Ua loli ke kala o kou mimi? He pilikia puʻupaʻa paha kēia (Glomerulonephritis).

Ua ʻike anei ʻoe ua loli ke kala o kou mimi, a lilo i ʻulaʻula iki? A i ʻole ua manaʻo paha ʻoe ua pehu iki kou helehelena i kou ala ʻana i ke kakahiaka, a ua pehu kou mau wāwae i ke awakea? ʻAʻole paha e nānā nui ka poʻe he nui i kēia mau mea. Akā hiki i kēia ke lilo i hōʻailona o kekahi pilikia me nā puʻupaʻa, ʻo ia kekahi o nā ʻōkana koʻikoʻi loa i loko o ko mākou kino. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hoʻopilikia ana i nā puʻupaʻa, he mea paʻakikī iki akā he mea nui loa e hoʻomaopopo. ʻO ia ka Glomerulonephritis .

I ka ʻōlelo maʻalahi, he aha ka Glomerulonephritis?

I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o ko kākou mau puʻupaʻa. E noʻonoʻo ua like ko kākou mau puʻupaʻa me kahi kānana wai ma ka home. I loko o kēia kānana wai, aia kahi ʻupena lahilahi loa e hoʻomaʻemaʻe ana i ka wai, ʻeā? Pēlā nō, i loko o ko kākou mau puʻupaʻa, aia ma kahi o hoʻokahi miliona mau kānana liʻiliʻi loa e hoʻomaʻemaʻe ana i ko kākou koko. ʻO kēia mau kānana liʻiliʻi ka mea a mākou e kapa nei he glomeruli i ka ʻepekema lapaʻau.

ʻO kā lākou hana nui, ʻo ia ke kānana i nā huahana ʻōpala a me ka wai keu i loko o ko kākou koko a hoʻokuʻu iā lākou ma ke ʻano he mimi. No laila, inā no kekahi kumu e hōʻino ʻia ai kēia mau kānana liʻiliʻi a pehu paha, ʻaʻole hiki iā lākou ke kānana pono i ke koko. ʻO ia ka mea a mākou e kapa nei he Glomerulonephritis . Ke hana ʻia kēia, lilo ia i mea paʻakikī i nā puʻupaʻa ke wehe i nā huahana ʻōpala a me ka wai keu.

Aia kekahi mau ʻano like ʻole o kēia?

ʻAe, ʻelua ʻano nui.

• ʻO Glomerulonephritis ʻoi: He kūlana kēia e hiki koke mai ana.
• ʻO ka Glomerulonephritis Mau Loa: He ʻano kēia e ulu mālie ana i ka hala ʻana o ka manawa. I kekahi manawa, kū mai kahi ʻano 'ʻoi', hoʻopau ʻia, a laila hoʻi hou mai ma ke ʻano he ʻano 'mau loa' i nā makahiki ma hope.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona o kekahi poʻe me kēia maʻi. ʻIke pinepine ʻia ia i ka wā o ka hoʻāʻo koko a mimi paha no kekahi maʻi ʻē aʻe. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke komo pū me kēia mau mea. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, he mea nui e ʻike koke i kāu kauka .

No ke aha lā e kū mai ai kēia kūlana?

I ka hapa nui o ka manawa, he paʻakikī ke kuhikuhi i kahi kumu kikoʻī. Eia nō naʻe, i kekahi mau hihia, aia kekahi mau kumu e kōkua i kēia.

• Nā maʻi: Hiki ke loaʻa kēia ʻano ma ke ʻano he pilikia o kekahi mau maʻi. No ka laʻana, ʻo nā maʻi e like me ka strep throat, HIV, hepatitis C, a me ka bacterial endocarditis, ʻo ia ka maʻi bacteria o nā valves o ka puʻuwai, hiki ke hana i kēia ʻano.
• Nā maʻi autoimmune: I kekahi manawa, hoʻomaka hewa ka ʻōnaehana pale, ka mea e pale ai i ko mākou kino, e hoʻouka i ko mākou mau puʻupaʻa ponoʻī. ʻO kahi maʻi i kapa ʻia ʻo lupus kahi laʻana maikaʻi o kēia .
• IgA Nephropathy: Ma kēia, ua waiho ʻia kahi antibody i kapa ʻia ʻo `(Immunoglobulin A)` i loko o nā puʻupaʻa a hōʻino i nā kānana.
• Nā kūlana mumū i loko o nā kīʻaha koko: Hiki i kekahi mau kūlana kakaikahi ke hoʻoulu i ka pehu ʻana o nā kīʻaha koko, hiki ke hōʻino i nā puʻupaʻa.
• Nā kumu hoʻoilina:He mea kākaʻikahi loa, aia kahi pilikia hoʻoilina o ka hoʻomohala ʻana i kēia maʻi inā loaʻa i kekahi o ka ʻohana.
• Kanesa: Hiki ke hana ʻia kēia maʻi e kekahi mau ʻano kanesa, no ka laʻana, ka myeloma maha.

Pehea e ʻike ai i kēia maʻi?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi nephrologist, he kauka loea i nā maʻi puʻupaʻa. Hiki ke hana ʻia kēia mau hoʻokolohua e kōkua i ka ʻike ʻana i ke kūlana.

Hoʻāʻo mimi

Nānā kēia i kāu mimi no ke koko a i ʻole nā ​​ʻāpana protein. He mau hōʻailona kēia ua hōʻino ʻia kāu mau kānana puʻupaʻa.

Hoʻāʻo koko

Nānā nui kēia i ka pae o ka creatinine i loko o kou koko. He huahana ʻōpala ka Creatinine i hana ʻia i loko o ko kākou kino. Kānana ʻia e nā puʻupaʻa olakino a hoʻokuʻu ʻia i loko o ka mimi. Ke emi ka hana o nā puʻupaʻa, piʻi ka pae o ka creatinine i loko o ke koko.

Biopsy o ka puʻupaʻa

ʻO kēia ke ala maikaʻi loa e ʻike maopopo ai i ka maʻi. Maanei, ma lalo o ka anesthesia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupaʻa me ka hoʻohana ʻana i kahi nila liʻiliʻi loa a nānā ʻia ma lalo o kahi microscope. ʻAe kēia iā mākou e hoʻoholo pono i ka pōʻino i loaʻa i nā kānana puʻupaʻa a me ke kumu.

Nā Hoʻāʻo Kiʻi

Hiki paha i kāu kauka ke ʻōlelo aku i kahi ultrasound scan, X-ray , a i ʻole CT scan e nānā i ka nui a me ke ʻano o kou mau puʻupaʻa a e ʻike inā he mau pilikia ʻē aʻe.

Pehea e mālama ʻia ai?

Aia ka lāʻau lapaʻau i ke kumu o ka maʻi a me ka nui o ka hōʻino ʻia ʻana o nā puʻupaʻa. ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ke hoʻōki i ka hōʻino hou ʻana i nā puʻupaʻa a mālama i kā lākou hana.

Hiki ke pale ʻia kēia maʻi?

ʻAʻohe ala i hōʻoia ʻia e pale aku ai i kēia maʻi. Eia nō naʻe, ʻo ka hahai ʻana i kahi nohona olakino a me ka hoʻokō ʻana i kekahi mau ʻano hana hiki ke kōkua i ka pale ʻana i ke olakino o nā puʻupaʻa.

• E ʻai i ka ʻai kaulike. E hōʻalo i nā meaʻai kiʻekiʻe i ka paʻakai, ke kō, a me ka momona i ka hiki.
• Inā loaʻa iā ʻoe ke koko kiʻekiʻe a i ʻole ka maʻi diabetes , e hahai pololei i nā ʻōlelo a kāu kauka. E lawe i kāu lāʻau lapaʻau i ka manawa kūpono.
• E pale iā ʻoe iho mai nā maʻi. E noho maʻemaʻe. Inā loaʻa iā ʻoe kahi mea e like me ka maʻi ʻāʻī, mai hoʻowahāwahā iā ia a e ʻike i ke kauka no ka mālama ʻana.
• Mai hoʻomau i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me nā lāʻau ʻeha me ka ʻole o ke aʻo ʻana a kāu kauka.
• E pale i ka puhipaka a me ka inu ʻona . Hoʻopōʻino pololei kēia i nā puʻupaʻa.