Ua ʻike mākou a pau e kānana ana ko mākou mau puʻupaʻa i nā huahana ʻōpala mai ko mākou kino a hoʻokuʻu iā lākou ma ke ʻano he mimi . Akā, ua lohe anei ʻoe e pili ana i nā 'limahana' liʻiliʻi ma hope o kēia hana nui? I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi ʻōnaehana kīʻaha koko kūikawā, ʻo ia hoʻi nā 'Peritubular Capillaries'. ʻOiai paha he mea paʻakikī iki ka inoa, he mea kupaianaha a he mea nui hoʻi ka lawelawe a lākou e hāʻawi ai i ko mākou kino.
He aha nā Capillaries Peritubular?
I ka ʻōlelo maʻalahi, he pūnaewele kēia o nā kīʻaha koko liʻiliʻi loa i loko o ko kākou mau puʻupaʻa. Ua pālahalaha ʻia lākou e like me ka ʻupena o ka nananana. Aia lākou a puni nā nephrons, nā ʻāpana kānana nui i loko o nā puʻupaʻa.
ʻO kā lākou hana nui, ʻo ia ke kānana i nā huahana ʻōpala mai nā puʻupaʻa me ka hoʻihoʻi hou ʻana i nā meaʻai e pono ai ke kino i loko o ke koko . ʻO ke ʻano kēia, ʻaʻole nalowale nā mea e like me ka glucose , nā waikawa amino, a me nā minelala like ʻole i loko o ka mimi, akā ua hoʻihoʻi hou ʻia i loko o ke kino ma o kēia mau kahawai liʻiliʻi. Kōkua pū lākou i ka hoʻomalu ʻana i nā pae wai o ke kino a hoʻololi i ka wai keu a me nā huahana ʻōpala i mimi.
E nānā kākou i kekahi mau ʻoiaʻiʻo hou aʻe e pili ana i kēia mau kahawai liʻiliʻi:
- ʻO nā Capillaries Peritubular kekahi o nā ʻōnaehana capillary nui ʻekolu i loko o nā puʻupaʻa. ʻO nā ʻelua ʻē aʻe he Glomerular Capillaries lāua ʻo Vasa Recta.
- Ke kahe nei ke koko ma o kēia pūnaewele o nā kahawai ma ke kaomi haʻahaʻa loa, ʻo ia ke kumu e hiki ai ke hoʻopili hou ʻia ka wai a me nā meaola.
- Ua like kēia me kahi luna nānā akamai. Koho a mālama pono lākou i nā mea e pono ai ke kino a me nā ʻōpala e pono e hoʻoneʻe ʻia.
He aha nā hana nui o kēia mau kahawai liʻiliʻi?
He ʻāpana koʻikoʻi loa nā capillaries peritubular o kā mākou ʻōnaehana urinary. Kōkua kēia mau kahawai liʻiliʻi i ka ʻōnaehana holoʻokoʻa, ʻo ia hoʻi nā puʻupaʻa, ka ʻōpū mimi , a me ka urethra, e hana pono.
Eia kekahi mau mea a ka ʻōnaehana mimi e hana ai e mālama i ke kaulike i loko o ko mākou kino:
- Hoʻoponopono i ka pae o nā electrolytes i loko o ke koko.
- Hoʻopuka ia i kahi hormone i kapa ʻia ʻo erythropoietin, kahi e kōkua ai i ka hana ʻana i nā hunaola koko ʻulaʻula.
- Mālama ʻia ka pH o ke koko, ʻo ia hoʻi, kona kūlana acidity/alkaline, ma ka pae kūpono.
- Hoʻokuʻu ʻia ka wai pono ʻole a me nā huahana ʻōpala mai ke kino aku e like me ka mimi.
I kēia manawa, e nānā kākou pehea e hana ai kēia kaʻina kānana i loko o ka puʻupaʻa. E noʻonoʻo iā ia e like me kahi hale hana e hana ʻia ma kekahi mau ʻanuʻu.
1. Ka hana mua: Komo ke koko i nā miliona o nā ʻāpana kānana liʻiliʻi i kapa ʻia he nephrons i loko o nā puʻupaʻa.
2. KaʻAnuʻu Hana 2: Hoʻokele nā capillaries peritubular i kēia koko i kahi kānana kūikawā i kapa ʻia ʻo glomerulus. Hoʻopaʻa kēia kānana i ke wai, nā ʻāpana liʻiliʻi, a me nā huahana ʻōpala. Akā ʻae ia i nā mea nui a koʻikoʻi e like me nā hunaola koko a me nā protein e hele ma o ke kānana me ka ʻole o ka hōʻino ʻia.
3. KaʻAnuʻu Hana ʻEkolu: I kēia manawa, hoʻomaka kā mākou mea ʻōlelo, ʻo nā capillaries Peritubular. Hoʻopili lākou i nā minelala koʻikoʻi, nā meaʻai, a me ka wai mai ka wai i kānana ʻia i loko o ke koko.
4. Ka hana hope loa: Hoʻokuʻu ʻia nā wai hope loa i makemake ʻole ʻia a me nā huahana ʻōpala mai ke kino ma ke ʻano he mimi.
He mea kupaianaha ka kānana ʻana o ko kākou mau puʻupaʻa i kahi o 140 lita o ke koko i ka lā! Akā, he 1-2 lita wale nō o ia mea i hana ʻia ma ke ʻano he mimi. Hoʻihoʻi ʻia nā mea waiwai ʻē aʻe i loko o ke kino mahalo i ke akamai o nā capillaries peritubular.
Pehea ʻoe e ʻike ai inā he pilikia me kou mau Capillaries Peritubular?
ʻO kēlā me kēia kūlana e hōʻino ana i nā puʻupaʻa hiki ke hōʻino i kēia mau kahawai palupalu. Inā ʻike ʻoe i kekahi mau loli i loko o kou mimi, he hōʻailona paha ia o kahi pilikia me nā puʻupaʻa a i ʻole kēia mau kahawai.
Aia ma lalo iho kekahi mau hōʻailona e pono ai ke nānā pono ʻia.
| Hōʻailona | Wehewehena |
|---|---|
| Hematuria (ke koko i loko o ka mimi ) | Koko i loko o ka mimi. Mimi e lilo i poni, ʻulaʻula, a ʻeleʻele paha. |
| Luhi maʻamau ʻole (Fatigue) | Manaʻo nui i ka luhi a me ka hiamoe me ke kumu ʻole. |
| ʻAʻole hiki ke hiamoe | Ka paʻakikī e hiamoe i ka pō. |
| Makemake nui | Ua emi ka makemake e ʻai. |
| Mimi pinepine | Pono e mimi pinepine ma mua o ka maʻamau. |
| ʻEhaʻeha o nā ʻiʻo | ʻOi aku hoʻi ka ʻōwili ʻana o nā ʻiʻo wāwae. |
He mea nui loa: ʻO ka mea pōʻino, ʻaʻole hōʻike ka hapa nui o nā maʻi puʻupaʻa i nā hōʻailona i nā pae mua . Inā ʻaʻole mālama ʻia, hiki iā lākou ke holomua i ka hāʻule ʻana o ka puʻupaʻa a hiki ke hoʻoweliweli i ke ola. No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka .
He aha nā kūlana e hoʻopilikia ai i nā capillaries peritubular?
Hiki ke hōʻino ʻia kēia mau kahawai palupalu e nā ʻano maʻi like ʻole.
- Maʻi puʻupaʻa mau loa : He kūlana kēia kahi e nalowale mālie ai nā puʻupaʻa i ko lākou hiki ke kānana i nā huahana ʻōpala. Inā ʻaʻole mālama ʻia, hiki i nā puʻupaʻa ke lilo i hana pono ʻole.
- ʻO Hydronephrosis: ʻO kahi kūlana i hiki ʻole ai i ka mimi ke kahe i waho o nā puʻupaʻa ma muli o kahi ālai ʻana i ke ala mimi, e hoʻoulu ai i nā puʻupaʻa e pehu.
- Pyelonephritis: Kapa pinepine mākou iā ia he 'maʻi puʻupaʻa'. He maʻi ia o nā puʻupaʻa i hoʻokumu ʻia e ka bacteria a i ʻole kahi virus. Hiki ke lilo i mea weliweli inā ʻaʻole mālama koke ʻia.
- Ka pale ʻana o ka ureter: Hiki ke ālai ʻia ka urethra ma muli o nā kūlana e like me nā pōhaku urinary, nā tumors, a i ʻole ka prostate i hoʻonui ʻia i nā kāne, e hoʻihoʻi ana i ka mimi i loko o nā puʻupaʻa.
Ke hōʻino ʻia nā capillaries peritubular ma muli o kēia mau kūlana, e emi ana ko lākou pono i ka kānana ʻana i ke koko. ʻIke pinepine ʻia kēia ʻano i nā poʻe me ka maʻi puʻupaʻa mau loa, lupus nephritis, a me ka maʻi puʻupaʻa polycystic.
Pehea ʻoe e mālama ai i kou mau puʻupaʻa a me kēia mau kahawai liʻiliʻi i ke olakino?
I mea e ola ai kou mau puʻupaʻa a me kēia mau ala liʻiliʻi, pono ʻoe e mālama i kou olakino holoʻokoʻa. Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hahai e hana i kēia.
- E pale loa i nā huahana paka. Hoʻopōʻino pololei ka puhi paka i nā puʻupaʻa.
- E inu i ka wai he nui i ka lā a pau. E kōkua kēia i kou mau puʻupaʻa e hana pono i kā lākou hana.
- E ʻai i ka meaʻai kaulike a olakino. E hoʻokomo i nā mea kanu a me nā huaʻai hou aʻe i kāu papaʻai.
- E kāohi i kou kaumaha. ʻO ka momona ke kumu nui o nā maʻi puʻupaʻa.
- Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e mālama iā lākou. ʻO kēia mau maʻi ʻelua nā ʻenemi nui ʻelua o ka hōʻino ʻana o nā puʻupaʻa. E kamaʻilio pinepine me kāu kauka e pili ana i kēia.
Me kēia ʻano nohona olakino, hiki iā ʻoe ke mālama i kou mau puʻupaʻa, kēia mau capillaries peritubular liʻiliʻi akā waiwai nui, a me kou kino holoʻokoʻa i ke olakino.
Leka Lawe-Home
- He palupalu loa nā capillaries peritubular, akā he pūnaewele koʻikoʻi o nā kīʻaha koko i loko o ko kākou mau puʻupaʻa.
- ʻO kā lākou hana nui, ʻo ia ke kōkua i ka hoʻopili hou ʻana i nā meaola a me ka wai e pono ai ke kino a hoʻokuʻu aku i nā huahana ʻōpala pono ʻole e like me ka mimi.
- ʻO nā hōʻailona e like me ke koko i loko o ka mimi, ka luhi kūikawā, a me ka nalowale o ka makemake e ʻai, he mau hōʻailona ia o ka maʻi puʻupaʻa.
- ʻO kahi nohona olakino (inu wai nui, ʻai i ka meaʻai kaulike, a me ka pale ʻana i ka puhipaka) hiki ke pale i kou mau puʻupaʻa a me kēia mau ducts.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi puʻupaʻa, mai hoʻowahāwahā iā lākou. E ʻimi koke i ke kōkua lapaʻau.











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