⚡ Interactive Clinical Tool
Renal function (eGFR)
Measure kidney function based on creatinine value
ʻO ka mea mua, e nānā kākou he aha ka dialysis.
I ka ʻōlelo maʻalahi, ʻo ka dialysis ka wā hiki ʻole i kou mau puʻupaʻa ke hana pono i kā lākou hana, a hana ʻia kēlā hana ma ke ʻano hana, me ke kōkua o kahi mīkini a i ʻole kekahi ʻano hana ʻē aʻe. E noʻonoʻo i kēia ʻano: ua like kou mau puʻupaʻa me ʻelua mau kānana super. He mau ʻōpū ʻano pīni lākou ma nā ʻaoʻao ʻelua o kou iwi kuamoʻo, ma lalo pono o kou iwi ʻaoʻao. ʻO kā lākou hana nui ke kānana i kou koko a wehe i nā ʻōpala a me nā wai keu mai kou kino ma ke ʻano he mimi. Eia kekahi, hoʻomalu pū kou mau puʻupaʻa i kou koko, mālama i kou mau iwi ikaika, mālama i nā pae kūpono o nā minelala e like me ka potassium a me ka sodium (paʻakai) i loko o kou koko, a hana i nā hormones e kōkua i ka hana ʻana i nā hunaola koko ʻulaʻula. No laila, ke pau ka hana pono ʻana o kou mau puʻupaʻa, hoʻomaka nā mea ʻawahia e kūkulu i loko o kou kino. ʻO ia ka manawa e lilo ai ka dialysis i lāʻau lapaʻau e hoʻōla ai i ke ola.ʻO wai ka mea e pono ai ka mālama dialysis?
Ke lilo ka maʻi puʻupaʻa i mea koʻikoʻi, ʻo ia hoʻi, ua nāwaliwali loa kou mau puʻupaʻa e mālama i nā hana o kou kino, pono paha ʻoe i ka dialysis a i ʻole kahi hoʻoili puʻupaʻa. Hiki ke hana ʻia ka maʻi puʻupaʻa e nā kūlana e like me ke koko kiʻekiʻe, ka maʻi diabetes , lupus, kekahi mau ulia pōpilikia, a i ʻole no ke kumu ʻole. Hoʻomaka pinepine ʻia ka dialysis ke hoʻomaka ʻoe e hoʻomohala i nā hōʻailona o ka hāʻule ʻana o ka puʻupaʻa a i ʻole ke hōʻike ʻia nā hoʻokolohua koko he nui loa nā mea ʻawahia i kou koko. ʻO nā hōʻailona e komo pū me ka nausea , ka luhi, ka pehu ʻana, a me ka luaʻi ʻana .Aia he 5 mau pae o ka maʻi puʻupaʻa . Ke hiki ʻoe i ka Pae V, ʻo ia hoʻi ke hana nei kou mau puʻupaʻa ma kahi pae haʻahaʻa loa, e like me 10%-15%, kapa mākou ia he 'End-Stage Renal Disease '. I kēia manawa, he mea pono loa ka dialysis a i ʻole ka hoʻoili puʻupaʻa e ola ai.Na kāu kauka e hoʻoholo i ka wā e hoʻomaka ai ʻoe i ka dialysis a me ke ʻano hana kūpono loa iā ʻoe, ma muli o kou makahiki, ka pae ikehu, ke olakino holoʻokoʻa, nā hopena o nā hoʻāʻo koko, a me ke ʻano o kou kūpaʻa i kāu hoʻolālā lapaʻau.
✨ Clinical nutrition
Verified Partner
Clinical vitamins and nutritional supplements
Clinically proven high quality vitamins, minerals and immune nutritional supplements.
Check Availability →He aha nā ʻano dialysis i loaʻa?
ʻElua ʻano nui o ka dialysis. E nānā maʻalahi kākou i ka ʻokoʻa ma waena o nā mea ʻelua.| ʻAno dialysis | Pehea e hana ai | Ma hea i hana pinepine ʻia ai |
|---|---|---|
| Hemodialysis | Lawe ʻia kou koko mai kou kino aku, hoʻokomo ʻia i loko o kahi mīkini kūikawā (he puʻupaʻa hana), hoʻomaʻemaʻe ʻia, a laila hoʻihoʻi ʻia i kou kino. | Ma kahi haukapila a i ʻole ke kikowaena dialysis. Hiki ke hana ʻia ma ka home. |
| Dialysis Peritoneal | Hoʻomaʻemaʻe ʻia kou koko i loko o kou kino. Hoʻokomo ʻia kahi wai kūikawā i loko o kou lua ʻōpū, kahi e omo ai i nā mea ʻōpala a laila hoʻohemo iā lākou. | Hana pinepine ʻia ma ka home. |
He mea hou aʻe e pili ana i ka hemodialysis
Ma kēia ʻano hana, huki kahi mīkini i ke koko mai kou kino. Pili kēia i kahi hana ʻoki liʻiliʻi e hana i kahi wahi komo ma lalo o ka ʻili o kou lima e hiki ai ke hoʻopili i nā kīʻaha koko. ʻEkolu mau ʻano hana nui no kēia.- Fistula: Pili kēia i ka hoʻopili ʻana i kahi aʻa a me kahi aʻa koko i kou lima. ʻO kēia ke ʻano hana maikaʻi loa a mau loa. Eia nō naʻe, ma kahi o 6 mau pule e hiki ai ke hoʻohana.
- Graft: Pili kēia i ka hoʻopili ʻana i kahi aʻa a me kahi vein me ka hoʻohana ʻana i kahi paipu plastik. Hiki ke hoʻohana ʻia kēia no ka pōkole e like me 2 mau pule. Eia naʻe, ʻaʻole ia e lōʻihi e like me ka fistula.
- Catheter : Inā pono ʻoe e hoʻomaka koke i ka dialysis, hoʻokomo ʻia kahi paipu palupalu (catheter) i loko o kahi aa nui ma kou ʻāʻī, lima, a i ʻole ka ʻūhā . He hopena manawa pōkole kēia.
Nā kikoʻī e pili ana i ka Peritoneal Dialysis (PD)
He ʻokoʻa iki kēia ʻano hana. Maanei, ʻo ka membrane lahilahi e uhi ana i kou lua ʻōpū (peritoneum) e hana ma ke ʻano he kānana kūlohelohe. Ma kahi o 3 mau pule ma mua o ka hoʻomaka ʻana o kāu lāʻau lapaʻau, hana ʻia kahi hana ʻoki liʻiliʻi e hoʻokomo mau i kahi paipu palupalu (catheter) i loko o kou ʻōpū. A laila, hoʻopili ʻia ka wai dialysis i loko o kou ʻōpū ma o kēia paipu. Hana kēia wai e wehe i nā huahana ʻōpala mai kou koko i loko o kekahi mau hola. A laila hoʻokahe ʻia nā huahana ʻōpala i loko o kahi ʻeke ʻē aʻe. Ua kapa ʻia kēia kaʻina hana he "exchange." Hiki iā ʻoe ke hana i kēia ma ka home, no laila ʻaʻole pono ʻoe e hele pinepine i ka haukapila. ʻElua mau ala e hana ai i kēia:- ʻO ka Dialysis Peritoneal Automated: Hana ʻia kēia kaʻina hana hoʻololi i ka pō, ʻoiai ʻoe e hiamoe ana, me ka hoʻohana ʻana i kahi mīkini.
- Hoʻomau ʻia ka Dialysis Peritoneal Ambulatory: Pono ʻoe e hana i kēia kaʻina hana hoʻololi me ka lima, i nā manawa he nui i ka lā.
Aia kekahi mau hopena ʻaoʻao o ka dialysis?
ʻAʻole ʻeha ka dialysis. Eia nō naʻe, hiki iā ʻoe ke loaʻa i kekahi mau hopena ʻaoʻao i ka wā a ma hope paha o ka mālama ʻana. Inā loaʻa iā ʻoe kekahi ʻeha, e haʻi koke i kāu kauka. ʻO nā hopena ʻaoʻao maʻamau:- ʻIli ʻāʻī
- Ke koko haʻahaʻa (ʻoi aku hoʻi i nā maʻi diabetes)
- Nā pilikia hiamoe
- Ka nui o ka wai
- Nā maʻi (ʻoi aku hoʻi ma kahi o ke catheter)
- Kaumaha a i ʻole nā loli o ka naʻau
- Ka luaʻi a me ka luaʻi
- ʻEhaʻeha o nā ʻiʻo
- Luhi nui
- E nānā i kāu wahi i komo ai i kēlā me kēia lā no ka ʻulaʻula, ka pus, a i ʻole ka pehu. Inā ʻike ʻoe i kekahi o kēia mau mea, e kāhea koke aku i kāu kauka.
- E mālama mau i ke kāʻei e uhi ana i ke catheter maʻemaʻe a maloʻo.
Leka Lawe-Home
- Ke hāʻule ka hana o nā puʻupaʻa ma lalo o 10%-15%, pono paha ka dialysis e wehe i nā ʻōpala mai ke kino.
- ʻElua ʻano nui o ka dialysis: hemodialysis a me peritoneal dialysis. E kamaʻilio me kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.
- ʻAʻole ʻeha ka lāʻau dialysis, akā hiki ke loaʻa kekahi mau hopena ʻaoʻao. E haʻi i kāu kauka e pili ana i kekahi ʻeha.
- Inā pono ʻoe e hoʻōki i ka lāʻau lapaʻau, mai hoʻoholo ʻoe iho, akā e kamaʻilio me kāu kauka.
- He lāʻau lapaʻau e hoʻolōʻihi i ke ola ka dialysis, ʻaʻole ia he hopena hoʻokahi no nā mea āpau. He mea nui e kamaʻilio me kāu kauka e pili ana i ka mea maikaʻi loa no kou kūlana.
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