Ua ʻike anei ʻoe e pili ana i kēia aa koko koʻikoʻi i loko o kou mau puʻupaʻa? E kamaʻilio kākou e pili ana i ka aa koko renal!

Ua lohe paha ʻoe i kahi "renal vein"? Ua lohe paha ʻoe i kahi kauka e ʻōlelo ana, a ua heluhelu paha ʻoe iā ia ma kekahi wahi. He ʻāpana koʻikoʻi loa kēia o ko kākou kino, ʻoi aku hoʻi e pili ana i ka hana o ko kākou mau puʻupaʻa. No laila, e kamaʻilio kākou e pili ana i kēia lā ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo?

He aha kēia aa koko renal?

I ka ʻōlelo maʻalahi, ʻo ke aʻa renal he aʻa koko e lawe ana i ke koko mai kou mau puʻupaʻa a i kou puʻuwai. ʻO ke ʻano o ka huaʻōlelo "renal" ʻo ia hoʻi "e pili ana i nā puʻupaʻa." Ua like nā puʻupaʻa me kahi kānana wai i loko o ko mākou hale. Pono e loaʻa kahi ala e hoʻouna ai i kēlā koko i kānana ʻia a hoʻomaʻemaʻe ʻia i ke kino. ʻO ia ke aʻa renal.

ʻO ka maʻamau, loaʻa iā kākou āpau ʻelua mau puʻupaʻa. No laila , loaʻa i kēlā me kēia puʻupaʻa kahi aa renal like. ʻO ia hoʻi, aia ʻelua mau aa kaʻawale e lawe ana i ke koko mai nā puʻupaʻa ʻelua i ka puʻuwai.

He aha ka hana a ke aʻa renal a me ka aa renal?

I kēia manawa ke noʻonoʻo nei paha ʻoe, ʻaʻole anei lawa ka loaʻa ʻana o kahi aʻa koko e lawe mai i ke koko i ka puʻupaʻa? ʻAe, pololei ʻoe! ʻO ke aʻa koko e lawe mai i ke koko i ka puʻupaʻa ua kapa ʻia ʻo ke aʻa renal . ʻO ke aʻa renal a me ke aʻa renal he mau ʻāpana o kā mākou ʻōnaehana hoʻopuni koko .

E noʻonoʻo i ka ʻōnaehana hoʻohele koko e like me kahi ʻōnaehana o nā alanui nui e lawe ana i ke koko ma o ko kākou kino. ʻO kēia koko:

• Lawe ia i ka oxygen, nā hormones, a me nā meaʻai i ko mākou mau ʻōpū, nā ʻiʻo, a me nā ʻiʻo.
• Kōkua nō hoʻi ia i ka wehe ʻana i nā huahana ʻōpala i makemake ʻole ʻia mai ko mākou kino, e like me ke kalapona ʻokikene, nā waikawa, a me ka wai keu.

No laila, lawe ke aʻa renal i ke koko i hoʻopiha ʻia me ka oxygen mai ka puʻuwai a i nā puʻupaʻa. A laila kānana nā puʻupaʻa i nā mea ʻawahia a me nā mea olaola i makemake ʻole ʻia i loko o kēlā koko. ʻO ke koko deoxygenated, i hoʻomaʻemaʻe ʻia ma kēia ʻano, a laila lawe ʻia mai nā puʻupaʻa a i ka puʻuwai ma o ke aʻa renal. Maopopo iā ʻoe? Ua like ia me ka lawe ʻana mai i nā mea maka i kahi hale hana a lawe i waho i ka huahana i hoʻopau ʻia.

Aia ma hea kēia mau mea i loko o ko kākou kino?

Aia ko kākou mau puʻupaʻa ma ke kua o ka ʻōpū (ʻōpū), ma lalo o ka pā iwi ʻaoʻao ma ka umauma, a ma luna iki o ka pūhaka.

• ʻAʻa Renal Hema: Aia kēia ma ka ʻaoʻao hema o ke kino, ma hope o ke aʻa splenic a me ka pancreas. ʻOi aku ka lōʻihi o ke aʻa renal hema ma mua o ka ʻākau no ka mea aia ia ma kahi mamao aku mai ka vena cava haʻahaʻa, kekahi o nā aʻa nui loa o ke kino. Hiki ke loaʻa ma kahi o 6 a 10 kenimika (ma kahi o 2 a 4 ʻīniha) ka lōʻihi.
• ʻAʻa Renal ʻĀkau:Aia ia ma ka ʻaoʻao ʻākau o ke kino, ma hope o ka ʻaoʻao o luna o ko kākou ʻōpū liʻiliʻi (duodenum). ʻOi aku ka pōkole ma mua o ka hema, ma kahi o 2 a 4 kenimika (ma kahi o ¾ a 1.5 ʻīniha) ka lōʻihi.

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

ʻO ke aʻa koko hema, e like me kaʻu i ʻōlelo ai, he lōʻihi ia, no laila e loaʻa ana ke koko ʻaʻole wale mai ka puʻupaʻa hema, akā mai kekahi mau ʻōkana ʻē aʻe. E nānā kākou i ke ʻano o lākou:

• ʻAʻa Ureter Hema: ʻO nā ureters nā ʻōmole ʻelua e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi. Hōʻiliʻili ke koko mai ka ureter ma ka ʻaoʻao hema i loko o kēia aʻa.
• ʻAʻa Gonadal Hema: ʻO nā gonads, i kapa ʻia ʻo nā ovaries i nā wahine a me nā testicles i nā kāne, kahe i loko o ka aʻa renal hema.
• ʻAʻa koko adrenal hema: ʻO nā kelepa adrenal ʻelua mau kelepa liʻiliʻi, e like me ke pāpale ma luna o nā puʻupaʻa. Hoʻopuka lākou i nā hormones koʻikoʻi e like me ka cortisol, epinephrine (adrenaline), a me norepinephrine (noradrenaline) . No laila, hui pū ke koko mai ka kelepa adrenal hema i kēia aʻa koko.
• ʻAʻa Phrenic Hema Haʻahaʻa: He ʻiʻo nui ka diaphragm e kōkua iā mākou e hanu. Hoʻokahe pū ke koko mai kēia aʻa i loko o ka ʻAʻa Renal Hema.

Eia nō naʻe, loaʻa ke koko i ka ʻaʻa Renal ʻākau mai ka puʻupaʻa ʻākau wale nō. ʻAʻole ia e hōʻiliʻili i ke koko mai nā wahi he nui e like me ka hema.

Ma hea e hele ai ke koko ma hope o ke aʻa renal?

E like me kā mākou i ʻōlelo ai ma mua, kānana nā puʻupaʻa i nā huahana ʻōpala mai ke koko. Eia kekahi, hoʻohana lākou i ka oxygen a me ke kō (glucose) i loko o ke koko e hana i ka ikehu. ʻO ke koko, i hoʻomaʻemaʻe ʻia ma kēia ʻano, akā i kēia manawa ua nele i ka oxygen, hele ma waena o nā aʻa renal a hui pū me ka vena cava haʻahaʻa . ʻO kēia ke aʻa nui nui e lawe ana i ke koko nele i ka oxygen mai ka ʻaoʻao haʻahaʻa o ko mākou kino a i ka puʻuwai. A laila hele ke koko i ka puʻuwai, kahi e lawe hou ai i ka oxygen a hoʻomaka i kāna huakaʻi ma ke kino holoʻokoʻa.

He aha nā maʻi maʻamau e hoʻopilikia ai i nā aʻa renal?

ʻOiai ua maikaʻi nā mea āpau ke holo pono nā mea, i kekahi manawa hiki i kekahi mau kūlana olakino ke hoʻopilikia i nā aa renal. ʻO nā mea nui:

• ʻO ka Nutcracker Syndrome: Hoʻopilikia kūikawā kēia i ka Renal Vein Hema. Ma kēia kūlana, ua paʻa ka Renal Vein Hema ma waena o ka Abdominal Aorta a me kekahi aʻa ʻē aʻe i loko o ka ʻōpū (ka Superior Mesenteric Artery). Ua like ia me kahi nutcracker e paʻa ana ma nā ʻaoʻao ʻelua. Hoʻonui kēia i ke koko i loko o ka aʻa, kahi e ālai ai i ke kahe koko i ka puʻupaʻa.
• ʻO ka Renal Vein Thrombosis: ʻO kēia ke ʻano o ka hoʻokumu ʻia ʻana o kahi ʻaʻa koko i loko o kahi aʻa renal. ʻO kekahi mau kūlana olakino, e like me nā maʻi clotting koko, ka maʻi ʻaʻai, a me ka nephrotic syndrome, hiki ke hana i kēia ʻano clot koko.

He aha ka mea e hana ai inā e ālai ʻia kahi aa koko renal?

Inā paʻa kahi aa koko renal, inā paha mai kahi ulia a i ʻole kahi ʻūpā koko, hiki iā ia ke hana i nā pilikia like ʻole . Eia kekahi mau laʻana:

• Hiki ke loaʻa ka ʻeha nui , ʻoiai ma ka ʻāpana pūhaka.
• Loaʻa paha ke koko i loko o kou mimi (hematuria).
• Hiki ke loaʻa ka poniuniu (nāwaliwali) i ke kū ʻana (Orthostatic Hypotension).
• Hiki iā ia ke hoʻoulu i ka hānau ʻole ʻana o nā kāne a wahine paha .
• Hiki ke hōʻino ʻia nā puʻupaʻa.
• ʻOi aku paha ka emi o ka mimi ma mua o ka maʻamau (oliguria).
• ʻO ka mea weliweli loa, ʻo ia ka hiki i kahi ʻāpana o kēlā ʻaʻa koko ke haki a paʻa i loko o kahi aʻa koko i loko o nā māmā (Pulmonary Embolism). Hiki i kēia ke hoʻoweliweli i ke ola.

Mea nui: Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui loa e ʻimi koke i ke kōkua lapaʻau.

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

Inā kānalua kāu kauka he pilikia me kou mau aa renal, hiki iā lākou ke kauoha i nā hoʻokolohua like ʻole. ʻO nā hoʻokolohua maʻamau:

• CT Scan (CT - Computed Tomography Scan)
• ʻO ke kani ultrasound Duplex/Doppler
• MRI Scan (MRI - Magnetic Resonance Imaging)
• Ultrasound
• Venogram: Ma kēia, hoʻokomo ʻia kahi wai kūikawā i loko o nā aa koko a lawe ʻia kahi X-ray.

Hiki paha iā ʻoe ke hana i kahi urinalysis e nānā i nā pae protein kiʻekiʻe (proteinuria) a i ʻole ke koko i loko o kou mimi. Hiki i kēia mau mea ʻelua ke lilo i mau hōʻailona o ka hōʻino ʻia o nā puʻupaʻa.

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

He mea paʻakikī ke ʻike inā loaʻa kekahi mea i nā aʻa renal. Eia nō naʻe, ʻo ka mālama ʻana i ko kākou mau puʻupaʻa a me ke olakino holoʻokoʻa e pale pū ana i ke olakino o nā aʻa renal.

• He manaʻo maikaʻi ka hana ʻana i kahi hoʻokolohua kino makahiki. E kōkua kēia iā ʻoe e ʻike ma mua inā paha ʻoe i ka pilikia no nā ʻūpā koko.
• Hiki i kāu kauka ke ʻōlelo i kēia mau mea:
• Nā lāʻau lapaʻau koko (inā he koko kiʻekiʻe kou).
• Nā lāʻau anticoagulant a i ʻole nā ​​​​mea hoʻokahe koko (inā he pilikia o nā ʻūpā koko).
• Kōkua ka hoʻoikaika kino mau i ka mālama ʻana i ke kahe maikaʻi o ke koko i loko o ke kino.
• E inu i ka nui o ka wai a me nā wai.
• E hoʻohui i nā mea kanu a me nā huaʻai hou aʻe i kāu meaʻai.
• Inā ʻoe e puhipaka, e hoʻōki.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

E like me kāu e ʻike ai, he ʻāpana koʻikoʻi loa nā aʻa renal o kā mākou ʻōnaehana kahe koko, ʻoiai nā mea e lawe ana i ke koko mai nā puʻupaʻa. ʻAʻole paha mākou e ʻike koke he mau pilikia me lākou. Eia nō naʻe, me nā nānā lapaʻau maʻamau, hiki i nā kauka ke nānā i nā hōʻailona o kēia mau kūlana.

ʻO kāu kauka ke kumu maikaʻi loa o ka ʻike e pili ana i ka mālama ʻana i kou mau puʻupaʻa a me nā aʻa puʻupaʻa i ke olakino. E haʻi pū lākou iā ʻoe i ka mea e manaʻo ai inā he mau pilikia. No laila, mai makaʻu e kamaʻilio me lākou!

ʻAʻa koko o ka puʻupaʻa, puʻupaʻa, kaʻapuni koko, nā aʻa koko, ka maʻi ʻaʻa koko, ke olakino puʻupaʻa