ʻO ka hoʻopau ʻana o ka Renal i nā pōpoki

Inā pau ka hana ʻana o nā puʻupaʻa, aia ka hopena o nā hopena lōʻihi. No laila he mea nui e ʻike a mālama i ka hiki ʻole o ka renal maʻi ma mua. E ʻike i nā mea āpau e pili ana i nā hōʻailona, ​​​​ka hōʻailona, ​​​​a me ka mālama ʻana i ka hōʻino ʻole ʻana o ka maʻi maʻi i nā pōpoki ma aneʻi.

Hōʻike ka hōʻemi ʻana o ka renal insufficiency (CRF) i ka emi ʻana o nā hana a pau. Hiki ke holomua ma mua o nā mahina a me nā makahiki me ka ʻike ʻole o ka mea nona ka pōpoki i nā loli i kā lākou pōpoki. Ke holomua nei ʻo CKD, ua nalowale a hoʻololi ʻia ka ʻiʻo pili.

Hiki mai nā maʻi metabolic ke hoʻopau ʻia ka 75 pakeneka a ʻoi aʻe paha o ka ʻiʻo puʻupaʻa a hōʻike ka pōpoki i nā hōʻailona o ka maʻi kīkī.

ʻO ke kumu o ka hōʻino ʻole ʻana o ka maʻi maʻi ʻo ia ka mumū mau loa, ʻo ke kumu kumu i ʻike ʻole ʻia.

Nā hōʻailona o ka hāʻule ʻana o ka renal ma nā pōpoki

ʻO ka mea pōʻino, ʻike pinepine ʻia nā maʻi maʻi i ka lohi. I ka wā wale nō i luku ʻia ai ka ʻelua hapakolu o ka ʻiʻo puʻupaʻa e hōʻike ana ka pōpoki i nā hōʻailona o ka hiki ʻole o ka puʻupaʻa.

I ka hoʻomaka mua ʻana o ka hōʻino ʻole ʻana o ka puʻupaʻa, inu nui ka pōpoki a hoʻohua mai i ka mimi e like me ia. I loko o nā pōpoki i loko, ʻike ʻia kēia i ka hoʻomaʻemaʻe ʻana i ka pahu litter. ʻAʻole loaʻa i ka poʻe nona nā pōpoki waho ka manawa e ʻike ai i kēia mau hōʻailona mua, no ka mea, makemake nā pōpoki waho e hoʻokahe i kā lākou ʻōpū ma waho a inu hou aku ma laila. Ma muli o ka pōpoki, ʻike ʻia nā hōʻailona ʻē aʻe i ka wā e piʻi ai ka maʻi. ʻO kēia nā:

• luhi
• ka nele o kaʻai
• luaʻi
• diarrhea
• hulu huluhulu
• mea hanu

Eia nō naʻe, ʻoiai hiki i kēia mau hōʻailona ke hōʻike i nā maʻi ʻē aʻe e like me ka maʻi diabetes mellitus, pono e nānā pono ʻia ka pōpoki e ke kauka.

Eia ka hiʻohiʻona o nā ʻanuʻu āpau o ka hōʻino ʻole ʻana o ka maʻi maʻi i nā pōpoki a me nā hōʻailona.

Māhele I: ʻAʻole lawa ka Renal i ka manawa mua

• creatinine ma ka laulā maʻamau, protein/creatinine ratio maʻamau
• ʻaʻohe ʻano hōʻailona
• ʻaʻohe hopena i ke ola

ʻĀpana II: ʻAʻole hiki ke hoʻopau i ka Renal

• Ua hoʻonui iki ʻia ka creatinine, protein/creatinine ratio ma ka palena palena
• he kakaikahi wale no na popoki i hoike mua i na hoailona mua e like me ka hoonui ana i ka inu
• ʻO ka manaʻolana ola maʻamau me ka ʻole o ka lāʻau lapaʻau ma kahi o 3 mau makahiki

ʻĀpana III: Uremic Renal Failure

• creatinine ma luna o ka laulā maʻamau, hoʻonui ʻia ka lakio protein/creatinine, 75% o ka ʻiʻo ʻāʻī i luku ʻia
• ʻike ʻia nā hōʻailona e like me ka hoʻonui ʻana i ka inu a me ka pau ʻana o ka ʻai;
• hoʻonui ʻia o nā mea mimi i loko o ke koko
• ʻO ka manaʻolana ola maʻamau me ka ʻole o ka lāʻau lapaʻau ma kahi o 2 mau makahiki

Ka Papa IV: Hoʻopau i ka Renal i ka pae hope

• Ua hoʻonui nui ʻia ka creatinine a me ka ratio protein/creatinine
• hiki ole i ka popoki ke mimi hou
• hōʻike ka pōpoki i nā hōʻailona koʻikoʻi e like me ka ʻāʻī, ka luaʻi nui, ka hōʻole ʻana i ka ʻai, etc.
• ʻO ka manaʻolana ola maʻamau me ka ʻole o ka lāʻau lapaʻau 35 mau lā

ʻIke mua o ka maʻi nephritis maʻi i nā pōpoki

ʻOi aku ka ʻelemakule o ka pōpoki, ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka maʻi maʻi maʻi maʻi. I ka makahiki ʻoi aku ma mua o ʻumi makahiki, ma waena o 30 a me 40 ka nui o nā pōpoki āpau i pā. ʻIke ʻia nā kāne kāne ma mua, ma ka awelika, ma 12 mau makahiki ma mua o nā wahine ma 15 mau makahiki.

Hiki i ka mea lapaʻau ke hana i kahi hōʻailona hilinaʻi wale nō me ka hoʻāʻo ʻana i ke koko a me ka mimi i loko o ka hale hana. Hoʻonui nui ʻia nā waiwai o ka urea, creatinine, a me SDMA i nā pōpoki maʻi. Eia kekahi, ʻoi aku ka kiʻekiʻe o nā pae phosphate i ke koko a me nā pae protein i loko o ka mimi.

Pono e nānā mau ʻia ke koko o ka pōpoki a mālama ʻia inā pono, no ka mea, e pōʻino ke koko kiʻekiʻe i nā moku o nā puʻupaʻa. ʻOi aku ma mua o 60 pakeneka o nā pōpoki āpau me ka hōʻino ʻole ʻana i ke koko kiʻekiʻe. Ma waho aʻe o ka hoʻopōʻino ʻana i nā puʻupaʻa, ʻo ia hoʻi ke kumu o ka maʻi puʻuwai i ka pōpoki.

He mea nui ka nānā ʻana i nā kumukūʻai ʻākena i kēlā me kēia makahiki no nā pōpoki ma luna o ʻehiku mau makahiki. ʻO ka mea kūikawā, hōʻike ka waiwai SDMA i nā maʻi maʻi i ka wā mua. Hiki ke hoʻomaka ka lāʻau lapaʻau ma mua o ka loaʻa ʻana o nā hōʻailona o ka pōpoki.

Meaʻai kūpono no nā pōpoki me ka hāʻule ʻole o ka maʻi maʻi

Pono ka mea lapaʻau e hoʻololi i ka mālama ʻana me ka lāʻau lapaʻau a me ka meaʻai kūpono no ka hōʻino ʻole ʻana o ka maʻi maʻi i ka pōpoki a me ke kiʻekiʻe o ka maʻi. Pono ʻoe e hahai i kāna mau lula e like me ka wikiwiki. I ka manaʻo, pono e hoʻemi ʻia ka protein a me ka phosphorus o ka meaʻai meaʻai e hoʻohālikelike ʻia i ka meaʻai pōpoki maʻamau. ʻAʻole pono e hāʻawi ʻia ka pōpoki me ka maʻi kīkī i nā meaʻai ʻai ʻē aʻe a i ʻole nā ​​​​mea hoʻohui huaora me ka ʻole o ka nīnau ʻana i ke kauka holoholona. Aia kekahi mau mea hoʻomākaukau i ka nui o ka phosphorus.

Loaʻa ʻia ka meaʻai meaʻai kīkī kūikawā mai nā mea hana meaʻai like ʻole a ma nā ʻano ʻano like ʻole, no laila ua maʻalahi ka ʻimi ʻana i kahi meaʻai meaʻai e makemake ai ka pōpoki e ʻai. He mea nui e hoʻololi mālie: I ka mua, e hoʻohui i ka meaʻai meaʻai me ka meaʻai maʻamau e ka spoonful a hoʻonui i ka ʻāpana i kēlā me kēia pae.

Nā hopena o ka hāʻule ʻana o ka renal ma nā pōpoki

ʻO ka hana nui o nā puʻupaʻa ka kānana ʻana i nā mea ʻawaʻawa mai ke kino. Hoʻokomo ʻia kēia mau toxins i loko o ka mimi, e waiho ana i nā protein olakino i ke kino. Inā ʻaʻole hana pono nā puʻupaʻa, pilikia ke kino holoʻokoʻa. ʻAʻole hiki ke kānana hou ʻia nā mea ʻawaʻawa pono e hoʻokuʻu ʻia me ka mimi a noho i loko o ke kino. ʻOiai ʻaʻole ʻona ka urea ponoʻī, hiki iā ia ke hoʻololi i ka ammonia toxin pōʻino, e hoʻouka i ka lolo. ʻO ia ke kumu he mea nui ka ʻike ʻana i ka CKD i ka wā hiki loa i hiki i ka pōpoki ke hoʻomau i ke ola lōʻihi, ʻaʻohe hōʻailona.