Ua lawe anei ʻoe i kāu hōʻike koko a nānā i kēlā me kēia leka a me ka helu i loko a noʻonoʻo i ke ʻano o ia mea āpau? I kekahi manawa he mea paʻakikī ke hoʻomaopopo. ʻĀ, ʻo eGFR kahi hoʻāʻo e haʻi mai iā mākou i nā mea he nui e pili ana i ko mākou olakino, ʻoiai ke olakino o ko mākou mau puʻupaʻa . I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o GFR, ka mea a kēia hoʻāʻo e ʻōlelo ai, a pehea e hiki ai ke kōkua i ka pale ʻana i ko mākou mau puʻupaʻa.
I ka ʻōlelo maʻalahi, he aha ka GFR?
ʻO ka inoa piha o GFR ʻo ia ka Glomerular Filtration Rate . ʻOiai he paʻakikī iki ka inoa, he maʻalahi loa ke ʻano o kēia. E noʻonoʻo i ko kākou mau puʻupaʻa ʻelua ma ke ʻano he ʻōnaehana kānana maikaʻi loa i loko o ko kākou kino. ʻO ka hana nui o nā puʻupaʻa, ʻo ia ke kānana a hoʻomaʻemaʻe i nā ʻōpala a me nā mea ʻawaʻawa pono ʻole i loko o ko kākou koko a hoʻokuʻu iā lākou mai ke kino aku e like me ka mimi .
No laila, ʻo GFR ke ana o ka wikiwiki a me ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa i kēia hana hoʻomaʻemaʻe koko.
Loaʻa kēia inoa mai nā miliona o nā kānana liʻiliʻi i loko o nā puʻupaʻa. Kāhea mākou i kēia mau mea he "Glomeruli." Ua helu ʻia ka waiwai GFR ma muli o ka nui o ke koko i hoʻomaʻemaʻe ʻia e kēia mau kānana i kēlā me kēia minuke.
ʻO ka maʻamau, he mea paʻakikī iki a hoʻopau manawa ke ana pololei ʻana i kāu GFR. ʻO ia ke kumu e hoʻohana pinepine ai nā kauka i kahi hoʻāʻo i kapa ʻia ʻo `eGFR (estimated Glomerular Filtration Rate). Pili kēia i ka lawe ʻana i kahi hāpana koko maʻalahi mai ou aku, ke ana ʻana i ka pae o kahi huahana ʻōpala i kapa ʻia ʻo `Creatinine` i loko, a laila hoʻohui iā ia i nā mea e like me kou makahiki a me ke kāne a me ka helu ʻana i kāu GFR me ka hoʻohana ʻana i kahi ʻano makemakika kūikawā.
He huahana ʻōpala kūlohelohe ka Creatinine i hana ʻia e ko kākou mau ʻiʻo i ka wā o ka hana ʻana i ka ikehu. Kānana loa nā puʻupaʻa olakino iā ia a hoʻokuʻu iā ia i loko o ka mimi. ʻO ka pae creatinine kiʻekiʻe i loko o ke koko he hōʻailona ia ua pilikia ke kaʻina kānana o nā puʻupaʻa.
Nā pae o ka maʻi puʻupaʻa a me nā waiwai GFR
Hiki i ka waiwai i loko o kāu hōʻike eGFR ke hāʻawi iā ʻoe i kahi manaʻo maikaʻi o ke ʻano o ka hana maikaʻi ʻana o kou mau puʻupaʻa. Ma muli o kēia waiwai, hiki iā ʻoe ke ʻike i nā maʻi puʻupaʻa (ChronicUa māhele ʻia ka Maʻi Puʻupaʻa Mau Loa (CKD) i 5 mau pae nui. E kōkua kēia i kāu kauka e hoʻomaopopo i kou kūlana pololei.
| Kahua | Ka waiwai GFR (mL/min/1.73 m²) | Manaʻo |
|---|---|---|
| Pae I | 90 a ʻoi aku paha | He mea maʻamau ka hana ʻana o nā puʻupaʻa, akā, ʻo nā hōʻailona ʻē aʻe, e like me ka protein i loko o ka mimi, e hōʻike paha aia kekahi pōʻino. |
| Pae II | Mai 60 a 89 | Ka emi iki ʻana o ka hana o nā puʻupaʻa. Aia nō i ke kūlana maikaʻi. |
| Kahua IIIa | 45 a 59 | Ka emi iki ʻana o ka hana o nā puʻupaʻa. |
| Pae IIIb | 30 a 44 | Ka emi ʻana o ka hana o nā puʻupaʻa ma ke ʻano waena a koʻikoʻi paha. |
| Pae IV | Mai 15 a 29 | Ka emi nui ʻana o ka hana o nā puʻupaʻa. |
| Kahua V | Ma lalo o 15 | He kūlana kahi i kokoke ai nā puʻupaʻa a i ʻole e hāʻule loa ana. |
Mea nui:ʻO ka awelika GFR no ke kanaka ʻōpio olakino ma waena o 90-120. He mea maʻamau no ka GFR e emi maoli i ko kākou ʻelemakule ʻana. Eia nō naʻe, ʻo ka GFR ma lalo o 60 e hōʻike ana i ka pilikia o ka maʻi puʻupaʻa a me ka maʻi puʻuwai.
ʻO wai ka mea e pono e hana i kēia hoʻāʻo GFR?
Hiki i kāu kauka ke nānā pinepine i kāu GFR i ka wā o ka nānā makahiki, akā he mea nui hoʻi e nānā ʻia inā he pilikia ʻoe no ka maʻi puʻupaʻa a i ʻole he mau hōʻailona e pili ana i ia.
Nā hōʻailona e makaʻala ai:
- Ke ʻeha a me ka ʻoluʻolu ʻole i ka wā e mimi ai.
- ʻOi aku a emi mai paha ka mimi ma mua o ka maʻamau.
- Koko i loko o ka mimi, huʻa a ʻeleʻele paha ke kala.
- Ka pehu ʻana a puni nā maka, ka ʻōpū, nā pulima lima, a i ʻole nā kuʻekuʻe wāwae.
- ʻEha mau ma waenakonu o ke kua, kahi i loaʻa ai nā puʻupaʻa.
Nā kānaka me nā kumu pilikia:
- Nā kānaka me ka maʻi diabetes .
- Ke koko kiʻekiʻe, ʻo ia hoʻi, nā kānaka me ke koko kiʻekiʻe .
- Nā kānaka me ka maʻi puʻuwai .
- Inā he moʻolelo ko kekahi o ka ʻohana no ka maʻi puʻupaʻa a i ʻole ka maʻi diabetes .
- Inā loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi .
- ʻO nā kānaka me kekahi mau maʻi autoimmune .
- Ka poʻe puhi paka .
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona a i ʻole nā kumu pilikia, ʻoi aku ka maikaʻi e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
He aha ka mea e hiki ke hana ʻia e pale aku i nā puʻupaʻa me ka ʻole o ka hōʻemi ʻana i ka GFR?
ʻO ka mālama ʻana i kahi pae GFR maikaʻi, ʻo ia hoʻi ka mālama ʻana i ke olakino o ko kākou mau puʻupaʻa. He hopena nui ko kākou nohona a me nā ʻano meaʻai ma kēia.
E hoʻomanaʻo, ʻo ka inu ʻana i ka wai he nui wale nō ʻaʻole ia e hoʻihoʻi i ka hana o nā puʻupaʻa i hōʻino ʻia. He mea maikaʻi ke noho wai ma ka inu ʻana i ka wai, akā ʻoi aku ka nui o ke kāohi ʻana i nā kumu kumu o ka hōʻino ʻana o nā puʻupaʻa.
Nā loli i ka ʻai:
- E hōʻemi i ka hoʻohana ʻana i ka paʻakai i ka hiki. E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i ka wā e kuke ana. E hoʻōki i ka lawe ʻana mai i ka paʻakai ʻokoʻa i ka papaʻaina.
- E pale i nā meaʻai i hana ʻia. ʻO nā mea e like me nā sausage, ham, bacon, iʻa i loko o ka pahu, nā sopa i loko o ka pahu, a me nā noodles koke he nui ka paʻakai.
- E hoʻohui i nā mea kanu hou, nā huaʻai, a me nā palaoa i kāu meaʻai.
- Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e hahai pono i ka papaʻai i hāʻawi ʻia e kāu kauka a meaʻai meaʻai paha .
Nā loli o ke ʻano o ka nohona:
- E nānā mau i kou koko a me kou pae kō koko. E lawe i ka lāʻau lapaʻau i kauoha ʻia e kāu kauka i ka manawa kūpono.
- Inā ʻoe e puhipaka, e hoʻōki koke. Hoʻopōʻino ka puhipaka i nā kahawai e lawe ana i ke koko i nā puʻupaʻa.
- ʻO ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau ʻeha, hiki ke hōʻino i nā puʻupaʻa. No laila, mai hoʻomau i ka lawe ʻana i ka lāʻau me ka ʻole o ke kūkākūkā ʻana me ke kauka.
- E mālama i ke kaumaha o ke kino olakino . E hoʻoikaika kino mau.
Inā he mau hopohopo kou e pili ana i kāu GFR, a inā hōʻike ka hōʻike ua haʻahaʻa ia, mai hopohopo a kamaʻilio me kāu kauka e pili ana i ia mea. E nānā pono ʻo ia i kou olakino a hāʻawi iā ʻoe i ka lāʻau a me nā ʻōlelo aʻoaʻo āu e pono ai.
Leka Lawe-Home
- He hoʻāʻo koʻikoʻi ka GFR (Glomerular Filtration Rate) e ana i ka maikaʻi o ka hoʻomaʻemaʻe ʻana o kou mau puʻupaʻa i kou koko.
- ʻO ka waiwai eGFR ma lalo o 60 hiki ke lilo i hōʻailona mua o ka maʻi puʻupaʻa. ʻO ka ʻike mua ʻia ʻana, ʻo ka maʻalahi ka mālama ʻana.
- E ʻoluʻolu e kūkākūkā me kāu kauka inā he mau nīnau kāu e pili ana i kāu hōʻike GFR. Mai hana i kāu mau hōʻailona ponoʻī ma muli o ka ʻike i loaʻa ma ka pūnaewele.
- ʻO ka maʻi diabetes a me ke koko kiʻekiʻe ʻelua o nā ʻenemi nui o nā puʻupaʻa. E kāohi pono i kēia mau kūlana.
- ʻO ka ʻai haʻahaʻa paʻakai, ka hoʻoikaika kino, a me ka pale ʻana i ka puhipaka nā kōkua nui loa hiki iā ʻoe ke hāʻawi i kou mau puʻupaʻa.
- Inā loaʻa iā ʻoe nā hōʻailona e like me nā loli i kou mimi, ka pehu ʻana, a i ʻole ka ʻeha hope, mai hoʻowahāwahā iā lākou a e ʻimi koke i ke kōkua lapaʻau.
GFR, eGFR, puʻupaʻa, hoʻāʻo hana puʻupaʻa, creatinine, maʻi puʻupaʻa, hoʻāʻo koko, nā hoʻāʻo koko, hāʻule ʻana o ka puʻupaʻa
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