ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ka maʻi puʻupaʻa

ʻO nā puʻupaʻa ʻelua o nā ʻōkana liʻiliʻi loa, akā ʻo ia hoʻi nā mea nui loa i loko o kou kino. I ka hapa nui o ka manawa, hana lākou i kā lākou hana me ka leo ʻole, no laila ʻaʻole mākou e ʻike i ko lākou waiwai. Eia nō naʻe, inā ua hoʻopilikia iki ʻia ka hana o kēia mau puʻupaʻa, hoʻomaka ke kino holoʻokoʻa e ʻike i nā hopena. I kēia lā, e kamaʻilio kākou e pili ana i kēia mau maʻi puʻupaʻa, e like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha ka mea e hana maoli nei i kēia mau puʻupaʻa?

E noʻonoʻo i kou mau puʻupaʻa e like me ʻelua o nā kānana ikaika loa i loko o kou kino. Aia lākou ma nā ʻaoʻao ʻelua o kou iwi kuamoʻo, ma luna pono o kou pūhaka. ʻAʻole lākou he mau kānana wale nō, hana lākou ma mua o kēlā. I ka ʻōlelo maʻalahi, ʻo ia kekahi o nā mea nui a nā puʻupaʻa olakino e hana ai. Ke hōʻino ʻia nā puʻupaʻa, ʻaʻole hiki iā lākou ke hana pono i kēia hana. A laila, hōʻiliʻili nā huahana ʻōpala a me ka wai keu i loko o ke kino, e hana ana i nā mea e like me nā kuʻekuʻe wāwae pehu, ka nausea, ka luhi, ka hiamoe ʻole, a me ka paʻakikī o ka hanu ʻana. Inā ʻaʻole mālama ʻia, hiki i kēia hōʻino ke holomua i ka hāʻule piha ʻana o nā puʻupaʻa. He kūlana koʻikoʻi loa ia, a hiki ke hoʻoweliweli i ke ola.

He aha nā ʻano nui o nā maʻi puʻupaʻa?

Hiki ke hoʻokaʻawale ʻia ka maʻi puʻupaʻa i ʻelua ʻano nui. ʻO kekahi he maʻi e ulu mālie ana i ka hala ʻana o ka manawa, a ʻo kekahi he maʻi e hiki koke mai ana.

Maʻi Puʻupaʻa Mau Loa (CKD)

ʻO kēia ke ʻano maʻamau. ʻO CKD kahi kūlana i hiki ʻole ai i nā puʻupaʻa ke kānana pono i ke koko no nā mahina he 3 a ʻoi. ʻAʻole ia e ulu koke. Hoʻomohala mālie ia, i nā makahiki he nui. ʻO ka mea weliweli loa, ʻaʻohe hōʻailona i nā pae mua. ʻO ia ke kumu i ʻike ʻole ai ka poʻe he nui he maʻi ko lākou. ʻO ka maʻi diabetes a me ke koko kiʻekiʻe nā kumu nui ʻelua o CKD. ʻOiai ʻaʻole hiki i ka lāʻau lapaʻau ke ho'ōla piha i ka maʻi, hiki iā ia ke kāohi i kona ʻino.

Nā ʻano maʻi puʻupaʻa ʻē aʻe

Ma waho aʻe o CKD, aia kekahi mau ʻano maʻi puʻupaʻa ʻē aʻe.

• ʻO ka maʻi puʻupaʻa Polycystic : He maʻi hoʻoilina kēia. Hoʻokumu ʻia nā cysts, piha i ka wai, ma luna o nā puʻupaʻa . Hoʻemi kēia i ka hana o nā puʻupaʻa.
• Glomerulonephritis: Ka hōʻino ʻia ʻana o nā ʻāpana kānana koko liʻiliʻi (glomeruli) i loko o nā puʻupaʻa. Hiki ke loaʻa kēia ʻano ma hope o kekahi mau maʻi ʻāʻī (nā maʻi strep).
• Lupus Nephritis: He maʻi autoimmune ʻo Lupus e hoʻouka ana i nā hunaola olakino ponoʻī o ke kino. Hana ʻia kēia ʻano ke hoʻouka ʻia nā puʻupaʻa.
• Pyelonephritis : He maʻi ʻaʻai mimi kēia e hoʻopilikia ai i nā puʻupaʻa. Inā loaʻa pinepine kēia maʻi , hiki iā ia ke hōʻeha mau loa i nā puʻupaʻa.

He aha nā kumu o ka maʻi puʻupaʻa?

Aia nā kumu like ʻole o ka maʻi puʻupaʻa. E nānā kākou i kēlā me kēia o lākou ma ke kaʻawale.

Nā kumu o ka ʻeha puʻupaʻa koʻikoʻi

ʻO kēia ka manawa e nalowale koke ai ka hana o nā puʻupaʻa i loko o kekahi mau lā. Hiki ke hana ʻia kēia e:

• Ke kahe koko nui ʻana ma muli o kahi ulia nui.
• Ka maloʻo nui o ke kino.
• Sepsis (pūʻiwa) i hoʻokumu ʻia e kahi maʻi koʻikoʻi.
• ʻO kekahi mau lāʻau lapaʻau, e like me nā lāʻau ʻeha , nā antibiotics , a me nā mea ʻawahia.
• Ka pale ʻana o ka urethra ma muli o nā pōhaku mimi a i ʻole ka hoʻonui ʻia ʻana o ka prostate gland i nā kāne.

Nā kumu o ka maʻi puʻupaʻa mau loa

ʻO nā kumu nui e nāwaliwali ai nā puʻupaʻa i ka hala ʻana o ka manawa:

• Maʻi diabetes: ʻO ke kiʻekiʻe o ke kō koko i kāohi ʻole ʻia ma luna o nā makahiki he nui e hōʻino pololei i nā puʻupaʻa.
• Ke koko kiʻekiʻe: Ke kāohi ʻole ʻia ke koko no ka manawa lōʻihi, hōʻino ia i nā kīʻaha koko palupalu e hoʻolako koko i nā puʻupaʻa.
• Ka hoʻohana lōʻihi ʻana i nā lāʻau ʻeha: ʻO ka hoʻohana mau ʻana i nā lāʻau ʻeha, ʻoiai nā NSAID (e.g., Ibuprofen, Naproxen), me ka ʻole o ke aʻo ʻana a ke kauka he mea hōʻino loa ia i nā puʻupaʻa.
• Nā kumu hoʻoilina: Inā ua loaʻa kekahi o kou ʻohana i ka maʻi puʻupaʻa, hiki paha iā ʻoe ke pilikia.

He aha nā hōʻailona o kēia?

ʻO kēia ka mea nui loa. I ka maʻi puʻupaʻa mau loa, ʻaʻohe paha he mau hōʻailona ʻike ʻia a hiki i ka hōʻino ʻia ʻana o 70%-80% o nā puʻupaʻa. ʻO ia ke kumu i kapa ʻia ai kēia maʻi he "pepehi kanaka leo ʻole." Ke ʻoi aku ka koʻikoʻi o ka maʻi, ʻike ʻia nā hōʻailona e like me:

• Ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i kekahi manawa ka maka.
• Manaʻo luhi loa a me ke ola ʻole.
• Ka pinepine ʻana o ka nausea a me ka luaʻi ʻana.
• Ka nalowale o ka makemake a me kahi ʻono metala i loko o ka waha.
• ʻIli ʻānai.
• ʻO ka hiamoe ʻole a i ʻole ka pilikia hiamoe.
• Ka loli ʻana o ke alapine (hoʻonui a hoʻemi paha).
• Paʻakikī ka hanu ʻana.
• Ka paʻakikī ke kāohi ʻana i ke koko.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e ʻike koke i ke kauka no ka ʻōlelo aʻo.

Pehea e ʻike ai i ka maʻi?

E nīnau mua kāu kauka e pili ana i kou mōʻaukala ʻohana, nā lāʻau lapaʻau āu e lawe ai, a me kāu mau hōʻailona. A laila, e kauoha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona, ​​​​e like me:

• Nā hoʻāʻo koko: Ma ke ʻano kūikawā, ke ana nei ka hoʻāʻo Serum Creatinine i ka nui o nā huahana ʻōpala i loko o ke koko a helu i ka hana o nā puʻupaʻa (eGFR).
• Nā hoʻāʻo mimi:Nānā ʻia ka mimi no ka protein a i ʻole nā ​​​​​​ʻāpana koko. ʻAʻole hoʻokuʻu nā puʻupaʻa olakino i ka protein.
• ʻO ke scan Ultrasound: Hiki i kēia ke nānā i ka nui, ke ʻano o nā puʻupaʻa, a inā he mau pōhaku mimi.
• Biopsy Kidney: I kekahi mau hihia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupaʻa e hoʻoholo ai i ke kumu pololei o ka maʻi.

Pehea e mālama ʻia ai?

ʻAʻole hiki ke ho'ōla ʻia ka maʻi puʻupaʻa mau loa (CKD). Eia nō naʻe, inā ʻike mua ʻia, hiki i ka mālama kūpono a me nā hoʻololi ʻana i ke ʻano o ka nohona ke hoʻōki a hoʻolohi nui paha i ka hōʻino hou ʻana o ka puʻupaʻa. ʻO nā pahuhopu nui o ka mālama ʻana: 1. Ke kāohi ʻana i ke kumu o ka maʻi (e.g., diabetes, ke koko kiʻekiʻe). 2. Ke kāohi ʻana i nā hōʻailona. 3. Ke pale ʻana i ka hōʻino hou ʻana o ka puʻupaʻa.

Nā lāʻau lapaʻau

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me nā ACE inhibitors a i ʻole ARBs e kāohi i kou koko. ʻAʻole wale kēia mau lāʻau lapaʻau e kāohi i kou koko, akā kōkua pū kekahi i ka pale ʻana i kou mau puʻupaʻa ma ka hōʻemi ʻana i ka nui o ka protein āu e hoʻouna ai i loko o kou mimi. Hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau e kāohi i kou kō koko, hoʻohaʻahaʻa i kāu cholesterol, a mālama i ka anemia.

ʻAi

He mea nui loa kēia. Pono nā maʻi puʻupaʻa i kahi papaʻai kūikawā. ʻO ka maʻamau, pono ʻoe e kaupalena i nā meaʻai kiʻekiʻe i ka paʻakai (sodium), potassium, a me ka phosphorus. Pono paha ʻoe e kaupalena i kāu protein a me ka wai e ʻai ai. Hiki i kahi meaʻai meaʻai ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no kēia. E kuhikuhi kāu kauka iā ʻoe i hoʻokahi.

Dialysis

Ke emi nui ka hana o nā puʻupaʻa a hiki i ka maʻi puʻupaʻa hope loa (ESRD), pono e hana ʻia ka hana a nā puʻupaʻa e hana ai, ʻo ia hoʻi ka hoʻomaʻemaʻe ʻana i ke koko, me ke kōkua o kahi mīkini. Ua kapa ʻia kēia he dialysis .

• Hemodialysis: Pili kēia i ka hoʻopili ʻana i kou kino i kahi mīkini e kānana i kou koko a hoʻihoʻi iā ia i kou kino. Pono ʻoe e hele i ka haukapila a i ʻole ke kikowaena dialysis 2-3 mau lā o ka pule e hana ai i kēia.
• ʻO Peritoneal Dialysis: He ʻano hana kēia e hiki ke hana ʻia ma ka home. Hoʻokomo ʻia kahi wai kūikawā ma o kahi paipu i kau ʻia i loko o ka lua ʻōpū, a hoʻohana ʻia ka wai e omo i nā huahana ʻōpala mai ke koko.

Hoʻoili ʻana o ka puʻupaʻa

ʻO ka lāʻau lapaʻau maikaʻi loa no ka maʻi puʻupaʻa hope loa he hoʻoili puʻupaʻa olakino. Hiki ke hana ʻia kēia mai kahi kanaka ola (lālā o ka ʻohana a i ʻole kekahi mea ʻē aʻe) a i ʻole mai kahi kanaka i make. Ma hope o kahi hoʻoili holomua, hiki iā ʻoe ke ola i kahi ola maʻamau me ka ʻole o ka dialysis. Maʻi Pūpū, Maʻi Pūpū Mau, Maʻi Diabetes, Ke Koko Kiʻekiʻe, Dialysis, Hoʻoili Pūpū, Maʻi Pūpū Sinhala