Kodi dokotala wanu wakuuzani kuti muli ndi Matenda a Impso a Gawo 3? Ndizachilendo kumva mantha pang'ono komanso kudabwa mukamva mawu awa. "Mulungu wanga, chidzachitike n'chiyani kenako?", "Kodi moyo wanga uli ndi malire?", ndi zina zotero. Mafunso ambiri angabwere m'maganizo mwanu. Koma musadandaule. Uku si kutha kwa moyo wanu. Ichi ndi chizindikiro chabe chakuti muyenera kusamalira thanzi lanu kuposa masiku onse. Tiyeni tikambirane za izi lero, momveka bwino komanso mosavuta, ndikupeza mayankho a mafunso onse omwe muli nawo m'maganizo.
Kodi matenda a impso a gawo lachitatu ndi chiyani kwenikweni?
Mwachidule, impso ziwiri m'thupi lathu zili ngati zosefera ziwiri zazikulu. Ntchito yawo yayikulu ndikusefa zinyalala ndi zinthu zosafunikira m'magazi ndikuzitulutsa ngati mkodzo. Matenda a impso ndi pamene ntchito ya zosefera ziwirizi imachepa pang'onopang'ono.
Pali magawo 5 a matenda a impso. Gawo 3 limatanthauza kuti impso zanu zachepetsa ntchito yawo kufika pa theka la ntchito yabwinobwino. Tangoganizirani momwe makina 50 mwa 100 omwe ali mufakitale sakugwira ntchito.
Madokotala amayesa izi ndi mayeso otchedwa GFR (Glomerular Filtration Rate). Mwachidule, GFR iyi imakuuzani kuchuluka kwa magazi omwe impso zanu zimatha kusefa pamphindi. Mu gawo lachitatu, GFR iyi ili pakati pa 30 ndi 59. Izi zilinso ndi magawo awiri, 3A ndi 3B. Mu gawo lachitatu, chiopsezo chimakhala chokwera pang'ono.
Kodi zizindikiro ndi zotsatira zake pa thanzi ndi ziti zomwe zimamveka panthawiyi?
Nkhani yabwino ndi yakuti anthu ambiri omwe ali mu gawo lachitatu sakumana ndi zizindikiro zinazake. Komabe, anthu ena akhoza kukhala ndi zizindikiro zina.
- Kutupa kwa manja, mapazi, kapena akakolo.
- Kupweteka kwa msana (kumene impso zili).
- Kusintha kwa kachitidwe ka kukodza (kodza pang'ono kapena pang'ono).
Komabe, zoopsa kwambiri kuposa zizindikiro izi ndi zotsatirapo zoyipa za kuchepa kwa ntchito ya impso. Izi ndi zinthu zomwe tiyenera kuziganizira kwambiri.
| Vuto la thanzi lomwe lingakhalepo | Kufotokoza mwachidule |
|---|---|
| Kuthamanga kwa Magazi Kwambiri | Impso sizingathandize kulamulira kuthamanga kwa magazi. Kuphatikiza apo, kuthamanga kwa magazi kumawononga impso kwambiri. Ndi chizolowezi choipa chomwe chimagwira ntchito mbali zonse ziwiri. |
| Kuchepa kwa magazi m'thupi | Impso zimapanga mahomoni (Erythropoietin) omwe amathandiza kupanga maselo ofiira a magazi. Impso zikalephera kugwira ntchito, mahomoni amenewa amakhala osakwanira, zomwe zimapangitsa kuti munthu asamakhale ndi magazi okwanira m'thupi. Izi zingakupangitseni kumva kutopa komanso kukhala wopanda moyo nthawi zonse. |
| Matenda a Mafupa | Impso zimathandiza kuti mafupa akhale olimba mwa kuyambitsa vitamini D. Pamene izi zasokonekera, mafupa amafooka ndikuyamba kupweteka. |
Ngati vutoli silichiritsidwa komanso silingalamuliridwe, matendawa amatha kupita ku gawo lachinayi. Gawo lachinayi ndi vuto lalikulu kwambiri lomwe lili pafupi ndi kulephera kwa impso. Ngati mutafika pa gawo limenelo, mudzafunika chithandizo cha dialysis, chomwe ndi makina oyeretsera magazi anu, kapena kuikidwa impso, kuti mukhale ndi moyo.
Kodi tingalamulire bwanji gawo lachitatu? Kodi tiyenera kuchita chiyani?
Choyamba chomwe muyenera kumvetsetsa ndichakuti kuwonongeka komwe kwachitika kale sikungathe kubwezeretsedwa kotheratu. Koma musadandaule. Pali zinthu zambiri zomwe tingachite kuti tiletse kuwonongeka kwina kwa impso ndikuletsa matenda ena omwe ayamba. Iyi ndi nthawi yofunika kwambiri pa moyo wanu.
Kusintha kwa moyo
Ndikofunikira kwambiri kutsatira zinthu izi molondola.
| Zimene tiyenera kuchita | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Kukumana ndi dokotala pa tsiku lomwe lakonzedwa | Izi ndizofunikira kwambiri kuti muwone momwe mulili komanso kusintha kulikonse kofunikira. Mungafunikenso kuonana ndi katswiri wa impso (Nephrologist). |
| Kulamulira kuthamanga kwa magazi ndi matenda a shuga | Awa ndi adani awiri akuluakulu a impso. Kulamulira izi kungathandize kuchepetsa kwambiri kuwonongeka kwa impso. |
| Kusintha zakudya | Izi ndizofunikira kwambiri. Dokotala wanu adzakulangizani kuti muchepetse zakudya zokhala ndi mapuloteni ambiri, mchere, potaziyamu, ndi cholesterol. |
| Kupewa kusuta fodya kotheratu | Kusuta fodya kumawononga njira zomwe zimaperekera magazi ku impso. |
| Kuchita masewera olimbitsa thupi ndi kuwongolera kulemera | Kusunga kulemera kwabwino kumathandiza pa thanzi lathunthu. |
| Kupewa mankhwala ena ochepetsa ululu | Mankhwala ena ochepetsa ululu (NSAIDs) monga ibuprofen ndi naproxen amatha kuwononga impso zanu. Funsani dokotala musanamwe mankhwala aliwonse. |
Mankhwala omwe dokotala angakupatseni
Kutengera ndi matenda anu, dokotala wanu angakupatseni mankhwala ngati awa.
- Mankhwala ochepetsa kuthamanga kwa magazi: Mankhwala monga ACE inhibitors kapena ARBs.
- Mankhwala ochepetsa mphamvu ya mkodzo: Amathandiza kuchotsa madzi ndi zinyalala zosafunikira zomwe zimasonkhana m'thupi kudzera mu mkodzo.
- Mankhwala ochepetsa mafuta m'thupi.
- Chithandizo cha kuchepa kwa magazi m'thupi: Jakisoni wa Erythropoietin, womwe umathandiza kupanga maselo ofiira a magazi.
- Vitamini D ndi Phosphate zomangira mafupa: Zimalimbitsa mafupa ndikuwongolera kuchuluka kwa phosphate m'magazi.
Matenda a impso a Gawo 3 si mapeto a moyo wanu. Ndi mwayi wabwino woganiziranso moyo wanu ndikuyamba njira yatsopano yopezera thanzi.
Kafukufuku wasonyeza kuti si aliyense amene ali mu gawo lachitatu amene adzapita ku gawo lachinayi. Izi zikutanthauza kuti ngati mutsatira malangizo a dokotala wanu ndendende ndikusintha moyo wanu, mutha kupitirizabe kukhala ndi matenda a shuga ndikukhala ndi moyo wathanzi komanso wautali. Zimangofunika kudzipereka komanso kudziletsa. Lowani nawo dokotala wanu paulendowu.
Uthenga Wopita Nawo Kunyumba
- Matenda a impso a Gawo lachitatu amatanthauza kuti impso zataya pafupifupi theka la ntchito yawo. Koma ichi si chilango cha imfa.
- Ngakhale kuwonongeka kwa impso sikungathe kubwezeretsedwa, n'zotheka kuletsa kapena kuchedwetsa matendawa kuti asakule kwambiri.
- Zolinga zanu zazikulu ziyenera kukhala kuti kuthamanga kwa magazi ndi matenda a shuga (ngati muli nazo) zisamayende bwino.
- Imwani mankhwala omwe dokotala wakupatsani pa nthawi yake. Musasiye kumwa mankhwala aliwonse osaganizira.
- Tsatirani malangizo a zakudya (kuchepetsa mchere, mapuloteni, ndi potaziyamu) molondola.
- Musamalumphe zipatala zilizonse zomwe zakonzedwa komanso mayeso azachipatala. Moyo wanu umadalira zimenezo.
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