'Lelo mākou e pili ana i ke kīnā ʻole o nā ʻīlio ke hana hou ʻole ka puʻupaʻa o nā ʻīlio a hana ʻole a lawa ʻole paha i kāna nuʻukia no ka kānana ʻana i ke koko a me ka hana ʻana i ka mimi.

I loko o ke kino o ka ʻīlio aia ʻelua mau puʻupaʻa e hana ma ke ʻano he kānana ma ka hoʻopau ʻana i kekahi mau mea make, e like me ka urea kahi ʻōpala o ka metabolism o nā protein, ion a me nā minelala, proteins a me ka wai. Pale pū ia i ka kahe ʻana mai o ke kō a me nā mea ʻē aʻe mai ke koko e ka reabsorbing ʻana iā lākou. ʻO kēia pāʻani o ka hoʻopau a me ka reabsorption na ka puʻuwai e lawelawe ma ke ʻano he kānana akā ma ke ʻano he mea hoʻokele o nā kaulike i ke kino: acid-base a me nā koena mineral, kaomi osmotic (ʻo ia ka hāʻawi o nā kino paʻa i ka meaola) a i ʻole ka nui o ka wai a puni nā hunaola o ke kino. ʻO ka hope, hūnā ke kīʻaha i nā hormoni e hoʻololi i ke kahe o ke koko.

Ke hana ʻole nā ​​puʻupaʻa a hoʻomaʻemaʻe maikaʻi ʻole a ʻaʻohe kānana hou, ʻōlelo ʻia aia he kō ʻole i ka ʻīlio i hoʻopilikia ʻia. ʻElua ʻano o ke kō ʻole o ke kōpū. Holomua ʻoihana kōkō (CKD) kahi holomua, hana iki nā puʻupaʻa a emi maikaʻi hoʻi, a i ka hopena ʻaʻole lawa ka hana e hōʻoia i ke ola o ka ʻīlio. Hiki koke mai ka maʻi hakuʻala nui (AKI), a hiki ke hoʻi hou, e ʻae hou ana i ka hakuʻala e hana maʻamau.

Hiki i nā kīkino ʻole i nā ʻīlio ke hana, e like me ka hopena o:

• ʻO ke kū ʻana o ke koʻohune i loko o ke koko (e pili ana i ka maʻi ʻili no ka laʻana) a i ʻole i ka maʻi urinary hiki ke hoʻoulu i kahi maʻi a me ka mumū o nā puʻupaʻa i kapa ʻia ʻo nephritis a i ʻole glomerulonephritis.
• ʻO kahi maʻi maʻi e like me ka leptospirosis ʻīlio Lyme maʻi.
• He ālai i ka puka o ka mimi e nā ala kūlohelohe e kahi calculus a i ʻole prostate nui loa i ka ʻīlio kāne kāne ʻole.
• Hoʻopōʻino i ka ʻīlio me kahi mea ʻona e like me antifreeze ethylene glycol, mercury, nā lāʻau anti-inflammatory i manaʻo ʻia no nā kānaka, a i ʻole nā ​​hua waina a me nā mea kanu ʻē aʻe.
• ʻO kahi kīnā hānau (ʻīlio i hānau ʻia me hoʻokahi puʻupaʻa a i ʻole nā ​​puʻupaʻa hemahema)
• ʻO kahi maʻi hoʻoilina e like me Bernese Mountain Glomerulonephritis, Bull Terrier nephritis a i ʻole Basenji glycosuria.
• ʻO kahi ulia pōpilikia i ka wā o kahi hopena ʻino ma luna pono o ka puʻupaʻa i ka wā o kahi ulia alanui me ke kaʻa no kahi laʻana.
• ʻO kahi hopena o nā lāʻau e like me kekahi antibiotics, kekahi lāʻau anti-cancer chemotherapy, kekahi anti-inflammatory drug
• He maʻi maʻi autoimmune e like me Lupus.

He nui a ʻano ʻokoʻa nā ʻōuli o ke kō ʻole.

• Hoʻonui i ka lawe wai. ʻO ke kū ʻana o ke kōpaʻa ʻole i nā ʻīlio e hoʻomaloʻo iā lākou a make lākou i ka make wai mau. ʻOiai inā inu nui kāu ʻīlio, hiki nō iā ia ke make wai inā hana hewa ʻole kāna puʻupaʻa.
• Hoʻonui i ka hoʻopau mimi. I kona inu nui ʻana, hoʻomaka pū ka ʻīlio i ka mimi he nui, ua kapa ʻia ʻo polyuropolydipsia (PUPD). I kekahi manawa hiki iā mākou ke huikau i kēia hoʻopau loa ʻana i ka mimi me ka hiamoe ʻole no ka mea pilikia ka ʻīlio i ka hoʻopaʻa ʻana i ka nui o kāna ʻōpū.
• ʻO ka helehelena o ka luaʻi i pili ʻole i ka pāʻina. Hana ʻo Urea i nā ʻīlio i ka acidity gastric a kumu i ka gastritis.
• Ke kū ʻana o ka maʻi diarrhea me ke koko i kekahi manawa.
• Anorexia a i ʻole hoʻemi i ka makemake. ʻO ka acidity o ka ʻōpū, ke kū o nā toxins i loko o ke koko, ʻeha, kuni a i ʻole imbalances i ke koko hiki ke hoʻopau i ka makemake o kahi ʻīlio.
• ʻO ka hōʻemi kaumaha, hoʻowahāwahā i nā mākala. ʻO ka Anorexia a me ka excretion o ka protein i loko o ka mimi e lilo ai ka ʻīlio i mea kaumaha.
• Abdominal eha. Hiki i kekahi mau kumu o ke kūleʻa ʻole o ka ʻīlio ke hōʻeha i ka ʻōpū.
• Loaʻa ke koko i ka mimi

ʻO ka maikaʻi ʻole o ka hakuʻala i nā ʻīlio he nui nā ʻōuli o ka hiki koke (ARI) a i ʻole holomua (CRS) ʻaʻole kikoʻī loa. Eia nō naʻe, ke ʻano o polyuropolydipsia (hoʻonui i ka make wai a me ka nui o ka mimi) he hōʻailona hōʻailona ia a alakaʻi i ka ʻīlio i kahi kauka lāʻau e ʻike i ke kumu o kēia hōʻailona.

Pono e hoʻomaopopo ʻo PUPD iā ʻoe i ke kūlana olakino o kāu ʻīlio. Inu kahi ʻīlio olakino ma kahi o 50 ml o ka wai i kēlā me kēia paona i kēlā me kēia lā. Ke ʻoi aku kēia waiwai i 100 ml o ka wai i kēlā me kēia kilo i kēlā me kēia lā aia nō he pilikia. Hoʻopili ʻia me kēia PUPD hiki ke ʻike ʻia i nā maʻi digestive pinepine a i ʻole nā ​​hōʻailona urinary.

E hana i kāu kauka holoholona i kahi hoʻokolohua koko a ma kahi kikoʻī e nānā ʻo ia i ka pae o ka urea i loko o ke koko (uremia) a me ka pae o ka creatinine i loko o ke koko (creatinine). Hoʻohana ʻia kēia mau māka ʻelua e loiloi i ke koʻikoʻi o ka holo pono ʻole ʻana o ka hakuʻala. Hiki iā ia ke hoʻohui i kēia ho'āʻo koko me kahi hōʻike mimi me:

• kahi ana o ka nui o ka mimi, ʻo kahi ʻīlio me ka hana hakuʻala hōʻino e hoʻopiha loa i ka mimi a me ka haʻahaʻa o ka mimi.
• kahi kaha hoʻāʻo mimi e hiki ai ke ʻike i nā protein, ke koko, ke kō a me nā mea ʻē aʻe ʻē aʻe i ka mimi.
• kahi pellet mimi i mālama ʻia ma lalo o kahi microscope e ʻike i ke kumu o ka holo pono ʻole o ka ʻīlio, bacteria, crystals urinary, immune cells, urinary tract cells…
• hiki ke hana ʻia i kahi ultrasound ʻōpū a i ʻole x-ray e ʻike inā pilikia ke kīkino a i ʻole ke kahakaha ʻana o ka urinary i nā ʻīlio ʻole.

ʻO ka hope loa, hiki ke hana ʻia kahi biopsy kidney e nānā i ke kūlana o ke olakino o ka puʻupaʻa a hāʻawi i kahi manaʻo kikoʻī i ke kumu inā he malformation congenital e laʻa a i ʻole ka wānana o ka hoʻōla.

Inā loaʻa ke kumu o ka hōʻino ʻole o ka ʻīlio ʻīlio, e kuhikuhi ana kāu kauka lāʻau lapaʻau i lāʻau e mālama ai (e like me kahi anti-biotic) a i ʻole ke ʻoki e hemo ai nā pōhaku.

I ke kumu o ka hōʻeha hōʻino koʻikoʻi ʻo ka hoʻoponopono ulia pōpilikia e hoʻopili i ka ʻīlio, e hoʻokomo i nā diuretics a me nā mālama ʻana no nā maʻi digestive.

I ka hanana o ka hōʻeha hōʻeha mau loa e loaʻa i kāu ʻīlio nā lāʻau i manaʻo ʻia e hoʻolohi i ka holomua o ka maʻi a hoʻolohi i ka hoʻomaka ʻana o kāna hopena, a me kahi papaʻai i hoʻopili ʻia. Pono e nānā pinepine ʻia kāu ʻīlio e kāu kauka holoholona. E mālama pono ʻia nā ʻīlio kahiko.