Ke ʻeha nei ʻoe i kekahi manawa ma kou kua, ʻaoʻao, a i ʻole nā pūhaka? A i ʻole ua ʻike ʻoe i ke koko i loko o kou mimi? Hiki i kēia mau mea ke kumu o ka pilikia o ka puʻupaʻa. Hoʻowahāwahā ka poʻe he nui i kēia mau mea, akā hiki ke lilo i mau hōʻailona koʻikoʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Cystic Kidney Disease' a ka poʻe he nui e loaʻa ai, akā ʻaʻole maopopo loa. E nānā kākou i ke ʻano o ia mea, no ke aha e hana ʻia ai, a me nā mea hiki ke hana ʻia e pili ana i ia mea.
He aha ka maʻi puʻupaʻa Cystic?
I ka ʻōlelo maʻalahi, he hui kēia o nā kūlana kahi e hoʻokumu ʻia ai hoʻokahi a ʻoi aku paha nā ʻeke piha wai (i kapa ʻia he cysts) i loko a puni paha o kou mau puʻupaʻa. E noʻonoʻo iā lākou he mau pōpō liʻiliʻi i piha i ka wai. Ke hoʻokumu ʻia kēia mau ʻeke i loko o nā puʻupaʻa, hiki iā lākou ke hoʻopilikia i ka hana nui a nā puʻupaʻa o ka kānana ʻana i nā huahana ʻōpala a me ka wai keu mai ke koko. I ka hala ʻana o ka manawa, hiki i kēia kūlana ke alakaʻi i ka hāʻule ʻana o nā puʻupaʻa.
Pehea ka maʻamau o kēia ʻano?
Aia maoli nō ia i ke ʻano o ka maʻi. No ka laʻana, ʻo ke ʻano i kapa ʻia ʻo 'Simple Kidney Cysts' he mea maʻamau loa ia. Ma ka awelika, hiki i hoʻokahi o ka ʻumi kānaka ke ʻike iā lākou. Akā, ʻoi aku ka kakaikahi o nā ʻano ʻē aʻe e pili ana i kēia hui o nā maʻi.
He aha nā hōʻailona nui o kēia maʻi?
Ma muli o nā ʻano like ʻole o ka maʻi puʻupaʻa cystic, hiki ke ʻokoʻa nā hōʻailona mai kekahi kanaka a i kekahi. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau. E nānā kākou i ke ʻano o lākou.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha kua a me ka ʻāʻī | Ma muli o ka loaʻa ʻana o nā puʻupaʻa ma kahi kokoke i ka iwi kuamoʻo, hiki ke loaʻa ka ʻeha i ka wā e hoʻonui ai nā cysts. |
| Ke koko i loko o ka mimi (Hematuria) | Hiki ke hōʻiliʻili ke koko i loko o ka mimi ma muli o ka haki ʻana o nā puʻupaʻa a i ʻole ka hōʻino ʻia ʻana o nā puʻupaʻa. |
| Paʻakikī ke mimi | Ka emi ʻana o ka mimi ma mua o ka maʻamau a i ʻole ka manaʻo ʻoluʻolu ʻole. |
| Ke koko kiʻekiʻe | Hiki i ka hana puʻupaʻa i hōʻino ʻia ke hoʻopilikia i ka kaohi ʻana o ke koko. |
| Nā maʻi ʻōpū mimi pinepine | Hoʻonui nā loli i ka hana a nā puʻupaʻa i ka pilikia o ka maʻi. |
| Nā Pōhaku Puʻupaʻa | Hoʻonui nā loli i ka hana a nā puʻupaʻa i ka pilikia o ke kūkulu ʻia ʻana o nā pōhaku. |
No ke aha e like ai kēia me nā puʻupuʻu? He aha ke kumu o kēia?
Hiki ke nui nā kumu no kēia. Hoʻoilina ʻia kekahi mau ʻano, ʻo ia hoʻi, hiki ke hoʻoili ʻia mai nā mākua a i nā keiki ma ke ʻano genetic. Hiki i nā ʻano ʻē aʻe ke ulu ma hope o ke ola, ma muli o nā maʻi ʻē aʻe, nā kīnā hānau, a i ʻole ka ʻelemakule.
I ka ʻōlelo maʻalahi, he mau tausani o nā ʻōmole liʻiliʻi (renal tubules) ko ko kākou mau puʻupaʻa e kānana ana i ke koko. Hoʻokumu ʻia kahi cyst ke haki kahi ʻāpana liʻiliʻi o kekahi o kēia mau ʻōmole a hōʻiliʻili ka wai i loko.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻOiai ʻokoʻa nā kumu pilikia no kēlā me kēia ʻano, ma ke ʻano laulā, ʻoi aku ka nui o ka pilikia o kēia poʻe:
- Nā kānaka ma luna o 50 mau makahiki.
- ʻO nā kānaka e ʻeha nei i ka Maʻi Puʻupaʻa Mau Loa (CKD) a i ʻole ka hāʻule ʻana o ka puʻupaʻa.
- ʻO ka poʻe i loaʻa ka moʻolelo ʻohana o kēia maʻi a i ʻole he gene ʻano ʻē e pili ana.
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i kāu kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. E nīnau pū ʻo ia inā ua loaʻa i kekahi o kou ʻohana kekahi o kēia mau maʻi. A laila e paipai ʻo ia i hoʻokahi a ʻoi aku paha o nā hoʻokolohua e nānā ai i nā pōhaku puʻupaʻa:
- ʻO ke scan Ultrasound: ʻO kēia ke ʻano i hoʻohana pinepine ʻia, maʻalahi a ʻeha ʻole hoʻi.
- CT Scan: Hiki ke hāʻawi i nā kiʻi maopopo a kikoʻī hoʻi o nā puʻupaʻa.
- MRI Scan: ʻO kēia kekahi ʻano hana e hāʻawi ana i nā kiʻi maopopo loa.
Eia kekahi, hiki iā ʻoe ke loaʻa nā hoʻāʻo koko a me kahi urinalysis e ʻike ai i ke ʻano o ka kānana ʻana o kou mau puʻupaʻa i ke koko.
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano o ka lāʻau lapaʻau e pili ana i ke ʻano o ka maʻi āu e loaʻa ai, ke ʻano o nā puʻupuʻu, a me ke koʻikoʻi o kāu mau hōʻailona.
No nā Cysts Kidney maʻalahi
I ka hapanui o nā hihia, ʻaʻole pono nā cysts maʻalahi i ʻike ʻole ʻia a ʻaʻohe pilikia e pono ai kekahi lāʻau kūikawā. E hana kāu kauka i kahi scan makahiki e nānā inā e nui ana ka cyst . Eia nō naʻe, inā ke kumu nei ka cyst i ka ʻeha a i ʻole nā pilikia ʻē aʻe, hiki iā ʻoe ke hana i kēia mau mea:
- Ka huki ʻana i ka nila maikaʻi: ʻOiai e nānā ana i ke kiʻi, hoʻokomo ʻia kahi nila maikaʻi e wehe i ke kahe i loko o ka cyst.
- ʻO ke ʻoki Laparoscopic: Wehe ʻana a puhi ʻana paha i ka puʻupuʻu me ka hoʻohana ʻana i kahi kāmela ma o kahi ʻoki liʻiliʻi.
Inā loaʻa ka hemahema o ka puʻupaʻa
Inā lilo ka maʻi i mea koʻikoʻi a hoʻoulu i ka hāʻule ʻana o ka puʻupaʻa, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me:
- Dialysis: He mīkini e hana i ka hana o ka hoʻomaʻemaʻe ʻana i kou koko i hiki ʻole i kou mau puʻupaʻa ke hana.
- Hoʻoili Puʻupaʻa: He hoʻoili ʻana o kahi puʻupaʻa olakino mai kahi mea hāʻawi ola a make paha.
- Nā lāʻau lapaʻau no ke koko kiʻekiʻe: Ke hāʻawi ʻana i nā lāʻau lapaʻau ('nā lāʻau antihypertensives') e kāohi i ke koko.
- Nā Hoʻololi o ke ʻAno o ka Noho ʻana: Hiki iā ʻoe ke kaohi i ke koko ma ka hana ʻana i nā mea e like me ka hoʻoikaika kino i kēlā me kēia lā, ka mālama ʻana i ke kaumaha olakino, a me ka pale ʻana i ka puhipaka.
He aha nā ʻano like ʻole o ka maʻi puʻupaʻa Cystic?
ʻAe, aia kekahi mau ʻano nui o kēia maʻi. Hoʻokumu ʻia kekahi e nā kumu genetic, aʻo kekahi e loaʻa i ka wā o ke ola.
| ʻAno maʻi | Wehewehena |
|---|---|
| Nā ʻano i hoʻokumu ʻia e nā kumu genetic | |
| ʻO ka maʻi puʻupaʻa Polycystic (PKD) | ʻO ke ʻano hoʻoilina maʻamau. Hoʻokumu ʻia kahi helu nui o nā cysts ma nā puʻupaʻa ʻelua, e hoʻonui ai i nā puʻupaʻa a nalowale ka hana. |
| ʻO ka maʻi puʻupaʻa cystic Medullary (MCKD) | Hoʻokumu ʻia nā puʻupuʻu i loko o ka ʻāpana o loko (medulla) o nā puʻupaʻa. Hoʻopōʻino kēia i nā tubules renal, e hana ana i ka mumū a me ka ʻeha. |
| Nā ʻano i loaʻa | |
| Nā Kista Pūpū Maʻalahi | ʻO ke ʻano melanoma maʻamau loa i nā poʻe ma luna o 50 mau makahiki, ʻaʻohe mea ʻino. Eia nō naʻe, hiki ʻole ke lilo i ka maʻi kanesa. |
| Maʻi Kidney Cystic i loaʻa | Nā cysts e ulu ana ma hope o ke ola ma muli o ka maʻi puʻupaʻa mau loa a i ʻole ka hāʻule ʻana o ka puʻupaʻa. He mea maʻamau lākou i waena o nā poʻe maʻi e dialysis ana. |
He aha nā meaʻai e pono ai ʻoe e pale aku inā he mau pōhaku puʻupaʻa kou?
Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a ʻaʻole hana pono kou mau puʻupaʻa, he mea nui e kamaʻilio me kahi meaʻai puʻupaʻa e hoʻomohala i kahi papaʻai kūpono iā ʻoe. Ma keʻano laulā, pono ʻoe e kaupalena i kēia mau mea:
- Nā meaʻai kiʻekiʻe i ka paʻakai (sodium): Nā mea e like me ka pickles, iʻa maloʻo, nā mea ʻono, a me nā meaʻai i loko o ka pahu.
- Nā meaʻai waiwai i ka protein: Ka palena ʻana i nā mea e like me ka ʻiʻo, ka iʻa, a me nā hua manu i nā nui e pono ai.
- Nā meaʻai kiʻekiʻe i ka Potassium a me ka Phosphorus: Nā huahana waiū, nā nati, ka maiʻa, nā ʻalani, nā ʻuala, a pēlā aku.
- He mea nui hoʻi e hoʻokomo i nā meaʻai olakino no ka puʻuwai i kāu papaʻai.
Āhea ʻoe e ʻike koke ai i ke kauka?
ʻO kēia mau hōʻailona paha he mau hōʻailona o ka hāʻule koke ʻana o nā puʻupaʻa. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
E makaʻala pono i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka emi ʻana o ka mimi ʻana, ka pehu ʻana o nā lima, nā kuʻekuʻe wāwae, a me ka maka (edema), ka luhi nui, ka ʻili maneʻo, ka nalowale o ka makemake e ʻai, ka nausea a me ka luaʻi ʻana, a me ka paʻakikī o ka hanu ʻana.
ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia kēia maʻi, me ka mālama pono ʻana a me nā hoʻololi ʻana i ke ʻano o ka nohona, hiki ke kāohi ʻia ka maʻi, hiki ke hoʻēmi ʻia ka hōʻino ʻana i nā puʻupaʻa, a hiki iā ʻoe ke ola maikaʻi no nā makahiki he nui. No laila, inā loaʻa iā ʻoe nā hōʻailona, he mea nui e hopohopo ʻole a kamaʻilio me kāu kauka.
Leka Lawe-Home
- He mea maʻamau loa nā cysts maʻalahi i loko o nā puʻupaʻa a ʻaʻole ia he maʻi ʻino.
- Eia nō naʻe, hiki i kekahi mau ʻano (ʻoi aku ka Polycystic Kidney Disease - PKD) ke hoʻoilina, e alakaʻi ana i nā kūlana koʻikoʻi.
- Mai hoʻowahāwahā i nā hōʻailona e like me ke kua a i ʻole ka ʻeha pelvic a i ʻole ke koko i loko o kou mimi. E kamaʻilio koke me kāu kauka.
- ʻO ka ʻike mua ʻana a me ka mālama kūpono e hiki ke hōʻemi i ka hōʻino ʻia ʻana o nā puʻupaʻa.
- He mea nui nā mea e like me ke kaohi ʻana i ke koko, ka hahai ʻana i ka ʻai olakino, a me ka pale ʻana i ka puhipaka no ke olakino o nā puʻupaʻa.
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