Mukayesedwa magazi, kodi mudawonapo phindu lotchedwa 'BUN' pa lipotilo? Dokotala wanu mwina adakufotokozerani izi. Ngakhale zingawoneke zovuta pang'ono kwa anthu ambiri, kwenikweni ndi mayeso ofala kwambiri omwe amakuuzani zambiri zofunika zokhudza thanzi la impso zathu. Chifukwa chake, musachite mantha. Lero, tiyeni tikambirane za BUN iyi, chifukwa chake imachitidwa, komanso zomwe mfundo zake zimanena.
Kodi BUN imatanthauza chiyani kwenikweni?
Chabwino, tiyeni tiyambe kuyambira pachiyambi. Mawu akuti BUN amatanthauza magazi a Urea Nayitrogeni . Mu Chisinhala, amatanthauza kuchuluka kwa nayitrogeni ya urea m'magazi.
Tsopano tangoganizani kuti thupi lathu lili ngati fakitale yayikulu. Zakudya zomwe timadya ndi kumwa, makamaka mapuloteni (monga nyama, nsomba, mazira, mkaka), zimasanduka mphamvu ndi zinthu zofunika kuti thupi likule mufakitale iyi. Izi zikachitika, zinyalala zimapangidwa. Zinyalala zimenezo zimatchedwa urea nitrogen .
Zinyalala zimenezi zimapangidwa koyamba m'chiwindi mwathu. Kenako, zimawonjezeredwa m'magazi ndikuyenda m'thupi lonse. Pamene tikuyenda motere, magazi amenewa amadutsa m'impso zathu. Impso zili ngati zosefera ziwiri zabwino kwambiri m'thupi mwathu. Ntchito yawo yayikulu ndikusefa ndikulekanitsa zinyalala zosafunikirazi ndi magazi ndikuzichotsa m'thupi ndi mkodzo.
Choncho, chomwe mayeso a BUN amachita ndi kuyeza kuchuluka kwa nayitrogeni ya urea yomwe yatsala m'magazi anu isanasefedwe ndi impso.
Mwachidule, BUN ndi kuchuluka kwa nayitrogeni wa urea m'magazi mwanu. Izi zingakupatseni lingaliro lofunika la momwe impso zanu zikugwira ntchito.
N’chifukwa chiyani madokotala amalangiza mayeso a BUN awa?
Pali zifukwa zingapo zomwe dokotala angakupempheni kuti muyesedwe ndi BUN.
- Monga gawo la kuyezetsa thanzi nthawi zonse: Kuchuluka kwa BUN kumeneku nthawi zambiri kumayesedwa ngati gawo la kuchuluka kwa magazi, komwe kumachitika chaka chilichonse kapena nthawi ndi nthawi. Izi nthawi zambiri zimaphatikizidwa mu phukusi loyesera lotchedwa Comprehensive Metabolic Panel (CMP) kapena Basic Metabolic Panel (BMP) .
- Ngati mukukayikira matenda a impso: Ngati muli pachiwopsezo chotenga matenda a impso, dokotala wanu angakupatseni mayesowa. Popeza matenda a impso nthawi zambiri samakhala ndi zizindikiro kumayambiriro, zingathandize kuzindikira anthu omwe ali ndi zinthu zoopsa msanga.
Ndi zinthu ziti zomwe zimawonjezera chiopsezo cha matenda a impso?
- Ngati wina m'banja mwanu (amayi, abambo, abale) ali ndi matenda a impso.
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi kuthamanga kwa magazi .
- Ngati muli ndi matenda a mtima .
- Ngati mukuwonetsa zizindikiro za matenda a impso: Pali zizindikiro zina zomwe zimaonekera matenda a impso akakula kwambiri. Ngati muli ndi zizindikirozi, muyenera kuyesedwa ndi BUN.
| Zizindikiro zina za matenda a impso omwe afika pachimake | |
|---|---|
| Kufunika kukodza pafupipafupi kuposa masiku onse. | |
| Mkodzo wochita thovu. | |
| Magazi mu mkodzo. | |
| Kumva kutopa kwambiri komanso kutopa pafupipafupi. | |
| Chakudyacho sichikoma. | |
| Kutupa kwa thupi (makamaka manja, mapazi, ndi akakolo). | |
Kodi BUN ikakhala 'yowonjezeka' imatanthauza chiyani?
Ichi ndi chinthu chomwe anthu ambiri amaopa. Ngati mulingo wa BUN wanu uli wapamwamba kuposa momwe mukufunira, zikutanthauza kuti impso zanu sizikugwira ntchito bwino . Izi zikutanthauza kuti sizikusefa bwino zinyalala za urea nitrogen kuchokera m'magazi.
Komabe, BUN yokwera sikutanthauza kuti impso zanu zili ndi vuto. Ngakhale impso zanu zili ndi thanzi labwino 100%, BUN yanu imatha kukwezedwa pazifukwa zina.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Kudya zakudya zokhala ndi mapuloteni ambiri | Ngati mudya nyama, nsomba, mazira, ndi mapuloteni ambiri, kuchuluka kwa zinyalala za urea zomwe zimapangidwa m'thupi kudzawonjezekanso. |
| Kusowa madzi m'thupi | Thupi likapanda madzi okwanira m'thupi, magazi amakhuthala. Kenako kuchuluka kwa urea m'magazi kumawonjezeka. Zimawoneka ngati munthu amene wagwira ntchito padzuwa tsiku lonse ndipo sanamwe madzi aliwonse. |
| Kukalamba | Kugwira ntchito kwa impso kungachepe pang'ono mwachibadwa pamene tikukalamba (ana aang'ono nthawi zambiri amakhala ndi BUN yochepa). |
| Mankhwala ena | Mankhwala ena (monga Carbamazepine, Methotrexate, Tetracycline) angayambitse kuchuluka kwa BUN. |
| Matenda ena | Miyezo ya BUN imathanso kukwera chifukwa cha matenda monga kupsa, matenda a mtima, kupsinjika kwambiri, kutuluka magazi m'mimba kapena m'matumbo (kutuluka magazi m'mimba), kapena kutsekeka kwa njira ya mkodzo. |
Chofunika kwambiri si mantha pamene kuchuluka kwa BUN yanu kukukwera, koma kulankhula ndi dokotala wanu kuti mudziwe chomwe chikuyambitsa. Dokotala wanu adzafika pamlingo wofanana poyerekezera osati kuchuluka kwa BUN kokha, komanso kuchuluka kwa mayeso ena, monga creatinine .
Kodi mtengo wa BUN ungakhale 'wotsika'?
Inde, zingatheke. Koma kuchuluka kwa BUN kochepa sikofala kwambiri. Nthawi zambiri sikuti kumasonyeza vuto lalikulu la thanzi. Komabe, pali zifukwa zina zomwe kuchuluka kwa BUN kungakhale kochepa.
- Zakudya zopanda mapuloteni ambiri: Ngati ndinu wosadya nyama kapena ngati mumadya zakudya zopanda mapuloteni ambiri.
- Kukula kwa thupi laling'ono:
- Kumwa madzi ambiri m'thupi: Kumwa madzi ambiri kungathe kuchepetsa magazi ndikuchepetsa kuchuluka kwa BUN m'magazi.
- Matenda a chiwindi: Popeza urea imapangidwa m'chiwindi, kuchuluka kwa BUN kungakhale kochepa pa matenda oopsa omwe amakhudza ntchito ya chiwindi.
Kodi chimachitika ndi chiyani musanayese magazi komanso panthawi yoyezetsa magazi?
Uku ndi kuyesa magazi kosavuta komanso kochitika nthawi zonse.
Musanayambe mayeso
Ngati mukumwa mankhwala ochepetsa magazi kapena muli ndi vuto la magazi, uzani dokotala wanu pasadakhale. Funsani dokotala wanu ngati mudzakhala mukusala kudya kwa maola 8-12, chifukwa mayeso ena angachitike limodzi ndi BUN.
Pa nthawi ya mayeso
- Kawirikawiri, mtsempha umasankhidwa kuchokera m'dzanja lanu pafupi ndi chigongono kuti utenge magazi.
- Malowo amatsukidwa ndi chinthu monga mowa, ndipo magazi ochepa amatengedwa mu botolo laling'ono pogwiritsa ntchito singano yopyapyala kwambiri.
- Mudzamva kachibowo kakang'ono. Malowa akhoza kukhala abuluu pang'ono pambuyo pake, koma adzazimiririka kwathunthu patatha tsiku limodzi kapena awiri.
- Magazi awa amatumizidwa ku labu. Zingatenge tsiku limodzi kapena atatu kuti zotsatira zake zibwererenso.
Kodi chimachitika n’chiyani lipoti la mayeso likafika?
Mukalandira lipoti la mayeso, dokotala wanu adzakufotokozerani tanthauzo lake kwa inu. Dokotala wanu sadzapanga chisankho kutengera kuchuluka kwa BUN kokha. Dokotala wanu adzaganizira zinthu zina zingapo kuti apeze chithunzi chonse cha momwe impso zanu zimagwirira ntchito.
- Serum Creatinine: Ichi ndi chinthu china chotayika chomwe chimayesedwa m'magazi. Ndi mayeso ofunikira kwambiri kuposa BUN pankhani ya magwiridwe antchito a impso.
- Chiŵerengero Choyerekeza cha Kusefa kwa Glomerular (eGFR): Iyi si mayeso achindunji. Ndi mtengo womwe umawerengera momwe impso zanu zimayeretsera magazi anu mwachangu, pogwiritsa ntchito zinthu monga kuchuluka kwa creatinine, zaka, ndi jenda.
Dokotala adzaphatikiza mfundo zonsezi kuti akwaniritse mfundo yomaliza yokhudza thanzi la impso zanu.
Ngati mulingo wa BUN uli wokwera, kodi tingatani kuti tiuchepetse?
Chofunika kumvetsetsa apa ndichakuti madokotala sapereka mankhwala ochepetsa kuchuluka kwa BUN. Chomwe amachita ndikupeza chomwe chimayambitsa kuchuluka kwa BUN ndikuchiza chomwe chimayambitsa vutoli.
Komabe, ngati munthu wopanda matenda a impso ali ndi BUN yokwera, imatha kuthetsedwa mwa kusintha moyo wake mosavuta.
Chofunika: Ngati muli ndi matenda a impso, onetsetsani kuti mwalankhula ndi dokotala musanasinthe izi.
1. Imwani madzi ambiri: Kusowa madzi m'thupi ndiye chifukwa chachikulu cha kuchuluka kwa BUN. Ngati kuchuluka kwa creatinine m'thupi lanu kuli bwino koma BUN yanu ili pamwamba, mwina chifukwa cha kuchepa madzi m'thupi.
- Mwamuna ayenera kumwa makapu 13 amadzimadzi (pafupifupi malita atatu) patsiku.
- Ndikoyenera kuti mayi amwe makapu 9 (pafupifupi malita 2.2) a madzi patsiku.
2.Yesetsani kudya zakudya zokhala ndi mapuloteni ambiri: Kusintha kudya zakudya zokhala ndi mapuloteni ochepa kungathandize kuchepetsa kuchuluka kwa BUN.
| Zakudya zopanda mapuloteni ambiri zomwe mungadye kwambiri | Zakudya zokhala ndi mapuloteni ambiri zomwe muyenera kuchepetsa kapena kupewa |
|---|---|
| Mbewu: mpunga, oats, pasitala | Nyama: Ng'ombe, Nkhuku, Nkhumba, Salmoni |
| Zipatso: maapulo, zipatso, nthochi | Zakudya za mkaka: mkaka, tchizi, yogurt |
| Masamba: Ndiwo zamasamba zobiriwira, tsabola, broccoli | Zina: mazira, mphodza, nandolo, soya, tofu |
| Mafuta abwino: avocado, mtedza, mafuta a kokonati |
Pa avareji, munthu amadya pakati pa magalamu 40-60 a mapuloteni patsiku. Komabe, munthu amene ali ndi BUN yambiri angafunike kuchepetsa kuchuluka kumeneku malinga ndi upangiri wa dokotala.
Uthenga Wopita Nawo Kunyumba
- BUN ndi zinthu zotayira zomwe zimapangidwa kuchokera ku mapuloteni omwe timadya ndipo ziyenera kusefedwa ndikuchotsedwa ndi impso.
- Mayesowa makamaka amapereka lingaliro la momwe impso zimagwirira ntchito .
- Si nthawi zonse pamene kuchuluka kwa BUN kumakwera, ndiye chizindikiro cha matenda a impso. Zinthu zina, monga kusowa madzi m'thupi komanso kudya zakudya zokhala ndi mapuloteni ambiri, zingathandizenso.
- Munthu yekhayo amene angapereke kufotokozera kwathunthu zotsatira za mayeso anu ndi dokotala wanu.
- Ngati mulingo wa BUN uli wokwera, thandizani chomwe chimayambitsa vutoli.Ndicho chinthu chofunika kwambiri. Kusintha moyo wanu ndi zakudya zanu motsatira malangizo a dokotala wanu kungapangitse kusiyana kwakukulu.
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