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He aha ka nui o ke kahe o ke koko (Hypervolemia)?
I ka ʻōlelo maʻalahi, ʻo Fluid Overload ka wā e nui loa ai ka wai i loko o kou kino. ʻO ka huaʻōlelo lapaʻau no kēia ʻo Hypervolemia . He maʻalahi loa ke ʻano o kēia huaʻōlelo. ʻO 'Hyper' ke ʻano "nui loa", a ʻo 'vol' ke ʻano "nui" a i ʻole "nui". No laila, ʻo Hypervolemia ke ʻano o ka hoʻonui ʻia ʻana o ka nui o ka wai i loko o ke kino. Aia kekahi ʻaoʻao ʻē aʻe o kēia, i kapa ʻia ʻo Hypovolemia. ʻO 'Hypo' ke ʻano "haʻahaʻa". ʻO ia hoʻi ka emi ʻana o ka pae o ka wai i loko o ke kino, a i ʻole kahi kūlana e like me ka dehydration. Akā i kēia lā ke kālele nei mākou i ke kūlana o Hypervolemia, ʻo ia hoʻi ka hoʻonui ʻia ʻana o ka wai. Hiki ke hana ʻia kēia kūlana e nā kumu like ʻole e like me ka hāʻule ʻana o ka puʻuwai, ka hāʻule ʻana o nā puʻupaʻa, nā maʻi akepaʻa (cirrhosis), a me ka hāpai ʻana.He aha nā hōʻailona o ka nui o ka wai?
Ke hōʻiliʻili ka wai i loko o ke kino, hiki ke ʻike ʻia nā ʻano hōʻailona like ʻole. I kekahi manawa hiki ke hana ʻia kēia mau hōʻailona e kahi maʻi olakino e hoʻoulu ai i ka nui o ka wai. Hiki ke hana ʻia kēia e nā kūlana koʻikoʻi, no laila inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e ʻike i kāu kauka .| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEdema | Hiki paha iā ʻoe ke ʻike i ka pehu ʻana ma kou mau wāwae, nā kuʻekuʻe wāwae, nā lima, a i ʻole ke alo. Inā mau ka lua o kēia wahi pehu no kekahi manawa pōkole ke kaomi ʻoe iā ia me kou manamana nui, ua kapa ʻia ia he pitting edema . |
| Ke koko kiʻekiʻe | ʻO ka wai keu i loko o kou kino e hoʻoikaika ai i kou puʻuwai, kahi e hoʻonui ai i kou koko. |
| Paʻakikī ka hanu ʻana | Inā hōʻiliʻili ka wai keu i loko o nā māmā, hiki iā ia ke paʻakikī i ka hanu ʻana. Hiki iā ʻoe ke lohe i kahi leo "crackle" ke hanu ʻoe. He pilikia kēia a pono ʻoe e ʻimi koke i ke kōkua lapaʻau. |
| ʻEha umauma | He hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo Pulmonary Edema . He ʻano kēia kahi e piha ai nā māmā i ka wai. He pilikia nō hoʻi kēia, e hele koke i ka Emergency Department (ETU) o ka haukapila. |
| ʻO ka ʻoluʻolu ʻole o ke kino | Hiki paha iā ʻoe ke ʻoluʻolu ʻole ma muli o nā mea e like me ke poʻo, ka pehu ʻana, a me ka ʻeha o ka ʻōpū. |
| Piʻi ke kaumaha | ʻO kēia ka hōʻailona mua o ka nui o ka wai. Loaʻa i ka hapa nui o ka poʻe ma kahi o 3-7 paona ma mua o ko lākou ʻike ʻana i ka pehu ʻana ma ko lākou mau wāwae a i ʻole ka ʻōpū. |
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Check Availability →No ke aha kēia e hana nei? ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?
ʻO ka nui o ka wai e hana ʻia ke hoʻomaka kou mau puʻupaʻa e mālama i ka sodium (paʻakai) i loko o kou kino. ʻO ka maʻamau, nā puʻupaʻa e kāohi i ke kaulike o ka paʻakai a me ka wai i loko o ko kākou kino. Ke hoʻoulu kahi maʻi i nā puʻupaʻa e mālama i ka sodium, piʻi aʻe nā pae sodium o ke kino. I ka pane ʻana, hoʻomaka ke kino e hana i ka nui o ka wai.I ka ʻōlelo maʻalahi, ke nui ka paʻakai o ke kino, mālama ia i ka wai e hoʻoheheʻe i ka paʻakai. ʻO kēia ke kumu nui o ka pehu.Aia kekahi mau kumu a me nā hui pilikia e hiki ai ke hana i kēia:
- Ka Hāʻule ʻana o ka Puʻuwai : Ke nāwaliwali kou ʻiʻo puʻuwai, ʻaʻole hiki iā ia ke pamu pono i ke koko. ʻO ke ʻano kēia, ʻaʻole loaʻa i kou mau puʻupaʻa ke koko a lākou e pono ai. Ke hoʻāʻo nei kou kino e uku ma ka mālama ʻana i ka paʻakai a me ka wai. ʻO ka hopena, he paʻa ʻana o ka wai.
- Ka Hāʻule ʻana o nā Puʻupaʻa : Hoʻomaʻemaʻe nā puʻupaʻa i ko mākou koko a wehe i nā mea ʻawahia . Ke hana pono ʻole nā puʻupaʻa, ʻaʻole hiki iā lākou ke wehe i ka wai keu a me ka paʻakai mai ke kino a hōʻiliʻili lākou i loko o ke kino.Hiki i kēia ke hana ma muli o nā maʻi puʻupaʻa e like me ka Nephrotic Syndrome .
- Nā Maʻi ʻAke : ʻO nā maʻi ʻake e like me ka cirrhosis hiki ke hana maikaʻi ʻole i ke ake . Hiki i kēia ke hana i ka wai e hōʻiliʻili i loko o ka ʻōpū (i kapa ʻia ʻo ascites ), a me ka pehu ʻana ma nā lima, nā wāwae, a me ka maka.
- Maʻi diabetes : Hiki i ka maʻi diabetes ke hōʻino i nā puʻupaʻa, hiki ke hoʻoulu i ka hōʻiliʻili ʻana o ka wai i loko o ke kino.
- ʻAi nui i ka paʻakai: Inā hoʻohui ʻoe i ka nui o ka paʻakai i kāu meaʻai, ʻoiai inā ʻoe e ʻai nui i nā meaʻai i hana ʻia, mālama ke kino i ka wai.
- ʻO kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe a me ka ʻeha e hiki ke hoʻopaʻa i ka wai i loko o ke kino ma ke ʻano he hopena ʻaoʻao.
- Hāpai keiki: ʻO nā loli hormonal i ka wā hāpai a me ke kaomi ma luna o nā kīʻaha koko e ka ʻōpū e ulu ana e hoʻonui i ke ʻano o ka hōʻiliʻili ʻana o ka wai i loko o ke kino.
Pehea e mālama ʻia ai?
I ka mālama ʻana i ka nui o ka wai, e hoʻāʻo mua kāu kauka e mālama i ke kūlana kumu i hoʻokumu ai. Hiki ke ʻokoʻa nā koho lapaʻau ma muli o kou kūlana.Lapaʻau lapaʻau
- Diuretics: Ua kapa ʻia kēia mau mea ʻo 'nā pila wai.' Kōkua kēia mau lāʻau lapaʻau i ke kino e hoʻopau i ka wai keu ma o ka mimi.
- Dialysis: Hoʻohana ʻia kēia lāʻau lapaʻau no nā poʻe maʻi me ka hāʻule ʻana o nā puʻupaʻa. Hoʻomaʻemaʻe kahi mīkini i ke koko a hoʻoneʻe i ka wai keu.
- Paracentesis: Ke kaʻina hana e wehe ai i ka wai mai loko mai o ka ʻōpū (ascites) me ka hoʻohana ʻana i kahi ʻōmole liʻiliʻi.
Nā loli o ke ʻano o ka nohona
Me ka lāʻau lapaʻau, hiki i kekahi mau hoʻololi e hiki iā mākou ke hana i ko mākou nohona ke kōkua nui i ka kaohi ʻana i kēia maʻi.- Kaohi i ka paʻakai: ʻO kēia ka mea nui loa. E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu meaʻai. ʻOi aku ka nui o ka paʻakai i nā meaʻai i hana ʻia e like me nā mea ʻono, nā meaʻai i loko o ka pahu, nā sausage, nā keke, a me nā biscuits.
- E kaupaona iā ʻoe iho i kēlā me kēia lā: E kaupaona iā ʻoe iho i ka manawa like, e ʻaʻahu ana i nā lole like. Inā piʻi koke kou kaumaha, hiki ke paʻa ka wai. E haʻi i kāu kauka e pili ana i ia mea.
- Ka palena ʻana i ka lawe ʻana i ka wai: Ua ʻōlelo ʻia kekahi mau maʻi e kā lākou kauka e kaupalena i ka nui o ka wai e hiki iā lākou ke inu i kēlā me kēia lā. E hahai pono i kēia mau ʻōlelo kuhikuhi.
- E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e like me ke kauoha: E lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka, i ka manawa kūpono a me ka nui kūpono.
- Ka nohona olakino:E hōʻalo i ka puhi paka, e kāohi i ka inu ʻana i ka waiʻona, e ʻai i ka meaʻai olakino, a e hoʻoikaika kino kūpono e like me ke kuhikuhi a kāu kauka.
Nā pilikia inā ʻaʻole mālama ʻia
Hiki i ka nui o ka wai ke alakaʻi i nā pilikia koʻikoʻi inā ʻaʻole mālama pono ʻia.- ʻEdema Pulmonary: He pilikia weliweli e hoʻoweliweli ana i ke ola e pilikia ai ka hanu ʻana.
- Ka Holo ʻole o ka Puʻuwai: ʻO ka hoʻohui ʻana i ke kaumaha hou aku i ka puʻuwai nāwaliwali e hiki ke hoʻonui i ke kūlana.
- Ka lohi o ka ho'ōla ʻana o ka ʻeha.
- Ka haki ʻana o nā ʻiʻo.
Leka Lawe-Home
- ʻO ka nui o ka wai i loko o ke kino (Hypervolemia) ka hoʻonui nui ʻana o ka wai i loko o ke kino.
- ʻO ka pehu ʻana o nā wāwae, nā lima, a me ka maka, ka piʻi koke ʻana o ke kaumaha, ka paʻakikī o ka hanu ʻana, a me ke koko kiʻekiʻe nā hōʻailona nui.
- ʻO nā kūlana e like me ka maʻi puʻuwai, ka maʻi puʻupaʻa, a me nā maʻi akepaʻa paha ke kumu nui.
- Inā pilikia ʻoe i ka hanu ʻana a i ʻole ka ʻeha o ka umauma , e noʻonoʻo he pilikia ia a e ʻimi koke i ke kōkua lapaʻau.
- ʻO ka lāʻau lapaʻau e komo pū ana me nā 'pila wai' (diuretics) a me ka mālama ʻana i ka maʻi kumu.
- He mea nui loa ka kaohi ʻana i ka paʻakai i ka meaʻai a me ke ana ʻana i ke kaumaha i kēlā me kēia lā i ka mālama ʻana i kēia maʻi.
- Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio pono me kāu kauka .
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