Kodi munapempha kuti muyesedwe ndi BUN? Tiyeni tiwone kuti ichi ndi chiyani (BUN - Blood Urea Nayitrogeni Test)

Kodi dokotala wanu anakuyesani magazi ndipo anati 'BUN'? Mwina mwawonapo mawu awa pa malipoti anu akale. Mukamva dzina ili, anthu ambiri amaganiza kuti, "Ichi ndi chiyani?" Koma palibe choopa. Iyi ndi mayeso osavuta a magazi omwe amakuuzani zambiri zofunika zokhudza thanzi la thupi lanu, makamaka impso zanu. Chifukwa chake lero, tiyeni tidziwe bwino lomwe mayeso a BUN awa, zomwe akuyang'ana, komanso zomwe lipotilo likunena.

Mwachidule, kodi Blood Urea Nayitrogeni (BUN) ndi chiyani?

Izi n'zosavuta kuzimvetsa. Taganizirani motere...

Mapuloteni omwe timadya (monga nyama, nsomba, mazira, mkaka, mphodza, ndi zina zotero) amagayidwa m'chiwindi chathu ndipo amasanduka mphamvu. Panthawiyi, mankhwala otchedwa 'Urea Nitrogen' amapangidwa ngati chinthu china, kutanthauza kuti, ngati zinthu zotayira. Ichi ndi chinthu chomwe sichithandiza thupi lathu.

Kenako nayitrogeni ya urea imalowa m'magazi athu, imayenda m'thupi lonse limodzi ndi magazi, ndipo imafika ku impso. Ntchito imodzi yayikulu ya impso zathanzi ndikusefa magazi, kulekanitsa zinyalala izi, ndikuzitulutsa mu mkodzo.

Choncho, ngati impso zanu zili bwino ndipo zikugwira ntchito bwino, zimasefa BUN yambiri. Ndi yochepa kwambiri yomwe imatsala m'magazi. Komabe, ngati pali kufooka kapena matenda mu impso, sizingathe kusefa BUN iyi bwino. Kenako kuchuluka kwa BUN m'magazi kumawonjezeka kuposa momwe zimakhalira. Ndicho chimene mayeso a BUN amayesa .

N’chifukwa chiyani dokotala angalimbikitse mayeso a BUN?

Pakhoza kukhala zifukwa zingapo zochitira mayeso a BUN.

• Monga gawo la kuyezetsa thanzi nthawi zonse: Nthawi zina phukusi loyezetsa magazi (`Comprehensive Metabolic Panel - CMP` kapena `Basic Metabolic Panel - BMP`) lomwe mumapeza mukayezetsa magazi pachaka limaphatikizapo mayeso awa a BUN.
• Ngati mukukayikira matenda a impso: Ngati dokotala wanu akukayikira kuti muli ndi matenda a impso, adzachita izi kuti atsimikizire.
• Ngati muli pachiwopsezo cha matenda a impso: Ngati muli ndi matenda monga matenda a shuga, kuthamanga kwa magazi, matenda a mtima, kapena ngati wina m'banja mwanu wakhala ndi matenda a impso, inunso muli pachiwopsezo, kotero mayesowa amachitika kuti muwone momwe impso zanu zilili.
• Musanayambe kumwa mankhwala: Musanayambe kumwa mankhwala omwe angakhudze impso, mayesowa amachitidwa kuti adziwe momwe impso zilili.
• Mukakhala m'chipatala: Iyi ndi njira yoyezera kuchuluka kwa madzi m'thupi ndi momwe impso zimagwirira ntchito mukakhala m'chipatala chifukwa cha matenda enaake.

Kodi muli ndi zizindikiro izi? Kenako uzani dokotala wanu.

Ngati muli ndi chimodzi mwa zizindikiro zotsatirazi, chikhoza kukhala chizindikiro cha vuto la impso. Choncho onetsetsani kuti mwalankhula ndi dokotala wanu za vutoli.

• Kusintha kwa kuchuluka kwa mkodzo womwe umatuluka (kuwonjezeka kapena kuchepa).
• Mkodzo womwe uli ndi thovu, magazi, kapena bulauni.
• Kumva kupweteka mukamakodza.
• Kutupa m'manja, mapazi, akakolo, mozungulira maso, nkhope, kapena mimba.
• Miyendo yosakhazikika panthawi yogona.
• Ululu m'munsi mwa msana, m'dera la impso.
• Kumva kutopa kwambiri nthawi zonse.

Kodi ndingakonzekere bwanji kuyezetsa magazi a BUN?

Izi n'zosavuta kwambiri.

Kukonzekera: Musanayesedwe, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi zowonjezera). Mankhwala ena angakhudze lipotilo. Ngati muli nawo, dokotala wanu adzakuuzani kuti musiye kumwa kwa masiku angapo. Ngati mukungoyezedwa BUN, mutha kudya ndi kumwa bwino. Komabe, ngati mukuyesedwanso kwina, mungapemphedwe kuti musale kudya kwa maola angapo. Tsatirani malangizo awa mosamala.

Pa nthawi yoyezetsa: Ku labu, katswiri adzatenga magazi pang'ono kuchokera mumtsempha womwe uli m'dzanja lanu. Mudzamva kugwedezeka pang'ono ndi magetsi mukamalowetsa singano. Imakhala kwa masekondi ochepa okha.

Pambuyo pa mayeso: Mungamve kupweteka pang'ono komanso kuvulala komwe magazi adatengedwa. Izi ndi zachilendo. Mutha kupitiriza ndi zochita zanu zachizolowezi. Mudzalandira lipotilo patatha masiku ochepa, kutengera labu ndi ntchito ya dokotala.

Kodi lipoti la BUN likuti chiyani?

Mtengo wa BUN wanu pa lipoti lanu uli mu ma milligrams pa decilita (mg/dL). Mtengo wa BUN wa munthu wathanzi nthawi zambiri uyenera kukhala pakati pa 7 mg/dL ndi 20 mg/dL . Komabe, mtengo uwu ukhoza kusiyana pang'ono kutengera zaka, jenda, ndi labu.

Chofunika kwambiri: Musachite mantha ngati kuwerenga kwanu kwa BUN kuli kosiyana ndi komwe mumawerenga. Pali zinthu zina zomwe zingakhudze kuwerenga kwanu kwa BUN. Choncho nthawi zonse onetsani lipoti lanu kwa dokotala wanu ndikupempha kuti akufotokozereni.

Tiyeni tiwone tebulo ili m'munsimu kuti tiwone zomwe zimapangitsa kuti milingo ya BUN ikwere ndi kutsika.

Mayeso ena omwe adachitidwa limodzi ndi BUN

N'zovuta kupeza mfundo iliyonse potengera kuchuluka kwa BUN kokha, kotero dokotala achita mayeso ena angapo kuti apeze chithunzi chonse cha impso.

Mayeso a Creatinine

Iyi ndi njira ina yofunika kwambiri yoyezera magazi yomwe imayang'ana thanzi la impso. Creatinine ndi zinthu zotayidwa zomwe zimapangidwa ndi minofu yathu. Imasefedwanso ndikutulutsidwa ndi impso. Mukayerekeza BUN ndi Creatinine pamodzi, mutha kupeza lingaliro lomveka bwino la momwe impso zimagwirira ntchito. Izi zimatchedwa BUN/Creatinine ratio . Nthawi zambiri, chiŵerengerochi chiyenera kukhala pakati pa 10:1 ndi 20:1.

Kuyesa kwa GFR (Chiwerengero cha Kusefera kwa Glomerular)

Izi zimayesa momwe impso zanu zimasefera zinyalala mwachangu kuchokera m'magazi anu. Izi zingakupatseni lingaliro labwino la momwe impso zanu zimagwirira ntchito (% ya ntchito ya impso). Ngati GFR yanu ndi yotsika kwambiri, ikhoza kusonyeza kulephera kwa impso.

Kodi mungayang'anire bwanji kuchuluka kwa BUN?

Ngati kuchuluka kwa BUN kuli kokwera, palibe mankhwala enieni ochepetsera. Dokotala adzapeza chomwe chimayambitsa kuchuluka kwa BUN ndikuchiza vutoli. Mwachitsanzo, ngati kuchuluka kwa BUN kuli kokwera chifukwa cha kuthamanga kwa magazi, ndiye kuti adzachiritsidwa. Nthawi yomweyo, adzakulangizaninso kuti musinthe zakudya zanu ndi moyo wanu.

Zinthu zomwe zimathandiza kuchepetsa kuchuluka kwa BUN:

• Imwani madzi ambiri: Ndi bwino kumwa magalasi osachepera 8-10 a madzi patsiku. Komabe, ngati muli kale ndi matenda aakulu a impso kapena mukumwa dialysis, onetsetsani kuti mwafunsa dokotala wanu za kuchuluka kwa madzi omwe muyenera kumwa. Kumwa madzi ambiri nthawi ngati zimenezi kungakhalenso vuto.
• Zakudya zopanda mapuloteni ambiri: Chepetsani zakudya zokhala ndi mapuloteni ambiri monga nyama ndi mkaka. M'malo mwake, onjezerani zipatso, ndiwo zamasamba, mpunga, oats, ndi pasitala muzakudya zanu.

Wonjezerani mulingo wa BUN (ngati uli wochepa):

Kuchepa kwa BUN nthawi zambiri si vuto lalikulu. Komabe, ngati mukufuna kuiwonjezera, mutha kudya zakudya zambiri zokhala ndi mapuloteni ndikuyang'ana kwambiri thanzi la chiwindi (kuchepetsa kumwa mowa, kuchepetsa thupi).