He aha ka Maʻi Renal Hope Loa? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka maʻi renal hope loa (ESRD) ka pae hope loa o ka maʻi kidney mau loa kahi e hana ai kou mau kidney ma lalo o 10% o ko lākou hana maʻamau. I kēia manawa, ʻaʻole hiki i kou mau kidney ke kānana i nā ʻōpala a me ka wai nui mai kou koko me ka maikaʻi e mālama ai i kou olakino me ka ʻole o ka lāʻau lapaʻau.

Hoʻopili kēia kūlana i nā haneli tausani o nā kānaka, a ʻoiai ke kani nui ia, aia nā lapaʻau i hōʻoia ʻia e kōkua iā ʻoe e ola i kahi ola piha a ʻano nui. Hiki i ka hoʻomaopopo ʻana i nā mea e hana nei i kou kino a me ka ʻike ʻana i kāu mau koho ke kōkua iā ʻoe e manaʻo hou aku i ka mana i kēia manawa paʻakikī.

He aha ka Maʻi Renal Hope Loa?

ʻO ka maʻi renal hope loa, ʻo ia hoʻi ua nalowale kou mau kidney i ka nui o ko lākou hiki ke hana i kā lākou hana. Hana maʻamau kou mau kidney e like me nā kānana akamai, e hoʻomaʻemaʻe ana i nā huahana ʻōpala a me ka wai nui mai kou koko, ʻoiai e mālama ana i nā mea maikaʻi e pono ai kou kino.

Ke hiki ʻoe i kēia pae, ke hana nei kou mau kidney ma lalo o 10% o ka hana maʻamau. E noʻonoʻo e like me ka kānana wai i piha loa a ʻaʻole hiki ke hoʻokuʻu i ka wai maʻemaʻe.

Ke hoʻomaka nei kou kino e hōʻiliʻili i nā mea ʻino a me ka wai e wehe ʻia maʻamau ma o ka mimi. Ua kapa ʻia kēia ʻo ka hāʻule ʻana o ka kidney a i ʻole ka pae 5 o ka maʻi kidney mau loa. ʻO ka huaʻōlelo “hope loa” e pili ana i ke kaʻina maʻi kidney, ʻaʻole i kou ola lōʻihi. Nui nā kānaka me ESRD e ola ana no nā makahiki me ka mālama kūpono a me ka mālama.

He aha nā Hōʻailona o ka Maʻi Renal Hope Loa?

Ke ulu mālie nei nā hōʻailona o ka ESRD i ka emi ʻana o ka hana ʻana o kou kidney, a hiki iā lākou ke hoʻopili nui i kou ola i kēlā me kēia lā. Ke hoʻomaka nei kou kino e hōʻike i nā hōʻailona e kūkulu nei nā huahana ʻōpala a me ka wai nui.

Eia nā hōʻailona maʻamau loa āu e ʻike ai:

• Luhi nui a nāwaliwali ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• ʻO ka pehu ʻana o kou mau wāwae, kuʻekuʻe wāwae, kapuaʻi, a i ʻole a puni kou mau maka
• Pōkole o ka hanu, ʻoi aku ka nui ke moe ʻoe
• Nausea a me ka luaʻi ʻana e hiki ke ʻoi aku ka nui ma mua o ka manawa
• Nalo o ka makemake a me ka nalowale o ke kaumaha
• Loli i ka mimi ʻana, me ka emi ʻana o ka mimi a i ʻole ʻaʻohe mimi
• ʻO ka ʻūhā mau loa ma kou kino holoʻokoʻa
• ʻO nā ʻeha o nā ʻiʻo a me nā wāwae ʻoluʻolu ʻole
• Pilikia i ka hiamoe a me ka pilikia e hoʻokūkū
• ʻO ka ʻono metala i kou waha a i ʻole ka hanu ʻino

Ke ʻike nei kekahi poʻe i nā hōʻailona ʻaʻole maʻamau akā koʻikoʻi. ʻO kēia mau mea e komo pū ana i ka ʻeha umauma, ke koko kiʻekiʻe e paʻakikī ke kaohi, nā hoʻoulu, a i ʻole ka huikau. Ke hana nei kēia mau hōʻailona no ka mea ua hoʻopilikia nui ʻia ke kaulike kemika o kou kino.

ʻOkoʻa ka nui a me ka hui ʻana o nā hōʻailona mai kahi kanaka i kahi kanaka. Ke manaʻo nei kekahi poʻe i ka maʻi nui, ʻoiai kekahi poʻe he mau hōʻailona māmā wale nō i ka hoʻomaka, ʻoi aku inā loaʻa iā lākou ka mālama mua.

He aha nā Kumu o ka Maʻi Renal Hope Loa?

ʻAʻole hana koke ka ESRD. ʻO ia ka hopena hope loa o ka maʻi kidney mau loa i holomua i nā mahina a i ʻole nā ​​makahiki, e hōʻino mālie ana i kou mau kidney a hiki i ka manawa ʻaʻole hiki iā lākou ke hana.

ʻO nā kūlana kumu maʻamau e alakaʻi ai i ka ESRD e komo pū ana:

• Diabetes (ʻano 1 a me 2) - he 40% o nā hihia ESRD
• Ke koko kiʻekiʻe e hōʻino ana i nā kīʻaha koko kidney ma mua o ka manawa
• Polycystic kidney disease, kahi e ulu ai nā cysts i nā kidney
• Glomerulonephritis, ka mumū ʻana o nā ʻāpana kānana o ka kidney
• Nā maʻi autoimmune e like me ka lupus e hoʻouka ana i ka ʻiʻo kidney
• Nā maʻi genetic e hoʻopilikia ana i ka hoʻomohala ʻana a i ʻole ka hana ʻana o ka kidney
• Nā maʻi kidney pinepine a i ʻole nā ​​pale
• Hoʻohana lōʻihi ʻana i kekahi mau lāʻau e hiki ke hōʻino i nā kidney

ʻAʻole pinepine, hiki i ka ESRD ke hopena mai nā kūlana genetic maʻamau ʻole e like me ka Alport syndrome, kahi e hoʻopilikia ai i nā protein i nā kānana kidney. Ke hoʻomohala nei kekahi poʻe i ka ESRD mai ka hōʻeha kidney ʻoi aku ka nui ʻaʻole e hoʻōla, ʻoiai he mea maʻamau ʻole kēia.

I kekahi mau hihia, ʻaʻole hiki i nā kauka ke ʻike i kahi kumu kikoʻī, kahi i kapa ʻia ʻo idiopathic ESRD. ʻO ka mea nui loa ka loaʻa ʻana o ka mālama kūpono no kahi āu i loaʻa ai i kēia manawa, me ka nānā ʻole i ka mea i hoʻomaka mua i kou maʻi kidney.

I ka Wā e ʻIke Ai i ke Kauka no ka Maʻi Renal Hope Loa?

Pono ʻoe e ʻimi i ka mālama ola kino koke inā ke ʻike nei ʻoe i nā hōʻailona koʻikoʻi e hōʻike ana i ka hāʻule ʻana o kou mau kidney. Mai kali inā ke pilikia nei ʻoe i ka hanu, ʻeha umauma, a i ʻole nā ​​hōʻailona o ka wai nui.

E kelepona koke i kāu kauka inā ʻike ʻoe i ka pehu nui ʻana o kou mau wāwae a i ʻole kou maka, ke mimi nei ʻoe ma mua o ka maʻamau, a i ʻole ke manaʻo nei ʻoe i ka nāwaliwali loa a me ka nausea. Hiki i kēia mau hōʻailona ke ʻoi aku ka nui me ka ʻole o ka mālama.

Inā loaʻa mua iā ʻoe ka maʻi kidney mau loa, he mea nui ka nānā mau ʻana me kāu nephrologist (kauka kidney). E hahai lākou i ka hana ʻana o kou kidney ma o nā hoʻokolohua koko a e kōkua iā ʻoe e hoʻomākaukau no nā koho lapaʻau ma mua o kou hiki ʻana i ka maʻi hope loa.

ʻO nā kūlana pilikia e komo pū ana i ka pilikia hanu, ʻeha umauma, pehu nui, huikau, a i ʻole nā ​​hoʻoulu. Pono kēia mau hōʻailona i ka mālama haukapila koke no ka mea hiki iā lākou ke hoʻoweliweli i ke ola.

He aha nā Rīkiko no ka Maʻi Renal Hope Loa?

Nui nā mea e hiki ke hoʻonui i kou hiki ke loaʻa i ka ESRD, ʻoiai ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ke kūlana. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua iā ʻoe a me kāu hui mālama ola e lawe i nā hana palekana i ka hiki.

ʻO nā mea pilikia nui e komo pū ana:

• Loaʻa i ka maʻi diabetes, ʻoi aku inā ʻaʻole i kaohi maikaʻi ʻia nā pae kō
• Ke koko kiʻekiʻe ʻaʻole i mālama maikaʻi ʻia ma mua o ka manawa
• Mōʻaukala ʻohana o ka maʻi kidney a i ʻole nā ​​maʻi kidney genetic
• Ma mua o 60 mau makahiki, ʻoiai ke emi mālie nei ka hana kidney me ka makahiki
• ʻApelika ʻAmelika, Hispanic, a i ʻole Native American ethnicity
• Loaʻa i ka maʻi cardiovascular a i ʻole nā ​​pilikia naʻau
• Momona, kahi e hiki ai ke hoʻonui i ka maʻi diabetes a me ke koko kiʻekiʻe
• Pāpālua, kahi e hōʻino ai i nā kīʻaha koko e komo pū ana i nā mea i nā kidney

ʻO nā mea pilikia hou aku e komo pū ana i ka loaʻa ʻana o nā maʻi autoimmune e like me ka lupus, kahi mōʻaukala o ka hōʻeha kidney ʻoi aku ka nui, a i ʻole ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau ʻeha. Loaʻa i kekahi poʻe nā kūlana genetic maʻamau ʻole e hoʻolilo ai i ka maʻi kidney i mea nui.

ʻO ka ʻoiaʻiʻo maikaʻi, hiki ke mālama ʻia ka nui o kēia mau mea pilikia. ʻO ka hana pū ʻana me kāu hui mālama ola e kaohi i ka maʻi diabetes, ke koko kiʻekiʻe, a me nā kūlana ʻē aʻe e hiki ke hoʻolohi i ka holomua o ka maʻi kidney nui.

He aha nā Pilikia Hiki o ka Maʻi Renal Hope Loa?

Hoʻopili ka ESRD i nā ʻōnaehana he nui i kou kino no ka mea he nui nā hana nui a kou mau kidney ma mua o ka kānana ʻana i nā ʻōpala. Ke hiki ʻole iā lākou ke hana pono, hiki ke hoʻomohala i nā pilikia koʻikoʻi.

ʻO nā pilikia maʻamau loa āu e kū ai e komo pū ana:

• Nā pilikia cardiovascular, e komo pū ana i ka maʻi naʻau a me ka puʻuwai maʻamau ʻole
• Maʻi iwi a me ka hoʻonui ʻana i ka pilikia o nā haki
• Anemia (helu ʻulaʻula haʻahaʻa) e hoʻokumu ana i ka luhi nui
• Ke koko kiʻekiʻe e lilo i mea paʻakikī ke kaohi
• Kūkulu wai i nā māmā, e hana ana i ka hanu paʻakikī
• Nā kaulike electrolyte e hoʻopilikia ana i ka naʻau a me ka hana ʻiʻo
• Hoʻonui ʻia ka pilikia o nā maʻi ma muli o ka nāwaliwali o ka ʻōnaehana pale
• Nā pilikia koko ma muli o ka hoʻoheheʻe koko maikaʻi ʻole

Ke ʻike nei kekahi poʻe i nā pilikia koʻikoʻi ʻaʻole maʻamau. ʻO kēia mau mea e komo pū ana i ka ʻeha iwi nui, ka hōʻino ʻana o nā aʻalolo e hoʻokumu ana i ka numbness a i ʻole ka tingling, a me nā pilikia cognitive e like me ka pilikia e hoʻokūkū a i ʻole nā ​​pilikia hoʻomanaʻo.

He mea maʻamau nō hoʻi nā pilikia olakino noʻonoʻo, e komo pū ana i ka kaumaha a me ka hopohopo e pili ana i ka hōʻailona a me ka mālama. He mea maopopo loa kēia a hiki ke mālama ʻia me ke kākoʻo a me ka mālama kūpono.

Hiki ke mālama maikaʻi ʻia ka nui o kēia mau pilikia me ka mālama kūpono. E nānā pono kāu hui mālama ola iā ʻoe a e hoʻoponopono i nā mālama e pale a hoʻemi paha i kēia mau pilikia.

Pehea ka Hōʻailona ʻana o ka Maʻi Renal Hope Loa?

ʻO ka hōʻailona ʻana o ka ESRD e komo pū ana i nā hoʻokolohua koko e ana i ka maikaʻi o ka kānana ʻana o kou mau kidney i nā ʻōpala mai kou koko. E hoʻohana kāu kauka i ka helu ʻana i kapa ʻia ʻo ka estimated glomerular filtration rate (eGFR) e hoʻoholo i ka hana ʻana o kou kidney.

ʻO ka eGFR ma lalo o 15 milliliters i kēlā me kēia minuke e hōʻike ana i ka maʻi renal hope loa. No ka hoʻohālikelike ʻana, ʻo ka hana kidney maʻamau ka eGFR o 90 a i ʻoi aku paha. E nānā pū kāu kauka i kāu mau pae creatinine, kahi e piʻi ai ke kānana ʻole pono nā kidney.

Ke kōkua nei nā hoʻokolohua hou aku e loiloi i ka hopena ma kou olakino holoʻokoʻa. ʻO kēia mau mea e komo pū ana i ka nānā ʻana i kāu mau pae hemoglobin no ka anemia, ke ana ʻana i nā electrolytes e like me ka potassium a me ka phosphorus, a me ka loiloi ʻana i kou olakino iwi ma o nā pae calcium a me ka parathyroid hormone.

Hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi e like me nā ultrasounds a i ʻole nā ​​CT scans e nānā i ke ʻano o kou kidney. I kekahi manawa, pono ka biopsy kidney e hoʻomaopopo i ke kumu pololei o kou maʻi kidney, ʻoiai ʻaʻole pono kēia no ka hoʻolālā mālama.

He aha ka Lapaʻau no ka Maʻi Renal Hope Loa?

ʻO ka mālama ʻana no ka ESRD e komo pū ana i ka pani ʻana i ka hana ʻaʻole hiki hou i kou mau kidney ke hana. Aia kekahi mau koho maikaʻi, a e kōkua kāu hui mālama ola iā ʻoe e koho i ka mea maikaʻi loa no kou kūlana a me kou ola.

ʻO nā koho mālama nui e komo pū ana:

1. Hemodialysis: Ke kānana nei ka mīkini i kou koko ʻekolu manawa i ka hebedoma, ma kahi kikowaena dialysis maʻamau. ʻO kēlā me kēia hālāwai e lawe ana i kahi 4 mau hola, a ke hana nei ka mīkini i ka hana kānana ʻaʻole hiki i kou mau kidney ke hana.
2. Peritoneal dialysis: Ke hoʻohana nei i ka laina o kou ʻōpū e kānana i nā ʻōpala. Hiki iā ʻoe ke hana i kēia ma ka home, i ke ao a i ʻole i ka pō ke hiamoe ʻoe.
3. Kidney transplant: Ke pani nei i kou mau kidney i hāʻule me kahi kidney olakino mai ka mea hāʻawi. Hiki i kēia ke hele mai i kahi mea hāʻawi ola a i ʻole kekahi i make.

E kauoha pū kāu kauka i nā lāʻau lapaʻau e mālama i nā pilikia. Hiki paha kēia i nā lāʻau lapaʻau no ka anemia, maʻi iwi, ke koko kiʻekiʻe, a e kōkua i ka kaohi ʻana i nā pae phosphorus i kou koko.

ʻAʻole kūpono kekahi poʻe no ka dialysis a i ʻole ka transplant ma muli o nā kūlana olakino ʻē aʻe. I kēia mau hihia, e nānā kāu hui mālama ola i ka mālama ʻoluʻolu a me ka mālama ʻana i nā hōʻailona e mālama i kou maikaʻi o ke ola.

Ke hilinaʻi nei ke koho ʻana ma waena o nā mālama i nā mea he nui e komo pū ana i kou makahiki, olakino holoʻokoʻa, makemake ola, a me nā waiwai pilikino. ʻAʻohe mālama hoʻokahi “maikaʻi loa” no nā kānaka a pau.

Pehea e Mālama Ai iā ʻOe Iho I ka Wā o ka Maʻi Renal Hope Loa?

ʻO ka mālama ʻana iā ʻoe iho me ka ESRD e komo pū ana i nā mālama lapaʻau a me nā hoʻoponopono ola e hiki ke kōkua iā ʻoe e manaʻo maikaʻi a pale aku i nā pilikia. Hiki i nā loli liʻiliʻi ke hana i kahi ʻokoʻa nui i kou manaʻo i kēlā me kēia lā.

Pono pinepine nā loli meaʻai a hiki ke kōkua i ka hoʻemi ʻana i nā hōʻailona. Pono paha ʻoe e kaupalena i ka protein, phosphorus, potassium, a me ka sodium i kāu meaʻai. Hiki i kahi dietitian renal ke kōkua iā ʻoe e hana i nā papa ʻaina e kūpono i ka kidney a me ka leʻaleʻa.

ʻO ka noho ʻana i ka hana i ka hiki i kou mau palena ke kōkua i ka mālama ʻana i ka ikaika o nā ʻiʻo a me ka hoʻomaikaʻi ʻana i ke ʻano. ʻO nā hana māmā e like me ka hele wāwae a i ʻole ka hoʻolōʻihi ʻana e hiki ke pōmaikaʻi. Hiki i kāu hui mālama ola ke hāʻawi i nā koho hoʻoikaika palekana no kou kūlana.

He mea nui ka mālama pono ʻana i kāu mau lāʻau lapaʻau. E lawe i nā lāʻau lapaʻau āpau i kuhikuhi ʻia e like me ke kuhikuhi ʻia, a mai hoʻōki a hoʻololi paha i nā doses me ka ʻole o ka kamaʻilio ʻana me kāu kauka mua. E mālama i ka papa inoa o kāu mau lāʻau lapaʻau āpau me ʻoe.

ʻO ke kākoʻo manaʻo he mea nui e like me ka mālama kino. E noʻonoʻo e komo i kahi hui kākoʻo no nā kānaka me ka maʻi kidney, e kamaʻilio me kahi kākāʻōlelo, a i ʻole e hoʻopili me nā poʻe ʻē aʻe e hoʻomaopopo i kāu mea e hele nei.

Pehea ʻoe e Hoʻomākaukau ai no kāu Hālāwai Kauka?

ʻO ka hoʻomākaukau ʻana no nā hālāwai me kāu kauka kidney e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu kipa a loaʻa iā ʻoe nā pane i kāu mau nīnau a pau. Hiki i ka hoʻonohonoho pono ke kōkua i ka hoʻemi ʻana i ka hopohopo a hoʻolilo i nā hālāwai i mea hana hou aku.

Ma mua o kāu hālāwai, e kākau i kāu mau hōʻailona a pau, ʻoiai inā ʻano pili ʻole lākou i kou mau kidney. E komo i ka manawa i hoʻomaka ai lākou, pehea ka nui o lākou, a he aha ka mea e hoʻomaikaʻi ai a ʻoi aku paha ka nui. Ke kōkua nei kēia ʻike i kāu kauka e hoʻomaopopo i kou manaʻo.

E lawe mai i ka papa inoa piha o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā huaora āu e lawe nei. E komo pū i nā doses a me ka pinepine o kāu lawe ʻana. E lawe mai pū i nā hopena hoʻokolohua hou a i ʻole nā ​​moʻolelo mai nā kauka ʻē aʻe āu i ʻike ai.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau. Mai hopohopo e nīnau i nā nīnau he nui - makemake kāu hui mālama ola e kōkua iā ʻoe e hoʻomaopopo i kou kūlana a me nā koho mālama piha.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha i nā hālāwai koʻikoʻi. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike i kūkākūkā ʻia a hāʻawi i ke kākoʻo manaʻo i ka wā o nā kamaʻilio paʻakikī e pili ana i nā koho mālama.

He aha ka lawe nui e pili ana i ka Maʻi Renal Hope Loa?

He kūlana koʻikoʻi ka maʻi renal hope loa, akā ʻaʻole ia he ʻōlelo make. Me ka mālama kūpono, nui nā kānaka e ola ana no nā makahiki a mālama i ka maikaʻi o ke ola. ʻO ke kī ka hana pū ʻana me kāu hui mālama ola a noho olakino e like me ka hiki.

Hiki i ka hoʻomākaukau mua a me ka hoʻonaʻauao e pili ana i kāu mau koho mālama ke kōkua iā ʻoe e hana i nā hoʻoholo naʻauao e kūlike me kou mau waiwai a me kou ola. Inā koho ʻoe i ka dialysis, alualu i kahi transplant, a i ʻole e nānā i ka mālama ʻoluʻolu, aia nā ala e mālama pono ai i kēia kūlana.

E hoʻomanaʻo ʻaʻole ʻoe i hoʻomaopopo ʻia e ka loaʻa ʻana o ka ESRD. Nui nā kānaka e hoʻomau i ka hana, huakaʻi, a hauʻoli i nā pilina ʻoiai e mālama ana i kā lākou maʻi kidney. Ke lawe nei ka hoʻoponopono i ka manawa, akā me ke kākoʻo a me ka mālama kūpono, hiki iā ʻoe ke hoʻololi i kēia mokuna hou i kou ola.

Aia kāu hui mālama ola e kākoʻo iā ʻoe i kēlā me kēia ʻanuʻu o ke ala. Mai kānalua e nīnau i nā nīnau, e hōʻike i nā hopohopo, a i ʻole e ʻimi i ke kōkua ke pono ʻoe iā ia. ʻAʻole ʻoe wale nō i kēia huakaʻi.

Nā Nīnau Pinepine e pili ana i ka Maʻi Renal Hope Loa

Q1: Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me ka maʻi renal hope loa?

ʻOkoʻa loa ka ola lōʻihi me ka ESRD ma muli o kou makahiki, olakino holoʻokoʻa, a me ke koho mālama. Nui nā kānaka ma ka dialysis e ola ana no 10-20 mau makahiki a i ʻoi aku paha, ʻoiai ke ola pinepine nei nā poʻe i loaʻa nā kidney transplants. ʻO ke kī ka loaʻa ʻana o ka mālama kūpono a me ka mālama ʻana i kou olakino holoʻokoʻa. Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi manaʻo pilikino hou aku ma muli o kou kūlana kikoʻī.

Q2: Ke ho'ōla nei ka Cannabis a i ʻole nā ​​meaʻai kikoʻī i ka maʻi renal hope loa?

ʻAʻohe lāʻau lapaʻau kūlohelohe, meaʻai, a i ʻole mea hoʻohui e hiki ke hoʻōla i ka ESRD a i ʻole e hoʻihoʻi i ka hana kidney ke hiki ʻoe i kēia pae. ʻOiai he mea nui ka mālama ʻana i ka meaʻai maikaʻi no kou olakino holoʻokoʻa, ʻaʻole hiki i nā kidney i hōʻino ʻia ke hoʻoulu hou a hoʻōla iā lākou iho. ʻO nā mālama lapaʻau wale nō e like me ka dialysis a i ʻole ka kidney transplant e hiki ke pani i ka hana o nā kidney i hāʻule. E kūkākūkā mau i nā mea hoʻohui a i ʻole nā ​​mālama ʻē aʻe me kāu kauka ma mua o ka ho'āʻo ʻana iā lākou.

Q3: He ʻeha anei ka dialysis?

ʻAʻole ʻike ka nui o nā kānaka i ka ʻeha nui i ka wā o nā mālama dialysis. Hiki iā ʻoe ke manaʻo i kekahi ʻoluʻolu ʻole ke hoʻokomo ʻia nā nila no ka hemodialysis, e like me ka lawe ʻana i ke koko. Ke manaʻo nei kekahi poʻe i ka luhi a i ʻole nā ​​ʻeha o nā ʻiʻo i ka wā a i ʻole ma hope o ka mālama, akā ke hoʻomaikaʻi pinepine nei kēia mau hōʻailona i kou hoʻololi ʻana i ka dialysis. Hiki i kāu hui mālama ola ke kōkua i ka mālama ʻana i kekahi ʻoluʻolu ʻole āu e ʻike ai.

Q4: Hiki iā ʻoe ke huakaʻi inā loaʻa iā ʻoe ka maʻi renal hope loa?

ʻAe, nui nā kānaka me ESRD e hoʻomau i ka huakaʻi, ʻoiai pono ia e hoʻolālā ma mua. Inā aia ʻoe ma ka hemodialysis, pono ʻoe e hoʻonohonoho i nā mālama ma nā kikowaena dialysis i kāu wahi. Ke hāʻawi nei ka peritoneal dialysis i ka nui o ka kūʻokoʻa no ka mea hiki iā ʻoe ke lawe pinepine i nā lako me ʻoe. ʻO nā kānaka me nā kidney transplants ka mea nui loa ka manawa kūʻokoʻa e huakaʻi ai ke kūpaʻa lākou i kā lākou mau lāʻau lapaʻau.

Q5: Hiki iaʻu ke hana inā loaʻa iaʻu ka maʻi renal hope loa?

Nui nā kānaka e hoʻomau i ka hana ʻoiai e mālama ana i ka ESRD, ʻoiai pono paha ʻoe e hana i kekahi mau hoʻoponopono. ʻO ke ʻano o ka hana āu e hana ai, kāu papa mālama, a me kou manaʻo e hoʻopilikia i kou hiki ke hana. Ke hana nei kekahi poʻe i ka manawa piha, kekahi poʻe i ka manawa hapa, a pono paha kekahi e hoʻōki i ka hana no kekahi manawa a mau loa paha. Hiki i kāu hui mālama ola ke kōkua iā ʻoe e hoʻomaopopo i ka mea kūpono no kou kūlana a hoʻopili iā ʻoe me nā kumuwaiwai inā pono.