ʻO ka moʻolelo ma hope o ka puʻupaʻa: (Renal Cortex) ko mākou kino!

I kēia lā, e kamaʻilio kākou e pili ana i nā puʻupaʻa, kahi ʻāpana koʻikoʻi loa i loko o ko kākou kino. ʻO ka ʻaoʻao waho loa o ka puʻupaʻa, ʻo ia hoʻi ka renal cortex . He ʻōlelo wale nō paha kēia, akā he wahi kupaianaha loa ia i loko o ko kākou kino e hana mālie ana i ka nui o ka hana. No laila, e aʻo kākou e pili ana i kēia me nā kikoʻī hou aku, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha, ʻeā?

He aha ka Renal Cortex? Aia i hea ia?

I ka ʻōlelo maʻalahi, ʻo ka huaʻōlelo "Cortex" pinepine ke ʻano o ka papa waho loa a i ʻole ka uhi ʻana o kahi ʻōkana i loko o ko kākou kino. No laila, ʻo ka Renal Cortex ka ʻāpana waho loa o ko kākou puʻupaʻa. Ua kapa pū kekahi poʻe iā ia ʻo "Kidney Cortex". Hoʻopuni kēia "Renal Cortex" i ka ʻāpana o loko o ka puʻupaʻa, ʻo ia hoʻi ka medulla . Ua like ia me ka pūpū. Akā, ʻaʻole wale kēia "Renal Cortex" ma laila, ua uhi ʻia hoʻi e kahi membrane pale, kahi ʻiʻo ikaika i kapa ʻia ʻo "Renal Capsule". E noʻonoʻo e like me ka ʻili o ka ʻakaʻakai, ua hana ʻia kēia mau mea me kekahi mau papa.

I kēia manawa, ma kēia `(Renal Cortex)`, hoʻomaka nā ʻāpana hoʻomaʻemaʻe koko koʻikoʻi o ko kākou kino, ʻo ia hoʻi nā `(Nephrons)`. He mea hiki ʻole ke noʻonoʻo ʻia, aia ma kahi o hoʻokahi miliona `(Nephrons)` e like me kēia ma kekahi puʻupaʻa! ʻAʻole anei he mea kupaianaha? ʻO ka ʻāpana kānana nui ma kēia `(Nephron)` ʻo ia ka glomerulus . Hoʻopili ʻia kēia `(Glomerulus)` i kahi kahawai `(Tubule). Ma o kēia kahawai e hoʻoneʻe ʻia ai nā ʻōpala a hoʻihoʻi ʻia nā mea e pono ai ke kino i loko o ke kino. Ma loko o ka `(Renal Cortex)`, ua wili iki ʻia kēia mau kahawai, ua ʻōwili ʻia, a ua `(Convoluted).` Eia naʻe, ma ka `(Medulla), ʻo ia ka ʻāpana o loko o ka puʻupaʻa, ua pololei iki kēia mau kahawai.

E nānā kākou i kahi o ko kākou mau puʻupaʻa. Aia lākou i loko o ko kākou umauma, ma lalo pono o ka iwi ʻaoʻao, ma hope o ka ʻōpū. ʻO ka maʻamau, aia kekahi puʻupaʻa ma kēlā me kēia ʻaoʻao o ke kuamoʻo. I mea e pololei ai, ma waena o nā ʻōpū a me ka diaphragm. Mai kēlā me kēia puʻupaʻa, hoʻomaka kahi ʻāpana e like me ka paipu i kapa ʻia he ureter , kahi e pili ana i ka ʻōpū mimi.

ʻUlaʻula ʻeleʻele ke kala o kēia `(Renal Cortex)`. ʻO kēia ka ʻāpana waho loa o ka puʻupaʻa. Uhi ia i ka `(Medulla)`, ʻo ia ka ʻāpana o loko o ka puʻupaʻa. I loko o ka `(Medulla)`, aia nā ʻāpana liʻiliʻi ʻekolu ʻāpana, i kapa ʻia he renal pyramids. Uhi ka `(Renal Cortex)` i kēia mau `(Renal Pyramids)` e like me ka pāpale.

He aha ka mea e hana maoli ana ma ka Renal Cortex? He aha ka hana a ka puʻupaʻa?

Ma ke ʻano he ʻāpana o kou ala mimi, pili pono ka renal cortex i ka hana o kou mau puʻupaʻa. ʻAʻole wale nā ​​puʻupaʻa he ʻōkana e wehe i nā ʻōpala. Hana lākou i nā mea hou aʻe ma mua o kēlā. E nānā:

• Hoʻoponopono i nā electrolytes a me ke kaulike wai: Kōkua i ka mālama ʻana i ka paʻakai a me ka wai kūpono i loko o ke kino.
• Hoʻokele ia i kou koko a me ka nui o ka wai ma waho o kou mau cell (wai extracellular).
• Kōkua i ka hana ʻana o nā hunaola koko ʻulaʻula.
• Mālama i ke kaulike acid-base o ke kino.
• Kōkua i ka hana ʻana o ka huaora D.
• Hoʻoponopono i ke kaulike o ka calcium a me ka phosphate.
• Kōkua pū ia i ka hana ʻana o ka glucose (Glucogenesis): ʻOiai ʻo ka hapa nui o ka glucose (sugar) a mākou e pono ai ua hana ʻia e ke akepaʻa, ua hana ʻia kekahi e nā puʻupaʻa.

E noʻonoʻo wale i ka nui o nā mea e hana ʻia ana i loko o kēia cortex liʻiliʻi! He mea kupaianaha maoli nō ia, ʻeā?

He aha nā maʻi maʻamau e hiki ke hoʻopilikia i ka Renal Cortex?

ʻO ka mea pōʻino, aia nā maʻi like ʻole e hoʻopilikia i nā puʻupaʻa. Hiki i kekahi o kēia mau mea ke hoʻopilikia i ka "Renal Cortex".

• Maʻi Puʻupaʻa Mau Loa (CKD): He nalowale mālie kēia o ka hana o nā puʻupaʻa. Hoʻokumu pinepine ʻia e ka maʻi diabetes mellitus a i ʻole ke koko kiʻekiʻe.
• Ka Maʻi ʻAʻai Puʻupaʻa: ʻO Renal Cell Carcinoma ke ʻano maʻamau o ka maʻi ʻaʻai puʻupaʻa.
• ʻO ka hāʻule ʻana o nā puʻupaʻa / ka hāʻule ʻana o nā puʻupaʻa: Hiki ke hana koke ʻia kēia 'Acute' a i ʻole hiki ke lilo i mea maʻi i ka hala ʻana o ka manawa. ʻO ka maʻi Renal End-Stage kahi kūlana kahi i hana pono ʻole ai nā puʻupaʻa. A laila pono ka dialysis.
• ʻO ka maʻi puʻupaʻa (Pyelonephritis): Hiki ke loaʻa kēia ʻano maʻi i ka wā e hele ai ka bacteria, e like me ka bacteria, i luna o kou mau ureters a i loko o kou mau puʻupaʻa. Hiki koke mai kēia mau hōʻailona. E kuhikuhi nā kauka i nā antibiotics no kēia.
• Nā Pōhaku Puʻupaʻa: Hiki ke hana ʻia nā kristal i loko o kou mimi a ālai i ke kahe ʻana o ka mimi. I kekahi manawa hiki i kēia mau pōhaku ke hele ma o lākou iho. A i ʻole aia kekahi mau lāʻau lapaʻau e wāwahi iā lākou a wehe paha iā lākou.
• Nā Cysts Kidney / Renal Cysts: Hiki ke ulu aʻe nā cysts e like me ka ʻeke piha wai ma nā puʻupaʻa. Hiki i kēia mau cysts ke hōʻino i nā puʻupaʻa. E wehe nā kauka i kēia mau mea inā pono.
• ʻO ka maʻi puʻupaʻa Polycystic (PKD): He kūlana hoʻoilina kēia. Ma kēia kūlana, nui nā cysts e ulu ana ma nā puʻupaʻa. Hiki i ka PKD ke hoʻoulu i ke koko kiʻekiʻe a me ka hāʻule ʻana o ka puʻupaʻa. Pono ka poʻe me PKD e mālama mau ʻia e ke kauka.

ʻO kekahi mau kūlana koʻikoʻi

Ma waho aʻe o kēia, aia kekahi mau maʻi ʻē aʻe e pili ana i nā puʻupaʻa, a ʻo kekahi o ia mau mea he koʻikoʻi maoli nō.

• ʻAkika:Ke hana pono ʻole nā ​​puʻupaʻa, hiki ke piʻi aʻe ka waikawa o ke koko. Hiki i kēia ke hana i nā pilikia olakino he nui. Inā ʻaʻole mālama ʻia, hiki ke hoʻoweliweli i ke ola.
• ʻO ka Nephritis Interstitial ʻĀkiu a Mau paha: ʻO kēia ke kumu e pehu ai nā puʻupaʻa, hiki ke alakaʻi i ka hāʻule ʻana o ka puʻupaʻa.
• ʻO ka Diabetic Nephropathy a i ʻole Hypertensive Nephropathy: ʻO ke koko kiʻekiʻe a me ka maʻi diabetes i kāohi ʻole ʻia e hōʻino i nā puʻupaʻa. Ua kapa ʻia hoʻi kēia he `(Nephropathy)`.
• Nā Maʻi Glomerular: Hiki i kēia mau maʻi ke hoʻopōʻino a hōʻino paha i kou glomeruli, hiki ke alakaʻi i ka hāʻule ʻana o ka puʻupaʻa.
• Ka Maʻi Hoʻololi Liʻiliʻi: He maʻi puʻupaʻa nō hoʻi kēia. Ma kēia, ua hōʻino ʻia nā glomeruli a ua hoʻokuʻu ʻia ka nui o ka protein i loko o ka mimi.
• ʻO Proteinuria a me ka Nephrotic Syndrome: ʻO Proteinuria ka wā e loaʻa ai i kāu mimi nā pae kiʻekiʻe o ka protein. Hiki i kēia ke lilo i hōʻailona o ka hōʻino ʻia ʻana o nā puʻupaʻa. Inā loaʻa i kāu mimi ka nui o ka protein, hiki iā ia ke lilo i hōʻailona o ka Nephrotic Syndrome. ʻO kēia ka wā e hoʻokahe ai nā puʻupaʻa i hōʻino ʻia i ka nui o ka protein mai kou koko i loko o kāu mimi.
• ʻUremia: ʻO nā mea ʻawahia i pono e hoʻomaʻemaʻe ʻia e nā puʻupaʻa a hoʻokuʻu ʻia i loko o ka mimi, akā, e hōʻiliʻili i loko o ke koko. Hiki i ka ʻUremia ke hoʻoweliweli i ke ola inā ʻaʻole mālama ʻia.

He aha nā hōʻailona a me nā ʻōuli maʻamau o ka maʻi puʻupaʻa?

ʻAʻole hōʻike ka nui o nā pilikia puʻupaʻa i nā hōʻailona i nā pae mua. ʻO ia ka mea weliweli loa. I ka holomua ʻana o ka hōʻino ʻana o ka puʻupaʻa, e hoʻomaka paha ʻoe e ʻike i nā mea e like me:

• ʻEhaʻeha o nā ʻiʻo: Hiki ke loaʻa nā ʻehaʻeha o nā ʻiʻo ma muli o nā kaulike ʻole o ka electrolyte i loko o ke kino. ʻO kēia ka mea pinepine e hoʻoulu ai i nā ʻehaʻeha o nā ʻiʻo. Eia nō naʻe, hiki iā ia ke hoʻopilikia i kekahi hui ʻiʻo.
• ʻO ka mimi ʻeleʻele a i ʻole ka mimi me ke koko i loko: Ke hōʻino ʻia nā kānana i loko o nā puʻupaʻa, hiki i nā hunaola koko ʻulaʻula ke kahe i loko o ka mimi. Ua kapa ʻia kēia he "Hematuria".
• Mimi huʻa: Inā he mau pehu i loko o ka mimi, ʻo ia hoʻi he nui loa ka protein.
• ʻIli maloʻo a ʻānai: ʻO ka nele o nā minelala a me nā meaʻai i loko o ke koko e hiki ai ke ʻānai a maloʻo ka ʻili.
• ʻO ka mimi pinepine: ʻO kekahi mau pilikia me ka kānana ʻana i nā huahana ʻōpala e pono ai ʻoe e mimi pinepine.
• Nā maka pehu a i ʻole nā ​​kuʻekuʻe wāwae a me nā wāwae pehu: Ke emi ka hana o nā puʻupaʻa, hoʻomaka ke kino e mālama i ka protein a me ka sodium. ʻO kēia ke kumu o ka edema, a i ʻole ka pehu ʻana.
• Nā pilikia hiamoe, luhi a me ka nele i ka makemake: Inā hōʻiliʻili nā mea ʻawahia i loko o ke koko, e emi iho paha kou hiamoe, makemake a me ka ikaika.

Pehea e nānā ai i ke olakino o ka (Renal Cortex)?

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

• Nā hoʻāʻo kiʻi: No ka laʻana, nā kukuna X, nā scan CT, MRI, ultrasound, a i ʻole ke kiʻi ʻana i ka lāʻau lapaʻau nukelea. Hiki i kēia mau mea ke hōʻike i nā ʻano ʻē a i ʻole nā ​​​​​​mea paʻa i loko o nā puʻupaʻa. No ka laʻana, hiki iā lākou ke ana i ka mānoanoa o ka cortex renal. Inā lahilahi ka cortex, ʻo ia hoʻi ua hōʻino ʻia nā puʻupaʻa.
• Nā hoʻāʻo koko: Hiki i kēia ke nānā i ka maikaʻi o kāu glomeruli e kānana nei i ke koko.
• ʻO ka Biopsy Kidney: Ma kēia kaʻina hana, lawe ke kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo o ka puʻupaʻa a nānā iā ia ma lalo o kahi microscope.
• Ureteroscopy: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi paipu (endoscope) ma o kou urethra e nānā i nā mea ʻino i loko o kāu ʻōpū mimi a me nā ureters.
• Urinalysis: Ke ana kēia hoʻāʻo i nā mea kikoʻī i loko o ka mimi, e like me ka protein a me ke koko, e ʻike i nā mea ʻino e hōʻike ana i kahi maʻi a i ʻole ka maʻi.
• Nā Hoʻāʻo Hana Puʻupaʻa / Nā Hoʻāʻo Hana Puʻupaʻa: Hōʻike kēia mau hoʻāʻo i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa. ʻO kekahi hoʻāʻo koko i kapa ʻia ʻo `(Creatinine).` Hiki i kēia ke loiloi i ka hana o kou mau puʻupaʻa a ʻike i ka maikaʻi o ka wehe ʻana o kou mau puʻupaʻa i nā huahana ʻōpala mai kou koko.

He aha nā lāʻau lapaʻau no nā maʻi e pili ana i ka Renal Cortex?

ʻO ka mālama ʻana no nā maʻi e hoʻopilikia ana i kou mau puʻupaʻa a me ka cortex renal e pili ana i ke kūlana āu i loaʻa ai. No ka laʻana, inā loaʻa iā ʻoe kahi maʻi, e kuhikuhi kāu kauka i nā antibiotics.

Inā he mea kāu e pono ai ke wehe ʻia, e like me ka pōhaku puʻupaʻa, ka puʻupaʻa, a i ʻole ke kanesa, pono paha ʻoe e hana i kahi hana a ʻoki kino paha.

Pehea e hiki ai iaʻu ke mālama i koʻu mau puʻupaʻa i ke olakino? He mea nui loa!

He mea nui ka loaʻa ʻana o nā nānā lapaʻau maʻamau e nānā i ke olakino o kou mau puʻupaʻa. He mea nui loa kēia inā loaʻa iā ʻoe nā pilikia olakino e like me ke koko kiʻekiʻe, ka momona, a me ka maʻi diabetes. Hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o nā pilikia puʻupaʻa ma o:

• E hōʻalo a hoʻōki paha i ka puhipaka. He mea kūpono anei kēia e ʻōlelo ʻia?
• E hōʻemi i kāu ʻai ʻana i ka paʻakai nui. Hiki i kēia ke hoʻopilikia i ke kaulike mineral i loko o kou koko.
• E inu i ka wai he nui. Kōkua kēia i nā puʻupaʻa e hoʻokuke aku i nā mea ʻawahia.
• E hoʻonui i ka hoʻoikaika kino i kēlā me kēia lā. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ke koko kiʻekiʻe.
• E kaupalena i ka hoʻohana ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAID). ʻO ka lawe ʻana i ka nui o kēia mau mea hiki ke hōʻino i kou mau puʻupaʻa.
• E mālama i ke kaumaha olakino.
• E nānā mau i kou koko. E kōkua kēia iā ʻoe e ʻike koke i nā pae i ʻoi aku ma mua o ka mea i manaʻo ʻia.
• E mālama i kou pae kō koko a mālama i kāu maʻi diabetes.

He aha ka ʻokoʻa ma waena o (Renal Cortex) a me (Renal Medulla)?

Ua hana ʻia ka puʻupaʻa me nā ʻiʻo mānoanoa. Ua kapa ʻia kēia ʻo ka renal parenchyma . Aia ia i ʻelua mau ʻāpana i kapa ʻia ʻo ka cortex a me ka medulla. E like me kā mākou i ʻōlelo ai ma mua, ʻo ka renal cortex ka ʻaoʻao waho o ka puʻupaʻa, a ʻo ka medulla ka ʻaoʻao o loko.

He ʻano hua iki ke ʻano o ka `(Renal Cortex)`. ʻOi aku ka laumania o ka `(Medulla)`.

ʻOiai he mau tubules nā ʻāpana ʻelua, aia i ka cortex nā glomeruli, nā tubules convoluted, a me nā kīʻaha koko. ʻO ia ke kumu he ʻano granular kona. ʻOi aku ka pololei o nā tubules i loko o ka medulla a ua kapa ʻia ʻo collecting tubules (no ka mea, hōʻiliʻili lākou i ka mimi). Loaʻa i ka medulla nā loops o Henle, a i ʻole nā ​​​​ʻāpana U-ʻano o nā collecting tubules.

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka e pili ana i nā pilikia o ka puʻupaʻa?

Inā manaʻo ʻoe he pilikia kou i ka 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 (e like me ke koko i loko o kou mimi a i ʻole ke kala ʻeleʻele) a i ʻole nā ​​​​loli i kāu mau ʻano mimi (e like me ka pono e hele pinepine i ka lua a i ʻole ka ʻeha i ka wā e mimi ai).
• ʻIli maloʻo a ʻānai paha.
• Luhi loa.
• Ke koko kiʻekiʻe (Hypertension).
• ʻŪmiʻi 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, ʻoiai a puni nā kuʻekuʻe wāwae a i ʻole nā ​​​​lima.

Inā loaʻa iā ʻoe kekahi mau kūlana, hiki i kāu kauka ke kauoha i nā hoʻokolohua hana hana puʻupaʻa maʻamau:

• 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 lawe mau ana i kekahi mau lāʻau lapaʻau (e laʻa me nā lāʻau hoʻoikaika koko).

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, inā makemake ʻoe e mālama i kou mau puʻupaʻa, pono ʻoe e hoʻomaka e mālama mua i kou olakino holoʻokoʻa. ʻO ia hoʻiE kāohi i kou koko a me nā pae kō koko, inu i ka wai he nui, ʻai pono. Eia kekahi , e hiamoe a hoʻoikaika kino. Inā ʻike ʻoe i kekahi mau loli i kāu mau ʻano mimi a i ʻole kekahi ʻeha, e kamaʻilio me kāu kauka e pili ana i ia mea a e hana pū e ʻimi i kahi hopena. E hoʻomanaʻo, he poʻe hana leo ʻole ko kākou mau puʻupaʻa, no laila pono kākou e mālama pono iā lākou!

ʻO ka puʻupaʻa, ka cortex renal, nephron, maʻi puʻupaʻa, hana puʻupaʻa, ʻōnaehana mimi, olakino puʻupaʻa