ʻO ke ōlaʻi Renal ma kahi ala i hoʻoiho ʻia mai nā kānana a me nā hana excretory o nā keiki.
Ke alakaʻi nei kēia i ke ʻano o ke kō i loko o ka wai, i kahi hoʻololi i ke koena o ka wai-paʻakai a me ka hoʻomohala ʻana i ka wai kaumaha.
He aha ke ʻano o ka hoʻomohala ʻana o ka maʻi, no ke aha kēia e hana nei?
Nā kumu o ke Diabetes Renal
Aia kekahi ʻano like ʻole o ka maʻi mākia:
- Saline - ke kū nei ma muli o ka nalowale ʻana o nā ʻāpana renal o ka hikiwawe i ka aldosterone, he hormone synthesized e nā kelepa adrenal. Ma muli o kēia, ke hoʻopau nei ke kaʻina hana o ka sodium reabsorption, a hoʻopiʻi ʻia ana i nā keu mai ke kino me ka urine.
- ʻOukulapula (kaomi) - hoʻomohala ʻia me ka hana renal impaired a ua hoʻoholo ʻia ma ka nānā ʻana o ka glucose i loko o ka pāʻai, e kūʻē ana i ke kumu o nā hōʻailona o ke kō koko.
- ʻO ka huehue Neprogenogen - i kēia hihia, hoʻonā ka naʻau o ka glomeruli o ka renal i ka hormone i hūnā ʻia e ka gluiter pition. Me kēia pathology, hoʻokuʻu i kahi nui o ka urine pakuʻu.
ʻO nā mea i hoʻonāukiuki i ka hoʻomohala ʻana o ka paʻakai paʻakai:
- nā hōʻeha poʻo;
- maʻi vascular;
- predisposition genetic;
- maʻi lēpela;
- nā loiloi autoimmune;
- nā maʻi kumuhana pale;
- ke ʻano o nā kumulā o ka pituitary a me ka hypothalamus.
Hiki i ka mellitus maʻi hano maʻa he mau congenital (kumu mua a hoʻomohala paha ma muli o ke ʻano o ka alakaʻalolo paha (pathological).
ʻO ka pinepine, ʻikeʻia ka glucosuria i nā wahine hāpai a hiki i ka pathological a me ke kino.
Hele mai nā pathological glucosuria no kēia mau kumu:
- nā mea hemahema o ka pūpū a me nā mea nui paha;
- hoʻoilina kuleana;
- hāmau nui;
- maʻi nui pancreatitis;
- hapai ma hope o 35 makahiki.
Kūleʻa ka ʻano physiological o ka maʻi i kēlā mau ʻano:
- nā maʻi maʻi hormonal;
- ka helu kiʻekiʻe o ka kānana toto i loko o nā keiki a hoʻonui i ke kahe koko;
- hoʻemi i ka hāmeʻe o nā membrane cell.
Inā ʻike ka glucose i ka urine, ua hoʻomau ʻia ka noiʻi ʻana, ʻoiai, ʻaʻole ia e hōʻike i kēlā mau kuhikuhi ke alualu i kahi kaʻina pili i loko o nā keiki.
ʻO ka Sugar i loko o ka urine e ʻike ʻia ma muli o ka hōʻino ʻia o nā sweets ma mua o ka lā o ka hoʻokolohua a i ʻole ma hope o ka hana ʻana o ke kino.
ʻO ka maʻamau ʻo ia mau hihia, i ka hopena o ka reanalysis, hoʻi mai nā hōʻailona a pau i kahi maʻamau. Inā ʻike hou ʻia ka glucose i ka urine, ua kuhikuhi ʻia kahi moʻo holoʻokoʻa.
Nā hōʻailona nui
Hoʻomaopopo pinepine ʻia nā maʻi lapaʻau o ka glucosuria a hiki ke uku ʻia ka nānā ʻana i nā hihia paʻakikī loa i nalowale kekahi hapa nui o ka glucose.
A laila aia nā hōʻailona aʻe nei:
- ka manaʻo ʻana o ka pōloli mau;
- hana ʻino;
- hiki ke kūpono i ka noʻonoʻo;
- e ulu ana i ka nāwaliwali.
Inā ʻike kekahi wahine hāpai i ka hapanui i loko o kāna kuki, a laila, i ka wā e hoʻopiʻi ai i ka nalowale i ka glucose, ʻaʻole ia he pilikia no ka hoʻomau ʻana a me ka hoʻomohala ʻana i ka maʻi hāpai. Akā inā hōʻike pinepine ʻia ka glucosuria i kahi manawa lōʻihi a mau nō ia, laila, ʻo ia kahi hōʻailona e pili ana i ka hopena o ka maʻi maʻi gestational.
Video ma nā maʻi maʻi gestational i nā wahine hāpai:
Hoʻohālikelike ʻia ka maʻi maʻamau o ka maʻi diabetes neʻehā.
- hoʻonui i ka nui o ka urine i hoʻopuka i kēlā me kēia lā, ma muli o ka nui o ka maʻi, e hiki ai i ka 2 a 20 mau lita o ka paʻakai e hoʻokuʻu;
- huakai huakai;
- ʻO ka haunaele hiamoe a nāwaliwali;
- huhū;
- hoʻouka;
- ʻO ka lilo ʻana o ka momona kaumaha;
- fiva;
- maloʻo maloʻo;
- hoʻemi i ka nui o ka waiʻu i hūnā ʻia.
E kū'ē i ke kua o ka maʻi maʻamau o ka maʻi diabetes, hiki i nā kāne ke ʻike i ka hiki ʻana i ka erectile dysfunction, a i loko hoʻi o nā wahine ua haunaele ka hūnā. No nā keiki, ʻo kēia pathology he mea weliweli loa. Ma muli o ka nalowale ʻana i nā huaʻai a me ka hiwa, ʻoi aku ka nui o nā poʻe maʻi ma hope o ka hoʻolālā ʻana, ua lohi ka ʻōpio i nā wā'ōpiopio.
I nā hihia holomua, hoʻonui ʻia ka pōʻino o ka maʻi: a hoʻonui ʻia ka pelvis ʻoihana, a me ka nui o nā ureter a me nā loli. Hoʻokomo ʻia nā ʻiʻo e hoʻonui ai i ka ʻōpū, kahi e hoʻoneʻe ai. Eia kekahi, ua kūwili ʻia nā paia o ka pūpoki, nāʻino ʻo nā dile bile a piʻiholo ʻia ka naʻau.
Hōʻike ka maʻi maʻi paʻakai ma mua o kēia mau hōʻailona i loko o nā maʻi penei:
- waiho kaumaha;
- constipation pinepine;
- lilo ka momona
- kele o ka paila e hoʻohuli ana i ka luaʻi;
- pinepine me ka hoʻoiho ʻana i ka nui o ka nui o ka urine.
ʻO kahi hōʻailona o ka maʻi paʻakai o ka pae o ka paʻakai o ka pāʻai, ʻoi aku ka nui o ke kumu ʻimi ʻia ma mua o 15 mau manawa.
ʻO ka pilikia nui o ka maʻi hānai he nui ka make ʻana, ka mea, inā hiki ʻole ke hoʻokaʻawale ʻia, hiki ke make i ka make.
Nā hana Diagnostic a me nā lāʻau lapaʻau
No nā hana diagnostic, hiki ke hoʻohana ʻia i nā ʻoihana noiʻi a me nā haʻawina kōkua.
- ka nānāʻana i ka urine aoao - no ka paʻila ʻana i ka urine, no ka heleʻana o nā kao a me nā kino ketone;
- biochemistry koko - ma ka pae o potassium, sodium, glucose, urea a me ka mea hana;
- hōʻike i ka urine ma ka dehydration;
- ʻO ka nānā akuʻana o ka maʻi pēpē - hiki ke ʻike i nā hana maʻi i loko o ke keiki a me nā loli i ka nui o nā pelvis, ureter a me nā ʻoka;
- magnetic resonance imaging o ka lolo;
- i nā pilikia paʻakikī, hana ʻia kahi lāʻau biopsy.
Ke hōʻike ʻia nei kahi hōʻike i ka wai paʻakai mai ka hapa ma waena o ka urine i lawe ʻia mai loko mai o ka nui o ka urine i hōʻiliʻili ʻia i kēlā me kēia lā.
Inā, e like me nā hopena o nā haʻawina, ʻike ʻia ka excretion glucose i ka urine o ka ʻoi aku o ka 2 g a ʻike ʻia a loli ke ʻano o ke kuhi o nā pūpū, a laila ʻike ʻia kahi maʻi diabetes renal.
Kuhi ʻia ka maʻi pālua o ka paʻakai inā ʻike ʻia ka liʻiliʻi o ka sodium i loko o ke kino a me ka nui o ka electrolyte i ka pāʻai
Wahi a nā hualoaʻa o ka hōʻike kūʻē i ka make wai, ʻoiai inā he kahe ʻana o ka paona o ka mea maʻi ma o 5% me nā ʻano o ka urine i loli ʻole, haʻahaʻa haʻahaʻa a me ka hoʻokaʻawale ʻana o ka urine, a laila loaʻa ke maʻi nephrogenic diabetes insipidus.
Hoʻomaʻamaʻa ʻia ka mālama ʻana ma ke ʻano o ke ʻano o ke ʻano. Me ka paʻakai paʻakai, ʻo ke kumu nui o ka hana lapaʻau ka hoʻihoʻi o nā electrolytes i nalowale a me ka pale ʻana o ka dehydration. No kēia, hāʻawi ʻia ka mea maʻi i ka infusion intravenous infine.
ʻO kahi mea nui e lilo i meaʻai me ka mea paʻa o ka protein intake a me ka makemake o ka momona i nā momona a me nā haʻalulu.
ʻOi aku ka ʻai o nā meaʻai, nā ʻuʻuku, nā mea hoʻohui a me ka wai maʻemaʻe i loko o kaʻai. ʻAi ʻia nā meaʻai e like me ka paʻakai, kaina, ka soda a me ka waiʻona.
Hoʻololi ʻia ka ʻano wai ʻole non-sugar o ka maʻi me ka diuretics a me nā lāʻau anti-inflammatory non-steroidal (Indomethacin, Ibuprofen).
Hiki i ke kuhikuhi ʻia nā lāʻau lapaʻau (Minirin, Desmopressin). Inā maʻa ka maʻi ma o ka loaʻa ʻana o kahi ʻanoʻano i loko o ka hypothalamus, a laila e hoʻoholo ʻia ka nīnau no ka hiki ʻana ke hōʻemi.
ʻAʻole pono ʻo Rore diabetes mellitus i ka mālama kūikawā. Kuhi ʻia ka mea maʻi i ka infra intravenous infusion o nā hopena paʻakai e pale ai i ka luawai, ka ʻai me ka kō o ke kō a me ka mālama maʻamau i nā pae glucose.
Nā maʻi hōʻeha
ʻO ka maʻi maʻi Renal ʻole o ka mālama ʻana i ka manawa kūpono e alakaʻi i nā hopena koʻikoʻi. Ma muli o ka nele o ka sodium i loko o ke kino, e pili ana ka ʻōnaehana cardiovascular, ka mea e hoʻopiʻi ai i ke aʻalolo a me ka hopena, ua pilikia ka lolo ma ka haʻalele ʻana i ka oxygen, a ʻo ia hoʻi ke alakaʻi i ka dementia.
Ua hoʻonāukiuki ʻo Glucosuria i ka maʻi o ka lolo:
- ʻO ka Pyelonephritis kahi maʻi maʻi pāpaʻi a maʻi ʻia e nā maʻi. ʻO ka maʻi ua hele pū ʻia e ke kuni a me ka urination pinepine.
- ʻO Nepropathy kahi palaka weliweli e hele mai ana ma muli o ka mau hōʻino o ke koko. Hōʻano ia i ka hiki mai o ka protein i loko o ka mōpī a me ka hoʻonui o ke kahe koko. Inā ʻaʻole e lawe ʻia ka mālama manawa kūpono ʻana o nā nephropathy, a laila hiki ke ulu i kahi pilikia renal.
Ke hele koke aku i ke kauka ma hope o nā hōʻailona mua o ka maʻi a nānā i nā ʻōlelo kau a pau, inā e pili ana i ka mālama ʻana i ka meaʻai a me ka pale ʻana i nā mea hōʻeha maikaʻi ʻole, e hooki i ka pathology i ka hoʻomaka mua o ka hoʻomohala a pale i ka hōʻā ʻana o nā hoʻopiʻi, ʻo ia ka mea e hoʻonui nui ai ka nui o ka prognosis kūpono.
Video e pili ana i ka maʻi maʻamau:
Inā ʻike ʻole ʻia ka pilikia ʻole, a laila hiki mai ke kaʻina hana a hiki ke hopena ʻia kahi hopena maikaʻi wale nō ma ka hihia o kahi mea hāʻawi keiki ʻōla.
