E kamaʻilio anei kākou e pili ana i kēia aa koko koʻikoʻi i loko o ko kākou mau puʻupaʻa (Renal Vein)?

Ua ʻike mākou a pau e hoʻomaʻemaʻe ko mākou mau puʻupaʻa i ke koko i loko o ko mākou kino a hoʻohemo i nā mea ʻawahia i makemake ʻole ʻia ma o ka mimi. Hana ia e like me kahi kānana wai i loko o kahi hale. Akā ua noʻonoʻo paha ʻoe pehea e hoʻi ai kēia koko i hoʻomaʻemaʻe ʻia a maʻemaʻe i ko mākou puʻuwai a hele a puni ke kino? ʻO ia kahi e hele mai ai kēia kīʻaha koko kūikawā a mākou e kamaʻilio nei i kēia lā, ʻo ke aʻa renal, e hoʻopakele. He kanaka kēia e hana mālie ana i kahi lawelawe nui i loko o ko mākou kino.

I ka ʻōlelo maʻalahi, he aha kēia aʻa renal?

Maʻalahi loa. ʻO ke aʻa renal ke aʻa koko e lawe ana i ke koko i hoʻomaʻemaʻe ʻia mai nā puʻupaʻa i ka puʻuwai . I ka lāʻau lapaʻau, kapa mākou i nā mea e pili ana i nā puʻupaʻa "renal." ʻO ia ke kumu i kapa ʻia ai ʻo "renal vein."

ʻO ka maʻamau, loaʻa iā kākou āpau ʻelua mau puʻupaʻa. No laila, aia kekahi aa renal e pili ana i kēlā me kēia puʻupaʻa. ʻO ia hoʻi, loaʻa iā kākou ʻelua mau aa renal.

ʻO ke ʻano a me ka vein - he aha ka ʻokoʻa ma waena o lāua?

Ua lohe paha ʻoe i ka Renal Artery. I kēia manawa ke noʻonoʻo nei paha ʻoe inā like kēia mau mea ʻelua. ʻAʻole, he ʻelua mau hana like ʻole kā lākou. Ua like kā mākou ʻōnaehana hoʻopuni koko me kahi pūnaewele o nā alanui ma ke kūlanakauhale nui. Lawe mai kekahi mau alanui i nā kaʻa i loko o ke kūlanakauhale, a lawe mai kekahi i nā kaʻa i waho o ke kūlanakauhale. Pēlā nō ia.

E noʻonoʻo wale, ʻo ka oxygen, nā meaʻai, a me nā hormones e pono ai ko kākou kino e hele i nā wahi a pau ma o ke koko. A hoʻopau pū ke kino i nā huahana ʻōpala i makemake ʻole ʻia, e like me ke kalapona ʻokikene, mai ke koko.

I mea e maopopo ai ka hana o kēia aʻa a me ke aʻa koko i pili i ka puʻupaʻa, e nānā i kēia papa .

I ka ʻōlelo maʻalahi, komo ke koko mai ke aʻa i loko o ka puʻupaʻa e hoʻomaʻemaʻe ʻia. Hoʻi ke koko i hoʻomaʻemaʻe ʻia i ke kino ma o ke aʻa.

Aia i hea kēia mau aa koko renal?

Aia ko kākou mau puʻupaʻa ma ke kua o ko kākou ʻōpū, ma lalo o ka iwi ʻaoʻao, a ma luna iki o ka pūhaka. Aia pū nā aʻa puʻupaʻa ʻelua ma laila.

• ʻAʻa Renal Hema: Aia kēia ma ka ʻaoʻao hema o ke kino, ma hope o nā ʻōkana e like me ka pancreas. ʻOi aku ka mamao o kēia aʻa mai ka vena cava haʻahaʻa, ke aʻa nui e pili ana i ka puʻuwai. No laila, ʻoi aku ka lōʻihi o ke aʻa hema ma mua o ka ʻākau. ʻO ka maʻamau he 6-10 kenimika (2-4 ʻīniha) ka lōʻihi.
• ʻO ke aʻa koko ʻākau: Aia kēia ma ka ʻaoʻao ʻākau o ke kino, ma hope o ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi. He pōkole ia no ka mea kokoke loa i ke aʻa koko nui. ʻO ka maʻamau he 2-4 kenimika (1-1.5 ʻīniha) ka lōʻihi.

Mai hea mai ke koko e loaʻa ai i nā aʻa renal?

Eia kekahi, aia kahi ʻokoʻa iki ma waena o nā aʻa koko hema a me ka ʻākau.

Loaʻa ke koko i ke aʻa puʻupaʻa ʻākau mai ka puʻupaʻa ʻākau wale nō. He mea maʻalahi loa ia.

Akā, he ʻano hana nui ka aʻa renal hema . No ka mea, ʻoi aku ka lōʻihi, hōʻiliʻili ia i ke koko mai kekahi mau ʻōkana ʻē aʻe ma ke ala. Ua like ia me ke alanui nui me kekahi mau alanui ʻaoʻao.

• ʻAʻa koko ureter hema: Koko mai ka ureter e lawe ana i ka mimi i ka ʻōpū mimi.
• ʻAʻa gonadal hema: Koko mai nā ovaries i nā wahine a i ʻole nā ​​​​testicles i nā kāne.
• ʻAʻa koko adrenal hema: Koko mai ke kelepa adrenal e hana ana i nā hormone, aia ma luna o ka puʻupaʻa.
• ʻAʻa koko phrenic ma lalo hema: Koko mai ka diaphragm, kahi ʻiʻo e kōkua iā mākou e hanu.

Ma muli o kēia, hana ka aa renal hema ma ke ʻano he hui koʻikoʻi loa i loko o ko mākou kino.

Aia kekahi mau pilikia olakino e hoʻopilikia ai i nā aa renal?

ʻAe, ʻoiaʻiʻo nō. E like me nā ʻōkana āpau, aia kekahi mau kūlana olakino e hiki ke hoʻopilikia i kēia mau aa koko. ʻO kēia nā mea ʻelua o nā mea nui.

He aha nā hōʻailona o kahi aʻa i pāpā ʻia?

He kūlana koʻikoʻi ka paʻa ʻana o nā aʻa renal. Inā loaʻa, nā hōʻailona e like me:

• ʻEha nui: Hiki ke loaʻa ka ʻeha, ʻoiai ma nā pūhaka a me ka ʻōpū.
• Koko i loko o ka mimi (Hematuria): Hiki ke ʻulaʻula a ʻeleʻele paha ka mimi.
• Pōniuniu i ke kū ʻana: ʻO ka emi ʻana o ke koko (orthostatic hypotension) ke kū koke ʻoe i luna hiki ke hoʻolilo iā ʻoe i pōniuniu.
• ʻAʻole hānau keiki: Hiki ke pili i nā kāne a me nā wahine.
• Ka pōʻino o nā puʻupaʻa: Inā pau ke kahe o ke koko, hiki ke pilikia ka hana a nā puʻupaʻa.
• Ka emi ʻana o ka mimi i hoʻopuka ʻia (Oliguria): E emi paha ka mimi ma mua o ka maʻamau.
• ʻO ka embolism pulmonary: He kūlana weliweli loa kēia. Hiki i kahi ʻāpana o ke koko i hana ʻia i loko o kahi aʻa renal ke haki a hele i loko o ke kahe koko, e ālai ana i kahi aʻa i loko o nā māmā. He pilikia weliweli kēia e hoʻoweliweli ana i ke ola.

Pehea ʻoe e nānā ai i ke olakino o kēia mau aa koko?

Inā kānalua kāu kauka i kēia, hiki iā ia ke kauoha i nā hoʻokolohua like ʻole e nānā i ke kūlana o kou mau aa koko.

• CT scan (CT - scan tomography i helu ʻia)
• ʻO ke kani ʻana o ka ultrasound Doppler (Duplex/Doppler ultrasound)
• MRI scan (kiʻi resonance magnetic - MRI)
• Ultrasound Laulā
• Venogram - He nānā ʻana i nā aʻa koko mai ke kumu o ka X-ray.

Eia kekahi, hiki ke hoʻāʻo ʻia kāu mimi (urinalysis) e ʻike inā he pae protein kiʻekiʻe (proteinuria) a i ʻole nā ​​​​​​ʻāpana koko i loko. Hiki i kēia mau mea ke hāʻawi iā ʻoe i kahi manaʻo inā ua hōʻino ʻia kou mau puʻupaʻa.

Pehea mākou e mālama ai i ke olakino o ko mākou mau aa renal?

ʻOiai ʻaʻole hiki iā mākou ke hoʻomaʻamaʻa pololei i nā aʻa renal, hiki iā mākou ke mālama iā lākou i ke olakino ma ka mālama ʻana i ko mākou olakino holoʻokoʻa.

• Nā hoʻokolohua lapaʻau makahiki: E ʻike i ke kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka nānā piha ʻana. E kōkua kēia iā ʻoe e ʻike i nā kumu pilikia no nā ʻōpū koko i ka wā mua.
• E lawe i kāu mau lāʻau lapaʻau i kuhikuhi ʻia e like me ke kauoha: Inā ua kuhikuhi ʻia ʻoe i nā lāʻau lapaʻau no ke koko kiʻekiʻe a i ʻole e pale i nā ʻōpū koko (anticoagulants/blood thinners), e lawe iā lākou e like me ke kauoha me ka ʻole o ka haʻalele ʻana i kekahi lā.
• Hoʻoikaika Kino: ʻOiai ʻo ka hana ʻana i kahi hoʻoikaika kino maʻalahi e like me ka hele wāwae i kēlā me kēia lā, hoʻomaikaʻi ia i ke kahe o ke koko i loko o ke kino.
• Inu wai nui: ʻO ka inu ʻana i ka nui o ka wai i kēlā me kēia lā he mea maikaʻi loa ia no nā puʻupaʻa a me ke kahe koko.
• ʻAi olakino: E ʻai i ka ʻai momona i nā huaʻai a me nā mea kanu, haʻahaʻa i ka ʻaila, ka paʻakai, a me ke kō.
• E pale i ka puhipaka: ʻO ka puhipaka kekahi kumu nui o ka hōʻino ʻana i nā kīʻaha koko. No laila, inā ʻoe e puhipaka, e hoʻāʻo e haʻalele.

He ʻāpana koʻikoʻi nā aʻa puʻupaʻa o ko kākou kino e hana mālie ana i kahi lawelawe nui. ʻOiai ʻaʻole paha kākou e noʻonoʻo nui e pili ana iā lākou, hiki iā kākou ke mālama i ko lākou olakino ma ka mālama ʻana i kahi nohona olakino.