He aha ka Glomerulonephritis? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka glomerulonephritis ka mumū ʻana o nā kānana liʻiliʻi i loko o kou mau puʻupaʻa i kapa ʻia ʻo glomeruli. Hana kēia mau ʻāpana microscopic e like me nā kānana kofe, e hoʻomaʻemaʻe ana i nā ʻōpala a me ka wai nui mai kou koko e hana ai i ka mimi. Ke mumū lākou, ʻaʻole hiki i kou mau puʻupaʻa ke kānana pono, e alakaʻi ana i nā pilikia me ka wehe ʻana o nā ʻōpala a me ke kaulike wai i loko o kou kino.

Hiki i kēia kūlana ke ulu koke a mālie hoʻi ma ka manawa. ʻOiai ke kani ʻino, nui nā ʻano o ka glomerulonephritis e pane maikaʻi ana i ka lapaʻau, ʻoi aku hoʻi ke hopu koke ʻia. ʻO ka hoʻomaopopo ʻana i nā mea e hana ana i loko o kou kino e kōkua iā ʻoe e hana pū me kou hui olakino e pale aku i kou olakino puʻupaʻa.

He aha nā hōʻailona o ka glomerulonephritis?

Hiki i nā hōʻailona o ka glomerulonephritis ke ʻokoʻa ma muli o ka wikiwiki a mālie paha o ka ulu ʻana o ke kūlana. Ua ʻike kekahi poʻe i nā loli koke, ʻoiai ʻaʻole paha e ʻike kekahi i ka hewa a hiki i nā hoʻokolohua koko maʻamau e hōʻike ai i nā pilikia puʻupaʻa.

Eia nā hōʻailona maʻamau e hōʻike ai kou kino ke hana pono ʻole kāu mau kānana puʻupaʻa:

• Mimi ʻōhuʻohu a me nā puʻupuʻu e like me ka huʻu pia
• Mimi poni, ʻulaʻula, a i ʻole brown mai ke koko
• ʻEhu i kou maka, lima, wāwae, a i ʻole kuʻekuʻe wāwae
• Ke kiʻekiʻe o ke koko
• Luhi a nāwaliwali
• Ho'ēmi ʻia ka mimi ʻana a i ʻole ka mimi ʻana pinepine ʻole
• Pōkole o ka hanu
• Nausea a me ka luaʻi

Hana ʻia ka mimi ʻōhuʻohu no ka mea ke leaka nei ka protein ma o kāu mau kānana puʻupaʻa i hōʻino ʻia. Hana ʻia ka ʻehu ke hiki ʻole i kou mau puʻupaʻa ke wehe i ka wai nui mai kou kino. Hiki i kēia mau hōʻailona ke manaʻo nui, akā ʻo ia ke ala o kou kino e hōʻike mai ai e pono ia i ka mālama olakino.

He aha nā ʻano o ka glomerulonephritis?

Hiki mai ka glomerulonephritis i ʻelua ʻano nui ma muli o ka wikiwiki o ka ulu ʻana o nā hōʻailona. ʻO ka ʻike ʻana i ke ʻano āu e loaʻa ai e kōkua i kāu kauka e koho i ke ala lapaʻau maikaʻi loa no kou kūlana kikoʻī.

ʻO ka glomerulonephritis ʻoi aku ka wikiwiki o ka ulu ʻana, pinepine i loko o nā lā a i ʻole nā pule. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka ʻehu, ka mimi ʻeleʻele, a me ke koko kiʻekiʻe e ʻike koke ʻia. Hoʻomaka pinepine kēia ʻano ma hope o ka maʻi, e like me ka ʻāʻī strep, a nui nā kānaka e ola piha me ka lapaʻau kūpono.

ʻO ka glomerulonephritis lōʻihi ke ulu mālie i nā mahina a i ʻole nā makahiki. ʻAʻole paha ʻoe e ʻike i nā hōʻailona i ka mua, a ʻike pinepine ʻia ke kūlana i nā hoʻokolohua koko maʻamau. Hiki i kēia ʻano ke hōʻino mālie i kou mau puʻupaʻa ma ka manawa, akā hiki i ka lapaʻau mua ke hoʻolohi a hoʻopau paha i ka holomua.

He aha nā kumu o ka glomerulonephritis?

Hiki i ka glomerulonephritis ke ulu mai nā kumu like ʻole, ʻoiai i kekahi manawa ʻaʻole hiki i nā kauka ke ʻike i ke kumu pololei. He kuleana nui kāu ʻōnaehana pale i ka hapa nui o nā hihia, ma o ka hakakā ʻana i ka maʻi a i ʻole ka hoʻouka hewa ʻana i kou mau pūnaewele puʻupaʻa ponoʻī.

ʻO nā kumu maʻamau e komo pū ana:

• Nā maʻi e like me ka ʻāʻī strep, hepatitis B a i ʻole C, a me ka HIV
• Nā maʻi autoimmune e like me ka lupus a me ka vasculitis
• Nā kūlana genetic hoʻoilina e like me ka Alport syndrome
• Nā lāʻau lapaʻau a me nā mea ʻino
• Ka maʻi diabetes a me ke koko kiʻekiʻe ma ka manawa
• Nā maʻi kīʻaha koko e pili ana i nā puʻupaʻa

I kekahi manawa, hana kāu ʻōnaehana pale i nā antibodies e hakakā i ka maʻi, akā hoʻopōʻino pū kēia mau antibodies i kāu mau kānana puʻupaʻa. I nā hihia autoimmune, kuhi hewa kāu ʻōnaehana pale i nā pūnaewele puʻupaʻa olakino e like me nā mea malihini a hoʻouka aku iā lākou. ʻO ka hoʻomaopopo ʻana i ke kumu e kōkua i kāu kauka e hoʻoponopono i ka lapaʻau me ka maikaʻi.

I nā hihia kakaikahi, hiki i ka glomerulonephritis ke hopena mai nā kūlana e like me ka Goodpasture's syndrome, kahi e hoʻouka ai nā antibodies i nā māmā a me nā puʻupaʻa, a i ʻole mai kekahi mau kanesa e hoʻonāukiuki i nā pane pale e pili ana i nā puʻupaʻa.

I ka wā e ʻike ai i ke kauka no ka glomerulonephritis?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama olakino inā ʻike ʻoe i nā loli i ke kala o kou mimi, nā ʻano mimi ʻana, a i ʻole ka ʻehu wehe ʻole. Hiki i kēia mau hōʻailona ke liʻiliʻi, akā hiki iā lākou ke hōʻike i nā pilikia puʻupaʻa koʻikoʻi e pono ai ka nānā koke.

E ʻimi i ka mālama olakino koke inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka ʻehu nui, ka pilikia o ka hanu, ka ʻeha umauma, a i ʻole ka mimi liʻiliʻi loa. Hiki i kēia mau hōʻailona ke hōʻike i ka emi koke ʻana o ka hana puʻupaʻa a pono i ka lapaʻau pilikia.

Mai kali inā loaʻa iā ʻoe nā mea pilikia e like me nā maʻi hou, nā maʻi autoimmune, a i ʻole ka mōʻaukala ʻohana o nā pilikia puʻupaʻa. Hiki i ka ʻike mua a me ka lapaʻau ke pale aku i ka hōʻino mau o ka puʻupaʻa a kōkua i ka mālama ʻana i kāu hana puʻupaʻa no nā makahiki e hiki mai ana.

He aha nā mea pilikia no ka glomerulonephritis?

Nui nā mea e hoʻonui ai i kou manawa e loaʻa ai ka glomerulonephritis, ʻoiai ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ke kūlana. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe a me kāu kauka e makaʻala no nā hōʻailona mua.

Hiki ke kiʻekiʻe kāu pilikia inā loaʻa iā ʻoe:

• Nā maʻi bacteria hou, ʻoi aku hoʻi ka ʻāʻī strep
• Nā maʻi autoimmune e like me ka lupus a i ʻole ka rheumatoid arthritis
• Ka mōʻaukala ʻohana o ka maʻi puʻupaʻa a i ʻole ka glomerulonephritis
• Ka maʻi diabetes a i ʻole ke koko kiʻekiʻe
• Nā maʻi viral e like me ka hepatitis a i ʻole ka HIV
• Ka hōʻike ʻia i kekahi mau kemika a i ʻole nā lāʻau lapaʻau
• Ke kāne a ma mua o 60 mau makahiki

He kuleana nui ka makahiki a me ka genetics. Holo kekahi mau ʻano hoʻoilina o ka glomerulonephritis i nā ʻohana, ʻoiai ke ulu nei kekahi i nā hui makahiki kikoʻī. ʻAʻole ia he manaʻo e loaʻa iā ʻoe nā pilikia puʻupaʻa ka loaʻa ʻana o nā mea pilikia he nui, akā ʻo ia ke ʻano pono ka nānā maʻamau.

He aha nā pilikia hiki ke loaʻa i ka glomerulonephritis?

Ke lapaʻau ʻole ʻia ka glomerulonephritis, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi e pili ana i kou olakino holoʻokoʻa. ʻO ka lono maikaʻi, hiki ke pale ʻia a mālama ʻia paha ka hapa nui o nā pilikia me ka mālama olakino kūpono a me nā loli nohona.

ʻO nā pilikia hiki ke loaʻa e komo pū ana:

• Ka maʻi puʻupaʻa lōʻihi e hoʻopōʻino ana ma ka manawa
• Ke koko kiʻekiʻe e paʻakikī ke kaohi
• Ka hōʻino puʻupaʻa e pono ai ka dialysis a i ʻole ka transplant
• Nā pilikia naʻau mai ka wai nui a me ke koko kiʻekiʻe
• Nā kaulike electrolyte e pili ana i kou rhythm naʻau
• Hoʻonui ʻia ka pilikia o nā maʻi
• Nā pilikia iwi mai nā kaulike mineral

ʻO ka pilikia koʻikoʻi loa ka hōʻino puʻupaʻa holomua, kahi e nalowale mālie ai kou mau puʻupaʻa i ko lākou hiki ke kānana i nā ʻōpala mai kou koko. Eia naʻe, me ka ʻike mua a me ka lapaʻau kūpono, nui nā kānaka me ka glomerulonephritis e mālama i ka hana puʻupaʻa maikaʻi no nā makahiki he nui.

I nā hihia kakaikahi, hiki i ka glomerulonephritis ʻoi aku ka wikiwiki ke hoʻopōʻino i ka puʻupaʻa i loko o nā pule a i ʻole nā mahina, e pono ai ka lapaʻau ikaika koke e pale aku i ka hōʻino mau.

Pehea e pale aku ai i ka glomerulonephritis?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā ʻano o ka glomerulonephritis, ʻoi aku hoʻi nā ʻano hoʻoilina, hiki iā ʻoe ke lawe i nā hana e hoʻemi ai i kou pilikia a pale aku i kou olakino puʻupaʻa. Hoʻokumu ʻia ka pale ʻana i ka mālama ʻana i nā kūlana kumu a me ka pale ʻana i nā mea hoʻonāukiuki ke hiki.

No ke kōkua ʻana i ka pale ʻana i ka glomerulonephritis, hiki iā ʻoe ke mālama koke i nā maʻi, ʻoi aku hoʻi ka ʻāʻī strep a me nā maʻi ʻili e hoʻonāukiuki paha i ka mumū puʻupaʻa. ʻO ka mālama ʻana i nā kūlana lōʻihi e like me ka maʻi diabetes a me ke koko kiʻekiʻe e pale aku pū i kou mau puʻupaʻa mai ka hōʻino ma ka manawa.

ʻO nā hana pale ʻē aʻe e komo pū ana i ka pale ʻana i nā lāʻau lapaʻau pono ʻole e hiki ke hōʻino i kou mau puʻupaʻa, ka wai inu, ka mālama ʻana i ke kaumaha olakino, a me ka ʻaʻole puhipaka. Inā loaʻa iā ʻoe ka maʻi autoimmune, ʻo ka hana pili kokoke me kāu kauka e mālama iā ia e pale aku i nā pilikia puʻupaʻa.

He mea nui nā nānā maʻamau inā loaʻa iā ʻoe nā mea pilikia. Hiki i kāu kauka ke nānā i kāu hana puʻupaʻa me nā hoʻokolohua koko a me ka mimi maʻalahi, e hopu ana i nā pilikia mua ke maikaʻi loa ka lapaʻau.

Pehea ka hōʻoia ʻana o ka glomerulonephritis?

ʻO ka hōʻoia ʻana o ka glomerulonephritis e komo pū ana i nā hoʻokolohua he nui e nānā i ka hana maikaʻi ʻana o kou mau puʻupaʻa a ʻike i ke kumu kumu. E hoʻomaka kāu kauka me kāu mōʻaukala olakino a me ka nānā kino, e ʻimi ana i nā hōʻailona e like me ka ʻehu a me ke koko kiʻekiʻe.

ʻO nā hoʻokolohua hōʻoia nui e komo pū ana i nā hoʻokolohua mimi e nānā ai i ka protein, ke koko, a me nā mea ʻē aʻe e hōʻike ana i ka hōʻino ʻana o ka kānana puʻupaʻa. Ana nā hoʻokolohua koko i nā huahana ʻōpala e like me ka creatinine a me ka urea, kahi e kūkulu ai ke kānana pono ʻole kāu mau puʻupaʻa.

Hiki i kāu kauka ke kauoha aku i nā hoʻokolohua kiʻi e like me nā ultrasounds e nānā i ke ʻano a me ka nui o kou puʻupaʻa. I kekahi manawa, pono ka biopsy puʻupaʻa, kahi e nānā ʻia ai kahi ʻāpana liʻiliʻi o ka pūnaewele puʻupaʻa ma lalo o ka microscope e hoʻoholo i ke ʻano kikoʻī o ka glomerulonephritis a alakaʻi i nā hoʻoholo lapaʻau.

Hiki i nā hoʻokolohua hou ke komo pū me ka nānā ʻana i nā mea hōʻailona autoimmune, nā pae complement, a me nā antibodies kikoʻī e hiki ke hōʻike i ke kumu kumu. Kōkua kēia mau hoʻokolohua i kāu kauka e hana i kahi papahana lapaʻau kikoʻī no kou kūlana kikoʻī.

He aha ka lapaʻau no ka glomerulonephritis?

ʻO ka lapaʻau no ka glomerulonephritis e hilinaʻi ana i ke kumu kumu, ka koʻikoʻi, a me ke ʻano o ke kūlana āu e loaʻa ai. ʻO nā pahuhopu nui ka hoʻemi ʻana i ka mumū, ka pale ʻana i kāu hana puʻupaʻa i koe, a me ka pale ʻana i nā pilikia.

ʻO nā lapaʻau maʻamau e komo pū ana:

• Corticosteroids e hoʻemi ai i ka mumū
• Nā lāʻau lapaʻau immunosuppressive no nā kumu autoimmune
• Nā lāʻau lapaʻau koko kiʻekiʻe, ʻoi aku hoʻi nā ACE inhibitors
• Diuretics e kōkua ai e wehe i ka wai nui
• Antibiotics inā ʻo ka maʻi ke kumu
• Nā loli meaʻai e hoʻemi ai i ka hana puʻupaʻa
• Dialysis i nā hihia koʻikoʻi

E hoʻopilikino kāu kauka i kāu papahana lapaʻau ma muli o kāu ʻano kikoʻī o ka glomerulonephritis. Pono kekahi poʻe i ka lapaʻau ikaika me nā lāʻau lapaʻau ikaika, ʻoiai ʻaʻole pono kekahi i ka kaohi koko kiʻekiʻe a me ka nānā maʻamau.

No nā ʻano kakaikahi e like me ka glomerulonephritis holomua wikiwiki, hiki i ka lapaʻau ke komo pū me ka plasmapheresis, kahi e kānana ʻia ai kou koko e wehe i nā antibodies hōʻino. I nā hihia o ka Goodpasture's syndrome, pono pinepine ka lapaʻau immunosuppressive ikaika e pale aku i nā pilikia ola weliweli.

Pehea e mālama ai i ka glomerulonephritis ma ka home?

ʻO ka mālama ʻana i ka glomerulonephritis ma ka home e komo pū ana i ka hana ʻana i nā loli nohona e kākoʻo i kou olakino puʻupaʻa a hoʻohui i kāu lapaʻau lapaʻau. Hiki i kēia mau hana ke kōkua i ka hoʻemi ʻana i nā hōʻailona a hoʻolohi i ka holomua o ka maʻi.

He kuleana nui ka meaʻai i ka mālama ʻana i kou kūlana. Pono paha ʻoe e kaupalena i ka paʻakai e hoʻemi ai i ka ʻehu a me ke koko kiʻekiʻe, kaupalena i ka protein inā e hakakā ana kou mau puʻupaʻa, a nānā i ka wai inu inā e mālama ana ʻoe i ka wai. Hiki i kāu kauka a i ʻole ka mea ʻai ke kōkua i ka hana ʻana i kahi papahana ʻai aloha puʻupaʻa.

He mea nui ka lawe ʻana i nā lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia, ʻoiai inā ʻoi aku kou ʻano maikaʻi. E nānā i kou koko kiʻekiʻe ma ka home inā kuhikuhi ʻia, a e mālama i kou kaumaha i kēlā me kēia lā e nānā ai i nā hoʻonui koke e hiki ke hōʻike i ka wai mālama.

E noho ikaika i loko o kou mau palena, loaʻa ka hoʻomaha kūpono, a pale aku i nā lāʻau lapaʻau ʻeha ma luna o ka counter e hiki ke hōʻino i kou mau puʻupaʻa. He mea nui nā nānā ma hope o ka manawa no ka nānā ʻana i kāu holomua a hoʻoponopono i ka lapaʻau e like me ka pono.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hoʻomākaukau ʻana no kāu hālāwai e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea maikaʻi loa mai kāu kipa a hāʻawi i kāu kauka i ka ʻike nui e pili ana i kou kūlana. E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou a pehea lākou i loli ai ma ka manawa.

E lawe mai i ka papa inoa o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā huaora āu e lawe nei, me nā mea ma luna o ka counter. E hoʻomākaukau pū i ka papa inoa o nā nīnau e pili ana i kāu hōʻoia, nā koho lapaʻau, a me ka mea e manaʻo ai e hele mai ana.

E hōʻiliʻili i nā hopena hoʻokolohua ma mua, ʻoi aku hoʻi nā hana koko a me nā hoʻokolohua mimi mai nā mea mālama olakino ʻē aʻe. E noʻonoʻo e lawe mai i kahi lālā ʻohana a hoaaloha paha e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui i kūkākūkā ʻia i ka wā o ka hālāwai.

E kākau i kāu mōʻaukala ʻohana o ka maʻi puʻupaʻa, nā kūlana autoimmune, a me nā maʻi a i ʻole nā maʻi hou āu i loaʻa ai. Kōkua kēia ʻike i kāu kauka e hoʻomaopopo i nā kumu a me nā mea pilikia no kou kūlana.

He aha ka mea nui e pili ana i ka glomerulonephritis?

ʻO ka glomerulonephritis kahi kūlana hiki ke mālama ʻia e pili ana i ka ʻōnaehana kānana o kou puʻupaʻa, a ʻo ka ʻike mua ke hana nui i nā hopena. ʻOiai ke kani ʻino, nui nā kānaka me ka glomerulonephritis e ola i nā ola olakino, ikaika me ka mālama olakino kūpono a me ka hoʻokele nohona.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka nānā olakino koke ke ʻike ʻoe i nā hōʻailona hiki ke pale aku i nā pilikia koʻikoʻi. ʻO ka hana pili kokoke me kāu hui olakino, ka lawe ʻana i nā lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia, a me ka hana ʻana i nā koho nohona aloha puʻupaʻa e kōkua i ka pale ʻana i kāu hana puʻupaʻa no nā makahiki e hiki mai ana.

ʻOkoʻa ka ʻike o kēlā me kēia kanaka me ka glomerulonephritis, no laila e kau i kou manaʻo i kāu papahana lapaʻau kikoʻī ma mua o ka hoʻohālikelike ʻana iā ʻoe iho i nā poʻe ʻē aʻe. Me nā koho lapaʻau o kēia lā a me nā holomua olakino e hoʻomau nei, ke hoʻomaikaʻi nei ka manaʻolana no nā kānaka me ka glomerulonephritis.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka glomerulonephritis

Hiki ke ho'ōla piha ʻia ka glomerulonephritis?

Hiki ke hoʻōla piha ʻia kekahi mau ʻano o ka glomerulonephritis, ʻoi aku hoʻi nā mea i hoʻokumu ʻia e nā maʻi, me ka lapaʻau kūpono. Eia naʻe, mālama pinepine ʻia nā ʻano lōʻihi ma mua o ka hoʻōla ʻia, me ka lapaʻau e kau i ka manaʻo i ka hoʻolohi ʻana i ka holomua a me ka pale ʻana i nā pilikia. Nui nā kānaka e mālama i ka hana puʻupaʻa maikaʻi no nā makahiki he nui me ka mālama kūpono.

Pehea ka lōʻihi e pono ai e ola mai ka glomerulonephritis?

ʻOkoʻa loa ka manawa ola ma muli o ke ʻano a me ke kumu o kāu glomerulonephritis. Hiki ke hoʻonā ʻia nā hihia ʻoi aku ka wikiwiki ma hope o nā maʻi i loko o nā pule a i ʻole nā mahina, ʻoiai nā ʻano lōʻihi e pono ai ka mālama mau. Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi manawa lōʻihi maikaʻi ma muli o kāu kūlana kikoʻī a me ka maikaʻi o kāu pane i ka lapaʻau.

He hoʻoilina anei ka glomerulonephritis?

Hoʻoilina ʻia kekahi mau ʻano o ka glomerulonephritis, e like me ka Alport syndrome a me kekahi mau maʻi puʻupaʻa genetic. Eia naʻe, ʻaʻole hoʻoilina ka hapa nui o nā hihia a ulu mai nā maʻi, nā kūlana autoimmune, a i ʻole nā kumu ʻē aʻe i loaʻa. Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o ka maʻi puʻupaʻa, e kūkākūkā i ka ʻōlelo aʻo genetic me kāu kauka.

Hiki iaʻu ke hoʻomau i ka hoʻoikaika kino me ka glomerulonephritis?

Hiki i ka hapa nui o nā kānaka me ka glomerulonephritis ke hoʻomau i ka hoʻoikaika kino, ʻoiai pono paha ʻoe e hoʻololi i kāu papa hana ma muli o kāu mau hōʻailona a me nā pae ikehu. ʻO ka hoʻoikaika kino māmā a waena paha he mea maikaʻi no ka mālama ʻana i ke koko kiʻekiʻe a me ke olakino holoʻokoʻa. E nīnau mau i kāu kauka ma mua o ka hoʻomaka ʻana a i ʻole ka hoʻololi ʻana i kāu papahana hoʻoikaika kino.

Pono anei iaʻu ka dialysis inā loaʻa iaʻu ka glomerulonephritis?

ʻAʻole pono kēlā me kēia kanaka me ka glomerulonephritis i ka dialysis. Nui nā kānaka e mālama i ka hana puʻupaʻa kūpono me ka lapaʻau kūpono a ʻaʻole loa e pono i ka dialysis. Eia naʻe, inā emi nui kāu hana puʻupaʻa ʻoiai ke lapaʻau nei, hiki ke lilo ka dialysis i mea pono. Hoʻemi nui ka ʻike mua a me ka lapaʻau i kēia pilikia.