Ua nānā paha ʻoe i kou mimi a noʻonoʻo, "Hmm… ʻoi aku ka huʻa o kēia ma mua o ka maʻamau"? A i ʻole i kekahi manawa he pehu kou mau lima a me kou mau wāwae me ke kumu ʻole? ʻOiai ʻaʻole mākou e nānā nui i kēia mau mea, i kekahi manawa hiki iā lākou ke lilo i mau hōʻailona koʻikoʻi e hāʻawi mai ana ko mākou kino iā mākou. ʻO kekahi hōʻailona koʻikoʻi, ʻo ia ka hoʻokuʻu ʻia ʻana o ka protein i loko o ka mimi , ʻo ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo `(Proteinuria)`. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ke aloha i kēia lā.
He aha ka proteinuria? (He aha ka proteinuria?)
I ka ʻōlelo maʻalahi, ʻo ka proteinuria ka nui o ka protein i loko o kou mimi. I kēia manawa ke noʻonoʻo nei paha ʻoe, "No laila he aha ke ʻano o ia mea?"
E noʻonoʻo i kēia ʻano: ua like ko kākou mau puʻupaʻa me kahi kānana wai, a i ʻole kahi kānana. Hoʻomaʻemaʻe lākou i ko kākou koko a wehe i nā huahana ʻōpala i pono ʻole ʻia e ke kino ma ke ʻano he mimi. Akā, kānana pū lākou i nā mea nui e like me nā protein mai ke koko a hoʻihoʻi iā lākou i loko o ke koko. ʻO ia hoʻi, ʻaʻole hoʻokuʻu pinepine nā puʻupaʻa olakino i nā protein i waho.
Eia nō naʻe, inā ua hōʻino ʻia kēia mau puʻupaʻa e kekahi maʻi puʻupaʻa, ua like ia me he mea lā ua nui aʻe nā lua i loko o ke kānana. A laila, hoʻomaka nā protein e like me ka albumin, ka mea e pono ai ke kino, e kānana ʻia mai ke koko a hoʻokuʻu ʻia i loko o ka mimi. I nā hihia he nui, ʻaʻohe hōʻailona mua o ka maʻi puʻupaʻa, a ʻo ka hōʻailona mua e loaʻa paha iā ʻoe ka protein i loko o kou mimi, ʻo ia ka ʻike ʻia ʻana o ka protein i loko o kou mimi. ʻO ka hapa nui o ka manawa, e ʻike mua kāu kauka i kēia i ka wā o ka hoʻāʻo mimi i ka wā o ka nānā ʻana i ke kauka maʻamau.
Aia kekahi mau ʻano o ka proteinuria?
ʻAe, hiki ke hoʻokaʻawale ʻia kēia kūlana i ʻekolu ʻano nui. No ka hoʻomaopopo pono ʻana i kēia, e nānā i ka papa ma lalo.
| ʻAno Proteinuria | Wehewehe Maʻalahi | He mea hopohopo anei ia? |
|---|---|---|
| Proteinuria Kuikilana | ʻO kēia ke ʻano maʻamau. Hele mai a hele aku ia i kēlā me kēia manawa. Hiki ke hoʻoulu ʻia e nā mea e like me ke kuni, ka hoʻoikaika kino nui, a me ke kaumaha. | ʻO ka maʻamau, ʻaʻohe mea e hopohopo ai. E nalo wale aku kēia maʻi ke pau ke kumu. |
| ʻO ka Proteinuria Orthostatic | Hoʻokuʻu wale ʻia ka protein i loko o ka mimi ke kū ʻoe, akā ʻaʻole i ka wā e hiamoe ana. He mea maʻamau kēia i ka poʻe ʻōpio. | ʻAʻole kēia he maʻi ʻino. Nalo wale ia i kona wā e ʻelemakule ai. |
| Proteinuria mau loa | He maʻi mau kēia e kū mai ana ma muli o nā kūlana olakino e like me ka maʻi puʻupaʻa, ka maʻi diabetes, a me ke koko kiʻekiʻe. | ʻO kēia ke ʻano a mākou e hopohopo nui ai. He hōʻailona paha ia o kahi maʻi koʻikoʻi. |
He aha nā hōʻailona o kēia maʻi?
I ka manawa pinepine, ʻaʻohe hōʻailona i nā pae mua. ʻO ia ke kumu i kapa ʻia ai he maʻi leo ʻole. Akā i ka wā e ʻoi aku ka ʻino o ke kūlana, e ʻike paha ʻoe i nā hōʻailona e like me:
- Mimi huʻa: Inā huʻa e like me ka wai kopa, he hōʻailona nui ia o nā pae protein kiʻekiʻe.
- ʻEdema : Pehu kou mau lima, nā wāwae, ka ʻōpū, a me ke alo. ʻO kēia no ka mea ua hoʻokuʻu ʻia nā protein e kōkua i ke kino e mālama i ka wai i loko o ka mimi.
- ʻO ka pono e mimi pinepine.
- Paʻakikī ka hanu ʻana .
- Ka luhi nui o ke kino.
- ʻAʻohe ʻono o ka meaʻai.
- Ka luaʻi a me ka luaʻi.
- ʻEha nā ʻiʻo i ka pō.
He aha nā kumu o ka protein i loko o ka mimi?
Nui nā kumu no kēia. He manawa pōkole kekahi a ʻaʻole koʻikoʻi. Akā, he mau kumu maoli nō kekahi e pono ai mākou e hopohopo.
Nā kumu laulā a me nā kumu manawa pōkole
- Ka maloʻo ʻana
- kuni
- Hoʻoikaika kino nui
- Kaumaha nui
- Nā pōhaku puʻupaʻa
- Ka ʻike ʻia ʻana i ke anu nui
Nā kumu koʻikoʻi e hopohopo ai
ʻO ke kumu nui o kēia, ʻo ia nā maʻi e hōʻino ana i nā puʻupaʻa. I waena o lākou , ʻo ka maʻi diabetes a me ke koko kiʻekiʻe nā maʻi ʻelua i maʻamau.
Eia kekahi, hiki ke hana ʻia ka protein i loko o ka mimi e nā kūlana koʻikoʻi e like me:
- Nā maʻi o ka ʻōnaehana pale (e.g. Lupus)
- ʻO ka mumū o nā puʻupaʻa (Glomerulonephritis)
- ʻO ka Myeloma Multiple, kahi ʻano maʻi koko
- ʻO Preeclampsia, kahi kūlana e kū mai ana i nā makuahine hāpai
- Nā waihona protein i loko o nā ʻōpū o ke kino (Amyloidosis)
- Ka ʻai ʻana i kekahi mea make. (I kēia hihia, e kelepona koke aku i ke Kikowaena ʻIke Mea Make Lahui ma ka Halemai Lahui ʻo Colombo .)
- Maʻi cardiovascular
- Ka maʻi ʻaʻai puʻupaʻa
- Ka hāʻule ʻana o ka puʻuwai
Pehea ʻoe e ʻike ai i kēia, e Kauka?
No laila, ke hele ʻoe e ʻike i ke kauka, inā paha ma muli o kēia mau hōʻailona a i ʻole no kekahi kumu ʻē aʻe, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. A laila, inā he kānalua e pili ana i ke kūlana, hiki iā ia ke kauoha i nā hoʻokolohua e like me kēia.
1. Urinalysis: ʻO kēia ka hoʻāʻo maʻalahi a koʻikoʻi loa. Hoʻokomo ʻia kahi ʻāpana liʻiliʻi o ka mea kemika i loko o ka hāpana mimi āu e hāʻawi ai a hoʻāʻo ʻia. Inā loli ke kala, ʻo ia hoʻi he protein i loko o ka mimi. Nānā ʻia hoʻi ma lalo o kahi microscope e ʻike inā he mau mea ʻē aʻe e like me nā hunaola koko a me nā bacteria.
2. Nā hoʻāʻo koko: Hiki i kēia ke ana i ka hana maikaʻi o kou mau puʻupaʻa.
3. Nā scan: Hiki i nā scan e like me `(CT scan)` a me `(Ultrasound)` ke ʻike i nā pōhaku puʻupaʻa, nā ʻōpū, a i ʻole nā mea keakea ʻē aʻe.
4. Biopsy Kidney: Inā he kānalua nui no ka maʻi puʻupaʻa, pono paha ke kauka e lawe i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupaʻa a nānā iā ia ma lalo o kahi microscope. Hiki i kēia ke kōkua i ka ʻike maopopo ʻana i ka maʻi.
Pehea e mālama ʻia ai?
ʻO nā koho lapaʻau e pili ana i ke kumu kumu o ka protein i loko o ka mimi.
ʻO ka mea nui loa, ʻo ia ka ʻimi ʻana i ke kumu a me ka mālama ʻana. ʻAʻole kōkua ka mālama wale ʻana i ka pohō protein.
- Inā ma muli o ka maʻi puʻupaʻa:Hiki i ka Proteinuria ke lilo i hōʻailona mua o ka maʻi puʻupaʻa mau loa. No laila, he mea nui loa ka kaohi ʻana i ka maʻi ma mua o ka hāʻule loa ʻana o nā puʻupaʻa. No kēia, e paipai kāu kauka i nā lāʻau lapaʻau, ka ʻai, ka hoʻoikaika kino, a me ka pohō kaumaha. I kekahi mau hihia koʻikoʻi, pono paha ka dialysis.
- Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke koko kiʻekiʻe: E kuhikuhi paha kāu kauka i ka lāʻau lapaʻau e kāohi i kēlā mau kūlana. ʻO ka hapa nui, ua kapa ʻia kēia mau lāʻau lapaʻau he angiotensin-converting enzyme inhibitors (ACE inhibitors) a i ʻole angiotensin receptor blockers (ARBs). Kōkua kēia mau lāʻau lapaʻau i ka mālama ʻana i ke koko a pale i nā puʻupaʻa.
- I ka wā hāpai: Inā he koko kiʻekiʻe kou a me ka protein i loko o kou mimi i ka wā hāpai, hiki ke lilo i maʻi koʻikoʻi i kapa ʻia ʻo "Preeclampsia." Akā ʻo ka nūhou maikaʻi, e nalowale ana kēia maʻi i loko o kekahi mau lā a i ʻole mau pule ma hope o ka hānau ʻana o ke pēpē. Eia nō naʻe, he mea nui e hele pinepine i nā keʻena lapaʻau i kou wā hāpai e hoʻāʻo ʻia kou koko a me kou mimi.
Ke emi nei kēia ke inu ʻoe i ka nui o ka wai?
He pilikia kēia no nā kānaka he nui. ʻOiaʻiʻo, ʻaʻole. Ke inu ʻoe i ka wai he nui, mimi hou aku ʻoe. Hiki i kēia ke hōʻemi i ka nui o ka protein i loko o ka mimi e puka mai ana i ka manawa hoʻokahi. ʻO ke ʻano kēia e hoʻoheheʻe ʻia ka mimi.
Akā, ʻaʻole kēia e pale i kou mau puʻupaʻa mai ka hoʻokahe ʻana i ka protein. No laila, ʻo ka hopena i ka pilikia, ʻaʻole ia he inu wai wale nō, akā, ʻo ka ʻimi ʻana a me ka mālama ʻana i ke kumu o ka pilikia.
Leka Lawe-Home
- Mai hoʻowahāwahā i ka mimi huʻa a i ʻole ka pehu ʻana i loko o kou kino. He hōʻailona mua paha ia o ka maʻi puʻupaʻa.
- ʻAʻole maʻi ka Proteinuria, akā he hōʻailona ia o kekahi maʻi ʻē aʻe.
- Pono ka poʻe me ka maʻi diabetes a me ke koko kiʻekiʻe e makaʻala loa i kēia. E mālama i kou mau kūlana olakino.
- Inā he kānalua kou no kēia, e ʻoluʻolu e nīnau i kāu kauka ʻohana no ka ʻōlelo aʻo.
- Inā ʻike ʻoe i ke kumu kūpono a mālama pono iā ia, hiki iā ʻoe ke pale i ka hōʻino ʻana o nā puʻupaʻa a ola i kahi ola olakino.
Proteinuria, protein i loko o ka mimi, maʻi puʻupaʻa, mimi huʻa, maʻi diabetes, koko kiʻekiʻe, pehu kino
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