He aha ka Nephrotic Syndrome? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka nephrotic syndrome kahi kūlana o ka puʻupaʻa kahi e hoʻokuʻu nui ai kou mau puʻupaʻa i ka protein i loko o kou mimi. E noʻonoʻo i kou mau puʻupaʻa e like me nā kānana e mālama mau ana i nā protein nui i loko o kou koko, ʻoiai e wehe ana i nā ʻōpala. Ke hōʻino ʻia kēia mau kānana, hoʻomaka lākou e hoʻokuʻu i nā protein waiwai ma o, kahi e hana ai i kahi pilikia ma kou kino holoʻokoʻa.

Hoʻopili kēia kūlana i nā kānaka o nā makahiki a pau, ʻoiai e hōʻike ʻia ma nā ʻano like ʻole i nā keiki ma mua o nā mākua. ʻOiai ke kani nui nei, a pono maoli nō ka nānā ʻana o ke kauka, nui nā kānaka e hoʻokele pono i ka nephrotic syndrome me ka lapaʻau kūpono a me ka mālama.

He aha nā hōʻailona o ka nephrotic syndrome?

ʻO ka hōʻailona nui o ka nephrotic syndrome ka pehu, i kapa ʻia ʻo edema ma ka ʻōlelo lapaʻau. Hana kēia no ka mea, ke nalowale ʻoe i ka protein mai kou koko, hoʻomaka ka wai e hōʻiliʻili i loko o kou mau pūnaewele ma mua o ka noho ʻana i loko o kou mau kīʻaha koko.

Eia nā hōʻailona nui āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau loa:

• Pehu a puni kou mau maka, ʻike nui ʻia i ke kakahiaka
• ʻO ka pehu i kou mau wāwae, nā kuʻekuʻe wāwae, a me nā wāwae e ʻoi aku ka nui i ka lā
• Mimi ʻōhuʻohu a ʻōhuʻohu paha e like me nā hua manu i kuʻi ʻia
• Loaʻa ke kaumaha mai ka wai i mālama ʻia, i kekahi manawa e hana koke ana i nā lā
• ʻIke ʻia ka luhi a nāwaliwali paha
• Nalowale ka makemakeʻai

ʻIke kekahi poʻe i nā hōʻailona liʻiliʻi e like me ka pehu o ka ʻōpū, ka pōkole o ka hanu ke moe, a i ʻole ka ʻili e paʻa ana mai ka pehu. ʻO ka ʻoiaʻiʻo maikaʻi, hoʻomaikaʻi nui kēia mau hōʻailona ke hoʻomaka ka lapaʻau.

I nā hihia kakaʻikahi, ʻike paha ʻoe i nā hōʻailona ʻoi aku ka hopohopo e like me ka pōkole o ka hanu nui, ka ʻeha o ka umauma, a i ʻole ka pehu nui koke. Pono kēia mau mea i ka nānā koke ʻana o ke kauka no ka mea hiki iā lākou ke hōʻike i nā pilikia.

He aha nā ʻano o ka nephrotic syndrome?

Hoʻokaʻawale nā kauka i ka nephrotic syndrome i ʻelua māhele nui ma muli o ka mea e hōʻino ana i ka puʻupaʻa. ʻO ka hoʻomaopopo ʻana i ke ʻano āu e loaʻa ai e kōkua i ka hoʻoholo ʻana i ke ala lapaʻau maikaʻi loa.

Hana ʻia ka nephrotic syndrome mua ke hoʻomaka ka pilikia pololei i kou mau puʻupaʻa. ʻO nā ʻano maʻamau loa e komo pū ana ka minimal change disease, kahi mea maʻamau loa i nā keiki, a me ka focal segmental glomerulosclerosis, ʻoi aku ka maʻamau i nā mākua. Aia nō hoʻi ka membranous nephropathy, kahi mea maʻamau i nā mākua ma mua o 40.

Hana ʻia ka nephrotic syndrome lua ke hōʻino kekahi kūlana ʻē aʻe i kou mau puʻupaʻa. ʻO ka maʻi suka ka mea hana maʻamau loa, ma hope o nā maʻi autoimmune e like me ka lupus. Hiki i nā maʻi, nā lāʻau lapaʻau, a me kekahi mau kanesa ke hoʻoulu i kēia ʻano.

E hoʻokō kāu kauka i nā hoʻokolohua kūikawā e hoʻoholo ai i ke ʻano āu e loaʻa ai, no ka mea e hoʻopili nui kēia i kāu papahana lapaʻau a me ka manaʻolana.

He aha ka mea e hoʻoulu ai i ka nephrotic syndrome?

Hoʻomohala ʻia ka nephrotic syndrome ke hōʻino ʻia nā ʻāpana kānana liʻiliʻi i loko o kou mau puʻupaʻa, i kapa ʻia ʻo glomeruli. Hana mau kēia mau kānana e like me ka ʻupena maikaʻi, e mālama ana i nā protein i loko o kou koko ʻoiai e ʻae ana i nā ʻōpala e hele ma o.

Nui nā kūlana e hōʻino ai i kēia mau kānana nāwaliwali:

• Ka maʻi suka, ʻoi aku hoʻi ke kiʻekiʻe mau ka kō koko ma hope o ka manawa
• Nā maʻi autoimmune e like me ka lupus a i ʻole vasculitis, kahi e hoʻouka ai kou ʻōnaehana pale i kou mau pūnaewele ponoʻī
• Nā maʻi, me ka hepatitis B, hepatitis C, a me ka HIV
• Nā lāʻau lapaʻau, ʻoi aku hoʻi kekahi mau mea hoʻoemi ʻeha a me nā mea pale maʻi
• Nā kanesa koko e like me ka lymphoma a i ʻole leukemia
• Nā kūlana genetic e holo ana i nā ʻohana

I kekahi manawa, ʻoi aku ka nui i nā keiki, ʻaʻole hiki i nā kauka ke ʻike i ka kumu kumu. Kēia ka nephrotic syndrome idiopathic, a ʻoiai ke kani nui nei, pane maikaʻi pinepine ia i ka lapaʻau.

I nā hihia kakaʻikahi, hiki i ka hōʻike ʻia ʻana i kekahi mau mea ʻino, nā maʻi ʻālohilohi nui, a i ʻole nā ​​kīʻaha koko i nā kīʻaha puʻupaʻa ke hoʻoulu i ke kūlana. E noiʻi kāu kauka i kēia mau mea hiki ke hoʻokumu ʻia ma kāu mōʻaukala lapaʻau a me nā hōʻailona.

I ka wā e ʻike ai i ke kauka no ka nephrotic syndrome?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i ka pehu mau, ʻoi aku hoʻi a puni kou mau maka a i ʻole i kou mau wāwae a me nā kuʻekuʻe wāwae. ʻO ka mimi ʻōhuʻohu ʻaʻole e nalowale ma hope o hoʻokahi a ʻelua lā kahi hōʻailona nui ʻē aʻe e pono ai ka nānā ʻana o ke kauka.

Mai kali inā ʻike ʻoe i ka loaʻa koke ʻana o ke kaumaha ma mua o 3-5 paona i loko o kekahi mau lā, no ka mea, hōʻike pinepine kēia i ka wai i mālama ʻia. Pēlā nō, inā ʻike ʻoe i ka luhi maʻamau me ka pehu, ua hiki ka manawa e nānā ʻia.

E ʻimi i ka mālama ola koke inā loaʻa iā ʻoe ka pōkole o ka hanu nui, ka ʻeha o ka umauma, a i ʻole ka pehu nui koke ma kou kino holoʻokoʻa. Hiki i kēia mau mea ke hōʻailona i nā pilikia nui e pono ai ka lapaʻau koke.

E hoʻomanaʻo, hiki i ka ʻike mua a me ka lapaʻau ʻana o ka nephrotic syndrome ke pale aku i nā pilikia a kōkua i ka mālama ʻana i kāu hana puʻupaʻa no ka manawa lōʻihi.

He aha nā mea pilikia no ka nephrotic syndrome?

ʻOiai hiki ke hoʻokele ʻia ka nephrotic syndrome me ka mālama kūpono, hiki iā ia ke alakaʻi i nā pilikia he nui inā waiho ʻole ʻia a i ʻole hoʻokele maikaʻi ʻole ʻia. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe e ʻike i nā hōʻailona hoʻomaopopo a hana pili pono me kāu hui mālama ola.

ʻO nā pilikia maʻamau loa e komo pū ana:

• Nā kīʻaha koko, hiki ke weliweli inā hele lākou i kou mau māmā a i ʻole lolo
• Hoʻonui ʻia ka pilikia o nā maʻi ma muli o ka nalowale ʻana o nā protein pale
• Kolesterol kiʻekiʻe a me ka hoʻonui ʻia o ka pilikia o ka maʻi naʻau
• Ke koko kiʻekiʻe mai ka wai i mālama ʻia
• Ka hōʻino koke ʻana o ka puʻupaʻa i ka wā o nā flare-ups
• Ka maʻi iwi mai ka nalowale ʻana o ka huaora D a me ka calcium

Hoʻomohala kekahi poʻe i nā pilikia ʻoi aku ka nui e like me ka maʻi puʻupaʻa lōʻihi, hiki ke holomua i ka hōʻino ʻana o ka puʻupaʻa ma hope o ka manawa. Hiki i nā keiki ke loaʻa nā hoʻopaneʻe ulu inā ʻaʻole hoʻokele maikaʻi ʻia ke kūlana.

I nā hihia kakaʻikahi, hiki i nā hihia koʻikoʻi ke alakaʻi i nā pilikia weliweli e like me ka pulmonary edema, kahi e hōʻiliʻili ai ka wai i loko o nā māmā, a i ʻole peritonitis, kahi maʻi i loko o ka ʻōpū. Pono kēia mau mea i ka hoʻoponopono ola koke.

ʻO ka lono hoʻoikaika, me ka lapaʻau kūpono a me ka nānā ʻana, hiki ke pale ʻia a hoʻokele maikaʻi ʻia ka hapa nui o kēia mau pilikia.

Pehea e pale aku ai i ka nephrotic syndrome?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā ʻano o ka nephrotic syndrome, ʻoi aku hoʻi nā ʻano genetic, hiki iā ʻoe ke hoʻemi nui i kou pilikia ma ka hoʻokele ʻana i nā kūlana kumu a mālama i ke olakino maikaʻi holoʻokoʻa.

Inā loaʻa iā ʻoe ka maʻi suka, he mea nui ka mālama pono ʻana i kāu kō koko. ʻO kēia ke ʻano o ka hahai ʻana i kāu papahana lāʻau, ka ʻai ʻana i ka meaʻai kaulike, ka hoʻoikaika kino maʻamau, a me ka nānā ʻana i kāu kō koko e like me ke kuhikuhi a kāu kauka.

No ka poʻe me nā kūlana autoimmune, ʻo ka hana pili pono me kāu rheumatologist a i ʻole mea kūikawā e mālama i ka mumū ma lalo o ka mana e kōkua i ka pale ʻana i kou mau puʻupaʻa. E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi a hele i nā hālāwai nānā maʻamau.

ʻO nā hana pale maʻamau e komo pū ana ka mālama ʻana i ke kaumaha olakino, ka hoʻoikaika kino maʻamau, ka ʻaʻole puhipaka, a me ka palena ʻana i ka inu waiʻona. Kākoʻo kēia mau mea ola i ke olakino puʻupaʻa holoʻokoʻa a hoʻemi i kou pilikia i nā kūlana e hiki ke alakaʻi i ka nephrotic syndrome.

E makaʻala i nā lāʻau lapaʻau ʻeha ma luna o ka counter, ʻoi aku hoʻi nā NSAIDs e like me ka ibuprofen, no ka mea, hiki i ka hoʻohana lōʻihi ke hōʻino i nā puʻupaʻa. E kūkākūkā mau i ka hoʻohana ʻana i nā lāʻau lapaʻau me kāu mea mālama ola, ʻoi aku hoʻi inā loaʻa iā ʻoe nā mea pilikia ʻē aʻe.

Pehea e ʻike ʻia ai ka nephrotic syndrome?

ʻO ka ʻike ʻana i ka nephrotic syndrome e komo pū ana i nā hoʻokolohua he nui e kōkua ai i kāu kauka e hoʻomaopopo i ka mea e hana ana i kou mau puʻupaʻa a ma kou kino holoʻokoʻa. Hoʻomaka pinepine ke kaʻina hana me ka mōʻaukala lapaʻau a me ka nānā kino piha.

E kauoha kāu kauka i nā hoʻokolohua mimi e ana i nā pae protein a e ʻimi i nā mea ʻē aʻe. Hiki i ka hōʻiliʻili mimi 24-hola a i ʻole kahi ratio protein-to-creatinine mimi maʻalahi ke hōʻike i ka nui o ka protein āu e nalowale nei. Nānā nā hoʻokolohua koko i kāu mau pae protein, hana puʻupaʻa, a me ka cholesterol.

Hiki i nā hoʻokolohua hou ke komo pū me nā haʻawina kiʻi e like me nā ultrasounds e nānā i ke ʻano o kāu puʻupaʻa. I nā hihia he nui, hiki i kāu kauka ke kuhikuhi i ka biopsy puʻupaʻa, kahi e lawe ʻia ai kahi ʻāpana pūnaewele liʻiliʻi e ʻike i ke ʻano kūikawā o ka hōʻino ʻana o ka puʻupaʻa.

Hiki i ka biopsy ke kani hopohopo, akā hana pinepine ʻia ia ma ke ʻano he hana ma waho me ka anesthesia kūloko. Hāʻawi kēia hoʻokolohua i ka ʻike nui e pili ana i ka mea e hoʻoulu ai i kāu nephrotic syndrome a kōkua i ke alakaʻi ʻana i nā hoʻoholo lapaʻau.

Hiki paha i kāu kauka ke hoʻokolohua no nā kūlana kumu e like me ka maʻi suka, lupus, a i ʻole nā ​​maʻi e hiki ke hoʻopili i kāu mau pilikia puʻupaʻa.

He aha ka lapaʻau no ka nephrotic syndrome?

ʻO ka lapaʻau no ka nephrotic syndrome e kau nui ana i ka hoʻemi ʻana i ka nalowale ʻana o ka protein, ka hoʻokele ʻana i nā hōʻailona, ​​a me ka hoʻoponopono ʻana i nā kumu kumu. E hilinaʻi kāu papahana lapaʻau kūikawā i ke ʻano āu e loaʻa ai a me ka mea e hoʻoulu ai.

Hoʻokumu nā lāʻau lapaʻau i ke kumu o ka lapaʻau. ʻO nā corticosteroids e like me ka prednisone ka lapaʻau mua loa, ʻoi aku hoʻi i nā keiki a no kekahi mau ʻano o ka nephrotic syndrome. Hiki i kēia mau lāʻau anti-inflammatory ikaika ke kōkua i ka hoʻemi ʻana i ka mumū puʻupaʻa a me ka nalowale ʻana o ka protein.

ʻO nā lāʻau lapaʻau ʻē aʻe āu e kuhikuhi ai kāu kauka e komo pū ana:

• Nā mea hoʻoemi ACE a i ʻole ARBs e pale i kou mau puʻupaʻa a hoʻemi i ka nalowale ʻana o ka protein
• Nā diuretics e kōkua i ka hoʻemi ʻana i ka pehu ma ka wehe ʻana i ka wai nui
• Nā lāʻau immunosuppressive no nā hihia ʻaʻole pane i nā steroids
• Nā lāʻau hoʻoemi cholesterol e hoʻoponopono i nā pae lipid kiʻekiʻe
• Nā mea hoʻoemi koko inā loaʻa iā ʻoe ka pilikia kiʻekiʻe no nā kīʻaha

Inā ke kumu nei kekahi kūlana kumu i kāu nephrotic syndrome, he mea nui ka mālama ʻana i kēlā kūlana. Hiki paha kēia ke komo pū me ka hoʻokele maikaʻi ʻana o ka maʻi suka, ka mālama ʻana i nā maʻi autoimmune, a i ʻole ka hoʻoponopono ʻana i nā maʻi.

I nā hihia kakaʻikahi kahi ʻaʻole hana nā lapaʻau maʻamau, hiki i kāu kauka ke noʻonoʻo i nā lāʻau hou a i ʻole nā ​​lapaʻau hoʻokolohua. Hiki i kekahi poʻe ke pono i ka dialysis a i ʻole ka hoʻololi ʻana o ka puʻupaʻa, ʻoiai he mea maʻamau ʻole kēia me ka lapaʻau mua kūpono.

Pehea e hoʻokele ai i ka nephrotic syndrome ma ka home?

ʻO ka hoʻokele ʻana i ka nephrotic syndrome ma ka home e komo pū ana i nā hoʻoponopono ola he nui e hiki ke hoʻomaikaʻi nui i kāu mau hōʻailona a me ke olakino holoʻokoʻa. Hana kēia mau hana pū me kāu lapaʻau lapaʻau e kōkua iā ʻoe e ʻike maikaʻi a pale aku i nā pilikia.

He kuleana nui nā hoʻololi ʻai i kāu mālama. ʻO ka hoʻemi ʻana i ka sodium e kōkua i ka hoʻokele ʻana i ka pehu a me ke koko kiʻekiʻe. E pahuhopu i ka liʻiliʻi ma mua o 2,000 mg o ka sodium i kēlā me kēia lā ma ka pale ʻana i nā meaʻai i hana ʻia, nā meaʻai hale ʻaina, a me ka hoʻohui ʻana i ka paʻakai liʻiliʻi i kāu kuke ʻana. E lilo ka heluhelu ʻana i nā lepili meaʻai i mea nui.

Pono ka protein i ka kaulike. ʻOiai ʻoe e nalowale ana i ka protein i loko o kou mimi, hiki i ka ʻai nui ʻana i ka protein ke hoʻoikaika i kou mau puʻupaʻa. E kuhikuhi kāu kauka a i ʻole mea ʻai i ka nui kūpono no kāu kūlana kūikawā, ma kahi o 0.8-1.0 grams no kēlā me kēia kilogram o ke kaumaha kino.

E nānā i kou kaumaha i kēlā me kēia lā a mālama i kahi moʻolelo. Hiki i ka loaʻa koke ʻana o ke kaumaha o 2-3 paona i ka lā a i ʻole 5 paona i ka hebedoma ke hōʻike i ka wai i mālama ʻia a pono e hōʻike ʻia i kāu kauka. Hiki i ka hoʻokiʻekiʻe ʻana i kou mau wāwae ke noho a moe i ka hoʻemi ʻana i ka pehu.

E noho ikaika i loko o kāu mau palena. Hiki i ka hoʻoikaika kino māmā e like me ka hele ʻana ke hoʻomaikaʻi i ka holo koko a me ke olakino holoʻokoʻa, akā e pale i nā hana ikaika e hiki ke hoʻonui i ka pehu. E hoʻolohe i kou kino a hoʻomaha ke pono.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hoʻomākaukau ʻana no kāu mau kipa kauka e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka nui loa mai kāu manawa pū a ʻaʻole poina i nā ʻike nui. Hiki i ka hoʻomākaukau maikaʻi ke alakaʻi i nā hoʻoholo mālama a me ka lapaʻau maikaʻi.

E mālama i kahi moʻolelo hōʻailona e hoʻomaopopo ana i ka wā e hana ai ka pehu, pehea ka nui, a me ka mea e hiki ai ke hoʻomaikaʻi a i ʻole ka hoʻonui ʻana. E hoʻopaʻa i kāu mau kaumaha i kēlā me kēia lā, nā heluhelu koko kiʻekiʻe inā loaʻa iā ʻoe kahi mea nānā home, a me nā loli i ke ʻano o kou mimi.

E lawe mai i kahi papa inoa piha o nā lāʻau lapaʻau a pau, me nā lāʻau lapaʻau ma luna o ka counter, nā mea hoʻohui, a me nā mea hoʻōla lāʻau. E komo pū me nā dosages a me ka pinepine āu e lawe ai. He mea nui kēia ʻike no ka mea hiki i kekahi mau lāʻau lapaʻau ke hoʻopili i ka hana puʻupaʻa.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau. Mai kānalua e nīnau e pili ana i kekahi mea āu ʻaʻole i hoʻomaopopo, me nā koho lapaʻau, nā hopena ʻaoʻao, a i ʻole nā ​​hoʻololi ola. E kākau i nā pane a lawe mai i kekahi me ʻoe e kōkua i ka hoʻomanaʻo ʻana i nā ʻike nui.

E lawe mai i nā kope o nā hopena hoʻokolohua hou a i ʻole nā ​​moʻolelo lapaʻau mai nā kauka ʻē aʻe. Inā ʻoe e ʻike ana i kahi mea kūikawā no ka manawa mua, kōkua kāu mōʻaukala lapaʻau a me nā hopena hoʻokolohua ma mua iā lākou e hoʻomaopopo maikaʻi i kāu kūlana.

He aha ka mea nui e pili ana i ka nephrotic syndrome?

ʻO ka mea nui loa e hoʻomaopopo ai e pili ana i ka nephrotic syndrome, ʻoiai he kūlana koʻikoʻi ia e pono ai ka nānā ʻana o ke kauka, hiki ke hoʻokele maikaʻi ʻia me ka mālama kūpono. Nui nā kānaka me ka nephrotic syndrome e ola ana i nā ola piha, ikaika me ka lapaʻau kūpono a me nā hoʻololi ola.

Hana ka ʻike mua a me ka lapaʻau ʻana i kahi ʻokoʻa nui i nā hopena. Inā ʻike ʻoe i ka pehu mau, mimi ʻōhuʻohu, a i ʻole nā ​​hōʻailona ʻē aʻe, mai kali e ʻimi i ka nānā ʻana o ke kauka. ʻO ka wikiwiki o ka hoʻomaka ʻana o ka lapaʻau, ʻoi aku ka maikaʻi o kou manawa e pale aku ai i nā pilikia a mālama i ka hana puʻupaʻa.

E hoʻomanaʻo he manawa pinepine ka lapaʻau e hana ai, a pono paha ʻoe e ho'āʻo i nā ala like ʻole ma mua o ka loaʻa ʻana o ka mea e hana maikaʻi loa no ʻoe. E noho hoʻomanawanui a mālama i ka kamaʻilio ākea me kāu hui mālama ola e pili ana i kou manaʻo a me nā hopohopo āu e loaʻa nei.

Me nā koho lapaʻau o kēia manawa a me ka mālama kākoʻo, ʻoi aku ka maikaʻi o ka manaʻolana no nā kānaka me ka nephrotic syndrome. E kau i ka hahai ʻana i kāu papahana lapaʻau, ka hana ʻana i nā koho ola olakino, a me ka noho pili me kāu mālama lapaʻau.

Nā nīnau nīnau pinepine e pili ana i ka nephrotic syndrome

Hiki ke ho'ōla loa ʻia ka nephrotic syndrome?

Aia ke pane i ka mea e hoʻoulu ai i kāu nephrotic syndrome. Hele pinepine kekahi mau ʻano, ʻoi aku hoʻi ka minimal change disease i nā keiki, i ka remission piha me ka lapaʻau. Eia naʻe, pono paha kekahi mau ʻano i ka hoʻokele mau ma mua o ka ho'ōla piha. Loaʻa i nā kānaka he nui nā manawa lōʻihi me ka ʻole o nā hōʻailona me ka lapaʻau kūpono, kahi mea maikaʻi e like me ka ho'ōla ʻana ma ke ʻano o ka maikaʻi o ke ola.

He genetic a hereditary paha ka nephrotic syndrome?

Hiki i kekahi mau ʻano o ka nephrotic syndrome ke holo i nā ʻohana, ʻoi aku hoʻi kekahi mau ʻano genetic e hoʻopilikia ana i nā keiki. Eia naʻe, ʻaʻole hoʻoilina ka hapa nui o nā hihia a hoʻomohala ʻia ma muli o nā kūlana lapaʻau ʻē aʻe a i ʻole nā ​​kumu ʻike ʻole ʻia. Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o ka maʻi puʻupaʻa, he mea kūpono ke kūkākūkā me kāu kauka, akā ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ke kūlana.

Hiki i nā keiki me ka nephrotic syndrome ke komo i nā haʻuki a me nā hana maʻamau?

Hiki i ka hapa nui o nā keiki me ka nephrotic syndrome i hoʻokele maikaʻi ʻia ke komo i nā hana maʻamau, me nā haʻuki. Eia naʻe, i ka wā o nā papa hana o ka maʻi kahi e nui ai ka pehu a i ʻole inā aia lākou ma nā steroids kiʻekiʻe, pono paha e palena ʻia ka hana. E hāʻawi kāu kauka keiki i nā kuhikuhi kūikawā ma muli o kā lākou kūlana pilikino a me nā hōʻailona o kēia manawa.

Pehea ka lōʻihi o ka lapaʻau no ka nephrotic syndrome?

Hoʻololi nui ka lōʻihi o ka lapaʻau ma muli o ke ʻano o ka nephrotic syndrome a me ka maikaʻi o kou pane i ka lapaʻau. Pono paha kekahi poʻe i ka lapaʻau no kekahi mau mahina, ʻoiai pono kekahi i ka lāʻau mau no nā makahiki a i ʻole ke ola holoʻokoʻa. ʻO ka pahuhopu ke loaʻa ka lapaʻau liʻiliʻi maikaʻi e mālama i kāu mau hōʻailona i hoʻokele ʻia me nā hopena ʻaoʻao liʻiliʻi loa.

He aha nā meaʻai āu e pale aku ai inā loaʻa iā ʻoe ka nephrotic syndrome?

ʻO ka palena nui o ka ʻai ka palena ʻana i ka sodium e kōkua i ka hoʻokele ʻana i ka pehu a me ke koko kiʻekiʻe. ʻO kēia ke ʻano o ka pale ʻana i nā meaʻai i hana ʻia, nā hupa kānana, nā ʻiʻo deli, a me nā meaʻai hale ʻaina ke hiki. ʻAʻole pono ʻoe e kāpae loa i ka protein, akā hiki i kāu kauka ke kuhikuhi i nā nui moderate. E pale i ka hoʻohui ʻana i ka paʻakai i kāu meaʻai a heluhelu pono i nā lepili, no ka mea, hūnā ʻia ka sodium i nā wahi i manaʻo ʻole ʻia e like me ka berena a me nā cereals.