ʻO nā mea āpau āu e ʻike ai e pili ana i ka maʻi ʻoihana 3

Anter

• ʻO ka maʻi maʻi ʻōiwi ʻōiwi 3
• ʻO nā hanana 3 maʻi maʻi ʻōuli
• Ka wā e ʻike ai i ke kauka me ka pae 3 CKD
• ʻO ke kūlana 3 maʻi maʻi ʻōpū
• ʻO ka papaʻai 3 maʻi maʻi kidney
• Lapaʻau ola
• Noho me nā maʻi maʻi ʻōkuhi 3
• Hiki ke hoʻohuli i ka maʻi ʻōpū 3?
• ʻO ke kahua o ke ola maʻi maʻi ʻōpū 3
• ʻO ka lawe lawe ʻana

ʻO ka maʻi maʻi maʻi mau (CKD) pili i ka pōʻino mau loa i nā puʻupaʻa e holo mālie i ka holo ʻana o ka manawa. Hiki ke pale ʻia i ka holomua ma muli o kāna pae.

Hoʻokaʻawale ʻia ʻo CKD i ʻelima mau pae ʻokoʻa, me ka pae 1 e hōʻike ana i ka hana ʻoi loa, a me ka pae 5 e hōʻike ana i ka hōʻino kīwī.

Kū ka maʻi maʻi ʻōpū 3 ma waena pono o ka pae. I kēia pae, loaʻa i nā puʻupaʻa ka akahai a hoʻohaʻahaʻa kino.

Hoʻomaopopo ʻia kahi maʻi ʻōpala pae e ke kauka e pili ana i kāu mau hōʻailona a me nā hopena lab. ʻOiai ʻaʻole hiki iā ʻoe ke hoʻohuli i ka hōʻino ʻana o ka hakuʻala, hiki iā ʻoe ke pale i ka hōʻino ʻana mai ka ʻino ʻana i kēia wā.

Heluhelu e ʻike pehea e hoʻoholo ai nā kauka i ka pae CKD, he aha nā mea e hoʻopili ai i ka hopena, a me nā mea hou aʻe.

ʻO ka maʻi maʻi ʻōiwi ʻōiwi 3

Kuhi ʻia ke kahua 3 o CKD ma muli o ka heluhelu ʻana o ka helu kānana glomerular (eGFR). ʻO kēia kahi hōʻoia koko e ana i nā pae creatine. Hoʻohana ʻia kahi eGFR e hoʻoholo ai i ka maikaʻi o ka hana ʻana o kāu mau puʻupaʻa i nā ʻōpala kānana.

ʻOi aku kahi kiʻekiʻe eGFR kiʻekiʻe ma mua o 90, ʻoiai ke hōʻike 5 CKD iā ia iho i kahi eGFR ma lalo o 15. No laila ke kiʻekiʻe o kāu eGFR, ʻoi aku ka maikaʻi o kāu hana hakuʻala i manaʻo ʻia.

ʻO ka pae 3 CKD ʻelua mau subtypes e pili ana i nā heluhelu eGFR. E ʻike ʻia paha ʻoe me ka pae ʻoihana 3 inā aia kāu eGFR ma waena o 45 a me 59. ʻO ke kahua 3b ma waena o 30 a 44 me kāu eGFR.

ʻO ka pahuhopu me ka pae 3 CKD ka mea e pale aku ai i ka nalo ʻana o ka hakuʻala hou. I nā huaʻōlelo lapaʻau, hiki i kēia ke pale i kahi eGFR ma waena o 29 a me 15, e hōʻike ana i ka pae 4 CKD.

ʻO nā hanana 3 maʻi maʻi ʻōuli

ʻAʻole paha ʻoe e ʻike i nā ʻōuli o nā pilikia ʻōniʻoniʻo mau i nā pae 1 a me 2, akā hoʻomaka nā hōʻailona e lilo i mea ʻike i ke kahua 3.

Kekahi o nā ʻōuli o ka CKD pae 3 e komo pū paha:

• melemele ʻeleʻele, ʻalani, a i ʻole mimi ʻulaʻula
• mimiki ʻoi aku a i ʻole pinepine pinepine ma mua o ka maʻamau
• edema (paʻa wai)
• luhi luhi ʻole
• nāwaliwali a me nā ʻōuli like ʻole anemia
• hiamoe a me nā pilikia hiamoe ʻē aʻe
• ʻeha ʻeha o lalo
• hoʻonui i ke kahe o ke koko

Ka wā e ʻike ai i ke kauka me ka pae 3 CKD

He mea nui e ʻike koke i ke kauka inā ʻike ʻoe i kekahi o nā hōʻailona ma luna. ʻOiai ʻaʻole pili wale kekahi mau ʻōuli i ka CKD, ke pili nei i nā ʻano o kēia mau ʻōuli.

Pono ʻoe e nānā me kāu kauka inā ua ʻike mua ʻia ʻoe me ka pae 1 a i ʻole ke kahua 2 CKD.

Eia nō naʻe, hiki ke loaʻa ʻole ka moʻolelo ma mua o ka CKD ma mua o ka loaʻa ʻana o kahi maʻi me ke kahua 3. ʻO kēia ka mea ma muli o ka ʻike ʻole o nā pae 1 a me 2 i nā hōʻailona ʻike ʻole ʻia.

No ke kuhi ʻana i ka hanana CKD 3, e alakaʻi ke kauka i kēia mau hoʻokolohua:

• heluhelu ana i ke koko
• hoʻāʻo mimi
• Nā ho'āʻo eGFR (hana i kēlā me kēia 90 mau lā ma hope o kāu ʻike mua)
• nā hoʻāʻo kiʻi e kāpae i ka holomua ʻo CKD

ʻO ke kūlana 3 maʻi maʻi ʻōpū

ʻAʻole hiki ke hoʻōla ʻia ka maʻi puʻupaʻa, akā ʻo ka pae 3 ʻo ia nō he manawa kūpono kāu e pale aku ai i ka holomua hou ʻana o ka maikaʻi ʻole o ka hakuʻala. Pono ka mālama ʻana a me nā loli nohona i kēia wā. E kamaʻilio kāu kauka iā ʻoe e pili ana i ka hoʻohana ʻana i kahi hui o nā ana lapaʻau e hiki mai ana.

ʻO ka papaʻai 3 maʻi maʻi kidney

Paʻahana loa nā meaʻai i ke kino i ke kino. ʻOiai ke kuleana o kou puʻupaʻa no ka hemo ʻana i nā ʻōpala a me ke kaulike ʻana o nā electrolytes, ʻo ka ʻai ʻana i nā meaʻai hewa ʻole hiki ke hoʻonui i kou puʻupaʻa.

He mea nui ka ʻai ʻana i nā meaʻai āpau e like me nā hua a me nā hua, a ʻai i ka liʻiliʻi o nā meaʻai i hana ʻia a me nā momona momona i loaʻa i nā huahana holoholona.

Hiki i ke kauka ke koi i ka hōʻemi ʻana i kāu ʻai protein. Inā kiʻekiʻe loa kāu mau potassium mai CKD, ʻōlelo paha lākou iā ʻoe e hōʻalo i kekahi mau meaʻai potassium potassium e like me ka maiʻa, kaʻuala, a me nā ʻōmato.

Pili ke kumumanaʻo like i ka sodium. Pono paha ʻoe e ʻokiʻoki i nā meaʻai paʻakai inā kiʻekiʻe loa kāu pae sodium.

ʻO ka hoʻohaʻahaʻa kaumaha ka mea maʻamau i nā pae holomua o CKD ma muli o ka lilo o ka makemake. Hiki i kēia ke hoʻokau iā ʻoe i ka makaʻu ʻole o ke kino.

Inā ʻoe e ʻike i ka nalo ʻana o ka makemake, e noʻonoʻo e ʻai i ka mea liʻiliʻi, ʻoi aku ka nui o nā meaʻai i ka lā holoʻokoʻa e hōʻoia ai ke lawa nei ʻoe i nā calorie a me nā meaʻai.

Lapaʻau ola

ʻAʻole koi ka pae 3 CKD i ka dialysis a i ʻole ke kuʻina kōwi. Akā, e kuhikuhi ʻia ʻoe i kekahi mau lāʻau e mālama ai i nā kūlana olakino e pili ana i ka hōʻino ʻana o ka puʻupaʻa.

Hoʻopili pū kēia me nā angiotensin hoʻololi i ka ʻenemika (ACE) a me nā angiotensin II receptor blockers (ARBs) no ke koko kiʻekiʻe, a me ka hoʻokele glucose no ka maʻi kō.

Hiki paha i kāu kauka ke kuhikuhi i nā lāʻau e kōkua i ka hoʻopau ʻana i nā hopena ʻaoʻao o CKD, e like me:

• nā mea hoʻohui hao no ka anemia
• kalipuna / wikamina D nā mea hoʻopili e pale ai i nā haʻi iwi
• nā lāʻau hoʻohaʻahaʻa kolesterol
• diuretics e mālama edema

Noho me nā maʻi maʻi ʻōkuhi 3

Ma waho o ka lawe ʻana i kāu lāʻau i kuhikuhi ʻia a me ka ʻai ʻana i kahi papaʻai olakino, hiki i ke ʻimi ʻana i nā loli nohona ke kōkua iā ʻoe e hoʻokele i ka pae CKD 3. E kamaʻilio me kāu kauka e pili ana i kēia mau mea:

• Hoʻoikaika kino. Pahuhopu no ka palena iki o 30 mau minuke o ka hana kaulike i kēlā me kēia lā ma ka hapa nui o nā lā o ka pule. Hiki i ke kauka ke kōkua iā ʻoe e hoʻomaka i kahi papahana hoʻoikaika kino me ka palekana.
• Hoʻoponopono kaomi koko. Hiki i ke koko kiʻekiʻe ke lilo i mea mua no CKD, a hiki ke hōʻeha i kou ʻano. E ʻimi i ke kaomi koko o 140/90 a i lalo.

• Hiki ke hoʻohuli i ka maʻi ʻōpū 3?

  ʻO ka pahuhopu o CKD pae 3 lapaʻau e pale i ka holomua hou. ʻAʻohe lāʻau lapaʻau no kēlā me kēia pae o CKD, a ʻaʻole hiki iā ʻoe ke hoʻohuli i ka hōʻino ʻana o ka hakuʻala.

  Eia nō naʻe, hiki ke hoʻemi ʻia ka hōʻino hou inā ʻoe ma ke kahua 3. ʻOi aku ka paʻakikī e pale i ka holomua i nā pae 4 a me 5.

  ʻO ke kahua o ke ola maʻi maʻi ʻōpū 3

  Ke ʻike a mālama ʻia i ka wanaʻao, ʻoi aku ka lōʻihi o ke ola o ka pae 3 CKD ma mua o nā pae holomua o ka maʻi puʻupaʻa. Hiki ke hoʻololi i nā kuhi ma luna o ka makahiki a me ka nohona.

  Wahi a kekahi o ia mau manaʻo he 24 mau makahiki ka lōʻihi o ke ola ma nā kāne he 40, a 28 i nā wahine o ka hui like.

  Ma waho aʻe o ka lōʻihi o ke ola, he mea nui e noʻonoʻo i kāu makaʻu i ka holomua o ka maʻi. o ka pae 3 CKD nā mea maʻi i ʻike ma kahi o ka hapalua i holomua i nā pae holomua o ka maʻi puʻupaʻa.

  Hiki nō hoʻi ke ʻike i nā kūpilikiʻi mai ka CKD, e like me ka maʻi o ka maʻi puʻuwai, i hiki ke hoʻololi i kou ola holoʻokoʻa.

  ʻO ka lawe lawe ʻana

  ʻIke pinepine ʻia ke kahua 3 CKD i ka manawa e hoʻomaka ai ke kanaka e ʻike i nā ʻōuli o kēia ʻano.

  ʻOiai ʻaʻole hiki ke hoʻōla ʻia ka pae 3 CKD, hiki i kahi hōʻailona mua ke kū i kahi holomua hou aʻe. Hiki iā ia ke hōʻemi i ka makaʻu o nā pilikia, e like me ka maʻi puʻuwai, anemia, a me nā haʻi iwi.

  ʻO ka loaʻa ʻana o ka pae 3 CKD ʻaʻole ia he ʻano e holomua wale kāu kūlana i ka holo pono ʻole ʻana o ke kō. Ma ka hana pū ʻana me ke kauka a noho mau ma luna o nā loli nohona, hiki ke pale aku i nā maʻi puʻupaʻa mai ka ʻino.