Ka Hāʻule ʻana o nā Puʻupaʻa Koʻikoʻi - E makaʻala kākou i kēia!

Ua noʻonoʻo paha ʻoe i nā kānana ʻelua ikaika loa i loko o ko kākou kino? ʻO ia ko kākou mau puʻupaʻa . He aha ka mea e hana ʻia inā e pau koke kā lākou hana ʻana, e like me ka pio ʻana o ka mana? ʻO ia ka mea a mākou e kapa nei ʻo "Acute Kidney Failure " a i ʻole "Acute Renal Failure" i ka lāʻau lapaʻau. Hiki ke hana ʻia kēia i loko o kekahi mau hola a i ʻole kekahi mau lā. Akā, mai hopohopo, inā ʻike ʻoe i kēia a loaʻa koke ka lāʻau lapaʻau, i ka hapa nui o ka manawa hiki ke hoʻihoʻi ʻia kou mau puʻupaʻa i ka maʻamau.

I ka ʻōlelo maʻalahi, he aha ka hana a kēia mau puʻupaʻa?

E hoʻomaopopo maʻalahi kākou i kēia. ʻO ka hana nui o nā puʻupaʻa, ʻo ia ke kānana i ko kākou koko a wehe i nā mea ʻino i makemake ʻole ʻia mai loko mai e like me ka mimi . ʻAʻole wale kēlā, akā hana pū kēia mau ʻōkana liʻiliʻi ʻelua i nā mea nui e like me ka kaohi ʻana i ka nui o ka wai i loko o ke kino, ka kaohi ʻana i ke koko , ke kōkua ʻana i ka hana ʻana i nā hunaola koko ʻulaʻula , a me ke kaulike ʻana i nā electrolytes e pono ai ke kino. No laila, ke hōʻino ʻia kēia mau mea, hewa kēia mau mea a pau.

He aha ka ʻokoʻa ma waena o ka Acute a me ka Chronic?

Ua lohe paha ʻoe i kahi mea i kapa ʻia ʻo "Chronic Kidney Disease" ( CKD ). ʻO kēlā a me ka "Acute Kidney Failure" he ʻelua mau mea ʻokoʻa.

• ʻO ka hāʻule ʻana o ka puʻupaʻa koʻikoʻi: Hiki koke mai kēia, me ka ʻole o ka manawa . Inā mālama pono ʻia, aia kahi manawa e hoʻōla piha ai .
• ʻO ka Maʻi Puʻupaʻa Mau Loa (CKD): He ʻano mālie kēia, he lōʻihi ka manawa e hoʻonāwaliwali ai i nā puʻupaʻa i ka hala ʻana o ka manawa . Hoʻokumu pinepine ʻia e nā kūlana lōʻihi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. He mau loa kēia pōʻino.

Hiki i kāu kauka ke hōʻoia maʻalahi i kahi o kēia mau kūlana ʻelua āu i loaʻa ai ma ka hana ʻana i kahi scan ultrasound. Ma keʻano laulā, i ka CKD, ʻike ʻia nā puʻupaʻa he liʻiliʻi ka nui.

Pehea e ʻike ai i nā pae o ka maʻi puʻupaʻa?

Aia kekahi ana o ka hana o nā puʻupaʻa, a mākou e kapa nei he `(eGFR - estimated Glomerular Filtration Rate)`. I ka ʻōlelo maʻalahi, ʻo kēia ke ʻano o ka kānana ʻana o kou mau puʻupaʻa i ke koko. Hoʻohana ʻia kēia waiwai e hoʻokaʻawale i nā pae o ka maʻi.

E makaʻala i kēia mau hōʻailona!

I kekahi manawa hiki ke loaʻa kēia ʻano me ka ʻole o nā hōʻailona. Loaʻa pinepine ia i ka wā o nā hoʻokolohua no kekahi ʻano ʻē aʻe. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• Hoʻemi nui ʻia ka nui o ka mimi i hoʻopuka ʻia.
• Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae (ma muli o ka paʻa ʻana o ka wai).
• Manaʻo mau o ka luhi nui a me ka hiamoe.
• Paʻakikī ka hanu ʻana.
• Ka luaʻi ʻana a i ʻole ka nausea.
• ʻAʻohe ʻono o ka meaʻai.
• ʻIli ʻānai.
• Ka paʻakikī i ka hoʻoholo ʻana i ka manaʻo (Huihui).
• ʻEha a ʻūmiʻi paha ka umauma.
• ʻŪmiʻi ʻiʻo.
• ʻEha ʻōpū a ʻeha hope paha.
• Kuni, ʻulaʻula ʻili, a i ʻole ke kahe ʻana o ka ihu.

No ke aha lā kēia e hana nei? 3 mau kumu nui!

ʻEkolu mau ʻano nui o nā kumu o ka hāʻule koke ʻana o ka puʻupaʻa.

1. Ka hoʻopilikia ʻana o ke kahe koko i nā puʻupaʻa

Hiki paha kēia ma muli o:

• Ka maloʻo nui a i ʻole nā ​​​​wela nui.
• Nā maʻi.
• Ka hāʻule ʻana o ka puʻuwai.
• Ka hemahema o ke akepaʻa.
• ʻO kekahi mau lāʻau ʻeha (NSAID e like me Aspirin, Ibuprofen, Naproxen) a me kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe.

2. Ke ālai ʻia ʻana o ka mimi

Inā paʻa ke alahele, e pale ana i ka mimi mai ka haʻalele ʻana i nā puʻupaʻa, hiki i kēlā kaomi ke hoʻi i luna a hōʻino i nā puʻupaʻa.

• Nā pōhaku puʻupaʻa.
• Ka hoʻonui ʻia ʻana o ka prostate i nā kāne.
• Ka maʻi ʻaʻai o ka ʻōpū mimi, ka cervix, ka colon, a i ʻole ka prostate.
• Ka hōʻino ʻana i nā aʻalolo i loko o ke ala mimi.

3. Ka hōʻino pololei ʻana i nā puʻupaʻa ponoʻī

Hiki i kekahi mau mea ke hōʻino pololei i nā hunaola puʻupaʻa.

• Kekahi mau lāʻau lapaʻau (e like me NSAID, nā lāʻau chemotherapy, kekahi mau antibiotic).
• ʻO ka mumū o nā ʻōmole lahilahi e kānana ana i ka mimi mai nā puʻupaʻa (Glomerulonephritis). Hiki ke hana ʻia kēia e nā maʻi a i ʻole nā ​​​​maʻi autoimmune e like me lupus.
• Nā ʻūpā koko a i ʻole nā ​​waihona kolesterol.

Pehea e mālama ʻia ai?

ʻO ka nūhou maikaʻi, inā ʻike ʻia i ka wā mua, hiki ke mālama ʻia a ho'ōla ʻia. Aia ka lāʻau lapaʻau i kou kūlana a me ke kumu.

• Ka haukapila: I ka hapanui o nā hihia, pono kēia kūlana i ka haukapila no ka mālama ʻana.
• Ke mālama nei i ke kumu:ʻO ka mea mua e hana ai, ʻo ia ke ʻimi i ke kumu o ka hāʻule ʻana o nā puʻupaʻa a mālama iā ia. Eia kekahi laʻana, inā he maloʻo ka wai, hāʻawi ʻia ka saline, inā he maʻi ia, hāʻawi ʻia nā antibiotics, a inā ma muli o ka lāʻau lapaʻau, hoʻōki ʻia.
• ʻAi: E ʻōlelo paha kāu kauka iā ʻoe e kaupalena i nā meaʻai kiʻekiʻe i ka paʻakai a me ka potassium a hiki i ka wā e ola ai kou mau puʻupaʻa. ʻO kēia no ka mea he kaumaha ka hoʻokuʻu ʻana i kēia mau mea ma luna o kou mau puʻupaʻa. E ʻōlelo paha lākou iā ʻoe e kaupalena i nā mea e like me ka maiʻa, ka spinach, nā tōmato, nā ʻalani, a me nā ʻuala a ma kahi o ia mea e ʻai i nā meaʻai haʻahaʻa i ka potassium e like me nā ʻāpala, nā hua waina, nā ʻōpena, a me ka cauliflower .
• Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e kāohi i nā pae o ka phosphorus a me ka potassium i loko o ke koko.
• Dialysis: Inā koʻikoʻi ka pōʻino o nā puʻupaʻa, pono ka mīkini e hana i ka hana o nā puʻupaʻa a hiki i ko lākou ola ʻana. Ua kapa ʻia kēia he dialysis. ʻAʻole kēia e ho'ōla i nā puʻupaʻa, akā kōkua ia i ka wehe ʻana i nā huahana ʻōpala mai ke kino a hoʻopakele i ke ola a hiki i ka wā e ola ai nā puʻupaʻa.

ʻAʻole anei hiki iā kākou ke pale aku iā kākou iho mai kēia kūlana?

ʻOiaʻiʻo hiki nō. Inā ʻoe e mālama i kekahi mau mea maʻalahi, hiki iā ʻoe ke hōʻemi i kēia pilikia.

1. E makaʻala me nā lāʻau ʻeha: E pale i ka hoʻohana ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) ma luna o ke kūʻai aku (e like me Ibuprofen lāua ʻo Naproxen) i nā nui he nui a i ʻole e hoʻomau. E kūkākūkā me kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.

2. E hahai i nā ʻōlelo a kāu kauka: Inā loaʻa iā ʻoe kekahi mau maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e kāohi pono iā lākou. E hoʻohana pono i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai.

3. He nohona olakino: E inu i ka wai he nui, e ʻai i ka meaʻai kaulike, a e hoʻoikaika kino. Mālama kēia mau mea i kou kino holoʻokoʻa i ke olakino, ʻaʻole wale kou mau puʻupaʻa.

Maʻi puʻupaʻa, hāʻule puʻupaʻa koke ma Sinhala, hāʻule puʻupaʻa, emi ʻana o ka hoʻopuka mimi, eGFR, creatinine sinhala, dialysis sinhala