ʻO nā puʻupaʻa kekahi o nā ʻōkana koʻikoʻi loa i loko o ko kākou kino. Ua like lākou me ʻelua "kānana" i loko o ko kākou kino. ʻO ka hana nui o nā puʻupaʻa, ʻo ia ke kānana a hoʻomaʻemaʻe i nā huahana ʻōpala i loko o ke kino a hoʻokuʻu iā lākou ma ke ʻano he mimi . No laila, he mea nui loa ka mālama ʻana i ke olakino o kēia mau puʻupaʻa. I kēia lā, e kamaʻilio kākou e pili ana i kahi maʻi e hiki ke hoʻopilikia malū i nā puʻupaʻa, akā ʻaʻohe mea e kamaʻilio nui e pili ana i ia mea. ʻO ia ka Interstitial Nephritis.
I ka ʻōlelo maʻalahi, he aha ka Interstitial Nephritis?
ʻAe, kani iki kēia inoa, akā he mea maʻalahi loa ia. Ua ʻōlelo mua wau ua like nā puʻupaʻa me kahi kānana. Loaʻa i kēia kānana kahi pūnaewele o nā ʻōmole liʻiliʻi loa (tubules). I ka lāʻau lapaʻau, kapa mākou i kēia mau "tubules". ʻO ka Interstitial Nephritis ka wā e pehu ai kēlā mau ʻōmole liʻiliʻi a me nā ʻiʻo a puni lākou. Pale kēia pehu i nā puʻupaʻa mai ka hana pono ʻana.
Hiki i kēia ʻano ke akahai loa i kekahi manawa a e hoʻomaikaʻi koke. Akā i kekahi manawa hiki ke ʻoi aku ka koʻikoʻi a mau no ka manawa lōʻihi. ʻO ka hapa nui o ka manawa, hiki mai ia ma ke ʻano he hopena ʻaoʻao o kekahi ʻano maʻi ʻē aʻe.
ʻElua ʻano nui o kēia maʻi.
ʻAe, hiki ke hoʻokaʻawale ʻia ka Interstitial Nephritis i ʻelua ʻano nui. He ʻokoʻa iki ke ʻano o nā mea ʻelua.
| ʻAno | ʻO ka Nephritis Interstitial ʻoi loa | ʻO ka Nephritis Tubulointerstitial mau loa |
|---|---|---|
| ʻO ka wikiwiki i | Hana koke kēia, i loko o kekahi mau lā. | Hoʻomohala mālie kēia, i ka hala ʻana o ka manawa. |
| Mimi ʻana | Hiki ke emi koke a piʻi paha ka nui o ka mimi āu e hoʻomaloʻo ai, ʻoiai i ka pō. | ʻO ka maʻamau, nui ka mimi ʻana. |
| Nā hiʻohiʻona ʻē aʻe | Inā loaʻa kēia ʻano ma muli o ka maʻi bacteria, hiki ke loaʻa ke kuni, ka maʻi ʻōpū mimi, a me ka ʻeha kua. | I ka wā mua, ua like nā hōʻailona me nā hōʻailona o ka hāʻule ʻana o nā puʻupaʻa. Hiki ke ʻike ʻia ka maneʻo, ka luhi nui, ka nalowale o ka makemake e ʻai, ka nausea, ka luaʻi ʻana, a me ka paʻakikī o ka hanu ʻana. |
He aha nā kumu o ka Interstitial Nephritis?
ʻAʻohe kumu hoʻokahi no kēia kūlana, akā hiki i kekahi mau kumu ke kōkua i ia mea. E nānā kākou i nā kumu nui.
| Kumu | Ka wehewehe a me nā laʻana |
|---|---|
| Nā lāʻau lapaʻau | ʻO kēia ke kumu maʻamau . Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā puʻupaʻa. ʻO nā laʻana e komo pū me ka aspirin, kekahi mau antibiotics, nā lāʻau anti-inflammatory non-steroidal, kekahi mau lāʻau lapaʻau no ka gastritis (Proton Pump Inhibitors), a me kekahi mau lāʻau lapaʻau no ka mālama ʻana i ka maʻi kanesa (Immune checkpoint inhibitors). |
| Nā hopena lāʻau lapaʻau | I kekahi manawa hiki ke loaʻa kēia maʻi ma ke ʻano he hopena alerē i kahi lāʻau lapaʻau āu e lawe ai. |
| Nā maʻi | Hiki i nā ʻano maʻi like ʻole ke kumu i kēia. Nā laʻana: nā maʻi bacteria e like me E. coli, nā virus e like me HIV a herpes paha, syphilis, nā parasites, a me nā maʻi fungal. Me nā maʻi e ulu ana i loko o nā puʻupaʻa ponoʻī, hiki i kēia ke lilo i kumu. |
| Nā maʻi pale kino | Hiki ke hana ʻia e kekahi mau maʻi e hoʻopilikia ana i ka ʻōnaehana pale o ke kino. ʻO nā laʻana e like me ka sarcoidosis, Sjogren's syndrome, a me lupus. |
ʻO ka mea nui loa, mai ho'ōki i ka lawe ʻana i kahi lāʻau lapaʻau a kāu kauka i kuhikuhi ai no ka mea aia ma kēia papa inoa. Inā he kānalua kāu, e kamaʻilio me kāu kauka .
He aha nā hōʻailona o kēia maʻi?
ʻO ka mea hoihoi ma ʻaneʻi, ʻaʻohe o ka hapa nui o ka poʻe i loaʻa i kekahi mau hōʻailona, a i ʻole nā hōʻailona liʻiliʻi wale nō. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā mea e like me:
- Ua emi ka hoʻopuka ʻana o ka mimi
- Hoʻonui ʻia ke alapine (frequency) a i ʻole ka nui o ka mimi ʻana
- Ka luaʻi a me ka luaʻi
- kuni
- Nā ʻōhū ʻili
- Ke koko kiʻekiʻe
- Ka hoʻomaha ʻole a i ʻole ka haunaele
- Hiamoe nui
- Nā pilikia o ka hoʻomanaʻo a me ka ʻike (Confusion)
- Ka pehu ʻana o ke kino holoʻokoʻa a i ʻole ma kekahi mau wahi
- Piʻi ke kaumaha
Inā loaʻa iā ʻoe ke ʻano maʻi mau loa (lōʻihi), hiki paha iā ʻoe ke paʻakikī i ka hanu ʻana . Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻoiai inā loaʻa lākou ma hope o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau.
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
No ka hōʻoia pololei ʻana i kēia maʻi, pono e hana ʻia kekahi mau hoʻokolohua hoʻokolohua.
- Nā hoʻāʻo hana puʻupaʻa: He mau hoʻāʻo koko maʻalahi kēia e hiki ke hōʻike i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa. Hiki iā lākou ke nānā i nā pae kiʻekiʻe o nā huahana ʻōpala i loko o ke koko, e like me ka uric acid a me ka phosphate.
- ʻO ka biopsy puʻupaʻa:ʻO kēia wale nō ke ala e hōʻoia ai i ka maʻi 100% o ka manawa. Akā, ʻaʻole hana ʻia kēia no nā mea āpau. ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupaʻa me kahi nila lahilahi loa a nānā iā ia ma lalo o kahi microscope. Hana ʻia kēia hoʻāʻo i nā hihia kūikawā, e like me ka hoʻoholo ʻana inā e hāʻawi i nā lāʻau lapaʻau e like me corticosteroids a i ʻole.
- Nā hoʻokolohua ʻē aʻe: Hiki i kāu kauka ke kauoha i nā scan e like me ka ultrasound scan a i ʻole ka radionuclide scan. Hiki i kēia mau scan ke kōkua i ka nānā ʻana i ka pehu ʻana i loko o nā puʻupaʻa, ʻoiai inā manaʻo ʻia he hopena maʻi i kahi lāʻau lapaʻau.
He aha nā lāʻau lapaʻau no kēia?
ʻO nā koho lapaʻau e pili ana i ke ʻano o ka nephritis interstitial āu e loaʻa ai a pehea kona koʻikoʻi.
No ka Nephritis Interstitial ʻĀkiu (ʻano hoʻomaka koke):
ʻO ka mea mua a me ka mea nui loa, ʻo ia ke hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau i manaʻo ʻia . Akā, pono e hana ʻia kēia ma lalo o ke aʻo a kāu kauka . Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau ma kāu iho.
Inā loaʻa kēia i kahi maʻi e like me ka lupus a i ʻole kahi maʻi allergy i kahi lāʻau lapaʻau, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me corticosteroids e hōʻemi i ka pehu.
Inā lilo ke ʻano i mea koʻikoʻi loa a hoʻomaka nā puʻupaʻa e hāʻule, pono paha ʻoe e hana i kahi kaʻina hana hoʻomaʻemaʻe koko me ka hoʻohana ʻana i kahi mīkini, i kapa ʻia ʻo dialysis.
No ka Chronic Interstitial Nephritis (ke ʻano lōʻihi):
Eia kekahi, inā he lāʻau lapaʻau e hoʻoulu ai i ka maʻi, he mea nui e hoʻōki iā ia ma ke ʻōlelo aʻoaʻo a ke kauka. Eia kekahi, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau ʻē aʻe e kāohi i kou koko a pale i ka holomua hou ʻana o ka maʻi.
ʻO ka mea pōʻino, inā ua hōʻino mau ʻia nā puʻupaʻa, pono paha ʻoe i ka dialysis no ke ola holoʻokoʻa a i ʻole ka hoʻoili ʻana i ka puʻupaʻa.
ʻO ia ke kumu a mākou e ʻōlelo nei ʻo ka hoʻolohe ʻana i nā hōʻailona a me ka ʻimi koke ʻana i ke aʻo lapaʻau hiki ke pale i ka pōʻino nui.
Leka Lawe-Home
- ʻO ka nephritis interstitial kahi mumū o nā kahawai kānana maikaʻi i loko o nā puʻupaʻa a me nā ʻiʻo a puni, hiki ke hōʻino i nā puʻupaʻa.
- Hoʻokumu pinepine ʻia kēia e kekahi mau lāʻau lapaʻau, nā maʻi, a i ʻole nā kūlana e hoʻopilikia ana i ka ʻōnaehana pale o ke kino.
- Inā loaʻa iā ʻoe nā hōʻailona e like me nā loli i ka mimi ʻana, ka pehu ʻana, ke kuni, a i ʻole nā ʻulaʻula ʻili, e ʻike koke i ke kauka . ʻOiai inā ʻike ʻia kēia mau hōʻailona ma hope o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e haʻi iā lākou e pili ana.
- Aia kekahi lāʻau lapaʻau no kēia maʻi. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hōʻemi i ka hōʻino ʻia o nā puʻupaʻa.
- Mai hoʻomaka a hoʻōki paha i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo a kāu kauka.
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