Ka helu kānana Glomerular

ʻO ka helu kānana Glomerular (GFR) kahi hōʻike i hoʻohana ʻia e nānā i ke ʻano o ka hana o nā puʻupaʻa. ʻO ke kikoʻī, koho ʻia i ka nui o ke kahe o ke koko ma o ka glomeruli i kēlā me kēia minuke. ʻO Glomeruli nā kānana liʻiliʻi i nā puʻupaʻa e kānana i nā ʻōpala mai ke koko.

Pono kahi laʻana koko.

Hoʻouna ʻia ka laʻana o ke koko i kahi lab. Ma laila, ua hoʻāʻo ʻia ka pae kope kole i ka hāpana koko. 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.

Hoʻohui ka loea loea i kou pae creatinine koko me nā kumu ʻē aʻe e kuhi i kāu GFR. Hoʻohana ʻia nā ʻano hana ʻokoʻa no nā mākua a me nā keiki. Hoʻopili ʻia kēia hana i kekahi o nā mea aʻe paha:

• Makahiki
• Ana kine kope
• Lāhui
• Moekolohe
• Kiʻekiʻe
• Kaumaha

ʻO ka hoʻāʻo cleinine clearance, e pili ana i ka hōʻiliʻili mimi he 24 mau hola, hiki ke hāʻawi i kahi koho o ka hana o ka hakuʻala.

E noi paha kāu mea mālama ola iā ʻoe e hoʻokū iki i kekahi lāʻau i hiki ke hoʻololi i nā hopena hōʻike. Pākuʻi ʻia kēia mau mea me nā 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 me kāu kauka.

E haʻi i kāu kauka inā hāpai ʻoe a manaʻo paha ʻoe. Hoʻopilikia ʻia ʻo GFR e ka hāpai ʻana.

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. A ma hope, loaʻa paha kahi ʻōniʻoniʻo a i ʻole kahi ʻūlū iki. Hele koke kēia.

Ana ke ana o ka GFR i ke ʻano o ka hoʻomaʻemaʻe ʻana o kou mau puʻupaʻa i ke koko. Kauoha paha kāu kauka i kēia hoʻokolohua inā loaʻa nā hōʻailona ʻaʻole holo pono kāu mau puʻupaʻa. Hana ʻia nō paha ia e ʻike ai i ka lōʻihi o ka holo ʻana o ka maʻi hakuʻala.

Paipai ʻia ka hōʻike GFR no ka poʻe me ka maʻi maʻi mau. Paipai ʻia no ka poʻe e hoʻomohala i nā maʻi puʻuwai ma muli o:

• Diabetes
• ʻO ka mōʻaukala ʻohana o ka maʻi puʻupaʻa
• ʻO nā maʻi maʻi urinary pinepine
• Maʻi maʻi puʻuwai
• Piʻi koko kiʻekiʻe
• Ka paʻa urinary

Wahi a ka National Kidney Foundation, nā hopena maʻamau mai 90 a 120 mL / min / 1.73 m². E emi ka haʻahaʻa o ka poʻe kahiko ma mua o ka pae GFR maʻamau, no ka mea ua emi ka GFR me ka makahiki.

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.

Nā pae ma lalo o 60 mL / min / 1.73 ka m² no 3 a ʻoi paha mau mahina he hōʻailona o ka maʻi maʻi maʻi mau. ʻO GFR ma lalo o 15 mL / min / 1.73 m² he hōʻailona o ka hōʻino kōpaʻa a koi koke ʻia ka lāʻau lapaʻau.

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)

GFR; Kuhi ʻia ʻo GFR; eGFR

• Nā hoʻāʻo Creatinine

Krishnan A, Levin A. Nānā Laboratory o ka maʻi puʻupaʻa: glomerular filtration rate, urinalysis, a me proteinuria. 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 23.

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.