Ke nānā ʻoe i kahi hōʻike koko, ua ʻike anei ʻoe i kahi mea i kapa ʻia ʻo Phosphorus? Kamaʻilio mākou a pau e pili ana i ka calcium a me ka wikamina D, akā ʻaʻole mākou e kamaʻilio nui e pili ana i ka Phosphorus. Akā he mineral kēia e pono ai no ka hoʻoikaika ʻana i ko mākou mau iwi a me ka hāʻawi ʻana i ka ikehu i nā ʻāpana o ke kino. Akā... pehea inā piʻi aʻe kēia pae Phosphorus i loko o ke kino ma mua o ka mea e pono ai? ʻO ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo Hyperphosphatemia . Mai hopohopo, ʻoiai he paʻakikī iki ka inoa, ke kamaʻilio nei mākou e pili ana i kēia kūlana i kēia lā e kōkua iā ʻoe e hoʻomaopopo maʻalahi.
He aha maoli ka Hyperphosphatemia?
I ka ʻōlelo maʻalahi, ʻo ka hyperphosphatemia ka wā e kiʻekiʻe ai ka pae phosphorus i loko o kou koko ma mua o ka maʻamau. ʻO kēia ke ʻano maʻamau i nā poʻe me ka maʻi puʻupaʻa mau (CKD) .
E noʻonoʻo i ko kākou mau puʻupaʻa e like me ke kānana. ʻO kekahi o nā hana nui o nā puʻupaʻa, ʻo ia ke kānana i nā mea pono ʻole a keu mai ke kino a hoʻokuʻu iā lākou ma o ka mimi. Hoʻokuʻu pū nā puʻupaʻa i ka phosphorus keu mai nā meaʻai a kākou e ʻai ai a inu ai ma kēia ʻano.
Eia nō naʻe, i ka wā ʻaʻole hana pono nā puʻupaʻa, e like me ke ʻano e like me CKD, ʻaʻole hana pono kēia kānana. A laila, hoʻomaka ka phosphorus keu e hōʻiliʻili i loko o ke kino ma kahi o ka hoʻokuʻu ʻia ʻana.
ʻAʻole noho wale ka phosphorus e hōʻiliʻili ana ma kēia ʻano. Hiki iā ia ke hōʻeha i ko kākou kino.
Hoʻomaka kēia phosphorus keu e huki i ka calcium mai ko kākou mau iwi . A laila lilo nā iwi i nāwaliwali a hiki ke haki maʻalahi. Eia kekahi, ʻo kēlā calcium i huki ʻia, i hui pū ʻia me ka phosphorus, hiki ke hana i nā waihona liʻiliʻi i loko o ko kākou mau kīʻaha koko, nā māmā, nā maka, a me ka puʻuwai. Hiki i kēia ke hoʻonui i ka pilikia o nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau .
He aha nā hōʻailona o kēia maʻi?
I ka hapa nui o ka manawa, ʻaʻole hōʻike ʻo Hyperphosphatemia i kekahi mau hōʻailona kikoʻī, e lilo ia i ʻenemi leo ʻole. Eia nō naʻe, i kekahi manawa e ʻike ʻia nā hōʻailona penei:
Eia nō naʻe, ʻo ka mea i ʻike pinepine ʻia, ʻo ia nā hōʻailona o ka maʻi kumu i hoʻokumu i kēia, ʻo ia hoʻi, ka maʻi puʻupaʻa. E nānā pono kākou i nā ʻano hōʻailona ʻelua ma kahi papa.
| ʻAno o ka hōʻailona | Nā hiʻohiʻona i ʻike ʻia |
|---|---|
| Nā hōʻailona e hiki mai ana ma muli o ka hyperphosphatemia |
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| Nā hōʻailona maʻamau o ka maʻi puʻupaʻa |
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I kekahi mau hihia koʻikoʻi, hiki i ka pae calcium i loko o ke koko ke hāʻule haʻahaʻa loa. Kāhea nā kauka i kēia he Hypocalcemia . Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi me ka ʻōnaehana nerve, e like me nā hopu ʻana . Inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻike koke i ke kauka.
No hea mai kēia phosphorus?
He mineral kūlohelohe ka phosphorus i loaʻa i nā meaʻai he nui a mākou e ʻai ai. Hana pū ka phosphorus, calcium, a me ka wikamina D e mālama i ko mākou mau iwi olakino a ikaika. Eia kekahi mau meaʻai kiʻekiʻe i ka phosphorus:
- ʻIʻo ʻulaʻula
- Nā meaʻai waiū e like me ka waiū a me ka tīhi
- Iʻa
- Nā nati maloʻo (chickpeas, peas, beans ʻōmaʻomaʻo)
- Nā nati a me ka pata nati
- Berena i hana ʻia mai nā palaoa piha me ka bran
Ma waho aʻe o kēia mau mea, ua hoʻohui ʻia ka phosphorus i nā meaʻai wikiwiki, nā meaʻai i hana ʻia, nā meaʻai i loko o ka pahu, a me nā mea inu ʻōmole a mākou e ʻai ai i kēia lā e mālama iā lākou a hoʻonui i ko lākou ʻono. No laila, kiʻekiʻe loa ka nui o ka phosphorus i loko o kēia mau meaʻai.
Nā ʻano hōʻailona a me ka mālama ʻana
Hiki ke paʻakikī ke ʻike i kēia maʻi no ka mea ʻaʻohe ona hōʻailona kikoʻī. ʻIke pinepine ʻia ia i ka wā o ka hoʻāʻo koko no kekahi maʻi ʻē aʻe.
Pehea e ʻike ai i ka maʻi
E ho'āʻo kāu kauka i kahi hāpana o kou koko a ana i ka nui o ka phosphate i loko. Inā ʻoi aku ia ma mua o ka pae i ʻōlelo ʻia, e hōʻoia ia he hyperphosphatemia kou.
Pehea e mālama ʻia ai?
ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ke kaohi i ka pae o ka phosphorus i loko o ke koko a mālama i ka maʻi kumu (pinepine i ka maʻi puʻupaʻa) nāna i hoʻokumu.
1. ʻAi:ʻO kahi ʻāpana koʻikoʻi o ka mālama ʻana, ʻo ia ka ʻai. E aʻo ʻia ʻoe e kaupalena i nā meaʻai kiʻekiʻe i ka phosphorus i ʻōlelo ʻia ma luna, ʻoiai hoʻi nā meaʻai i hana ʻia.
2. Nā lāʻau lapaʻau: ʻO nā lāʻau lapaʻau e hoʻopaʻa ana i ka phosphate kahi ʻano lāʻau lapaʻau i hāʻawi ʻia me nā meaʻai. Hoʻōki kēia mau pila i ka omo ʻana o ka phosphorus mai ka meaʻai a mākou e ʻai ai a hoʻopuka aku i loko o ka ʻōpala. He mea nui loa ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻai .
3. Dialysis: Inā aia kou maʻi puʻupaʻa i kahi pae koʻikoʻi, pono paha ʻoe e hana i ka dialysis. Hoʻopau kēia kaʻina hana i ka phosphorus keu me nā huahana ʻōpala i hōʻiliʻili ʻia i loko o ke kino.
4. Wikamina D: Hiki i ka maʻi puʻupaʻa ke pale i ke kino mai ka hoʻohana pono ʻana i ka wikamina D. No laila, hiki i kāu kauka ke kuhikuhi i kahi ʻano kūikawā o ka wikamina D nāu.
Inā ʻaʻole mālama ʻia, hiki i kēia kūlana ke alakaʻi i nā kūlana koʻikoʻi, e like me ka hyperparathyroidism lua, renal osteodystrophy, a me ka metastatic calcification.
No laila, he mea nui e hahai pono i nā ʻōlelo a ke kauka.
Leka Lawe-Home
- ʻO ka Hyperphosphatemia kahi pae kiʻekiʻe o ka phosphorus i loko o ke koko. ʻO ke kumu nui o kēia, ʻo ia ka maʻi puʻupaʻa mau loa (CKD).
- I ka hapa nui o ka manawa, ʻaʻole ia e hōʻike i kekahi mau hōʻailona. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā kūlana koʻikoʻi e like me ka nāwaliwali o ka iwi a me ka maʻi puʻuwai.
- Hiki ke ʻike ʻia kēia kūlana me kahi hoʻāʻo koko maʻalahi.
- ʻO ka mālama ʻana e komo pū ana me ka kaohi ʻana i ka ʻai, nā lāʻau lapaʻau kūikawā (nā mea hoʻopaʻa phosphate), a me ka mālama ʻana i ka maʻi puʻupaʻa ma lalo.
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa, a i ʻole he kānalua paha no ia mea, e kamaʻilio me kāu kauka a loaʻa i ka ʻōlelo aʻoaʻo a me ka lāʻau lapaʻau e pono ai. Mai kaupalena i kāu ʻai a hoʻōki paha i ka lawe ʻana i ka lāʻau lapaʻau i kou makemake.
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