ʻO ka hōʻino ʻole o ka renal i nā pōpoki

He aha ka hana ʻole o ka renal

ʻO ka maʻi maʻi maʻi maʻi (CKD (inoa kahiko - chronic renal failure, CRF) kahi maʻi e holomua mālie ana, i hui pū ʻia me nā maʻi kino a / a i ʻole nā ​​​​hana i loko o nā puʻupaʻa.

Loaʻa pinepine ia i nā pōpoki i ka makahiki o 5-15 mau makahiki, ʻaʻohe ʻano a i ʻole predisposition kāne.

Nā kumu

ʻO nā kumu predisposing no ka hoʻomohala ʻana o CKD:

• ʻO ka ʻeha maʻi maʻi ma mua (ka lāʻau ʻawaʻawa, ka paʻa ʻana o ka mimi, etc.)
• ʻO nā pathologies congenital o nā puʻupaʻa
• Poino mīkini i nā puʻupaʻa
• ʻO nā maʻi ʻē aʻe o ka ʻōnaehana urinary (cystitis, urolithiasis, maʻi maʻi)
• ʻO nā pathologies genetic, no ka laʻana, polycystic kidney maʻi o Peresia, exotic, nā pōpoki Abyssinian a me kā lākou mestizos
• ʻO nā maʻi oncological
• ʻO nā maʻi maʻi maʻamau, e like me ka leukemia viral a me ka immunodeficiency
• ʻawaʻawa mau. No ka laʻana, ʻai mau i nā mea kanu hale ʻona
• Hoʻohana lōʻihi i nā lāʻau nephrotoxic
• Obesity
• Diabetes
• ʻO kaʻai kūponoʻole, ka hānaiʻana i ka meaʻai maikaʻiʻole a iʻole ka meaʻai maoli kūponoʻole, ka hānaiʻana i ka meaʻai mai kāu papa pono'ī
• Hoʻohana haʻahaʻa wai 
• Makahiki ma mua o 7

Nā ʻōuli a me nā pilikia

Hiki ke hoʻomaʻemaʻe ʻia nā hōʻailona o ka hiki ʻole o ka renal maʻi, ʻoi aku ka maikaʻi ma ka wā mua. Hiki ke loaʻa nā maʻi ʻē aʻe me kahi kiʻi lapaʻau like. ʻAʻole hana hoʻokahi lā ka hoʻopau ʻana i ka renal; Hiki ke ʻike ʻia nā hōʻailona o ka malaise inā ʻoi aku ka nui ma mua o 75% o ka ʻiʻo o ka puʻupaʻa. ʻO ia ke kumu e pono ai ka mea nāna e nānā pono i ke olakino o kāna pōpoki a nīnau i ke kauka i ka manawa kūpono.

ʻO nā hōʻailona o ka hāʻule ʻana o ka kidney i nā pōpoki:

• ʻO ka ʻai maikaʻi ʻole, hiki ke kuhi ʻia no nā maʻi gastrointestinal a i ʻole pickiness
• Hoʻonui ka hoʻohana wai
• ʻO ka mimi pinepine a i kekahi manawa kūpono ʻole
• ʻAʻole waihoʻoluʻu paha ka mimi, akaka, ʻeleʻele a koko paha.
• ʻO ka luaʻi ʻana, ʻaʻohe hopena, kohu a i ʻole ka meaʻai, i kekahi mau manawa i ka lā
• ʻO ka pōʻino o ka hulu hipa, ka frizziness, ka momona a maloʻo paha
• Edema
• ʻO ke kūlana kaumaha, ka hopena nāwaliwali i nā mea hoʻoulu
• Pau kaumaha, luhi
• ʻO ka ʻala maikaʻi ʻole mai ka waha, pinepine i ka amonia
• ʻO nā maʻi maʻi i loko o ka waha waha, stomatitis, maloʻo mucous membranes
• Ka hoʻomau

Ma ke ʻano o ka papa, ʻo ka hana ʻole o ka renal he acute (ARF) a me ka maʻi (CRF). 

• Ke ulu wikiwiki nei ke ʻano acute, ʻike ʻia nā hōʻailona āpau i kahi manawa pōkole.
• Hoʻonui lōʻihi ka ʻano maʻi a aia kona pōʻino i ka wā mua, i ka wā e hiki ai ke kōkua ʻia ka holoholona, ​​ʻaʻohe mau hōʻailona o ka maʻi. Hōʻike wale lākou inā ʻoi aku ka nui o ka 2/3 o nā puʻupaʻa i hōʻino ʻia.

lapaʻau '

ʻAʻole hiki ke hana i kahi hōʻailona ma ke kumu o hoʻokahi hoʻokolokolo a i ʻole kekahi mau hōʻailona. No laila, pono ʻoe e mākaukau e hana i kekahi mau haʻawina:

• ʻO ka hoʻāʻo koko biochemical a me ka laulā. ʻO ka mea nui ka waiwai o ka urea, creatinine, phosphorus, nā ʻulaʻula ʻulaʻula, hemoglobin a me hematocrit.
• Panoramic ultrasound o ka ʻōpū o ka ʻōpū. Maikaʻi ka nānā ʻana i ka ʻōpū a me nā puʻupaʻa wale nō i ka dynamics. I ka wā o ka hoʻokolokolo mua, pono e ʻike i nā hoʻololi o ke ʻano o nā kino āpau, no ka mea, ua hui pū paha ka pōpoki i nā pathologies.
• ʻO kahi hōʻike mimi maʻamau e hiki ai iā ʻoe ke loiloi i ka maikaʻi o ka hana kānana o nā puʻupaʻa, inā he mau hōʻailona o ka mumū, urolithiasis.
• ʻO ka ratio protein / creatinine e kōkua i ka ʻike ʻana i ka hāʻule ʻana o ke kīkī i ka wā mua
• Ana kaomi. Hoʻopili pū ʻia ka hōʻino ʻana o ka renal me ka hypertension arterial. Inā hoʻokiʻekiʻe ʻia ke kaomi, pono e hoʻemi ʻia me ka lāʻau lapaʻau i ka manawa mau. No ke aʻo ʻana, hoʻohana ʻia kahi tonometer holoholona no nā holoholona.

ʻAʻole hiki ke hana i ka hōʻailona o CKD ma ka piʻi ʻana o hoʻokahi hōʻailona, ​​loiloi ʻia ke kiʻi holoʻokoʻa ma ke ʻano holoʻokoʻa. He 4 pae ka ma'i. Hoʻokaʻawale ʻia lākou ma muli o ke kiʻekiʻe o ka creatinine i ke koko:

ʻO ka pae 1 - creatinine ma lalo o 140 µmol/l

Ka Papa 2 - creatinine 140-250 µmol / l

Ka Papa 3 - creatinine 251-440 µmol / l

ʻO ka pae 4 - ʻoi aku ka nui o ka creatinine ma mua o 440 µmol / l

lapaʻau 

He mea pono e hoʻomaopopo he hiki ʻole ke hoʻōla piha i kahi pōpoki o ka maʻi renal failure. Hiki ke hoʻomaha a hoʻolohi i ke kaʻina hana. Ma nā pae 1-2, maikaʻi ka prognosis, ma 3 - makaʻala, ʻo ka pae 4 ka hopena, hiki ke kākoʻo ʻia ke kino.

ʻO ke ʻano o ka mālama ʻana e pili ana i ke kiʻi lapaʻau, ke kūlana maʻamau o ka pōpoki, a me ka hele ʻana o nā pathologies concomitant.

Hiki i ka veterinarian ke kuhikuhi:

• He mea koʻikoʻi ka lāʻau lapaʻau. ʻAʻole hiki ke hānai i ka ʻiʻo a i ʻole ka meaʻai papa waiwai. Pono kahi meaʻai kūikawā haʻahaʻa i ka phosphorus a me ka protein. Loaʻa nā meaʻai no ka maʻi kīkī mai nā mea hana meaʻai puaʻa like ʻole, a hiki iā ʻoe ke loaʻa i nā meaʻai maloʻo a me nā meaʻai pulu i kapa ʻia ʻo Renal a kāu kauka holoholona e kuhikuhi ai. 
• Antibiotics
• Absorbents no ka wehe ʻana i ka ʻona (no ka laʻana, Enterosgel)
• Nā lāʻau e hoʻohaʻahaʻa i ke koko
• ʻO nā lāʻau i loaʻa i ka potassium 
• No ka hoʻemi ʻana i ka pae o ka phosphorus a me ka urea, hoʻohana ʻia nā mea hoʻohui meaʻai, no ka laʻana ʻo Ipakitine
• No ka hoʻihoʻi ʻana i ke koena o ka wai, ua kuhikuhi ʻia kahi papa o nā droppers, a i ka wā e hiki mai ana pono e hoʻomalu i ka inu wai o ka pōpoki.

Hiki ke loiloi ʻia ka maikaʻi o ka mālama ʻana a me ka prognosis ma o ka hana ʻana i nā hoʻokolohua hou a me nā haʻawina, a ma muli o ke kūlana maʻamau o ka pōpoki.

Inā he 4, ESRD ka holoholona a ʻaʻole i hoʻomaikaʻi i loko o hoʻokahi pule ma hope o ka hoʻomaka ʻana i ka mālama koʻikoʻi, a laila pono e noʻonoʻo ʻia ka euthanasia kanaka.

Kāohi

ʻO ka pale ʻana i ka hāʻule ʻana o ka puʻupaʻa i loko o nā pōpoki e pili ana i ka maikaʻi, ka meaʻai kaulike. E hōʻoia i ka loaʻa ʻana o ka wai maʻemaʻe i kāu pipi. Inā ʻaʻole inu nui ka pōpoki, a laila pono ke ʻano o ka meaʻai ma ke ʻano o ka meaʻai pulu.

Pono e pale i nā ʻeha a me nā mea ʻona: mai hoʻokuʻu i ka holoholona e hele ma kāna iho, e mālama i nā kemika o ka hale, nā mea ʻawaʻawa, nā lāʻau lapaʻau a me nā mea kanu hale pōʻino mai ka hiki ʻana o ka pōpoki.

Eia nō hoʻi, pono ka mea nāna e hoʻomaʻamaʻa maʻamau i ka nānā ʻana i kahi pōpoki o waena a ʻelemakule a nānā i ke kaumaha o ka pōpoki.