maʻi kīkī

ʻO ka maʻi kīpē, ʻike ʻia hoʻi ʻo ka maʻi renal, hoʻopili i nā ʻano ʻano like ʻole e hōʻino i kou mau puʻupaʻa a hoʻopilikia i kā lākou hana. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama pono ʻana i mea e pale ai i ka pōʻino hou aʻe a mālama i ke olakino holoʻokoʻa. ʻIke kēia ʻatikala i nā kumu, nā hōʻailona, ​​nā pae, ka ʻike, ka pale ʻana, a me nā koho lapaʻau no maʻi kīkī, e hāʻawi ana i alakaʻi piha i ka hoʻomaopopo ʻana a me ka hoʻokele ʻana i kēia pilikia olakino ʻO ka maʻi ʻāʻīHe aha nā ʻāʻī a he aha kā lākou e hana ai? ʻO kou mau puʻupaʻa he ʻelua ʻano ʻano pīni, ʻo kēlā me kēia me ka nui o kou lima, aia ma lalo pono o kou iwi iwi ʻaoʻao, hoʻokahi ma kēlā me kēia ʻaoʻao o kou iwi kuamoʻo. Hana lākou i kekahi mau hana koʻikoʻi, me ka kānana ʻana i ka ʻōpala a me nā wai nui mai kou koko, a laila e hoʻokuʻu ʻia i loko o ka mimi. Kōkua nō hoʻi lākou i ka hoʻoponopono ʻana i ke kahe koko, hoʻohua i nā keʻena koko ʻulaʻula, a mālama i nā iwi ikaika. Nā ʻano o ʻO ka maʻi ʻāʻīHe mau ʻano o maʻi kīkī aia, kēlā me kēia me kona kumu pono'ī a me kona ʻano. ʻO kekahi o nā mea maʻamau ka: Kēlāʻau ʻO ka maʻi ʻāʻī (CKD): ʻO ka nalo ʻana o ka hana kīkī i ka manawa. ʻOkoʻa ʻO ka maʻi ʻāʻī (AKD): ʻO ka nalo koke ʻana o ka hana kīkī hiki ke hana i loko o nā hola a i ʻole nā ​​lā. ʻO ka ʻōpū Nā maʻi (Pyelonephritis): ʻO nā maʻi e hoʻomaka maʻamau i loko o ka ʻōpū a hele i nā puʻupaʻa. ʻO ka ʻōpū Nā pōhaku (Nephrolithiasis): ʻO nā waihona paʻa i hana ʻia me nā minerala a me nā paʻakai i hana ʻia i loko o kou puʻupaʻa. Glomerulonephritis: ʻO ka mumū o ka glomeruli, nā ʻāpana kānana liʻiliʻi i loko o kou puʻupaʻa. Polycystic ʻO ka maʻi ʻāʻī (PKD): He maʻi hoʻoilina e ulu ai nā ʻōpū i loko o kou mau puʻupaʻa. ʻO ka maʻi ʻāʻīHiki i kekahi mau kumu ke kōkua i ka hoʻomohala ʻana o maʻi kīkī. ʻO nā kumu maʻamau ka: Diabetes: Hiki i ke kiʻekiʻe o ke kō koko ke hōʻino i nā kīʻaha koko i loko o kou mau puʻupaʻa. Ke koko kiʻekiʻe (Hipertension): Hiki i ke koko kiʻekiʻe ke kāohi ʻole ʻia ke ʻeha a hōʻino i nā puʻupaʻa. Glomerulonephritis: ʻO ka ʻā ʻana o nā ʻāpana kānana o ka puʻupaʻa. Polycystic ʻO ka maʻi ʻāʻī: ʻO kahi maʻi genetic e hoʻokumu ai i nā cysts i loko o nā puʻupaʻa. ʻAʻai ʻana i ka ʻāʻī mimi: Hiki ke hoʻopōʻino i nā puʻupaʻa i ka wā lōʻihi. ʻO kekahi mau lāʻau a me nā mea ʻawaʻawa: Hiki i kekahi mau lāʻau lapaʻau a me ka ʻike ʻana i nā toxins ke hōʻeha i nā puʻupaʻa. Risk Factors for ʻO ka maʻi ʻāʻīʻOi aku ka pilikia o ka ulu ʻana o kekahi poʻe maʻi kīkī. Aia kēia mau mea pilikia: Diabetes Ke Koko Kiekie Moolelo Ohana o ʻO ka maʻi ʻāʻī ʻO ka maʻi puʻuwai ʻObesity Makahiki Kekahi Pūʻulu Lahui (ʻAmelika ʻAmelika, Hepanika, ʻAmelika ʻōiwi)Nā hōʻailona a me ka ʻike ʻike ʻana i nā hōʻailona o ʻO ka maʻi ʻāʻīʻO ka maʻi kīpē ulu lohi pinepine a ʻaʻole hiki ke hōʻike i nā hōʻailona ʻike ʻia i ka wā mua. Ke hele nei ka maʻi, hiki ke komo i nā hōʻailona: Ka luhi a me ka nawaliwali ʻO ka pehu ma kou mau wāwae, nā kuʻekuʻe wāwae, a i ʻole nā lima Hoʻololi i ka mimi (frequency, amount, color) ʻImi hoʻomau ʻAiʻi ʻiʻo Nausea a me ka luai Pau ka ʻai pilikia ka moeKa hoʻopaʻa ʻana ʻO ka maʻi ʻāʻīHe mea koʻikoʻi ka ʻike mua ʻana no ka mālama pono ʻana o maʻi kīkī. Hoʻohana nā kauka i kekahi mau hoʻokolohua e ʻike ai maʻi kīkī, me: Nā hoʻāʻo koko: No ke ana 'ana i ka nui o ka creatinine a me ka BUN (blood urea nitrogen) e hōʻike ana i ka hana o ka puʻupaʻa. eGFR (estimated glomerular filtration rate) ua helu ʻia mai kēia mau waiwai. Nā hōʻike mimi: No ka ʻike ʻana i ka protein, ke koko, a me nā mea ʻino ʻē aʻe i ka mimi. Nā hoʻāʻo kiʻi: E like me ka ultrasound, CT scan, a i ʻole MRI, e ʻike i nā puʻupaʻa a ʻike i nā mea ʻino. ʻO ka ʻōpū Biopsy: Hoʻopili i ka lawe ʻana i kahi laʻana liʻiliʻi o ka ʻiʻo ʻiʻo no ka nānā ʻana ma lalo o kahi microscope. No ka ʻike hohonu e pili ana maʻi kīkī maʻi, hiki iā ʻoe ke nīnau i nā kauka lapaʻau ma Shandong Baofa Cancer Research Institute.Pau o Kēlāʻau ʻO ka maʻi ʻāʻī (CKD)Hoʻokaʻawale ʻia ʻo CKD i ʻelima mau ʻanuʻu e pili ana i ka helu kānana glomerular filtration rate (eGFR) i manaʻo ʻia, kahi e ana i ka maikaʻi o kāu mau puʻupaʻa e kānana ʻana i ka ʻōpala. Pae eGFR (mL/min/1.73 m2) Hōʻike Pae 1 90 a ʻoi aku paha ʻO ka ʻōpū pōʻino me ka pae GFR maʻamau a hoʻonui paha ʻO ka ʻōpū pōʻino me ka emi haʻahaʻa o ka GFR pae 3a 45-59 hōʻemi haʻahaʻa ka GFR pae 3b 30-44 hōʻemi haʻahaʻa ka pae GFR hōʻemi haʻahaʻa ʻia ka pae GFR pae 5 Ma lalo o 15 (a i ʻole dialysis) ʻO ka ʻōpū hemahema Source: National ʻO ka ʻōpū kahua. https://www.kidney.org/atoz/content/about-chronic-kidney-diseaseKāohi a me ka mālama ʻana ʻO ka maʻi ʻāʻīʻOiai ʻaʻole nā ʻano āpau maʻi kīkī hiki ke pale ʻia, hiki iā ʻoe ke hana i nā hana e hōʻemi i kou pilikia: Mālama i ka maʻi diabetes: E hoʻopaʻa i kou pae kō koko ma o ka ʻai, ka hoʻoikaika kino, a me ka lāʻau lapaʻau. Kāohi i ke koko kiʻekiʻe: E nānā mau i ke kahe o ke koko a e hana e hoʻohaʻahaʻa i ke koko inā he kiʻekiʻe. E mālama i ke kaumaha olakino: Hoʻonui ka momona i kou pilikia maʻi kīkī. E ʻai i ka meaʻai olakino: E kaupalena i ka sodium, nā meaʻai i hana ʻia, a me nā mea inu kō. Noho wai wai: E inu nui i ka wai a puni ka lā. Hōʻalo i ka inu ʻana i ka waiʻona nui loa: E kaupalena i ka inu ʻana i ka waiʻona i nā pae haʻahaʻa. Mai puhi: Hoʻopilikia ka paka i nā kīʻaha koko a hiki ke ʻino maʻi kīkī. Hōʻalo i ka hoʻohana nui ʻana i nā NSAID: ʻO nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ka ibuprofen a me ka naproxen hiki ke hōʻeha i kou mau puʻupaʻa inā lawe mau ʻia i nā kau kiʻekiʻe. Nānā mau: Inā loaʻa iā ʻoe nā kumu pilikia no maʻi kīkī, e kiʻi i nā nānā maʻamau me kāu kauka.Managing ʻO ka maʻi ʻāʻīLapaʻau no maʻi kīkī pili i ke ʻano a me ka pae o ka maʻi. Loaʻa nā koho lapaʻau maʻamau: Nā lāʻau lapaʻau: No ka hoʻopaʻa ʻana i ke koko, ke kō koko, ka cholesterol, a me nā ʻano kumu ʻē aʻe. Nā hoʻololi meaʻai: Ma hope o ka meaʻai haʻahaʻa-protein, haʻahaʻa-sodium, haʻahaʻa-phosphorus, a me ka haʻahaʻa-potassium hiki ke kōkua i ka mālama ʻana. maʻi kīkī. Dialysis: He kaʻina hana e kānana ai i ka ʻōpala a me ka wai nui mai kou koko ke hiki ʻole i kou puʻupaʻa ke hana pēlā. ʻElua ʻano nui: hemodialysis a me peritoneal dialysis. ʻO ka ʻōpū Kaunu: Ke pani nei i ka ma'i ma'i me ke ola kino mai ka mea haawi ʻO ka maʻi ʻāʻīNoho me maʻi kīkī hiki ke paʻakikī, akā me ka hoʻokele kūpono a me ke kākoʻo, hiki iā ʻoe ke mālama i kahi kūlana maikaʻi o ke ola. ʻO ka maʻi ʻāʻī E hahai pono i nā ʻōlelo a kāu kauka. E lawe i kāu mau lāʻau e like me ka mea i kauoha ʻia. E hoʻomau i kāu hoʻolālā meaʻai. E hooikaika mau. E mālama i ke kaumaha. E lawa ka hiamoe. E hui pū me kahi hui kākoʻo. E kamaʻilio me kāu kauka a i ʻole kekahi kauka noʻonoʻo inā pilikia ʻoe.Ka hopenaʻO ka maʻi kīpē he maʻi olakino koʻikoʻi hiki ke loaʻa ka hopena nui i kou ola. Eia nō naʻe, hiki i ka ʻike mua ʻana, ka hoʻokele kūpono, a me ka hoʻololi ʻana i ke ʻano o ke ola ke kōkua i ka hoʻolohi i ka piʻi ʻana o ka maʻi a hoʻomaikaʻi i kou olakino holoʻokoʻa. Ma ka hoʻomaopopo ʻana i nā kumu, nā hōʻailona, a me nā koho lapaʻau no maʻi kīkī, hiki iā ʻoe ke hana i nā hana koʻikoʻi e pale i kou mau puʻupaʻa a mālama i ke ola olakino. Inā kānalua ʻoe ua loaʻa paha iā ʻoe maʻi kīkī, e kukakuka pu me kekahi oihana ola kino ma Shandong Baofa Cancer Research Institute no ka hōʻoia pololei a me ka hoʻolālā lapaʻau pilikino.