ka papa waho o kou puʻupaʻa. Aia nā puʻupaʻa ma lalo o kou iwi ʻaoʻao, ma hope o kou ʻōpū. ʻElua mau puʻupaʻa maʻamau, hoʻokahi ma kēlā me kēia ʻaoʻao o kou iwi kuamoʻo. Aia lākou ma waena o kou mau ʻōpū a me ka diaphragm. Hoʻopili ʻia kēlā me kēia puʻupaʻa i ka ʻōpū mimi e kahi ʻōmole i kapa ʻia he ureter.

Pehea ke ʻano o ka Bowman's Capsule?

ʻAʻole ʻike maka ʻia ke kāpule o Bowman. Pono ʻoe i kahi microscope e ʻike ai. He liʻiliʻi loa ia. Inā ʻoe e wehewehe i kona ʻano, ua like ia me kahi ʻeke a i ʻole ke kīʻaha. Hana ʻia kēia kāpule i ʻelua papa. 1. Papa waho: Ua kapa ʻia kēia ʻo ka papa parietal. Hana ʻia kēia me kahi ʻano ʻiʻo i kapa ʻia ʻo ka epithelium squamous maʻalahi. 2. Papa o loko: Ua kapa ʻia kēia ʻo ka papa visceral. Hana ʻia kēia me nā cell kūikawā i kapa ʻia ʻo podocytes. ʻO ka mea hoihoi loa, he mau hoʻonui manamana lima kēia mau podocytes (pedicles). Hoʻopili ʻia kēia mau hoʻonui kekahi i kekahi e like me ka lima (interdigitation). No ka mea ua hoʻopili ʻia lākou e like me kēia, hiki i kekahi mau mea ke hele ma o lākou, akā ʻaʻole hiki i kekahi mau mea. Ke olakino ʻoe, ʻaʻole hiki i nā protein a me nā cell ke hele ma o kēia mau mea.

Penei ke ʻano o ka hoʻomaʻemaʻe ʻia ʻana o ke koko a hoʻihoʻi ʻia i ke kino, a hoʻokuʻu ʻia nā huahana ʻōpala mai ke kino aku ma ke ʻano he mimi ma o nā ʻōmole lahilahi (tubules). Kōkua ke koko i loko o ka glomerulus (kaomi hydrostatic koko glomerular) me kēia. I ka wehe ʻia ʻana o ka wai, hoʻihoʻi ʻia ka wai a me nā meaʻai i loko o ke kino.

He aha nā maʻi maʻamau e hoʻopilikia ai i ka Bowman's Capsule?

ʻO nā maʻi e hoʻopilikia i kou mau puʻupaʻa e hoʻopilikia pū i ka capsule Bowman. He mea maʻalahi loa ia i nā maʻi e hoʻopilikia i nā glomeruli e hoʻopuni ana i ka capsule Bowman. Nui nā ʻano maʻi glomerular like ʻole. Hiki ke hana ʻia e nā mea āpau mai nā kumu kaiapuni a i nā kumu genetic.

• Glomerulonephritis: He mumū kēia, a he pehu paha, o ka glomeruli. Hiki ke hana ʻia e nā maʻi autoimmune , nā maʻi genetic , a i ʻole nā ​​maʻi ʻeha.
• Glomerulosclerosis: ʻO kēia ka manawa e paʻakikī ai ka glomeruli a lilo i ʻeha.

Inā ʻaʻole mālama pono ʻia kēia mau maʻi, hiki iā lākou ke alakaʻi i ka hāʻule ʻana o ka puʻupaʻa.ʻO ke kumu nui o ka maʻi glomerular a me ka hāʻule ʻana o ka puʻupaʻa, ʻo ia ka maʻi puʻupaʻa i hoʻokumu ʻia e ka maʻi diabetes, i ʻike ʻia ʻo ka diabetic nephropathy .

He aha nā hōʻailona maʻamau o nā maʻi e hoʻopilikia ana i ka Bowman's Capsule?

ʻO nā hōʻailona o nā maʻi glomerular e komo pū paha:

• Nui loa ka protein i loko o kou mimi (proteinuria) . Hiki i kēia ke hana i ka huʻa o kou mimi.
• Koko i loko o ka mimi (hematuria) . Hiki i kēia ke hana i ka mimi e ʻulaʻula a i ʻole ke kala kola.
• Haʻahaʻa ka pae protein i loko o ke koko (hypoproteinemia) .
• Ka pehu ʻana (edema) o nā ʻāpana o ke kino e like me nā lima a me nā wāwae, a i ʻole ka pupuhi a puni nā maka.

He aha nā hoʻokolohua maʻamau i hana ʻia e nānā i ke olakino o Bowman's Capsule?

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:

• Nā hoʻāʻo koko : Hiki i kēia ke nānā i ka maikaʻi o kāu glomeruli e kānana nei i ke koko.
• Urinalysis: Hiki i kēia ke ana i nā mea e like me ka protein a me ke koko i loko o ka mimi.
• Nā hoʻokolohua kiʻi e like me ka ultrasound: ʻAe kēia i nā kauka e nānā i ka nui a me ke ʻano o kou mau puʻupaʻa.
• Nā hoʻokolohua hana puʻupaʻa : Hōʻike kēia mau hoʻokolohua i ka hana maikaʻi o nā puʻupaʻa.
• ʻO ka biopsy puʻupaʻa: Ma kēia, lawe ke kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupaʻa a nānā iā ia ma lalo o kahi microscope.

He aha nā lāʻau lapaʻau no nā maʻi e hoʻopilikia ai i ka Bowman's Capsule?

ʻAʻohe lāʻau lapaʻau "hoʻokahi-nui-kūpono-āpau" no ka maʻi puʻupaʻa. ʻO ka lāʻau lapaʻau āu e loaʻa ai e pili ana i ke kūlana āu i loaʻa ai a me kona koʻikoʻi. ʻO nā lāʻau lapaʻau no nā maʻi e pili ana i ka capsule Bowman e komo pū me:

• Nā ʻai haʻahaʻa ka paʻakai (Nā ʻai haʻahaʻa i ka sodium ).
• Nā lāʻau lapaʻau e like me nā antibiotics , nā lāʻau hoʻohaʻahaʻa koko, nā immunosuppressants, a me nā steroids .
• Dialysis .
• Hoʻoili puʻupaʻa .

He aha kaʻu e hana ai e mālama i ke olakino o kaʻu Bowman's Capsule?

ʻO ka mālama ʻana i ke olakino o kou mau puʻupaʻa ke kī i ka mālama ʻana i ke olakino o kāu capsule Bowman. He mea nui e nānā i ke olakino o kou mau puʻupaʻa a loaʻa nā nānā lapaʻau maʻamau, nā hoʻāʻo koko, a me nā hoʻāʻo mimi. He mea nui loa kēia inā he koko kiʻekiʻe kou, momona, a/a i ʻole ka maʻi diabetes. Hiki iā ʻoe ke hōʻemi i kou pilikia o nā pilikia puʻupaʻa ma o:

• Ke hōʻalo ʻana a i ʻole ka hoʻōki ʻana i ka puhipaka.
• Ka hōʻemi ʻana i ka nui o ka paʻakai āu e ʻai ai.
• ʻO ka hoʻonui ʻana i kāu hoʻoikaika kino i kēlā me kēia lā e hiki ke kōkua i ka hoʻemi ʻana i ke koko kiʻekiʻe.
• E kaupalena i ka hoʻohana ʻana i nā lāʻau anti-inflammatory non-steroidal (NSAID) . ʻO ka lawe nui ʻana i kēia mau mea hiki ke hōʻino i nā puʻupaʻa.
• Ka mālama ʻana i ke kaumaha olakino.
• E makaʻala mau i kou pae koko.
• Inā loaʻa iā ʻoe ka maʻi diabetes, e makaʻala i kou pae kō koko.

Āhea wau e ʻike ai i ke kauka inā he mau hopohopo koʻu e pili ana i ka Bowman's Capsule a i ʻole ka maʻi puʻupaʻa?

Inā manaʻo ʻoe he hewa kekahi mea me kou mau puʻupaʻa, pono ʻoe e ʻike i ke kauka. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:

• Nā loli i kou mimi: mimi koko, mimi ʻeleʻele, mimi ao a huʻa paha.
• Nā loli i ke alapine o ka mimi ʻana.
• Luhi nui/ luhi loa .
• Ke koko kiʻekiʻe (hypertension) .
• ʻŌpū ʻiʻo.
• Ka nalowale ʻana o ka makemake a i ʻole kahi ʻono metala i ka meaʻai.
• Ka luaʻi a me ka luaʻi.
• Ka pehu ʻana, ʻoiai a puni nā kuʻekuʻe wāwae a i ʻole nā ​​​​lima.

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, hiki i kāu kauka ke kuhikuhi i nā hoʻokolohua hana puʻupaʻa maʻamau a i ʻole nā ​​​​hoʻokolohua koko:

• He moʻolelo ʻohana o ka maʻi puʻupaʻa.
• Maʻi diabetes .
• Maʻi puʻuwai .
• Ke koko kiʻekiʻe.
• Ka momona nui .
• Ka hoʻohana pinepine ʻana i kekahi mau lāʻau lapaʻau, no ka laʻana, nā lāʻau lapaʻau koko.

Leka Lawe-Home

Hana kou mau puʻupaʻa i nā hana koʻikoʻi he nui no kou kino. No laila, he mea nui e mālama i kou koko a me nā pae glucose koko ma lalo o ke kaohi a noho olakino. Inā manaʻo ʻoe he hewa kekahi mea me kāu ʻōnaehana mimi, inā he maʻi a he loli paha i kāu mau hana mimi, e kamaʻilio me kāu kauka i ka hikiwawe loa. E ʻike lākou i ka hopena maikaʻi loa nāu. E hoʻomanaʻo, ʻo kēia mau ʻāpana liʻiliʻi o ko mākou kino ka mea e mālama ai iā mākou i ke olakino. No laila, ʻo ko mākou kuleana ke mālama iā lākou.

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Pūpū, ka capsule Bowman, nephron, glomerulus, maʻi pūpū, ʻōnaehana mimi, olakino