He aha ka Nephropathy Maʻi Kānula? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka nephropathy maʻi kānula ka hōʻino ʻana i nā puʻupaʻa i hana ʻia e ka maʻi kānula i nā kīʻaha koko liʻiliʻi i loko o kou mau puʻupaʻa i ka manawa lōʻihi. E noʻonoʻo i kou mau puʻupaʻa e like me nā kānana akamai e hoʻomaʻemaʻe i nā ʻōpala mai kou koko - i ka wā e hōʻino ai ka maʻi kānula i kēia mau kānana, ʻaʻole hiki iā lākou ke hana pono hou.

Ke ulu mālie nei kēia kūlana, pinepine me ka ʻole o nā hōʻailona maopopo i nā wā mua. ʻO ia ke kumu o ka nui o nā nānā maʻamau inā loaʻa iā ʻoe ka maʻi kānula. ʻO ka ʻoiaʻiʻo maikaʻi, me ka mālama pono a me ka hoʻokele ʻana i ke kō koko, hiki iā ʻoe ke hoʻolohi a pale paha i kēia hōʻino ʻana i nā puʻupaʻa mai ka ʻoi aku.

He aha ka nephropathy maʻi kānula?

Hana ʻia ka nephropathy maʻi kānula i ka wā e hōʻino ai nā kiʻekiʻe o ke kō koko i nā ʻāpana kānana māmā i loko o kou mau puʻupaʻa i kapa ʻia ʻo nephrons. Hana kēia mau ʻāpana liʻiliʻi e like me nā kānana kofe, e mālama ana i nā mea maikaʻi i loko o kou koko ʻoiai e wehe ana i nā huahana ʻōpala.

Ke hoʻopilikia nei ka maʻi kānula i kēia mau kānana, lilo lākou i leaki a emi iho ka pono. Hoʻomaka nā protein e noho i loko o kou koko e kahe i loko o kou mimi, ʻoiai ke hoʻomaka nei nā huahana ʻōpala e kānana ʻia e kūkulu i loko o kou kahe koko. ʻO ka maʻamau, he mau makahiki ka lōʻihi o kēia kaʻina hana, ʻo ia ke kumu i kapa pinepine ʻia ai he pilikia “ʻōlelo ʻole”.

Ma kahi o 1 i 3 poʻe me ka maʻi kānula e loaʻa iā lākou kekahi ʻano o ka hōʻino ʻana i nā puʻupaʻa i ko lākou ola. Eia naʻe, ʻaʻole nā ​​​​mea a pau me ka maʻi puʻupaʻa maʻi kānula e holomua i ka hōʻino ʻana o nā puʻupaʻa - ʻoi aku hoʻi me ka ʻike mua a me ka hoʻokele pono.

He aha nā hōʻailona o ka nephropathy maʻi kānula?

ʻAʻole maʻamau ka nephropathy maʻi kānula i ka hoʻomaka ʻana e hana i nā hōʻailona i ʻike ʻia, ʻo ia ke kumu o ka nui o ka nānā maʻamau. Ke ʻike ʻia nā hōʻailona, ​​hōʻike pinepine lākou ua hana ʻia ka hōʻino nui i nā puʻupaʻa.

Eia nā hōʻailona āu e ʻike ai i ka holomua ʻana o ke kūlana:

• Pūʻiwa i kou mau wāwae, kuʻekuʻe wāwae, lima, a i ʻole maka (ʻoi aku hoʻi a puni nā maka)
• Kūpīpī a i ʻole ʻōpū ka mimi ma muli o ka hoʻokahe protein
• Mimi pinepine, ʻoi aku hoʻi i ka pō
• Luhi a nāwaliwali ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• ʻŌpū ʻino a me ka luaʻi
• Nalowale o ka makemakeʻai
• Pōkole o ka hanu
• Ke kiʻekiʻe o ke koko e paʻakikī ai ke kaohi
• ʻAla hao i kou waha
• ʻIli ʻūhū

Hiki i kēia mau hōʻailona ke hoʻopili me nā kūlana ʻē aʻe, no laila he mea nui ʻaʻole e manaʻo he pili lākou i kou mau puʻupaʻa. Hiki i kāu mea mālama ola ke kōkua i ka hoʻoholo ʻana i ke kumu o kāu mau hōʻailona a hana i ka papahana mālama kūpono no ʻoe.

He aha nā ʻano o ka nephropathy maʻi diabetes?

Hoʻokaʻawale nā mea mālama ola i ka nephropathy maʻi diabetes i ʻelima mau kahua ma muli o ka maikaʻi o ka kānana ʻana o kou mau puʻupaʻa i ka ʻōpala mai kou koko. Ua kapa ʻia kēia ana ʻana ʻo ka nui o ka glomerular filtration rate (eGFR).

Hōʻike ka Kahua 1 i ka hana puʻupaʻa maʻamau a i ʻole kiʻekiʻe me kekahi pōʻino puʻupaʻa i loaʻa. ʻO kāu eGFR he 90 a ʻoi aku paha, akā hōʻike nā hoʻokolohua i ka protein i loko o kāu mimi a i ʻole nā hōʻailona ʻē aʻe o ka pōʻino puʻupaʻa. ʻAʻole paha ʻoe e ʻike i kekahi hōʻailona i kēia kahua.

Hōʻike ka Kahua 2 i ka emi iki ʻana o ka hana puʻupaʻa me ka pōʻino puʻupaʻa. Aia kāu eGFR ma waena o 60-89, a hiki paha iā ʻoe ke manaʻo maʻamau loa. ʻO kēia ka manawa e hiki ai i ka hoʻoponopono mua ke hana i ka ʻokoʻa nui loa.

Hōʻike ka Kahua 3 i ka emi iki ʻana o ka hana puʻupaʻa. Aia kāu eGFR ma waena o 30-59, a hiki paha iā ʻoe ke hoʻomaka e ʻike i kekahi mau hōʻailona e like me ka luhi a i ʻole ka pūʻiwa. Hoʻokaʻawale hou ʻia kēia kahua i 3a (45-59) a me 3b (30-44).

Hōʻike ka Kahua 4 i ka emi nui ʻana o ka hana puʻupaʻa me ka eGFR ma waena o 15-29. Liʻiliʻi aku nā hōʻailona, a pono ʻoe e hoʻomaka e hoʻomākaukau no nā koho mālama pani puʻupaʻa.

ʻO ka Kahua 5 ka hāʻule ʻana o ka puʻupaʻa, kahi e emi ai kāu eGFR ma mua o 15. I kēia manawa, pono ʻoe i ka dialysis a i ʻole ka hoʻololi puʻupaʻa e ola ai.

He aha ka mea e hoʻoulu ai i ka nephropathy maʻi diabetes?

ʻO ka kiʻekiʻe o ke kō koko i ka manawa lōʻihi ka kumu nui o ka nephropathy maʻi diabetes. I ka wā e kiʻekiʻe mau ai nā pae glucose, e hōʻino lākou i nā kīʻaha koko liʻiliʻi ma kou kino a pau, me nā mea i loko o kou mau puʻupaʻa.

He mau mea like ʻole e hana pū ana e hoʻoulu ai i kēia hōʻino ʻana i ka puʻupaʻa:

• Nā pae kō koko kiʻekiʻe mau loa e ʻoi aku ana ma mua o kou pahuhopu
• Ke koko kiʻekiʻe e kaumaha nui ai i nā kīʻaha koko puʻupaʻa
• Ka mumū i hoʻoulu ʻia e ka maʻi diabetes e hoʻopilikia i ka ʻiʻo puʻupaʻa
• Loli i nā ʻano kahe koko i loko o nā puʻupaʻa
• Nā kumu genetic e hoʻolilo ai i kekahi poʻe i ʻoi aku ka maʻalahi i ka hōʻino ʻana i ka puʻupaʻa
• Ka lōʻihi o ka maʻi diabetes - ʻoi aku ka nui o ka pilikia i ka lōʻihi o ka hoʻolaha
• Nā pae cholesterol maikaʻi ʻole e kōkua i ka hōʻino ʻana i nā kīʻaha koko
• Ka puhipaka, ka mea e hoʻemi ai i ke kahe koko i nā puʻupaʻa

Hoʻomaka maʻamau ke kaʻina hana me nā loli liʻiliʻi i ka ʻōnaehana kānana o ka puʻupaʻa. I nā mahina a me nā makahiki, e hōʻiliʻili kēia mau loli liʻiliʻi i ka hōʻino nui. ʻO ia ke kumu e pono ai ka mālama ʻana i ka mana kō koko maikaʻi mai ka hoʻomaka ʻana o kāu ʻike maʻi diabetes no ka pale ʻana i kou mau puʻupaʻa.

I ka wā e ʻike ai i ke kauka no ka nephropathy maʻi diabetes?

Pono ʻoe e ʻike i kāu kauka maʻamau no ka nānā ʻana i ka hana puʻupaʻa inā loaʻa iā ʻoe ka maʻi diabetes, ʻoiai inā ʻoluʻolu ʻoe. ʻO ka ʻike mua ka mea nui e pale ai a hoʻomāmā paha i ka hōʻino ʻana i ka puʻupaʻa.

Hoʻonohonoho i kahi manawa koke inā ʻike ʻoe i kekahi pehu i kou mau wāwae, kuʻekuʻe wāwae, a i ʻole maka e hele ʻole. Hōʻike pinepine ka pehu mau ʻana ʻaʻole e wehe pono ana kou mau puʻupaʻa i ka wai nui.

E hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i ka mimi ʻōhuʻi a i ʻole pupu, ʻoi aku hoʻi inā mau no kekahi mau lā. Hiki i kēia ke hōʻailona e kahe ana ka protein mai kou koko i loko o kou mimi.

Mai kali i ke kōkua inā ʻike ʻoe i ka hanu pōkole koke, ʻeha umauma, a i ʻole ka luaʻi a me ka luaʻi nui. Hiki i kēia mau hōʻailona ke hōʻike i ka emi nui ʻana o ka hana o ka puʻupaʻa a pono e mālama koke ʻia.

Inā pilikia ʻoe i ka kaohi ʻana i kou koko kiʻekiʻe ʻoiai ke lawe nei i nā lāʻau lapaʻau, hiki i kēia ke hōʻailona i ka hoʻonui ʻana o ka hana o ka puʻupaʻa. Pono paha kāu kauka e hoʻoponopono i kāu papa hana lapaʻau a i ʻole e noiʻi hou aku.

He aha nā mea pilikia no ka nephropathy maʻi diabetes?

ʻO ka hoʻomaopopo ʻana i kāu mau mea pilikia e kōkua iā ʻoe e lawe i nā hana e pale aku ai i kāu mau puʻupaʻa. ʻO kekahi mau mea hiki iā ʻoe ke kaohi, ʻoiai ʻo nā mea ʻē aʻe he ʻāpana o kāu ʻano genetic.

ʻO nā mea pilikia hiki iā ʻoe ke hoʻopilikia i:

• Ka kaohi ʻino o ke kō koko ma hope o ka manawa
• Ke koko kiʻekiʻe ʻaʻole i mālama maikaʻi ʻia
• Pāpā ʻana, ka mea e hōʻino ai i nā kīʻaha koko
• Nā kiʻekiʻe cholesterol kiʻekiʻe
• Momona, ʻoi aku hoʻi a puni ka pūhaka
• ʻAʻohe hana kino maʻamau
• ʻAi nui o ka sodium i kāu meaʻai
• ʻAi nui o ka protein

ʻO nā mea pilikia ʻaʻole hiki iā ʻoe ke hoʻololi i:

• Mōʻaukala ʻohana o ka maʻi puʻupaʻa a i ʻole ka maʻi diabetes
• Kekahi mau lāhui (ʻAmelika ʻApelika, Hispanic, Native American, a i ʻole Asia)
• Ke loaʻa iā ʻoe ka maʻi diabetes ma mua o 10 mau makahiki
• Ke kāne (pilikia iki aku)
• Makahiki - piʻi ka pilikia i ka wā e ulu ai ʻoe

ʻOiai inā loaʻa iā ʻoe kekahi mau mea pilikia, ʻaʻole hiki ʻole ke loaʻa ka nephropathy maʻi diabetes. ʻO ka nānā ʻana i nā mea hiki iā ʻoe ke kaohi e hana i kahi ʻokoʻa nui i ka pale ʻana i kou olakino puʻupaʻa.

He aha nā pilikia hiki ke loaʻa i ka nephropathy maʻi diabetes?

Hiki i ka nephropathy maʻi diabetes ke alakaʻi i kekahi mau pilikia koʻikoʻi e hoʻopilikia i kou olakino holoʻokoʻa a me ka maikaʻi o ke ola. ʻO ka hoʻomaopopo ʻana i kēia e kōkua iā ʻoe e ʻike i ke kumu o ka mālama mua a me ka pale ʻana he mea nui loa.

ʻO nā pilikia maʻamau loa e komo pū ana:

• Ka maʻi puʻupaʻa mau loa e hoʻonāwaliwali nei i ka manawa lōʻihi
• Ka hōʻino loa ʻana o ka puʻupaʻa e pono ai ka dialysis a i ʻole ka hoʻololi ʻana
• Ka maʻi naʻau a me ka hahau ma muli o nā kīʻaha koko i hōʻino ʻia
• Ke koko kiʻekiʻe loa e paʻakikī ke kaohi
• Ka maʻi iwi mai nā mea ʻole i kūlike ʻole
• Ka anemia mai ka emi ʻana o ka hana ʻana o nā pūnaewele koko ʻulaʻula
• Ka wai e hoʻoulu ai i ka pehu weliweli
• Nā mea ʻole i kūlike ʻole e hoʻopilikia ana i ka leo o ka naʻau

ʻO nā pilikia liʻiliʻi akā koʻikoʻi ke komo pū:

• Ka acidosis metabolic nui kahi e lilo ai kou koko i waikawa loa
• Hyperkalemia (nā pae potassium kiʻekiʻe weliweli)
• Uremic toxicity e hoʻopilikia ana i ka hana o ka lolo
• Hoʻonui ʻia ka pilikia o nā maʻi
• Nā pilikia hiamoe e pili ana i ka hana ʻole o ka puʻupaʻa

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka mālama pono ʻana i ka maʻi diabetes a me ka nānā mau ʻana e hiki ke pale a hoʻopaneʻe nui i ka hapa nui o kēia mau pilikia. ʻO ka hana pili kokoke me kāu hui olakino e hāʻawi iā ʻoe i ka manawa maikaʻi loa e mālama ai i ka hana maikaʻi o ka puʻupaʻa no nā makahiki e hiki mai ana.

Pehea e hiki ai ke pale ʻia ka nephropathy diabetic?

Hiki ke pale ʻia maoli ka pale ʻana me ka nephropathy diabetic, a hoʻomaka ia me ka mālama maikaʻi ʻana i ka maʻi diabetes. ʻO ka mua āu e hoʻomaka ai e pale aku i kou mau puʻupaʻa, ʻo ka maikaʻi o kou manawa e pale aku ai i ka hōʻino nui.

E mālama i kou mau pae kō koko kokoke i ka maʻamau. ʻO kāu pahuhopu A1C e pono ai ma lalo o 7%, ʻoiai paha e kau kāu kauka i nā pahuhopu ʻokoʻa ma muli o kou kūlana pilikino. ʻO ka kaohi kō koko mau ka mea hana ikaika loa no ka pale ʻana i ka puʻupaʻa.

E kaohi i kou koko kiʻekiʻe me ka ikaika. E pahuhopu no ka emi ma mua o 130/80 mmHg, a i ʻole ke kumu pahuhopu a kāu kauka e ʻōlelo ai. ʻO ke koko kiʻekiʻe e hoʻokūpaʻa i ka hōʻino ʻana o ka puʻupaʻa, no laila he mea nui kēia e like me ke kaohi ʻana i ke kō koko.

E inu i nā lāʻau ACE inhibitors a i ʻole ARB inā kauoha mai kāu kauka. Pale aku kēia mau lāʻau i kou mau puʻupaʻa ʻoiai inā maʻamau kou koko kiʻekiʻe. Kūleʻa lākou i ka emi ʻana o ka hoʻokahe protein a hoʻolohi i ka holomua o ka pōʻino o ka puʻupaʻa.

Mālama i ka kaumaha olakino ma o ka ʻai kaulike a me ka hoʻoikaika kino mau. Hiki i ka emi iki ʻana o ke kaumaha ke hoʻomaikaʻi nui i kou kaohi ʻana i ke kō koko a hoʻemi i ka ukana ma luna o kou mau puʻupaʻa.

Mai puhi paka, a kaupalena i ka inu ʻawaʻawa. Hoʻopōʻino ka puhi paka i nā kīʻaha koko ma kou kino a pau, me nā mea i loko o kou mau puʻupaʻa. Inā puhi ʻoe i kēia manawa, ʻo ka haʻalele ʻana kekahi o nā mea maikaʻi loa āu e hiki ai ke hana no kou olakino puʻupaʻa.

E kiʻi i nā nānā maʻamau e komo pū ana i nā hoʻokolohua hana puʻupaʻa. ʻAe ka ʻike mua ʻana i ka mālama koke e hiki ke hoʻolohi a hoʻopau paha i ka holomua o ka pōʻino o ka puʻupaʻa.

Pehea ka ʻike ʻana i ka nephropathy maʻi diabetes?

ʻO ka ʻike ʻana i ka nephropathy maʻi diabetes e pili ana i nā hoʻokolohua maʻalahi e hiki i kāu kauka ke hana i nā nānā maʻamau. He mea nui ka ʻike mua ʻana, no laila hana mau ʻia kēia mau hoʻokolohua ma ka liʻiliʻi hoʻokahi manawa i ka makahiki inā loaʻa iā ʻoe ka maʻi diabetes.

ʻO ka hoʻokolohua mua kahi loiloi mimi e nānā ai i ka protein (albumin). ʻO kahi liʻiliʻi o ka protein i loko o kou mimi paha ka hōʻailona mua loa o ka pōʻino o ka puʻupaʻa. Hiki i kāu kauka ke hoʻohana i kahi hoʻokolohua mimi wahi a noi paha iā ʻoe e hōʻiliʻili i ka mimi ma luna o 24 mau hola.

Ana nā hoʻokolohua koko i kāu hana puʻupaʻa ma o ka nānā ʻana i nā pae creatinine a me ka helu ʻana i kāu helu glomerular filtration rate (eGFR). Hōʻike kēia mau helu i kāu kauka i ka maikaʻi o ka kānana ʻana o kou mau puʻupaʻa i ka ʻōpala mai kou koko.

E nānā pū kāu kauka i kou koko kiʻekiʻe, ʻoiai e hele pinepine ana ke koko kiʻekiʻe me nā pilikia puʻupaʻa. Hiki iā lākou ke ʻōlelo aku i ka nānā ʻana i ke koko kiʻekiʻe ma ka home e kiʻi i kahi kiʻi piha.

Hiki i nā hoʻokolohua hou ke komo pū i ka nānā ʻana i kāu pae cholesterol, hemoglobin A1C, a me ke kaulike electrolyte. I kekahi manawa hiki i kāu kauka ke kauoha i nā haʻawina kiʻi e like me ka ultrasound e nānā i kou ʻano puʻupaʻa.

I loko o nā hihia kakaʻikahi, he pono paha ka biopsy o ka puʻupaʻa inā manaʻo kāu kauka i nā kumu ʻē aʻe o ka maʻi puʻupaʻa ma waho o ka maʻi suka. Hoʻopili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo puʻupaʻa no ka nānā ʻana ma lalo o ka microscope.

He aha ka lāʻau lapaʻau no ka nephropathy maʻi suka?

ʻO ka lāʻau lapaʻau no ka nephropathy maʻi suka ke kaumaha ma ka hoʻomāmā ʻana i ka holomua o ka pōʻino o ka puʻupaʻa a me ka mālama ʻana i nā pilikia. ʻOi aku ka maikaʻi o ka hoʻomaka ʻana o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka hopena.

Ke waiho nei ka mālama ʻana i ke kō koko ma ke kumu o ka lāʻau lapaʻau. E hana pū kāu kauka me ʻoe e hoʻokō i nā pae kō koko pahuhopu ma o ka hoʻoponopono ʻana i nā lāʻau lapaʻau, nā loli meaʻai, a me nā hoʻololi ʻano ola.

He mea nui hoʻi ka kaohi koko. ʻO nā mea hoʻoemi ACE a i ʻole nā ​​​​lāʻau ARB pinepine ka koho mua no ka mea hāʻawi lākou i ka pale ʻana i ka puʻupaʻa ma waho o ka hoʻohaʻahaʻa ʻana i ke koko. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau koko hou aku inā pono.

Hiki i nā loli meaʻai ke hoʻopili nui i kou olakino puʻupaʻa. Pono paha ʻoe e hoʻemi i ka protein, kaupalena i ka sodium, a mālama i ka potassium a me ka phosphorus. Hiki i kahi dietitian i hoʻopaʻa inoa ʻia ke kōkua i ka hana ʻana i kahi papa ʻaina e kūpono i kou kūlana.

E lilo ka nānā mau i mea pinepine e like me ka emi ʻana o ka hana puʻupaʻa. E hahai pono kāu kauka i kāu mau waiwai lab a hoʻoponopono i nā lāʻau lapaʻau e like me ka pono.

No nā pae holomua, hoʻomaka ka hoʻomākaukau ʻana no ka lāʻau lapaʻau pani puʻupaʻa i ka wā mua. Hiki paha kēia ke komo i ka kūkākūkā ʻana i nā koho dialysis a i ʻole ka loiloi transplant puʻupaʻa. E kōkua kāu hui olakino iā ʻoe e hoʻomaopopo i kēia mau koho a hana i nā hoʻoholo naʻauao.

Ke lilo nei ka mālama ʻana i nā kūlana olakino ʻē aʻe e like me ka anemia, ka maʻi iwi, a me nā pilikia naʻau i mea nui e like me ka emi ʻana o ka hana puʻupaʻa.

Pehea e lawe ai i ka lāʻau lapaʻau home i ka wā o ka nephropathy maʻi suka?

Ke pāʻani nei ka mālama ʻana i ka home i kahi kuleana nui i ka hoʻomāmā ʻana i ka holomua o ka nephropathy maʻi suka. Hiki i kāu mau koho i kēlā me kēia lā ke hoʻopili nui i ka maikaʻi o ka hana ʻana o kāu mau puʻupaʻa i ka manawa.

Nānā mau i kou pae kō koko e like me ka ʻōlelo a kāu kime mālama ola. E mālama i kahi moʻolelo o kāu mau heluhelu a hoʻomaopopo i kekahi mau ʻano a i ʻole nā ​​manaʻo hopohopo. ʻO ka nānā mau ʻana e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo mālama i ʻike ʻia.

E lawe i nā lāʻau āpau e like me ka mea i kuhikuhi ʻia, ʻoiai inā ʻoluʻolu ʻoe. E hoʻonohonoho i kahi mea hoʻonohonoho papa a hoʻohana i nā mea hoʻomanaʻo kelepona e kōkua iā ʻoe e noho ma ke ala. Mai haʻalele i nā lāʻau lapaʻau koko a me ka maʻi diabetes.

E hahai pono i kāu papa ʻai i kuhikuhi ʻia. ʻO kēia paha ke ana ʻana i nā ʻāpana, heluhelu i nā lepili meaʻai, a hoʻomākaukau i nā meaʻai hou aku ma ka home. Hiki i nā loli liʻiliʻi i kou mau ʻano ʻai ke loaʻa nā hopena nui i kou olakino puʻupaʻa.

E noho wai, akā mai nui loa. E inu wai i ka lā holoʻokoʻa, akā e hahai i nā ʻōlelo a kāu kauka e pili ana i ka lawe wai inā loaʻa iā ʻoe ka maʻi puʻupaʻa holomua.

E hoʻoikaika mau i loko o kou hiki. ʻO nā hana māmā e like me ka hele wāwae hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka kaohi kō koko a me ke olakino holoʻokoʻa. E nīnau i kāu kauka e pili ana i ka pae hana kūpono no ʻoe.

E hahai i kou kaumaha i kēlā me kēia lā a e hōʻike i nā loaʻa koke i kāu mea hoʻolako mālama ola. Hiki i ka loaʻa wikiwiki o ke kaumaha ke hōʻike i ka mālama wai, kahi e hōʻike ai i ka hana puʻupaʻa e ʻino ana.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa kauka?

ʻO ka hoʻomākaukau ʻana no kāu manawa kauka e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka waiwai nui loa mai kāu manawa me kāu mea hoʻolako mālama ola. ʻO ka hoʻomākaukau maikaʻi e alakaʻi i ka kamaʻilio maikaʻi a me ka mālama pilikino hou aku.

E lawe mai i kāu mau lāʻau lapaʻau āpau, me nā lāʻau lapaʻau ma luna o ka papa a me nā mea hoʻohui. E hana i kahi papa inoa a lawe mai i nā ʻōmole maoli i hiki i kāu kauka ke nānā i nā mea āpau āu e lawe nei no nā pilina hiki ke loaʻa a i ʻole nā ​​hopena puʻupaʻa.

E mālama i kahi moʻolelo o kāu mau heluhelu kō koko, nā ana koko, a me nā kaumaha i kēlā me kēia lā no ka liʻiliʻi o hoʻokahi pule ma mua o kāu manawa kauka. ʻO kēia ʻike e kōkua i kāu kauka e loiloi i ka maikaʻi o kāu papahana mālama i kēia manawa.

E kākau i kekahi mau hōʻailona āu i ʻike ai, ʻoiai inā he mea liʻiliʻi wale nō ia. E hoʻokomo i ka manawa i hoʻomaka ai, pehea ka pinepine o ka hanana ʻana, a me nā mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi ʻole paha.

E hoʻomākaukau i kahi papa inoa o nā nīnau e pili ana i kou olakino puʻupaʻa, nā koho lapaʻau, a i ʻole nā ​​hoʻololi i ke ola. Mai hopohopo e nīnau nui loa - makemake kāu kauka e kōkua iā ʻoe e hoʻomaopopo i kou kūlana.

E lawe mai i kahi hoa ʻohana a hoaaloha paha inā makemake ʻoe i ke kākoʻo a i ʻole ke kōkua e hoʻomanaʻo i nā ʻike koʻikoʻi. Hiki i ka loaʻa ʻana o kekahi me ʻoe ke kōkua nui loa i ka wā e kūkākūkā ana i nā hoʻoholo lapaʻau paʻakikī.

E nānā i kāu uhi ʻinikua a lawe mai i nā kāleka a i ʻole nā ​​palapala pono. ʻO ka hoʻomaopopo ʻana i kāu uhi ʻana e kōkua i ka pale ʻana i nā mea kupanaha me nā kumukūʻai hoʻokolohua a i ʻole lapaʻau.

He aha ka mea nui e pili ana i ka nephropathy maʻi diabetes?

ʻO ka mea nui loa e hoʻomanaʻo e pili ana i ka nephropathy maʻi diabetes, ʻo ia ka mea hiki ke pale ʻia a mālama ʻia me ka mālama pono. Hiki i ka ʻike mua ʻana a me ka mālama mau ʻana ke kōkua iā ʻoe e mālama i ka hana maikaʻi o ka puʻupaʻa no nā makahiki he nui.

He mea nui loa kāu mau koho i kēlā me kēia lā. ʻO ka mālama ʻana i kāu kō koko a me ke koko kiʻekiʻe, ka lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia, a me ka hahai ʻana i ka ʻai kūpono i ka puʻupaʻa hiki ke hoʻolohi nui a hoʻōki paha i ka holomua o ka hōʻino ʻana o ka puʻupaʻa.

Mai hoʻokuʻu i ka makaʻu e hoʻopilikia iā ʻoe - e nānā i nā mea hiki iā ʻoe ke kaohi. ʻO nā nānā maʻamau, ke kamaʻilio pololei ʻana me kāu hui olakino, a me ka hoʻohiki ʻana i kāu papahana lapaʻau e hāʻawi iā ʻoe i ka manawa maikaʻi loa e pale aku ai i kāu puʻupaʻa.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o ka nephropathy maʻi diabetes he manaʻo ia e hele ʻoe i ka dialysis a i ʻole ka hāʻule ʻana o ka puʻupaʻa. Nui nā kānaka me ka maʻi puʻupaʻa i ka wā mua e ola ana i nā ola piha a hana nui, ʻoiai e hoʻokele pono ana i ko lākou kūlana.

E noʻonoʻo a komo i kāu mālama. Ke hoʻomaikaʻi mau nei nā lapaʻau lapaʻau, a ʻo kāu komo ʻana i ka mālama ʻana i kou olakino e hana i ka ʻokoʻa i kāu mau hopena lōʻihi.

Nā nīnau pinepine e pili ana i ka nephropathy maʻi diabetes

Hiki ke hoʻōla hou ʻia ka nephropathy maʻi diabetes?

ʻOiai ʻaʻole hiki ke hoʻōla hou loa ʻia ka nephropathy maʻi diabetes, hiki i ka pōʻino o ka puʻupaʻa i ka wā mua ke hoʻomaikaʻi ʻia me ka mālama maikaʻi ʻana i ke kō koko a me ke koko. ʻO ka mea nui, ʻo ka hopu ʻana iā ia i ka wā mua a me ka lawe ʻana i nā hana ikaika e pale aku ai i kāu hana puʻupaʻa i koe. ʻOiai ma nā pae hope, hiki i ka mālama kūpono ke hoʻolohi nui i ka holomua a kōkua iā ʻoe e mālama i ka maikaʻi o ke ola.

Pehea ka lōʻihi o ka manawa e hoʻopōʻino ai ka maʻi diabetes i ka puʻupaʻa?

Hoʻomaka maʻamau ka nephropathy maʻi diabetes ma luna o 10-20 mau makahiki o ka loaʻa ʻana o ka maʻi diabetes, ʻoiai he ʻokoʻa loa kēia ma waena o nā kānaka. Hiki i kekahi poʻe ke hōʻike i nā hōʻailona mua i loko o 5 mau makahiki, ʻoiai ke mālama nei kekahi i ka hana puʻupaʻa maʻamau no nā makahiki he nui. Hoʻopilikia kāu mau genetics, ka mālama ʻana i ke kō koko, ka mālama ʻana i ke koko, a me nā mea olakino ʻē aʻe i kēia manawa.

He aha nā meaʻai e pono ai ke pale aku me ka nephropathy maʻi diabetes?

E pono ai ʻoe e kaupalena i nā meaʻai kiʻekiʻe i ka sodium, potassium, a me ka phosphorus i ka emi ʻana o ka hana puʻupaʻa. ʻO kēia ka meaʻai i hana ʻia, nā hupa kānana, nā ʻiʻo deli, nā nati, nā huahana waiū, a me nā soda ʻeleʻele. Eia naʻe, ʻokoʻa nā palena ʻai e pili ana i kāu pae hana puʻupaʻa, no laila e hana pū me kahi meaʻai i hoʻopaʻa inoa ʻia e hana i kahi papa ʻaina pilikino e hoʻokō i kāu mau pono kūikawā.

ʻEha anei ka nephropathy maʻi diabetes?

ʻAʻole maʻamau ka nephropathy maʻi diabetes i ka ʻeha. ʻAʻole ʻike ka hapa nui o nā kānaka i ka ʻoluʻolu a hiki i ka emi nui ʻana o ka hana puʻupaʻa. Eia naʻe, hiki i nā pilikia e like me ka pehu nui, nā pilikia naʻau, a i ʻole ka pono no ka dialysis ke hoʻopilikia. Inā ʻoe e ʻeha ana a loaʻa iā ʻoe ka maʻi puʻupaʻa, he mea nui ke kūkākūkā me kāu kauka e ʻike i ke kumu.

Pehea ka pinepine e pono ai ke nānā ʻia aku koʻu mau puʻupaʻa inā loaʻa iaʻu ka maʻi diabetes?

Pono ʻoe e loaʻa nā hoʻokolohua hana o ka puʻupaʻa ma ka liʻiliʻi hoʻokahi manawa i kēlā me kēia makahiki inā loaʻa iā ʻoe ka maʻi suka a me ka hana maʻamau o ka puʻupaʻa. Inā loaʻa iā ʻoe ka hōʻino ʻana o ka puʻupaʻa, makemake paha kāu kauka e nānā i ka hana o kāu puʻupaʻa i kēlā me kēia mahina 3-6 e nānā i ka holomua. Pono paha nā kānaka me ka maʻi puʻupaʻa holomua e hoʻokolohua i kēlā me kēia mahina a i ʻole pinepine aʻe e hoʻoponopono pono i nā lāʻau lapaʻau.