He aha ka mea e hana ʻia i kāu kānana puʻupaʻa? E aʻo kākou e pili ana i ka maʻi Glomerular!

Ua manaʻo paha ʻoe e like me ka mimi huʻa? A i ʻole ke manaʻo nei ʻoe i kahi pehu iki a puni kou maka a me kou mau maka ke ala ʻoe i ke kakahiaka? Hiki paha kēia ma muli o kahi pilikia me ka ʻōnaehana kānana liʻiliʻi i loko o ko mākou mau puʻupaʻa, i kapa ʻia ʻo glomeruli. I kēia lā e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo Glomerular Disease.

He aha ka maʻi Glomerular?

I ka ʻōlelo maʻalahi, ʻo ka Maʻi Glomerular kahi maʻi i hoʻokumu ʻia e kekahi mau kūlana e hoʻopilikia ai i ka glomeruli, kahi pūnaewele o nā kīʻaha koko liʻiliʻi i loko o ko kākou mau puʻupaʻa, ʻo ia nā 'ʻāpana kānana' o ka puʻupaʻa. ʻO kēia mau glomeruli nā mea e kānana i nā huahana ʻōpala mai ko kākou koko a wehe i ke kahe keu. No laila, ke hōʻino ʻia kēia mau glomeruli a ʻaʻole hiki ke hana pono, kapa mākou iā ia he Maʻi Glomerular.

Hiki i nā maʻi a me nā kūlana he nui ke hōʻino i kēia mau glomeruli. Aia ʻelua mau huaʻōlelo nui i hoʻohana ʻia e wehewehe i kēia hōʻino:

• Glomerulonephritis: ʻO kēia ka mumū a i ʻole ka pehu ʻana o nā glomeruli.
• Glomerulosclerosis: ʻO kēia ka ʻeha a i ʻole ka mānoanoa o ka glomeruli.

Hiki i ka maʻi Glomerular ke hōʻino i kou mau puʻupaʻa, a i kekahi mau hihia, hiki ke alakaʻi i ka hāʻule ʻana o nā puʻupaʻa . No laila he mea nui loa ka makaʻala i kēia.

He aha ka hana a kēia mau glomeruli i loko o ko kākou mau puʻupaʻa?

E noʻonoʻo i kēia ʻano: ua like ko kākou mau puʻupaʻa me nā kānana nui ʻelua i loko o ko kākou kino. Aia kēia mau ʻōkana ʻelua e like me ka pī ma nā ʻaoʻao ʻelua o ko kākou kua, ma lalo pono o ko kākou iwi ʻaoʻao.

Komo ke koko i loko o ko kākou mau puʻupaʻa ma o nā aʻa. I loko o nā puʻupaʻa, māhele hou kēia mau aʻa a kahe ke koko i loko o kahi pūnaewele o nā kīʻaha koko liʻiliʻi e like me ka ʻupena i kapa ʻia ʻo glomeruli. Hoʻopili ʻia kēlā me kēia glomerulus (hoʻokahi huaʻōlelo) i kahi ala liʻiliʻi e hōʻiliʻili ai i ka wai, i kapa ʻia he tubule . Kāhea mākou i kēia glomerulus hoʻokahi a me ka ʻāpana tubule he nephron . Ua ʻōlelo ʻia aia ma kahi o hoʻokahi miliona mau nephrons i loko o hoʻokahi puʻupaʻa. Hiki iā ʻoe ke noʻonoʻo i kahi ʻōnaehana palupalu!

Mālama nā glomeruli hana pono i nā hunaola koko a me nā protein i loko o ka ʻōnaehana koko. No ka mea, ʻo lākou ka mea e pono ai ko kākou kino. I ka manawa like, kānana nā glomeruli i nā huahana ʻōpala a me ka wai keu a hoʻouna i kēlā wai i ka tubule. ʻO ia ka mea i hana ʻia ma hope ma ke ʻano he mimi. A laila hele ka mimi ma o nā ʻōmole nui i kapa ʻia ʻo ureters a hōʻiliʻili i loko o ka ʻōpū mimi.

He aha ka mea e hana ʻia i ka hana o nā puʻupaʻa ke ulu aʻe ka maʻi glomerular?

I kēia manawa, e nānā kākou i ka mea e hana ʻia ke ulu kēia maʻi Glomerular. Hoʻopōʻino kēia maʻi i nā Glomeruli. A laila ʻaʻole hiki iā lākou ke hana pono.

ʻO ka mea i manaʻo ʻia e hana ʻia, ʻo ia ka mālama ʻia ʻana o nā protein a me nā hunaola koko ʻulaʻula i loko o ke koko. Eia nō naʻe, hoʻomaka kekahi o kēia mau mea e kahe i waho i loko o ka mimi mai nā glomeruli i hōʻino ʻia. ʻO kekahi o nā hana a ka protein i loko o ke koko, e like me ka albumin , ʻo ia ke huki i ka wai keu mai ke kino i loko o ke kahe koko a kōkua iā ia e kānana ʻia e nā puʻupaʻa a hoʻokuʻu ʻia ma ke ʻano he mimi. No laila, i ka wā e emi ai ka nui o ka protein i loko o ke koko, hoʻomaka kēia wai keu e hōʻiliʻili i loko o ke kino. ʻO ia ke kumu e pehu ai nā wahi e like me ka maka, nā lima, nā wāwae, ka ʻōpū, a me nā kuʻekuʻe wāwae.

Eia kekahi, ʻaʻole hiki i nā glomeruli i hōʻino ʻia ke kānana pono i nā ʻōpala. A laila hoʻomaka kēlā mau ʻōpala e hōʻiliʻili i loko o ke koko. ʻAʻole maikaʻi kēia no ke kino.

He aha nā kumu o ka maʻi Glomerular?

Aia kekahi mau kumu kūpono o ka maʻi Glomerular. E nānā kākou i ke ʻano o lākou:

• ʻO kahi maʻi, kahi lāʻau lapaʻau a i ʻole kemika e hōʻino i kou mau puʻupaʻa, a i ʻole nā ​​​​lāʻau lapaʻau a mākou e lawe ai hiki ke hoʻopilikia i nā puʻupaʻa.
• Nā maʻi e hoʻopilikia ana i ke kino holoʻokoʻa, me nā mea e hoʻopilikia ana i nā puʻupaʻa. Eia kekahi laʻana , ka maʻi diabetes mellitus a i ʻole lupus .
• Nā maʻi e hoʻoulu ai i ka pehu ʻana a i ʻole ka ʻeha o ka nephron a i ʻole glomerulus.
• I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu. Aia kekahi mau manawa e like me ia.

He aha nā hōʻailona o ka maʻi Glomerular?

ʻAe, e nānā kākou i nā hōʻailona o kēia maʻi. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e hopohopo:

• Mimi huʻa: ʻO ke ʻano kēia he protein i loko o kou mimi. Kāhea mākou i kēia proteinuria .
• Mimi ʻulaʻula a ʻeleʻele paha: ʻO ke ʻano kēia he koko i loko o ka mimi. Ua kapa ʻia kēia he hematuria .
• Pehu a puni ka maka/maka (ʻoi aku hoʻi i ke kakahiaka), nā lima, nā wāwae, a i ʻole nā ​​kuʻekuʻe wāwae (ʻoi aku hoʻi i ka hopena o ka lā). Ua kapa ʻia kēia pehu he edema .
• Ke koko kiʻekiʻe (Hypertension).

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka a noi i ke kōkua lapaʻau.

Pehea e ʻike pololei ai nā kauka i kēia maʻi?

Ke hele ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a nānā pono iā ʻoe. A laila, e hana paha lākou i kekahi mau hoʻokolohua, e like me:

• Ka nānā ʻana i ka mimi:Nānā kēia i ka pae protein i loko o ka mimi, inā he mau hunaola koko ʻulaʻula, a pehea ka pae o nā hunaola koko keʻokeʻo (hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he maʻi a mumū paha).
• Nā hoʻāʻo koko: Nānā kēia i nā pae protein haʻahaʻa i loko o ke koko, nā pae creatinine (e hāʻawi ana i kahi manaʻo o ka hana o nā puʻupaʻa), a me nā pae nitrogen urea (kahi huahana ʻōpala). Hoʻomaulia pū lākou i ka Glomerular Filtration Rate (GFR) , ʻo ia ke ana o ka maikaʻi o ke kānana ʻana o kou mau puʻupaʻa i nā ʻōpala.

Inā hōʻike kēia mau hoʻokolohua lab ua hōʻino ʻia kou mau puʻupaʻa, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe:

• Nā hoʻāʻo koko ʻē aʻe: No ka nānā ʻana i nā maʻi a i ʻole nā ​​​​maʻi autoimmune .
• Nā hoʻokolohua kiʻi: Hiki i kahi hoʻokolohua e like me ka ultrasound ke nānā i nā ʻano ʻē i ke ʻano a i ʻole ka nui o nā puʻupaʻa.
• Biopsy Kidney: ʻO kēia ke komo ʻana i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupaʻa me ka hoʻohana ʻana i kahi nila a nānā iā ia ma lalo o kahi microscope. E kōkua kēia i ka hoʻoholo pono ʻana i ka mea i hewa.

Nā kūlana like ʻole a me nā lāʻau lapaʻau e hoʻoulu ai i ka maʻi Glomerular

Hiki i nā maʻi he nui ke kumu o ka maʻi Glomerular. ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka ʻimi ʻana i ke kumu kumu a mālama iā ia, inā hiki. Hiki i kēia ke pale aku i ka hōʻino hou ʻana i nā puʻupaʻa. E nānā kākou i kekahi o nā maʻi nui e hoʻoulu ai i ka maʻi Glomerular, me nā laʻana a me nā lāʻau lapaʻau.

Nā maʻi Autoimmune

ʻO kēia nā maʻi e hoʻouka ai ka ʻōnaehana pale o kou kino i kou kino ponoʻī. Hiki i kēia mau maʻi ke hoʻopilikia i ke kino holoʻokoʻa, a i ʻole hiki iā lākou ke hoʻopilikia i kekahi mau ʻāpana o ke kino. Eia kekahi mau maʻi autoimmune e hoʻopilikia i nā puʻupaʻa:

• ʻO Systemic Lupus Erythematosus (SLE) (i ʻike ʻia hoʻi ʻo lupus): Hiki i kēia maʻi autoimmune ke hoʻopilikia i nā ʻāpana he nui o ke kino. Ke hoʻopilikia ia i nā puʻupaʻa, hoʻoulu ia i kahi maʻi i kapa ʻia ʻo lupus nephritis . He mumū kēia o ka glomeruli. Hoʻoulu kēia mumū i ka ʻeha a me ka pau ʻana o ka hana pono ʻana o nā puʻupaʻa. Hoʻokomo pū ʻia ka lāʻau lapaʻau i nā lāʻau immunosuppressive e like me Mycophenolate Mofetil a i ʻole Cyclophosphamide , me kahi corticosteroid i kapa ʻia ʻo Prednisolone .
• ʻO ka maʻi ʻo Goodpasture:Hoʻouka kēia maʻi autoimmune i nā puʻupaʻa a me nā māmā. I loko o nā puʻupaʻa, hana ia i ka glomerulonephritis, ʻo ia hoʻi ka mumū o nā glomeruli. Hiki i kēia ke hōʻeha mau loa i nā puʻupaʻa. Hoʻokomo pū ʻia ka lāʻau lapaʻau i nā lāʻau immunosuppressive a me ka plasmapheresis (kahi e wehe ai i nā antibodies e hoʻouka nei i kou kino ponoʻī) .
• IgA Nephropathy: Ma kēia maʻi autoimmune, hoʻokomo kahi antibody i kapa ʻia ʻo Immunoglobulin A (IgA) mai kāu ʻōnaehana pale maʻi iā ia iho i loko o nā glomeruli. Hoʻoulu kēia mau waihona i ka mumū. Hoʻokomo pū ʻia ka lāʻau lapaʻau me nā lāʻau lapaʻau e like me Angiotensin-Converting Enzyme Inhibitors (ACE inhibitors) a i ʻole Angiotensin Receptor Blockers (ARBs) .

ʻO ka Nephritis Hoʻoilina

• ʻO Alport Syndrome: He ʻano hoʻoilina kēia. Hiki iā ia ke hoʻolilo i ka lohe a i ʻole ka ʻike ʻana me ka maʻi glomerular mau loa. Hoʻopilikia ia i nā kāne a me nā wahine. ʻOi aku ka nui o ka loaʻa ʻana o nā kāne i ka maʻi puʻupaʻa mau loa. Hiki ke ʻike ʻia i ko lākou mau makahiki he iwakālua. I ka piha ʻana o nā makahiki he 40, hiki i nā puʻupaʻa ke hana hewa loa. ʻO nā lāʻau lapaʻau e kāohi i ke koko ke ʻano o ka lāʻau.

ʻO ka maʻi Glomerular e pili ana i ka maʻi

I kekahi manawa, hiki i ka maʻi glomerular ke ulu koke ma hope o kahi maʻi ma kahi ʻē aʻe o ke kino.

• ʻO ka Glomerulonephritis Ma hope o ka maʻi ʻeha (PIGN): Loaʻa kēia maʻi glomerular ma hope o ka maʻi ʻāʻī (Strep throat) a i ʻole kahi maʻi ʻili i kapa ʻia ʻo Impetigo (he mea kākaʻikahi kēia). Hoʻopuka ka ʻōnaehana pale i nā antibodies ma mua o ka mea e pono ai e hakakā i ka maʻi. Hele kēia mau antibodies a waiho i loko o nā glomeruli a hōʻino iā lākou. I ka hapanui o nā hihia, ʻaʻohe pono o kahi lāʻau kūikawā. Eia nō naʻe, i nā hihia kākaʻikahi, pono paha ka dialysis kidney a i ʻole ka hoʻoili kidney .
• ʻO ka Endocarditis Bacterial: He maʻi kēia o ka uhi o ka puʻuwai. ʻAʻole maopopo i nā kānaka noiʻi inā paha ua hana ʻia nā ʻeha i loko o nā puʻupaʻa e ka pane a ka ʻōnaehana pale i ka maʻi a i ʻole kekahi ʻano maʻi ʻē aʻe. Hāʻawi ʻia nā antibiotics ma ke ʻano he lāʻau lapaʻau.
• Nā maʻi ʻino: Hepatitis B , Hepatitis C a meHiki ke hoʻoulu ʻia ka maʻi glomerular e nā maʻi viral e like me ka Human Immunodeficiency Virus (HIV). Loaʻa nā lāʻau lapaʻau kikoʻī no kēlā me kēia maʻi.

Nā Maʻi Sclerotic - Nā maʻi e hoʻoulu ai i ka ʻeha

• Glomerulosclerosis: ʻO kēia kūlana ka ʻeha (sclerosis) o ka glomeruli. ʻO Lupus a me ka maʻi diabetes ʻelua mau hiʻohiʻona o nā maʻi e hiki ai ke hoʻoulu i ka glomerulosclerosis.
• ʻO ka Nephropathy pili i ka maʻi diabetes: ʻO kēia ke kumu nui o ka maʻi glomerular a me ka hāʻule ʻana o nā puʻupaʻa ma ʻAmelika Hui Pū ʻIa. ʻO ka nephropathy pili i ka maʻi diabetes ke kumu o ka ʻeha o nā puʻupaʻa a hoʻonui i nā pae glucose. Hoʻonui ka glucose i ke kahe koko i nā puʻupaʻa, e kau ana i ke kaumaha ma ka hana kānana o ka glomeruli a hoʻonui i ke koko. ʻO nā lāʻau lapaʻau maʻamau e komo pū me nā lāʻau lapaʻau koko (ʻoi aku ka angiotensin-converting enzyme inhibitors (ACE inhibitors) a i ʻole angiotensin receptor blockers (ARBs) ), hoʻoikaika kino, a me ka ʻai olakino.
• Focal Segmental Glomerulosclerosis (FSGS): Hōʻike ʻia kēia ʻano e ka ʻeha (maʻamau) ma kekahi ʻāpana o ka glomerulus. Hiki ke hana ʻia ka FSGS e kahi maʻi ʻōnaehana a i ʻole ke kumu i ʻike ʻole ʻia. Kuhi ʻia ka lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko a me nā pae cholesterol .

Nā maʻi Glomerular ʻē aʻe

• ʻO ka Nephropathy Membranous: Ua kapa ʻia kēia ʻano he Membranous Glomerulopathy . ʻO ia ke kumu maʻamau ʻelua o ka nephropathy i nā pākeke ma ʻAmelika Hui Pū ʻIa, ma hope o ka nephropathy e pili ana i ka maʻi diabetes. Pili ia me kekahi mau antigens/antibodies i manaʻo ʻia . Hoʻouka kēia ʻano i ka papa membrane o ka glomeruli. Hoʻōla kekahi poʻe me ka ʻole o ka lāʻau lapaʻau. Hoʻāʻo ʻia nā lāʻau lapaʻau e like me nā angiotensin-converting enzyme inhibitors (ACE inhibitors) , angiotensin receptor blockers (ARBs) , a i ʻole nā ​​​​calcineurin inhibitors i kekahi manawa.
• ʻO ka Maʻi Hoʻololi Liʻiliʻi (MCD): He ʻano nephropathy kēia. I kēia, i ka wā e nānā ʻia ai i loko o kahi biopsy puʻupaʻa, ʻaneʻane ʻaʻohe loli i ke ʻano o ka glomeruli a i ʻole nā ​​​​ʻiʻo a puni. Lipids (nā mea momona)Loaʻa paha ka maʻi ʻōpū, akā ʻaʻohe pōʻino o nā puʻupaʻa. Hiki ke ulu ka MCD i kēlā me kēia makahiki, akā ʻoi aku ka maʻamau i nā keiki ʻōpio. Hoʻokomo pū ʻia ka lāʻau lapaʻau i ka ʻai haʻahaʻa paʻakai a me nā ACE inhibitors a i ʻole ARBs . Hoʻomaikaʻi pinepine nā steroids i ke kūlana.

Hiki i ka maʻi glomerular ke hoʻoulu i ka hāʻule ʻana o ka puʻupaʻa?

ʻAe, inā ʻaʻole hiki i kou mau puʻupaʻa ke hoʻopau i nā huahana ʻōpala mai kou koko, hōʻiliʻili lākou i loko o kou kino. Hiki i kēia hōʻiliʻili ke hōʻino i kou mau puʻupaʻa a hoʻōki iā lākou i ka hana. Hiki ke hana koke ʻia kēia nalowale o ka hana (ʻoi) a lohi a mau (mau). Ma muli o ke ʻano o ka maʻi glomerular, hiki ke nalowale ka hana o ka puʻupaʻa i loko o kekahi mau lā a i ʻole nā ​​pule, a i ʻole hiki ke hala nā makahiki he ʻumi e nalowale mālie ai.

• ʻO ka hemahema o ka puʻupaʻa koʻikoʻi (ARF): ʻO kēia ka nalowale koke ʻana o ka hana o nā puʻupaʻa. Hiki i ka ARF ke hoʻoweliweli i ke ola, a pono paha ka dialysis ma ke ʻano he lāʻau lapaʻau ulia pōpilikia e hoʻihoʻi i ka hana o nā puʻupaʻa. No kekahi poʻe, hoʻi hou ka hana o nā puʻupaʻa ma hope o ka mālama ʻia ʻana o ke kumu o ka hemahema o nā puʻupaʻa. ʻAʻohe pōʻino mau loa. Eia nō naʻe, hiki i kekahi poʻe e ho'ōla mai ka ARF ke loaʻa i ka maʻi puʻupaʻa mau loa (CKD) .
• ʻO ka Maʻi Puʻupaʻa Mau Loa (CKD): He nalowale mālie kēia o ka hana puʻupaʻa. ʻAʻole paha ʻoe e ʻike i kekahi mau hōʻailona no nā makahiki. Hiki ke kāohi ʻia kekahi o nā maʻi e hoʻoulu ai i ka CKD, akā ʻaʻole hiki ke ho'ōla ʻia ʻo CKD. Ke hōʻino ʻia nā puʻupaʻa, ʻaʻole hiki ke hoʻoponopono ʻia. Hiki i ka CKD ke alakaʻi i ka hāʻule piha ʻana o ka puʻupaʻa.
• ʻO ka hāʻule piha ʻana o ka puʻupaʻa: Ua kapa ʻia hoʻi ʻo End-Stage Renal Disease (ESRD) . ʻO ke ʻano kēia ua nalowale mau loa kāu mau puʻupaʻa i ka hana. Inā loaʻa iā ʻoe ka hāʻule piha ʻana o ka puʻupaʻa, pono ʻoe i ka dialysis - ʻo ia hoʻi ka hemodialysis a i ʻole ka peritoneal dialysis - a i ʻole kahi hoʻoili puʻupaʻa e ola ai.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka maʻi Glomerular?

ʻO ka ʻike mua ʻana a me ka mālama mua ʻana nā koho maikaʻi loa no ka hoʻokō ʻana i nā hopena maikaʻi loa. ʻO ka pahuhopu o ka mālama ʻana, ʻo ia ke pale ʻana i ka hōʻino ʻana o nā puʻupaʻa a i ʻole ke kāohi ʻana i kona holomua. E hoʻomanaʻo, hiki i ka ʻike mua ʻana ke kōkua. Inā koʻikoʻi ka hōʻino a hāʻule nā ​​puʻupaʻa, ʻo nā koho wale nō he dialysis a i ʻole ka hoʻoili puʻupaʻa.

Hiki ke pale ʻia ka maʻi Glomerular?

Aia kekahi mau hoʻololi nohona hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o nā maʻi e hoʻopilikia i kou mau puʻupaʻa a noho olakino. ʻO kēia mau mea:

• E mālama i ke kaumaha olakino.
• E hōʻemi i ka ʻai ʻana i ka paʻakai; mai hoʻohui i ka paʻakai keu i ka meaʻai.
• E kaohi i kou koko. ʻO ka pahuhopu he 120/80 mmHg.
• Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi i kou pae kō koko.
• E lawe i nā lāʻau lapaʻau a pau i kauoha ʻia e kāu kauka e like me ke kauoha, a e hahai i nā pahuhopu hoʻokele a pau i kūkākūkā ʻia me ia.
• E ho'ōki i ka puhipaka.

ʻAʻole hiki ke pale ʻia nā kumu āpau o ka maʻi glomerular. Eia nō naʻe, i ka wā e hoʻomaka ai ʻoe e ʻike i nā hōʻailona o ka maʻi glomerular, e ʻike i ke kauka. He mea nui e ʻimi i nā kumu hiki ke mālama ʻia a hoʻomaka i ka mālama ʻana i ka wā hikiwawe. Hiki i ka lāʻau lapaʻau ke kōkua i ka kaohi ʻana i ka hōʻino ʻana i kou mau puʻupaʻa a pale iā ia mai ka lilo ʻana i mea ʻino.

He aha ka Nephrosis a i ʻole ka Nephrotic Syndrome?

ʻO ka Nephrosis, i ʻike ʻia hoʻi ʻo ka nephrotic syndrome, he hōʻiliʻili o nā hōʻailona. Hoʻokuʻu ʻia ka nui o ka protein i loko o ke koko i loko o ka mimi. ʻO kēia ke kumu o ka hōʻiliʻili ʻana o ka wai i loko o ke kino. ʻO nā hōʻailona:

• ʻO ka pehu ʻana (edema), ʻoiai a puni nā maka, nā wāwae a me nā lima.
• Ke koko kiʻekiʻe.
• Nā pae kolesterol kiʻekiʻe.
• Ua hoʻemi ʻia nā pae protein i loko o ke koko.
• Hoʻonui ʻia ka nui o ka protein i loko o ka mimi.

ʻO ka pahuhopu o ka mālama ʻana, ʻo ia ke mālama i ke kumu kumu, inā hiki. Hoʻokomo pū ʻia ka mālama ʻana:

• Hāʻawi ʻia nā angiotensin-converting enzyme inhibitors (ACE inhibitors) a i ʻole angiotensin receptor blockers (ARBs) e kāohi i ke koko a pale i ka hele ʻana o ka protein i loko o ka mimi.
• E hōʻemi i ka paʻakai i kāu meaʻai.
• No ka hōʻemi ʻana i ka paʻa ʻana o ka wai i loko o ke kino, ua kuhikuhi ʻia nā diuretics .
• Hoʻohana ʻia nā corticosteroids a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe e hoʻopau ai i ka ʻōnaehana pale.
• Hoʻohana ʻia ka lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol.
• Inā loaʻa iā ʻoe kahi maʻi autoimmune, hana ʻia ka plasmapheresis e wehe i nā antibodies e hoʻouka mai ana i kou kino ponoʻī.

Inā ʻo ke kumu nui o ka nephrosis he maʻi puʻupaʻa, ʻaʻole hiki ke ho'ōla ʻia. No ka mea, ʻaʻole hana pono nā glomeruli i loko o nā puʻupaʻa, hōʻiliʻili nā huahana ʻōpala a me ka wai i loko o ke koko. Hāʻule nā ​​puʻupaʻa. Ke ʻoi aku ka ʻino o ka maʻi, ʻo ka lāʻau lapaʻau he dialysis a i ʻole he transplant puʻupaʻa.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona a i ʻole nā ​​​​ʻōuli o ka maʻi Glomerular, a inā ʻike ʻoe i kekahi mau loli i kou olakino, e ʻike pono i ke kauka. Mai hoʻowahāwahā i ka mea liʻiliʻi loa, no ka mea, ʻo ka wā mua āu e ʻike ai, ʻo ka maʻalahi ka mālama ʻana.

Hiki i nā maʻi a me nā kūlana like ʻole ke hōʻino i ka glomeruli i loko o kou mau puʻupaʻa. He mea nui e makaʻala i kou kino i hiki iā ʻoe ke ʻike koke i ke kauka inā ʻike ʻoe i kekahi mau loli.

Nā mea nui e hoʻomanaʻo mai kēia ʻatikala (Leka Lawe-Home)

ʻAe, i kēia manawa ua maopopo iā ʻoe ka mea a mākou i kamaʻilio ai, ʻo ia hoʻi ka maʻi Glomerular. Eia kekahi mau mea koʻikoʻi e hoʻomanaʻo ai:

• ʻO ka maʻi glomerular kahi maʻi i hana ʻia e ka hōʻino ʻia ʻana o nā ʻāpana kānana (glomeruli) o nā puʻupaʻa.
• E makaʻala i nā hōʻailona e like me ka mimi huʻa, ke koko i loko o ka mimi, ka pehu ʻana, a me ke koko kiʻekiʻe. Inā ʻike ʻoe i kēia mau mea, e ʻike koke i ke kauka.
• Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe, he mea nui loa ia e kaohi pono iā lākou e pale i kou mau puʻupaʻa.
• Inā ʻike mua ʻia ka maʻi, hiki i ka lāʻau lapaʻau ke kāohi i ka hōʻino ʻana i nā puʻupaʻa. No laila, mai hoʻowahāwahā i nā hōʻailona.
• ʻO ka mālama ʻana i kahi nohona olakino (ʻai pono, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka) e kōkua i ka pale ʻana i kēia mau ʻano maʻi.

ʻO kou mau puʻupaʻa ʻelua o nā ʻāpana koʻikoʻi loa i loko o kou kino. E mālama iā lākou. Inā loaʻa iā ʻoe kekahi pilikia, mai makaʻu e kamaʻilio me ke kauka, ʻae?

Maʻi puʻupaʻa , Maʻi glomerular, Maʻi glomerular, Kānana puʻupaʻa, Glomeruli, Protein i loko o ka mimi, Koko i loko o ka mimi, Pehu kino, Koko kiʻekiʻe, Hāʻule puʻupaʻa, Nephrosis