Pehea kou mau puʻupaʻa? E aʻo kākou e pili ana i ka hoʻāʻo mimi 24-hola.

Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio mākou e pili ana i kahi hoʻokolohua he mea hou iki ia i nā poʻe he nui, akā i kekahi manawa he mea nui loa ia. ʻO ia ka hoʻāʻo mimi 24-hola, a i ʻole ma ka ʻōlelo Pelekania (24-hola urine test). Malia paha ua haʻi aku kāu kauka iā ʻoe e pili ana i kēia, a i ʻole makemake ʻoe e ʻike e pili ana i ia mea. E nānā kākou i ke ʻano o ia mea, no ke aha e hana ʻia ai, a pehea e hana ʻia ai.

He aha ka hoʻāʻo mimi 24-hola?

I ka ʻōlelo maʻalahi, he hoʻāʻo kēia e kōkua i kāu kauka e ʻike i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa . Pili ia i ka hōʻiliʻili ʻana i ka mimi (i kapa ʻia hoʻi he mimi ) i loko o 24 mau hola. Hoʻohana ʻia kēia hāpana mimi e nā kauka e nānā i nā pae o nā mea e like me ka protein , albumin , a me ka creatinine i loko o kou mimi. Hiki i nā pae o kēia mau mea ke kōkua i ka hoʻoholo ʻana inā he mau maʻi kāu e hoʻopilikia ai i kou mau puʻupaʻa, a i ʻole pehea ka maikaʻi o ko lākou kaohi ʻia ʻana. He hoʻāʻo koʻikoʻi loa kēia, no ka mea, ua like kou mau puʻupaʻa me nā limahana leo ʻole i loko o kou kino. ʻAʻole mākou e ʻike nui inā ʻaʻole lākou e hana pono.

Āhea mākou e pono ai i kēia hoʻāʻo mimi 24-hola?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'Pono anei au i kēia?' E kauoha pinepine ke kauka i kēia hoʻāʻo inā ua hana mua lākou i nā hoʻokolohua ʻē aʻe e nānā i kāu hana puʻupaʻa - e like me ka urinalysis a i ʻole ka hoʻāʻo koko - a pono i ka ʻike hou aku. Hiki i nā hopena ke kōkua i kāu kauka e ʻike i nā kūlana e like me kēia, a i ʻole e loiloi i ke kūlana o kahi mea i loaʻa iā lākou:

• ʻO ka maʻi Alport
• Ka maʻi ʻōpū
• Nā pōhaku puʻupaʻa
• Nā kūlana e like me ka hāʻule ʻana o ka puʻuwai
• Ke koko kiʻekiʻe
• He maʻi kanesa i kapa ʻia ʻo "Multiple myeloma"
• ʻO ka maʻi Nephrotic. Hiki ke hana ʻia kēia e nā kūlana e like me ka amyloidosis, ka nephropathy pili i ka maʻi diabetes, a me ka lupus nephritis.
• ʻO Preeclampsia, kahi kūlana o ke koko kiʻekiʻe i ka wā hāpai
• ʻO Rhabdomyolysis, kahi kūlana o ka hōʻino ʻana o nā ʻiʻo
• Nā maʻi ʻōpū mimi (UTI)

Mai makaʻu ke ʻike ʻoe i kēia papa inoa, ʻeā? ʻAʻole kēia manaʻo e hiki iā ʻoe ke loaʻa i kēia mau maʻi āpau. Paipai wale ke kauka i kēia hoʻāʻo e hōʻoia inā he kānalua.

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Pehea e hōʻiliʻili ai i ka mimi no 24 mau hola?

He maʻalahi loa ka mea e hana ʻia ma ʻaneʻi. Hōʻiliʻili ʻoe i ka mimi i kēlā me kēia manawa āu e mimi ai no hoʻokahi lā, ʻo ia hoʻi he 24 mau hola.Hana ʻia ia. E hāʻawi kāu kauka a i ʻole ke keʻena hoʻokolohua iā ʻoe i kahi ʻōmole kūikawā (malia paha he mau ʻōmole) no kēia. E hāʻawi pū lākou iā ʻoe i nā kuhikuhi no ka hana pololei ʻana. Ma hope o ka hōʻiliʻili ʻana i ka mimi no 24 mau hola, pono ʻoe e lawe i ka ʻōmole i ka hale hana kūpono e hoʻāʻo ʻia. E noʻonoʻo e like me ka hōʻiliʻili ʻana i kahi laʻana o kāu mimi i ka lā a pau, a hiki i kēlā ke haʻi iā ʻoe i nā mea he nui e pili ana i ke olakino o kou mau puʻupaʻa.

Pehea mākou e hoʻomākaukau ai ma mua o kēia hoʻokolohua?

I mea e hana maikaʻi ai i kēia hoʻāʻo, pono ʻoe e hoʻomākaukau iki. Eia kekahi mau mea e noʻonoʻo ai:

• E koho i kahi lā e hiki ai iā ʻoe ke noho ma ka home i ka hapa nui o ka lā. Ma kēlā ʻano, hiki iā ʻoe ke hōʻiliʻili i kēlā me kēia hāpana mimi me ka ʻole o ka pilikia. Inā pono ʻoe e haʻalele i ka hale, makemake ʻoe e lawe pū me ʻoe i kēlā ʻōmole hōʻiliʻili mimi, no ka mea, ʻaʻole ʻoe makemake e haʻalele i hoʻokahi hāpana mimi.
• Pono e loaʻa kahi ala e mālama ai i ka ʻōmole hōʻiliʻili mimi i ke anu i ka lā a pau . He mea maikaʻi ka pahu hau. A i ʻole hiki iā ʻoe ke mālama i loko o kahi ʻeke hau.
• Hiki i kāu kauka ke haʻi aku iā ʻoe e pale i ka hoʻoikaika kino no 24 mau hola ma mua o ka hoʻāʻo a ma ka lā o ka hoʻāʻo, no ka mea, hiki i ka hoʻoikaika kino nui ke hoʻopilikia i kekahi o nā hopena.
• E hahai i nā ʻōlelo a kāu kauka e pili ana i nā mea hiki iā ʻoe ke ʻai a me nā mea hiki ʻole ke ʻai i ka lā o ka hoʻāʻo a me ka lā ma mua. He mea nui loa kēia, no ka mea, hiki i kekahi mau meaʻai a me nā mea inu ke hoʻopilikia i nā hopena.
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei, a me nā mea hoʻohui, nā huaora, a me nā mea kanu āu e hoʻohana nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hopena o kēia hoʻokolohua.

He aha kā mākou e hana ʻole ai i ka wā o ka hoʻāʻo?

ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i nā mea hiki iā ʻoe ke ʻai a me nā mea hiki ʻole ke ʻai ma mua a ma ka lā o ka hoʻāʻo. Hiki iā ʻoe ke pale aku i nā mea e like me:

• Nā mea inu me ka caffeine e like me ke kofe a me ke tī.
• Nā mea i loaʻa ka nikotine, e like me ka puhipaka.
• ʻAila.
• Kekahi mau huaʻai (e like me ka maiʻa, ka ʻavokado), nā mea kanu (e like me ka ʻuala, kamato) a me nā mea inu huaʻai (e like me ka wai ʻalani).
• Nā wikamina, nā mea hoʻohui, a i ʻole kekahi mau lāʻau lapaʻau.

Akā e hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. He mea nui loa kēia!

Pehea e hōʻiliʻili ai i kahi hāpana mimi 24-hola me ka pololei?

ʻAe, e nānā kākou pehea e hōʻiliʻili pono ai i kēia mimi. He mea kēia e pono e hana ʻia me ke akahele. Eia kekahi mau kuhikuhi laulā:

1. ʻO ka mea mua, mai hōʻiliʻili i kāu mimi mua ke ala ʻoe i ke kakahiaka. E hoʻolei wale i loko o ka lua e like me ka mea maʻamau. Akā e kākau i ka manawa pololei. ʻO kēia ka manawa e hoʻomaka ai i kāu hoʻāʻo. E ʻōlelo kākou ua hala ʻoe i kāu mimi mua i ka hola 8 am (a ʻaʻole i hōʻiliʻili). No laila, ʻo ka hola 8 am ka manawa e hoʻomaka ai.

2. A lailaI kēlā me kēia manawa āu e mimi ai, e hōʻiliʻili iā ia i loko o ka ʻōmole i hāʻawi ʻia. E makaʻala loa ma ʻaneʻi e hōʻoia i ka komo ʻana o kāu mimi a pau i loko o ka ʻōmole, a ʻaʻole e komo nā feces (kapa mākou he goo) a i ʻole ka pepa toilet i loko. ʻAʻole paʻakikī loa kēia no ka mea he waha ākea ka ʻōmole.

3. Ke hoʻohana ʻole ʻoe i ka ʻōmole mimi, e mālama iā ia i loko o ka pahu hau. A i ʻole hiki iā ʻoe ke mālama iā ia i loko o kahi pahu anuanu me ka hau. ʻO ka mea nui, he anu ia.

4. E inu i ka wai he nui i ka lā a pau. Hiki iā ʻoe ke ʻai maʻamau, koe wale nō nā mea a kāu kauka e ʻōlelo pono ʻole ai e ʻai.

5. Pono ʻoe e hōʻailona i ka manawa i hoʻomaka ai ʻoe i ka hoʻāʻo, pololei he 24 mau hola ma hope, a hoʻāʻo e hōʻiliʻili i kāu mimi hope loa e like me ka hiki i kēlā manawa. No ka laʻana, inā ua hoʻokahe ʻoe i kāu mimi mua (ʻaʻole i hōʻiliʻili ʻia) i ka hola 8 a.m. o ka Pōʻakahi, e hoʻāʻo e hōʻiliʻili i kāu mimi hope loa ma kahi o ka hola 8 a.m. o ka Pōʻalua.

6. Mai poina e kākau maopopo i kou inoa, ka manawa i hoʻomaka ai ka hoʻāʻo, ka manawa i pau ai, a me nā kikoʻī ʻē aʻe e pono ai ma ka ʻōmole. Hiki i ka hale hana ke hāʻawi i kahi sticker e kākau ai i kēia mau kikoʻī.

7. E lawe i kēia ʻōmole i ka hale hana i ka wā hikiwawe loa. E haʻi aku kāu kauka iā ʻoe i kahi e lawe ai.

ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo aʻoaʻo hou a kāu kauka e hāʻawi ai iā ʻoe (e like me ka wā e hoʻomaka ai e hōʻiliʻili, pehea e hoʻohana ai i ka ʻōmole, a pēlā aku). Ma ka hahai pono ʻana i nā ʻōlelo aʻoaʻo e loaʻa ai nā hopena pololei loa.

ʻEhia ka wai e pono ai kākou e inu i ka lā a kākou e hōʻiliʻili ai i kēia mimi?

Ma ke ʻano laulā, ua ʻōlelo ʻia e inu ʻoe ma kahi o 8 mau aniani wai i ka lā o kāu hōʻiliʻili mimi. ʻO ke aniani wai ma kahi o 180-240 milliliters (6-8 auneke). Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi puʻupaʻa e kaupalena ana i kāu lawe ʻana i ka wai, e noi i kāu kauka no ka ʻōlelo aʻo.

Aia kekahi mau pilikia i ka hana ʻana i kēia hoʻāʻo?

ʻAʻohe pōʻino a pilikia paha iā ʻoe mai ka loaʻa ʻana o kēia hoʻāʻo. ʻAʻole ia he ʻeha ma kekahi ʻano. Eia nō naʻe, aia kahi manawa liʻiliʻi e hewa paha nā hopena inā ʻaʻole i hōʻiliʻili pono ʻia ka hāpana a i ʻole no kekahi kumu ʻē aʻe. Eia kekahi o nā kumu:

• ʻO ka hōʻiliʻili ʻana i ka mimi no nā hola he 24 a ʻoi aʻe paha, a i ʻole ka haʻalele ʻana i ka mimi i loko o ia manawa. ʻO ka hala ʻana o hoʻokahi mimi e hoʻololi paha i ka hopena.
• Kekahi mau meaʻai, nā lāʻau lapaʻau, a i ʻole nā ​​​​mea hoʻohui.
• Hoʻoikaika kino nui loa.
• Kaumaha loa.
• ʻO ka dehydration ka nele o ka wai i loko o ke kino.

ʻO ia ke kumu he mea nui e hahai pono i nā ʻōlelo a ke kauka.

He aha nā hopena o ka hōʻiliʻili ʻana i kēia hāpana mimi 24-hola?

Hōʻike kāu hōʻike hoʻāʻo i ka pae holoʻokoʻa o ka protein i loko o kou mimi, a me ka lakio protein/creatinine.Hiki iā ʻoe ke ʻike. I ka manawa like, hāʻawi pū ka lab iā ʻoe i kahi "pae kuhikuhi." Hōʻike kēia iā ʻoe i nā hopena no ke kanaka maʻamau a olakino. No laila hiki mai ke kauka i kahi hopena ma ka hoʻohālikelike ʻana i kāu mau hopena me kēia pae maʻamau.

He aha nā hopena maʻamau o kahi hoʻāʻo mimi 24-hola?

No ke kanaka makua, ʻo ka pae protein ma lalo o 150 milligrams i kēlā me kēia lā (< 150 milligrams i kēlā me kēia lā) a me ka ratio protein i ka creatinine ma lalo o 0.2 (< 0.2) ua manaʻo ʻia he maʻamau. Inā ʻoi aku ia ma mua o kēia mau waiwai (kapa mākou i kēia kūlana ʻo 'proteinuria), hiki ke hōʻike ʻia ʻaʻole hana pono kou mau puʻupaʻa. Akā, mai hopohopo inā kiʻekiʻe iki kāu mau hopena i kekahi manawa. E nānā kāu kauka i ke kumu.

ʻEhia ka lōʻihi e hiki ai iaʻu ke ʻike i nā hopena?

Hiki ke hala kekahi mau lā no ka hoʻi ʻana mai o nā hopena o kēia hoʻāʻo mimi 24-hola. Loaʻa paha i kekahi mau keʻena hoʻokolohua nā hopena i ka lā hoʻokahi. Hiki iā ʻoe ke nīnau i ka keʻena hoʻokolohua i ka wā e waiho ai ʻoe i ka hāpana a me ka wā e hiki ai iā ʻoe ke manaʻo i nā hopena.

Inā he ʻano ʻē nā hopena, he aha ka mea e hiki mai ana?

Inā ʻano ʻē kāu mau hopena, ʻo ia hoʻi, ʻaʻole ia ka mea a ke kauka i manaʻo ai, e kamaʻilio ʻo ia me ʻoe a hoʻoholo i ka mea e hana ai ma hope. Hiki i kēia ke komo pū me ka hana ʻana i kahi hōʻailona, ​​​​​​ke hoʻoholo ʻana i ka lāʻau lapaʻau, a i ʻole ka hana ʻana i nā hoʻokolohua hou aʻe . No ka laʻana, kahi scan puʻupaʻa a i ʻole, inā pono, kahi biopsy. Hana ʻia kēia mau mea a pau e hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa.

Āhea wau e kāhea aku ai i kaʻu kauka ?

Inā he mau nīnau kāu e pili ana i ke ʻano o ka hōʻiliʻili ʻana i kāu hāpana mimi, inā he mea maopopo ʻole, a inā makemake ʻoe e ʻike i ke ʻano o nā hopena hoʻāʻo , e kamaʻilio me kāu kauka a mea mālama ola paha. Mai hūnā i kekahi mea iā ʻoe iho. ʻOi aku ka maikaʻi o ka nīnau ʻana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He hoʻāʻo maʻalahi ka hoʻāʻo mimi 24-hola, ʻaʻohe invasive e kōkua i kāu kauka e ʻike i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa. Nui nā kumu e makemake ai ʻoe e hana i kēia, inā paha e nānā i kahi maʻi āu i loaʻa ai a i ʻole e loaʻa hou aku ka ʻike ma hope o nā hoʻāʻo ʻē aʻe. Inā hopohopo ʻoe no nā hopena, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i ka mea e manaʻo ai. ʻO ka ʻike ʻana i kēia mau hopena e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo maikaʻi loa e pili ana i kou olakino a me ka lāʻau lapaʻau āu e pono ai.

No laila, inā haʻi aku ke kauka iā ʻoe e hana i kēia hoʻokolohua, e hana pololei, e like me ke kuhikuhi ʻana. He kōkua nui ia no kou olakino ponoʻī! ʻAʻohe kumu e makaʻu ai. He ʻanuʻu wale nō kēia e hāʻawi ana i ka ʻike waiwai e pili ana i ke olakino o kou mau puʻupaʻa.