Polycystic fatugaʻo faʻamaʻi

Polycystic fatugaʻo faʻamaʻi (PKD) o se fatugaʻo faʻamaʻi pasiina i lalo i aiga. I lenei faʻamaʻi, o le tele o kisi faia i fatugaʻo, mafua ai latou faʻateleina.

PKD e pasi i lalo i aiga (tofi). O le lua tofi tofi o PKD o autosomal puleʻaga ma autosomal recessive.

Tagata ma PKD maua tele fuifui o cist i le fatugaʻo. Le mea tonu na mafua ai kosi e fausia e le o iloa.

PKD e fesoʻotaʻi ma tulaga nei:

• Vailaau faʻafuaseʻi
• Anurysms faiai
• Cista i le ate, pancreas, ma tofo
• Diverticula o le kolone

E tusa o le afa o tagata ma PKD o loʻo i ai le suka i le ate.

Faʻailoga o le PKD ono aofia ai soʻo se tasi o mea nei:

• Manava manava po o le agavaivai
• Toto i le miaga
• Ova tele urination i le po
• Paʻu itu i le tasi poʻo le lua itu
• Le fia moe
• Tiga soʻoga
• Nail abnormalities

E mafai ona faʻaalia se suʻega:

• Malu ole manava i luga ole ate
• Faʻateleina le ate
• Loto muimui po o isi faʻailoga o aortic le lava poʻo mitral le lava
• Toto maualuga
• Tupu i fatugaʻo poʻo le manava

O suʻega e mafai ona faia e aofia ai:

• Cerebral angiography
• Faitau atoa le toto (CBC) e siaki ai le anemia
• Tofotofoga ate (toto)
• Urinalysis

Tagata e iai a latou talaʻaga pe aiga talaʻaga o PKD o loʻo tiga le ulu e tatau ona tofotofoina e iloa ai pe o le cerebral aneurysms le mafuaʻaga.

PKD ma cista i luga o le ate poʻo isi totoga ono maua mai faʻaaogaina ai nei suʻega:

• Suʻega CT scan
• Suʻega MRI scan
• Laʻititi ultrasound
• Intravenous pyelogram (IVP)

Afai o nisi o lou aiga o loʻo i ai le PKD, e mafai ona faia faʻamaoniga o kenera e iloa ai pe o e tauʻaveina le genes PKD.

O le faʻamoemoe o togafitiga o le faʻatonutonuina o faʻailoga ma puipuia faʻalavelave. Togafitiga ono aofia ai:

• Toto fualaʻau toto
• Diuretics (vai fualaʻau)
• Meaʻai maualalo o le masima

Soʻo se faʻamaʻi o le urinary tract e tatau ona vave togafitia i vailaʻau oona.

O cyst e tiga, afaina, faʻamaligi toto, pe mafua ai le poloka atonu e manaʻomia ona faʻalu i fafo. E masani ona tele naua cista e faʻafaigofie ai ona aveʻese ia cyst taʻitasi.

O taotoga e aveʻese ai le tasi poʻo le uma fatugaʻo ono manaʻomia. Togafitiga mo iuga-tulaga fatugaʻi faʻamaʻi ono aofia ai dialysis po o se fatugaʻi tuiina.

E masani ona e faʻamamaina le mafatiaga o se maʻi e ala i lou auai i se kulupu lagolago pe a fefaasoaaʻi tagata i mea masani ma faʻafitauli.

O le faʻamaʻi e faʻasolosolo ona leaga. I le iuga, e mafai ona taitai atu ai i le iʻuga-tulaga le lelei fatugaʻo. E fesoʻotaʻi foʻi ma faʻamaʻi o le ate, e aofia ai ma le pisia o ate i le ate.

Togafitiga mafai faʻamamaina auga mo le tele o tausaga.

Tagata e iai PKD e leai ni faʻamaʻi atonu e lelei sui tauva mo le tuiina o fatugaʻo.

O faʻafitauli tau soifua maloloina e ono aliaʻe mai le PKD e aofia ai:

• Anemia
• Fanoina poʻo gagauina o cyst
• Umi (tumau) fatugaʻo faʻamaʻi
• Iuga-tulaga fatugaʻo faamaʻi
• Toto maualuga
• Faʻamaʻi o le ate
• Maʻa fatugaʻo
• Le lava le ate (agamalu e ogaoga)
• Faʻateleina faʻamaʻi o le urinary tract

Valaʻau lau fomaʻi pe a fai:

• Oe i ai faʻailoga o PKD
• E iai sau talaʻaga aiga ole PKD poʻo ni faʻaletonu e fesoʻotaʻi ma o loʻo e fuafuaina e fai sau fanau (atonu e te manaʻo e iai sau faufautua faʻafanua)

I le taimi nei, e leai se togafiti e mafai ona puipuia le siva mai le fausiaina pe faʻateleina.

Cysts - fatugaʻo; Fatugaʻo - polycystic; Autosomal puleaina polycystic fatugaʻo faʻamaʻi; ADPKD

• Fatugaʻo ma fatu suka - CT scan
• Ate ma spleen cyst - CT scan

Arnaout MA. Cystic fatugaʻo faʻamaʻi. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 118.

Torres VE, Harris PC. Faamaʻi Cystic o le fatugaʻo. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner ma Rector's Le Fatugaʻo. 11th lomiga. Filatelefia, PA: Elsevier; 2020: chap 45.