E aʻo hou aʻe kākou e pili ana i ka "renal cortex" o kou mau puʻupaʻa.

Ua ʻike kākou a pau e pili ana i nā puʻupaʻa, ʻeā? ʻO kēia mau ʻōkana liʻiliʻi ʻelua e kānana a hoʻokaʻawale i nā huahana ʻōpala i loko o ke kino a hoʻokuʻu iā lākou ma ke ʻano he mimi, ʻike anei ʻoe i ka nui o kā lākou hana maoli? ʻO nā puʻupaʻa, ka mea e hana mālie ana i kahi lawelawe nui e mālama i ke kaulike o ko kākou kino, ua like lākou me kahi mea hoʻomaʻemaʻe super i loko o ko kākou kino. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻāpana koʻikoʻi loa o kēia mau puʻupaʻa, ʻo ia hoʻi, ka 'shell' a i ʻole Renal Cortex, ʻo ia ka ʻāpana waho loa o ka puʻupaʻa. He mea hou paha kēia inoa iā ʻoe, akā e kahaha ʻoe ke aʻo ʻoe e pili ana i ka hana o kēia ʻāpana!

I ka ʻōlelo maʻalahi, he aha kēia Renal Cortex?

E noʻonoʻo i ka puʻupaʻa ma ke ʻano he hua. ʻO ka ʻāpana e like me ka ʻili o waho o ka hua i kapa ʻia ʻo Renal Cortex . ʻO kēia ka papa waho loa o ka puʻupaʻa. Ua kapa pū nā kauka iā ia ʻo 'renal cortex'. ʻO ka ʻāpana waena o ka puʻupaʻa i loko o kēia Cortex i kapa ʻia ʻo Medulla . No laila, hoʻopuni kēia Cortex a pale i ka Medulla. Ma waho, ua uhi ʻia kēia puʻupaʻa holoʻokoʻa e kekahi membrane pale ikaika i kapa ʻia ʻo Renal Capsule .

ʻO ka mea nui loa i loko o nā puʻupaʻa, ʻo ia nā ʻāpana kānana koko. Kāhea mākou i kēia mau nephrons . Ua ʻike anei ʻoe, aia ma kahi o hoʻokahi miliona o kēia mau nephrons i loko o hoʻokahi puʻupaʻa! Hoʻomaka kēia mau nephrons mai ka Renal Cortex. ʻO ka kānana nui i loko o kahi nephron i kapa ʻia ʻo Glomerulus . Kānana kēia kānana i ke koko a hele nā ​​​​​​huahana ʻōpala i makemake ʻole ʻia ma o nā tubules. I loko o ka Cortex, he ʻōwili loa kēia mau tubules. Akā i ka hiki ʻana i ka Medulla, lilo lākou i mau tubules pololei.

He aha nā hana nui o nā puʻupaʻa a me ka renal cortex?

ʻAʻole wale nā ​​puʻupaʻa he ʻōkana e hana i ka mimi. Hana lākou i nā hana koʻikoʻi he nui e mālama ai i ke kaulike o ko mākou kino holoʻokoʻa. He kuleana koʻikoʻi ko ka Renal Cortex i kēia mau mea āpau.

• Ka mālama ʻana i ke kaulike o ka paʻakai a me ka wai: Kōkua nā puʻupaʻa i ka mālama ʻana i nā pae kūpono o nā electrolytes , e like me ka sodium a me ka potassium, a me ka wai i loko o ko mākou kino.
• Ka kaohi ʻana i ke koko: He mea nui nō hoʻi nā puʻupaʻa no ka kaohi ʻana i ke koko, ʻoiai lākou e kaohi ana i ka nui o ka wai a me ka paʻakai i loko o ke kino.
• Ka hana ʻana o nā hunaola koko ʻulaʻula: Hoʻopuka ʻia kahi hormone (Erythropoietin) e kōkua ana i ka hana ʻana i nā hunaola koko ʻulaʻula e nā puʻupaʻa.
• Kaulike waikawa-kumu: ʻO kekahi hana a nā puʻupaʻa, ʻo ia ka mālama ʻana i nā pae kūpono o ka waikawa a me ke kumu i loko o ko kākou koko.
• Ka hana ʻana o ka wikamina D: Hana pū nā puʻupaʻa a me ke akepaʻa e hoʻololi i ka wikamina D a mākou e ʻai ai i loko o kahi ʻano e hiki ai i ke kino ke hoʻohana.
• Kaulike kalima a me ka phosphate: Kōkua pū nā puʻupaʻa i ka kaohi ʻana i nā pae calcium a me phosphate, he mea nui ia no nā iwi ikaika.
• Ka hana ʻana o ka glucose: ʻO ke kō (glucose) e pono ai ko kākou kino, hana nui ʻia ia e ke akepaʻa, akā he liʻiliʻi nō hoʻi ka nui i hana ʻia e nā puʻupaʻa. Ua kapa ʻia kēia he glucogenesis .

He aha nā maʻi a me nā kūlana maʻamau e hoʻopilikia ai i ka cortex renal?

ʻO ka mea pōʻino, he nui nā maʻi e hiki ke hoʻopilikia i ko kākou mau puʻupaʻa, a ʻoi aku hoʻi ka Renal Cortex. E nānā kākou i kekahi o lākou.

Ma waho aʻe o kēia, aia kekahi mau maʻi koʻikoʻi ʻē aʻe e hoʻopilikia ai i nā puʻupaʻa.

• ʻAcidosis: Ke hana pono ʻole nā ​​puʻupaʻa, lilo ke koko i ʻakika. Hiki i kēia ke hoʻoweliweli i ke ola inā ʻaʻole mālama ʻia.
• Nephropathy: Ka hōʻino ʻia ʻana o nā puʻupaʻa i hoʻokumu ʻia e ka maʻi diabetes (Diabetic Nephropathy) a me ke koko kiʻekiʻe (Hypertensive Nephropathy).
• Nā Maʻi Glomerular: ʻO ka hōʻino ʻana a i ʻole ka pehu ʻana o nā kānana (glomeruli) i loko o nā puʻupaʻa hiki ke alakaʻi i ka hāʻule ʻana o ka puʻupaʻa.
• ʻO Proteinuria a me ka Nephrotic Syndrome: ʻO Proteinuria ka hoʻokuʻu nui ʻia ʻana o ka protein i loko o ka mimi. He hōʻailona kēia o ka hōʻino ʻia ʻana o nā puʻupaʻa. Inā nui ka protein i hoʻokuʻu ʻia, he ʻano paha ia i kapa ʻia ʻo Nephrotic Syndrome.
• ʻUremia: He kūlana kahi e hōʻiliʻili ai nā mea ʻawahia i pono e hoʻoneʻe ʻia e nā puʻupaʻa i loko o ke koko ma kahi o ka hoʻoneʻe ʻia ʻana mai ke kino. He kūlana weliweli loa nō hoʻi kēia.

He aha nā hōʻailona maʻamau o ka maʻi puʻupaʻa?

ʻO ka mea weliweli loa e pili ana i nā maʻi puʻupaʻa he nui, ʻaʻole lākou e hōʻike i nā hōʻailona maopopo i nā pae mua . Hoʻomaka wale kēia mau hōʻailona e ʻike ʻia ke ʻoi aku ka holomua o ka maʻi.

He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o nā puʻupaʻa?

Inā kānalua kāu kauka i ka hana o ka puʻupaʻa, hiki iā ia ke kauoha i kekahi mau hoʻokolohua e hōʻoia iā ia.

• Nā Hoʻāʻo Kiʻi (X-ray, CT scan, MRI, Ultrasound): Hiki i kēia mau hoʻāʻo ke nānā i ke ʻano, ka nui, a me ke alo o kekahi mau mea keakea a i ʻole nā ​​​​​​mea ʻē aʻe i loko o nā puʻupaʻa. No ka laʻana, inā ua hoʻemi ʻia ka mānoanoa o ka cortex renal, hiki ke manaʻo ʻia ua hōʻino ʻia ka puʻupaʻa.
• Nā Hoʻāʻo Koko: Hiki i kēia ke ana i ka maikaʻi o nā glomeruli o nā puʻupaʻa e kānana ana i ke koko. ʻO ka Serum Creatinine ka hoʻāʻo maʻamau.
• Biopsy Pūpū: Ma kēia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo pūpū a nānā ʻia ma lalo o kahi microscope.
• Urinalysis: Lawe ʻia kahi hāpana mimi a nānā ʻia no ka protein, ke koko, a me nā mea ʻē aʻe. Hiki i kēia ke hāʻawi i nā hōʻailona e pili ana i nā maʻi a i ʻole nā ​​​​kūlana olakino.

Pehea e mālama ai i ke olakino o kou mau puʻupaʻa?

ʻOi aku ka maikaʻi o ka pale ʻana i nā maʻi puʻupaʻa ma mua o ka hiki ʻana mai ma mua o ka mālama ʻana ma hope o kona hiki ʻana mai. Eia kekahi mau mea maʻalahi hiki iā ʻoe ke hana.

• E pale i ka puhipaka: Hoʻopōʻino ka puhipaka i nā kīʻaha koko e hoʻolako koko ai i nā puʻupaʻa.
• E hōʻemi i ka ʻai ʻana i ka paʻakai: ʻO ka ʻai nui ʻana i ka paʻakai hiki ke hoʻonui i ke koko a hōʻino i nā puʻupaʻa.
• E inu i ka wai nui: ʻO ka inu ʻana i ka wai lawa e kōkua i nā puʻupaʻa e hoʻopau maʻalahi i nā mea ʻawahia mai ke kino.
• Hoʻoikaika kino i kēlā me kēia lā: Hiki i ka hoʻoikaika kino ke kōkua i ka kaohi ʻana i ke koko a mālama i ke kaumaha olakino.
• E kaupalena i ka hoʻohana ʻana i nā lāʻau ʻeha: ʻO ka hoʻohana lōʻihi a me ka hoʻohana nui ʻana i nā lāʻau Nonsteroidal Anti-inflammatory (NSAID) , e like me Brufen lāua ʻo Diclofenac, he mea hōʻino ia i nā puʻupaʻa. Mai hoʻomau i ka hoʻohana ʻana i kēia mau mea me ka ʻole o ke aʻo ʻana a ke kauka.
• E mālama i ke kaumaha olakino: Hiki i ka momona ke alakaʻi i ka maʻi diabetes a me ke koko kiʻekiʻe.
• E kāohi i kou koko a me nā pae kō koko: Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, he mea nui e kāohi pono iā lākou e pale i kou mau puʻupaʻa.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā manaʻo ʻoe he pilikia kou i ka puʻupaʻa, he mea nui e ʻimi koke i ke kōkua lapaʻau. E akahele loa inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona a i ʻole nā ​​kumu pilikia:

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia:

• Hoʻololi i ke kala o ka mimi (koko a ao paha) a i ʻole ka loli ʻana o nā ʻano mimi (mimi pinepine, ʻeha i ka wā mimi).
• ʻIli maloʻo a ʻānai paha.
• Manaʻo luhi loa.
• Ke koko kiʻekiʻe (Hypertension).
• ʻŪmiʻi ʻiʻo.
• Ka nalowale ʻana o ka makemake a i ʻole kahi ʻono metala i ka meaʻai.
• ʻEha ka ʻōpū a i ʻole ka luaʻi ʻana.
• Ka pehu ʻana, ʻoiai a puni nā kuʻekuʻe wāwae a i ʻole nā ​​​​lima.

Inā loaʻa iā ʻoe kēia mau kumu pilikia:

• Loaʻa ka maʻi puʻupaʻa i loko o ka ʻohana.
• Ka maʻi diabetes.
• Maʻi puʻuwai.
• Ke koko kiʻekiʻe.
• Kaumaha loa a momona paha.

Inā loaʻa iā ʻoe kēia mau kumu pilikia, he mea nui loa ia e nānā ʻia ka hana o kou mau puʻupaʻa i nā manawa i kauoha ʻia e kāu kauka.