Hōʻike Helu Glomerular Filtration (GFR)

Anter

• He aha ka helu helu kānana glomerular (GFR) hōʻike?
• No ke aha ia e hoʻohana ai?
• No ke aha e pono ai iaʻu kahi hōʻike GFR?
• He aha ka hana i ka wā o kahi hōʻike GFR?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike GFR?
• Nā kūmole

He aha ka helu helu kānana glomerular (GFR) hōʻike?

ʻO kahi helu kānana glomerular (GFR) kahi hōʻike koko e nānā i ka maikaʻi o ka hana o kāu mau puʻupaʻa. Loaʻa i kāu mau puʻupaʻa nā kānana liʻiliʻi i kapa ʻia ʻo glomeruli. Kōkua kēia mau kānana i ka lawe ʻana i ka ʻōpala a me ka nui o ka wai mai ke koko. Kuhi kahi hōʻike GFR i ke kahe o ke koko ma waena o kēia mau kānana i kēlā me kēia minuke.

Hiki ke ana pololei ʻia kahi GFR, akā he hōʻike paʻakikī ia, e koi ana i nā mea hoʻolako loea. No laila ʻike pinepine ʻia ʻo GFR me ka hoʻohana ʻana i kahi hōʻike i kapa ʻia he GFR kuhi ʻia a i ʻole eGFR. No ka loaʻa ʻana o kahi kuhi, e hoʻohana kāu mea hāʻawi i kahi hana i ʻike ʻia ma ke ʻano he calculator GFR. ʻO kahi calculator GFR kahi ʻano o ka hoʻopili makemakika e koho i ka helu o ka kānana e hoʻohana ana i kekahi a i ʻole nā ​​ʻike aʻe e pili ana iā ʻoe.

• Nā hopena o kahi hoʻokolohua koko e ana i ka creatinine, kahi huahana ʻōpala i kānana ʻia e nā puʻupaʻa
• Makahiki
• Kaumaha
• Kiʻekiʻe
• Hoohanau
• Heihei

He hōʻike maʻalahi ka eGFR i hiki ke hāʻawi i nā hopena pololei loa.

Nā inoa ʻē aʻe: kuhi ʻia GFR, eGFR, helu helu kānana glomerular, cGFR

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia kahi hōʻike GFR e kōkua i ka hōʻoia ʻana i nā maʻi puʻupaʻa i ka wā mua, ke hiki ke mālama ʻia. Hiki ke hoʻohana ʻia ʻo GFR e kiaʻi ai i ka poʻe me ka maʻi maʻi puʻuwai mau (CKD) a i ʻole nā ​​ʻano kumu ʻē aʻe e hōʻino ai ka hakuʻala. Hoʻopili kēia i ka maʻi diabetes a me ke koko kiʻekiʻe.

No ke aha e pono ai iaʻu kahi hōʻike GFR?

ʻAʻole hoʻomaka ka maʻi ʻōpū mua i nā ʻōuli. Akā pono ʻoe i kahi hōʻike GFR inā ʻoe i ka makaʻu kiʻekiʻe loa i ka loaʻa ʻana i nā maʻi puʻupaʻa. ʻO nā kumu pilikia me:

• Diabetes
• Piʻi koko kiʻekiʻe
• Mōʻaukala ʻohana o ka hōʻeha kīwī

Ma hope ke kahua maʻi maʻi maʻi maʻi kumu i nā ʻōuli. No laila pono ʻoe i kahi hoʻāʻo GFR inā loaʻa iā ʻoe kekahi o nā ʻōuli penei:

• ʻO ka mimiki ʻoi aku a ʻoi iki paha ma mua o ka maʻamau
• Kāwili
• Ka luhi
• ʻO ka pehu i kou mau lima, nā wāwae, a me nā wāwae
• Pākuʻi kaʻiʻo
• ʻO Nusea a me ka luaʻi
• Loaʻa ka ʻai ʻole

He aha ka hana i ka wā o kahi hōʻike GFR?

E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

Pono ʻoe e hoʻokē ʻai (ʻaʻole ʻai a inu) a hōʻalo paha i kekahi mau meaʻai no kekahi mau hola ma mua o ka hoʻāʻo. E haʻi aku kāu mea mālama ola iā ʻoe inā aia kekahi ʻōlelo kūikawā e ukali ai.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

Hōʻike paha kāu mau hopena GFR i kekahi o kēia mau mea:

• Maʻamau-ʻaʻohe paha loaʻa ʻoe i ka maʻi ʻōpū
• Ma lalo o ka maʻamau-loaʻa paha ʻoe i ka maʻi ʻōpū
• Ma lalo loa o ka maʻamau-loaʻa paha ʻoe i ka hakuʻala ʻole

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike GFR?

ʻOiai kū mau ka hōʻino ʻana i nā puʻupaʻa, hiki iā ʻoe ke hana i nā hana e pale ai i ka hōʻino hou ʻana. Pākuʻi ʻia paha:

• ʻO nā lāʻau kaomi koko
• Nā lāʻau lapaʻau e kaohi i ke kō kō inā loaʻa ʻoe i ka maʻi diabetes
• Hoʻololi ka nohona e like me ka loaʻa ʻana o ka hoʻoikaika kino hou ʻana a me ka mālama ʻana i ka paona olakino
• Ka palena ʻana i ka wai ʻona
• Ka haʻalele ʻana i ka puhipaka

Inā mālama ʻoe i ka maʻi ʻōpū ma ka wanaʻao, hiki iā ʻoe ke pale i ka holo pono ʻole ʻana o ka hakuʻala. ʻO nā koho lapaʻau wale nō no ka holo pono ʻole ʻana o ka hakuʻala ʻo ka dialysis a i ʻole ke koli ʻana o ka hakuʻala.

Nā kūmole

1. ʻAmelika Hui Pū ʻIa ʻAmelika [Pūnaewele]. Rockville (MD): ʻAmelika Hui Pū ʻIa Kidney, Inc.; c2019. ʻO ka maʻi maʻi maʻi maʻi maʻi (CKD) [cited 2019 Apr 10]; [e pili ana i nā pale 2], Loaʻa mai: http://www.kidneyfund.org/kidney-disease/chronic-kidney-disease-ckd
2. Johns Hopkins Medicine [Pūnaewele]. ʻO Baltimore: Ke Kulanui ʻo Johns Hopkins; c2019. ʻO ka maʻi maʻi maʻi maʻi [cited 2019 Apr 10]; [ma kahi o 3 pale]. Loaʻa mai: https://www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-kidney-disease
3. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C.; ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2019. Kuhi ʻia ʻo Glomerular Filtration Rate (eGFR) [hōʻano hou ʻia 2018 Dec 19; i helu ʻia 2019 Apr 10]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/estimated-glomerular-filtration-rate-egfr
4. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko [i helu ʻia 2019 Apr 10]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
5. National Institute of Diabetes and Digestive and Kidney Diseases [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; ʻO nā hoʻāʻo ʻana i nā maʻi maʻi puʻuwai maʻi mau loa a me nā hōʻailona; 2016 ʻOkakopa [i helu ʻia 2019 ʻApel 10]; [ma kahi o 4 pale]. Loaʻa mai: https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/tests-diagnosis
6. National Institute of Diabetes and Digestive and Kidney Diseases [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā nīnau i nīnau pinepine ʻia: eGFR [helu ʻia 2019 Apr 10]; [ma kahi o 5 pale]. Loaʻa mai: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/frequently-asked-questions
7. National Institute of Diabetes and Digestive and Kidney Diseases [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Glomerular Filtration Rate (GFR) Calculator [helu ʻia 2019 Apr 10]; [ma kahi o 5 pale]. Loaʻa mai: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/glomerular-filtration-rate-calculators
8. National Kidney Foundation [Pūnaewele]. New York: National Kidney Foundation Inc., c2019. Kahi Alakaʻi Ola A a Z: E pili ana i nā maʻi maʻi maʻi maʻi [cited 2019 Apr 10]; [ma kahi o 3 pale]. Loaʻa mai: https://www.kidney.org/atoz/content/about-chronic-kidney-disease
9. National Kidney Foundation [Pūnaewele]. New York: National Kidney Foundation Inc., c2019. Kahi Alakaʻi Ola A a Z: Kuhi ʻia ʻo Glomerular Filtration Rate (eGFR) [i ʻōlelo ʻia 2019 Apr 10]; [ma kahi o 3 pale]. Loaʻa mai: https://www.kidney.org/atoz/content/gfr
10. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kulanui o Florida; c2019. Ka helu o ke kānana Glomerular: Nānā Hou [hōʻano ʻia 2019 Apr 10; i helu ʻia 2019 Apr 10]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/glomerular-filtration-rate
11. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. ʻO Encyclopedia Health: ʻO Glomerular Filtration Rate [helu ʻia 2019 Apr 10]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=glomerular_filtration_rate
12. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. ʻIke Ola: Glomerular Filtration Rate (GFR): Hōʻuluʻulu Kumuhana [hōʻano hou ʻia 2018 Mar 15; i helu ʻia 2019 Apr 10]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/special/glomerular-filtration-rate/aa154102.html

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.