Ua ʻike anei ʻoe i ka maʻi puʻupaʻa? E kamaʻilio maʻalahi kākou e pili ana.

ʻO nā puʻupaʻa kekahi o nā ʻōkana kupaianaha loa o ko kākou kino. Ua like lākou me ka "ʻōnaehana kānana" i loko o ko kākou kino. Akā, nui ka poʻe e noʻonoʻo nei i ke olakino o kēia mau puʻupaʻa ma hope o ko lākou maʻi ʻana. Akā, ʻo ka maʻi puʻupaʻa kahi maʻi e komo mālie ana i loko o ke kino, akā hiki ke koʻikoʻi.

He aha nā puʻupaʻa? He aha kā lākou hana?

I ka ʻōlelo maʻalahi, loaʻa iā ʻoe ʻelua mau puʻupaʻa. Aia lākou ma nā ʻaoʻao ʻelua o kou kua, ma luna pono o kou pūhaka. ʻAʻole lākou he mau ʻōkana ʻelua wale nō. Hana lākou i nā hana like ʻole. E noʻonoʻo i ka mea e hana ai inā ʻaʻole hana pono kou mau puʻupaʻa. A laila hoʻomaka nā huahana ʻōpala a me nā wai pono ʻole e hōʻiliʻili i loko o kou kino. Hoʻoulu kēia i ka pehu ʻana i kou mau wāwae, ka nausea, ka luhi, ka hiamoe ʻole, a me ka paʻakikī o ka hanu ʻana. Inā ʻaʻole mālama ʻia, hiki ke ʻoi aku ka ʻino a hiki i kou mau puʻupaʻa ke oki loa i ka hana. He kūlana koʻikoʻi kēia hiki ke hoʻoweliweli i ke ola. E nānā kākou i kekahi o nā hana nui i hana ʻia e nā puʻupaʻa olakino.

He aha nā ʻano nui o nā maʻi puʻupaʻa?

ʻAʻole hoʻokahi wale nō ʻano maʻi puʻupaʻa. Nui nā ʻano like ʻole. E kamaʻilio kākou e pili ana i kekahi o nā ʻano maʻamau.

1. Maʻi Puʻupaʻa Mau Loa (CKD)

ʻO kēia ke ʻano maʻamau. He nalowale mālie ia o ka hana o nā puʻupaʻa i ka hala ʻana o ka manawa. ʻAʻole ia e hiki koke mai, akā ulu mālie pinepine i nā makahiki he nui. ʻO ka maʻi diabetes a me ke koko kiʻekiʻe nā kumu nui. ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia ʻo CKD, hiki ke kāohi ʻia ka holomua o ka maʻi me ka mālama kūpono a me nā hoʻololi ʻana i ke ʻano o ka nohona. Inā haʻalele ʻia, hiki iā ia ke alakaʻi i ka maʻi puʻupaʻa hope loa (ESRD). A laila pono ʻia ka dialysis a i ʻole ka hoʻoili puʻupaʻa.

2. Nā ʻano maʻi puʻupaʻa ʻē aʻe

• ʻO ka maʻi puʻupaʻa Polycystic : He maʻi hoʻoilina kēia. I kēia kūlana, nui nā cysts i piha i ka wai ( cysts ) e ulu ana i loko o nā puʻupaʻa . Hoʻemi kēia i ka hiki o nā puʻupaʻa ke kānana i nā huahana ʻōpala.
• Lupus Nephritis: He maʻi autoimmune ʻo Lupus. ʻO ke ʻano kēia, hoʻouka ka ʻōnaehana pale ponoʻī o ke kino i nā hunaola olakino. I ka Lupus Nephritis, hoʻouka ka ʻōnaehana pale i nā puʻupaʻa.
• Glomerulonephritis: He kūlana i hoʻokumu ʻia e ka hōʻino ʻia ʻana o nā kānana liʻiliʻi (glomeruli) i loko o nā puʻupaʻa. Hiki ke loaʻa kēia kūlana i kekahi manawa ma hope o ka maʻi ʻāʻī strep.
• Pyelonephritis: He maʻi ʻaʻai mimi kēia e kū mai ana i loko o nā puʻupaʻa. Inā pinepine kēia maʻi , hiki iā ia ke hōʻeha mau loa i nā puʻupaʻa.

He aha nā kumu o ka maʻi puʻupaʻa?

Hiki ke hoʻokaʻawale ʻia nā kumu o ka maʻi puʻupaʻa i ʻelua mau ʻāpana nui.

1. ʻEha puʻupaʻa koʻikoʻi

ʻO kēia ka manawa e pau koke ai ka hana a nā puʻupaʻa. Hiki ke hana ʻia kēia e:

• Ka emi ʻana o ke kahe koko i nā puʻupaʻa (e.g., ke kahe koko nui mai kahi ulia nui, ka maloʻo ʻana o ka wai ).
• Ka hōʻino pololei ʻana i nā puʻupaʻa (e like me kekahi mau lāʻau lapaʻau, nā mea ʻawahia).
• Ke ālai ʻia ʻana o ka mimi (e.g., ka prostate i hoʻonui ʻia, nā pōhaku puʻupaʻa).
• Nā pilikia i ka wā hāpai (e like me ka preeclampsia).

2. Maʻi Puʻupaʻa Mau Loa (CKD)

Inā ua pilikia ka hana o nā puʻupaʻa no nā mahina ʻekolu a ʻoi, ua kapa ʻia ʻo ia he CKD. ʻO nā kumu nui ʻelua no kēia:

• Maʻi diabetes: Hiki i ke kiʻekiʻe o ke kō koko i loko o kahi manawa lōʻihi ke hōʻino i nā puʻupaʻa.
• Ke koko kiʻekiʻe: Hoʻopōʻino ke koko kiʻekiʻe i nā kīʻaha koko palupalu e lawe ana i ke koko i nā puʻupaʻa.

Eia kekahi, ʻo ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau ʻeha (NSAID e like me ibuprofen) a me ka ʻike ʻana i kekahi mau kemika hiki ke hōʻino i nā puʻupaʻa. No laila, mai hoʻomau i ka hoʻohana ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.

ʻO ka waiʻona a me ka maʻi puʻupaʻa

He mea hoʻokaumaha ka waiʻona i nā puʻupaʻa. Hiki i ka inu nui ʻana ke alakaʻi i ka hāʻule ʻana o nā puʻupaʻa. Eia kekahi, ʻo ka inu nui ʻana i ka waiʻona i kēlā me kēia lā e hoʻonui ai i ka pilikia o ke koko kiʻekiʻe, kahi e hoʻonui ai i ka pilikia o ka loaʻa ʻana o nā maʻi puʻupaʻa mau.

He aha nā hōʻailona o ka maʻi puʻupaʻa?

He akamai loa ko kākou mau puʻupaʻa. ʻOiai ka nui o ka pōʻino a lākou e hana ai, hoʻāʻo lākou e hoʻoponopono a hoʻomau i ka hana. No laila, ke lohi ka pōʻino o nā puʻupaʻa, ʻike lohi ʻia nā hōʻailona. I kekahi manawa, ʻaʻohe paha he mau hōʻailona a hiki i ka wā e holomua loa ai ka maʻi. Eia naʻe, i ka holomua ʻana o ka maʻi, hiki ke ʻike ʻia nā hōʻailona e like me kēia:

• Ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae
• Manaʻo o ka luhi nui a me ka nāwaliwali
• Ka luaʻi a me ka luaʻi
• Ka nalowale o ka makemake a me ka ʻono metala i loko o ka waha
• ʻO ka maneʻo mau
• Nā pilikia hiamoe ʻole
• Ka loli ʻana o ke alapine (hoʻonui a emi paha)
• ʻEhaʻeha o nā ʻiʻo
• Ka paʻakikī o ka hanu ʻana (ma muli o ka hōʻiliʻili ʻana o ka wai i loko o nā māmā)
• Ke koko kiʻekiʻe

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa e ʻike koke i kāu kauka no ka ʻōlelo aʻo.

Pehea e ʻike ai i ka maʻi?

E nīnau mua kāu kauka e pili ana i kou mōʻaukala olakino ʻohana, nā lāʻau lapaʻau āu e lawe ai, a me nā hōʻailona. A laila e hana lākou i kahi hoʻokolokolo kino. Eia kekahi, hiki iā lākou ke kauoha i nā hoʻokolohua e like me:

• Nā hoʻāʻo koko: E nānā i ka nui o nā huahana ʻōpala (e like me ka creatinine a me ka urea) i loko o ke koko.
• Nā hoʻāʻo mimi: E nānā i nā mea e like me ka protein i loko o ka mimi.
• Nā Hoʻāʻo Kiʻi: Hiki i kāu kauka ke nānā i ke kūlana o kou mau puʻupaʻa me kahi hoʻāʻo e like me ka ultrasound scan.
• ʻO ka Biopsy Kidney: Maanei, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupaʻa a hoʻouna ʻia i kahi keʻena hoʻokolohua e hoʻoholo ai i ke kumu pololei o ka maʻi.

He aha nā koho lapaʻau?

ʻO nā pahuhopu nui o ka mālama ʻana, ʻo ia ke kāohi i nā hōʻailona, ​​​​hoʻolohi i ka holomua o ka maʻi, a hōʻemi i nā pilikia. He mea nui e hoʻomanaʻo ʻaʻole hiki ke ho'ōla loa ʻia ka maʻi puʻupaʻa mau loa (CKD) . Eia nō naʻe, me ka mālama pono ʻana, hiki ke ola i kahi ola maʻamau.

1. Nā lāʻau lapaʻau

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me nā ACE inhibitors a i ʻole ARBs e kāohi i kou koko. Kōkua kēia mau lāʻau lapaʻau i ka hoʻokele ʻana i ke koko a hōʻemi i ka hōʻino ʻana i kou mau puʻupaʻa. Hiki iā lākou ke hāʻawi iā ʻoe i nā lāʻau lapaʻau e kāohi i ka anemia a i ʻole nā ​​​​pilikia ʻē aʻe.

2. ʻAi

Pono nā maʻi puʻupaʻa e hahai i kahi papaʻai kūikawā. ʻO ka mea maʻamau, ʻōlelo ʻia kahi papaʻai haʻahaʻa i ka paʻakai, potassium, a me ka phosphorus . Pono paha ʻoe e kaupalena i kāu ʻai protein. ʻO kēia no ka mea pono nā puʻupaʻa i hōʻino ʻia e hana ikaika e wehe i kēia mau mea mai ke koko. Hoʻemi ka kaohi ʻana i ka ʻai i ke kaumaha ma luna o nā puʻupaʻa. He mea nui e ʻimi i ka ʻōlelo aʻo a ke kauka a meaʻai meaʻai paha no kēia.

3. Dialysis

Ke hōʻemi nui ʻia ka hana a nā puʻupaʻa, pono e hana ʻia ka hana a nā puʻupaʻa e hana ai e kahi mīkini a i ʻole kekahi ʻano hana ʻē aʻe. Ua kapa ʻia kēia he 'Dialysis'.

• Hemodialysis: ʻO kēia kahi e hoʻomaʻemaʻe ʻia ai ke koko me ka hoʻohana ʻana i kahi mīkini.
• Peritoneal Dialysis: ʻO kēia kahi e hoʻomaʻemaʻe ʻia ai ke koko me ka hoʻohana ʻana i ka membrane peritoneal i loko o ka lua ʻōpū.

E wehewehe kāu kauka i nā ʻano hana ʻelua iā ʻoe a kōkua iā ʻoe e koho i ke ʻano hana kūpono loa iā ʻoe.

4. Hoʻololi ʻana i nā puʻupaʻa

Ke hiki ka maʻi i nā pae hope loa, ʻo kekahi koho ʻē aʻe he hoʻoili puʻupaʻa. Ma kēia, hoʻoili ʻia kahi puʻupaʻa olakino mai kahi hoahānau ola, kekahi kanaka ʻē aʻe, a i ʻole kahi kanaka i make. Ma hope o ka hoʻoili holomua ʻana, ʻaʻole pono hou ka dialysis. Eia nō naʻe, pono ʻoe e lawe i nā lāʻau lapaʻau no ke koena o kou ola e pale aku i kou kino mai ka hōʻole ʻana i ka puʻupaʻa hou. Maʻi Pūpū, Ka Holo ʻole o ka Pūpū, Maʻi Diabetes, Ke Koko Kiʻekiʻe, Dialysis, Hoʻoili Pūpū, Nā Hōʻailona o ka Maʻi Pūpū