Ke ʻike nei ʻoe i ka pehu koke ʻana i loko o kou kino, ʻoiai kou mau wāwae, kuʻekuʻe wāwae, lima, a i ʻole ke alo? A i ʻole ke ʻike nei ʻoe i ka huʻa nui aʻe i loko o kou mimi ma mua o ka maʻamau? I kekahi manawa hiki i kēia ke lilo i mau hōʻailona o kahi pilikia me kekahi o nā ʻōkana koʻikoʻi loa i loko o ko mākou kino, ʻo ia hoʻi nā puʻupaʻa. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hoʻopilikia ai i nā puʻupaʻa, ʻaʻole maʻamau loa, akā he mea nui loa ia e ʻike. Ua kapa ʻia kēia ʻo Glomerulosclerosis.
I ka ʻōlelo maʻalahi, he aha ka Glomerulosclerosis?
Ua like ko kākou mau puʻupaʻa me ʻelua mau kānana nui. Kānana lākou i nā huahana ʻōpala i loko o ko kākou koko a hoʻokuʻu iā lākou mai ke kino ma ke ʻano he mimi. Hana ʻia kēia kaʻina kānana ma kahi pūnaewele
o nā kīʻaha koko liʻiliʻi loa i loko o nā puʻupaʻa. ʻO kēia nā mea a mākou e kapa nei he 'Glomeruli'. ʻO
Glomerulosclerosis kahi kūlana kahi
e lilo ai kēlā mau pūnaewele kānana koko liʻiliʻi i ʻeha a mānoanoa paha. E like me ka hana ʻana o kahi ʻeha i ka wā e hōʻeha ʻia ai ko kākou ʻili, i ka wā e hōʻino ʻia ai kēia mau pūnaewele kānana koko, lilo lākou i ʻeha. Ke hana ʻia kēia, ʻaʻole hiki i kēlā mau pūnaewele ke hana pono.
ʻO ka hopena, hoʻomaka nā protein koʻikoʻi e pono ai i loko o ko mākou koko e kahe i waho ma o ke kānana a puka i waho i loko o ka mimi . I ka lāʻau lapaʻau, kapa mākou i kēia ʻano ʻo ' Proteinuria' .
Hiki i kēia maʻi ke hoʻopilikia i nā keiki, nā pākeke, a me kekahi. Eia nō naʻe, ʻoi aku ka maʻamau o ia i nā kāne.
He aha paha ke kumu o kēia kūlana?
Aia kekahi mau hihia kahi ʻaʻohe kumu kikoʻī no ka glomerulosclerosis. Akā i ka hapa nui o ka manawa, ua hoʻokumu ʻia e nā kūlana olakino ʻē aʻe a i ʻole nā kumu. ʻO ke kumu nui he kūlana i kapa ʻia ʻo `FSGS` (Focal Segmental Glomerulosclerosis). ʻO ke ʻano kēia ʻaʻole i hōʻino ʻia nā ʻiʻo kānana āpau i loko o ka puʻupaʻa, ʻo kekahi mau wahi wale nō (Focal). A ma kahi e hana ʻia ai kēlā hōʻino, ʻo kahi hapa wale nō (Segmental) o ka ʻiʻo i hōʻino ʻia, ʻaʻole ka ʻiʻo holoʻokoʻa. Eia kekahi mau kumu ʻē aʻe e hiki ke hoʻopilikia i kēia kūlana `FSGS` a me Glomerulosclerosis ma ke ʻano laulā:
- ʻO ka maʻi diabetes mellitus : ʻO ka maʻi diabetes i kāohi ʻole ʻia kekahi kumu nui o ka hōʻino ʻana o nā puʻupaʻa.
- Momona : Hoʻokau ke kaumaha o ke kino i ke kaomi hou aku ma luna o nā puʻupaʻa.
- Ka maʻi HIV :Hiki i kēia maʻi ke hōʻino pololei i nā hunaola puʻupaʻa.
- Nā maʻi Autoimmune e like me lupus: I loko o kēia mau mea, hoʻouka ka ʻōnaehana pale ponoʻī o ke kino i nā puʻupaʻa.
- Maʻi ʻeha cell sickle: He maʻi hoʻoilina nō hoʻi kēia e hiki ke hōʻino i nā puʻupaʻa.
- ʻO ka nephropathy Reflux: Ma kēia ʻano, kahe ka mimi mai ka ʻōpū mimi i nā puʻupaʻa, e hōʻino ana i nā puʻupaʻa.
- Glomerulonephritis: ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka pehu ʻana o nā pūnaewele kānana koko (Glomeruli) a mākou i ʻōlelo ai ma mua, ʻo ia hoʻi, pehu lākou.
- Kekahi mau lāʻau lapaʻau a me nā kemika: Hiki i kekahi mau lāʻau lapaʻau a me nā kemika i hōʻino i nā puʻupaʻa ke hana i kēia.
He aha nā hōʻailona o kēia?
I nā pae mua o kēia maʻi,
ʻaʻohe paha he mau hōʻailona maopopo . ʻO ia ka mea weliweli loa e pili ana i ia mea. Akā me ka hala ʻana o ka manawa, hoʻomaka kekahi mau hōʻailona e ʻike ʻia. He mea nui loa ka makaʻala i kēia mau hōʻailona.
| Hōʻailona | Ua wehewehe maʻalahi ʻia |
|---|
| Pehu ʻana | Hōʻiliʻili ka wai i loko o ke kino no ka mea ʻaʻole kānana pono nā puʻupaʻa iā ia. E ʻike paha ʻoe i ka pehu ʻana, ʻoiai ma nā wāwae, nā kuʻekuʻe wāwae, nā lima, ka ʻōpū, a puni nā maka . ʻAʻohe ʻeha o kēia pehu. |
| Nā loli i ka mimi | Hiki mai ka mimi huʻa a pehu paha no ka mea ua hoʻokuʻu ʻia ka protein i loko o ka mimi. |
| Ke koko kiʻekiʻe | Ke hōʻino ʻia nā puʻupaʻa, piʻi ke koko. I kekahi manawa, lilo kēia koko i mea paʻakikī ke kāohi me ka lāʻau lapaʻau. |
| Kolesterol kiʻekiʻe | Ke emi ka pae o ka protein i loko o ke koko, pane ke akepaʻa ma ka hana ʻana i ka cholesterol hou aʻe, kahi e hoʻonui ai i ka pae o ka cholesterol i loko o ke koko. |
I ka manawa pinepine, ʻike ʻia kēia maʻi i ka wā o kahi hoʻokolohua lapaʻau maʻamau i hana ʻia no kekahi kumu ʻē aʻe. Hiki i kahi hoʻāʻo mimi ke hōʻike i nā pae kiʻekiʻe o ka protein (Proteinuria) a i ʻole hiki i kahi hoʻāʻo koko ke hōʻike i nā pae haʻahaʻa o ka protein (Hypoproteinemia).
Pehea ʻoe e ʻike pololei ai i kēia maʻi?
ʻOiai hiki ke ʻike ʻia nā hōʻailona i ʻōlelo ʻia ma luna nei i nā maʻi ʻē aʻe, ʻo ke ala wale nō a maikaʻi loa e hōʻoia ai i kēia kūlana, ʻo ia ka hana ʻana
i kahi biopsy kidney .
He aha kēia Kidney Biopsy?
Mai hopohopo. Pili kēia i ka lawe ʻana i
kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kou puʻupaʻa me ka hoʻohana ʻana i kahi mea hana liʻiliʻi e like me ke nila. A laila, nānā ʻia ka ʻiʻo ma lalo o kahi microscope e ʻike inā he mau ʻeha i ʻōlelo ʻia ma luna.
I kekahi manawa, pono paha ma mua o hoʻokahi biopsy. No ka mea, ʻaʻole like kēia ʻōpala ma loko o ka puʻupaʻa, pono paha ke kauka e lawe i nā laʻana mai nā wahi he nui a hiki i ka loaʻa ʻana o kahi i hōʻino ʻia.
Eia kekahi, hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua aʻe:
- Hoʻāʻo ʻo Glomerular Filtration Rate (GFR): Ke ana kēia i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa.
- ʻO ke nānā ʻana i ka Ultrasound o nā puʻupaʻa: E nānā i ka nui, ke ʻano, a me ke alo o nā mea ʻino i nā puʻupaʻa.
- Ka hoʻāʻo ʻana i ka hoʻoilina: I kekahi mau hihia kakaikahi, e ʻike inā he kumu hoʻoilina.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mea pōʻino,
ʻaʻohe lāʻau lapaʻau no ka glomerulosclerosis. ʻAʻohe lāʻau lapaʻau kikoʻī i ʻae ʻia no ia.
Akā, mai hopohopo! Aia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka hoʻomalu ʻana i ka holomua o ka maʻi, ka mālama ʻana i nā hōʻailona, a me ke ola maʻamau. ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ke kāohi i ka holomua o ka maʻi a pale i ka hāʻule ʻana o nā puʻupaʻa. ʻO ka lāʻau lapaʻau maʻamau:
- Nā lāʻau lapaʻau koko: ʻO nā lāʻau lapaʻau e like me nā ACE inhibitors a me nā ARB ʻaʻole wale ke kāohi i ke koko, akā kōkua pū kekahi i ka hōʻemi ʻana i ka nalowale o ka protein i loko o ka mimi.
- Nā lāʻau lapaʻau e kāohi ana i ka pale ʻana: ʻO nā steroid e like me Prednisolone a me nā lāʻau lapaʻau ʻē aʻe e kōkua i ka kaohi ʻana i ka hana o ka ʻōnaehana pale, hoʻemi i ka hoʻokuʻu ʻana o ka protein, a hoʻomaikaʻi i ka hana o nā puʻupaʻa.
- Nā lāʻau lapaʻau e hoʻomalu ana i ka cholesterol (Statins): E kāohi i nā pae cholesterol kiʻekiʻe.
- Diuretics: Wehe i ka wai keu a me ka paʻakai mai ke kino a hōʻemi i ka pehu.
- Nā lāʻau anticoagulant.
- Nā Hoʻololi o ke ʻAno o ka Noho ʻana: He mea nui loa ka ʻai ʻana i ka meaʻai haʻahaʻa paʻakai , ka hoʻoikaika kino ʻana, a me ka lawe ʻana i nā wikamina.
ʻO ka mea nui loa, inā ua hoʻokumu ʻia ke kūlana e kekahi maʻi ʻē aʻe, e like me ka maʻi diabetes a i ʻole ka momona, pono e mālama pono ʻia ka maʻi kumu. He mea nui nō hoʻi e nānā i ke kūlana o nā puʻupaʻa ma ka hoʻāʻo mau ʻana i ke koko a me ka mimi.
ʻOiai nā lāʻau lapaʻau āpau, i kekahi mau hihia hiki i ka maʻi ke holomua i ka hāʻule ʻana o nā puʻupaʻa. I kēlā hihia, pono paha ka dialysis a i ʻole ka hoʻoili puʻupaʻa.
Leka Lawe-Home
- ʻO ka Glomerulosclerosis kahi kūlana e hōʻino ʻia ai nā ʻōmole kānana koko liʻiliʻi i loko o nā puʻupaʻa, e hoʻōki ai i ka hana pono ʻana o nā puʻupaʻa.
- E makaʻala i nā hōʻailona e like me ka pehu ʻana o ke kino, ʻoiai hoʻi nā wāwae a me ka maka, ka mimi huʻa, a me ke koko kiʻekiʻe.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
- Pono kahi biopsy puʻupaʻa e hōʻoia i ka hōʻoia pololei.
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia, aia nā lāʻau lapaʻau kūpono e kāohi i ka holomua o ka maʻi a mālama i nā hōʻailona. He mea nui loa ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā mua.
Glomerulosclerosis Sinhala, maʻi puʻupaʻa, ʻeha puʻupaʻa, protein i loko o ka mimi, proteinuria Sinhala, pehu wāwae, biopsy puʻupaʻa
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