He maikaʻi anei nā Marathon no kou mau ʻōpū?
Anter
Inā ʻoe e nīnau i ka poʻe ma ka laina hoʻopau o ka marathon no ke aha lākou e hoʻokau wale ai iā lākou iho i 26.2 mile o ka hou a me ka ʻeha, lohe paha ʻoe i nā mea e like me "e hoʻokō i kahi pahuhopu nui," "e ʻike inā hiki iaʻu ke hana, "a" e ʻoi aku ke olakino. " Akā pehea inā ʻaʻole ʻoiaʻiʻo kēlā mea hope loa? He aha inā e hōʻino maoli ka marathon i kou kino? ʻO ia ka nīnau a nā kānaka noiʻi Yale i kamaʻilio ai i kahi noi hou, i ka loaʻa ʻana o nā marathoners e hōʻike nei i ka hōʻino ʻana o nā puʻupaʻa ma hope o ka heihei nui. (Pili: ʻO ka pilikia maoli o ka puʻuwai puʻuwai i ka wā o ka heihei nui)
No ka nānā ʻana i ka hopena o ka holo lōʻihi ma ke ola kino, ua loiloi nā ʻepekema i kahi hui liʻiliʻi o nā mea holo ma mua a ma hope o ka 2015 Hartford Marathon. Ua hōʻiliʻili lākou i nā laʻana koko a me ka mimi, ke nānā nei i nā ʻano māka like ʻole o ka ʻeha puʻupaʻa, e like me nā pae creatinine serum, nā hunaola pūnana ma microscopy, a me nā protein i ka mimi. Ua pīhoihoi nā mea i loaʻa: 82 pakeneka o ka poʻe marathoners i hōʻike iā "Stage 1 Acute Kidney Injury" ma hope koke iho o ka heihei, ʻo ia hoʻi ʻaʻole hana maikaʻi nā puʻupaʻa i ke kānana ʻana i nā ʻōpala mai ke koko.
"Ke pane nei ka puʻupaʻa i ke koʻikoʻi kino o ka holo ʻana o ka marathon me he mea lā ua ʻeha ia, ma ke ʻano e like me ka mea i hana ʻia i nā poʻe maʻi maʻi i ka wā i hoʻopilikia ʻia ai ka puʻupaʻa e nā hoʻopiʻi olakino a me nā hōʻeha," wahi a Chirag Parikh, MD, ka mea noiʻi alakaʻi a me ke kauka. o ka lāʻau lapaʻau ma Yale.
Ma mua o kou makaʻu ʻana, ua mau ka pōʻino o ke kīkī i kekahi mau lā. A laila, hoʻi nā puʻupaʻa i ka maʻamau.
Hoʻohui, makemake paha ʻoe e lawe i nā mea i loaʻa me kahi hua o ka paʻakai (yay electrolytes!). Hōʻike ʻo S. Adam Ramin, M.D., he kauā urologic a me ka luna lapaʻau o Urology Cancer Specialists ma Los Angeles, ʻo nā hoʻokolohua i hoʻohana ʻia i loko o ke aʻo ʻana ʻaʻole 100 pakeneka pololei i ka hoʻomaʻamaʻa ʻana i ka maʻi maʻi kīkī. No ka laʻana, hiki i ka piʻi ʻana o ke kiʻekiʻe o ka creatinine i loko o ka mimi ke hōʻike i ka pōʻino o ke kīkī, akā hiki ke hōʻike i ka hōʻeha i nā ʻiʻo. "Makemake wau e kiʻekiʻe kēia mau pae ma hope o ka holo lōʻihi me ka nānā ʻole ʻia," i ʻōlelo ʻo ia. A inā e holo i ka marathon hana kumu i kekahi mau hōʻino maoli i kāu mau puʻupaʻa, inā maikaʻi ʻoe a laila hiki i kou kino ke hoʻōla maikaʻi iā ia iho, me ka ʻole o nā pilikia lōʻihi, i ʻōlelo ʻo ia.
Eia naʻe kekahi mea e noʻonoʻo ai: "Hōʻike kēia i kou olakino maikaʻi e holo i kahi marathon, ʻaʻole holo i kahi marathon e hoʻomaikaʻi ai i kou olakino," wehewehe ʻo Ramin. "Inā hoʻomaʻamaʻa pono ʻoe a olakino ʻoe, a laila ʻaʻole pōʻino a paʻa paha kahi pōʻino liʻiliʻi i ka puʻupaʻa i ka wā o ka heihei." Akā ʻo ka poʻe i loaʻa i ka maʻi puʻuwai a i ʻole diabetes, a i ʻole nā mea puhipaka, ʻaʻole pono e holo i kahi marathon ʻoiai ʻaʻole hiki i kā lākou puʻupaʻa ke ola pū kekahi.
A e like me nā manawa mau, e nānā e inu i ka nui o ka wai. "ʻO ka pilikia nui loa i kou mau puʻupaʻa i ka wā o ka hoʻomaʻamaʻa ʻana ʻo ka dehydration," wahi a Ramin.