He aha ka Hypoalbuminemia a pehea e mālama ʻia ai?
Anter
- Nā ʻōuli
- Nā kumu a me nā kumu e hoʻonui ai i kou makaʻi
- Pehea e hōʻoia ʻia ai
- Loaʻa nā koho lapaʻau
- Nā pilikia i hiki
- Outlook
Hōʻike Overview
Hana ka Hypoalbuminemia ke lawa ʻole ʻoe i ka albumin protein i kou kahe koko.
ʻO Albumin kahi protein i hana ʻia i kou ake. He protein nui ia i ka plasma o kou koko. Kaukaʻi ʻia i kou mau makahiki, pono i kou kino ma waena o 3.5 a me 5.9 gram i kēlā me kēia deciliter (g / dL).Me ka lawa ʻole o ka albumin, ʻaʻole hiki i kou kino ke mālama i ka wai mai ke kahe ʻana o kāu mau kīʻaha koko.
ʻO ka lawa ʻole o ka albumin hiki ke paʻakikī hoʻi i ka neʻe ʻana i nā mea nui a puni kou kino. Hoʻohana ʻia kekahi o kēia mau mea no ka hana kūpono e mālama ai i nā wai o kou kino i ka nānā.
E heluhelu e aʻo hou e pili ana i ka ʻike ʻana i ka hypoalbuminemia a me ka mea e hana ai e pili ana.
Nā ʻōuli
Hoʻohana ʻia ʻo Albumin i loko o kou kino, a ʻaʻole paha e ʻike koke ʻia kāu mau ʻōuli.
ʻO nā ʻōuli maʻamau ka:
- edema (kūkulu ʻia o ka wai) i kou mau wāwae a i ʻole ke alo
- ʻoi aku ka ʻili a ʻoi aku ka maloʻo ma mua o ka maʻamau
- lahilahi lauoho
- jaundice (ʻili i melemele ke nānā aku)
- paʻakikī i ka hanu ʻana
- ʻano palupalu a luhi paha
- kuʻi naʻau kaulike ʻole
- ka loaʻa kino kaumaha
- ʻaʻohe makemake nui
- pāhoehoe
- luuluu
- ka luaʻi
Pili kāu mau ʻōuli i ke kumu o ke ʻano. ʻO kahi laʻana, inā hoʻokumu ʻia kāu hypoalbuminemia e kahi papaʻai maikaʻi ʻole, hiki i kāu mau hōʻailona ke ulu a liʻuliʻu i ka hala ʻana o ka manawa. Inā kou hypoalbuminemia ka hopena o kahi wela nui, ʻike paha ʻoe i kekahi o kēia mau ʻōuli koke.
E ʻike i kāu kauka inā hoʻomaka ʻoe e luhi a pilikia paha i ka hanu ʻana me ka ʻole o ka ʻōlelo aʻoaʻo. Hiki i ka Hypoalbuminemia ke hoʻonāukiuki i ka ulu ʻana o kahi keiki. Inā ʻoe e ʻike i ka ulu ʻole o kāu keiki ma kahi helu maʻamau no ko lākou mau makahiki, e kamaʻilio me kāu kauka inā pono lākou e hoʻāʻo i kāu keiki no hypoalbuminemia.
Nā kumu a me nā kumu e hoʻonui ai i kou makaʻi
Hoʻokumu pinepine ʻia ʻo Hypoalbuminemia e ka loaʻa ʻana o ka mumū ma loko o kou kino, e like me ka loaʻa ʻana iā ʻoe o ka sepsis a i ʻole neʻi ʻoki ʻia. Hiki ke hele mai ka mumū mai ke kū ʻana i nā lāʻau lapaʻau, e like me ke kau ʻia ʻana i ka ventilator a i ʻole ka mīkini bypass. Kuhi ʻia kēia ʻano ma ke ʻano he kulu capillary a i ʻole ʻekolu ākea.
Hana pinepine ka Hypoalbuminemia i ka hui pū me ka lawa ʻole o ka protein a me nā calories i kāu papaʻai.
ʻO nā kumu maʻamau o hypoalbuminemia e komo pū ana:
- loaʻa i kahi wela nui
- loaʻa ka lawa ʻole ka wikamina
- malnutrisi a ʻai ʻole i ka papaʻai kaulike maikaʻi
- ʻaʻole hiki ke omo pono i nā meaʻai i kou ʻōpū
- ke loaʻa nei i nā wai kūpona (IV) ʻoiai ʻoe i ka haukapila ma hope o ke kaha ʻana
Hiki iā ia ke kumu ʻia e nā kūlana ʻē aʻe, e like me:
- diabetes, ka mea e mālama ai i kou kino mai ka lawa pono o ka insulin
- hyperthyroidism, ka mea e kumu i kou glandone thyroid e hana i kahi nui o ka hormone
- nā kūlana puʻuwai, me ka maikaʻi ʻole o ka puʻuwai
- lupus, kahi kūlana e hoʻouka ai kāu ʻōnaehana pale i kou kino
- cirrhosis, kahi kūlana i hoʻokumu ʻia e ka hōʻino nui o ke ake
- nephrotic Syndrome, kahi ʻano hakuʻala e hoʻohoka ai iā ʻoe i ka nui o nā protein i kou mimi ʻana
- sepsis, i hana ʻia inā hōʻino kou kino iā ia iho e like me ka pale ʻana o kāu ʻōnaehana pale maʻi i kahi maʻi
Hoʻomaopopo pū ʻia ʻo Hypoalbuminemia i mea pilikia no kekahi mau ʻano. Ke hoʻomohala nei iā ʻoe ʻoiai aia kekahi mau kumu i lalo, e like me ka maʻi pulmonary obstructive maʻi, hiki ke hoʻokau iā ʻoe i ka hoʻomohala ʻana i nā pilikia hou aʻe.
Pehea e hōʻoia ʻia ai
Hōʻike kāu kauka i kāu pae albumin i kēlā me kēia manawa ke loaʻa ʻoe i kahi hōʻoia koko piha. ʻO ka hōʻike maʻamau i hana ʻia e ana i ka albumin ka hoʻāʻo albumin serum. Hoʻohana kēia hōʻike i kahi laʻana koko e kālailai i kāu mau pae o ka albumin i kahi keʻena hoʻokolohua.
Hiki i kāu kauka ke ana i ka nui o ka albumin āu e hele nei i kāu mimi. E hana i kēia, hoʻohana lākou i kahi hoʻokolohua i kapa ʻia ʻo ka microalbuminuria hōʻike. Kapa ʻia kēia hōʻike i kekahi manawa ʻo ka hōʻike albumin-to-creatinine (ACR). Inā ke hele nei ʻoe i ka nui o ka albumin i kou mimi, e hōʻino ʻia paha kou puʻupaʻa. Hiki i ka hōʻino kīwī ke hoʻoheheʻe i ka albumin i loko o kāu mimi.
ʻO ka C-reactive protein (CRP) koko ho'āʻo pono loa ia no ka diagnose hypoalbuminemia. Hiki i ka hōʻike CRP ke haʻi i kāu kauka i ka nui o ka mumū e hana nei i kou kino. ʻO ka hoʻohaunaele kekahi o nā hōʻailona koʻikoʻi o hypoalbuminemia.
Loaʻa nā koho lapaʻau
Hiki iā ʻoe ke mālama pinepine i ka hypoalbuminemia ma ka hoʻokiʻekiʻe ʻana i kāu pae albumin i ka maʻamau. Hiki ke loli ke ʻano lapaʻau inā loaʻa kahi ʻano kikoʻī i kāu hypoalbuminemia.
Paipai kāu kauka iā ʻoe e hoʻololi i kāu papaʻai inā loaʻa ʻole kahi meaʻai kūpono i kāu ʻano. ʻO nā meaʻai me ka nui o nā protein, e like me nā nati, nā hua manu, a me nā huahana waiū, nā koho maikaʻi āpau e hāpai i kāu pae albumin.
Inā inu ʻoe i ka waiʻona, hiki i kāu kauka ke koi aku iā ʻoe e inu i ka mea liʻiliʻi a oki paha i ka inu ʻana. Hiki i ka inu ʻana i ka waiʻona ke hoʻohaʻahaʻa i nā pae protein o kou koko a hoʻonui i kou mau hōʻailona.
Inā loaʻa ʻoe i kahi maʻi puʻuwai, hiki i nā lāʻau kaomi koko ke kōkua iā ʻoe mai ka hala ʻana o ka albumin ma o kou mimi. Hiki i kēia ke hōʻemi i kāu mau hōʻailona. ʻO nā lāʻau lapaʻau maʻamau ka captopril (Capoten) a me benazepril (Lotensin).
ʻO nā lāʻau i hoʻohana ʻia e kāohi i kāu ʻōnaehana pale hiki ke kōkua i ka mālama ʻana i ka mumū mai ka hoʻohaʻahaʻa ʻana i kāu pae albumin. Hiki i kāu kauka ke koi aku i nā lāʻau a lāʻau paha.
Nā pilikia i hiki
Hiki iā Hypoalbuminemia ke waiho iā ʻoe i ka makaʻu i ka hoʻomohala ʻana i nā kūlana ʻē aʻe, e like me:
- pulumonia
- pleural effusion, i hana ʻia ke hana ka wai a puni kou mau māmā
- ascites, kahi e hana ai ke kūkulu ka wai i kou wahi ʻōpū
- atrophy, kahi mea hoʻonāwaliwali nui o nā mākala
Hiki i ka Hypoalbuminemia ke lilo i pilikia inā loaʻa ia ma hope o ke kaha ʻana a ma hope paha o kou ʻae ʻia ʻana i ka lumi pilikia. Hiki i ka hypoalbuminemia i mālama ʻole ʻia ke hoʻonui i kou makaʻu i nā hōʻeha make a i ʻole nā kūlana i kēia mau hihia.
Outlook
Inā haʻalele ʻole ʻia, hiki i ka hypoalbuminemia ke alakaʻi i nā pilikia koʻikoʻi. ʻO nā kūlana e hāʻule ana kāu pae albumin e pono e mālama koke ʻia e mālama ai i kou olakino holoʻokoʻa.
Hiki ke mālama ʻia e ke kamaʻilio ʻana i ke kūlana kumu a i ʻole ke kiʻi ʻana i kāu pae albumin i ka maʻamau. Hiki i kēia ma o nā loli nohona a lāʻau lāʻau paha. ʻO kahi laʻana, inā ʻo kāu papaʻai ke kumu o ke ʻano, ʻo ka ʻai ʻana i nā meaʻai momona-ʻoi aku ka protein e kōkua i ka hoʻihoʻi i kāu pae albumin i ka maʻamau.