ʻAzotemia

Anter

• Hōʻike Overview
• Nā ʻano
• Prerenal
• Intrinsic
• Postrenal
• Nā ʻōuli
• Nā Kumu
• Pehea e mālama ʻia ai?
• Nā pilikia a i ka manawa e ʻike ai i ke kauka
• Outlook

Hōʻike Overview

He kūlana ʻo Azotemia ke hana ʻia inā ʻānai ʻia kāu mau puʻupaʻa e ka maʻi a ʻeha paha. Loaʻa iā ʻoe inā ʻaʻole hiki i kou puʻupaʻa ke kāpae i ka neoneo o ka hauota i lawa.

Hoʻomaopopo pinepine ʻia ʻo Azotemia e ka hoʻohana ʻana i ka mimi a me nā hoʻokolohua koko. E nānā kēia mau hoʻokolohua i kou nitrogen urea nitrogen (BUN) a me nā pae creatinine.

Nā ʻano

ʻEkolu ʻano o ka azotemia:

• prerenal
• intrinsic
• postrenal

Prerenal

Hana ʻia ka azotemia Prerenal ke kahe ʻole ka wai ma o nā puʻupaʻa. Hoʻokumu kēia kahe haʻahaʻa o ka wai i nā hoʻoliʻiliʻi kiʻekiʻe o ka serum creatinine a me ka urea. ʻO kēia ʻano azotemia ka mea maʻamau a hiki ke hoʻohuli pinepine ʻia.

Intrinsic

Kū pinepine ka azotemia intrinsic mai ka maʻi, sepsis, a i ʻole maʻi. ʻO ke kumu maʻamau o ka azotemia intrinsic ka necrosis tubular koʻikoʻi.

Postrenal

Hiki i kahi kahakaha urinary ke kumu i ka azotemia postrenal. Hiki pū kekahi azotemia Postrenal me azeremia prerenal.

Hiki i kēia ʻano azotemia ke loaʻa i kekahi mau ʻano lapaʻau ʻokoʻa, nā kumu, a me nā hopena. Eia nō naʻe, hiki i kēlā me kēia mea ke alakaʻi i ka hōʻeha a me ka maikaʻi ʻole inā haʻalele ʻole ʻia a i ʻole ʻike ʻia i ke kakahiaka.

Nā ʻōuli

ʻO Azotemia a me ka uremia ʻelua ʻano ʻokoʻa o nā kūlana puʻupaʻa.

Aia ʻo Azotemia ke loaʻa ka nitrogen i kou koko. Kū ka Uremia ke loaʻa ka urea i kou koko. Eia nō naʻe, pili lāua ʻelua i ka maʻi puʻupaʻa a i ʻole ʻeha.

I nā manawa he nui, ʻaʻole ʻoe e ʻike i kekahi hōʻailona o kekahi mea e hewa ana me kou puʻupaʻa, e like me ka azotemia, a hiki i kahi pae hope loa. ʻO kēia wā hope loa ka hoʻomaka ʻana o ka hoʻokō ʻole ʻana o ka hakuʻala.

Hiki i nā ʻōuli o ka azotemia ke komo pū:

• hōʻeha kīnā nui (inā hoʻomau ka holomua o ka azotemia ma kahi o nā hola a i ʻole mau lā)
• ʻeha puʻuwai koʻikoʻi
• lilo o ka ikehu
• makemake ʻole e komo i kāu hana maʻamau
• nalo ʻai ʻole
• paʻa wai
• nausea a me ka luaʻi

ʻO ka lohi a me ka luaʻi ka hōʻailona o ka piʻi ʻana o ka maʻi.

Nā Kumu

ʻO ke kumu mua o ka azotemia ka nalowale ʻana o ka hana puʻupaʻa. Eia nō naʻe, nā ʻano ʻokoʻa o ka azotemia, e kū aʻe mai a i ʻole kahi ʻāpana o ka hōʻino ʻole o ka puʻuwai, he mau kumu like ʻole.

• ke hiki ʻole ka wai e kahe ana ma nā puʻupaʻa e wehe i ka nitrogen (azeremia prerenal)
• ke keakea ʻia ka urinary tract e kekahi mea a i ʻole ka haki (postrenal azotemia)
• maʻi maʻi a maʻi paha (intrinsic azotemia)
• puʻuwai puʻuwai
• nā pilikia o ka maʻi kō
• kekahi mau lāʻau, ʻo ia hoʻi nā lāʻau nephrotoxic a me nā lāʻau kiʻekiʻe o nā steroid
• makahiki kiʻekiʻe
• ka mōʻaukala o nā paʻakikī hōʻino
• hoʻōla wela
• ʻaʻā wela
• hoʻomake wai
• hoʻohaʻahaʻa koko nui
• kekahi mau ʻoki lāʻau
• he hōʻeha i ka puʻupaʻa

Hiki i ka mālama ʻana i ke kanesa i kekahi manawa ke kumu i ka azotemia. He mana nā lāʻau Chemotherapy a hiki ke hōʻino i kou puʻupaʻa. Hiki iā lākou ke kumu i kahi nui o nā nitrogen-i loaʻa nā huahana by e hoʻokuʻu ʻia e nā make maʻi ʻaʻai.

E nānā kāu oncologist i kou mau puʻupaʻa a me ka pae amonia me nā hoʻokolohua maʻamau. Inā pono, hiki i kāu kauka ke hoʻoponopono a hoʻāʻo paha i nā lāʻau chemotherapy ʻokoʻa inā pili kāu mau puʻupaʻa.

Pehea e mālama ʻia ai?

Pili ka mālama ʻana i ka azotemia i ke ʻano, ke kumu, a me ke ʻano o ka holomua i loko. Me kēia e noʻonoʻo nei, e hoʻopili pū paha kekahi o nā ʻano i:

• dialysis (no ka holomua o ka pae, a he manawa pōkole wale nō paha)
• hānau o ka pēpē i ka hihia o ka hāpai keiki
• ka mālama mua ʻana i ka azotemia postrenal
• ka mālama ʻana i ke kūlana kumu a maʻi paha
• nā wai komo i loko o ke kino
• nā lāʻau
• hoʻololi i kāu ʻano ʻai

Nā pilikia a i ka manawa e ʻike ai i ke kauka

Hiki i nā mea me nā maʻi puʻupaʻa a i ʻole nā ​​pilikia kīwī ke hoʻomohala i ka azeremia prerenal. Hiki i nā pilikia ʻē aʻe ke:

• ʻeharosis tubular huehue (ke hoʻomaka ka make o nā meaola)
• hōʻeha kīwī koʻikoʻi
• lilo o ka hāpai ʻana
• make paha

Hiki i ka azotemia Prerenal i ka hāpai ʻana ke hōʻeha i nā puʻupaʻa koʻikoʻi a hoʻoweliweli i ke olakino o ka pēpē a me ka makuahine.

Inā hāpai ʻoe a loaʻa ka moʻaukala o ka maʻi puʻupaʻa, pono ʻoe e hōʻike i kāu kauka. Makemake ʻoe e hoʻāʻo i kāu hana hakuʻala i kēlā me kēia manawa ma loko o kou hāpai ʻana.

Inā loaʻa iā ʻoe kekahi hōʻailona o ka maʻi maʻi a ʻeha paha, pono ʻoe e ʻike koke i kahi kauka lapaʻau a kāhea paha iā 911.

He mea nui e hoʻonohonoho i nā manawa koho me kāu kauka. Ma kēia mau māka ʻana, e lawe kāu kauka i nā hoʻokolohua koko a me ka mimiki maʻamau. E kōkua kēia mau hoʻokolohua iā lākou e ʻike i nā pilikia me kāu puʻupaʻa i ka wanaʻao, ma mua o ka ʻike ʻia ʻana o nā hōʻailona kūwaho.

Outlook

Inā loaʻa i ka wanaʻao, hiki ke mālama ʻia a hiki ke mālama ʻia i nā ʻano he nui o ka azotemia. Eia nō naʻe, hiki i nā kūlana olakino ʻē aʻe a me ka hāpai keiki ke hana i ka hana paʻakikī.

Nui ka poʻe me ka azotemia i kahi wānana maikaʻi.

ʻO nā pilikia, nā pilikia olakino ʻē aʻe, a me nā maʻi puʻupaʻa a i ʻole ʻeha i hopu ʻia i nā wā hope loa e pono ai ka dialysis maʻamau. He mea nui e hoʻomaopopo i ka azotemia i haʻalele ʻole ʻia a i ʻole nā ​​pilikia e hopena i ka make. No kēia kumu, he mea nui e ʻike pinepine i kāu kauka.