Maʻi maʻi polycystic

ʻO ka maʻi maʻi maʻi Polycystic (PKD) kahi maʻi maʻi maʻi i hoʻoili ʻia e nā ʻohana. I kēia maʻi, nui nā cist e hana i nā puʻupaʻa, e hoʻonui ana iā lākou.

Hoʻoholo ʻia ʻo PKD e nā ʻohana (hoʻoilina). ʻO nā ʻano hoʻoilina ʻelua o PKD he mana autosomal a me ka recessive autosomal.

Loaʻa nā poʻe me PKD i nā ʻōpala he nui o nā cist i nā puʻupaʻa. ʻAʻole ʻike ʻia ka mea e hoʻonāukiuki i nā ciste.

Pili ʻo PKD i kēia mau ʻano:

• Aneurysms ʻaʻa
• Aneurysms lolo
• ʻO Cysts i ke akepaʻa, pancreas, a me nā testes
• ʻO Diverticula o ke kolona

Loaʻa ka hapa o ka poʻe me PKD i nā cist i ke akepaʻa.

Pākuʻi ʻia paha nā ʻōuli o PKD i kekahi o kēia mau mea:

• ʻEha o ka ʻōpū a palupalu paha
• Koko i ka mimi
• Urination nui loa i ka pō
• ʻO kaʻeha flank ma hoʻokahi a ma nā ʻaoʻao ʻelua
• Hiamoe
• ʻEha hui
• Nail abnormalities

E hōʻike ʻia kahi hoʻokolokolo:

• Palupalu ʻōpū ma luna o ke ake
• Ake akea
• Murmurs puʻuwai a i ʻole nā ​​hōʻailona ʻē aʻe o ka lawa ʻole o ke aorta a i ʻole ka lawa ʻole o ka mitral
• Piʻi koko kiʻekiʻe
• ʻO nā ulu i nā puʻupaʻa a i ʻole ka ʻōpū

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Cerebral angiography
• Helu piha ke koko (CBC) e nānā no ka anemia
• Nā hoʻāʻo ate (ke koko)
• Urinalysis

ʻO nā kānaka me ka mōʻaukala pilikino a ʻohana paha o PKD i loaʻa i nā poʻo o ke poʻo e pono e hoʻāʻo e ʻike inā ʻo ka aneurysms cerebral ke kumu.

PKD a me nā cist ma ke akepaʻa a i ʻole nā ​​mea ʻē aʻe i loaʻa i ka hoʻohana ʻana i nā hōʻike aʻe:

• Scanner CT ʻōpū
• Scanner MRI ʻōpū
• ʻO ke ultrasound ʻōpū
• ʻO ka pyelogram Intravenous (IVP)

Inā loaʻa iā PKD kekahi mau lālā o kou ʻohana, hiki ke hana ʻia nā hoʻokolohua kūlohelohe e hoʻoholo ai inā hāpai ʻoe i ka ʻāpana PKD.

ʻO ka pahuhopu o ka mālama ʻana e kaohi i nā ʻōuli a pale i nā pilikia. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• ʻO nā lāʻau kaomi koko
• Diuretics (wai huaale)
• Papaʻai paʻakai haʻahaʻa

Pono e mālama wikiwiki ʻia kekahi maʻi maʻi urinary me nā antibiotic.

ʻO nā cyst ʻeha, maʻi, hoʻokahe, a i ʻole ke kumu o ka paʻa ʻana e pono e ninini ʻia. Nui a nui nā cist e hana pono ai e hemo i kēlā me kēia cyst.

ʻO ke ʻoki kino e hemo ai ʻo 1 a ʻelua paha mau puʻupaʻa e pono ai. ʻO nā mālama ʻana no ka maʻi ʻōpū hopena hiki ke komo i ka dialysis a i ʻole ke kuʻina kōkō.

Hiki iā ʻoe ke hoʻomaʻamaʻa pinepine i ke koʻikoʻi o kahi maʻi ma ke komo ʻana i kahi hui kākoʻo kahi e puʻunaue ai nā lālā i nā ʻike a me nā pilikia maʻamau.

E hele lohi ka maʻi. ʻO ka hopena, alakaʻi paha ia i ka hopena kīnā ʻole hopena. Pili pū ʻia ia me ka maʻi akepaʻa, me ka maʻi o nā cista ate.

Hoʻomaha ka mālama ʻana i nā hōʻailona no nā makahiki he nui.

ʻO ka poʻe me PKD i loaʻa ʻole nā ​​maʻi ʻē aʻe he moho maikaʻi lākou no kahi transplant kidney.

ʻO nā pilikia olakino i hopena ʻia mai PKD me:

• Anemia
• Kahe ʻana a hū paha o nā cista
• ʻO ka maʻi maʻi wā lōʻihi (mau)
• ʻO ka maʻi hōʻeha hope loa
• Piʻi koko kiʻekiʻe
• ʻO ka maʻi o nā cista ate
• Pohaku hakuʻala
• Hōʻemi ke ake (ʻoluʻolu a koʻikoʻi)
• Nā maʻi maʻi urinary hou

Kāhea i kāu kahu mālama ola inā:

• Loaʻa iā ʻoe nā ʻōuli o PKD
• Loaʻa iā ʻoe kahi moʻolelo ʻohana o PKD a i ʻole nā ​​maʻi e pili ana a ke hoʻolālā nei ʻoe e loaʻa nā keiki (makemake paha ʻoe e loaʻa i ka ʻōlelo aʻoaʻo genetika)

I kēia manawa, ʻaʻole hiki i kahi lāʻau ke pale i nā cist mai ka hana a hoʻonui ʻana paha.

Cysts - nā puʻupaʻa; Kahuna - polycystic; Maʻi maʻi polycystic mana nui Autosomal; ADPKD

• Nā ʻōkuhi puʻupaʻa a me nā ake - CT scan
• Nā cista ate a me nā spleen - CT scan

Arnaout MA. Nā maʻi maʻi Cystic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 118.

ʻO Torres VE, ʻo Harris PC. Nā maʻi Cystic o ka hakuʻala. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 45.