Kodi mulinso ndi matenda a impso osatha a gawo lachinayi? Musadandaule, tiyeni tikambirane za izi.

Dokotala wanu atakuuzani kuti muli ndi Matenda a Impso Osatha a Gawo Lachinayi, muyenera kuti munamva mantha komanso kudabwa kwambiri. Mwina munaganiza kuti, 'Moyo wanga watha tsopano.' Koma palibe chifukwa chokhumudwitsidwa chonchi. Uwu ndi vuto lalikulu, koma ndi chithandizo choyenera, zakudya, ndi moyo wabwino, mutha kukhala ndi moyo wautali komanso wachimwemwe. Chifukwa chake, tiyeni tikambirane za chilichonse momveka bwino komanso mosavuta lero.

Choyamba, tiyeni tiwone magawo a matenda a impso.

Pali magawo asanu akuluakulu a matenda a impso osatha (CKD). Taganizirani ngati masitepe.

• Gawo loyamba (1 ndi 2): Pa gawoli, impso zitha kukhala zitawonongeka pang'ono, koma zikugwirabe ntchito bwino. Nthawi zambiri, palibe zizindikiro zazikulu pa gawoli.
• Gawo lachitatu: Pakadali pano, pafupifupi theka la impso zasiya kugwira ntchito. Apa ndi pamene mavuto ena azaumoyo okhudzana ndi kulephera kwa impso (monga kuthamanga kwa magazi, kuchepa kwa magazi) akuyamba kuonekera.
• Gawo 4: Apa ndi pomwe kuwonongeka kwa impso kumakhala kwakukulu . Pa gawo ili, dokotala wanu adzakupatsani dongosolo la chithandizo champhamvu kuti asunge ntchito yochepa yomwe impso zanu zasiya.
• Gawo 5: Iyi ndi gawo lomaliza. Apa impso zalephera kugwira ntchito bwino. Kutsegula impso kapena kuyika impso m'malo obayira ndikofunikira kwambiri kuti munthu apulumuke.

Tiyeni timvetse bwino lomwe gawo lachinayi ili (Gawo Lachinayi).

Matenda a impso osatha (CKD) amapezeka impso zikawonongeka chifukwa cha kuvulala kapena, nthawi zambiri, matenda ena monga matenda a shuga ndi kuthamanga kwa magazi. Impso zowonongeka sizingathe kusefa magazi bwino.

Mwachidule, impso zili ngati fakitale m'thupi lathu. Nazi zina mwa ntchito zazikulu zomwe zimagwira:

• Kusunga bwino madzi m'thupi
• Kuwongolera mahomoni athu
• Kulamulira kuthamanga kwa magazi
• Kusunga mafupa kukhala athanzi
• Kupanga maselo ofiira a magazi omwe thupi limafuna

Mu gawo lachinayi, impso sizingathenso kugwira ntchito imeneyi bwino. Chifukwa chake, chiopsezo cha mavuto otsatirawa chimawonjezeka. Kuti mupewe izi, muyenera kusamala kwambiri ndi zakudya zanu komanso moyo wanu.

• Mavuto a mtima ndi mitsempha yamagazi
• Kuchepa kwa magazi m'thupi, zomwe zikutanthauza kuchepa kwa magazi m'thupi
• Mavuto a mafupa
• Kuthamanga kwa magazi kosalamulirika
• Kutopa kwambiri komanso kusowa mphamvu chifukwa chosowa zakudya zoyenera

Kulephera kwa Impso ndi Chithandizo

Pofika gawo lachinayi, impso zimakhala zitayamba kugwira ntchito mochepa kwambiri. Pali muyeso wa mphamvu ya impso kugwira ntchito, womwe timautcha kuti Glomerular Filtration Rate (GFR) . Ngati GFR iyi yatsika pansi pa 15%, timaitcha kuti 'Kulephera kwa Impso'.

Pali njira zingapo zazikulu zochiritsira. Tiyeni tiwone.

Momwe mungachitire hemodialysis

Kuti tichite hemodialysis, tifunika kupanga njira yomwe ingachotse magazi mosavuta m'thupi ndikubwezeretsa m'thupi. Pali njira zitatu zazikulu zochitira izi.

• Fistula:Iyi ndi njira yabwino kwambiri komanso yogwiritsidwa ntchito kwambiri. Dokotala amachita opaleshoni yaying'ono ndipo amalumikiza mtsempha wamagazi ndi mtsempha m'dzanja lanu. Izi zimapangitsa kuti mtsempha ukhale wolimba komanso wosavuta kulowetsa singano ndikutulutsa magazi.
• Kulumikiza: Ngati mitsempha yanu yamagazi ndi yofooka ndipo fistula singathe kupangidwa, chubu chaching'ono chopangira chimayikidwa pakati pa mtsempha wamagazi ndi mtsempha kuti chizilumikize.
• Catheter: Ngati dialysis ikufunika mwachangu kapena kwa kanthawi kochepa, chubu chachikulu chimayikidwa mu mtsempha waukulu m'khosi kapena pachifuwa. Malekezero ena a chubu ichi ali kunja kwa thupi.

Kodi tingasunge bwanji ntchito yotsala ya impso?

Kuti mupewe kuwonongeka kwina kwa impso zanu, ndikofunikira kwambiri kuwongolera bwino matenda ena omwe amayambitsa impsozo.

Kuthamanga kwa Magazi Kwambiri

Kuthamanga kwa magazi kukakwera, mitsempha yamagazi imakhuthala komanso imachepa. Kenako mtima umayenera kugwira ntchito molimbika kuti upompe magazi. Ngati izi sizikulamuliridwa, sitiroko kapena matenda a mtima angachitike. Chifukwa chake, ndikofunikira kumwa mankhwala othamanga kwa magazi omwe dokotala wakupatsani panthawi yake.

Matenda a Shuga ndi Cholesterol Yambiri

Shuga ndi cholesterol zikalephera kulamulira, mafuta amatha kusonkhana m'mitsempha yamagazi, zomwe zimayambitsa magazi kuundana, ndikuwonjezera chiopsezo cha matenda a mtima kapena sitiroko. Lankhulani ndi dokotala wanu za njira yabwino kwambiri yodyetsera. Mungafunike kuchepetsa kudya zakudya zokhala ndi shuga wambiri ndi mafuta. Ngati kuli kofunikira, pemphani kuti akutumizireni kwa katswiri wa zakudya.

Kuchepa kwa magazi m'thupi

Thupi likamakhala ndi maselo ofiira ochepa, maselo okwana onyamula mpweya amakhala ochepa. Kenako mtima umayenera kugwira ntchito molimbika. Izi zingayambitse kulephera kwa mtima. Pachifukwa ichi, dokotala adzakulemberani zinthu monga mapiritsi achitsulo.

Matenda okhudzana ndi mafupa ndi mchere

Impso zikalephera kugwira ntchito, calcium imatulutsidwa m'mafupa ndikulowa m'magazi. calcium ikachuluka m'magazi, mitsempha yamagazi imatha kuuma komanso kupapatiza. Dokotala angakulangizeni kumwa mankhwala owonjezera monga vitamini D pa izi.

Ngati muchita zonsezi bwino, mutha kuchepetsa kupanikizika kwa impso zanu ndikusunga ntchito yawo yotsala kwa nthawi yayitali momwe mungathere.