Ua ʻike mākou a pau e pili ana i nā puʻupaʻa i loko o ko mākou kino. Akā, ua lohe anei ʻoe i kahi ʻāpana i loko o ka puʻupaʻa i kapa ʻia ʻo 'Renal Sinus'? Ua ʻike paha ʻoe i kēia huaʻōlelo ma kekahi o kāu mau hōʻike scan a ua noʻonoʻo ʻoe he aha ia. Mai hopohopo, he ʻāpana kēia o ka puʻupaʻa ponoʻī. E kamaʻilio wale kākou e pili ana i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka sinus renal?
E noʻonoʻo he kūlanakauhale nui ka puʻupaʻa. A laila ʻo ka sinus renal kahi e like me ke alahaka nui a i ʻole ke kahua kaʻa waena o kēlā kūlanakauhale. ʻO nā mea e pono ai ka puʻupaʻa e komo mai a ʻo nā mea i hana ʻia e ka puʻupaʻa e puka aku ma o kēia kikowaena nui.
I ka ʻōlelo maʻalahi, he hakahaka kēia ma waenakonu o ka puʻupaʻa. I loko o kēia hakahaka, ua pale ʻia kekahi mau ʻāpana koʻikoʻi o ka puʻupaʻa. Ua hoʻopuni ʻia kēia mau ʻāpana e kahi papa o ka momona no ka pale ʻana.
He aha ka mea i loko o kēia kikowaena?
ʻO nā mea nui i loko o kēia wahi i kapa ʻia ʻo ka renal sinus:
- ʻO ke aʻa renal a me ka aa koko: ʻO nā kīʻaha koko nui e lawe mai i ke koko i ka puʻupaʻa a mai ia mea mai.
- ʻO ke pelvis renal: ʻO ka ʻāpana e like me ka funnel kahi e hōʻiliʻili ai ka mimi i hana ʻia e ka puʻupaʻa.
- Nā calyces nui a me nā calyces liʻiliʻi: Nā hale liʻiliʻi e like me ke kīʻaha kahi e hoʻomaka ai ka mimi e hōʻiliʻili. ʻO ka mimi e hōʻiliʻili mai kēia mau mea ʻo ia ka mea e komo i loko o ka pelvis renal.
- Nā kahawai lymphatic: Nā kahawai e lawe ana i nā wai e pili ana i ka ʻōnaehana pale o ke kino.
- Nā aʻalolo autonomic: Nā aʻalolo e kāohi i nā hana i hiki ʻole iā mākou ke kāohi (no ka laʻana, ka ʻūlū ʻana o nā kīʻaha koko).
- ʻO ka ʻiʻo pili a me ka momona o ke kino: Aia ka momona a me nā ʻiʻo pili e pale ana i nā mea āpau a hoʻopiha i nā hakahaka.
ʻO ka mea nui loa, ʻo ka nui o ka momona o ka sinus renal. Hiki ke piʻi mālie kēia ʻike momona i kou wā ʻelemakule a me kou kaumaha.
He aha nā kūlana maʻamau e hoʻopilikia ai i ka sinus renal?
Hiki i kēia ʻāpana o ka puʻupaʻa ke loaʻa nā pilikia like ʻole. Akā ʻo ka hapa nui o kēia mau mea ʻaʻole ia he mea weliweli. E nānā kākou i nā kūlana maʻamau i ʻike ʻia.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻO ka cyst sinus renal | ʻO kēia ke ʻano maʻamau. I ka ʻōlelo maʻalahi, he cyst piha i ka wai. ʻAʻole kēia he maʻi kanesa. I kekahi manawa ulu lākou i loko o ka sinus (peripelvic cyst), a i kekahi manawa ulu lākou ma waho, kokoke iā ia (parapelvic cyst). |
| ʻO ka lipomatosis sinus renal | Ua kapa ʻia kēia he hōʻiliʻili nui ʻana o ka momona i loko o ka sinus renal. |
| ʻO ka nephroma cystic multilocular maikaʻi | He puʻupuʻu ʻaʻole kēia he maʻi kanesa, akā hiki iā ia ke ulu i loko o ka sinus renal. |
| Kalikietasis | ʻO nā ʻano e like me ke kīʻaha (calyces) e hōʻiliʻili ana i ka mimi e piha loa i ka wai a pehu. Inā ʻaʻole mālama ʻia, hiki i kēia ke alakaʻi i ka hāʻule ʻana o nā puʻupaʻa. |
| Nā ʻeha vascular | ʻO nā kūlana e like me ka aneurysm o ke aʻa renal, kahi e nāwaliwali ai ka paia o ke aʻa renal i loko o ka sinus renal a puʻupuʻu e like me ka pōpō. |
| ʻO ka maʻi ʻaʻai o ka puʻupaʻa | He puʻupuʻu maʻi ʻaʻai kēia e hana ʻia ana i loko o ka puʻupaʻa. I kekahi manawa, hiki i kēia mau puʻupuʻu ke pālahalaha i loko o ka sinus renal. |
Ua ʻike kekahi mau noiʻi i kahi pilina ma waena o ka nui o ka momona i loko o ka sinus renal a me ke koko kiʻekiʻe.
Pehea ʻoe e nānā ai i kēia ʻāpana o ka puʻupaʻa?
Inā kānalua kāu kauka he pilikia kou i ka puʻupaʻa, hiki iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia i ia mea.
| ʻAno hoʻāʻo | He aha ka hana a kēia? |
|---|---|
| Nā Hoʻāʻo Kiʻi | |
| Nānā CT | Ke kiʻi ʻana i nā kiʻi ʻoki kikoʻī o ka puʻupaʻa a me ka sinus renal. |
| MRI scan (MRI) | Ke kiʻi ʻana i nā kiʻi maopopo loa o ka puʻupaʻa me ka hoʻohana ʻana i kahi kahua magnetic. |
| ʻO ke kani ʻana o nā puʻupaʻa | Ke hoʻohana nei i nā nalu kani e nānā i ke kūlana o nā mea e like me nā puʻupaʻa a me nā puʻupaʻa. |
| Nā hoʻokolohua ʻē aʻe | |
| Nā hoʻāʻo koko | Ke nānā nei inā e kānana pono ana nā puʻupaʻa i ke koko (glomerular filtration). |
| ʻO ka biopsy puʻupaʻa | Inā he pilikia, e lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupaʻa a nānā ʻia. |
| Ka nānā ʻana i ka mimi | Ke nānā nei i ka mimi no ke koko, ka protein, a i ʻole nā hōʻailona o ka maʻi. |
Loaʻa i nā kānaka a pau nā cysts sinus renal?
ʻAe, ʻoiaʻiʻo. ʻO nā cysts a me ka lipomatosis he mau maʻi maʻamau loa ia e kū mai ana me ka makahiki. Ma kahi o 33% o ka poʻe ma luna o 70 mau makahiki, a i ʻole hoʻokahi i loko o ʻekolu, aia paha ma ka liʻiliʻi hoʻokahi cyst i loko o ko lākou puʻupaʻa.
ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau puʻupuʻu e hōʻike i kekahi mau hōʻailona , no laila ʻaʻole paha ʻoe e ʻike he hoʻokahi kāu. Loaʻa pinepine nā kauka iā lākou ma ka hanana ke hana lākou i kahi scan no kekahi kumu ʻē aʻe.
Pehea e ʻike ai inā he cyst sinus renal koʻu?
E like me ka mea i ʻōlelo ʻia ma luna, ʻaʻole ʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona. Eia nō naʻe, inā e nui aʻe ka cyst, a inā paha e pohā, e kahe ke koko, a i ʻole e loaʻa ka maʻi, hiki ke ʻike ʻia nā hōʻailona. I kēlā mau hihia, hiki iā ʻoe ke ʻike:
- ʻEha Pelvic: ʻEha ma ka ʻaoʻao, ka ʻōpū, a i ʻole ke kua ma waena o nā iwi ʻaoʻao a me nā pūhaka.
- Kuni: He kuni i loko o ke kino.
- Ka mimi pinepine ʻana: Pono e mimi pinepine ma mua o ka maʻamau.
- Koko i loko o ka mimi: Koko i loko o ka mimi a i ʻole ka mimi ʻeleʻele.
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoi aku ka maikaʻi o ka ʻike koke ʻana i kāu kauka no ka ʻōlelo aʻo.
Pehea e mālama ai i ke olakino o nā puʻupaʻa a me nā sinus renal?
ʻOiai ʻo ka sinus renal kekahi ʻāpana o ka puʻupaʻa ponoʻī, ʻo nā mea like āu e hana ai e mālama i ke olakino o kou mau puʻupaʻa he mea maikaʻi nō hoʻi ia no ia. He mea nui loa ia e kāohi i ke kaumaha o kou kino. Ke piʻi aʻe kou kaumaha, hiki ke hoʻonui ʻia ka momona i loko o ka sinus renal.
Eia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e mālama i ke olakino o kou mau puʻupaʻa:
- E pale i ka puhipaka: Hoʻopōʻino ka puhipaka i nā kīʻaha koko e hoʻolako koko ai i nā puʻupaʻa.
- Kāohi i ka paʻakai: E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu meaʻai. Hiki i ka nui o ka paʻakai ke hoʻololi i ke kaulike mineral i loko o kou koko a kau i kahi kaumaha ma kou mau puʻupaʻa.
- Inu i ka wai nui: ʻO ka inu ʻana i ka nui o ka wai i kēlā me kēia lā e maʻalahi ai i nā puʻupaʻa ke kānana i nā mea ʻawahia mai ke kino.
- Hoʻoikaika kino: Hiki i ka hoʻoikaika kino i kēlā me kēia lā ke kōkua i ke kaohi ʻana i ke koko. He mea maikaʻi loa ia no nā puʻupaʻa.
- E makaʻala me nā lāʻau ʻeha: E pale i ka lawe ʻana i nā lāʻau ʻeha, ʻoiai nā lāʻau anti-inflammatory non-steroidal (NSAIDs) (e.g., ibuprofen) me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ka lawe ʻana i ka nui loa hiki ke hōʻino i kou mau puʻupaʻa.
- E makaʻala i kou koko: Inā he koko kiʻekiʻe kou, e kāohi iā ia ma ka lawe ʻana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai.
- Kaohi i ka maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui ka mālama pono ʻana i kou pae kō koko no ka pale ʻana i kou mau puʻupaʻa.
Leka Lawe-Home
- ʻO ka sinus renal kahi hakahaka ma waenakonu o kou puʻupaʻa e pale ana i nā kīʻaha koko koʻikoʻi a me nā ʻāpana e hōʻiliʻili i ka mimi.
- He mea maʻamau loa nā cysts sinus Renal, ʻoiai hoʻi i ko kākou ʻelemakule ʻana. ʻO ka hapa nui o kēia mau mea he mea ʻino ʻole a ʻaʻole ia e hōʻike i kekahi mau hōʻailona.
- ʻO ka hapa nui o ka manawa, ʻaʻole pono kēia i ka lāʻau lapaʻau. E nānā kāu kauka iā lākou ma o nā scan.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha pelvic, ke kuni, ka mimi pinepine ʻana, a i ʻole ke koko i loko o kou mimi, e ʻimi koke i ke kōkua lapaʻau.
- ʻO nā ʻano olakino e like me ka mālama ʻana i ke kaumaha olakino, ka inu ʻana i ka nui o ka wai, ka hōʻemi ʻana i ka ʻai paʻakai, a me ka pale ʻana i ka puhipaka hiki ke kōkua i ka mālama ʻana i kou mau puʻupaʻa a me nā sinus renal.
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