Inā ua loaʻa iā ʻoe kahi urinalysis a ʻōlelo ka hōʻike "Nā kristal i loko o ka mimi," he mea maʻamau ke manaʻo iki i ka hopohopo. Manaʻo paha ʻoe, "Auē kuʻu Akua, he aha kēia?" Akā, ʻaʻole ia he mea koʻikoʻi mau. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia mau kristal, pehea lākou e hana ai, a me nā mea e pono ai mākou e makaʻala.
He aha maoli kēia mau 'kristal' i loko o ka mimi?
I ka ʻōlelo maʻalahi, hoʻomaka kēia mau kristal liʻiliʻi e hana i ka wā e piʻi ai ka nui o nā minelala i loko o kou mimi a emi iho ka wai, ʻo ia hoʻi ka nui o ka wai. E noʻonoʻo e like me ka hoʻoheheʻe ʻana i kekahi kō i loko o ke aniani wai. Inā emi ka wai, ʻaʻole e hoʻoheheʻe ʻia ke kō a pau a noho i lalo. ʻO ia ka mea e hana ʻia ma ʻaneʻi. Hōʻiliʻili kēia mau ʻāpana liʻiliʻi a hana i kēia mau kristal. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia kūlana ʻo `(Crystalluria)` .
I kekahi manawa, puka aku kēia mau pōhaku mai ke kino me ka mimi me ka ʻole o ka pilikia. Eia nō naʻe, hiki i kekahi mau pōhaku ke ulu nui a hui pū e hana i nā pōhaku. Kāhea pū mākou iā lākou he mau pōhaku puʻupaʻa . Hiki i kēia mau pōhaku ke paʻa i loko o ke ala mimi a ālai i ke kahe o ka mimi. Inā hana ʻia kēia, hiki ke loaʻa nā kūlana koʻikoʻi, e like me ka ʻeha puʻupaʻa koke (AKI) a i ʻole ka hāʻule ʻana o ka puʻupaʻa koke (ARF).
He aha nā ʻano pōhaku maʻamau i loaʻa i loko o ka mimi?
Ke nānā kahi keʻena hoʻokolohua i kahi hāpana o kāu mimi ma lalo o kahi microscope, hiki iā ʻoe ke ʻike i nā ʻano kristal like ʻole. Hana ʻia kēlā me kēia kristal me nā minelala like ʻole. Eia kekahi o nā ʻano kristal nui āu e ʻike ai:
- ʻAmonium biurate : Loaʻa pinepine kēia mau mea i loko o ka mimi alkaline.
- Bilirubin : Hiki ke ʻike ʻia kēia mau mea inā he pilikia me ke akepaʻa.
- ʻO ka calcium oxalate a i ʻole ka calcium phosphate : ʻO kēia nā ʻano pōhaku puʻupaʻa maʻamau. Hiki i kekahi mau meaʻai a mākou e ʻai ai ke hoʻonui i ko lākou hoʻokumu ʻia ʻana.
- Cystine : He mea kākaʻikahi kēia. Hoʻokumu ʻia kēia ʻano cyst e kahi maʻi hoʻoilina.
- ʻAkika Hippuric : ʻAʻole kēia he mea maʻamau loa.
- Leucine : Hiki ke pili pū kēia me nā pilikia o ke ake.
- Struvite (magnesium ammonium phosphate) : ʻIke pinepine ʻia kēia mau mea me nā maʻi ʻōpū mimi.
- Tyrosine : He mea kākaʻikahi kēia a pili pū me nā maʻi akepaʻa.
- ʻAkika uric : Hiki ke ʻike ʻia kēia mau mea i loko o ka mimi o ka poʻe me nā maʻi e like me ka gout. Hiki nō hoʻi ke hana ʻia ke ʻai nui ʻoe i nā meaʻai waiwai i ka protein.
- XanthineHoʻokumu ʻia kēia e kahi maʻi genetic kakaʻikahi loa.
I loko o ka hale hana hoʻokolohua, ʻike ʻia kēia ʻano kristal e ko lākou ʻano ke nānā ʻia ma lalo o kahi microscope. ʻAʻohe ʻano kikoʻī o kekahi mau kristal, a mākou e kapa nei he mau kristal amorphous . Eia kekahi, ʻo ka acidity o kou mimi, a i ʻole 'pH', e hoʻopilikia pū i ke ʻano o nā kristal e hana ʻia.
ʻO wai ka mea hiki ke hoʻomohala i kēia mau pōhaku mimi?
ʻOiaʻiʻo, hiki i kekahi ke loaʻa nā kristal i loko o ko lākou mimi. ʻAʻole ia he manaʻo he maʻi kou. Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, ʻelua ʻano kristal i kapa ʻia ʻo `(Cystine)` a me `(Xanthine)` he kūikawā. Hōʻike lākou i nā kūlana hoʻoilina kakaʻikahi.
ʻO ka poʻe i ʻoi aku ka nui o ka hoʻomohala ʻana i nā pōhaku puʻupaʻa e ʻike paha i kēia mau pōhaku i ka wā o ka hoʻāʻo ʻana i ka mimi.
Pehea ka hopena o ka loaʻa ʻana o nā pōhaku i loko o koʻu mimi i koʻu kino?
Hiki i kekahi o nā ʻāpana i loko o kou mimi ke puka i waho o kou kino me ka ʻole o ka hōʻeha ʻana, a ʻaʻole paha ʻoe e ʻike iā lākou. ʻO ia hoʻi, ʻaʻole paha lākou e pono nui. Akā, ma ka ʻaoʻao ʻē aʻe, hiki i kekahi mau ʻāpana ke hui pū a hana i nā mea e like me nā pōhaku puʻupaʻa. ʻO ia ka manawa e kū mai ai ka pilikia.
Hiki i kēia mau pōhaku ke paʻa i loko o ke ala mimi a ālai loa i ke kahe ʻana o ka mimi. Hiki i kēia ke hōʻeha nui a hōʻino i nā puʻupaʻa. Hele kekahi mau pōhaku liʻiliʻi mai ke kino aku ma o lākou iho, akā pono paha e wehe ʻia nā pōhaku nui ma lalo o ke aʻo ʻana a ke kauka.
He aha nā hōʻailona o ka loaʻa ʻana o nā pōhaku i loko o ka mimi?
I ka hapa nui o ka manawa, ʻaʻohe hōʻailona o nā pōhaku mimi. Eia nō naʻe, inā loaʻa nā hōʻailona, hiki iā lākou ke komo pū me:
- ʻEha kua a ʻeha ʻōpū paha : Hiki ke loaʻa kēia ʻeha, ʻoiai inā ua hana ʻia nā pōhaku puʻupaʻa. I kekahi manawa hiki ke koʻikoʻi loa kēia ʻeha.
- Kuni : Inā loaʻa kēia ʻano me kahi maʻi, hiki iā ʻoe ke loaʻa i ke kuni.
- Mimi ʻeleʻele a huʻa paha : Hiki ke loli ke ʻano o ka mimi.
- Pono pinepine e mimi : Manaʻo paha ʻoe e pono ʻoe e mimi pinepine ma mua o ka maʻamau.
- Koko i loko o ka mimi (Hematouria) : Hiki ke ʻike ʻia ka mimi me ka ʻulaʻula a poni paha.
- Mimi me kahi ʻala pilau : Hiki i ka mimi ke loaʻa kahi ʻala ʻē.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.
He aha ke kumu o nā pōhaku i loko o ka mimi?
Aia kekahi mau kumu e hana ʻia ai nā pōhaku i loko o ka mimi. E nānā kākou i kekahi o nā mea nui:
- ʻAʻole inu wai lawa (Dehydration) : ʻO kēia ke kumu nui. Ke inu ʻoe i ka wai liʻiliʻi i kēlā me kēia lā, lilo kou mimi i ʻoi aku ka nui, kahi e hoʻonui ai i ka manawa kūpono o ka waiho ʻana o nā paʻakai mineral a me ka hana ʻana i nā pōhaku.
- ʻAi nui ʻana i kekahi mau meaʻaiʻO ka ʻai ʻana i nā meaʻai waiwai i ka protein he nui loa (e like me ka ʻiʻo, ka iʻa, nā hua manu), nā meaʻai kiʻekiʻe i ka paʻakai, a me kekahi mau huaʻai a me nā mea kanu (e like me nā meaʻai kiʻekiʻe i ka oxalate, e like me ka spinach a me nā tōmato) hiki ke alakaʻi i ka hoʻokumu ʻia ʻana o kekahi mau ʻano pōhaku.
- Kekahi mau lāʻau lapaʻau : No ka laʻana, hiki i kekahi mau lāʻau lapaʻau e like me `(Amoxicillin)`, `(Acyclovir)`, `(Sulfonamides)`, `(Atazanavir)` a me `(Methotrexate)` ke hana i nā pōhaku i loko o ka mimi.
- Nā maʻi ʻōpū mimi : E like me ka mea i ʻōlelo ʻia ma mua, hiki i kekahi mau maʻi ke hana i ka hoʻokumu ʻia ʻana o nā pōhaku e like me struvite.
- Ka lāʻau make ʻana o ka Ethylene glycol : He pilikia kēia. Hiki ke hana ʻia ma ka ʻai ʻana i kekahi mau kemika.
- ʻO ka Tumor Lysis Syndrome : Hiki ke hana ʻia kēia ʻano ma muli o ka luku ʻia ʻana o ka nui o nā hunaola kanesa i ka manawa hoʻokahi (pinepine ma ke ʻano he hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa).
He mea laha anei ke loaʻa nā puʻu i loko o kou mimi?
ʻAʻole, ʻaʻole loa. ʻO ka loaʻa ʻana o nā kristal i loko o ka mimi, kahi maʻi i kapa ʻia ʻo `(Crystalluria)`, ʻaʻole ia he mea laha. ʻOiai inā loaʻa iā ʻoe kahi maʻi ʻaʻai mimi, ʻaʻole ia e laha i nā poʻe ʻē aʻe. No laila, ʻaʻohe mea e hopohopo ai.
He aha nā hoʻokolohua e hana ʻia e ʻike ai inā he mau pōhaku i loko o ka mimi?
Hiki i kāu kauka ke kauoha i kahi urinalysis, ma ke ʻano he ʻāpana o ka nānā makahiki a i ʻole ma muli o kāu mau hōʻailona. Nānā ʻia kēia hāpana mimi ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua e ʻike inā he mau pōhaku, a inā pēlā, he aha ke ʻano.
I kekahi manawa, pono paha ke kauka e hana i nā hoʻokolohua hou aʻe (e like me nā hoʻāʻo koko, nā scan) e hana i kahi hōʻailona pololei.
Pehea e mālama ai i nā pōhaku i loko o ka mimi?
Aia ka lāʻau lapaʻau i ke kumu o nā puʻupuʻu. I ka hapanui o nā hihia, hiki ke hoʻomalu ʻia ke kūlana ma ka inu ʻana i ka wai hou aku a me ka hōʻemi ʻana i kekahi mau meaʻai (e like me ka paʻakai a me ke kō).
- Wai : He mea nui e inu i ka liʻiliʻi he 2-3 lita o ka wai i ka lā.
- ʻAi : Inā loaʻa iā ʻoe nā pōhaku calcium oxalate, e noi ʻia paha ʻoe e hōʻemi i kāu ʻai ʻana i nā meaʻai kiʻekiʻe i ka oxalate (spinach, rhubarb, beetroot, nati, kokoleka). Inā loaʻa iā ʻoe nā pōhaku uric acid, pono paha ʻoe e hōʻemi i kāu ʻai ʻana i nā meaʻai kiʻekiʻe i nā purines (ʻiʻo ʻulaʻula, meaʻai kai, waiʻona). E kamaʻilio me kāu kauka a i ʻole he meaʻai meaʻai e pili ana i kēia a loaʻa ka ʻōlelo aʻo.
- Lāʻau lapaʻau : Inā hana ʻia kēia mau puʻupuʻu e kahi lāʻau lapaʻau, hiki i ke kauka ke hoʻololi i ka lāʻau lapaʻau a hōʻemi paha i ka nui.
- Ke mālama ʻana i ke kūlana kumu : Inā hoʻokumu ʻia kēia mau pōhaku ma muli o kekahi kūlana olakino ʻē aʻe, e like me ka maʻi ʻōpū mimi a i ʻole ka maʻi akepaʻa, ʻo ka mālama ʻana i kēlā kūlana e hōʻemi pū i ke kūkulu ʻia ʻana o nā pōhaku.
- Lapaʻau no nā pōhaku puʻupaʻa : Inā ua hōʻiliʻili nā pōhaku a hana i nā pōhaku nui, pono paha ke ʻoki kino a i ʻole kekahi hana ʻē aʻe e wehe ai iā lākou.
ʻO ka mea nui, ʻo ia ke hahai i nā ʻōlelo a ke kauka a ʻaʻole hoʻi e hoʻōla ponoʻī.
Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka loaʻa ʻana o nā pōhaku i loko o ka mimi?
Hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i nā pōhaku urinary a me nā puʻupaʻa ma o ka hahai ʻana i kēia mau hana maʻalahi:
- E inu i ka nui o nā wai, ʻoi aku hoʻi ka wai. E hoʻāʻo e inu ma ka liʻiliʻi he 8-10 mau aniani wai i ka lā.
- E mālama i ke kaumaha o ke kino. Hoʻonui ka momona i ka pilikia o ka loaʻa ʻana o nā pōhaku puʻupaʻa.
- E kaupalena i kāu ʻai ʻana i ka protein. ʻO ka ʻai nui ʻana i ka protein hiki ke alakaʻi i ka ulu ʻana o kekahi ʻano pōhaku.
- E kamaʻilio me kāu kauka a i ʻole kekahi meaʻai i kākau inoa ʻia e hoʻoholo i ka nui o ka calcium, oxalate, a me ka huaora C āu e pono ai e noho olakino. I kekahi manawa, ʻo ka hōʻemi ʻana i ka calcium hiki ke hoʻonui i ka pilikia. No laila he mea nui e ʻike pono i ka mea e hana ai.
- E hōʻemi i kāu ʻai ʻana i nā meaʻai i hana ʻia. He kiʻekiʻe kēia i ka paʻakai a me ke kō. Akā, e hoʻoikaika i nā mea kanu hou, nā huaʻai, a me nā meaʻai i hana ʻia ma ka home.
He aha ka mea e hana ai inā loaʻa iaʻu kēia maʻi?
I ka hapa nui o ka manawa, ʻaʻole ia he pilikia nui ka loaʻa ʻana o nā pōhaku i loko o kou mimi. Inā he mau maʻi ʻē aʻe kāu e pono ai ka mālama ʻana, e hilinaʻi kou olakino holoʻokoʻa ma ia mea. Ma ka hahai ʻana i nā ʻōlelo kuhikuhi kūpono a me ka hana ʻana i kekahi mau hoʻololi maʻalahi i ke ʻano o ka nohona, hiki iā ʻoe ke hoʻokele maikaʻi i kēia maʻi.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoiai inā loaʻa iā ʻoe ka ʻeha a i ʻole ke kuni me nā loli i kou mimi (kala, koko, ʻala), e ʻike pono i ke kauka. Hiki i nā pōhaku puʻupaʻa a i ʻole nā pōhaku e hana ʻia ma kahi ʻē aʻe o ke ala mimi (nā pōhaku ureteral) ke hana i ka ʻeha nui. Hiki iā lākou ke hana i nā mea ʻawahia e hōʻiliʻili i loko o ke kino, e hana ana i nā pilikia ʻē aʻe.
No laila, e hoʻomanaʻo, he mea maʻamau nā kristal i loko o ka mimi (Crystalluria). Hiki ke ʻike ʻia lākou i loko o ka mimi o ka poʻe olakino maikaʻi loa, a me ka mimi o ka poʻe me kekahi mau maʻi. Hiki ke loaʻa iā lākou ma kahi hanana i ka wā o ka hoʻāʻo mimi maʻamau. ʻO ke ala maikaʻi loa e pale aku ai i ka hoʻokumu ʻia ʻana o kēia mau kristal, ʻo ia ka inu ʻana i nā wai lawa.
Leka Lawe-Home
- Hoʻokumu ʻia nā kristal i loko o ka mimi ke piʻi ka nui o nā minelala i loko o ka mimi a emi iho kona ʻano wai.
- ʻOiai ʻaʻohe pōʻino o kekahi mau kristal, hiki i kekahi ke hui pū a hoʻoulu i nā pilikia e like me nā pōhaku puʻupaʻa.
- ʻO nā kumu nui ka inu ʻole ʻana i ka wai lawa, kekahi mau meaʻai, kekahi mau lāʻau lapaʻau, a me nā maʻi ʻōpū mimi.
- ʻOiai ʻaʻole ʻike mau ʻia nā hōʻailona, hiki ke ʻike ʻia ka ʻeha, ke kuni, a me nā loli i ka mimi.
- Hiki ke hoʻomalu ʻia kēia kūlana ma ka inu ʻana i ka wai hou aku, ka kaohi ʻana i kāu ʻai, a inā pono, ka mālama olakino.
- Inā loaʻa iā ʻoe nā hōʻailona e pili ana i nā pōhaku puʻupaʻa (ʻeha nui, kuni, mimi koko), e ʻimi koke i ke kōkua lapaʻau.
- E hoʻomanaʻo mau, ʻo ka inu ʻana i ka nui o ka wai e pale aku iā ʻoe mai nā pilikia he nui e like me kēia.
Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka ʻohana. E noho olakino!
Nā pōhaku mimi, nā pōhaku puʻupaʻa, hoʻāʻo mimi, Crystalluria, olakino, meaʻai, wai











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