Inā haʻi aku ke kauka iā ʻoe he protein ko kāu keiki i loko o ko lākou mimi, e makaʻu iki paha ʻoe, ʻeā? A i ʻole inā he ʻōpio ʻoe, e lohe paha ʻoe i kekahi mea e like me kēia? Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana āu e lohe ai i nā manawa e like me kēia, akā, ʻaʻole ia he mea weliweli loa. Ua kapa ʻia kēia ʻo Orthostatic Proteinuria.
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He aha ka Orthostatic Proteinuria?
I ka ʻōlelo maʻalahi, ʻo ka orthostatic proteinuria ka wā e mimi ai ʻoe i ke kū ʻana a i ʻole e noho ana, a ʻoi aku ka kiʻekiʻe o ka pae protein i loko o kou mimi. Eia nō naʻe, inā mimi ʻoe i ke kakahiaka ma hope o ka moe ʻana (ma kou kua a i ʻole ka ʻaoʻao) a hiamoe maikaʻi i ka pō, he maʻamau ka pae protein i loko o kou mimi. ʻAʻole anei he mea kupaianaha? Ua kapa ʻia hoʻi kēia ʻo 'postural proteinuria.'
He kūlana maʻamau kēia, ʻaʻohe mea ʻino . ʻO ka mea maʻamau ia i nā keiki ʻōpio a me nā mākua ʻōpio. ʻO ka mea nui, ʻaʻole ia e hoʻopilikia a hōʻeha paha i kou mau puʻupaʻa. I ka hapanui o nā hihia, e hoʻomaikaʻi wale kēia kūlana i ka hala ʻana o ka manawa, me ka ʻole o ka lāʻau lapaʻau.
No ke aha e pono ai ke kino i ka protein?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'No ke aha mākou e kamaʻilio nui nei e pili ana i kēia protein? He aha ka hana a kēia protein i ko mākou kino?' He mea nui ka protein no ko mākou kino e noho olakino. E nānā i ka mea e hana ʻia ana i kēia protein:
- Kōkua ia i ke kūkulu ʻana a me ka hoʻomohala ʻana i ko kākou mau iwi a me nā ʻiʻo.
- Hoʻokele ia i ka nui o ke wai i loko o ko kākou koko.
- ʻO ke kaua ʻana i nā maʻi, ʻo ia hoʻi ke kōkua ʻana i kā mākou ʻōnaehana pale kino .
- Ke hōʻeha ʻia ke kino, kōkua ia i ka hoʻoponopono ʻana i nā ʻiʻo.
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Check Availability →He kūlana weliweli anei kēia?
ʻAʻole, ʻaʻole loa . ʻAʻole weliweli ka Orthostatic Proteinuria. Ua hōʻike ʻia e ka noiʻi ʻaʻole kēia kūlana e alakaʻi i nā maʻi puʻupaʻa lōʻihi, e like me ka Chronic Kidney Disease (CKD). No laila, ʻaʻohe kumu e hopohopo ai.
ʻOiai he mea maʻamau ia, he mea kākaʻikahi loa ia. Hoʻopilikia ia ma waena o 2% a me 5% o ka poʻe ʻōpio. He mea kākaʻikahi loa ia i ka poʻe ma luna o 30.
He aha nā hōʻailona?
ʻAʻohe hōʻailona maopopo o ka proteinuria Orthostatic hiki iā ʻoe ke ʻike a manaʻo paha. ʻO ke ala wale nō e ʻike ai inā loaʻa iā ʻoe kēia maʻi, ʻo ia ke nānā ʻana o ke kauka i ka pae o ka protein i loko o kāu mimi.
He aha paha ke kumu o kēia?
ʻAʻole maopopo i nā kauka a me nā mea noiʻi lapaʻau ke kumu maoli o ka proteinuria orthostatic. Eia naʻe, manaʻoʻiʻo lākou e pili ana paha ia i kekahi mau hana puʻupaʻa. Eia kekahi mau laʻana:
- Nā ʻano ʻē o ka glomeruli: Aia i loko o kou mau puʻupaʻa he nui nā kīʻaha koko liʻiliʻi e kānana ana i ke koko. Ua kapa ʻia kēia mau mea he glomeruli. Ua hōʻike kekahi mau noiʻi ma kahi o 43% o ka poʻe me ka orthostatic proteinuria, ʻoi aku ka mānoanoa o nā paia o kēia mau glomeruli ma mua o ka maʻamau.
- Pane hemodynamic maʻamau ʻole: ʻO ka hemodynamics e pili ana i ke ʻano o ke kahe ʻana o ke koko ma o ko mākou mau kīʻaha koko. ʻO ka ʻōnaehana Renin-Angiotensin-Aldosterone (RAAS) o ko mākou kino (kahi ʻōnaehana o nā hormones, protein, a me nā enzymes) e kōkua i ka kaohi ʻana i ko mākou kahe koko. No laila, hiki i nā pilikia me kēia ʻōnaehana RAAS ke hana i kahi pane maʻamau ʻole i ke kahe koko, hiki ke hoʻopilikia i nā puʻupaʻa.
- ʻO ka maʻi Nutcracker (a i ʻole Left Renal Vein Entrapment Syndrome): Manaʻo nā kauka a me nā mea noiʻi ke kū ʻoe, hiki i ke kaomi ma kou aʻa renal hema ke hoʻonui i ka protein e hele ma o ka glomeruli ma mua o kou wā e moe ana. E noʻonoʻo e like me kahi paipu e ʻomi ʻia ana.
Manaʻo kekahi poʻe loea he kuleana ko ke koʻikoʻi. Manaʻo lākou e hiki i ke kū ʻana a i ʻole ka noho ʻana no ka manawa lōʻihi ke hoʻoulu i kekahi protein e 'leaka' mai loko mai o nā puʻupaʻa.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
Hoʻopilikia nui ka Orthostatic proteinuria i nā ʻōpio . ʻOi aku ka maʻamau o ia i nā keikikāne. ʻAʻole ʻike pinepine ʻia ka Orthostatic proteinuria i nā pākeke.
Aia kekahi mau pilikia?
ʻAʻole, manaʻo nā kauka he maʻi maikaʻi ka proteinuria orthostatic. ʻAʻole ia he hoʻoweliweli i kou mau puʻupaʻa, kou olakino holoʻokoʻa, a i ʻole kou ola.
Pehea ʻoe e ʻike pono ai i kēia?
E lawe mua ke kauka i kāu mōʻaukala olakino , a laila e hana i kahi hoʻokolokolo kino. Eia kekahi, e kauoha lākou i kekahi mau hoʻokolohua e kōkua i ka hōʻoia ʻana i ka hōʻailona.
Hiki paha iā ʻoe ke kuhikuhi ʻia i kahi nephrologist , he kauka i loea i nā maʻi puʻupaʻa.
He aha ke ʻano o nā hoʻokolohua e hana ʻia?
E hana ana kāu kauka ma ka liʻiliʻi he ʻelua mau hoʻokolohua urinalysis. I ka wā o ka urinalysis, mimi ʻoe i loko o kahi ʻōmole kūikawā, ma ke keʻena o ke kauka a i ʻole ma ka haukapila.
- Hoʻāʻo mimi mua: Ma kēia, e lawe ke kauka i kahi 'laʻana o ke ao'. ʻO kēia ka laʻana mimi āu e hōʻiliʻili ai ma hope o kou hiamoe maikaʻi ʻana i ka pō (e moe ana a moe paha) a me ka mea mua i ke kakahiaka.
- ʻO ka lua o ka hoʻāʻo mimi: Pili kēia i ka lawe ʻana i kahi 'hāpana pō'. Lawe ʻia kēia hāpana i kou kū ʻana a noho ʻana paha i ke ao holoʻokoʻa, i ke ahiahi a i ka pō paha.
I kēia manawa, inā loaʻa i kāu hāpana mimi pō ka nui o ka protein ma mua o kāu hāpana mimi kakahiaka, hiki i kāu kauka ke hōʻoia he orthostatic proteinuria kou.
He aha nā lāʻau lapaʻau?
ʻO kēia ka nūhou maikaʻi loa! ʻAʻole pono ka Orthostatic Proteinuria i kekahi lāʻau lapaʻau . ʻAʻole pono ʻoe e hoʻololi i kāu papaʻai a hoʻōki paha i ka hoʻoikaika kino.
Eia nō naʻe, inā loaʻa iā ʻoe a i ʻole kāu keiki kēia maʻi, he manaʻo maikaʻi ia e makaʻala i kāu mau pae protein. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hana i kahi hoʻāʻo mimi i hoʻokahi manawa i ka makahiki e nānā i kāu mau pae protein.
Hiki ke pale ʻia kēia?
ʻAʻole, ʻaʻole hiki ke pale ʻia ka proteinuria orthostatic. Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole ia he kūlana ʻino , no laila ʻaʻohe mea e hopohopo ai.
No laila, pehea ʻoe e noho ai me kēia kūlana?
He maikaʻi loa ka wānana no kēia maʻi. ʻAʻole kēia he hōʻailona o ka maʻi puʻupaʻa mau loa a i ʻole kekahi maʻi puʻupaʻa ʻē aʻe. Eia kekahi, ʻaʻole pono ʻoe i kekahi lāʻau lapaʻau.
ʻO ka hapa nui o ka manawa, nalo aku ka orthostatic proteinuria iā ia iho i kou wā ʻelemakule.
Pono anei au e ʻike i ke kauka?
ʻOiai ʻaʻole koi ka proteinuria orthostatic i kekahi lāʻau lapaʻau, i kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hana i kahi hoʻāʻo mimi i hoʻokahi manawa i ka makahiki e nānā i kāu mau pae protein.
Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:
- Pehea ʻoe e ʻike pono ai he Orthostatic Proteinuria koʻu?
- Manaʻo ʻoe e hana i kahi hoʻāʻo mimi i hoʻokahi manawa i ka makahiki?
- Pono anei au e ʻike i kahi nephrologist, he kauka loea i nā maʻi puʻupaʻa?
E hoʻomanaʻo ma ke ʻano he hōʻuluʻulu manaʻo
He ʻano ʻino ʻole ka Orthostatic proteinuria i ʻike pinepine ʻia e nā kauka i nā ʻōpio a me nā ʻōpio.He ʻano proteinuria. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ʻoi aku ke kiʻekiʻe o ka protein i loko o kou mimi ke kū ʻoe ma mua o kou noho ʻana a moe paha. ʻAʻole kēia manaʻo he hewa kekahi mea me kou mau puʻupaʻa. Eia kekahi, e hoʻomaikaʻi pinepine kēia ʻano ma kona iho i kou wā e ʻelemakule ai. Inā loaʻa iā ʻoe a i ʻole kāu keiki ka proteinuria orthostatic, he manaʻo maikaʻi e nīnau i kāu kauka e pili ana i ka hoʻāʻo ʻia i kēlā me kēia makahiki.
ʻO ka Proteinuria Orthostatic, Proteinuria, Nā Puʻupaʻa, Nā Keiki, Nā ʻŌpio, Urinalysis
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