ʻO ka hoʻomaʻamaʻa Creatinine: he aha ia a me nā waiwai kuhikuhi

Anter

• Ke noi ʻia ka hōʻike
• Pehea e lawe ai i ka hōʻike
• Pehea e hoʻomākaukau ai
• He aha nā kumukūʻai kūmole

Hana ʻia ka ho'āʻo cleinine clearance e nānā i ka hana o ka puʻupaʻa, i hana ʻia e ka hoʻohālikelike ʻana i ka nui o ka creatinine i loko o ke koko me ka hoʻoliʻiliʻi o nā mea kolo i loko o ka hāpana mimi he 24 mau kānaka. No laila, hōʻike ka hopena i ka nui o nā creatinine i lawe ʻia mai ke koko a hoʻopau ʻia i ka mimi, a ʻo kēia hana e hoʻokō ʻia e nā puʻupaʻa, ʻo nā loli i nā hopena e hōʻike ana i ka hōʻino ʻana o ka hakuʻala.

ʻO ka maʻamau, noi ʻia ka hoʻāʻo cleinine clearance ke ʻike ʻia nā loli i ka nui o ke koko creatinine, ke piʻi ka piʻi ʻana o ka protein i ka mimi a kōkua i ke kuhi o nā maʻi puʻuwai a me ka puʻuwai. Eia hou, hiki ke noi ʻia ka cleinine clearance e nānā i ka hoʻomohala ʻana o kekahi mau maʻi, e like me Congestive Heart Failure a me Chronic Kidney Failure, no ka laʻana. E hoʻomaopopo hou aʻe e pili ana i ka meaola.

Ke noi ʻia ka hōʻike

Ma waho aʻe o ke noi ʻia ʻana inā nui ka creatinine i ke koko a i ʻole ke kiʻekiʻe o ka protein i loko o ka mimi, i kapa ʻia ʻo proteinuria, noi ʻia ka test cleinine clearance ke hōʻike ʻia nā hōʻailona e hōʻike paha i nā pilikia o ka puʻupaʻa, e like me:

• ʻO ka pehu i ka maka, nā pūlima, nā ʻūhā a me nā kuʻekuʻe wāwae paha.
• ʻO ka mimi me ke koko a i ʻole ka huʻa;
• Kaha ka emi ʻana o ka mimi;
• ʻO ka ʻeha mau i ka ʻāpana kidney.

No laila, noi pinepine ʻia kēia hōʻike ke loaʻa ʻoe i kahi maʻi puʻupaʻa, e nānā i ke kiʻekiʻe o ka holomua o ka maʻi a hoʻomaopopo i ke ʻano o ka maikaʻi o kāu hana.

Pehea e lawe ai i ka hōʻike

E hana i ka hoʻāʻo cleinine clearance, pono ʻoe e hōʻiliʻili i ka mimi no 24 mau hola a loaʻa kahi hōʻoia koko i ka hoʻomaka a i ʻole ka hopena o kēlā manawa. Hoʻouna ʻia i ke koko a me ka mimi i hōʻiliʻili ʻia i ka keʻena hoʻokolohua i mea e ana ai i ka creatinine i nā kumuwaiwai ʻelua. Eia pehea e hana ai i ka hōʻoia mimi he 24 mau hola.

Hāʻawi ʻia ka waiwai o ka cleinine clearance e kahi pāʻina makemakika e manaʻo ai, me ka hoʻohui o ka creatinine i ke koko a me ka mimi, ke kaumaha, ka makahiki a me ka moekolohe o kēlā me kēia kanaka.

Pehea e hoʻomākaukau ai

ʻOiai ʻaʻohe hoʻomākaukau kikoʻī no ka lawe ʻana i ka hoʻāʻo cleinine clearance, kekahi mau keʻena hana e paipai i ka hoʻokē ʻai no 8 mau hola a i ʻole ka hōʻalo wale ʻana i ka ʻai o ka ʻiʻo i kuke ʻia, no ka mea hoʻonui ka ʻiʻo i nā kiʻekiʻe o ka creatinine i ke kino.

He aha nā kumukūʻai kūmole

ʻO nā waiwai maʻamau no ka cleinine clearance:

• Kamaliʻi: 70 a 130 mL / min / 1.73 m²
• Nā Wahine: 85 a 125 mL / min / 1.73 m²
• Kāne kāne: 75 a 115 mL / min / 1.73 m²

Ke haʻahaʻa nā helu hoʻomaʻemaʻe, hiki iā lākou ke hōʻike i nā pilikia o ka puʻupaʻa, e like me ka maikaʻi ʻole o ka puʻuwai, ka puʻuwai puʻuwai, e like me ka maikaʻi ʻole o ka puʻuwai, a i ʻole he hopena maikaʻi ʻole i kaʻiʻo, e like me ka meaʻai vegetarian, no ka laʻana. ʻO nā koina kiʻekiʻe o ka cleinine clearance, ma ka laulā, e hana i nā wahine hāpai, ma hope o ka hoʻoikaika kino a i ʻole ma hope o ka ʻai ʻana i ka nui o ka ʻiʻo.