I kēia mau lā, lohe pinepine kākou e pili ana i ka maʻi puʻupaʻa , ʻeā? Akā, ʻaʻole ʻike ka nui o ka poʻe he pilikia ko lākou i ka loaʻa ʻana o ka maʻi puʻupaʻa . I kekahi manawa, ʻoiai ke ʻike ʻia nā hōʻailona, ʻaʻole mākou e nānā nui iā lākou. Ma muli o kēia, i ka wā e hele ai ka nui o ka poʻe e ʻike i ke kauka, he ʻano koʻikoʻi paha ka maʻi. No laila, he mea nui loa ka mālama ʻana i ke olakino o nā puʻupaʻa. ʻO ke kauka loea e kōkua iā mākou ma kēia huakaʻi ua kapa ʻia ʻo ia he Nephrologist . E ʻike kākou ʻo wai kēia Nephrologist, a i nā hihia hea e pono ai mākou e ʻike i hoʻokahi.
I ka ʻōlelo maʻalahi, ʻo wai kēia Nephrologist?
ʻO ke kauka nephrologist (puana ʻia ʻo 'neph-ro-lo-gist') he kauka loea i ka ʻike a me ka mālama ʻana i nā maʻi puʻupaʻa a me nā maʻi pili. ʻOi aku ka pololei, he kauka loea ʻo ia i nā maʻi puʻupaʻa . I kekahi manawa ua kapa ʻia kēia kahua he lāʻau lapaʻau renal.
ʻO kekahi o nā ʻōkana koʻikoʻi loa i loko o ko kākou kino, ʻo ia nā puʻupaʻa. Ua like lākou me nā kānana ʻelua. Kānana lākou i ko kākou koko a wehe i nā ʻōpala i makemake ʻole ʻia a me ka wai keu e like me ka mimi . Inā ʻaʻole holo pono kēia kaʻina hana, hoʻomaka nā mea ʻawahia e hōʻiliʻili i loko o ko kākou kino.
Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ka momona, ka maʻi puʻuwai, a me ke koko kiʻekiʻe , ʻoi aku ka nui o kou loaʻa ʻana i ka maʻi puʻupaʻa. Eia kekahi, hiki i kekahi me ka maʻi puʻupaʻa ke loaʻa i ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai. No laila ua pili pū kēia mau mea a pau.
ʻO ka mea maikaʻi loa, inā ʻike mua ʻia ka maʻi puʻupaʻa, hiki ke kāohi ʻia ka pōʻino a i kekahi manawa hoʻohuli ʻia. ʻO ia ke kumu e pono ai ke kōkua o kahi nephrologist.
He aha ka ʻokoʻa ma waena o kahi Nephrologist a me kahi Urologist?
He mea kēia e huikau ai nā kānaka he nui. Ke loaʻa iā ʻoe kahi pilikia puʻupaʻa, ke noʻonoʻo nei ʻoe inā pono ʻoe e hele i kahi Nephrologist a i ʻole Urologist. ʻOiai ʻo lāua ʻelua e mālama nei i nā pilikia e pili ana i nā puʻupaʻa, ʻokoʻa kā lāua mau ʻoihana kūikawā. E hoʻomaopopo pono kākou i kēia ʻokoʻa.
| Kauka loea | Wahi nui o ke kālele ʻana |
|---|---|
| He kauka noʻonoʻo puʻupaʻa (nephrologist) | Ke nānā nui nei lākou i ka hana o nā puʻupaʻa a me nā maʻi e hoʻopilikia ana iā ia. No ka laʻana, ka maʻi puʻupaʻa mau loa (CKD), ka hāʻule ʻana o nā puʻupaʻa, a me ke koko kiʻekiʻe i hoʻokumu ʻia e ka maʻi puʻupaʻa. ʻO ka dialysis a me ka mālama ma hope o ke kāpili ʻana kekahi ʻāpana o kā lākou kuleana. ʻAʻole lākou e hana i ke ʻoki kino. |
| ʻUrologist (kauka ʻōnaehana mimi) | Ke nānā nei lākou i ka ʻōnaehana mimi holoʻokoʻa, ʻo ia hoʻi, nā puʻupaʻa, ka ʻōpū mimi, nā ureters, a me ka urethra. Nānā pū lākou i nā maʻi o ka ʻōnaehana hānau kāne. He mau kauka ʻokiʻoki lākou. No ka laʻana, hana kahi Urologist i nā kaʻina hana ʻoki e like me ka wehe ʻana i nā pōhaku puʻupaʻa a me ka wehe ʻana i nā puʻupuʻu i loko o ka ʻōnaehana mimi. |
I ka ʻōlelo maʻalahi, inā ʻo kāu pilikia me ka hana o nā puʻupaʻa (e.g. kiʻekiʻe ka creatinine i loko o ke koko), e kōkua kahi Nephrologist iā ʻoe. Akā inā pono kāu pilikia i ke ʻoki ʻana (e.g. nā pōhaku puʻupaʻa), pono ʻoe e hele i kahi Urologist.
I ka manawa hea e pono ai ʻoe e ʻike i kahi nephrologist?
ʻO ka maʻamau, e kuhikuhi aku kāu kauka ʻohana (Laulā Kauka) iā ʻoe i kahi loea puʻupaʻa. Inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia a i ʻole nā hōʻailona, he mea naʻauao ke kamaʻilio me kāu kauka a ʻike i kahi nephrologist.
Nā kumu pilikia
- Loaʻa kahi moʻolelo ʻohana o ka maʻi puʻupaʻa: Inā ua loaʻa i kou makuahine, kou makuakāne, a i ʻole kou mau kaikaina ka maʻi puʻupaʻa, ua ʻoi aku kou pilikia.
- ʻO ka maʻi diabetes: ʻO ka maʻi diabetes kekahi kumu nui o ka hōʻino ʻana o nā puʻupaʻa. No laila, pono i nā mea a pau me ka maʻi diabetes ke mālama i ko lākou mau puʻupaʻa.
- Ke koko kiʻekiʻe: Hiki i ke koko kiʻekiʻe ke hōʻino i nā kīʻaha koko palupalu e hoʻolako koko i nā puʻupaʻa.
Nā hōʻailona e makaʻala ai
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e hoʻolohe iā lākou.
| Hōʻailona | E aʻo e pili ana i kēia |
|---|---|
| Mimi huʻa | He mea maʻamau ka loaʻa ʻana o kekahi mau pehu i ka wā e mimi ai ʻoe a laila nalo aku. Eia nō naʻe, inā ʻike ʻoe i ka nui o nā pehu liʻiliʻi e like me nā huʻa kopa, he hōʻailona ia o ka nui o ka protein i loko o ka mimi (proteinuria). Hiki i kēia ke lilo i hōʻailona mua o ka hōʻino ʻia o nā puʻupaʻa . |
| Nā maʻi ʻōpū mimi pinepine (UTI mau) | Inā loaʻa pinepine nā maʻi ʻōpū mimi, hiki i ka maʻi ke laha i nā puʻupaʻa, a hiki ke hōʻeha mau loa i nā puʻupaʻa. |
| Nā Pōhaku Puʻupaʻa e Hoʻi Hou Ana | Hiki i nā pōhaku puʻupaʻa ke hōʻino i nā puʻupaʻa a hoʻoulu i nā maʻi. Inā loaʻa pinepine kēia ʻano, he mea nui e nānā i ke kumu. |
| Pehu ʻana | Ke hiki ʻole i nā puʻupaʻa ke hoʻohemo i ka wai a me ka paʻakai keu, hoʻomaka nā wāwae, nā kuʻekuʻe wāwae, nā lima, a i ʻole ke alo e pehu. ʻO ka pehu a puni nā maka, ʻoi aku hoʻi i ke kakahiaka, he hōʻailona maʻamau nō hoʻi. |
| ʻEha ʻili a me ka ʻeha iwi/hui | Ke hāʻule nā puʻupaʻa, hoʻopilikia ʻia ke kaulike o ka calcium a me ka phosphorus i loko o ke koko. Hiki i kēia ke hana i ka maneʻo nui a me ka ʻeha o ka iwi. Ua kapa ʻia kēia maʻi ʻo Renal Bone Disease. |
| Nā hiʻohiʻona ʻē aʻe | ʻO nā hōʻailona o ka maʻi puʻupaʻa e komo pū me ka luhi pinepine, ka pōkole o ka hanu, ka nalowale o ka makemake, ka nausea, a me ke koko i loko o ka mimi. |
He mea nui anei ke ʻike ʻana i kahi nephrologist i nā wā mua o ka maʻi puʻupaʻa?
ʻAe, ʻoiaʻiʻo nō. Ua māhele ʻia ka maʻi puʻupaʻa i 5 mau pae. I nā pae mua 1-3, loaʻa nō i nā puʻupaʻa kekahi hiki ke kānana i ke koko. Inā ʻike ʻoe i kahi nephrologist i kēia pae, hiki iā ia ke kuhikuhi i nā lāʻau lapaʻau e kāohi i ka maʻi mai ka ʻino ʻana a mālama i ka hana puʻupaʻa no ka lōʻihi e hiki ai. Ma nā pae 4-5, hiki ke hoʻemi nui ʻia ka hana puʻupaʻa a i ʻole e oki loa. I kēlā manawa, pono paha ʻoe e noʻonoʻo i ka dialysis a i ʻole ka hoʻoili puʻupaʻa.
E hoʻomanaʻo, mai kali a loaʻa iā ʻoe nā hōʻailona. Inā he mau mea pilikia kou, e ʻike pinepine i kāu kauka e nānā i kou mau puʻupaʻa.
He loea ka nephrologist me ka pae kiʻekiʻe loa o ka ʻike a me ke aʻo ʻana ma kēia kahua. Ma hope o ke kula lapaʻau, loaʻa iā lākou nā makahiki o ke aʻo ʻana ma ka Lapaʻau Kūloko, a ukali ʻia e kahi Fellowship ma Nephrology. No laila, hiki iā lākou ke hāʻawi i ka ʻōlelo aʻoaʻo a me ka lāʻau maikaʻi loa no ke olakino o kou puʻupaʻa.
Leka Lawe-Home
- He kauka nephrologist ka mea i loea i ka ʻike ʻana a me ka mālama ʻana i nā maʻi puʻupaʻa.
- Inā loaʻa iā ʻoe ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole kahi moʻolelo ʻohana o ka maʻi puʻupaʻa, aia nō hoʻi ʻoe i ka pilikia.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka mimi huʻa, ka pehu ʻana o ke kino, ka luhi pinepine, a me ka ʻili maneʻo.
- Inā makemake ʻoe e kaohi i kahi pilikia puʻupaʻa me ka lāʻau lapaʻau me ka ʻole o ke ʻoki ʻana, hele ʻoe i kahi Nephrologist. Inā pono ʻoe i ke ʻoki ʻana, hele ʻoe i kahi Urologist.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona, e ʻike mua i kāu kauka ʻohana. E kuhikuhi ʻo ia iā ʻoe i kahi nephrologist inā pono.
- ʻO ka ʻike mua ʻia ʻana o ka maʻi puʻupaʻa, ʻo ka nui aʻe o ka loaʻa ʻana o nā hopena maikaʻi o ka lāʻau.
Kauka Nephrologist, puʻupaʻa, maʻi puʻupaʻa, maʻi puʻupaʻa, urologist, hāʻule puʻupaʻa, dialysis, loea puʻupaʻa
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