Hōʻike hoʻāʻo Creatinine

Kōkua ka ho'āʻo cleinine clearance i ka ʻike e pili ana i ka maikaʻi o ka hana o nā puʻupaʻa. Hoʻohālikelike ka hoʻokolohua i ka pae creatinine i ka mimi me ka pae creatinine i ke koko.

Koi ʻia kēia hōʻike i kahi hāpana mimi a me nā hāpana koko. E hōʻiliʻili ʻoe i kou mimi no 24 mau hola a laila lawe ʻia ke koko. E hahai pololei i nā ʻōkuhi. Hōʻoia kēia i nā hopena pololei.

E noi paha kāu mea mālama ola iā ʻoe e hoʻokū iki i kekahi lāʻau i hiki ke hoʻololi i nā hopena hōʻike. Hoʻopili kēia i kekahi mau lāʻau antibiotic a me nā lāʻau waikawa ʻōpū. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai.

Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.

Hoʻopili wale ka mimi i ka urination maʻamau wale nō. ʻAʻohe pilikia.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

ʻO Creatinine kahi huahana neoneo kemika o ka creatine. ʻO Creatine kahi kemika a ke kino e hana ai e hoʻolako i ka ikehu, ka hapanui i nā mākala.

I ka hoʻohālikelike ʻana i ka pae creatinine i ka mimi me ka pae creatinine i loko o ke koko, hoʻohālikelike ka hoʻāʻo cleinine clearance i ka helu filtration glomerular (GFR). ʻO GFR kahi ana o ke ʻano o ka maikaʻi o ka hana o nā puʻupaʻa, keu hoʻi nā ʻāpana kānana o nā puʻupaʻa. Kapa ʻia kēia mau kikowaena kānana i ka glomeruli.

Lawe ʻia ʻo Creatinine, a holoi ʻia paha, mai ke kino āpau e nā puʻupaʻa. Inā kūpono ʻole ka hakuʻala, piʻi ka pae creatinine i loko o ke koko no ka mea ua hoʻopau ʻia ka mea liʻiliʻi ma o ka mimi.

Ana pinepine ʻia ka hoʻomaʻemaʻe ma ke ʻano he mililiter i kēlā me kēia minuke (mL / min) a i ʻole milliliter i kēlā me kēia kekona (mL / s). ʻO nā kumukūʻai maʻamau:

• Kāne: 97 a 137 mL / min (1.65 a 2.33 mL / s).
• Wahine: 88 a 128 mL / min (14.96 a 2.18 mL / s).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio me kāu kauka e ʻike e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

Nā hualoaʻa kūpono ʻole (ma lalo o ka hoʻomaʻamaʻa creatinine maʻamau) e hōʻike paha:

• Nā pilikia kīwī, e like me ka hōʻino ʻana i nā huna tubule
• Hewa ʻole nā ​​hakuʻala
• Liʻiliʻi loa ke kahe o ke koko i nā puʻupaʻa
• Poino i nā kānana kānana o nā puʻupaʻa
• Loaʻa ka wai o ke kino (make wai)
• ʻO ka pale ʻana i ka puka waho
• Hewa puʻuwai

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

ʻO ka hoʻomaʻemaʻe kolo kolo; Nā hana kīhāpai - ka hoʻomaʻemaʻe creatinine; ʻO ka hana Renal - ka hoʻomaʻemaʻe creatinine

• Nā hoʻāʻo Creatinine

Landry DW, Bazari H. Ke hoʻokokoke aku i ka mea maʻi me ka maʻi hōʻeha. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 106.

ʻO MS, Briefel G. Ka loiloi ʻana i ka hana o ke kōpaʻa, ka wai, nā electrolytes, a me ke kaulike acid-base. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 14.