Hana nui mākou i kēlā me kēia lā, ʻeā? Akā, ua ʻike anei ʻoe ʻoiai ʻoe e hana ana i kēia mau mea, aia ʻelua mau ʻōkana kupaianaha i loko o kou kino e hana mālie ana, 24 mau hola o ka lā, ʻaʻole e kū no hoʻokahi kekona? ʻO ia ko kākou mau puʻupaʻa. I ka ʻōlelo maʻalahi, ʻo ia ka 'ʻōnaehana kānana' ikaika loa i loko o ko kākou kino. Inā pau kēia mau mea, lilo ko kākou kino holoʻokoʻa i mea haunaele. No laila, e kamaʻilio kākou e pili ana i kēia mau puʻupaʻa makamae i kēia lā.
I ka ʻōlelo maʻalahi, he aha nā puʻupaʻa?
ʻO nā puʻupaʻa he ʻelua ʻano kino e like me ka nui o ka pālima o ko kākou lima. Aia lākou ma nā ʻaoʻao ʻelua o ko kākou iwi kuamoʻo, ma ke kua haʻahaʻa, ma lalo pono o ka iwi ʻaoʻao. He ʻāpana nui lākou o kā kākou ʻōnaehana mimi.
E noʻonoʻo wale, kānana kou mau puʻupaʻa ma kahi o 180-190 lita o ka wai i kēlā me kēia lā . Ua lawa kēlā e hoʻopiha i kahi ʻauʻau nui! I loko o kēia kaʻina kānana, hoʻokaʻawale ʻia nā huahana ʻōpala a me nā mea ʻawahia a hoʻokuʻu ʻia mai ke kino ma ke ʻano he mimi (kapa mākou iā ia he ' mimi '). Hoʻokuʻu pinepine mākou ma kahi o 1.5 - 2 lita o ka mimi i kēlā me kēia lā. A pehea ke koena o ka wai i kānana ʻia? Hoʻohana hou ko mākou kino iā ia. ʻAʻole anei he mea kupaianaha?
Eia kekahi, he kuleana nui ko nā puʻupaʻa i ka mālama ʻana i ke kaulike ma waena o ka nui o ka wai a me nā minelala koʻikoʻi i kapa ʻia he electrolytes (e like me ka sodium a me ka potassium) i loko o ko kākou kino.
He aha nā hana nui o nā puʻupaʻa?
ʻAʻole wale nā puʻupaʻa he mīkini kānana koko. Nui aku nā mea o kēia mau ʻōkana liʻiliʻi ʻelua ma mua o kēlā. E nānā kākou i nā mea nui loa.
| Hana | He wehewehe maʻalahi |
|---|---|
| Kānana ʻōpala | Hoʻopau ia i nā huahana ʻino a me nā waikawa mai ke koko, e like me ka urea a me ka creatinine, a hoʻokuʻu iā lākou ma ke ʻano he mimi. Ma kahi o ka hapalua kīʻaha o ke koko e hoʻomaʻemaʻe ʻia ma kēia ʻano i kēlā me kēia minuke. |
| Ke kāohi nei i ke koko | Hoʻopuka ia i kahi protein i kapa ʻia ʻo renin, kahi e kōkua ai i ka mālama ʻana i ke koko ma ka pae i makemake ʻia. |
| Ka hana ʻana o ka hormone | Hoʻopuka nā puʻupaʻa i ke ʻano hana o ka wikamina D (calcitriol), ka mea e kōkua ai i ke kino e omo i ka calcium. Hoʻopuka pū lākou i kahi hormone i kapa ʻia ʻo erythropoietin, ka mea e hoʻoulu ai i ka iwi iwi e hana i nā hunaola koko ʻulaʻula. |
| Ke kaulike waikawa-kumu (pH kaulike) i loko o ke kino | Kōkua ia i ka mālama ʻana i ka pae kūpono o ka waikawa i loko o ko mākou koko, e pale ana iā ia mai ka hoʻonui ʻana. |
| Ka hana ʻana i ke kō | Inā hāʻule haʻahaʻa loa ke kiʻekiʻe o ke kō o ke kino, hiki i nā puʻupaʻa ke hana i kekahi kō (glucose) inā pono. |
Pehea e hana ʻia ai kēia kaʻina hana 'kānana' koko?
He hana paʻakikī loa kēia, akā he mea kupaianaha. I loko o kēlā me kēia puʻupaʻa, aia ma mua o hoʻokahi miliona mau ʻāpana kānana liʻiliʻi i kapa ʻia he nephrons . Ua like ia me kahi kānana kī e kānana ana i nā lau kī. ʻElua mau ʻāpana nui o kēlā me kēia nephron:
- Glomerulus: ʻO kēia ke 'kānana' mua. I ka hele ʻana o ke koko ma o kēia pūnaewele o nā kīʻaha koko lahilahi loa, ua kānana ʻia nā mea e like me ka wai, ka ʻōpala, a me nā paʻakai.
- Nā ʻōpū o ka Renal: Ke hele nei ke wai i kānana ʻia e ka glomerulus ma o kēia mau ʻōpū, hoʻopili hou ke kino i ka wai, nā meaʻai, a me nā minelala e pono ai . ʻO nā huahana ʻōpala wale nō, ka wai keu, a me nā waikawa e hoʻokuʻu ʻia ma ke ʻano he mimi.
He aha nā kūlana maʻamau e hiki ke hoʻopilikia i nā puʻupaʻa?
ʻO ka mea pōʻino, he nui nā kūlana olakino e hiki ke hōʻino i kēia mau kino makamae o kākou. He mea nui e makaʻala i kekahi o kēia mau mea.
- Maʻi Puʻupaʻa Mau Loa (CKD): He kūlana kēia kahi e nalowale mālie ai nā puʻupaʻa i kā lākou hana i ka hala ʻana o ka manawa. ʻO ka pinepine, ʻo nā kumu nui ka maʻi diabetes i kāohi ʻole ʻia a me ke koko kiʻekiʻe .
- Ka Hāʻule ʻana o ka Puʻupaʻa: ʻO ka nalowale koke (ʻoi) a i ʻole ka nalowale lōʻihi (mau). He kūlana koʻikoʻi loa kēia.
- Nā Pōhaku Puʻupaʻa: Hōʻiliʻili nā paʻakai mineral i loko o ka mimi a hana i nā ʻāpana liʻiliʻi e like me ka pōhaku. Inā paʻa kēia mau mea i loko o ke ala mimi, hiki iā lākou ke hōʻeha nui.
- Ka maʻi puʻupaʻa:Hana ʻia kēia kūlana i ka wā e piʻi ai ka bacteria i ke ala mimi a komo i loko o nā puʻupaʻa.
- ʻO ka maʻi puʻupaʻa Polycystic (PKD): He kūlana hoʻoilina kēia. Nui nā cysts i piha i ka wai (cysts) e ulu ana i loko o nā puʻupaʻa. Hiki i kēia ke alakaʻi i ka hāʻule ʻana o nā puʻupaʻa.
- Ka Maʻi ʻAʻai Puʻupaʻa: Hiki ke loaʻa ke kanesa ke ulu kūpono ʻole nā pūnaewele puʻupaʻa.
He aha nā hōʻailona e hāpai ai i ka kānalua no ka maʻi puʻupaʻa?
ʻO ka pilikia nui me nā maʻi puʻupaʻa he nui, ʻaʻole lākou e hōʻike i nā hōʻailona maopopo i nā pae mua . No nā kānaka he nui, ʻike wale ʻia kēia mau hōʻailona ke ʻoi aku ka koʻikoʻi o ka maʻi. No laila, he mea nui loa e makaʻala iki i kēia mau mea.
- Pehu ʻana ma nā wāwae, nā kuʻekuʻe wāwae, a me ke alo: Ke hiki ʻole i nā puʻupaʻa ke hoʻopau pono i ka wai keu a me ka sodium, hōʻiliʻili ka wai i loko o ke kino a hoʻoulu i ka pehu ʻana. E hopohopo nui inā ʻike ʻoe i ka pehu ʻana a puni kou mau maka ke ala ʻoe i ke kakahiaka.
- Nā loli i ka mimi:
- Hoʻonui pinepine ʻia ka mimi ʻana (ʻoi aku hoʻi i ka pō).
- Koko i loko o ka mimi (hiki ke ʻike ʻia ka mimi he poni a ʻeleʻele paha).
- Mimi huʻa (e hōʻike paha kēia ua nui loa ka protein e hoʻokuʻu ʻia ana i loko o ka mimi).
- ʻIli ʻāʻī a maloʻo: Hiki ke hana kēia ke hōʻiliʻili nā huahana ʻōpala i loko o ke koko a hoʻopilikia i ka ʻili.
- Luhi mau a me ka nāwaliwali: Ke emi ka hana ʻana o ka hormone hoʻokumu koko ʻulaʻula (erythropoietin), hiki ke ulu ka anemia a hoʻoulu i ka luhi.
- Ka nalowale o ka makemake, ka nausea, a me ka luaʻi ʻana: Loaʻa kēia mau hōʻailona ke piʻi aʻe nā huahana ʻōpala e like me ka urea i loko o ke koko.
- ʻEha ʻiʻo a me ka ʻoʻoleʻa: Hiki ke hana kēia ke hoʻopilikia ʻia ke kaulike electrolyte.
ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hopohopo a e ʻike koke i kāu kauka no ka ʻōlelo aʻo . Mai kuhi wale.
He aha nā hoʻokolohua e hana ʻia e nānā ai inā olakino koʻu mau puʻupaʻa?
Aia kekahi mau hoʻokolohua maʻalahi e hiki i kāu kauka ke hana e nānā i ke olakino o kou mau puʻupaʻa.
| Hoʻāʻo | He aha kāu e ʻike ai ma kēia? |
|---|---|
| Ka nānā ʻana i ka mimi | Nānā ʻia ka mimi no nā mea e like me ka protein, ke koko, a me ke kō. ʻAʻole maikaʻi kēia mau mea ke loaʻa i loko o ka mimi. |
| Nā hoʻāʻo koko | ʻO ke kikoʻī, ua ana ʻia ka pae o ka creatinine serum i loko o ke koko. He huahana ʻōpala ka Creatinine. Inā kiʻekiʻe ia i loko o ke koko, ʻo ia hoʻi ʻaʻole ke kānana pono nei nā puʻupaʻa iā ia. |
| ʻO ke kiʻi ʻana o ka ultrasound | Kōkua kēia i ka ʻike ʻana i ka nui, ke ʻano, a me ke alo o nā pōhaku a i ʻole nā pūpū i loko o nā puʻupaʻa. |
| Biopsy o ka puʻupaʻa | Inā pono, e lawe ke kauka i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupaʻa a nānā iā ia ma lalo o kahi microscope. |
Nā mea hiki iā kākou ke hana e mālama i ke olakino o ko kākou mau puʻupaʻa makamae
ʻOi aku ka maikaʻi o ka pale ʻana i nā maʻi puʻupaʻa ma mua o ka ʻeha ʻana iā ia ke ulu aʻe. E hoʻokomo i kēia mau ʻano maʻalahi i kou ola.
- Inu i ka wai lawa: E inu ma ka liʻiliʻi he 8-10 mau kīʻaha wai i ka lā. Kōkua kēia i nā puʻupaʻa e kānana maʻalahi i nā ʻōpala.
- E kāohi i kou koko a me ka maʻi diabetes: Inā loaʻa iā ʻoe kēia mau maʻi, e lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi pololei ai. ʻO kēia mau mea ʻelua nā ʻenemi nui loa o nā puʻupaʻa.
- E hōʻemi i ka ʻai ʻana i ka paʻakai: E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu meaʻai. He kiʻekiʻe ka paʻakai i nā meaʻai i hoʻopaʻa ʻia a me nā meaʻai wikiwiki.
- Mai hoʻohana pinepine i nā lāʻau ʻeha: ʻO ka hoʻohana mau ʻana i nā lāʻau ʻeha, ʻoiai nā NSAID (e.g., Ibuprofen, Diclofenac), me ka ʻole o ke aʻo ʻana a ke kauka, hiki ke hōʻino i nā puʻupaʻa.
- E pale i ka puhipaka: Hoʻopōʻino ka puhipaka i nā kīʻaha koko e hoʻolako koko ai i nā puʻupaʻa.
- E mālama i ke kaumaha olakino: E hoʻoikaika kino mau. E ʻai i ka ʻai kaulike.
- E kiʻi i nā hoʻokolohua lapaʻau:ʻOi loa aku inā he maʻi puʻupaʻa ko kekahi o kou ʻohana, a inā he maʻi diabetes a i ʻole ke koko kiʻekiʻe kou, e nānā ʻia kāu hana puʻupaʻa ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki.
Leka Lawe-Home
- ʻO kou mau puʻupaʻa ʻelua mau ʻōkana nui e kānana ana i nā ʻōpala mai ke kino, kaohi i ke koko, a hana i nā hana koʻikoʻi ʻē aʻe he nui.
- ʻO ka maʻi diabetes a me ke koko kiʻekiʻe nā kumu nui ʻelua o ka hōʻino ʻana o nā puʻupaʻa. He mea nui e kaohi pono i kēia mau mea.
- E makaʻala i nā hōʻailona e like me nā wāwae pehu, nā loli i ka mimi, a me ka luhi nui. Inā kānalua, e ʻimi koke i ke kōkua lapaʻau.
- ʻO ka inu ʻana i ka wai lawa, ka hōʻemi ʻana i ka ʻai ʻana i ka paʻakai, a me ka hoʻomau ʻole ʻana i ka lawe ʻana i nā lāʻau ʻeha me ka ʻole o ke aʻo ʻana a ke kauka he mea nui loa ia no ke olakino o nā puʻupaʻa.
- He hana maikaʻi ke nānā pinepine ʻana i ke olakino o kou mau puʻupaʻa, ʻoiai inā he mau kumu pilikia kou.
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