ʻO Nefritis huehue

Anter

• He aha nā ʻano ʻokoʻa o nephritis huehue
• Nephritis interstitial
• ʻO Pyelonephritis
• Glomerulonephritis
• He aha ke kumu o nephritis huʻi?
• Nephritis interstitial
• ʻO Pyelonephritis
• Glomerulonephritis
• ʻO wai ka mea e makaʻu no ka nephritis huʻi?
• He aha nā hōʻailona o nephritis huʻihu?
• Pehea e ʻike ʻia ai ka nephritis huehue?
• Pehea e mālama ʻia ai ka nephritis huehue?
• Nā Lapaʻau
• Pākuʻi
• Dialysis
• Mālama home
• ʻAi liʻiliʻi i ka sodium
  
• He aha ka manaʻo lōʻihi?
• Nā Kumuwaiwai ʻatikala

Hōʻike Overview

ʻO kou mau puʻupaʻa nā kānana o kou kino. ʻO kēia mau ʻāpana bean a kahi ʻōnaehana wehe ʻōpala sophisticated. Hoʻomaʻa lākou i 120 a 150 mau lika o ke koko i kēlā me kēia lā a hemo i 2 mau kuata o nā huahana neoneo a me ka nui o ka wai, e like me ka National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

Loaʻa ka nephritis huʻihu i ka wā i wela ai kou mau puʻupaʻa. Loaʻa i nā nephritis huʻihuʻi he mau kumu, a hiki i ka hopena ke alakaʻi i ka ʻole kīnā ʻole inā haʻalele ʻia ʻole ʻia. ʻO kēia ʻano i kapa ʻia ʻo Bright's disease.

He aha nā ʻano ʻokoʻa o nephritis huehue

Nui a hewahewa nā ʻano nephritis koʻikoʻi:

Nephritis interstitial

I ka nephritis interstitial, lilo nā ākea ma waena o nā tubula hakuʻala i mea wela. ʻO kēia pehu ke kumu o ka pehu ʻana o nā puʻupaʻa.

ʻO Pyelonephritis

ʻO ka Pyelonephritis kahi mumū o ka puʻupaʻa, ma muli o ka maʻi bacteria. I ka hapanui o nā hihia, hoʻomaka ka maʻi i loko o ka pākū a neʻe i luna nā ureter a i nā puʻupaʻa. ʻO ka Ureter nā paipu ʻelua e lawe i ka mimi mai kēlā me kēia puʻupaʻa i ka pā.

Glomerulonephritis

Hoʻopuka kēia ʻano nephritis huʻihu i ka mumū i ka glomeruli. Aia he mau miliona capillaries i loko o kēlā me kēia puʻupaʻa. ʻO Glomeruli nā pūʻulu liʻiliʻi o nā capillaries e halihali i ke koko a hana e like me nā kānana kānana. ʻAʻole hiki i ka glomeruli hōʻino a hoʻāla ke kānana pono i ke koko. E aʻo hou aʻe e pili ana i ka glomerulonephritis.

He aha ke kumu o nephritis huʻi?

ʻO kēlā me kēia ʻano nephritis huikau nā kumu ponoʻī.

Nephritis interstitial

ʻO ka hopena pinepine kēia ʻano mai ka hopena maʻi ʻaʻai i kahi lāʻau a antibiotic paha. ʻO kahi hopena hopena ke pane koke o ke kino i kahi mea haole. Ua kauoha paha kāu kauka i ka lāʻau e kōkua iā ʻoe, akā ʻike ke kino iā ia he mea ʻino. Hoʻouka kēia i ke kino e hoʻouka iā ia iho, e hopena ai i ka pehu.

ʻO ka potassium haʻahaʻa i loko o kou koko kekahi kumu o ka nephritis interstitial. Kōkua ka potassium i ka hoʻoponopono ʻana i nā hana he nui i loko o ke kino, me ka puʻuwai a me ka metabolism.

ʻO ka lawe ʻana i nā lāʻau no nā wā lōʻihi e hōʻino paha i nā aʻa o nā puʻupaʻa a alakaʻi i ka nephritis interstitial.

ʻO Pyelonephritis

ʻO ka hapanui o nā hihia pyelonephritis maiE.coli maʻi kīnā. ʻIke ʻia kēia ʻano bacteri i loko o ka ʻōpū nui a huki ʻia i loko o kāu pahu. Hiki i nā koʻohune ke hele aʻe mai ka urethra a i ka pūpū a me nā puʻupaʻa, e hopena ana i ka pyelonephritis.

ʻOiai ke kumu o ka maʻi koʻohune ke kumu nui o pyelonephritis, nā kumu kumu ʻē aʻe e pili pū me:

• nā hoʻokolohua urinary e hoʻohana i ka cystoscope, kahi mea kani e nānā i loko o ka puhā
• ʻoki o ka pākā, nā puʻupaʻa, a i ʻole nā ​​ureter
• ke kūkulu ʻia ʻana o nā pōhaku hakuʻala, nā hana pōhaku e pili ana i nā minelala a me nā mea neoneo ʻē aʻe

Glomerulonephritis

ʻO ke kumu nui o kēia ʻano maʻi maʻi kidney ʻaʻole ʻike ʻia. Eia nō naʻe, hiki i kekahi mau kūlana ke paipai i kahi maʻi, e like me:

• nā pilikia i ka ʻōnaehana pale
• kahi moʻolelo o ka maʻi ʻaʻai
• kahi abscess e haki a hele i kou mau puʻupaʻa ma o kou koko

ʻO wai ka mea e makaʻu no ka nephritis huʻi?

Kūpono nui kekahi poʻe no ka nephritis huehue. ʻO nā kumu pilikia no ka nephritis huehue e komo pū:

• kahi moʻolelo ʻohana o ka maʻi puʻuwai a me ka maʻi
• ka loaʻa ʻana o kahi maʻi pale, e like me ka lupus
• ke lawe nei i nā lāʻau ʻino he nui a i ʻole nā ​​lāʻau ʻeha
• ʻoki kino hou o ka urinary tract

He aha nā hōʻailona o nephritis huʻihu?

E loli kāu mau hōʻailona ma muli o ke ʻano o ka nephritis nui loa i loaʻa iā ʻoe. ʻO nā ʻōuli maʻamau o nā ʻano ʻekolu o ka nephritis koʻikoʻi:

• ʻeha ma ka pelvis
• ʻeha a i ʻole ke ahi wela i ka wā e mimi ana
• he pono pinepine e mimi
• mimi ʻōpua
• ke koko a i ʻole ka pā i ka mimi
• ʻeha ma ka puʻupaʻa a i ʻole ka ʻōpū
• pehu o ke kino, maʻamau i ka maka, nā wāwae, a me nā wāwae
• ka luaʻi
• fiva
• kahe koko kiʻekiʻe

Pehea e ʻike ʻia ai ka nephritis huehue?

E hana kahi kauka i kahi hoʻokolohua kino a lawe i kahi mōʻaukala olakino e hoʻoholo inā hiki i kahi piʻi nui o ka nephritis nui.

Hiki i nā hoʻokolohua lab ke hōʻoia a hōʻole paha i ka hiki ʻana o kahi maʻi. Hoʻopili kēia mau hoʻokolohua i kahi urinalysis, kahi e hoʻāʻo ai no ke kū o ke koko, bacteria, a me nā hunaola keʻokeʻo (WBCs). Hiki i kahi alo nui o kēia mau mea ke kuhikuhi i kahi maʻi.

Kauoha paha ke kauka i nā hoʻokolohua koko. ʻElua mau mea koʻikoʻi nui he urea nitrogen (BUN) a me ka creatinine. ʻO kēia nā huahana neoneo e hoʻopōʻaiapuni i loko o ke koko, a ʻo nā puʻupaʻa ke kuleana no ka kānana ʻana iā lākou. Inā piʻi ka nui o kēia mau helu, hiki i kēia ke kuhikuhi i nā pūpū ʻole e holo pū kekahi.

Hiki i kahi kiʻi paʻi kiʻi, e like me kahi CT scan a i ʻole ultrasound hōʻeuʻeu, ke hōʻike i kahi poloka a huʻi paha o nā puʻupaʻa a i ʻole ka urinary tract.

ʻO kahi biopsy renal kekahi o nā ala maikaʻi loa e kuhikuhi ai i ka nephritis huʻi. No ka mea pili kēia i ka hoʻāʻo ʻana i kahi lāʻai kikoʻī maoli mai ka hakuʻala, ʻaʻole hoʻokō ʻia kēia hōʻike ma nā mea āpau. Hana ʻia kēia hoʻāʻo inā ʻaʻole pane maikaʻi kahi kanaka i nā lāʻau lapaʻau, a i ʻole inā he definitive definitive diagnose ke kauka.

Pehea e mālama ʻia ai ka nephritis huehue?

ʻO ka mālama ʻana no ka glomerulonephritis a me ka nephritis interstitial e koi paha i ka mālama ʻana i nā kūlana kumu e hoʻokumu ai i nā pilikia. ʻO kahi laʻana, inā ʻo kahi lāʻau āu e lawe nei e hoʻopiʻi nei i nā pilikia o ka puʻupaʻa, hiki i kāu kauka ke kuhikuhi i kahi lāʻau ʻē aʻe.

Nā Lapaʻau

Kauoha pinepine ke kauka i nā lāʻau antibiotic e mālama i ka maʻi puʻupaʻa. Inā koʻikoʻi loa kāu maʻi, pono paha ʻoe i nā lāʻau antibiotic intravenous (IV) i loko o ka hale maʻi. ʻOi aku ka wikiwiki o nā antibiotic IV ma mua o nā antibiotic i ka palapala pill. ʻO nā maʻi e like me ka pyelonephritis hiki ke hōʻeha i ka ʻehaʻeha. Kau kauka paha kau kauka e hoʻōla i ka ʻeha ke ola ʻoe.

Inā huhū nui kou mau puʻupaʻa, hiki i kāu kauka ke kuhikuhi i nā lāʻau corticosteroids.

Pākuʻi

Ke hana ʻole nei kou puʻupaʻa, hiki iā ia ke hoʻopili i ke kaulike o nā electrolytes i kou kino. ʻO nā electrolytes, e like me ka potassium, sodium, a me ka magnesium, ke kuleana no ka hoʻokumu ʻana i nā hopena kemika i ke kino. Inā kiʻekiʻe loa kāu mau electrolyte, hiki i kāu kauka ke kauoha i nā wai IV e paipai i kou mau puʻupaʻa e hoʻokuʻu i nā electrolytes keu. Inā haʻahaʻa kāu electrolytes, pono paha ʻoe e lawe i nā mea hoʻopiha. Hiki i kēia ke hoʻopili i nā paila potassium a i ʻole phosphor. Eia naʻe, ʻaʻole pono ʻoe e lawe i nā mea hoʻopihapiha me ka ʻole o ke kauka a me ka ʻōlelo a kāu kauka.

Dialysis

Inā hōʻeha nui kāu hana kidney ma muli o kāu maʻi, pono ʻoe i ka dialysis. He hana kēia e hana ai kahi mīkini kūikawā e like me ka hakuʻala synthetic. Dialisis paha ia he manawa pono. Eia nō naʻe, inā i ʻike kou mau puʻupaʻa i ka nui o ka poino, pono ʻoe i ka dialysis mau.

Mālama home

Ke loaʻa ʻoe i ka nephritis koʻikoʻi, pono i kou kino i ka manawa a me ka ikaika e hoʻōla ai. E paipai paha kāu kauka i kahi moe i ka wā o kou ola ʻana. E ʻōlelo paha kāu kauka iā ʻoe e hoʻonui i kāu lawe ʻana i ka wai. Kōkua kēia i ka pale ʻana i ka make wai a mālama i ka kānana ʻana o nā puʻupaʻa e hoʻokuʻu i nā huahana neoneo.

Inā pili kāu ʻano i kāu hana hakuʻala, hiki i kāu kauka ke koi i kahi papaʻai kūikawā kūikawā haʻahaʻa i kekahi mau electrolytes, e like me ka potassium. Nui nā huaʻai a me nā mea kanu i ka nui o ka potassium. Kauoha paha kāu kauka iā ʻoe e pili ana i nā meaʻai i haʻahaʻa i ka potassium.

Hiki iā ʻoe ke pulu i kekahi mau mea kanu i ka wai a hoʻokahe i ka wai ma mua o ka kuke ʻana iā lākou. ʻO kēia kaʻina hana, ʻike ʻia ka leaching, hiki ke hemo i ka potasiuma keu.

Hiki paha i kāu kauka ke koi aku e hōʻoki i nā meaʻai sodium kiʻekiʻe. Ke nui kou sodium i kou koko, paʻa kou puʻupaʻa i ka wai. Hiki i kēia ke hoʻonui i kou kahe koko.

Aia nā ʻanuʻu hiki iā ʻoe ke lawe e hōʻemi i ka sodium i kāu papaʻai.

ʻAi liʻiliʻi i ka sodium

• E hoʻohana i nāʻiʻo a me nā mea kanu hou ma kahi o nā mea i hoʻomākaukau ʻia.ʻO nā meaʻai prepackaged e kiʻekiʻe i ka sodium.
• Koho i nā meaʻai i kahakaha ʻia ʻo "sodium haʻahaʻa" a i ʻole "ʻaʻohe sodium" i ka wā e hiki ai.
• Ke ʻai nei i waho, noi i kāu mea lawelawe i ka hale ʻaina e noi i ka chef palena i ka paʻakai i hoʻohui ʻia i kāu mau kīʻaha.
• Hoʻohui i kāu meaʻai me nā mea ʻala a me nā mea kanu ma kahi o nā mea paʻakai paʻakai a paʻakai paha.

He aha ka manaʻo lōʻihi?

ʻO nā ʻano ʻekolu o ka nephritis huʻihu e hoʻomaikaʻi me ka mālama koke. Eia nō naʻe, inā ʻaʻole i mālama ʻia kou ʻano, hiki iā ʻoe ke hoʻomāhuahua i ka hakuʻala. Hana ʻia ka hakuʻala ke pau ka hana ʻana o kekahi a i ʻole nā ​​ʻokoma ʻelua i ka hana no kahi manawa pōkole a mau loa paha. Inā kū kēlā, pono paha ʻoe i ka dialysis mau. No kēia kumu, he mea nui e ʻimi koke i ka mālama ʻana no nā pilikia kuhihewa.

Nā Kumuwaiwai ʻatikala

• Dialysis. (2015). https://www.kidney.org/atoz/content/dialysisinfo
• Nā maʻi Glomerular. (2014). https://www.niddk.nih.gov/health-information/kidney-disease/glomerular-diseases
• Haider DG, et al. (2012). ʻO ka biopsy hōʻino ma nā mea maʻi me ka glomerulonephritis: ʻoi aku ka maikaʻi o ka mua? DOI: https://doi.org/10.1186/1471-2369-13-34
• Haladyj E, et al. (2016). Pono anei mākou i ka biopsy renal i ka lupus nephritis? DOI: https://doi.org/10.5114/reum.2016.60214
• Nephritis interstitial. (n.d.). http://www.mountsinai.org/health-library/diseases-conditions/interstitial-nephritis
• ʻO ka maʻi ʻino (pyelonephritis). (2017). https://www.niddk.nih.gov/health-information/urologic-diseases/kidney-infection-pyelonephritis/all-content
• Nā ʻōlelo aʻoaʻo kiʻekiʻe he 10 no ka hoʻēmi ʻana i ka paʻakai i kāu papaʻai. (n.d.). https://www.kidney.org/news/ekidney/june10/Salt_june10
• Kou mau puʻupaʻa a pehea e hana ai. (2014). https://www.niddk.nih.gov/health-information/kidney-disease/kidneys-how-they-work
• He aha ka maʻi ʻaʻai (renal) - Pyelonephritis? (n.d.). http://www.urologyhealth.org/urologic-conditions/kidney-(renal)-infection-pyelonephritis