Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi ʻāpana koʻikoʻi o ko mākou kino āu i lohe ʻole ai, akā ua kapa ʻia
ʻo Gerota's Fascia . He mea ʻē paha ke kani ʻana o ka inoa, akā he ʻeke kēia e uhi ana a pale ana i ko mākou mau puʻupaʻa ʻelua a me nā kelepa adrenal. No laila, inā ʻaʻole kēia e hana pono ana, ʻaʻole hiki i ko mākou mau puʻupaʻa a me nā kelepa ʻē aʻe i ʻōlelo ʻia ke hana pono i kā lākou hana. No laila e nānā kākou i ke ʻano o Gerota's Fascia, ka mea e hana ʻia iā ia, a me nā maʻi e hiki ke hoʻopilikia iā ia.
He aha ka Fascia o Gerota?
I ka ʻōlelo maʻalahi, ʻo ka fascia ʻo Gerota
kahi ʻūpā o nā ʻiʻo hoʻopili e hoʻopuni ana i ko mākou mau puʻupaʻa ʻelua a me nā kelepa adrenal, e like me nā pāpale liʻiliʻi ma luna o nā puʻupaʻa. E like me ka uhi o kahi puke, aia i loko o kēia fascia ko mākou mau puʻupaʻa, nā kelepa adrenal, a me ka papa momona maoli a puni nā puʻupaʻa, i kapa ʻia ʻo
ka momona perinephric . Hana ia e like me kahi ʻeke pale e pale ana i kēia mau ʻōpū.
He aha ka mea e hana ʻia i kēia Gerota fascia?
No laila, ʻo ka hana nui o kēia Gerota fascia, e like me kaʻu i ʻōlelo ai ma mua, ʻo ia ke hoʻopuni pono i ko mākou mau puʻupaʻa a me nā kelepa adrenal a
hoʻokaʻawale iā lākou mai nā ʻōpū ʻē aʻe e hoʻopuni ana. E noʻonoʻo wale, ehia mau mea ʻē aʻe i loko o ko mākou ʻōpū? ʻO nā ʻōpū, ke akepaʻa, nā mea ʻē aʻe he nui. No laila, inā e hui pū ʻia kēia mau mea a pau, ʻaʻole hiki iā lākou ke hana pono. No laila, ʻo kēia Gerota fascia ka mea e hiki ai i nā puʻupaʻa a me nā kelepa adrenal ke hana pono i kā lākou hana. Ua like ia me ka hāʻawi ʻana iā lākou i kahi lumi.
He aha ka hana a ko kākou mau puʻupaʻa a me nā kelepa adrenal?
I kēia manawa, e nānā kākou i ka mea a nā puʻupaʻa a me nā kelepa adrenal, i pale ʻia e ka fascia ʻo Gerota, e hana ai i ko kākou kino.
Ua like nā puʻupaʻa me ke kānana o ko kākou kino.- ʻO ka mea nui, ʻo ia ke kānana i ko kākou koko. Ma ke kānana ʻana , hoʻokaʻawale kākou i nā mea ʻōpala i pono ʻole ʻia e ke kino, e like me nā mea ʻōpala, a me ka wai keu i loko o ke koko , a hoʻokuʻu aku iā lākou ma ke ʻano he mimi.
- Eia kekahi, hoʻoponopono ia i nā pae wai i loko o ko kākou kino. Inā nui a liʻiliʻi paha ka wai, e loaʻa nā pilikia.
- Hoʻoponopono ia i ka nui o nā kemika a me nā minelala i loko o ko kākou kino. Kōkua ia i ka mālama ʻana i nā mea e like me ka sodium a me ka potassium i ke kaulike.
- Kōkua pū nā puʻupaʻa i ke kāohi ʻana i ko mākou koko .
- Nā wai keu i loko o ke kinoʻO lākou ka poʻe ma laila e wehe aku.
ʻO nā kelepa adrenal he ʻelua mau kelepa liʻiliʻi aia ma luna o nā puʻupaʻa he hana kaʻawale kā lākou. Hoʻopuka lākou i kekahi mau ʻano
hormones he mea nui loa no ko mākou kino. Hoʻomalu kēia mau hormones i nā mea aʻe:
- Ko mākou koko kiʻekiʻe .
- ʻO kā mākou ʻōnaehana pale kino ka ʻōnaehana e pale iā mākou mai nā maʻi.
- ʻO kā mākou metabolism ke kaʻina hana o ka hoʻololi ʻana i ka meaʻai a mākou e ʻai ai i ka ikehu.
- Pehea mākou e hana ai me ke kaumaha . Hoʻomākaukau kēia mau hormones iā mākou no nā pilikia.
ʻIke ʻoe, pehea ke koʻikoʻi o kēia mau ʻōkana ʻelua. No laila, ʻo ka Gerota fascia e pale aku nei iā lākou he mea nui like ia.
Aia i hea ka fascia o Gerota?
ʻAe, i kēia manawa ke noʻonoʻo nei paha ʻoe i kahi kūpono o kēia Gerota fascia i loko o ko mākou kino. E like me kaʻu i ʻōlelo ai ma mua, hoʻopuni ia i ko mākou mau puʻupaʻa a me nā kelepa adrenal. I mea e pololei ai, aia ia ma ke kua o ko mākou
lua ʻōpū . Hoʻokaʻawale kēia fascia i nā puʻupaʻa a me nā kelepa adrenal mai kēia mau kīʻaha koko koʻikoʻi:
- ʻO ko kākou Aorta ʻōpū . ʻO kēia ke kīʻaha koko nui e holo ana mai ko kākou umauma a i ko kākou ʻōpū.
- ʻO Vena Cava haʻahaʻa . ʻO kēia ke aʻa nui e lawe ana i ke koko haumia mai ko kākou ʻōpū a me nā wāwae i ka puʻuwai.
- A me nā aʻa a me nā veins renal , ʻo ia nā aʻa e lawe mai i ke koko i nā puʻupaʻa a mai.
He aha ke ʻano o ka fascia o Gerota?
Hana ʻia kēia Gerota fascia
me nā ʻiʻo hoʻohui . I ka pololei, aia i loko kahi ʻano protein i kapa ʻia ʻo
collagen . He
lahilahi loa kēia ʻiʻo, akā he
ikaika loa hoʻi. E like me ka lole silika, he lahilahi akā ʻaʻole e haehae maʻalahi. Hoʻopili ʻia kēia Gerota fascia kekahi i kekahi ma nā ʻaoʻao ʻekolu a puni ko mākou mau puʻupaʻa, a i ʻole, ua like ia me ke kuʻi ʻia ʻana:
- Mua: ʻO ka Gerota fascia ma mua o kekahi puʻupaʻa e hui pū me ka Gerota fascia ma mua o kekahi puʻupaʻa.
- Hope: Ma hope o nā puʻupaʻa, pili kēia fascia i kahi ʻiʻo e uhi ana ma waena o ko mākou iwi kuamoʻo a me nā puʻupuʻu, ʻo ia hoʻi ka Psoas Fascia .
- Ma luna (Luna Kiʻekiʻe):Ma ke poʻo o ka puʻupaʻa, hui pū ka fascia ʻo Gerota a me kekahi fascia ma ke kua o ka puʻupaʻa (Posterior Renal Fascia). A laila māhele ʻia i ʻelua a hoʻopuni i nā kelepa adrenal.
He aha nā maʻi e hoʻopilikia ai i ka fascia o Gerota?
ʻAe, hiki ke hoʻopilikia ʻia ka fascia o Gerota e nā maʻi a me nā kūlana like ʻole. ʻO ia ka manawa e kū mai ai nā pilikia.
- Nā Tumors Adrenal: Inā ulu kahi puʻupuʻu i loko o nā kelepa adrenal, hiki iā ia ke hoʻopilikia i kēia fascia i kona ulu ʻana.
- Ka Maʻi ʻAʻai Puʻupaʻa: Ke ulu ka maʻi ʻaʻai puʻupaʻa, he mea nui loa ka Gerota fascia i ka hoʻoholo ʻana i kona pae . Inā aia wale nō ke kanesa i loko o kēia fascia, hiki ke pae 1, 2, a i ʻole 3 (T3). Eia nō naʻe, inā ua pālahalaha ke kanesa ma ʻō aku o kēia fascia, ʻo ia hoʻi, ua komo i loko, ua manaʻo ʻia he pae 4. I kēlā hihia, loli pū nā ʻano lapaʻau.
- Nā Pōhaku Puʻupaʻa: I kekahi manawa, hiki i nā pōhaku puʻupaʻa, he mau mea paʻa, ke ulu nui a kokoke i kēia fascia, e paʻi kūʻē iā ia, a i ʻole e hoʻāʻo e hele ma waena.
- ʻO nā ʻōpū Perinephric: He ʻano koʻikoʻi kēia. He hōʻiliʻili ʻana o ka pus a puni ka puʻupaʻa, ma loko o ka fascia Gerota. Hiki ke hana ʻia kēia e ka maʻi diabetes mellitus , ka hāpai ʻana, kekahi mau ʻano ʻē i loko o ke ala mimi, nā maʻi ala mimi (UTI) , a i ʻole nā maʻi puʻupaʻa. E noʻonoʻo e like me kahi ʻeha liʻiliʻi i loaʻa i ka maʻi i kekahi manawa a hōʻiliʻili i ka pus, he mea like kēia me ia, akā i loko o ke kino.
He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o ka fascia ʻo Gerota?
Aia kekahi mau hoʻokolohua e hiki ke kōkua i nā kauka e hoʻoholo inā he pilikia me ka fascia o Gerota a inā he olakino ia.
- ʻO ke Kidney Ultrasound: Hiki i kēia ke nānā aku i nā puʻupaʻa a me nā wahi a puni. Hiki iā ia ke hāʻawi i kahi manaʻo maʻamau inā he mānoanoa o ka fascia a i ʻole ka hōʻiliʻili ʻana o ka wai.
- ʻO ke scan Computed Tomography (CT) me ka contrast: He hoʻāʻo kikoʻī loa kēia. Hana pinepine ʻia kēia scan ma hope o ke komo ʻana i kahi wai kūikawā (contrast). ʻAe kēia i ka Gerota fascia, kona ʻano, a inā ua hoʻopilikia ʻia ma kekahi ʻano e ʻike maopopo ʻia.
- MRI scan: ʻO kēia kekahi hoʻāʻo e hāʻawi ana i nā kiʻi kikoʻī, e like me ka CT scan. I kekahi mau hihia, hiki iā ia ke kōkua i ka ʻike ʻana i nā mea me ka maopopo ma mua o ka CT scan.
Pehea e kōkua ai ka fascia o Gerota i ka ʻike ʻana i nā maʻi ʻē aʻe?
ʻOi aku ka Gerota's fascia ma mua o kahi uhi wale nō. Hiki i ka nānā ʻana i ke kūlana o kēia fascia ke kōkua i nā kauka e ʻike a hoʻonohonoho i nā maʻi ʻē aʻe e pili ana i ka puʻupaʻa.
- Ka Maʻi ʻAʻai Puʻupaʻa: E like me kaʻu i ʻōlelo ai ma mua, i ka hoʻoholo ʻana i ke kahua o ka maʻi ʻaʻai puʻupaʻa, he mea nui loa ia e ʻike i ka nui o ka hopena o ke kanesa i ka Gerota fascia. Penei ke koho ʻana i nā koho lapaʻau maikaʻi loa . Inā ua komo ʻia ka fascia, ʻaʻole lawa paha ke ʻoki ʻana wale nō, a pono paha nā lāʻau lapaʻau ʻē aʻe.
- Nā puʻupuʻu i loko o kou mau puʻupaʻa: Hiki i nā scan CT a me nā ultrasound ke ʻike maopopo i ka fascia ʻo Gerota. No laila, inā he puʻupuʻu a he puʻupuʻu ʻē paha i loko o ka puʻupaʻa, hiki ke hoʻoholo ʻia ma ka nānā ʻana i kēia fascia, e like me ke kokoke loa i kēia fascia, inā ua komo i loko, a inā paha ua hoʻolōʻihi ʻia ma ʻō aku o ia. Hiki i kēia ke hāʻawi iā ʻoe i kekahi manaʻo o ke ʻano o ka puʻupuʻu.
He aha kekahi mau mea maʻalahi e hiki ai iā mākou ke hana e mālama i ke olakino o ka fascia o Gerota?
I kēia manawa ua maopopo iā ʻoe pehea ka pili loa o ka fascia Gerota i ke olakino o ko kākou mau puʻupaʻa. No laila, no ka hōʻemi ʻana i ka pilikia o nā pilikia me kēia fascia, pono maoli mākou e hana i nā mea like a mākou e hana ai e mālama i ke olakino o ko kākou mau puʻupaʻa. E nānā i kēia mau mea maʻalahi:
- E inu i ka nui o ka wai. He mea maikaʻi loa ka inu ʻana ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā no nā puʻupaʻa.
- E hoʻoikaika kino mau. ʻO ka mālama ʻana i ke kino e pale iā mākou mai nā maʻi he nui.
- Inā loaʻa iā ʻoe ka maʻi diabetes , he mea nui loa ia e kaohi i kou pae kō/glucose koko .
- E kaupalena i ka hoʻohana pinepine ʻana i nā lāʻau anti-inflammatory non-steroidal (NSAIDs) me ka ʻole o ke aʻo ʻana a ke kauka. Hiki i kekahi mau lāʻau ʻeha ke hōʻino i nā puʻupaʻa inā lawe mau ʻia.
- E mālama i ke kaumaha o ke kino. ʻAʻole maikaʻi hoʻi ka momona no nā puʻupaʻa.
- Inā ʻoe e puhipaka, e hoʻōki. A i ʻole, mai hoʻomaka. ʻAʻole wale ka puhipaka i mea ʻino no kou mau puʻupaʻa, akā, he mea ʻino ia no kou kino holoʻokoʻa.
- E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu meaʻai. Hiki i ka ʻai nui ʻana i ka paʻakai ke hoʻonui i ke koko a hoʻopilikia i nā puʻupaʻa.
- E hele i nā hoʻokolohua makahiki i hiki ke ʻike mua ʻia nā pilikia.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai
No laila, ʻo Gerota's Fascia kahi ʻūpā pili i hana ʻia me
ka collagen e hoʻopuni ana i ko kākou mau puʻupaʻa a me nā kelepa adrenal. ʻO kēia, me kekahi fascia ʻē aʻe
, ʻo Zuckerkandl's Fascia, aia ma ke kua o nā puʻupaʻa, e hoʻopuni pono ana i ko kākou mau puʻupaʻa a hoʻokaʻawale iā lākou mai nā ʻōpū ʻē aʻe. ʻO kēia ka mea e hiki ai i nā puʻupaʻa ke hana pono i kā lākou hana nui o
ke kānana ʻana i ke koko a me ka wehe ʻana i nā huahana ʻōpala.
E hoʻomanaʻo, hiki i nā maʻi e like me ke kanesa puʻupaʻa a me nā abscesses perinephric ke hoʻopilikia i ka fascia Gerota.
Hoʻohana nā kauka i nā scan CT a me nā ultrasounds e nānā i kēia fascia, hiki ke kōkua i ka ʻike ʻana i nā pōhaku puʻupaʻa a me nā puʻupuʻu, a kōkua i ka hoʻoholo ʻana i ke kahua o ka maʻi kanesa. ʻO ka mea nui, ma ka hana ʻana i kekahi
mau hoʻololi maʻalahi o ke ʻano o ka nohona , e like me ka inu ʻana i ka wai he nui, ka hoʻoikaika kino, ka ʻai ʻana i ka meaʻai olakino, a me ka pale ʻana i ka puhipaka, hiki iā ʻoe ke mālama ʻaʻole wale i kāu Gerota fascia, akā i kou mau puʻupaʻa hoʻi i olakino. No laila ke manaʻolana nei au he mea pono kēia ʻike iā ʻoe. Inā makemake ʻoe e ʻike hou aʻe e pili ana i kēia, e haʻi mai iaʻu, a hiki iā mākou ke kamaʻilio e pili ana!
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