ʻO ka maʻi puʻupaʻa a me ka anemia (Anemia ma CKD): E ʻike pono kākou e pili ana i kēia pilina

Inā ua haʻi aku kāu kauka iā ʻoe he maʻi puʻupaʻa mau kou (CKD), e kahaha paha ʻoe i ka manaʻo mau o ka luhi nui, ka ʻeha āu e ʻike ai i kou piʻi ʻana i nā alapiʻi, a me ka nele o ka ikaika e hana i kekahi mea. Manaʻo ka poʻe he nui kēia o ka maʻi puʻupaʻa. He ʻoiaʻiʻo kēlā, akā ʻo ke kumu nui o kēia mau hōʻailona he emi ʻana o ka nui o ke koko i loko o kou kino, a mākou e kapa nei ma ke ʻano lapaʻau he anemia. He aha ka pilina ma waena o nā puʻupaʻa a me ka emi ʻana o ke koko i loko o ke kino? I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

No ke aha i haʻahaʻa ai ka helu koko o ka poʻe me ka maʻi puʻupaʻa? ʻO kekahi o nā kumu nui

I ka ʻōlelo maʻalahi, he mea nui ka oxygen no kēlā me kēia cell a me nā ʻōkana i loko o ko kākou kino e ola a hana pono. Lawe ko kākou mau hunaola koko ʻulaʻula i kēia oxygen makamae mai nā māmā a puni ke kino. ʻO ka protein i loko o kēia mau hunaola koko ʻulaʻula i kapa ʻia ʻo hemoglobin ka mea e hoʻopaʻa ai i ka oxygen.

E noʻonoʻo, ʻo kēia mau kaʻa i kapa ʻia he mau ʻulaʻula koko e ʻelemakule a luku ʻia ma hope o kekahi manawa. No laila, ke hana mau nei ko mākou kino i nā ʻulaʻula koko hou e hoʻoponopono ai i kēia hemahema. ʻO ka hale hana e hana ana i kēia mau ʻulaʻula koko ʻulaʻula ʻo ko mākou iwi iwi. Eia naʻe, ua hāʻawi ʻia ke kauoha e "hoʻomaka e hana i nā ʻulaʻula koko i kēia manawa" i kēia hale hana i kapa ʻia he iwi iwi e ko mākou mau puʻupaʻa. Ke hōʻino ʻia lākou ma muli o ka maʻi puʻupaʻa, hele hewa kēia kaʻina holoʻokoʻa. Hana ʻia ia ma ʻekolu mau ʻano nui.

Kumu 1: Ka nalowale ʻana o ka 'Hōʻailona' e hana i nā hunaola koko ʻulaʻula

Hoʻomau nā pūnaewele kūikawā i loko o ko kākou mau puʻupaʻa i ka nānā ʻana i nā pae oxygen i loko o ko kākou koko. Ke emi ka nui o nā hunaola koko ʻulaʻula i loko o ko kākou koko a emi nā pae oxygen, ʻike kēia mau pūnaewele i kēia a hoʻokuʻu i kahi hormone i kapa ʻia ʻo erythropoietin (EPO) i loko o ke koko. Hele kēia hormone EPO i ka iwi ʻiʻo a haʻi aku iā ia, "ʻAe, e hoʻomaka kākou e hana, e hana i nā hunaola koko ʻulaʻula hou aku."

Ke loaʻa iā ʻoe ka maʻi puʻupaʻa mau loa (CKD), e hōʻino mālie ʻia kou mau puʻupaʻa. Ma muli o kēia hōʻino, ʻaʻole hiki i kou mau puʻupaʻa ke ʻike i nā pae oxygen haʻahaʻa a hana i ka hormone EPO. Ke pau ka EPO, ʻaʻole e loaʻa i ka iwi iwi ka leka. No laila e emi nui ana ka hana ʻana o nā hunaola koko ʻulaʻula. Ke hiki ʻole ke hana ʻia nā hunaola koko ʻulaʻula hou e mālama i ka helu o ka poʻe e make ana, nele ke kino i nā hunaola koko ʻulaʻula, a i ʻole anemia.

Kumu 2: Hoʻopōkole ʻia ke ola o nā hunaola koko ʻulaʻula

ʻO ka maʻamau, ola kahi hunaola koko ʻulaʻula i loko o ke kanaka olakino no kahi o 120 mau lā . Ma hope o kēlā, ua luku ʻia a pani ʻia e kahi mea hou.

Akā ma muli o kekahi mau mea ʻawahia e hōʻiliʻili ana i loko o ke koko o ke kanaka me ka maʻi puʻupaʻa, ʻaʻohe wahi kūpono o kēia mau hunaola koko ʻulaʻula e noho ai. ʻO ka hopena, ua hoʻemi ʻia ko lākou ola i kahi o 70-80 mau lā . ʻO ia hoʻi, ma kahi o ke kali ʻana i nā hunaola koko ʻulaʻula hou e hana ʻia, make koke nā mea kahiko. ʻO kēia kekahi kumu e hoʻonui ai i ka anemia.

Kumu 3: Ka nele o ka hao a me nā meaʻai

ʻO ka hao ka mea nui e pono ai no ka hana ʻana i ke kaʻa i kapa ʻia he mau hunaola koko ʻulaʻula. Me ka ʻole o ka hao, ʻaʻole hiki ke hana ʻia ka hemoglobin. Me ka ʻole o ka hemoglobin, ʻaʻole hiki ke lawe ʻia ka oxygen.

Loaʻa iā mākou ka hao mai nā meaʻai e like me nā lau ʻōmaʻomaʻo e like me ka pī, ka sipinaki, a me nā cereals ʻaina kakahiaka i hoʻoikaika ʻia. Akā, ma kahi o ka hapalua o ka poʻe me ka maʻi puʻupaʻa koʻikoʻi he nele i ka hao. Aia paha he nui nā kumu no kēia.

• ʻAʻole lawa ka hao mai ka meaʻai: Pono paha nā poʻe maʻi puʻupaʻa e kaupalena i kā lākou ʻai, a ʻo ia hoʻi ka nele o nā meaʻai waiwai i ka hao.
• Hoʻemi ʻia ka omo ʻana o ka hao: Hiki i ka maʻi puʻupaʻa ke hōʻemi i ka hiki o ke kino ke omo i ka hao mai nā ʻōpū.
• Ka nalowale o ke koko: ʻO nā hoʻāʻo koko pinepine e lilo mālie ai ke koko i ke kino. Eia kekahi, inā e hana ʻia ana kekahi i ka dialysis , nalowale ke kino i kekahi koko a me ka hao i loko o ia kaʻina hana.

Ma waho aʻe o ka hao, he mea nui nō hoʻi nā meaolaola e like me ka wikamina B12 a me ka folate (Folate/Vitamin B9) no ka hoʻokumu pono ʻana o nā hunaola koko ʻulaʻula. Ua nele kekahi poʻe maʻi puʻupaʻa i kēia mau meaolaola.

Nā mea ʻē aʻe e pili ana i ka anemia

Ma waho aʻe o kēia mau kumu nui, hiki i kekahi mau kumu ʻē aʻe ke hoʻopilikia i ka anemia o kahi maʻi puʻupaʻa.

• Nā maʻi pinepine
• ʻO ka mumū mau loa i ke kino: ʻO kēia ke kumu e hoʻokuʻu ai ke kino i nā kemika i kapa ʻia ʻo cytokines, kahi e hōʻemi ai i ka hana o ka iwi iwi.
• Ka ʻai ʻole ʻana

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka anemia?

ʻAʻole nā ​​​​kānaka a pau me ka maʻi puʻupaʻa e ʻike i ka nui like o ka anemia, akā aia kekahi poʻe i ka pilikia kiʻekiʻe.

• Inā he wahine ʻoe
• Inā loaʻa iā ʻoe ka maʻi diabetes
• Inā ua emi nui ka hana a kāu puʻupaʻa a hana ʻole paha

Inā loaʻa iā ʻoe nā hōʻailona o ka anemia (luhi, nāwaliwali, ʻili keʻokeʻo, poniuniu), hiki i kāu kauka ke kauoha i kahi helu koko piha a me nā hoʻokolohua e nānā i kou pae hao. E hoʻoholo kēia i ka lāʻau lapaʻau āu e pono ai. Aia nā lāʻau lapaʻau no kēia, e like me nā pila hao a me nā inikini o ka hormone EPO.