Iwe haugonewo kuita weti here? Iri idambudziko rine njodzi here? Ngatidzidzei nezve (Anuria).

Dzimwe nguva tinonzwa sekuti, 'Handina kunwa mvura yakakwana nhasi, ndosaka ndakangobvisa weti shoma.' Asi wakambova nezuva kana kunyange maawa mashoma usina kuita weti zvachose, zvisinei nekuti wanwa mvura yakawanda sei? Kana kuti huwandu hwawapedza hwave hushoma zvekuti haugone kufungidzira here? Izvi hazvina kujairika. Nhasi tichataura nezvechirwere ichi chakakomba chinonzi Anuria . Ichi chiitiko chekukurumidzira, saka zvakakosha kuziva zvekuita nacho.

Zvichitaurwa zviri nyore, chii chinonzi Anuria?

Anuria inyaya yekuti itsvo dzako dzinorega kuburitsa weti zvachose. Kana kuti, unorega kubuda weti nekuda kwekuvharika kwenzira yeweti yako. Ichi ndicho chirwere chakanyanya kuipa chinonzi Oliguria . Oliguria inyaya yekuti huwandu hweweti yaunoburitsa hushoma zvakanyanya.

Huwandu hweweti yatinoburitsa hunotaura zvakawanda nezvehutano hwedu. Itsvo dzemunhu mukuru ane hutano dzinowanzo buritsa weti inopfuura 500 milliliters (500 ml) pazuva. Uhu hunenge hukuru hwebhodhoro. Muvana, huwandu uhwu hunosiyana zvichienderana nezera nehukuru hwemuviri.

Zvisinei, munhu mukuru ane anuria anoburitsa weti shoma pazuva, iri pakati pe0 ne100 milliliters .

Ndezvipi zviratidzo zve anuria?

Chiratidzo chinonyanya kuoneka chechirwere ichi kusavapo kana kuti kubuda kweweti shoma. Zvisinei, unogona kunge uine zvimwe zviratidzo zvine chekuita nechirwere chakakonzera anuria.

Semuenzaniso, kana anuria ichikonzerwa nezvirwere zvakaita sechirwere cheitsvo, chirwere chechiropa, kana chirwere chemwoyo, zviratidzo zvinotevera zvinogonawo kuitika.

Zvirwere zvakaita sechirwere cheshuga zvinogonawo kukuvadza itsvo. Saka, kana uri kuita weti shoma uye uine zvimwe zviratidzo zvataurwa pamusoro apa, enda kuchipatara nekukurumidza.

Chii chinokonzera anuria?

Kune mhando nhatu huru dzezvikonzero zvinokonzera anuria. Ngatizvitarisei chimwe nechimwe.

1. Kusawana ropa rakakwana kana mvura muitsvo: Kuti itsvo dzishande zvakanaka, dzinoda ropa rakanaka. Kana ropa iri rikaderedzwa, kugadzirwa kweweti kunomira.

2. Kukanganiswa kwenzira yekusefa ropa neitsvo: Kunyangwe itsvo dzichigamuchira ropa, nekuda kwechimwe chikonzero nzira yekusefa ropa iroro nekugadzira weti inogona kukanganiswa.

3. Kuvharika kwenzira yeweti mushure mekunge weti yaumbwa: Kunyangwe weti ichiumbwa neitsvo, kana paine kuvharika kuri munzira iyo weti inofamba ichienda kudundira nekubuda, weti haizoburitswi.

Tafura iri pazasi ine mimwe mienzaniso ine chekuita nemapoka aya ezvikonzero.

Dambudziko iri rakakomba zvakadii? Pane matambudziko here?

Ehe, Anuria chirwere chakakomba uye chinoisa upenyu panjodzi . Itsvo dzinobvisa tsvina nemvura yakawandisa mumuviri wedu. Kana itsvo dzikasashanda, tsvina iyi nemvura inoungana mumuviri. Izvi zvinogona kutokonzera rufu.

Kana ikasarapwa, anuria inogona kukonzera kukuvara kweitsvo zvachose, zvichiita kuti itsvo dzisashande zvakanaka.

Kushanda kweitsvo kunodzikira zvakadii munhu asati afa?

Vanachiremba vanoyera mashandiro eitsvo nebvunzo inonzi eGFR (estimated Glomerular Filtration Rate) . Kana kugona kweitsvo kusefa tsvina kwaderera, tinoidaidza kuti Chronic Kidney Disease (CKD).

Kune matanho mashanu eCKD.

• Danho rekutanga: eGFR iri 90 kana kupfuura. Itsvo dziri kushanda zvakanaka, asi panogona kunge paine kukuvara.
• Danho rechishanu: eGFR iri pasi pe15. Izvi zvinoreva kuti itsvo dziri pedyo nekukundikana zvachose, kana kuti dzatokundikana.

Kana ukasvika padanho rechishanu, hupenyu hwako hunogona kusaponeswa kunze kwekunge waitwa dialysis kana kuisirwa itsvo.

Unoona sei izvi, Chiremba?

Kana ukaona chiremba, achakubvunza mibvunzo mishoma nezvenhoroondo yako yezvekurapa uye zviratidzo.

• "Wanwa chii nhasi? Wanwa zvakawanda sei?"
• "Wakapedzisira kuita weti rini?"
• "Unonzwa sekunge uri kuita weti shoma pane zvawagara uchiita here?"
• "Wakamboomerwa here nekuita weti yakadai?"
• "Makumbo netsoka dzako zvakazvimba here?"
• "Waona ropa muweti yako (Hematuria) here?"
• "Wanga uchinzwa kuneta zvakanyanya here mazuva ano?"

Pamusoro pemibvunzo iyi, chiremba anogona kuraira bvunzo dzakasiyana-siyana kuti asimbise mamiriro e anuria uye kutarisa hutano hweitsvo.

Miedzo yacho chii?

Anuria inorapwa sei?

Nzira yekurapa inoenderana nechikonzero cheanuria.

• Kana chikonzero chiri chekukurumidzira chakadai sekurwadziwa kwemoyo, sepsis, kana shock, chinangwa chekutanga chavanachiremba ndechekurapa chirwere ichocho.
• Kana uine chirwere cheitsvo chakakomba, ungangoda dialysis kana kuisirwa itsvo kuti uchenese ropa rako.
• Kana nzira yeweti yakavharwa, chiremba anoisa catheter kuti ibvise weti kubva mudundira nekukurumidza. Semuenzaniso, catheter yeFoley kana catheter yesuprapubic . Dzimwe nguva, zvishandiso zvinonzi ureteral stents zvinogona kushandiswa kuchengetedza machubhu anotakura weti kubva muitsvo kuenda kudundira akavhurika.
• Kana chirwere ichi chikakonzerwa nekushaya mvura mumuviri, muviri unodzorerwa mvura mumuviri nekupa mvura yekunwa kana kupa mvura ine munyu (inopinzwa mutsinga) kuburikidza netsinga.

Anuria inogona kudzivirirwa here? Unofanira kuona chiremba riini?

Kana uine chirwere chisingaperi chinogona kukonzera anuria, senge chirwere cheshuga kana chirwere chemwoyo, zvakakosha kutevedzera mirairo yachiremba wako kuti ugadzirise chirwere chako. Mirairo iyi inogona kusanganisira:

• Zvekudya nekunwa, uye nehuwandu hwakadii.
• Kurekodha huremu hwemuviri zuva nezuva.
• Kuziva zviratidzo zvekuzvimba kana kuti mvura mumuviri.
• Kutora mishonga yakanyorwa nachiremba nenguva.

Uyewo, mumamiriro ezvinhu apo kushaya mvura mumuviri kunogona kuitika, akadai sekurutsa kana manyoka, zvakakosha kunwa mvura yakakwana .

Unofanira kuona chiremba rini?

Kana uine chirwere cheitsvo kana chemwoyo uye ukaona kuti uri kuita weti shoma pane zvawagara uchiita, kunyanya kana uchinwa mvura yakawanda, fonera chiremba wako nekukasika. Zvakare, ziva nezvekuchinja kweruvara rweweti yako (semuenzaniso, ruvara rwakasviba).