Itsvo dzako dzakaita sei? Ngationei nebvunzo ye (eGFR)!

Wakamboona kukosha kunonzi `(eGFR)` pamushumo wekuongororwa ropa here? Pamwe chiremba akakuudza nezveizvi. Kunyangwe zvingaita sekunge zvakaoma kune vanhu vazhinji, `(eGFR)` ibvunzo iri nyore inotiudza ruzivo rwakakosha nezvehutano hweitsvo dzedu. Saka, nhasi tichataura nezvezvinhu zvakawanda nenzira iri nyore, senge kuti `(eGFR)` chii, inogona kutiudza chii, uye kuti inokosha kuna ani.

Chii chinonzi itsvo? Zvinorevei chaizvo kuti `(eGFR)`?

Zvichitaurwa zviri nyore, itsvo dzedu dzakaita semafirita maviri madiki mumuviri wedu. Idzi dzine mamiriyoni emafirita madiki anonzi `(glomeruli)`. Idzi ndidzo dzinosefa tsvina isingadiwe nehupfu muropa redu dzobva dzabuda seweti. Funga nezvazvo sefirita yemvura inochenesa mvura.

Zvino, iyi `Estimated Glomerular Filtration Rate (eGFR)` inhamba inoyera kuti ropa rinocheneswa zvakadii paminiti nemafirita anonzi `(glomeruli)` ari muitsvo dzako, zvichienderana nehukuru hwemuviri wako. Kazhinji, paunoongorora ropa, unowana iyi `(eGFR)` kukosha sechikamu che `(basic metabolic panel)`.

Kukosha uku kwe `(eGFR)` kwakakosha zvikuru kuti vanachiremba vaone kana paine dambudziko neitsvo dzako, kunyanya chirwere cheitsvo . Itsvo dzedu chikamu chakakosha kwazvo chehurongwa hweweti . Kana chirwere cheitsvo chikaitika, kumhanya kwekuchenesa ropa uku kunoderera. Zvadaro, chepfu dzinokuvadza dzinotanga kuungana muropa.

Zvinosuwisa kuti zviratidzo zvechirwere cheitsvo, zvakaita sekunge uri kuita weti nguva nenguva uye kurwadziwa kwetsandanyama, zvinogona kusaonekwa kusvika itsvo dzarasikirwa ne40% yebasa radzo. Ndosaka bvunzo ye eGFR ichikosha. Inogona kuona chirwere ichi nekukurumidza uye kutanga kurapwa kuti itsvo dzideredze kana kumisa kukuvara kwacho.

Kuongororwa uku kwe `(eGFR)` kwakakosha kuna ani?

Vanachiremba vanoshandisa bvunzo ye eGFR kuti vaone kana chirwere cheitsvo chatanga, pamwe nekuona danho rechirwere ichi mumunhu ane chirwere cheitsvo.

Vanhu vane mamwe matambudziko ehutano vari panjodzi huru yekuve nezvinetso zveitsvo. Kana uine chimwe chezvirwere izvi, kana kuti uri kutora mishonga yekuzvirapa, chiremba wako anogona kugara achiongorora hutano hweitsvo dzako achishandisa bvunzo ye eGFR:

• Kana uine zvirema zvekuzvarwa nazvo zvinokanganisa mashandiro eitsvo.
• Kana uine chirwere chemwoyo kana chirwere chemwoyo .
• Kana uine chirwere cheshuga (Diabetes Mellitus) .
• Kana paine munhu mumhuri akamborwara neitsvo .
• Kana uine zvirwere zvemunzira yeweti (UTIs) kakawanda kana kuti urini yako yakavharika .
• Kana uine BP yakakwira .
• Kana wakamboputa fodya kare .
• Kana wakafuta .

Zvakakosha zvikuru kuti vanhu vane zvinhu izvi zvine njodzi vazive kukosha kwavo kwe eGFR.

Vanachiremba vanowana sei kukosha uku kwe `(eGFR)`?

Kutaura zvazviri, bvunzo dzinoyera nemazvo mwero weropa rinosefa itsvo (GFR) dzakaoma zvikuru. Ndosaka dzichiwanzoitwa chete pakutsvaga kana mune zvimwe zviitiko, sekuisirwa itsvo. Pane kudaro, vanachiremba vanoshandisa fomura kuti vawane kukosha kunofungidzirwa, kunonzi ``eGFR''. Fomura iyi yakavakirwa pamhedzisiro yekuongororwa kweropa rako re``serum creatinine'', pamwe chete neruzivo rwakaita sezera rako uye murume kana mukadzi .

Zvino, chii chinonzi bvunzo yeropa iyi ye`(serum creatinine)` ? Inoyera huwandu hwetsvina inonzi `(creatinine)` muropa rako. Muviri wedu unoburitsa kemikari inonzi `(creatinine)`, iyo inopa simba retsandanyama dzedu. Kana tsandanyama dzedu dzikashandisa simba iri, tsandanyama dzinoputsika, uye tsvina ine chepfu inonzi `(creatinine)` inoburitswa muropa. Itsvo dzine hutano dzinosefa mushonga uyu une chepfu unonzi `(creatinine)` kubva muropa uye unoburitswa mumuviri paunoita weti. Zvisinei, kana uine chirwere cheitsvo, `(creatinine)` iyi inoramba iri muropa uye inotanga kuungana zvishoma nezvishoma.

Kuti uverenge eGFR yako, chiremba wako achashandisa chimwe chinhu chakafanana nehurongwa hwekuverenga hweNational Kidney Foundation. Izvi zvinokanganiswa nezvinhu zvinotevera:

• creatinine level yako.
• Zera.
• Murume kana Mukadzi.
• Kureba nehuremu.
• Rudzi uye/kana dzinza (izvi zvinokanganisawo mamwe maverengero).

Chii chaunofanira kuita usati waongororwa ropa re `(Serum Creatinine)`?

Kuongororwa kweropa uku kwe `(serum creatinine)` kunonyanya kuoma. Saka, unofanira kutevedzera mirairo yachiremba wako nokungwarira usati waongororwa ropa. Ungangokumbirwa kutsanya (kutsanya) , zvinoreva kunwa mvura chete uye kusadya chikafu chakasimba, kwenguva yakati usati waongororwa. Ungangokumbirwawo kurega kushandisa mimwe mishonga kwenguva yakati.

Chimwe chinhu ndechekuti chiremba wako anogonawo kukukurudzira kuti usadye nyama yakabikwa zuva risati rasvika bvunzo. Dzimwe ongororo dzakaratidza kuti kudya nyama kunogona kuwedzera creatinine kwenguva pfupi. Saka, zviri nani kungwarira nezvezvinhu izvi kuti uwane mhinduro dzakarurama.

Zvinorevei kukosha kwe `(eGFR)`?

Vanachiremba vanoyera eGFR mumamililita paminiti, yakakamurwa nenzvimbo yemuviri (mL/min/1.73m2) .

Kukosha kwe `(eGFR)` kunogona kusiyana zvichienderana nezera, murume kana mukadzi, nezvimwe zvinhu. Kukosha uku kunodzikira zvishoma patinokura uye tichirasikirwa nehuremu hwetsandanyama. Semuenzaniso, nepo avhareji ye `(eGFR)` yemunhu ane makore makumi maviri ekuberekwa iri inenge 116 mL/min/1.73 m2, inogona kudzikira kusvika pa85 mL/min/1.73 m2 yemunhu ane makore makumi matanhatu ekuberekwa.

Kazhinji, kukosha kwe "eGFR" kunopfuura 60 zvinoreva kuti mashandiro eitsvo yako anenge ari 60%. Kana kukosha kwacho kwakakwira, ndipo panobva paonekwa kuti mashandiro eitsvo ari nani .

Unogona kuona zvinhu zviviri zve `(eGFR)` mumushumo wako, chimwe chevatema uye chimwe chevasiri vatema. Zvimwe zvidzidzo zvakaratidza kuti vanhu vanobva kuAfrica vane kugadzirwa kwe`(creatinine)` kwakakwira zvishoma uye tsandanyama kupfuura vamwe, saka kukosha kwavo kwe`(eGFR)` kunogonawo kunge kwakakwira. Sezvo lab isingazive rudzi rwako, dzimwe nguva zvinhu zvese zviri zviviri zvinotumirwa mumushumo. Zvisinei, izvi zvingasave zvakakosha kwatiri muSri Lanka, asi zvakanaka kuziva. Chinhu chakakosha ndechekuti chiremba wako atsanangure mushumo wako nemazvo.

Chii chiri hukama huripo pakati pe eGFR nechirwere cheitsvo?

Kana eGFR yako iri pasi pe60 kwemwedzi mitatu yakatevedzana , chiremba wako anogona kukuongorora kuti une chirwere cheitsvo chisingaperi .

Kune matanho makuru mashanu echirwere ichi cheitsvo:

• Danho 1 (eGFR 90 kana kupfuura): Izvi zvinoreva kuti panogona kunge paine kukuvara kudiki kuitsvo, asi itsvo dzichiri kushanda zvakanaka.
• Danho rechipiri (eGFR iri pakati pe60 ne89): Izvi zvinoreva kuti itsvo dzave dzakakuvara zvishoma kupfuura danho rekutanga, asi dzichiri kushanda zvakanaka.
• Danho rechitatu (eGFR pakati pe30 ne59): Izvi zvinoreva kuti mashandiro eitsvo aderera. Zvimwe zviratidzo zvinogona kuitika padanho iri.
• Danho rechina (eGFR pakati pe15 ne29): Izvi zvinoreva kuti mashandiro eitsvo haana kunaka, uye itsvo dzakakuvara zviri pakati nepakati kusvika zvakanyanya.
• Danho rechishanu (eGFR iri pasi pe15): Ichi chiratidzo chekukundikana kweitsvo . Izvi zvinoreva kuti itsvo dzako dziri kushanda pasi pe15%. Danho iri ndiro rine njodzi huru uye rinogona kuisa hupenyu panjodzi. Vanhu ava vangada dialysis (kuchenesa ropa nemuchina) kana kuisirwa itsvo .

Usatya, kana wangoziva nezvedanho iri. Chinhu chakakosha ndechekuti kunyangwe kukosha kwe `(eGFR)` kwakaderera, kana kukaonekwa nekukurumidza uye kurapwa kwakakodzera uye shanduko dzemararamiro dzikaitwa, kukuvara kweitsvo kunogona kudzorwa zvakanyanya.

Ndeipi miedzo inotevera kana kukosha kwe `(eGFR)` kusina kujairika?

Kana eGFR yako isina kunaka, chiremba wako anogona kuraira imwe kana kupfuura yeiyi bvunzo kuti aone huwandu hwekukuvara kweitsvo uye kuti awane chikonzero chekutadza kwayo:

• Kuongororwa kweweti: Kuongororwa kwealbumin (rudzi rweprotein) neropa muweti. Izvi zvinogona kuva zviratidzo zvekutanga zvechirwere cheitsvo.
• Ultrasound yeitsvo kana CT scan:Tarisa kana paine matombo muitsvo, kenza yeitsvo, kana mamwe matambudziko enzira yeweti.
• Kuongororwa kweCreatinine clearance: Kunoyera huwandu hwecreatinine muweti neropa panguva imwe chete.
• Kuongororwa kweitsvo: Ziva rudzi uye kuoma kwechirwere cheitsvo.

Kurapwa kwakanakira iwe kuchasarudzwa zvichibva paruzivo rwakawanikwa kubva mukuongororwa uku.

Ndinofanira kuona chiremba nguvai?

Kana uine chirwere cheitsvo, kana kuti uine zvinhu zvinokonzera chirwere cheitsvo, enda kuna chiremba nekukasika kana ukaona chimwe chezviratidzo izvi:

• Kana uchida kuita weti nguva nenguva, kana uine ropa muweti yako, kana kuti weti yako ine furo.
• Kana ganda rakaoma, richikwenya, kana kuti riine ruvara rwakasviba.
• Kana uchinzwa kuneta zvakanyanya .
• Kana tsandanyama dzichiita kugwinha uye muviri uchinzwa sekunge uri kurwadziwa.
• Kana uine kuda kurutsa kana kurutsa .
• Kana uchinetseka kufema .
• Kana maoko ako, tsoka, kana zvitsitsinho zvakazvimba .

Usaregeredza zviratidzo izvi. Zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.

Chinhu chinonyanya kukosha - zvinhu zvatinofanira kurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura zvakawanda nezve `(eGFR)` ikozvino, handiti?

Yeuka, kana uri panjodzi yekubatwa nechirwere cheitsvo, kana kuti kana uchitova nechirwere cheitsvo, zvakakosha kuti ugare uchitarisa kukosha kwe "eGFR" yako. Izvi zvinoshandawo kune avo vanotora mimwe mishonga.

Kana eGFR yako ikaita chirwere cheitsvo, unogona kutora matanho ekudzivirira itsvo dzako kubva mukukuvadzwa kwakanyanya. Chiremba wako anogona kukupa mushonga weBP yakakwira kana chirwere cheshuga. Unogonawo kuvandudza hutano hweitsvo nekuderedza huremu (kana zvichidikanwa), kurovedza muviri, uye kudya chikafu chine hutano, chisina munyu wakawanda .

Saka, ramba uchitarisa kukosha kwe `(eGFR)` yako. Kana uine mibvunzo kana kusava nechokwadi, usatya kubvunza chiremba wako. Itsvo mbiri dzine hutano dzinobatsira zvikuru pakuva nehupenyu hwakanaka!

Itsvo , eGFR, creatinine, chirwere cheitsvo, kuongororwa kweropa, hutano, bvunzo yeweti