Kūkākūkā hou ʻana i ka hāʻule ʻana o ka ʻīlio

- ʻAʻole paʻakikī o ka renal.

I nā lā he 10 i hala iho nei, ua ʻike ʻia nā ʻīlio ʻelua i ka maʻi ʻino ʻino, ua haʻalele kekahi, a ke hoʻoikaika nei ka mea mālama holoholona e mālama iā ia. ʻO ke kumu i maopopo loa ai iā mākou e pili ana i ka hiki ʻole o ka puʻupaʻa ma muli o ka hoʻāʻo biochemical mua, ua olakino maikaʻi nā hōʻailona o ke ake a me nā puʻupaʻa, a ʻaʻohe hōʻailona o ka hōʻino ʻana i ke kino. Ma hope o 1-2 mau lā o ka hoʻokolokolo ʻana, ua ʻoluʻolu ʻole ke kino, me ka emi ʻana o ka makemake, nāwaliwali o ke kino, a me ka lethargy noʻonoʻo. A laila, i ke kolu o ka lā o ka hele ʻana i ka haukapila no ka hoʻokolokolo ʻana, ua hōʻike ʻia nā hōʻailona puʻupaʻa i ʻike maopopo ʻole ʻia, a ua hoʻonui pū ʻia nā hōʻailona o ke ake. ʻAʻole i liʻuliʻu, ua ʻike ʻia kekahi maʻi o ke kino koʻikoʻi e like me ka uremia, ka pau ʻole o ka naʻau, a me ka encephalopathy hepatic i loko o kekahi mau lā. Hiki i kekahi o kēia mau maʻi hoʻokahi ke alakaʻi i ka make ʻana o nā ʻīlio… Loaʻa ka manaʻolana ma hope o ka loaʻa ʻana o ka hōʻino ʻana?

He aha ka hōʻino ʻana o ka puʻupaʻa i nā ʻīlio? ʻO ka mea mua, ʻaʻole he maʻi hoʻokahi wale nō ka hōʻino ʻana o ka renal, akā he huaʻōlelo hui no nā pane maʻi he nui e pili ana i ke ola kino a me ka emi ʻana o ka hana. ʻO ka puʻupaʻa olakino ke kuleana no ka hoʻoponopono ʻana i ka wai i loko o ke kino, hoʻokuʻu i nā hormones e pono ai no ka hana ʻana i ke koko ʻulaʻula, hoʻomaʻemaʻe i nā toxins metabolic, a me ka mālama ʻana i ke koena electrolyte holoʻokoʻa. Ke pilikia ka puʻupaʻa, ʻaʻole hiki iā ia ke hoʻokō pono i kēia mau hana, no laila ke alakaʻi pinepine nei ka hana ʻole i ka anemia, electrolyte imbalance, acidosis, alkalosis, a me uremia.

Hiki ke hoʻokaʻawale ʻia ka hōʻino ʻana o ka ʻīlio i loko o ka hōʻino renal acute a me ka hoʻopau ʻana o ka renal. ʻO ke kumu maʻamau o ka hōʻino ʻole ʻana o ka puʻupaʻa e pili ana i ka ʻai ʻana i nā toxins a i ʻole nā ​​​​maʻi, i hiki ke hoʻemi koke i ka hana kīkī i loko o kekahi mau hola a i ʻole mau lā. ʻO ka hapa nui o ka maʻi hōʻino ʻino he paʻakikī ke ʻike i ke kumu o ka maʻi, ke ʻole ia he lāʻau lapaʻau kūpono ʻole e hiki ke hoʻoholo ʻia ma o nā moʻolelo lāʻau. ʻO ka hoʻopau ʻana i ka maʻi maʻi maʻi he hoʻomohala e mau ana no nā pule, mahina, a i ʻole mau makahiki, me ka hoʻomau mau ʻana o ka hana kīkī. MaʻAmelika Hui PūʻIa,ʻo ka hapa nui o ia mea e pili pono ana i kaʻelemakule, a ma Kina, pili pū kekahi i kaʻaiʻana i ka meaʻai maʻamau o nā meaʻino a iʻole nā ​​hana hānaiʻepekema. ʻOi aku ka paʻakikī o ka hoʻoholo ʻana i ke kumu o ka hāʻule ʻana o ka maʻi maʻi. Aia wale nō i ka nalowale ʻana o ka puʻupaʻa ma mua o 75% o kāna hana e loaʻa ai nā hōʻike lab. Loaʻa paha ma hope o ka ʻai ʻana i kekahi meaʻai no hoʻokahi makahiki, ʻaʻohe pilikia. I ka manawa e hiki ai i ka makahiki 1 a me ka lā 1, e emi ana ka puʻupaʻa mai ka nui a i ka maikaʻi, e alakaʻi ana i ka hōʻino ʻole.

-ʻO nā kumu o ka hiki ʻole o ka renal-

Hiki ke alakaʻi i ka hemahema o ke kīkiʻi kekahi mea e pili ana i ke ola kino. Inā kikoʻī ʻia, hiki ke hoʻokaʻawale ʻia nā kumu i nā ʻōlelo aʻe

1: ʻAʻole i hōʻike wale ʻia ka ʻelemakule i ka helehelena nāwaliwali a me ka hoʻomanawanui, akā ke alakaʻi nei i ka emi ʻana o ka pono o ka hana hou ʻana o ka visceral cell, hoʻonāwaliwali i ka hana o ke kino. ʻO kēia ke kumu nui o ka hāʻule ʻana o ka maʻi maʻi ma muli o nā kumu waho ʻole. Ma nā ʻatikala mua e pili ana i nā ʻīlio ʻelemakule, ua hōʻike mākou ʻo nā maʻi puʻuwai a me nā puʻupaʻa ke kumu maʻamau o ka make o nā ʻīlio ʻelemakule.

2: ʻO ka ulu ʻana o ka hānau ʻana a i ʻole nā ​​pilikia genetic, ka ulu ʻana o nā puʻupaʻa maʻamau, nā kīkī kīkī, a i ʻole ka loaʻa ʻana o hoʻokahi puʻupaʻa i ka hānau ʻana, hiki i nā mea a pau ke alakaʻi i ke kaumaha nui ma nā puʻupaʻa, ʻo ia mau mea a pau ke alakaʻi i ka hōʻino ʻole.

3: Hiki i nā maʻi bacteria, nā maʻi maʻi he nui a me nā maʻi bacteria ke komo i loko o nā puʻupaʻa, e hōʻino ai i nā pūnaewele. ʻO ka hapa nui o lākou ma muli o ka ʻauʻau ʻana i loko o ka wai haumia a lepo, a i ʻole ka inu ʻana i ka wai lepo mai nā wahi hihiu ma waho. ʻO kēia mau maʻi bacteria a i ʻole maʻi maʻi ke kumu maʻamau i ka ʻāʻī ʻana a me ka pōʻino o nā cell, a ukali ʻia e ka nawaliwali o ka hana kīkī, hoʻonui i ke kaomi, a ma hope o ka hōʻole ʻana o ke kīkī.

4: ʻO ka nephrotoxicity ke kumu maʻamau o ka hōʻino ʻana i ka renal ma Kina, a hiki i nā mea ʻawaʻawa ke hōʻino i nā pūnaewele. Ke ʻai nā ʻīlio i nā mea ʻawaʻawa, e like me ka antifreeze a me nā lilia, hiki i nā meaʻai he nui ke hoʻopōʻino i ke kīkī, a ʻaʻohe lāʻau lapaʻau e mālama ai; Hiki i ka nui o nā lāʻau lapaʻau ke hoʻopōʻino i ke kīkī, e like me nā lāʻau anu a me ka gentamicin. ʻO ka hapa liʻiliʻi o nā ʻōlelo kuhikuhi lāʻau e ʻōlelo ʻia e mālama ʻia ka maʻi maʻi me ka makaʻala a i ʻole e hoʻemi ʻia ke ʻano no ka lawa ʻole o ka renal.

5: ʻO ka maloʻo nui o ka wā pōkole, ka maʻi paʻa mau, ka luaʻi, ke ahi, ke koko nui, ascites, a pēlā aku.

-ʻAʻole hiki ke hoʻopau i ka renal maʻi-

ʻO nā maʻi koʻikoʻi ʻelua a me ka maʻi maʻi maʻi hiki ke hoʻoweliweli i ke ola o nā ʻīlio. Hiki ke make i loko o kekahi mau lā, akā ʻo ka mea maikaʻi, me ka mālama pono ʻana, hiki i ka pōmaikaʻi ke alakaʻi i ka hoʻōla piha. ʻAʻole hiki ke hōʻike ʻia nā hōʻailona maʻamau i ka wā pōkole, akā ʻo ka hoʻomohala ʻana o ka maʻi he manawa pōkole a hiki ʻole ke hoʻōla loa. Hiki iā ia ke mālama i nā puʻupaʻa mai ka nalowale ʻana o ka hana a hoʻolōʻihi i ka maikaʻi o ke ola.

Wahi a ka International Renal Association (IRIS), ua hoʻokaʻawale ʻia ka maʻi maʻi maʻi i ʻehā mau pae. ʻO ke kiʻekiʻe o ka pae, ʻoi aku ka nui o nā hōʻailona i ʻike ʻia e nā holoholona, ​​​​a ʻo ka mālama mua ʻana, ʻoi aku ka lōʻihi o ko lākou ola. Wahi a ka ʻikepili o ka hui, ʻo ka manawa ola ma waena o nā ʻīlio i ka pae mua o ka hōʻino ʻana o ka maʻi maʻi ma mua o 400 mau lā, ʻo ka manawa ola ma waena o ka lua he 200-400 mau lā, ʻo ke kolu o ka pae he 100-200 lā, a ʻo ke ola ʻana. ʻO ka manawa ma ka pae ʻehā he 14-80 mau lā wale nō. ʻO ka ʻoiaʻiʻo, ʻo ka ʻike mua ʻana o nā maʻi a me ka mālama ʻepekema o nā mea nona nā holoholona he mea koʻikoʻi i ka lōʻihi o ke ola. Ma waho aʻe o ka dialysis, ʻaʻohe lāʻau lapaʻau kūikawā no ka hōʻino ʻole ʻana, no laila hiki i ka hopena o ka lāʻau lapaʻau ke hoʻolalelale i ka wikiwiki o ka ulu ʻana o ka maʻi.

No ka mea he mea nui ka ʻike mua ʻana, he aha nā hōʻike o ka hiki ʻole o ka renal? ʻO ke kumu o ka paʻakikī o ka hana ʻana i ka renal maʻi maʻi no ka mea ʻaʻole i ʻike ʻia kona mau hōʻailona mua, a ʻo ka ʻike pinepine ʻia e hele pū ʻia me nā mea pōʻino, e like me ka hoʻonui ʻana i ka mimi i loko o ka ʻōpū a me ka emi ʻana o ka mimi; No ka laʻana, nāwaliwali o ka ʻōnaehana a me ka lethargy noʻonoʻo ma muli o ka emi ʻana o ka maʻi potassium i loko o ke koko; No ka laʻana, luaʻi pinepine a me ka maʻi maʻi i kekahi manawa; Ke piʻi aʻe nei ka maʻi, aia kekahi mau hōʻailona ʻike ʻia, e like me ke koko i loko o ka mimi, ka hiamoe a me ka lethargy, anemia a me nā ʻāʻī haʻihaʻi, nā ʻeha waha hoʻomau, ka nui o ke kaumaha, nāwaliwali o ka lolo i ke kino, hele paʻa ʻole, emi ka ʻai, nui loa a emi iho paha ka mimi;

Ma hope o ka ʻike ʻana i nā hōʻailona ma luna, e lawe koke i kāu pipi i kahi haukapila kokoke loa no kahi hoʻāʻo biochemical. Manaʻo ʻia e hana i kahi hoʻāʻo biochemical me 16 a ʻoi aku paha nā mea, pono e hoʻokomo i nā hōʻailona hōʻailona e like me ka creatinine, urea nitrogen, a me ka phosphorus. Ma muli o ka ulu pinepine ʻana o ka ate a me ka puʻupaʻa, he mea nui hoʻi ka nānā ʻana i nā hōʻailona ate. Ma muli o nā hopena hoʻokolokolo, e hoʻoholo i ke ʻano o ka hiki ʻole o ka renal, e hoʻāʻo e ʻike i ke kumu o ka hiki ʻole o ka renal e like me ka hiki, a laila e loaʻa i ka lāʻau lapaʻau. ʻO ke koʻikoʻi, ka paʻa, a laila e hoʻomalu pono i ke ola a me ka meaʻai, ma kēia ala wale nō e hiki ai ke hoʻopaneʻe ʻia ka ulu ʻana o ka maʻi a hiki ke hoʻonui ʻia ka maikaʻi o ke ola.