Huʻi a me ka maʻiʻaʻa puʻuwai ole i loko o nā pōpoki

Healthy puʻupaʻa wehe i nā palapala waiwai i loaa i loko o ka popoki ka kino. Akā, i kekahi manawa nā puʻupaʻa mai i Makuakane me kā lākou hana. Kekahi o na maʻi loa nui o nā puʻupaʻa - hakuʻala hoʻokō 'ole', i i hapa 'ia (a me kekahi manawa loa) ka hiki ua lilo i ke kahua a me ka excretion o ka mimi. Kēia ma ka huli ke kumu no ka haunaele oʻakika-waihona ipu, ka wai a me ka paʻakai, osmotic homeostasis. E like me ka hopena, pōʻino i nā mea a pau kino nenoai.

Huʻiʻaʻa puʻuwai 'ole (ARF olelo mahope) ikeia koke. Ke kumu waiho i loko o ka huʻi lesion hakuʻala nā'aʻaʻa (a me nā konāhua), pinepine reversible. Visually kekahi 'like me kaʻoi emi i loko o ka buke o ka mimi, i ka anuria (wa e kaawale aku o ka mimi).

Huʻiʻaʻa puʻuwai ole i loko o nā pōpoki ua maheleia i eha kahua o ka hoʻonaʻauao. Ka mua o ka ka ho'ēmiʻana i loko o ka nui o ka mimi a me ke koko, kulu. Ma ka lua o ke kahua kimu dala o ka mimi dramatically hoemi paha pohaku kona hoʻokaʻawale i ka mau. Ma ka iapaau ana o ka hiki nā paena mahuahua (a hiki loa i ka kūmau), akā, wale i ka paakai a me ka wai i wehe 'ia mai ke kino. Inā ke au i ka maikaʻi, a me ka lapaʻau mea pololei, alaila, i ka hoihoi hou ana, e lawe ma kahi o elua mahina.

Maʻiʻaʻa puʻuwai ole i loko o nā pōpoki (ka CRI) pinepine i hoikeia me ka elemakule, a ia lŘlŘ i loko o kekahi hapakolu o ka mua nā pōpoki. E kuhikuhi i CKD a me ka pono a me ka lapaʻau 'ana pākōlea ana, e like me keia maʻi ke kānāwai a me ka huna nae. Keʻena hoʻokolohua haʻawina Ua hōʻike loa-manawa (elua pule a oi) mahuahua i loko o ke koko a me ka urea creatinine (azotemia).

Maʻiʻaʻa puʻuwai ole hoi i wehewehe aku ma ka huʻiʻaʻa puʻuwai ole. Huʻi, e like me ka makou i ike, a pau o ka ulia Ka hoʻomaka 'ana, e hoʻomōhala ana i ka maʻi lōʻihi manawa (kekahi mau makahiki) a ia lŘlŘ ma luna o ke kāʻei kua o kaʻaʻa puʻuwai ka maʻi' ē aʻe. Aiaʻia "compensatedʻaʻa puʻuwai ole i loko o nā pōpoki" ma i ʻaʻa puʻuwai hana, mamua maʻi maʻi hana manao uluku.

Pololeiʻike, ua i wale e ke kauka (ma ke kumu o ka nana, hoʻomakākiu ( 'inikua ninaninau koi' ia), a me nā assays). Inā na symptoms i ho'ākāka 'ia mai e luku aku i ka poe maikai hola no ka noʻonoʻo, - E lawe mai i kau Ka Hānai Ā Huhu i ka? Aaieou. I ka maʻi ua malamaia lakou. Aka, no ka mea, he lōʻihi manawa. Akā, i ka manawa o ke ola, ua nui. I ka manawaʻike. No hoi, no ka mua pōpoki mea pono makahiki kāohi 'inikua ninaninau (a hiki ina ka mea, aohe haiahū kūmau).

E kuhikuhi i na kahua o ka hoʻonaʻauao loiloi mua o ka CKD mea pono: ka mua symptoms o "Auca" ka wā o ka poino elua-hapakolu o ka hakuʻala a me ka manawa i nalowale. Akā, a hiki i keia hihia, no ka iapaau ana mea hiki, aole mea e e paʻakikī a me ka lōʻihi. ʻaʻa puʻuwai ole i loko o nā pōpoki pono mea lapaau.

Ma mua o ka huakaʻi a hiki i ka? Aaieou ohi mimi i hiki (e lawe mai), ka mea e hoola manawa. Ma ka? Aaieou, loa paha oe e e noi e lawe i ka m-Ray a me ka ultrasound (pono hookaawale iaʻeho a me ka pohaku i loko o nā puʻupaʻa). Mai haawi mai. He maoli e pono ai. Paha ka popoki, e alakaʻi mai i kekahi Akä naÿe kalameaʻai. Hana ole e make koke. Kēiaʻano hana ua hana no ka "kiʻi" clearer o na hakuʻala hale. E lawe a (ua wehe i ka hāpana o ka hakuʻala'aʻaʻa he lahilahi kui kele ma lalo o anesthesia) biopsy.

Hoakakaia lapaʻau, o ka papa, hilinaʻi nui ma luna o kaʻike,. Nā pōhaku i wehe 'ia kekahi maʻai (he kūikawā,' inikua) a ma ka surgically. Eia naʻe, he nui mua pōpoki pilikia mea,ʻaʻole i loko o ka pōhaku, a me ka degeneration o kaʻaʻa puʻuwai'aʻaʻa. A me ka 'aneʻi, Eia naʻe, piha hou ana aole e hiki ke. Lapaʻau ua kuhikuhi ia ma ke kaʻina hana o ka meheu o ia a me ka noʻonoʻo i ke ano.

Lōʻihi-ʻia kēla me ka hakuʻala maʻi mea i pololei ai rosy, ina i ka maʻi ua 'akomi i kakahiaka nui, a kūpono' eleu hoʻokō 'ia e ia. Inā i ka hana 'ole wale ke kolu, undamaged, kekahi o nā puʻupaʻa, ke lana nei koʻu manao, ua nawaliwali ia. Akā, e hiki ke haawi aku i ka mea nāna kākoʻoi ka lapaau a me ka eaioiuo, a me ka popoki mea no 2-3 makahiki o ka 'ōlelo.