Xav txog seb, koj tus kws kho mob xav tias koj muaj teeb meem nrog koj lub raum . Yog li, nws hais kom koj mus kuaj ntshav los xyuas koj lub raum ua haujlwm. Koj yuav xav tsis thoob yog tias nws hais rau koj tias tus lej ntawm daim ntawv tshaj tawm ntawd txawv nyob ntawm koj haiv neeg, puas yog? "Kuv lub raum ua haujlwm li cas txawv nyob ntawm kuv haiv neeg?" Tej zaum koj yuav xav tsis thoob. Qhov no yog qhov teeb meem loj uas tau tshwm sim hauv ntiaj teb kev kho mob ntev heev, thiab tam sim no nws raug kho. Hnub no peb yuav tham txog nws.
Cov qauv no uas ntsuas kev ua haujlwm ntawm lub raum yog dab tsi?
Peb lub raum zoo li ob lub lim dej muaj zog tshaj plaws hauv lub cev. Lub luag haujlwm tseem ceeb ntawm lub raum yog lim cov khoom pov tseg tsis tsim nyog tawm ntawm cov ntshav thiab ua kom lub cev huv. Yog li, ib qho ntawm cov kev ntsuas tseem ceeb uas cov kws kho mob siv los xyuas kev noj qab haus huv ntawm lub raum yog eGFR . Qhov ntawd sawv cev rau kwv yees Glomerular Filtration Rate .
Hais yooj yim xwb, nws ntsuas seb koj lub raum ntxuav koj cov ntshav sai thiab zoo npaum li cas. Vim tias nws nyuaj rau ntsuas qhov no ncaj qha, peb kwv yees nws siv cov lej lej uas siv cov khoom xws li qib ntawm cov khoom pov tseg hu ua creatinine hauv koj cov ntshav, koj lub hnub nyoog, thiab koj poj niam txiv neej.
Tus nqi eGFR txo qis qhia tau tias lub raum tsis ua haujlwm zoo. Tus nqi no yog ib qho tseem ceeb uas pab cov kws kho mob txiav txim siab seb tus neeg puas yuav tsum pib ntxuav lub raum lossis hloov lub raum.
Qhov teeb meem pib qhov twg los? 'haiv neeg' tau los ua ib qho tseem ceeb li cas?
Tau ib ntus, muaj ib qho kev hloov pauv xav tsis thoob hauv qhov kev sib npaug eGFR no: 'haiv neeg' . Tab sis qhov no tsis siv rau txhua haiv neeg. Nws tsuas yog siv yog tias ib tug neeg txheeb xyuas tias yog "tus neeg dub."
Uas yog, ib tug neeg dawb thiab ib tug neeg dub uas muaj hnub nyoog, poj niam txiv neej, thiab creatinine sib npaug tau txais ob tus nqi eGFR. Yog tias tus neeg dub yog ib tug neeg dawb, qhov sib npaug ntawd ua rau tus nqi ntawd loj dua.
Muaj dab tsi tshwm sim? Qhov eGFR qhia tau tias tus neeg dub lub raum ua haujlwm zoo dua li qhov nws ua tau tiag tiag. Yog li ntawd, lawv raug ncua sijhawm hauv kev tau txais kev kho mob uas lawv xav tau, xws li pib ntxuav ntshav lossis raug muab tso rau hauv daim ntawv hloov raum. Qhov no yog qhov tsis ncaj ncees loj heev, tsis tau xav tseg.
| Cov qauv eGFR qub (suav nrog haiv neeg) | Kev ntsuas eGFR tshiab (tsis muaj haiv neeg) |
|---|---|
| Qib Creatinine, hnub nyoog, poj niam txiv neej thiab 'haiv neeg' (txawm tias dub lossis tsis yog) tau raug xav txog hauv kev suav. | 'Haiv Neeg' raug tshem tawm tag nrho ntawm kev suav. Tam sim no tsuas yog xav txog qib creatinine, hnub nyoog thiab poj niam txiv neej xwb. |
| Nws tau pom tias cov nqi eGFR hauv cov neeg mob dub tau nce ntxiv. | Xam eGFR kom ncaj ncees dua, siv tib qho kev ntsuas rau cov neeg mob ntawm txhua haiv neeg. |
| Qhov no ua rau muaj kev tsis sib luag thiab kev ncua sijhawm sau ntawv kho mob thiab teem sijhawm hloov raum. | Pab txo qhov sib txawv ntawm kev xa mus rau kev kho mob. |
Vim li cas lo lus 'lub teb chaws' thiaj suav nrog txij thaum pib?
Qhov no yog vim muaj kev tshawb fawb ua nyob rau xyoo 1990. Ib txoj kev tshawb fawb uas tau ua nyob rau lub sijhawm ntawd (Kev Hloov Kho Kev Noj Haus hauv Kab Mob Raum - MDRD kev tshawb fawb) pom tias cov neeg dub muaj cov ntshav creatinine ntau dua li cov neeg dawb. Lawv tau hais tias qhov no yog vim muaj kev ntseeg qub, tam sim no raug kev sib cav txog kev tshawb fawb tias "cov neeg dub feem ntau muaj cov leeg nqaij ntau dua li cov neeg dawb."
Lub sijhawm ntawd, kev suav nrog cov neeg dub hauv kev tshawb fawb tau suav hais tias yog ib qho teeb meem loj, tab sis niaj hnub no peb nkag siab tias 'haiv neeg' tsis yog ib yam khoom ntawm lub cev, tab sis yog ib qho kev tsim kho hauv zej zog.
"Thaum peb qhia peb cov tub ntxhais kawm kho mob txog kev sib npaug ntawm haiv neeg, peb qhia rau lawv txog lub tswv yim cuav tias haiv neeg yog ib qho kev txiav txim siab ntawm lub cev ntawm tus kab mob. Tab sis nws tsis yog," Dr. Paul Palewski, tus thawj tswj hwm ntawm National Kidney Foundation hais.
Txoj kev mus kho qhov yuam kev no
Zoo hmoo, nyob rau xyoo tas los no, cov tub ntxhais kawm kho mob, cov kws kho mob, cov kws kho mob raum , thiab cov neeg tawm tsam txoj cai ntawm cov neeg mob tau pib nug txog qhov teeb meem no. "Yog tias tsis muaj lub hauv paus ntawm lub cev rau qhov no, vim li cas peb thiaj kho cov neeg dub thiab cov neeg tsis yog neeg dub sib txawv?" lawv nug.
Yog li ntawd , Lub Koom Haum Saib Xyuas Kab Mob Raum Hauv Tebchaws thiab Lub Koom Haum Saib Xyuas Kab Mob Raum Hauv Tebchaws Amelikas tau koom tes ua ke los tsim ib pab pawg neeg ua haujlwm uas muaj cov neeg mob, cov kws tshawb fawb, thiab cov kws kho mob. Vim yog lawv txoj haujlwm nyuaj, xyoo 2021, ob qho kev ntsuas eGFR tshiab tau qhia rau lub ntiaj teb uas tshem tawm tag nrho qhov 'haiv neeg' .
1. Kab zauv thawj zaug: Ib yam li cov qub, tsuas yog siv qib creatinine xwb (tab sis tsis muaj 'haiv neeg').
2. Kab zauv thib ob: Ntxiv rau cov theem creatinine, lwm lub cim tshuaj hu ua cystatin C kuj tseem siv tau. Txawm hais tias qhov no yog qhov tseeb dua, kab zauv thawj zaug kuj raug pom zoo vim tias qhov kev xeem cystatin C tsis muaj nyob rau hauv txhua lub chaw soj nstuam hauv ntiaj teb thiab kim heev.
Qhov kev hloov pauv no tab tom tshwm sim sai heev hauv kev kho mob thoob plaws ntiaj teb. Nws yog qhov zoo siab heev uas kev hloov pauv kaum xyoo yuav tshwm sim hauv ob peb lub hlis xwb.
Vim li cas qhov sib txawv no thiaj tseem ceeb rau peb?
Tej zaum koj yuav xav tias, qhov no yog teeb meem ntawm Asmeskas, nws tseem ceeb dab tsi rau peb? Tab sis kev kho mob yog ib yam thoob ntiaj teb. Kev tshawb pom lossis kev kho kom zoo uas tshwm sim hauv ib feem ntawm lub ntiaj teb cuam tshuam rau tag nrho lub ntiaj teb.
- Kev Kho Mob Ncaj Ncees Dua: Qhov no ua kom tus neeg mob muaj cai, txhua qhov chaw hauv ntiaj teb thiab txhua haiv neeg, kom tau txais kev kuaj mob ncaj ncees dua thiab raug dua.
- Kho cov kev ua yuam kev hauv kev kho mob: Qhov no yog ib qho piv txwv zoo ntawm kev kho mob yog ib qho teb uas niaj hnub hloov kho nws tus kheej thiab kho nws cov kev ua yuam kev.
- Mloog tus neeg mob lub suab: Lub suab ntawm tus neeg mob kuj yog ib qho tseem ceeb hauv kev hloov pauv no. Qhov no qhia tau tias nws tseem ceeb npaum li cas los mloog cov neeg mob lub tswv yim, es tsis yog mloog cov kws kho mob ib leeg txiav txim siab.
Tau kawg, kev hloov pauv qhov sib npaug no yuav tsis tshem tawm txhua qhov kev tsis sib luag ntawm kev noj qab haus huv ib hmos. Muaj ntau yam hauv zej zog thiab kev lag luam uas ua rau muaj lawv. Tab sis qhov no yog ib kauj ruam muaj zog thiab tseem ceeb heev rau qhov kev coj ua ntawd.
Yog koj lossis ib tug neeg koj paub muaj kab mob raum, tham nrog koj tus kws kho mob txog koj cov kev kuaj mob thiab kev kho mob. Nug lawv txog koj qhov eGFR, nws txhais li cas, thiab cov kev kho mob zoo tshaj plaws rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- eGFR (kwv yees li ntawm Glomerular Filtration Rate) yog ib qho kev suav tseem ceeb uas ntsuas kev ua haujlwm ntawm lub raum.
- Cov qauv eGFR uas siv ua ntej tau suav tias yog 'haiv neeg' (tshwj xeeb tshaj yog rau cov neeg dub) rau hauv cov qauv, ua rau muaj kev kho tsis ncaj ncees thiab kev ncua sijhawm rau cov neeg mob.
- Nrog kev nkag siab tias 'haiv neeg' tsis yog ib qho tseem ceeb ntawm lub cev, tab sis yog lub tswv yim hauv zej zog, cov qauv eGFR tshiab, ncaj ncees dua tau raug qhia uas tsis suav nrog 'haiv neeg'.
- Qhov kev hloov pauv no yog ib kauj ruam tseem ceeb rau kev txo qis kev tsis sib luag hauv kev kho mob thiab muab kev kho mob ncaj ncees rau txhua tus neeg mob.
- Yog tias koj muaj kev txhawj xeeb txog koj cov ntaub ntawv kho mob thiab kev kho mob, nws yog ib qho tseem ceeb heev uas yuav tsum tham txog qhov no nrog koj tus kws kho mob kom meej thiab qhib siab.
Kab mob raum, eGFR, creatinine, kev kuaj raum, kev tsis sib npaug ntawm kev noj qab haus huv, tshuaj, kab mob raum
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus