Ua loaʻa anei iā ʻoe kahi ʻeha kua hiki ʻole ke hoʻomanawanui a i ʻole ka ʻeha ma ka ʻaoʻao o kou ʻōpū? I kekahi manawa hiki i kēia ʻeha ke manaʻo e hele ana i kou ʻūhā. Me kēia, hiki iā ʻoe ke manaʻo i ka luaʻi a hiki ke kahe ke koko i loko o kou mimi. Ke hana ʻia kekahi mea e like me kēia, makaʻu pinepine mākou. ʻO kekahi o nā kumu nui o kēia, ʻo ia ka hoʻokumu ʻia ʻana o nā pōhaku puʻupaʻa. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi i hiki iā ʻoe ke hoʻomaopopo pehea e hana ʻia ai, he aha nā hōʻailona, pehea e mālama ai, a pehea e pale ai i ka hana hou ʻana.
He aha kēia mau pōhaku puʻupaʻa?
I ka ʻōlelo maʻalahi, he mau ʻāpana paʻakikī nā pōhaku puʻupaʻa, e like me ka pōhaku e hana ʻia i loko o ko kākou mau puʻupaʻa. Hoʻokumu ʻia lākou i ka wā e hui pū ai nā minelala a me nā waikawa i loko o ko kākou mimi a paʻakikī i ka hala ʻana o ka manawa. I ka pololei, ua kapa ʻia kēia he `(Renal Calculi)` a i ʻole `(Nephrolithiasis)` ma ka ʻōlelo lapaʻau.
E noʻonoʻo e pili ana i ia mea, hiki i kēia mau pōhaku ke liʻiliʻi e like me kahi hua one, a i nā hihia kakaikahi, hiki iā lākou ke nui e like me ka pōpō kolepa. ʻAʻole paha ʻoe e ʻike he pōhaku puʻupaʻa kou. ʻO kēia no ka mea inā liʻiliʻi loa ka pōhaku, hiki iā ia ke puka i waho o ke kino me ka mimi me ka ʻole o ka ʻeha .
Akā hoʻomaka ka pilikia ke nui iki kēia pōhaku. A laila hiki ke paʻa i loko o ka ureter, ka ʻōmole lahilahi e lawe ana i ka mimi mai ka puʻupaʻa a i ka ʻōpū mimi. Ke hana ʻia kēia, ʻaʻole hiki i ka mimi ke kahe i lalo a hoʻomaka e hoʻopiha i loko o ka puʻupaʻa. Hiki i kēia ke hana i ka hana o ka puʻupaʻa e hōʻino ʻia a alakaʻi i ke kahe ʻana o ke koko. ʻO kēia ke kumu o kēlā ʻeha hiki ʻole ke hoʻomanawanui.
ʻO ka maʻamau, ʻekolu pule ka lōʻihi o ka hele ʻana o kahi pōhaku liʻiliʻi ma o ka mimi. Akā, hiki i nā pōhaku liʻiliʻi ke hana i ka ʻeha nui i kekahi manawa. Inā nui ka pōhaku a ʻaʻole paha e hele wale aku, pono paha ke kauka e wāwahi a wehe paha ma ke ʻoki ʻana.
He aha nā hōʻailona o nā pōhaku puʻupaʻa?
ʻO ka hōʻailona nui a maʻamau o nā pōhaku puʻupaʻa, ʻo ia ka ʻeha. Hiki ke ʻike ʻia kēia ʻeha ma ke kua haʻahaʻa, ka ʻōpū, a i ʻole ka ʻūhā. Manaʻo paha ia e like me ka hele ʻana i ka ʻūhā. I kekahi manawa he ʻeha iki ia, akā hiki nō hoʻi ke lilo i ʻeha koke, koʻikoʻi, a ʻeha hou. Ua kapa ʻia hoʻi ʻo "ʻeha Colicky" no ka mea, hele mai ka ʻeha a hele aku i nā nalu.
Ma waho aʻe o kēia ʻeha nui, aia paha kekahi mau hōʻailona ʻē aʻe. E nānā kākou i ke ʻano o ia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| Ka luaʻi a me ka luaʻi | Hiki ke hele pū me ka ʻeha nui me ka nausea a me ka luaʻi. |
| Koko i loko o ka mimi | Hiki i ka mimi ke lilo i poni, ʻulaʻula, a ʻeleʻele paha. ʻO kēia no ka mea ke kahakaha nei ka pōhaku i ke ala mimi. |
| ʻEha i ka wā e mimi ai | Hiki paha iā ʻoe ke manaʻo i ka ʻeha a i ʻole ke kuni ʻana i ka wā e mimi ai. |
| Pono pinepine e mimi | Manaʻo ʻoe e pono ʻoe e mimi pinepine no ka mea ʻaʻole i hakahaka loa kou ʻōpū mimi. |
| ʻAʻole hiki ke mimi | Inā ālai loa kahi pōhaku i ke ala mimi, he mea paʻakikī paha ke kahe ʻana o ka mimi. |
| Kuni a me nā anu | Inā loaʻa iā ʻoe kahi maʻi ʻōpū mimi, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ke kuni a me ka ʻūlū. |
| Mimi ʻeleʻele a pilau paha | Hiki ke ʻeleʻele ke kala o ka mimi a i ʻole he ʻala pilau paha e like me ka hōʻailona o kahi maʻi. |
E hoʻomanaʻo, inā he mau pōhaku puʻupaʻa liʻiliʻi loa kou, ʻaʻole paha ʻoe e loaʻa i kekahi o kēia mau hōʻailona.
No ke aha e loaʻa ai iā mākou nā pōhaku puʻupaʻa?
He mea maʻalahi loa kēia e hoʻomaopopo. E noʻonoʻo e hoʻohui kākou i kekahi kō i loko o ke aniani wai a hoʻoheheʻe iā ia. Inā hoʻohui mākou i ke kō hou aku, a me ke kō hou aku, i ka hopena, ʻaʻole e hoʻoheheʻe ke kō a e noho ma lalo o ke aniani, ʻeā? ʻO ia ka mea e hana ʻia i loko o ko kākou mau puʻupaʻa.
Aia i loko o ko kākou mimi he nui nā mea e like me ka calcium, sodium, oxalate, a me ka uric acid. Ke inu ʻole kākou i ka wai lawa,, lilo ka mimi i mānoanoa. A laila piʻi ka nui o kēia mau mea, pili pū lākou, a hoʻomaka nā kristal liʻiliʻi e hana. Hōʻiliʻili kēia mau kristal i ka hala ʻana o ka manawa a lilo i mau pōhaku. Hiki i kēia kaʻina hana ke hala i nā mahina, a hiki i nā makahiki.
Aia kekahi mau ʻano pōhaku puʻupaʻa.
Hiki ke hoʻokaʻawale ʻia nā pōhaku i ʻehā ʻano nui e pili ana i ke ʻano o nā kristal a lākou e hana ai.
1. Nā pōhaku kalipuna: ʻO kēia ke ʻano maʻamau. ʻElua ʻano: `(Calcium-oxalate)` a me `(Calcium phosphate)`. ʻO ka inu ʻole ʻana i ka wai lawa, ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka oxalate (e like me ka spinach, peanuts), a me ka ʻai ʻana i ka meaʻai haʻahaʻa i ka kalipuna hiki ke hoʻokumu iā lākou.
2. Nā pōhaku ʻakika uric: ʻO ka poʻe e ʻai nui ana i ka protein holoholona, e like me ka pipi, ka moa, ka puaʻa, nā hua manu, a me ka iʻa, hiki ke loaʻa i kēia ʻano pōhaku.
3. Nā pōhaku Struvite: Hoʻokumu ʻia kēia mau mea ma muli o nā maʻi bacteria i loko o ke ala mimi. I loko o ke kanaka i loaʻa pinepine i nā maʻi, hiki i kēia mau pōhaku ke hana a ulu i kekahi manawa i nā pōhaku nui loa i kapa ʻia ʻo "Staghorn calculi" e pālahalaha ana ma loko o ka puʻupaʻa. Pono e wehe ʻia kēia mau mea ma ke ʻoki kino.
4. Nā pōhaku Cystine: He mea kākaʻikahi kēia. Hoʻokumu ʻia lākou e kahi maʻi hoʻoilina i kapa ʻia ʻo "Cystinuria".
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i nā pōhaku puʻupaʻa?
ʻOi aku ka nui o ka loaʻa ʻana o nā pōhaku puʻupaʻa i kekahi poʻe ma mua o kekahi. E nānā kākou i kēlā mau mea pilikia.
- ʻAʻole inu wai lawa: ʻO kēia ke kumu nui.
- ʻAi: Ka ʻai nui ʻana i ka ʻiʻo, nā meaʻai kiʻekiʻe i ka paʻakai, a me nā meaʻai kiʻekiʻe i ke kō (sucrose a me ka fructose).
- Nā mea hoʻohui huaora C: ʻO ka lawe ʻana i ka nui o nā mea hoʻohui huaora C hiki ke hoʻopilikia i kekahi poʻe.
- Moʻolelo ʻohana: Inā ua loaʻa i kekahi o kou ʻohana nā pōhaku puʻupaʻa, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
- Ka ālai ʻana o ke ala mimi: Ke alo ʻana o kekahi mea ālai i loko o ke ala mimi.
- ʻO kekahi mau ʻoki kino: ʻO ke ʻoki kino ma ka ʻōpū a i ʻole nā naʻau, ʻoi aku hoʻi no ka pohō kaumaha, e like me ke ʻoki bypass gastric.
- Kekahi mau lāʻau lapaʻau: Kekahi mau lāʻau lapaʻau e like me nā diuretics a me nā antacids i loaʻa ka calcium.
- Nā kūlana olakino ʻē aʻe: ʻO nā kūlana e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka gout, ka momona, a me ka maʻi ʻōpū mumū (IBD) e hoʻonui pū i ka pilikia.
He aha nā pilikia ʻē aʻe e hiki ke hana ma muli o nā pōhaku puʻupaʻa?
ʻAʻole wale nā pōhaku puʻupaʻa he mea ʻeha. Inā ʻaʻole mālama pono ʻia, hiki iā lākou ke alakaʻi i nā pilikia olakino koʻikoʻi ʻē aʻe.
- Pehu ʻana o nā puʻupaʻa (Hydronephrosis):Hiki i ka pōhaku ke ālai i ke ala mimi, ke kahe ʻana o ka mimi i hope, a ke kumu o ka pehu ʻana o ka puʻupaʻa.
- Maʻi puʻupaʻa (Pyelonephritis): Hiki i ka bacteria ke ulu i loko o ka mimi i ālai ʻia a laha i nā puʻupaʻa.
- ʻEha koʻikoʻi o ka puʻupaʻa: Hiki i ka hana puʻupaʻa ke oki koke i ka hana. Akā hiki ke hoʻohuli pinepine ʻia kēia.
- Nā maʻi ʻōpū mimi pinepine (UTIs) .
- Maʻi puʻupaʻa mau loa (CKD): ʻO ka hōʻino lōʻihi ʻana i nā puʻupaʻa hiki ke alakaʻi i ka nalowale mau loa o ka hana.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka me kāu mau hōʻailona, e nānā ʻo ia iā ʻoe a laila e kauoha i kekahi mau hoʻokolohua e hōʻoia inā he mau pōhaku puʻupaʻa kou.
- Hoʻāʻo mimi: Nānā kēia i ke koko i loko o ka mimi, nā ʻano pōhaku, a me nā hōʻailona o ka maʻi.
- Kiʻi: Hiki i kahi X-ray, ultrasound scan, a i ʻole CT scan ke kōkua i ka hoʻoholo ʻana i ka nui, ke ʻano, kahi, a me ka helu o nā pōhaku.
- Nā hoʻāʻo koko: Kōkua kēia mau hoʻāʻo e nānā i ke ʻano o ka hana ʻana o kou mau puʻupaʻa a me nā pae o nā mea e like me ka calcium i loko o kou koko.
He aha nā lāʻau lapaʻau no kēia?
Hoʻoholo ʻia ka lāʻau lapaʻau e ka nui o ka pōhaku, kona wahi, a me nā hōʻailona i hoʻokumu ʻia.
Nā lāʻau lapaʻau
Inā he liʻiliʻi ka pōhaku, ʻo ia hoʻi hiki ke hele maoli me ka mimi, e kuhikuhi kāu kauka i nā lāʻau lapaʻau e kōkua i ka kaohi ʻana i ka ʻeha a kōkua i ka pōhaku e hele maʻalahi.
- Nā lāʻau lapaʻau e kōkua ai i ka hoʻohemo ʻana i nā pōhaku: ʻO nā lāʻau lapaʻau e like me Tamsulosin e hoʻomaha ai i ka ureter a ʻae i ka pōhaku e hele maʻalahi.
- Nā lāʻau hoʻopau ʻeha: ʻOiai he koʻikoʻi ka ʻeha, hāʻawi ʻia nā lāʻau lapaʻau e kāohi iā ia. Eia naʻe, mai lawe i nā lāʻau lapaʻau e like me ka ibuprofen me ka ʻole o ke kūkākūkā ʻana me kāu kauka. I kekahi manawa, hiki iā lākou ke hōʻino i kou mau puʻupaʻa.
- Nā lāʻau lapaʻau no ka nausea a me ka luaʻi.
ʻO ke ʻoki kino a me nā ʻano hana ʻē aʻe
Inā nui ka pōhaku, e ālai ana i ka urethra, a ʻaʻole paha e hele wale ma hope o kekahi mau pule, hiki i ke kauka ke ʻōlelo i kahi hana kūikawā e wāwahi ai a wehe paha.
| ʻAno lapaʻau | He aha ka mea e hana nei? |
|---|---|
| ʻO ka lithotripsy nalu haʻalulu | Hoʻouna ʻia nā nalu kani alapine kiʻekiʻe mai waho o ke kino e wāwahi i nā pōhaku. A laila e hoʻokuʻu maʻalahi ʻia nā ʻāpana i kuʻi ʻia i loko o ka mimi. |
| ʻUreteroscopy | Hoʻoili ʻia kahi ʻōmole lahilahi i lako me ke kāmela (scope) i lalo o ka urethra i ka pōhaku, kahi e wāwahi ʻia ai me kahi kukuna laser a i ʻole kekahi mea hana ʻē aʻe, a wehe ʻia nā ʻāpana. |
| ʻO ka nephrolithotomy percutaneous | Hana ʻia kēia no nā pōhaku nui loa. Hana ʻia kahi ʻoki liʻiliʻi ma ke kua, hoʻokomo ʻia kahi ʻōmole ma o ia mea pololei i loko o ka puʻupaʻa, a wāwahi ʻia ka pōhaku a wehe ʻia. |
| ʻO ke ʻoki kino Laparoscopic | I nā hihia kakaikahi loa, wehe ʻia ka pōhaku ma o ke ʻoki ʻana me ka hoʻohana ʻana i kahi kāmela ma o kekahi mau ʻoki liʻiliʻi ma ka ʻōpū. |
Hiki ke pale ʻia ka hoʻi hou ʻana mai o nā pōhaku puʻupaʻa?
ʻAe, hiki nō ia. ʻO ke kanaka i loaʻa i nā pōhaku puʻupaʻa i hoʻokahi manawa, ʻoi aku ka nui o ka loaʻa hou ʻana o lākou. No laila, he mea nui loa e hana i kēia mau mea i ʻole e hele hou i kēia ʻike ʻeha.
- E inu i ka nui o ka wai: He mea nui e inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā. Inā he melemele māmā a ʻaʻohe kala o kou mimi, ʻo ia hoʻi ke inu nei ʻoe i ka wai lawa.
- E kaupalena i nā protein holoholona: E hōʻemi i ka nui o ka ʻiʻo, iʻa, a me nā hua manu āu e ʻai ai.
- E hōʻemi i ka paʻakai a me ke kō: E noho mamao mai nā meaʻai i hoʻopaʻa ʻia, nā meaʻai wikiwiki, a me nā mea inu kō i ka hiki.
- E kaupalena i nā meaʻai kiʻekiʻe i ka oxalate: Inā ua loaʻa iā ʻoe nā pōhaku calcium oxalate, hiki i kāu kauka ke aʻo iā ʻoe e kaupalena i nā meaʻai e like me ka spinach, peanuts, a me ka bran palaoa.
- E mālama i ke kaumaha olakino.
- ʻAi i nā meaʻai waiwai i ka calcium: He mea kupanaha paha kēia, akā ʻo ka ʻai ʻana i nā meaʻai waiwai i ka calcium, e like me ka waiū, ka yogurt, a me ka tīhi, hiki ke kōkua i ka pale ʻana i ka hoʻokumu ʻia ʻana o nā pōhaku. Eia nō naʻe, hiki i ka lawe ʻana i nā mea hoʻohui calcium ke hoʻonui i kou pilikia. No laila, mai lawe i nā mea hoʻohui calcium me ka ʻole o ka nīnau ʻana i kāu kauka.
Āhea wau e ʻike ai i ke kauka?
Inā he mau kānalua kāu e loaʻa ana nā hōʻailona o nā pōhaku puʻupaʻa, e ʻike koke i ke kauka. He mea nui e ʻike i kahi o ka pōhaku, pehea kona nui, a hoʻomaka i ka mālama ʻana ma mua o ka hiki ʻana mai o nā pilikia.
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?
Inā ʻoe i loko o ka ʻeha hiki ʻole ke hoʻomanawanui , me nā hōʻailona e like me ka luaʻi ʻana, ke kuni, a me ke anu , mai hoʻonele i ka manawa a hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Hiki i nā pōhaku puʻupaʻa ke lilo i mea ʻeha loa. Akā e hoʻomanaʻo, he kūlana manawa pōkole kēia e hiki ke ho'ōla loa ʻia me ka mālama kūpono. No laila, mai hopohopo. E hahai pono i nā ʻōlelo a kāu kauka, e lawe i kāu lāʻau i ka manawa kūpono, a inu i ka wai he nui.
Leka Lawe-Home
- ʻO ke kumu nui o nā pōhaku puʻupaʻa, ʻo ia ka inu ʻole ʻana i ka wai lawa. No laila, e inu pono ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui ma kou kua, ʻōpū, a pelvis paha, ke koko i loko o kou mimi, a i ʻole ke kuni, e ʻimi koke i ke kōkua lapaʻau.
- Inā ʻoe i loko o ka ʻeha hiki ʻole ke hoʻomanawanui, mai kānalua e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.
- ʻAʻole pono ke ʻoki ʻana i nā pōhaku puʻupaʻa a pau. Holo ka hapa nui o nā pōhaku liʻiliʻi iā lākou iho me ka lāʻau lapaʻau a me ka nui o nā wai.
- Ke hana ʻia nā pōhaku, kiʻekiʻe ka pilikia o ko lākou hana hou ʻana. No laila, he mea nui loa e hoʻololi i ka meaʻai a me ke ʻano o ka nohona e like me ka ʻōlelo a kāu kauka.
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