Palena kaulike ʻole

Pono kēlā me kēia ʻāpana o kou kino i ka wai e holo. Ke olakino ʻoe, hiki i kou kino ke kaulike i ka nui o ka wai e komo a haʻalele i kou kino.

Hiki ke kūlike ʻole ka wai ke nalowale ʻoe i ka wai a i ʻole ka wai ma mua o ka hiki i kou kino ke lawe i loko. Hiki ke hana ʻia ke lawe ʻoe i ka wai a i ʻole ka wai ma mua o ka hiki i kou kino ke hoʻopau.

Ke lilo mau nei kou kino i ka wai ma o ka hanu ʻana, ka hou ʻana a me ka mimiki ʻana. Inā ʻaʻole ʻoe e lawe i nā wai a lawa a i ʻole ka wai, lilo ʻoe i make wai.

He paʻakikī paha kou kino i ka hemo ʻana i nā wai. ʻO ka hopena, kūkulu ka wai i loko o ke kino. Kapa ʻia kēia he wai overload (volume overload). Hiki i kēia ke alakaʻi i ka edema (ʻoi aku ka nui o ka wai i ka ʻili a me nā aʻa).

Hiki i nā pilikia olakino ke kumu i ke kaulike ʻole o ka wai.

• Ma hope o ke kaha ʻana, mālama pinepine ke kino i ka nui o ka wai i mau mau lā, e hoʻoulu ana i ke kino.
• I ka puʻuwai puʻuwai ʻole, ʻohiʻohi ka wai i nā akemāmā, ke ake, nā kīʻaha koko, a me nā mea o ke kino no ka hana maikaʻi ʻole o ka puʻuwai o ka paila ʻana i nā puʻupaʻa.
• Ke holo maikaʻi ʻole nā ​​puʻupaʻa ma muli o ka maʻi lōʻihi (maʻi mau) lōʻihi, ʻaʻole hiki i ke kino ke hoʻopau i nā wai i koi ʻole ʻia.
• Hiki ke lilo ka kino i ka wai ma muli o ka palahī, ka luaʻi, ka nui o ke kahe o ke koko, a i ʻole ke kuni kiʻekiʻe.
• ʻO ka nele o kahi hōmona i kapa ʻia he antidiuretic hormone (ADH) hiki ke hoʻonā i nā puʻupaʻa i ka nui o ka wai. ʻO kēia ka hopena i ka make wai loa a me ka make wai.

ʻO ka manawa pinepine, kahi kiʻekiʻe a haʻahaʻa paha o ka sodium a ʻo ka potassium pū kekahi.

Hiki i nā lāʻau ke hoʻololi i ke kaulike wai. ʻO nā mea maʻamau ka nui o nā pila wai (diuretics) e mālama i ke kahe o ke koko, ka puʻuwai puʻuwai, nā maʻi ate, a i ʻole nā ​​maʻi puʻupaʻa.

Pili ka mālama ʻana i ke kūlana kikoʻī e hoʻoulu ai i ke kaulike ʻole o ka wai.

Kāhea i kāu mea mālama ola inā he hōʻailona kou a ʻo kāu keiki paha o ka make wai ʻana a i ʻole ka pehu ʻana, i mea e pale aku ai i nā pilikia koʻikoʻi.

Kūlike ʻole ka wai; Pākuʻi ʻole o ka likelika - make wai; Hoʻoulu kūlohelohe; Lawe nui o ka wai; Volume overload; Lilo o ka wai; Edema - wai ʻole ke kaulike ʻole; Hyponatremia - ke kaulike ʻole o ka wai; Hypernatremia - ke kaulike ʻole o ka wai; Hypokalemia - ke kaulike ʻole o ka wai; Hyperkalemia - ke kaulike ʻole o ka wai

Berl T, Ke one JM. Nā maʻi o ka wai metabolism. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 8.

Halelu JE. ʻO ka miki a me ka hoʻoheheʻe: ka lula o ka osmolarity wai extracellular a me ka sodium. I: Hall JE, hoʻoponopono. ʻO Guyton a me Hall Textbook of Medical Physiology. 13th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 29.