Mary Allen
Hoʻokahi o ʻekolu pōpoki ma luna o 15 mau makahiki e hoʻomohala i ka CKD. ʻO ka mālama mua ʻana e hiki ke hōʻoia i ka maikaʻi o ka pōpoki no ka manawa lōʻihi e hiki mai ana.
ʻO ka nalo ʻana o ka hana o nā puʻupaʻa no ka manawa lōʻihi i kapa ʻia ʻo ia ka maʻi maʻi kīkī maʻi (CKD). Hoʻopilikia ʻia nā pōpoki kahiko. ʻO ia kekahi o nā kumu nui o ka make. Hoʻomaka ka maʻi me ka insidiously, ʻo ia ke kumu e nānā pinepine ʻia ai i ka wā mua. ʻO ka mea pōʻino, ʻaʻole hiki ke hoʻōla. Eia naʻe, hiki i ka lāʻau lapaʻau ke hoʻolōʻihi i ka holomua o CKD.
Pehea ka ulu ʻana o CKD?
Hiki ke kumu mai ka CKD ma muli o kekahi pōʻino puʻupaʻa, no ka laʻana, ma muli o ka piʻi ʻana o ka maʻi ʻāpana mimi a i ʻole kahi kīnā hānau. ʻAʻole hāʻule koke nā puʻupaʻa, akā nalo mālie ka hana no ka manawa lōʻihi. ʻO ka ʻāpana i kēlā me kēia ʻāpana, ua luku ʻia nā ʻāpana kānana liʻiliʻi i loko o nā puʻupaʻa, nā nephrons. Ma muli o ka nui o nā nephrons i nā puʻupaʻa - ma kahi o 190,000 i loko o kahi pōpoki - hiki iā lākou ke uku mua no ka poho. Eia naʻe, inā ma kahi o ʻelua hapakolu o nā ʻāpana kānana liʻiliʻi e pili ana, ʻaʻole hiki i nā puʻupaʻa ke hoʻokō pono i kā lākou hana. E emi ana ka nui o ka mimi a e hōʻiliʻili mālie ke koko i ka ʻōpala a me nā meaʻawaʻawa i hoʻokuʻu ʻia i loko o ka mimi. Ma ka papa hou aʻe, hiki i nā ʻāpana nui e like me nā protein ke komo i loko o ka mimi,
Pehea wau e ʻike ai he CKD paha ka pōpoki?
Ua inu nui anei ka popoki a pono e pee pinepine a me ka nui? ʻO kēia paha nā hōʻailona mua o ka maʻi kīkī. He nui nā pōpoki me CKD e nalowale ka ʻai a lilo ke kaumaha. Ke nānā aku nei ka hulu i ka puʻu a me ka ʻāhuehue. Ke hele nei ka maʻi, hiki i ka ʻōpala i loko o ke koko ke kumu e luaʻi ai ka pōpoki a i ʻole ka nawaliwali a me ka papa ʻole. Honi pinepine ka hanu.
I ka makahiki hea e pōmaikaʻi ai ka nānā ʻana i nā lāʻau pale?
Pono e hoʻopaʻa ʻia kahi hoʻopaʻapaʻa pale makahiki ma ka hoʻomaʻamaʻa holoholona ma ka papa manawa no nā pōpoki o nā makahiki āpau. Ma ka nānā ʻana, ka manaʻo, a me ka hoʻolohe pono ʻana, hiki i ke kauka lapaʻau ke ʻike i nā maʻi i ka wā mua. No ka ʻike ʻana i ka pōʻino o ka puʻupaʻa, pono ke nānā ʻia kahi hōʻike mimi a me ke koko i loko o ka hale hana. Manaʻo ʻia kēia i kēlā me kēia makahiki no nā pōpoki ma luna o ʻehiku mau makahiki. I ka hihia o nā holoholona kahiko a maʻi paha, hiki ke hoʻohana ʻia nā hoʻokolohua ʻeono mahina.
Hiki iā ʻoe ke pale i ka pōʻino ʻino nui i nā pōpoki?
He aha ka hopena o ka meaʻai i ka ulu ʻana o CKD? No ka laʻana, hiki i ka nui o ka phosphate a i ʻole ka liʻiliʻi o ka potassium ke hoʻonui i ka pilikia o CKD. ʻAʻole ʻike ʻia ka hopena maikaʻi o nā meaʻai kūikawā me ka haʻahaʻa o ka protein. Ua hōʻike ʻia hoʻi ʻaʻohe mea ʻokoʻa inā hānai ʻia ka pōpoki i ka meaʻai maloʻo a pulu paha. I kēlā me kēia hihia, pono ʻo ia e inu lawa: Pono e loaʻa mau ka wai maʻemaʻe. Pono nō hoʻi e hoʻolohe i ke olakino waha: hiki i nā pilikia niho ke alakaʻi i ka pōʻino o nā puʻupaʻa ke waiho ʻole ʻia.
Nā nīnau i nīnau pinepineʻia
He aha ka hewa no nā puʻupaʻa o ka pōpoki?
ʻO ka lawaʻole o ka puʻupaʻa he mea weliweli i ke ola no ka mea ua hoʻemi nui ʻia ka hana o nā puʻupaʻa a i ʻole, i ka hihia ʻino loa, hāʻule loa. Aia ka hōʻiliʻili ʻana o nā mea ʻawaʻawa i loko o ke kino, kahi e hōʻeha hou ai ma laila. ʻO ka hoʻomaʻamaʻa ʻole ʻana o ka renal he mea make pinepine.
He aha ke kumu o ka hōʻino ʻana o ka kidney i nā pōpoki?
ʻO ka hōʻiliʻili ʻana o nā mea ʻawaʻawa i loko o ka ʻiʻo o ka puʻupaʻa. ʻino ke kahe o ke koko renal (ischemia) nā maʻi o ka ʻōnaehana pale (e.g. feline infectious peritonitis = FIP) nā maʻi maʻi.
Pehea ka pilikia o ka puki?
ʻO ka inu pinepine, ka mimi pinepine, ka pau ʻana o ka ʻai, ka pohō kaumaha, ka wai maloʻo, ka luaʻi ʻana, ka ʻaʻahu ʻahuʻula, ʻaʻahu ʻole, a nāwaliwali paha.
Pehea e pale aku ai i nā pilikia o ka puʻupaʻa i nā pōpoki?
He mea nui hoʻi e loaʻa mau i kāu pōpoki ka wai inu hou a inu mau. No ka liʻiliʻi o ka wai, pono e hana ikaika nā puʻupaʻa e hana i ka mimi.
ʻO wai ka ʻiʻo no nā pōpoki me ka maʻi kīkī?
ʻO ka ʻiʻo ka nui o ka ʻiʻo ʻiʻo me ka momona momona. ʻO ka ʻiʻo kuisa a i ʻole ka ʻiʻo ʻiʻo, ka pipi momona (ka ʻiʻo mua, ka ʻiʻo poʻo, ka ʻaoʻao ʻaoʻao), a i ʻole ka ʻiʻo i hoʻolapalapa ʻia a i ʻoki ʻia paha ua kūpono kēia. Hana ʻia nā iʻa ʻaila e like me ka salmon a i ʻole mackerel i hoʻokahi manawa i ka pule.
He aha ka mea e ʻai ʻole ai ka pōpoki me ka maʻi kīkī?
Mea nui: ʻOi aku ka maikaʻi ʻaʻole e hānai nui i ka ʻiʻo - aia i loko o kahi helu nui o nā protein, ʻaʻole hiki i ke kino o kāu pōpoki me ka maʻi kīkī ke mālama maikaʻi. Eia kekahi, e makaʻala ʻaʻole e hānai i ka nui o nā carbohydrates, akā e nānā pono i nā momona olakino.
Pono e inu nui nā pōpoki me ka maʻi kīkī?
Hāʻawi ia i nā huaora a pau e pono ai ka holoholona me ka maʻi kīkī. ʻO kēia ka nui o nā huaora hiki ke hoʻoheheʻe ʻia i ka wai (e laʻa. Eia kekahi, e hōʻoia i ka lawa ʻana o ka wai inu hou i loaʻa i kāu pōpoki.
Pehea e hiki ai iā ʻoe ke hoʻomaikaʻi i ka waiwai o ka kidney i nā pōpoki?
He kuleana koʻikoʻi ka meaʻai i ka mālama ʻana i ka maʻi hōʻino ʻole. Pono ka popoki ma ka ʻai kīkī kūikawā no ke koena o kona ola. ʻOi aku ka liʻiliʻi o ka protein ma mua o ka meaʻai maʻamau, akā ʻoi aku ka maikaʻi o ka protein.