Koj puas tau xav txog ob lub lim dej muaj zog tshaj plaws hauv peb lub cev? Lawv yog peb lub raum . Yuav ua li cas yog tias lawv tsis ua haujlwm tam sim ntawd, zoo li hluav taws xob tsis ua haujlwm? Qhov ntawd yog qhov peb hu ua " Kev Ua Tsis Taus Mob Raum Ceev " lossis "Kev Ua Tsis Taus Mob Raum Ceev" hauv kev kho mob. Qhov no tuaj yeem tshwm sim hauv ob peb teev lossis ob peb hnub. Tab sis tsis txhob txhawj, yog tias koj paub txog qhov no thiab tau txais kev kho mob sai sai, feem ntau koj lub raum tuaj yeem rov qab zoo li qub.
Hais yooj yim xwb, cov raum no ua haujlwm li cas?
Cia peb nkag siab qhov no yooj yim. Lub luag haujlwm tseem ceeb ntawm lub raum yog lim peb cov ntshav thiab tshem tawm cov khoom pov tseg tsis xav tau los ntawm nws ua zis . Tsis yog li ntawd xwb, tab sis ob lub cev me me no kuj ua ntau yam tseem ceeb xws li tswj cov dej hauv lub cev, tswj cov ntshav siab , pab tsim cov qe ntshav liab , thiab sib npaug cov electrolytes tseem ceeb rau lub cev. Yog li thaum cov no puas lawm, tag nrho cov no mus tsis raug.
Qhov txawv ntawm Mob Acute thiab Mob Chronic yog dab tsi?
Tej zaum koj twb tau hnov txog ib yam dab tsi hu ua "Chronic Kidney Disease" ( CKD ). Qhov ntawd thiab "Acute Kidney Failure" yog ob yam sib txawv.
- Mob Raum Tsis Ua Haujlwm Sai: Qhov no tshwm sim sai sai, tam sim ntawd . Yog tias kho kom zoo, muaj lub sijhawm zoo rov zoo tag nrho .
- Kab Mob Raum Ntev (CKD): Qhov no yog ib qho mob uas maj mam zuj zus mus ntev thiab ua rau lub raum qaug zog zuj zus . Feem ntau nws yog los ntawm cov mob uas kav ntev xws li ntshav qab zib lossis ntshav siab . Qhov kev puas tsuaj no feem ntau yog mus tas li .
Koj tus kws kho mob tuaj yeem yooj yim paub tseeb tias koj muaj ob yam mob no los ntawm kev ua qhov kev kuaj ultrasound. Feem ntau, hauv CKD, cov raum zoo li me dua.
Yuav ua li cas thiaj paub cov theem ntawm kab mob raum?
Muaj ib qho kev ntsuas ntawm kev ua haujlwm ntawm lub raum, uas peb hu ua '(eGFR - kwv yees li ntawm Glomerular Filtration Rate)'. Hais yooj yim, qhov no yog qhov koj lub raum lim cov ntshav tau zoo npaum li cas. Tus nqi no yog siv los faib cov theem ntawm tus kab mob.
| Theem ntawm tus kab mob | tus nqi eGFR | Lub ntsiab lus |
|---|---|---|
| Theem I | 90 lossis siab dua | Cov raum ua haujlwm zoo, tab sis tej zaum yuav muaj cov cim qhia tias muaj kev puas tsuaj me me. |
| Theem II | 60 – 89 | Kev ua haujlwm ntawm lub raum txo qis me ntsis. |
| Theem IIIa | 45 – 59 | Kev ua ub no tau txo qis mus rau qib me me lossis nruab nrab. |
| Theem IIIb | 30 – 44 | Kev ua haujlwm raug txo qis me ntsis lossis hnyav heev. |
| Theem IV | 15 – 29 | Kev ua haujlwm ntawm lub raum tau poob qis heev. |
| Theem V | Qis dua 15 | Lub raum yuav luag tsis ua haujlwm tag (Lub raum tsis ua haujlwm). |
Ceev faj txog cov tsos mob no!
Qee zaum qhov mob no tuaj yeem tshwm sim yam tsis muaj tsos mob. Qee zaum nws pom tau thaum lub sijhawm kuaj rau lwm yam mob. Txawm li cas los xij, yog tias koj muaj cov tsos mob, lawv yuav suav nrog:
- Cov zis tawm tsawg heev.
- Ob txhais ceg, pob luj taws, thiab taw o (vim yog cov kua dej khaws cia).
- Muaj kev xav tias qaug zog thiab tsaug zog heev tas li.
- Ua pa nyuaj.
- Ntuav los yog xeev siab.
- Cov zaub mov tsis qab.
- Khaus tawv nqaij.
- Nyuaj siab txiav txim siab (Kev tsis meej pem).
- Mob hauv siab los yog nruj.
- Cov leeg nqaij co.
- Mob plab los yog mob nraub qaum.
- Kub taub hau, tawv nqaij tawm pob, lossis los ntshav ntswg.
Yog tias koj tam sim ntawd muaj ib lossis ntau yam ntawm cov tsos mob no, tshwj xeeb tshaj yog tias koj tso zis tsawg dua, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob lossis mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd .
Vim li cas qhov no thiaj tshwm sim? 3 qhov laj thawj tseem ceeb!
Muaj peb pawg tseem ceeb uas ua rau lub raum tsis ua haujlwm tam sim ntawd.
1. Cov ntshav ntws mus rau lub raum tsis zoo
Qhov no yuav yog vim:
- Lub cev qhuav dej heev lossis kub hnyiab heev.
- Kev kis kab mob.
- Lub plawv tsis ua haujlwm.
- Kev ua tsis tau zoo ntawm daim siab.
- Qee cov tshuaj tua kab mob (NSAIDs xws li Aspirin, Ibuprofen, Naproxen) thiab qee cov tshuaj rau ntshav siab.
2. Kev thaiv kev tso zis
Yog tias txoj kev hla mus rau hauv lub raum raug thaiv, ua rau cov zis tsis tawm hauv lub raum, qhov siab ntawd tuaj yeem rov qab los thiab ua rau lub raum puas tsuaj.
- Pob zeb hauv lub raum.
- Cov txiv neej muaj prostate loj.
- Mob qog noj ntshav ntawm lub zais zis, lub ncauj tsev menyuam, txoj hnyuv loj, lossis prostate.
- Kev puas tsuaj rau cov hlab ntsha hauv txoj hlab zis.
3. Kev puas tsuaj ncaj qha rau lub raum lawv tus kheej
Muaj tej yam uas ua rau cov qe ntshav hauv lub raum puas tsuaj ncaj qha.
- Qee cov tshuaj (piv txwv li NSAIDs, tshuaj chemotherapy, qee cov tshuaj tua kab mob).
- Mob o ntawm cov raj me me uas lim cov zis tawm ntawm lub raum (Glomerulonephritis). Qhov no tuaj yeem tshwm sim los ntawm kev kis kab mob lossis cov kab mob autoimmune xws li lupus.
- Cov ntshav txhaws los yog cov roj cholesterol.
Yuav kho li cas?
Qhov xov xwm zoo yog tias yog tias kuaj pom thaum ntxov, nws tuaj yeem kho tau thiab kho tau. Kev kho mob nyob ntawm koj tus mob thiab qhov ua rau.
- Kev Mus Kho Mob Hauv Tsev Kho Mob: Feem ntau, tus mob no yuav tsum tau mus kho mob hauv tsev kho mob.
- Kev kho qhov ua rau:Thawj yam uas yuav tsum ua yog nrhiav seb ua rau lub raum tsis ua haujlwm thiab kho nws. Piv txwv li, yog tias nws qhuav dej, muab dej ntsev rau, yog tias nws yog kev kis kab mob, muab tshuaj tua kab mob rau, thiab yog tias nws yog vim tshuaj, nws yuav tsum tsis txhob noj.
- Kev Noj Haus: Koj tus kws kho mob yuav qhia koj kom tsis txhob noj cov khoom noj uas muaj ntsev thiab potassium ntau kom txog thaum koj lub raum zoo. Qhov no yog vim tias kev tso cov no tawm yog ib qho kev nyuaj rau koj lub raum. Lawv yuav qhia koj kom tsis txhob noj cov khoom xws li txiv tsawb, zaub paj ntsuab, txiv lws suav, txiv kab ntxwv, thiab qos yaj ywm thiab hloov chaw noj cov khoom noj uas muaj potassium tsawg xws li txiv apples, txiv hmab, txiv pos nphuab, thiab paj noob hlis .
- Cov Tshuaj: Cov tshuaj muaj peev xwm muab tau los tswj cov phosphorus thiab potassium hauv cov ntshav.
- Kev ntxuav ntshav: Yog tias qhov kev puas tsuaj rau lub raum hnyav heev, yuav tsum muaj lub tshuab ua haujlwm rau lub raum kom txog thaum lawv zoo. Qhov no hu ua kev ntxuav ntshav. Qhov no tsis kho lub raum, tab sis nws pab tshem tawm cov khoom pov tseg ntawm lub cev thiab cawm txoj sia kom txog thaum lub raum zoo.
Peb puas tsis tuaj yeem tiv thaiv peb tus kheej ntawm qhov xwm txheej no?
Tau kawg nws ua tau. Yog tias koj ua ob peb yam yooj yim, koj tuaj yeem txo qhov kev pheej hmoo no.
1. Ceev faj nrog cov tshuaj tua kab mob: Tsis txhob siv cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj (xws li Ibuprofen thiab Naproxen) ntau dhau los yog siv tas li. Tham nrog koj tus kws kho mob ua ntej noj tshuaj twg.
2. Ua raws li koj tus kws kho mob cov lus qhia: Yog tias koj muaj tej yam mob xws li ntshav qab zib lossis ntshav siab, tswj kom zoo. Siv cov tshuaj uas koj tus kws kho mob sau kom raug.
3. Kev ua neej noj qab nyob zoo: Haus dej ntau, noj zaub mov kom zoo, thiab tawm dag zog. Tej yam no ua rau koj lub cev noj qab nyob zoo, tsis yog koj lub raum xwb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob raum tsis ua haujlwm sai sai yog qhov ua rau lub raum tsis ua haujlwm sai sai. Txawm li cas los xij, yog tias kho sai sai, feem ntau nws tuaj yeem kho tau tag nrho.
- Yog koj muaj cov tsos mob xws li tso zis tsawg dua, ceg o, thiab qaug zog heev, tsis txhob nkim sijhawm thiab mus ntsib kws kho mob tam sim ntawd.
- Kev tswj cov kab mob ntev xws li ntshav qab zib thiab ntshav siab yog ib txoj hauv kev zoo tshaj plaws los tiv thaiv koj lub raum.
- Tsis txhob siv cov tshuaj tua mob mus sij hawm ntev yam tsis tau kev qhia los ntawm kws kho mob. Nws tuaj yeem ua rau koj lub raum puas tsuaj.
Kab mob raum, mob raum tsis ua haujlwm sai sai hauv Sinhala, mob raum tsis ua haujlwm, tso zis tsawg dua, eGFR, creatinine hauv Sinhala, dialysis hauv Sinhala
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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