Ndiani chiremba wepfungwa? Unofanira kutarisira itsvo dzako here?

Wakambonzwa nezve ' Nephrologist ' here? Pamwe chiremba wako akakutumira kune mumwe. Kana kuti pamwe uri kungonetseka nezvedambudziko reitsvo. Nhasi, ngatitaurei nezvekuti chiremba wenephrologist ndiani, zvavanoita, uye kuti unofanira kuvaona riini.

Ndiani chaizvo chiremba wezvirwere zvetsinga?

Zvichitaurwa zviri nyore, chiremba wepfungwa chiremba ane hunyanzvi mukurapa zvirwere zveitsvo. Sezvamunoziva, itsvo dziri mumuviri wedu chikamu chehurongwa hwedu hweweti. Dzakaita senhengo mbiri dzakaita sebhinzi. Dzinosefa ropa redu uye dzinobvisa tsvina, mvura yakawandisa, uye electrolytes seweti. Saka hutano hweitsvo idzi hwakakosha zvikuru.

Ndiani chiremba wezvirwere zvepfungwa zvevana?

Zvadaro, kunyange vana vadiki vanogona kutambura nezvinetso zveitsvo. Chiremba wezvirwere zveitsvo wevana chiremba ane hunyanzvi mukurapa zvirwere zveitsvo uye kurapa kwazvo kune wese munhu kubva kuvacheche kusvika kuvana vadiki nevakuru vechidiki. Vanozivawo kuti matambudziko aya anokanganisa sei vana vadiki pavanenge vachikura.

Chii chinoitwa nenyanzvi yezvirwere zvetsinga?

Zvakanaka, ngationei zvinoitwa nachiremba wepfungwa. Vanonyanya kuongorora nekurapa zvirwere zvakaita sechirwere cheitsvo nekukundikana kweitsvo . Kwete izvozvo chete, vanozivawo kuti chirwere cheitsvo chinogona kukanganisa sei dzimwe nhengo dzemuviri. Semuenzaniso:

• Zvirwere zveAutoimmune: Dzimwe nguva masoja emuviri wedu anogona kukuvadza itsvo dzedu.
• Zvirwere zveMwoyo: Matambudziko eitsvo anogona kukanganisa mwoyo, uye matambudziko emwoyo anogona kukanganisa itsvo. Pane hukama hwakasimba pakati pezviviri izvi.
• Kukwira kweropa (Hypertension): Kukwira kweropa hakuna kunaka kuitsvo, uye chirwere cheitsvo chinogonawo kukonzera kukwira kweropa.

Unofanira kushanda nesimba zvakadii kuti uve chiremba wezvirwere zvetsinga?

Munofunga kuti kuva chiremba wepfungwa kuri nyore here? Kwete zvachose! Rwendo rurefu, rwakatsaurirwa. Ingofungai kuti vanofanira kudzidza zvakawanda sei:

• Chekutanga, makore mana edzidzo yekoreji.
• Wobva wadzidza kuchikoro chekurapa kwemakore mana.
• Hazvigumiri ipapo. Vanofanira kudzidziswa kwemakore matatu ekugara muchipatara. Panguva iyi, vanodzidziswa zvakanyanya muInternal Medicine kana Pediatrics.
• Mushure meizvozvo, unofanirwa kuita kudzidziswa kwakakosha kwemakore maviri kana matatu muzvirwere zveitsvo, kureva kuti, "Fellowship." Ichi ndicho chikamu chakadzama che nephrology.
• Vamwe vanodzidziswa gore rekuwedzera kuti vave nyanzvi mukuita transplant itsvo (Transplant Nephrology) kana kuti kupindira kune chekuita nezvirwere zveitsvo (Interventional Nephrology).
• Chekupedzisira, muSri Lanka, kunyoresa neSri Lanka Medical Council kunodiwa, uye munyika dzekunze, zvitupa zvehunyanzvi (Board Certification) zvinodiwa kubva kumabhodhi anozivikanwa munyika idzodzo.

Unoona, kuzvipira kukuru uku! Ndosaka vaine ruzivo rwakadzama nezveitsvo.

Chii chinonzi Transplant Nephrology uye Interventional Nephrology?

Takambotaura nezvekudzidziswa kwakawedzerwa kunonzi `( Transplant Nephrology)` uye `(Interventional Nephrology)`. Ngationei kuti chii.

• Kuisirwa kwetsvo nepancreas inyanzvi inoshanda nekubvisa itsvo nepancreas, pamwe nekutarisira varwere vakaisirwa itsvo idzi. Izvi zvinoreva kuti mushure mekunge itsvo yaisirwa, ibasa ravo kupa mazano pamusoro pemishonga inodiwa kuti irambe ichishanda zvakanaka kusvika yabatanidzwa mumuviri zvakanaka.
• Interventional Nephrology inyanzvi inoona nezvekugadzira nekuchengetedza nzira yekupinda mutsinga dzeropa, kunyanya pakuchenesa ropa (dialysis). Vanoitawo biopsy yeitsvo, izvo zviri zvidimbu zvidiki zvenyama zvinotorwa kubva muitsvo. Vakadzidziswa zvakanaka mu:
• Kuisa nekubvisa macatheter (aya machubhu akapfava, asina chinhu anoshandiswa kuisa mvura mumuviri nekuiburitsa).
• Kuisa ma stents (aya machubhu epurasitiki anoiswa mukati metsinga dzeropa kuti dzirambe dzakavhurika).
• Kubvisa mabundu eropa.
• Fistulograms (izvi zvinoongorora kubatana kusina kujairika muitsvo, kureva fistula).
• Kuita biopsy yeitsvo.

Ndezvipi zvirwere zvinowanzo shandiswa nachiremba wezvemapfupa?

Ndeapi marudzi ezvirwere anorapwa nachiremba wezvirwere zvetsinga? Heano mamwe ematambudziko avanowanzo rapa:

• Chirwere cheItsvo cheShuga nezvimwe zvirwere zveitsvo zvinokonzerwa nechirwere cheshuga. Chirwere cheshuga muvengi mukuru weitsvo.
• Kukwira kweropa.
• Kukundikana kweitsvo.
• Chirwere cheItsvo cheCystic.
• Matombo eitsvo. Vanhu vazhinji vakanzwa nezvazvo.
• Chirwere cheNephrotic.
• Chirwere cheitsvo chekupedzisira.
• Hemolytic Uremic Syndrome.
• Utachiona hweWeti (UTIs).
• Zvirwere zveitsvo.
• Hyponatremia (huwandu hushoma hwe sodium mumuviri) uye kumwe kusawirirana kwema electrolyte mumuviri.
• Kunwa mishonga ine chepfu yakawanda kunoda dialysis.
• Glomerulonephritis (GN): Apa ndipo apo mayuniti madiki ekusefa ari muitsvo anotanga kuzvimba.

Ndedzipi bvunzo nemaitiro zvinoitwa nenyanzvi yezvemapfupa?

Ndedzipi bvunzo nemaitiro zvinoshandiswa nenyanzvi yezvirwere zvetsinga kuongorora nekurapa zvirwere?

• Kuongororwa kwakasiyana-siyana kwemifananidzo: Izvi zvinosanganisira X-rays, CT scans, uye ultrasound. Izvi zvinogona kubatsira kuona chimiro, saizi, uye kuvapo kwebundu muitsvo.
• Kuongororwa Kwekushanda Kweitsvo: Iyi miedzo inokuudza kuti itsvo dzako dziri kushanda zvakanaka sei. Inosanganisira kuongororwa kweropa uye kuongororwa kweweti.
• Dialysis: Sezvatakambotaura, kana itsvo dzako dzisiri kushanda zvakanaka, muchina we dialysis unogona kukubatsira. Izvi zvinosanganisira muchina unotora ropa rako, uchibvisa tsvina nemvura yakawandisa, wozodzosera ropa rakachena mumuviri wako.
• Kuongororwa kweitsvo: Mukuita izvi, chiremba wepfungwa anotora chidimbu chidiki chenyama kubva muitsvo yako ochitumira kurabhoritari. Izvi zvinobatsira zvikuru pakuongorora chirwere cheitsvo.
• Kutarisirwa kweKuisirwa Itsvo: Kana uchiisirwa itsvo, chiremba anoisa itsvo ine hutano (kubva kune anopa) muchiuno chako. Kazhinji, itsvo yako inokundikana icharamba iri mumuviri wako. Chiremba wezvirwere zvetsinga achashanda nachiremba wako kuti akubatsire kugadzirira kuvhiyiwa uye kukupa rubatsiro rwaunoda panguva yekupora kwako.

Ndeupi musiyano uripo pakati peNephrologist neUrologist?

Izvi zvinovhiringidza vanhu vazhinji. Musiyano uripo pakati penyanzvi yezvemapfupa nenyanzvi yezvemauro ndeupi? Kuvhiringidzika uku kunoitika nekuti basa rezvese zviri zviviri rine hukama hwakati wandei.

Zvichitaurwa zviri nyore, chiremba wezvirwere zvetsinga ndiye anonyanya kugadzirisa zvirwere zvinokanganisa itsvo.Kana uine dambudziko rinokanganisa mashandiro eitsvo dzako kana itsvo, chiremba akakodzera kwauri ndichiremba wezvetsinga.

Chiremba wezvemukati memuzongoza chiremba anoongorora nekurapa zvirwere zvinokanganisa weti. Weti yako inosanganisira dundira, urethra, ureter, neitsvo. Vanonyanyawo kuona zviratidzo, mamiriro ezvinhu, uye kurapa kwenhengo dzekubereka dzevarume nedzevakadzi. Kana uine dambudziko nehurongwa hwako hwezvemukati memuzongoza kana nzira dzekubereka, unofanira kuona chiremba wezvemukati memuzongoza.

Mumwe musiyano mukuru ndewekuti vanachiremba vezvedundira vane kudzidziswa kwekuvhiya. Vanongopindira mumatambudziko eitsvo kana zvichidikanwa kuvhiyiwa, zvakaita sekenza yeitsvo kana matombo eitsvo. Vanachiremba vezvedundira havavhiyi. Vanorapa itsvo nemishonga nedzimwe nzira.

Ndinofanira kuona chiremba wepfungwa rini?

Zvakanaka, ikozvino ungangove uchishamisika kuti, 'Ndinofanira kuona chiremba wepfungwa rini?' Kana uine chimwe chezviratidzo zvechirwere cheitsvo, unofanira kuona chiremba wepfungwa. Heano mamwe ezviratidzo:

• Nhoroondo yeHupenyu hweMhuri yeChirwere cheItsvo: Kana hama yako yeropa yakambova nechirwere cheitsvo, uri panjodzi huru. Chiremba wezvirwere zveitsvo anogona kubatsira kudzivirira chirwere cheitsvo kana kuchiona nekurapa nekukurumidza.
• Chirwere cheshuga: Chirwere cheshuga chinogona kukuvadza itsvo. Kana uine chirwere cheshuga, une njodzi huru yekutadza kushanda zvakanaka kweitsvo.
• Kukwira Kweropa: Kukwira kweropa kunogonawo kukuvadza itsvo. Sezvaunoziva, itsvo dzinoshandisa mitsipa yeropa kusefa ropa. Kana kukwira kweropa kuchiwedzera, kuchinjika kwemitsipa iyi yeropa kunoderera, izvo zvinogona kuderedza huwandu hweropa neokisijeni zvinosvika muitsvo. Izvi zvinogona kukonzera kutadza kushanda kweitsvo.
• Kuchinja kwekuita weti: Kana ukaona shanduko muweti yako kana maitiro ako ekuita weti, zvinogona kuva chiratidzo chechirwere cheitsvo. Semuenzaniso, ungangoda kuita weti kakawanda, kuita weti shoma, weti yako inogona kuita seyakaita furo, kana weti yako inogona kunge yakasviba neruvara.
• Mhute yeUropi: Izvi zvinogonawo kuva chiratidzo chechirwere cheitsvo. Hachisi chirwere, asi vanachiremba vanoshandisa izwi iri kutsanangura zvinhu zvakaita sekufunga zvishoma nezvishoma uye kunzwa sekunge uri kukanganiswa. Kana ukaona uchivhiringidzika, uchikanganwa, kana kuti uchinetseka nekuisa pfungwa dzako pachinhu chimwe, ziva izvozvo zvakare.

Chii chinoitika pazuva rekutanga rekuona chiremba wepfungwa?

Chii chinoitika pazuva rekutanga raunoenda kunoona chiremba wepfungwa? Hezvino zvinowanzoitika:

• YenyuNdichitarisa zvinyorwa zvese zvekare zvehutano.
• Kubvunza nezvezviratidzo zvako.
• Kuongororwa kwemuviri kunoitwa.
• Zvinhu zvakaita sekuongororwa ropa, kuongororwa weti, uye kuongororwa kwemifananidzo zvinorayirwa.

Unogadzirira sei kushanya kuna chiremba wezvemapfupa?

Zvakakosha zvikuru kugadzirira zuva rako rekutanga rekuonana nachiremba wepfungwa. Heano zvimwe zvinhu zvaunogona kuita:

• Kana paine mafomu amunokumbirwa kuzadza musati maona chiremba, azadzei.
• Nyora pasi mimwe mibvunzo yaunofunga kuti inonyanya kukosha kukurukura nachiremba woenda nayo pa "Runyorwa rweMibvunzo" .
• Kana paine shanduko dzakaitika munguva pfupi yapfuura pahutano hwako, dzifunge nezvazvo.
• Nyora pasi zviratidzo zvako zvese mu "Symptom Diary". Nyora pasi zvinhu zvakaita sezuva rakatanga zviratidzo, nguva, uye kuti zvave nenguva yakareba sei zviripo.
• Ziva nhoroondo yezveutano hwemhuri yako. Ruzivo urwu ruchabatsira chiremba wako kuti aongorore chirwere chacho.
• Pfeka mbatya dzinonyaradza uye dziri nyore kupfeka . Zvinhu zvakaita semaT-shirt, mashati, masiketi, nemabhurugwa.
• Nyora runyorwa rwemaoparesheni awakaita .
• Kana uine zvabuda muongororo kubva kune vamwe vanachiremba, tora makopi acho.
• Nyora mazita nenhamba dzefoni dzechiremba wako wekutanga uye dzevamwe vanachiremba vaunogara uchivaona .
• Kana uri kuongorora BP yako kumba, tora monitor yako yeBP .
• Nyora pasi mishonga yose yauri kutora parizvino . Isa mishonga yakanyorerwa nachiremba, mishonga inotengeswa muchipatara, mavitamini, nezvimwe zvinovaka muviri.
• Tora makadhi ako einishuwarenzi .
• Kana zvichibvira, uya neshamwari kana nhengo yemhuri. Vanogona kunyora manotsi, kukubatsira kubvunza mibvunzo, kukuyeuchidza zvinotaurwa nachiremba, uye kukubatsira kuronga bvunzo.
• Bvunzawo nezvenguva dzekusangana nevamwe .

Pakupedzisira, zvinhu zvekurangarira

Saka, kubva pane zvatakurukura nhasi, ndinovimba une pfungwa yakanaka yekuti chiremba wepfungwa ndiani, zvavanoita, uye nguva yaunofanira kuvaona. Itsvo inhengo dzakanyarara, asi dzakakosha zvikuru mumuviri wedu. Ndosaka zvichikosha kuchengetedza hutano hweitsvo dzako.

Kana uine fungidziro pamusoro pechirwere cheitsvo, kana uine zviratidzo, kana kana mumwe munhu mumhuri mako aine chirwere cheitsvo, usazeza kutsvaga mazano echiremba. Kana zvichidikanwa, ona chiremba wepfungwa. Varipo kuti vakubatsire. Kana chirwere chikaonekwa nekukurumidza, zviri nyore kurapa. Kutarisira itsvo dzako kuri mumaoko ako!

Itsvo , chiremba wepfungwa, chirwere cheitsvo, dialysis, weti system, BP, chirwere cheshuga