Nā ʻōuli o ka Renal Tubular Acidosis a pehea e hana ʻia ai ka lāʻau

Anter

• Pehea e ʻike ai i ka Renal Tubular Acidosis
• Kumu a me ka ʻike o ART
• Pehea e hana ai i ka lāʻau

ʻO Renal Tubular Acidosis, a i ʻole RTA, kahi hoʻololi e pili ana i ke kaʻina hana o ka tubic reabsorption o ka bicarbonate a i ʻole ka excretion o ka hydrogen i ka mimi, a laila e hoʻonui ana i ka pH o ke kino i kapa ʻia he acidosis, a ʻo ia ka hopena o ka ulu lohi o nā keiki. , ka paʻakikī e loaʻa ai ke kaupaona, nāwaliwali o nā mākala a hoʻemi i nā reflexes, no ka laʻana.

He mea nui e ʻike ʻia a mālama koke ʻia ʻo RTA ma o ka lawe ʻia ʻana o ka bicarbonate e like me ka ʻōlelo a ke kauka e hōʻalo ai i nā pilikia, e like me ka osteoporosis a me ka nalo ʻana o ka hana hakuʻala, no ka laʻana.

Pehea e ʻike ai i ka Renal Tubular Acidosis

ʻO ka tubular Renal Acidosis pinepine asymptomat, akā i ka holo ʻana o ka maʻi e ʻike ʻia kekahi mau ʻōuli, keu hoʻi inā ʻaʻohe oʻo o ka ʻōnaehana excretory. Hiki ke kānalua iā ART i ke keiki ke hiki ʻole ke ʻike i ka ulu pololei a i ʻole ka loaʻa ʻana o ke kaumaha, a he mea nui e lawe i ke keiki i ka pediatrician e hana i ke kuhi a hoʻomaka i ka lāʻau.

ʻO nā hōʻailona nui o Renal Tubular Acidosis:

• Hoʻolālā hoʻomohala;
• Ka paʻakikī no nā keiki e hoʻonui i ka paona;
• Nusea a me ka luaʻi;
• Ka helehelena o ka pōhaku hakuʻala;
• Hoʻololi Gastrointestinal, me ka hiki o ka constipation a i ʻole ka diarrhea;
• Nāwaliwali o ka ʻiʻo;
• Hoʻoemi i nā reflexes;
• Lohi i ka hoʻomohala ʻōlelo.

Hiki i nā keiki i ʻike ʻia me ART ke loaʻa kahi ola maʻamau a me ke ola keu ke hana pololei lākou i ka lāʻau e hōʻalo ai i nā pilikia. Eia nō naʻe, hiki ke lilo i mea maʻalahi i nā maʻi ma muli o ka nāwaliwali o ka ʻōnaehana pale.

I kekahi mau hihia, nalowale paha nā ʻōuli o ka Renal Tubular Acidosis ma waena o 7 a 10 mau makahiki ma muli o ke kō ʻana o nā puʻupaʻa, me ka ʻole o ka pono e mālama ʻia, e nānā wale ʻia nā lāʻau lapaʻau e nānā inā he maikaʻi nā kīʻaha.

Kumu a me ka ʻike o ART

Hiki i ka Tubular Renal Acidosis ke hana ma muli o nā loli a me nā hoʻoilina hoʻoilina, kahi i hānau ʻia ai ke kanaka me nā loli i ke kaʻina lawe tubule renal, i hoʻonohonoho ʻia ma ke ʻano he kumu mua, a ma muli paha o nā hopena lāʻau maikaʻi ʻole, immaturity o nā puʻupaʻa i ka hānau ʻana a i ʻole he hopena ʻē aʻe. nā maʻi, e like me ka maʻi diabetes, maʻi maʻi maʻi maʻi a i ʻole lupus, no ka laʻana, kahi e loli ai ka hakuʻala ma ka manawa.

Hoʻokumu ʻia ka diagnostical o ART ma muli o nā ʻōuli i hōʻike ʻia e ke kanaka a me nā hoʻokolohua koko a me ka mimi. I ka hoʻokolohua koko, ka loiloi o ka bicarbonate, chloride, sodium a me potassium i loiloi ʻia, ʻoiai i ka mimi ka ʻike nui ʻia o ka bicarbonate a me ka hydrogen.

Hoʻohui ʻia, hōʻike ʻia paha ke ultrasound o nā puʻupaʻa e nānā i ke kū ʻana o nā pōhaku hakuʻala, a i ʻole nā ​​kukuna X o nā lima a me nā wāwae, no ka laʻana, i hiki i ke kauka ke nānā no nā loli iwi e hiki ke hoʻopilikia i ka ulu ʻana o ke keiki.

Pehea e hana ai i ka lāʻau

Hana ʻia ka mālama ʻana o Renal Tubular Acidosis e like me ke alakaʻi a ka nephrologist a i ʻole ka pediatrician, i ka hihia o nā keiki, a pili i ka lawe ʻana i ka bicarbonate i kēlā me kēia lā i ka hoʻāʻo e hoʻoliʻiliʻi acidosis i ke kino a me ka mimi, hoʻomaikaʻi i ka hana o ke kino.

ʻOiai he lāʻau maʻalahi ia, hiki iā ia ke hoʻoikaika i ka ʻōpū, kahi e hopena ai i ka gastritis, no ka laʻana, e hoʻoulu i ka maʻi.

He mea nui ka mālama ʻia ʻana e like me ka ʻōlelo a ke kauka e hōʻalo ai i ka hanana ʻana o nā pilikia e pili ana i ka nui o ka waikawa i loko o ke kino, e like me nā deformation o ka iwi, ke ʻano o ka helu ʻana i nā puʻupaʻa a me nā puʻupaʻa.