Kodi impso zanu zikugwira ntchito bwino? Tiyeni tikambirane za Creatinine Clearance Test!

Kodi munayamba mwaganizapo za 'njira yosefera' yomwe ili mkati mwa thupi lathu? Monga momwe fyuluta yamafuta imagwirira ntchito m'galimoto, impso ndi chimodzi mwa ziwalo zofunika kwambiri zomwe zimasefera ndikuchotsa zinyalala m'thupi lathu. Bola ngati zikugwira ntchito bwino, sitikhala ndi mavuto. Koma ngati ntchito yawo yachepa ngakhale pang'ono, matenda osiyanasiyana amatha kuchitika m'thupi. Chifukwa chake, lero tikambirana za mayeso ofunikira omwe angachitike kuti tiwone ngati impso zanu zikugwira ntchito bwino. Umenewo ndi Creatinine Clearance Test.

Mwachidule, kodi mayeso oyesera creatinine clearance ndi chiyani?

Izi zingamveke ngati dzina la sayansi, koma kwenikweni ndi losavuta. Kuyesa kumeneku kumayesa momwe impso zanu zikugwira ntchito. Kuti achite izi, amayesa kuchuluka kwa creatinine mu chitsanzo cha mkodzo ndi chitsanzo cha magazi. Kutengera ndi zotsatira izi, dokotala wanu amatha kudziwa ngati muli ndi matenda a impso kapena ayi.

Ndiye kodi creatinine iyi ndi chiyani?

Taganizirani za minofu m'thupi mwathu ngati injini ya galimoto. Injini iyi imafuna mphamvu, kutanthauza mafuta, kuti igwire ntchito. Creatine ndi mankhwala omwe amapereka mphamvu ku minofu yathu. Tikamayenda, kuthamanga, kapena kunyamula zolemera, minofu iyi imagwira ntchito, kutanthauza kuti, imagwiritsa ntchito mphamvu.

Mukagwiritsa ntchito mphamvu motere, monga utsi wotuluka mu injini, zinyalala zotchedwa creatinine zimapangidwa ndikuwonjezeredwa m'magazi. Izi sizothandiza thupi. Chifukwa chake, zomwe impso ziwiri zathanzi zimachita ndikusefa magazi awa bwino ndikuchotsa creatinine yosafunikira ndi mkodzo.

Koma, taganizirani kuti impso zanu sizikugwira ntchito bwino. Ndiye chimachitika ndi chiyani? Monga momwe choletsa mpweya cha galimoto chikatsekeredwa, utsi umatsekeredwa ndipo sungathe kutuluka bwino, impso nazonso sizingathe kusefa creatinine iyi bwino ndikuyitulutsa. Kenako kuchuluka kwa creatinine m'magazi kumawonjezeka kuposa momwe zimakhalira. Ndicho chimene mayesowa amafuna.

Kuyezetsa kumeneku kumaphatikizapo kutenga mkodzo wanu kwa maola 24, komanso magazi. Pogwiritsa ntchito zitsanzo zonse ziwiri, zimawerengedwa kuchuluka kwa creatinine yomwe impso zanu zasefa kwa maola 24.

Komabe, madokotala nthawi zambiri sagwiritsa ntchito mayeso a creatinine clearance masiku ano chifukwa kusonkhanitsa mkodzo kwa maola 24 kumakhala kovuta pang'ono. M'malo mwake, mayeso osavuta, opangidwa kamodzi kokha otchedwa eGFR (estimated Glomerular Filtration Rate) ndi mayeso a mkodzo kamodzi kokha otchedwa uACR (urine albumin-creatinine ratio) tsopano ndi omwe amagwiritsidwa ntchito kwambiri.

Kodi zizindikiro za kuchuluka kwa creatinine m'magazi ndi ziti?

Nthawi zambiri, kuchuluka kwa creatinine m'magazi kumatanthauza kuti impso zimawonongeka pang'ono ndipo ntchito yawo imasokonekera. Matenda a impso akayamba, sipangakhale zizindikiro kumayambiriro. Ndicho choopsa kwambiri. Koma matendawa akamakula, mungayambe kumva zinthu ngati izi:

Ndiye mayeso awa adzachitika liti?

Monga tanenera kale, mayeso ofala kwambiri a magazi masiku ano ndi eGFR. Komabe, pali zochitika zina zapadera pomwe dokotala amaona kuti zotsatira za mayeso okha sizokwanira ndipo sizolondola mokwanira. Pamenepo ndi pomwe dokotalayo amatchula mayeso a creatinine clearance, omwe amaphatikizapo kutenga chitsanzo cha mkodzo wa maola 24.

Mwachitsanzo:

• Munthu amene ali ndi minofu yambiri: Taganizirani munthu wolimbitsa thupi amene wachita masewera olimbitsa thupi mwakhama ku gym. Chifukwa chakuti ali ndi minofu yambiri, amapanga creatinine yambiri kuposa munthu wamba. Chifukwa chake, ngati muyang'ana izi pongoyesa magazi a eGFR, kuchuluka kwa creatinine kwake kungasonyeze phindu lalikulu. Izi zingapangitse munthu kuganiza molakwika kuti pali vuto ndi impso.
• Munthu amene ali ndi minofu yochepa kwambiri: Mofananamo, munthu amene ndi woonda kwambiri komanso amene ali ndi minofu yochepa amatulutsa creatinine yochepa. Chifukwa chake, kuchuluka kwa eGFR kungasonyeze vuto la impso kuposa vuto lenileni.

Zikatero, dokotala angakupempheni kuti muchite mayeso awa kwa maola 24 kuti mupeze chithunzi cholondola.

Kodi mungakonzekere bwanji mayeso?

Kuti muyese bwino mayesowa, muyenera kukonzekera pang'ono. Dokotala wanu kapena labotale adzakulangizani pa izi.

• Chidebe chotengera mkodzo: Laboratory idzakupatsani chidebe chachikulu chapadera (botolo) choti mutengeremo mkodzo wanu. Adzakupatsaninso malangizo a momwe mungasungire mkodzo kwa maola 24 (mwachitsanzo, angakuuzeni kuti muusunge mufiriji).
• Tsatirani malangizowo molondola: Kupambana kwa mayesowa kumadalira inu. Muyenera kusonkhanitsa dontho lililonse la mkodzo lomwe mwatulutsa kwa maola 24 mu chidebecho. Ngati mwangozi mwatulutsa m'chimbudzi ngakhale kamodzi, zotsatira zonse za mayesowo zingakhale zolakwika. Ngati zimenezo zitachitika, muyenera kuyambiranso.
• Uzani dokotala wanu za mankhwala aliwonse omwe mukumwa: Mankhwala ena omwe mukumwa (monga maantibayotiki ena, mankhwala opweteka m'mimba) angakhudze zotsatira za mayesowa. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa. Siyani kumwa kwakanthawi kwa masiku angapo mayeso asanachitike ngati dokotala wanu akukuuzani. Musasiye kumwa mankhwala nokha.
• Chakudya ndi zakumwa:Kawirikawiri, mumatha kudya bwino. Komabe, nthawi zina, dokotala wanu angakupempheni kuti musale kudya usiku usanachitike mayeso. Mungapemphedwenso kuti musamadye nyama musanayambe komanso patsiku loyesa. Popeza nyama ili ndi creatine yambiri, kudya nyama kungawonjezere kwakanthawi kuchuluka kwa creatinine m'thupi lanu. Izi zingakupatseni zotsatira zabodza.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Lembani nthawi yeniyeni yomwe mukufuna kuti mayeso ayambe. Mwachitsanzo, ngati mukuyamba mayeso nthawi ya 8 koloko m'mawa, mungachite izi:

1. Tengani mkodzo wanu woyamba: Nthawi ya 8 koloko m'mawa, tsanulirani mkodzo wanu kuchimbudzi monga mwachizolowezi ndipo muutulutse. Musautenge. Apa ndi pamene nthawi yanu ya maola 24 imayamba.

2. Kenako sonkhanitsani zonse: Kuyambira pamenepo, mpaka 8 koloko m'mawa wotsatira, sonkhanitsani mkodzowo m'chidebe chomwe chaperekedwa ndi labu nthawi iliyonse mukakodza. Muyeneranso kuutenga ngati mutadzuka usiku kukakodza.

3. Chitsanzo chomaliza: Nthawi ya 8 koloko m'mawa tsiku lotsatira (maola 24 atatha), ngakhale mutakhala kuti simukufuna kukodza, yesani kusonkhanitsa mkodzo mu chidebe chomwecho. Ichi ndi chitsanzo chomaliza.

4. Kupereka Magazi: Mukamaliza kusonkhanitsa mkodzo kwa maola 24, muyenera kupita ku labu ndikupereka magazi. Nthawi zambiri, magazi amatengedwa nthawi yomweyo mukapereka chidebe cha mkodzo ku labu.

Chitsanzo cha magazi ichi chimagwiritsidwa ntchito poyesa kuchuluka kwa creatinine m'magazi (serum creatinine). Kenako, kuchuluka kwa creatinine mu mkodzo, kuchuluka kwa mkodzo m'magazi, ndi kuchuluka konse kwa mkodzo wosonkhanitsidwa zimagwiritsidwa ntchito kuwerengera kuchuluka kwa creatinine yanu poiyika mu njira ya masamu.

Kodi mungamvetse bwanji zotsatira zake?

Zotsatira za mayeso zikabweranso, siyani kwa dokotala kuti awatanthauzire, chifukwa simungathe kuzindikira matenda poyang'ana nambala imodzi.

• Ngati creatinine clearance ndi yokwera: Izi nthawi zambiri zimatanthauza kuti impso sizikugwira ntchito bwino. Komabe, sizili choncho nthawi zonse. Nthawi zina zotsatira zake zimakhala zosiyana chifukwa cha zifukwa zina. Mwachitsanzo:
• Kulephera kwa mtima
• Matenda a chikhodzodzo
• Kusowa madzi m'thupi (kusowa madzi m'thupi)
• Kuwonongeka kwina kwa impso
• Kodi zotsatira zake zingakhale zolakwika?:Inde, zinthu zina zingakhudze kulondola kwa zotsatira.
• Kusasonkhanitsa mkodzo moyenera.
• Kumwa mankhwala omwe amakhudza zotsatira zake.
• Kudya zakudya zokhala ndi mapuloteni ambiri (nyama, nsomba, mazira).
• Mimba.
• Minofu yambiri kapena yochepa kwambiri.
• Kuchita masewera olimbitsa thupi mopitirira muyeso patsiku la mayeso.

Choncho, chonde kambiranani mafunso kapena nkhawa zilizonse zomwe mungakhale nazo zokhudza zotsatira zanu ndi dokotala wanu.

Mafunso ena omwe amafunsidwa kawirikawiri

Kodi kumwa madzi kumachepetsa creatinine?

Inde, kumwa madzi ambiri kungachepetse kwakanthawi kuchuluka kwa creatinine m'magazi mwanu. Choncho, musamwe madzi ambiri chifukwa cha chizolowezi, poyembekezera kupeza "zotsatira zabwino" pa mayeso. Imwani madzi omwewo omwe mumamwa tsiku lililonse. Umu ndi momwe mumapezera zotsatira zolondola kwambiri zomwe zimasonyeza momwe thupi lanu lilili.

Kodi kuchuluka kwa creatinine kumasonyeza kulephera kwa impso?

Izi ndizofunikira kwambiri. Simungathe kudziwa ngati munthu ali ndi vuto la impso pongoyang'ana kuchuluka kwa creatinine m'magazi mwake. Dokotala amafika pa mfundo imeneyi ataganizira zotsatira za mayeso osiyanasiyana, zaka zanu, jenda lanu, ndi minofu yanu. Miyezo yachibadwa ya kuyezetsa magazi (serum creatinine) ndi iyi:

Kumbukiraninso: ziwerengerozi zimatha kusiyana pang'ono kuchokera ku labu kupita ku labu. Ndipo musadandaule ngati zili pamwamba pang'ono kuposa izi. Dokotala wanu akuyang'ana GFR yanu. Umenewo ndiye muyeso wofunikira kwambiri.