Hōʻike koko Renin

Ana ke ana renin i ke kiʻekiʻe o ka renin i ke koko.

Pono kahi laʻana koko.

Hiki i kekahi mau lāʻau ke hoʻololi i nā hopena o kēia hōʻike. E haʻi aku kāu mea mālama ola inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau. Mai hōʻoki i kekahi lāʻau ma mua o ke kamaʻilio ʻana i kāu mea hāʻawi.

ʻO nā lāʻau i hiki ke hoʻopili i nā ana renin me:

• Pila pale hānau.
• Nā lāʻau kaomi koko.
• Nā lāʻau e hoʻolahalaha i nā kīʻaha koko (vasodilators). Hoʻohana mau ʻia kēia mau mea e mālama ai i ke koko kiʻekiʻe a i ʻole nā ​​puʻuwai puʻuwai.
• Pila wai (diuretics).

Kauoha paha kāu mea hāʻawi iā ʻoe e kaupalena i kāu lawe ʻana i ka sodium ma mua o ka hoʻāʻo.

E makaʻala hiki i ka pae renin ke hoʻopili ʻia e ka hāpai ʻana, a me ka manawa o ke ao a me ke kūlana o ke kino ke kauo ʻia ke koko.

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

ʻO Renin kahi protein (enzyme) i hoʻokuʻu ʻia e nā puʻupaʻa puʻupaʻa kūikawā ke loaʻa ʻoe i kahi pae paʻakai (sodium) pae haʻahaʻa a i ʻole ka haʻahaʻa o ke koko. ʻO ka hapanui pinepine, hana ʻia ka hoʻokolohua koko renin i ka manawa like e like me ka hoʻāʻo ʻana o ke koko aldosteron e helu i ka renin i ka pae aldosteron.

Inā loaʻa ʻoe i ke koko kiʻekiʻe, hiki i kāu kauka ke kauoha i kahi hoʻokolohua renin a me aldosteron e kōkua ai e hoʻoholo i ke kumu o kou piʻi kiʻekiʻe o ke koko. Hiki i nā hopena hōʻike ke kōkua i ke kauka i ke koho ʻana i ka lāʻau pololei.

No kaʻai sodium maʻamau, ʻo 0.6 a 4.3 ng / mL / hola (0.6 a 4.3 µg / L / hola). No kaʻai sodium haʻahaʻa, ʻo 2.9 a 24 ng / mL / hola (2.9 a 24 µg / L / hola).

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 pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO kahi pae kiʻekiʻe o renin ma muli paha o:

• Adrenal glands ʻaʻole e hana i lawa nā hormona (Addison maʻi a me nā adrenal gland insufficiency)
• Kahe ʻana (hemorrhage)
• Hewa puʻuwai
• ʻO ke kiʻekiʻe o ke koko e pili ana i ka hoʻopili ʻana o nā aʻa puʻupaʻa (renfension hypertension)
• Hoʻopili ka ate a me ka hana maikaʻi ʻole o ke ake (cirrhosis)
• Ka nalowale ʻana o ke kinowai o ke kino (make wai)
• Nā hōʻino kīwaha e hana i ka maʻi nephrotic
• Nā tumora hakuʻala e hoʻohua i ka renin
• Koke a kiʻekiʻe loa ke koko kiʻekiʻe (malignant hypertension)

ʻO kahi pae haʻahaʻa o renin ma muli paha o:

• Adrenal glands e hoʻokuʻu i ka nui aldosterone hormone (hyperaldosteronism)
• ʻO ke koko kiʻekiʻe he paʻakai ia
• Hoʻomaʻo me ka antidiuretic hormone (ADH)
• ʻO ka mālama ʻana me nā lāʻau steroid i mea e hoʻomau ai ke kino i ka paʻakai

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi mea hoʻomanawanui 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 hana renin Plasma; Rinin plasma kaulike; PRA

• ʻO Kidney - ke kahe o ke koko a me ka mimi
• Hōʻaʻo koko

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. 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 24.

ʻO Weiner ID, Wingo CS. Nā kumu Endocrine o ke kiʻekiʻe: aldosteron. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 38.