ʻAʻole hiki iā ʻoe ke mimi? He kūlana weliweli anei kēia? E aʻo kākou e pili ana iā (Anuria).

I kekahi manawa manaʻo mākou, 'ʻAʻole au i inu i ka wai lawa i kēia lā, no laila he wahi liʻiliʻi wale nō kaʻu mimi i hoʻokahe ai.' Akā, ua loaʻa anei iā ʻoe kekahi lā a i ʻole kekahi mau hola kahi i mimi ʻole ai ʻoe, ʻaʻohe mea i ka nui o ka wai āu i inu ai? A i ʻole ua liʻiliʻi loa ka nui āu i hoʻokahe ai a hiki ʻole iā ʻoe ke noʻonoʻo? ʻAʻole kēia he mea maʻamau. I kēia lā e kamaʻilio mākou e pili ana i kēia maʻi koʻikoʻi i kapa ʻia ʻo Anuria . He pilikia kēia, no laila he mea nui loa ka ʻike pono i ka mea e hana ai e pili ana i ia mea.

I ka ʻōlelo maʻalahi, he aha ʻo Anuria?

ʻO Anuria ka wā e pau loa ai ka hana ʻana o kou mau puʻupaʻa i ka mimi. A i ʻole, e pau ana kou kahe ʻana o ka mimi ma muli o kahi paʻa i kekahi wahi o kāu ʻōnaehana mimi. ʻO kēia ke ʻano koʻikoʻi loa o kahi maʻi i kapa ʻia ʻo Oliguria . ʻO Oliguria ka wā e haʻahaʻa loa ai ka nui o ka mimi āu e hana ai.

ʻO ka nui o ka mimi a mākou e hoʻokuʻu aku ai e hōʻike nui ana i ko mākou olakino. ʻO ka maʻamau, hana nā puʻupaʻa o kahi pākeke olakino ma mua o 500 milliliters (500 ml) o ka mimi i kēlā me kēia lā. ʻO ia ka nui o ka ʻōmole. I nā keiki, ʻokoʻa kēia nui ma muli o ka makahiki a me ka nui o ke kino.

Eia nō naʻe, hoʻokuʻu kahi pākeke me ka anuria i kahi liʻiliʻi loa o ka mimi i kēlā me kēia lā, ma waena o 0 a me 100 milliliters .

He aha nā hōʻailona o ka anuria?

ʻO ka hōʻailona maopopo loa o kēia ʻano, ʻo ia ka nele a i ʻole ka liʻiliʻi loa o ka mimi. Eia nō naʻe, hiki iā ʻoe ke loaʻa nā hōʻailona ʻē aʻe e pili ana i ke kūlana olakino i hoʻokumu ai i ka anuria.

Eia kekahi laʻana, inā loaʻa ka anuria e nā maʻi e like me ka maʻi puʻupaʻa, ka maʻi ate, a i ʻole ka maʻi puʻuwai, hiki ke ʻike ʻia nā hōʻailona ma lalo nei.

Hiki i nā maʻi e like me ka maʻi diabetes ke hōʻino i nā puʻupaʻa. No laila, inā he kakaikahi loa kāu mimi a loaʻa iā ʻoe kekahi o nā hōʻailona ʻē aʻe i ʻōlelo ʻia ma luna, e hele koke i ka lumi pilikia o ka haukapila (ETU).

He aha ke kumu o ka anuria?

ʻEkolu mau ʻano nui o nā kumu o ka anuria. E nānā kākou iā lākou pākahi.

1. ʻAʻole lawa ke koko a i ʻole ka wai i nā puʻupaʻa: No ka hana pono ʻana, pono nā puʻupaʻa i kahi lako koko maikaʻi. Inā emi kēia lako, e pau ka hana ʻana o ka mimi.

2. Ke keakea ʻana i ke kaʻina hana o ke kānana ʻana i ke koko e nā puʻupaʻa: ʻOiai ke loaʻa nei ke koko i nā puʻupaʻa, no kekahi kumu, hiki ke hoʻopau ʻia ke kaʻina hana o ke kānana ʻana i kēlā koko a me ka hana ʻana i ka mimi.

3. Ka ālai ʻana o ke ala mimi ma hope o ka hoʻokumu ʻia ʻana o ka mimi: ʻOiai ua hoʻokumu ʻia ka mimi e nā puʻupaʻa, inā he ālai ma kekahi wahi ma ke ala e hele ai ka mimi i ka ʻōpū mimi a puka i waho, ʻaʻole e hoʻokuʻu ʻia ka mimi.

Aia ma ka papa ma lalo nei kekahi mau laʻana e pili ana i kēia mau ʻano kumu.

Pehea ke koʻikoʻi o kēia maʻi? Aia kekahi mau pilikia?

ʻAe, he maʻi koʻikoʻi loa ʻo Anuria a he mea hoʻoweliweli i ke ola . Hoʻopau nā puʻupaʻa i nā ʻōpala a me nā wai keu mai ko mākou kino. Ke hana ʻole nā ​​puʻupaʻa, hōʻiliʻili kēia mau ʻōpala a me nā wai i loko o ke kino. Hiki i kēia ke alakaʻi i ka make.

Inā haʻalele ʻia me ka mālama ʻole ʻia, hiki i ka anuria ke hōʻeha mau loa i nā puʻupaʻa, e alakaʻi ai i ka hāʻule piha ʻana.

ʻEhia ka emi ʻana o ka hana a nā puʻupaʻa ma mua o ka make ʻana?

Ana nā kauka i ka hana o nā puʻupaʻa me kahi hoʻāʻo i kapa ʻia ʻo eGFR (estimated Glomerular Filtration Rate) . Ke emi ka hiki o nā puʻupaʻa ke kānana i nā huahana ʻōpala, kapa mākou ia he Chronic Kidney Disease (CKD).

Aia he 5 mau pae o ka maʻi CKD.

• Pae 1: ʻO eGFR he 90 a ʻoi aku paha. Ke hana maikaʻi nei nā puʻupaʻa, akā aia paha kekahi mau pōʻino.
• Pae 5: ʻOi aku ka liʻiliʻi o ka eGFR ma mua o 15. ʻO ke ʻano kēia ua kokoke loa nā puʻupaʻa i ka hāʻule piha ʻana, a ua hāʻule mua paha.

Inā ʻoe e hiki i ke kahua 5, ʻaʻole paha e hoʻopakele ʻia kou ola ke ʻole ʻoe e hana i ka dialysis a i ʻole kahi hoʻoili puʻupaʻa.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe i kekahi mau nīnau e pili ana i kou mōʻaukala olakino a me nā hōʻailona.

• "He aha kāu i inu ai i kēia lā? Ehia ka nui āu i inu ai?"
• "I ka manawa hea ʻoe i mimi hope loa ai?"
• "Ke manaʻo nei ʻoe e like me ka emi ʻana o kou mimi ma mua o ka maʻamau?"
• "Ua loaʻa anei iā ʻoe ka pilikia o ka mimi ʻana e like me kēia ma mua?"
• "Ua pehu kou mau wāwae a me kou mau wāwae?"
• Ua ʻike anei ʻoe i ke koko i loko o kou mimi (Hematuria)?
• "Ua luhi loa anei ʻoe i kēia mau lā iho nei?"

Ma waho aʻe o kēia mau nīnau, hiki i ke kauka ke kauoha i nā hoʻokolohua like ʻole e hōʻoia i ke kūlana o ka anuria a nānā i ke olakino o nā puʻupaʻa.

He aha nā hoʻokolohua?

Pehea e mālama ʻia ai ʻo Anuria?

ʻO ke ʻano o ka mālama ʻana e pili ana i ke kumu o ka anuria.

• Inā he pilikia e like me ka hōʻeha puʻuwai, sepsis, a i ʻole ka haʻalulu, ʻo ka mea nui a nā kauka ka mālama ʻana i kēlā kūlana.
• Inā loaʻa iā ʻoe ka maʻi puʻupaʻa koʻikoʻi, pono paha ʻoe i ka dialysis a i ʻole ka hoʻoili ʻana o ka puʻupaʻa e hoʻomaʻemaʻe i kou koko.
• Inā he ālai ʻia ke ala mimi, e hoʻokomo ke kauka i kahi catheter e hoʻokahe koke i ka mimi mai ka ʻōpū mimi. No ka laʻana, he catheter Foley a i ʻole ka catheter suprapubic . I kekahi manawa, hiki ke hoʻohana ʻia nā mea i kapa ʻia ʻo ureteral stents e mālama i nā ʻōmole e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi.
• Inā kumu ʻia kēia kūlana e ka maloʻo ʻana o ka wai, hoʻomaʻū hou ʻia ke kino ma ka hāʻawi ʻana i ka wai e inu ai a i ʻole ka hāʻawi ʻana i ka saline (intravenous - IV fluids) ma o kahi aa koko.

Hiki ke pale ʻia ʻo Anuria? Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kahi maʻi mau loa e hiki ai ke hoʻoulu i ka anuria, e like me ka maʻi diabetes a i ʻole ka maʻi puʻuwai, he mea nui e hahai i nā ʻōlelo a kāu kauka e mālama i kou kūlana. Hiki i kēia mau ʻōlelo ke komo pū me:

• He aha kāu e ʻai ai a inu ai, a ma nā nui hea.
• Ke hoʻopaʻa nei i ke kaumaha o ke kino i kēlā me kēia lā.
• Ke ʻike nei i nā hōʻailona o ka pehu ʻana a i ʻole ka paʻa ʻana o ka wai i loko o ke kino.
• Ke lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia i ka manawa kūpono.

Eia kekahi, i nā kūlana kahi e hiki ai ke maloʻo ka wai, e like me ka luaʻi ʻana a i ʻole ka maʻi pākī, he mea nui loa ia e inu i nā wai lawa .

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole ka maʻi puʻuwai a ʻike ʻoe e mimi iki ana ʻoe ma mua o ka maʻamau, ʻoiai inā ʻoe e inu nui ana i nā wai, e kāhea koke i kāu kauka. Eia kekahi, e makaʻala i nā loli o ke kala o kou mimi (e.g., kala ʻeleʻele).