He aha ka pilina ma waena o ka maʻi anemia a me ka maʻi hakuʻala?

Anter

• Ka pilina ma waena o anemia a me CKD
• Nā kumu o ka anemia
• Nā ʻōuli o ka anemia
• ʻImiʻike anemia
• Nā pilikia o ka anemia
• Hoʻomaʻo no ka anemia
• ʻO ka lawe lawe ʻana

Hiki ke ulu ka maʻi maʻi maʻi maʻi (CKD) ke hōʻino kekahi ʻano olakino ʻē aʻe i kou puʻupaʻa. ʻO kahi laʻana, ʻo ka maʻi diabetes a me ke kahe kiʻekiʻe ke kumu nui o ka CKD.

I ka hala ʻana o ka manawa, hiki i ka CKD ke alakaʻi i ka anemia a me nā pilikia kūpilikiʻi. Kū ka Anemia ke lawa ʻole kou kino i nā hunaola ʻulaʻula e lawe i ka oxygen i kāu mau pūnaewele.

Heluhelu e ʻike hou aʻe e pili ana i ka anemia ma CKD.

Ka pilina ma waena o anemia a me CKD

Ke hana pono nei kāu mau puʻupaʻa, hana lākou i kahi hormone i ʻike ʻia ʻo erythropoietin (EPO). Hōʻailona kēia hormone i kou kino e hana i nā hunaola ʻulaʻula.

Inā loaʻa iā ʻoe ka CKD, ʻaʻole lawa paha kāu mau puʻupaʻa i ka EPO. A ʻo kahi hopena, e heleleʻi paha ka helu o kou koko ʻulaʻula e hana i ka anemia.

Inā ʻoe e hana ana i ka hemodialysis e mālama ai iā CKD, hāʻawi paha ia i ka anemia. ʻO ia no ka mea hiki i ka hemodialysis ke lilo i ke kahe o ke koko.

Nā kumu o ka anemia

Ma waho aʻe o ka CKD, nā kumu kūpono ʻē aʻe o ka anemia me:

• hemahema o ka hao, i kumu ʻia e ka kahe nui o ka menstrual, nā ʻano o ke kahe o ke koko, a i ʻole nā ​​pae haʻahaʻa o ka hao i kāu papaʻai
• folate a i ʻole wikamina B-12 deficience, i kumu ʻia e nā pae haʻahaʻa o kēia mau meaola i kāu papaʻai a i ʻole kahi ʻano e hōʻoki ana i kou kino mai ka lawe pono ʻana i ka wikamina B-12.
• kekahi mau maʻi e hoʻopilikia i ka hana ʻana o nā hunaola ʻulaʻula a i ʻole e hoʻonui i ka luku ʻia o nā hunaola ʻulaʻula
• nā hopena i nā kemika ʻino a i ʻole kekahi mau lāʻau

Inā hoʻomohala ʻoe i ka anemia, pili ka papa hana lapaʻau i koi ʻia e kāu kauka i ke kumu o ka anemia.

Nā ʻōuli o ka anemia

ʻAʻole kumu ʻo Anemia i nā ʻōuli i ʻike mau ʻia. Ke hiki, hoʻokomo lākou:

• luhi
• nāwaliwali
• ʻūpā
• ʻeha poʻo
• ukiuki
• pilikia pilikia
• pokole o ka hanu
• kuʻi naʻau kaulike ʻole
• ʻeha ka umauma
• ʻili mae

ʻImiʻike anemia

No ka nānā ʻana no ka anemia, kauoha paha kāu kauka i kahi hoʻokolohua koko e ana i ka nui o ka hemoglobin i kou koko. ʻO Hemoglobin kahi protein i loaʻa i ka hao i nā hunaola ʻulaʻula e lawe i ka oxygen.

Inā loaʻa iā ʻoe ʻo CKD, pono i kāu kauka e hoʻāʻo i kāu pae hemoglobin ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki. Inā ua holomua ʻoe i ka CKD, kauoha paha lākou i kēia hōʻoia koko i nā manawa he nui i ka makahiki.

Inā hōʻike kāu hopena hopena hōʻike he anemia kou, e kauoha paha kāu kauka i nā hoʻokolohua hou aku e hoʻoholo ai i ke kumu o ka anemia. E nīnau lākou iā ʻoe i nā nīnau e pili ana i kāu papaʻai a me ka mōʻaukala olakino.

Nā pilikia o ka anemia

Inā haʻalele ʻole ʻia, hiki i ka anemia ke waiho iā ʻoe me ka luhi loa e hoʻopau i kāu mau hana i kēlā me kēia lā. Hiki paha iā ʻoe ke paʻakikī i ka hoʻoikaika kino a hana paha i nā hana ʻē aʻe ma ka hana, kula, a me ka home. Hoʻopilikia paha kēia i kou ola o ke ola, a me kou hoʻoikaika kino.

Hoʻonui pū ka Anemia i ka pilikia o nā pilikia puʻuwai, e like me ka helu o ka puʻuwai ʻole, hoʻonui ʻia ka puʻuwai, a me ka puʻuwai puʻuwai. ʻO ia ma muli o ka puʻuwai ʻana o kou puʻuwai i ke koko e uku no ka nele o ka oxygen.

Hoʻomaʻo no ka anemia

E mālama i ka anemia e pili ana iā CKD, hiki i kāu kauka ke kuhikuhi i hoʻokahi a ʻoi paha o kēia mau mea:

• ʻO kahi ʻākena hoʻonāukiuki erythropoiesis (ESA). Kōkua kēia ʻano lāʻau i kou kino e hoʻohua i nā hunaola ʻulaʻula. No ka lawelawe ʻana i kahi ESA, hāʻawi kahi mea mālama ola i ka lāʻau ma lalo o kou ʻili a aʻo iā ʻoe pehea e hana ai iā ʻoe iho.
• Pākuʻi hao. Pono kou kino i ka hao e hana i nā hunaola ʻulaʻula, keu hoʻi ke lawe ʻoe i kahi ESA. Hiki iā ʻoe ke lawe i nā mea hoʻopili hao waha i ka palapala pila a loaʻa paha i nā infusions hao ma o ka laina intravenous (IV).
• Hoʻopiʻi koko ʻulaʻula. Inā haʻahaʻa haʻahaʻa kāu pae hemoglobin, hiki i kāu kauka ke koi aku i kahi transfusion o ke koko ʻulaʻula. E lawe ʻia nā hunaola ʻulaʻula mai kahi mea hāʻawi i kou kino ma o ka IV.

Inā haʻahaʻa kāu folate a i ʻole vitamini B-12, hiki i kāu kauka olakino ke paipai i ka supplement me kēia mau meaola.

I kekahi mau hihia, koi paha lākou i nā loli o ka papaʻai e hoʻonui ai i kāu lawe o ka hao, folate, a i ʻole ka wikamina B-12.

E kamaʻilio me kāu kauka lawelawe e aʻo hou e pili ana i nā pono kūpono a me nā pilikia o nā ʻano lapaʻau like ʻole no ka anemia ma CKD.

ʻO ka lawe lawe ʻana

Nui nā poʻe me CKD e hoʻomōhala i ka anemia, ka mea e hoʻonāukiuki ai, lōlō, a i kekahi mau hihia, nā pilikia puʻuwai koʻikoʻi.

Inā loaʻa iā ʻoe ka CKD, e nānā pinepine kāu kauka iā ʻoe no ka anemia me ka hoʻāʻo ʻana i ke koko e ana i kāu pae hemoglobin.

No ka mālama ʻana i ka anemia i hoʻokumu ʻia e CKD, hiki i kāu kauka ke koi aku i ka lāʻau, ka hoʻohui hao, a i ʻole kahi transfusion o ke koko ʻulaʻula. Paipai paha lākou i nā loli o ka papaʻai e kōkua iā ʻoe e loaʻa i nā huaola e pono ai e hana i nā kino koko ʻulaʻula olakino.