Impyiko zawe zimeze zite? Reka twige ku isuzuma ry'inkari mu masaha 24.

Muraho! Mumeze mute? Uyu munsi tugiye kuvuga ku isuzuma rishya gato ku bantu benshi, ariko rimwe na rimwe rikaba ingenzi cyane. Iryo ni isuzuma ry'inkari ry'amasaha 24, cyangwa mu Cyongereza (isuzuma ry'inkari ry'amasaha 24). Ahari muganga wawe yarabikubwiye, cyangwa ufite amatsiko yo kubimenya. Reka turebe icyo ari cyo, impamvu ikorwa, n'uko ikorwa.

Ikizamini cy'inkari cy'amasaha 24 ni iki?

Mu magambo make, iki ni ikizamini gifasha muganga wawe kureba uko impyiko zawe zikora . Gikubiyemo gukusanya inkari (zitwa kandi inkari ) mu gihe cy'amasaha 24. Iki gipimo cy'inkari gikoreshwa n'abaganga kugira ngo barebe urwego rw'ibintu nka poroteyine , albumin , na creatinine mu nkari zawe. Ingano y'ibi bintu ishobora gufasha kumenya niba ufite indwara zigira ingaruka ku mpyiko zawe, cyangwa uko zigenzurwa neza. Iki ni ikizamini cy'ingenzi cyane, kuko impyiko zawe zimeze nk'ibikoresho bitagira icyo bivuga mu mubiri wawe. Nta byinshi tubona keretse iyo bikora neza.

Ni ryari dukeneye iki kizamini cy'inkari amasaha 24?

Ubu ushobora kuba wibaza uti 'Ese ibi ndabikeneye?' Ubusanzwe muganga azagutegeka iki kizamini niba yamaze gukora ibindi bizamini kugira ngo arebe imikorere y'impyiko zawe - nko gupima inkari cyangwa gupima amaraso - kandi akeneye amakuru arambuye. Ibisubizo bishobora gufasha muganga wawe gusuzuma indwara nk'izi, cyangwa gusuzuma imiterere y'umuntu uzirwaye:

• Indwara ya Alport
• Kanseri y'uruhago
• Amabuye mu mpyiko
• Indwara zimeze nk'iz'umutima
• Umuvuduko ukabije w'amaraso
• Indwara ya kanseri yitwa "Multiple myeloma"
• Indwara ya Nephrotic. Ibi bishobora guterwa n'indwara nka amyloidosis, nephropathy iterwa na diyabete, na lupus nephritis.
• Preeclampsia, indwara y'umuvuduko ukabije w'amaraso mu gihe utwite
• Rhabdomyolysis, indwara yo kwangirika kw'imitsi
• Indwara zo mu nzira y'inkari (UTI)

Ntugatinye iyo ubonye uru rutonde, sibyo? Ibi ntibivuze ko ushobora kugira izi ndwara zose. Muganga akugira inama yo gukora iki kizamini kugira ngo yemeze niba hari gushidikanya.

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Ni gute wakusanya inkari mu masaha 24?

Ibibera hano biroroshye cyane. Ukusanya inkari buri gihe iyo unyoye umunsi, ni ukuvuga amasaha 24 gusa.Bibaho. Muganga wawe cyangwa laboratwari bazaguha icupa ryihariye (wenda amacupa menshi) kuri ibi. Bazaguha kandi amabwiriza y'uko wabikora neza. Nyuma yo gufata inkari mu masaha 24, uzakenera kujyana icupa muri laboratwari ikwiye kugira ngo upimwe. Tekereza nko gufata icyitegererezo cy'inkari zawe umunsi wose, kandi ibyo bishobora kukubwira byinshi ku buzima bw'impyiko zawe.

Twakwitegura dute mbere y'iki kizamini?

Kugira ngo ukore iki kizamini neza, ugomba kwitegura gato. Dore ibintu bike ugomba kuzirikana:

• Hitamo umunsi ushobora kumara mu rugo hafi umunsi wose. Muri ubwo buryo, ushobora gufata buri gipimo cy'inkari nta ngorane. Niba ugomba kuva mu nzu, uzakenera kujyana icupa ryo gukusanya inkari, kuko udashaka gusiba icyitegererezo cy'inkari na kimwe.
• Hakwiye kubaho uburyo bwo kugumana icupa ryo gukusanya inkari rikonje umunsi wose . Frigo yaba nziza. Cyangwa ushobora kuyibika mu gapaki k'urubura.
• Muganga wawe ashobora kukubwira kwirinda gukora imyitozo ngororamubiri amasaha 24 mbere yo gukora ikizamini no ku munsi wo gukora ikizamini, kuko gukora imyitozo ngororamubiri irenze urugero bishobora kugira ingaruka kuri bimwe mu bisubizo.
• Kurikiza amabwiriza ya muganga wawe ku byo ushobora kurya n'ibyo udashobora kurya ku munsi w'ikizamini n'umunsi wabanjirije uwo. Ibi ni ingenzi cyane, kuko bimwe mu biribwa n'ibinyobwa bishobora kugira ingaruka ku bisubizo.
• Bwira muganga wawe imiti iyo ari yo yose ufata, ndetse n'inyongeramusaruro, vitamine, n'ibimera ukoresha, kuko imiti imwe n'imwe ishobora kugira ingaruka ku bisubizo by'iki kizamini.

Ni iki tudakwiye gukora mu gihe cy'ikizamini?

Ni byiza kuganira na muganga wawe ku byo ushobora kurya n'ibyo udashobora kurya mbere no ku munsi wo kwipimisha. Ubusanzwe ushobora kwirinda ibintu nk'ibi:

• Ibinyobwa birimo kafeyine nka ikawa n'icyayi.
• Ibintu birimo nikotine, nko kunywa itabi.
• Inzoga.
• Imbuto zimwe na zimwe (urugero: imineke, avoka), imboga (urugero: ibirayi, inyanya) n'ibinyobwa by'imbuto (urugero: umutobe w'icunga).
• Vitamine, inyongeramusaruro, cyangwa imiti imwe n'imwe.

Ariko ibuka ko utareka gufata imiti iyo ari yo yose kugeza igihe muganga wawe agutegetse kuyifata. Ibi ni ingenzi cyane!

Ni gute nakusanya neza icyitegererezo cy'inkari mu masaha 24?

Noneho reka turebe uburyo bwo gukusanya neza izi nkari. Iki ni ikintu kigomba gukorwa witonze. Dore amabwiriza rusange:

1. Icya mbere ni uko, ntugafate inkari zawe za mbere ubyutse mu gitondo. Zishyire mu musarani nk'uko bisanzwe. Ariko andika isaha nyayo. Iki ni cyo gihe cyo gutangira ikizamini cyawe. Reka tuvuge ko wafashe inkari zawe za mbere saa mbiri za mu gitondo (ntiwazifate). Rero saa mbiri za mu gitondo ni cyo gihe cyo gutangira.

2. HanyumaIgihe cyose urimo kunyara, shyira mu icupa ryatanzwe. Witondere cyane hano kugira ngo urebe neza ko inkari zawe zose zinjira mu icupa, kandi ko nta mwanda (natwe tuyita goo) cyangwa impapuro z'isuku byinjiramo. Ibi ntabwo bigoye cyane kuko icupa rifite umunwa mugari.

3. Iyo udakoresha icupa ry'inkari, ribike muri firigo. Cyangwa ushobora kuribika mu gasanduku gakonje karimo urubura. Ikintu cy'ingenzi ni uko rikonje.

4. Nywa amazi menshi umunsi wose. Ushobora kurya nk'uko bisanzwe, uretse ibintu muganga wawe yagutegetse by'umwihariko kutarya.

5. Ugomba kwandika igihe watangiye ikizamini, nyuma y'amasaha 24, hanyuma ugerageze gukusanya inkari zawe za nyuma hafi y'icyo gihe gishoboka. Urugero, niba wakuyemo inkari zawe za mbere (zitaratoragurwa) saa mbiri za mu gitondo kuwa mbere, gerageza gukusanya inkari zawe za nyuma ahagana saa mbiri za mu gitondo kuwa kabiri.

6. Ntiwibagirwe kwandika neza izina ryawe, igihe ikizamini cyatangiriye, igihe cyarangiye, n'ibindi byose bikenewe ku icupa. Laboratwari ishobora gutanga agapapuro ko kwandikaho ibi bisobanuro.

7. Jyana iki gicupa muri laboratwari vuba bishoboka. Muganga wawe azakubwira aho ugijyana.

Icy'ingenzi cyane ni ugukurikiza amabwiriza y'inyongera muganga aguha (nk'igihe cyo gutangira gufata, uko icupa rikoreshwa, n'ibindi) witonze cyane. Ukurikije amabwiriza neza ni bwo gusa uzabona ibisubizo nyabyo.

Ni amazi angahe tugomba kunywa ku munsi twafashe izi nkari?

Muri rusange, ni byiza kunywa ibirahuri 8 by'amazi ku munsi wo gufata inkari zawe. Ikirahuri cy'amazi kingana na mililitiro 180-240 (ounces 6-8). Ariko, niba ufite indwara nk'impyiko ikubuza kunywa amazi menshi, saba inama kwa muganga wawe.

Ese hari ingaruka zishobora guterwa no gukora iki kizamini?

Mu by’ukuri nta ngaruka cyangwa ibyago bishobora kukugiraho mu gukora iki kizamini. Ntabwo kibabaza na gato. Ariko, hari amahirwe make ko ibisubizo bishobora kuba atari byo niba icyitegererezo kitatoranijwe neza cyangwa ku yindi mpamvu. Dore zimwe mu mpamvu:

• Gukusanya inkari mu gihe kirenze amasaha 24, cyangwa gusiba kunyara muri icyo gihe. Kubura kunyara rimwe gusa bishobora guhindura umusaruro.
• Hari ibiryo bimwe na bimwe, imiti, cyangwa inyongeramusaruro.
• Gukora imyitozo ngororamubiri ikabije.
• Guhangayika cyane.
• Kubura amazi mu mubiri ni ukubura amazi mu mubiri.

Niyo mpamvu ari ngombwa gukurikiza amabwiriza ya muganga neza.

Ni ibihe bisubizo byo gufata iki gipimo cy'inkari mu masaha 24?

Raporo y'ikizamini cyawe igaragaza urwego rwose rwa poroteyine mu nkari zawe, hamwe n'igipimo cya poroteyine/creatinine.Ushobora kubimenya. Muri icyo gihe, laboratwari iguha "urugero rw'ibizamini." Ibi bikubwira uko ibisubizo bigomba kuba ku muntu usanzwe kandi ufite ubuzima bwiza. Bityo muganga agera ku mwanzuro agereranya ibisubizo byawe n'uru rugero rusanzwe.

Ni ibihe bisubizo bisanzwe byo gupimwa inkari mu masaha 24?

Ku muntu mukuru, urugero rwa poroteyine ruri munsi ya miligarama 150 ku munsi (< miligarama 150 ku munsi) n'igipimo cya poroteyine kuri creatinine kiri munsi ya 0.2 (< 0.2) bifatwa nk'ibisanzwe. Niba kiri hejuru y'ibi bipimo ​​(tunabyita iyi ndwara proteinuria), bishobora gusobanura ko impyiko zawe zidakora neza. Ariko ntugahangayike niba ibisubizo byawe biri hejuru gato rimwe na rimwe. Muganga wawe azasuzuma impamvu.

Bizantwara igihe kingana iki kugira ngo menye ibisubizo?

Bishobora gufata iminsi mike kugira ngo ibisubizo by'iki kizamini cy'inkari cy'amasaha 24 bigaruke. Hari laboratwari zimwe na zimwe zishobora no kubona ibisubizo umunsi umwe. Ushobora kubaza laboratwari igihe utanze icyitegererezo n'igihe ushobora kwitega ibisubizo.

Niba ibisubizo bidasanzwe, ni iki gikurikiraho?

Niba ibisubizo byawe bitameze neza, bivuze ko atari byo muganga wawe yari yiteze, azavugana nawe maze afate umwanzuro w'icyo ugomba gukora nyuma. Ibi bishobora kuba birimo gusuzuma indwara, gufata umwanzuro w'uburyo bwo kuyivura, cyangwa gukora ibindi bipimo . Urugero, gupima impyiko cyangwa, nibiba ngombwa, gupima impyiko. Ibi byose bikorwa kugira ngo uhabwe ubuvuzi bwiza.

Ni ryari ngomba guhamagara muganga wanjye?

Niba ufite ikibazo icyo ari cyo cyose kijyanye n'uburyo bwo gukusanya inkari zawe, niba hari ikintu kitazwi neza, cyangwa niba ushaka kumenya icyo ibisubizo by'ibizamini bivuze , menya neza ko wavuganye na muganga wawe cyangwa umuganga wawe. Ntugire ikintu na kimwe uhisha. Ni byiza kubaza.

Amaherezo, ibintu byo kwibuka

Ikizamini cy'inkari cy'amasaha 24 ni ikizamini cyoroshye, kidasaba kwangirika gifasha muganga wawe kureba uko impyiko zawe zikora. Hari impamvu nyinshi zishobora gutuma ushaka kubikora, byaba ari ukureba indwara usanzwe ufite cyangwa gushaka amakuru menshi nyuma y'ibindi bipimo. Niba uhangayikishijwe n'ibisubizo, ni byiza kuganira na muganga wawe ku cyo witeze. Kumenya ibi bisubizo bizagufasha wowe na muganga wawe gufata ibyemezo byiza ku buzima bwawe n'ubuvuzi ukeneye.

Rero, niba muganga agusabye gukora iki kizamini, gikora neza uko byategetswe. Ni ingirakamaro cyane ku buzima bwawe! Nta mpamvu yo gutinya. Iyi ni intambwe gusa itanga amakuru y'agaciro ku buzima bw'impyiko zawe.