Paunoongororwa ropa, wakamboona here kukosha kunonzi 'BUN' pamushumo? Chiremba wako angangodaro akakutsanangurira izvi. Kunyange zvazvo zvingaita sezvakaoma kune vanhu vazhinji, chaizvoizvo ibvunzo yakajairika inokuudza ruzivo rwakakosha nezvehutano hweitsvo dzedu. Saka, usatya. Nhasi, ngatitaurei nezve kuti iyi BUN chii, nei ichiitwa, uye kuti tsika dzayo dzinoti chii.
Zvinorevei kuti BUN?
Zvakanaka, ngatitangei kubva pakutanga. Izwi iri rekuti BUN rinomiririra Blood Urea Nitrogen . MuchiSinhala, rinoreva huwandu hweurea nitrogen muropa.
Zvino fungidzira kuti muviri wedu wakaita sefekitori hombe. Zvinovaka muviri zvatinodya nekunwa, kunyanya mapuroteni (semuenzaniso, nyama, hove, mazai, mukaka), zvinoshandurwa kuita simba uye zvinhu zvinodiwa kuti muviri ukure mufekitori iyi. Kana izvi zvikaitika, tsvina inoumbwa. Marara iwayo anonzi urea nitrogen .
Tsvina iyi inotanga kugadzirwa muchiropa chedu. Zvadaro, inowedzerwa muropa yofamba mumuviri wese. Patinenge tichifamba seizvi, ropa iri rinopfuura nemuitsvo dzedu. Itsvo dzakaita semafirita maviri akanakisa mumuviri wedu. Basa radzo guru nderekusefa nekuparadzanisa tsvina iyi isingadiwe kubva muropa uye kuibvisa mumuviri neweti.
Saka, chinoitwa nebvunzo iyi yeBUN kuyera kuti ingani urea nitrogen yasara muropa rako isati yaseferwa neitsvo.
Zvichitaurwa zviri nyore, BUN huwandu hweurea nitrogen muropa rako. Izvi zvinogona kukupa pfungwa yakakosha yekuti itsvo dzako dziri kushanda zvakanaka sei.
Sei vanachiremba vachikurudzira bvunzo iyi yeBUN?
Pane zvikonzero zvakawanda zvinoita kuti chiremba akukumbire kuti unyore bvunzo yeBUN.
- Sechikamu chekuongororwa kwehutano nguva dzose: Hunhu uhwu hweBUN hunowanzo kuyerwa sechikamu chekuverengwa kweropa kwakazara, izvo zvinowanzoitwa gore rega rega kana nguva nenguva. Izvi zvinowanzo batanidzwa mupakeji yekuyedza inonzi Comprehensive Metabolic Panel (CMP) kana Basic Metabolic Panel (BMP) .
- Kana uchifungidzira kuti une chirwere cheitsvo: Kana uri panjodzi yekubatwa nechirwere cheitsvo, chiremba wako anogona kuraira bvunzo iyi. Sezvo chirwere cheitsvo chisingawanzo ratidza zviratidzo pakutanga, zvinogona kubatsira kuziva vanhu vane zvinhu zvinokonzera njodzi nekukurumidza.
Ndezvipi zvinhu zvinowedzera njodzi yechirwere cheitsvo?
- Kana paine munhu mumhuri yako (amai, baba, vanun'una kana hanzvadzi) ane chirwere cheitsvo.
- Kana uine chirwere cheshuga .
- Kana uine BP yakakwira .
- Kana uine chirwere chemwoyo .
- Kana uri kuratidza zviratidzo zvechirwere cheitsvo: Pane zvimwe zviratidzo zvinoonekwa kana chirwere cheitsvo chanyanya kuipa. Kana uine zviratidzo izvi, unofanira kuongororwa neBUN.
| Zvimwe zviratidzo zvechirwere cheitsvo chiri padanho rekupedzisira | |
|---|---|
| Kuda kuita weti kakawanda kupfuura zvakajairika. | |
| Weti ine furo. | |
| Ropa muweti. | |
| Kunzwa kuneta zvakanyanya uye kuneta nguva nenguva. | |
| Chikafu hachina kunaka. | |
| Kuzvimba kwemuviri (kunyanya maoko, tsoka, netsoka). | |
Zvinorevei kana BUN 'yakawedzerwa'?
Izvi zvinotyiwa nevanhu vazhinji. Kana huwandu hweBUN yako hwakakwira kupfuura hunodiwa, zvinogona kureva kuti itsvo dzako hadzisi kushanda zvakanaka . Kureva kuti, hadzisi kusefa tsvina yeurea nitrogen kubva muropa nemazvo.
Zvisinei, BUN yakakwira hazvirevi kuti pane dambudziko neitsvo dzako. Kunyangwe itsvo dzako dziine hutano hwakakwana, BUN yako inogona kukwidziridzwa nekuda kwezvimwe zvikonzero.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Kudya chikafu chine mapuroteni akawanda | Kana ukadya nyama yakawandisa, hove, mazai, uye mapuroteni anodyiwa zvakanyanya, huwandu hwetsvina yeurea inogadzirwa mumuviri huchawedzerawo. |
| Kushaya mvura mumuviri | Kana muviri wapera mvura mumuviri, ropa rinokora. Ipapo huwandu hweurea muropa hunowedzera. Zvinoita semunhu akashanda muzuva zuva rese asina kunwa mvura. |
| Kukwegura | Kushanda kweitsvo kunogona kudzikira zvishoma sezvatinokura (vana vadiki vanowanzova nemazinga eBUN akaderera). |
| Mimwe mishonga | Mimwe mishonga (semuenzaniso Carbamazepine, Methotrexate, Tetracycline) inogona kukonzera kuwedzera kwehuwandu hweBUN. |
| Mamwe matambudziko ehutano | Mazinga eBUN anogonawo kukwira nekuda kwezvirwere zvakaita sekutsva, kurwara nemoyo, kushushikana kwakanyanya, kubuda ropa mudumbu kana muura (kubuda ropa mudumbu), kana kuvharika kwenzira yeweti. |
Chinhu chinonyanya kukosha ndechekusatya kana huwandu hweBUN yako hwawedzera, asi kutaura nachiremba wako kuti azive chikonzero chacho. Chiremba wako achasvika pamhedziso nekuenzanisa kwete huwandu hweBUN chete, asiwo zvimwe zviyero zvekuyedza, zvakaita secreatinine .
Ko kukosha kweBUN kunogona kunge 'kwakaderera' here?
Ehe, zvinogona kuitika. Asi huwandu hweBUN hwakaderera hahuwanzoitiki. Kazhinji hazviratidzi dambudziko guru rehutano. Zvisinei, pane zvimwe zvikonzero zvinoita kuti huwandu hweBUN huve hwakaderera.
- Kudya kusina mapuroteni akawanda: Kana usingadyi miriwo chete kana kuti uchidya zvisina mapuroteni akawanda.
- Saizi yemuviri mudiki:
- Kunwa mvura yakawanda: Kunwa mvura yakawandisa kunogona kuderedza ropa uye kuderedza huwandu hweBUN mumuviri.
- Chirwere chechiropa: Sezvo urea ichigadzirwa muchiropa, huwandu hweBUN hunogona kunge hwakaderera kana paine mamiriro akaoma anokanganisa mashandiro echiropa.
Chii chinoitika ropa risati raongororwa uye panguva yekuongororwa uku?
Iyi iongororo yeropa iri nyore kwazvo, yenguva dzose.
Pamberi pebvunzo
Kana uri kutora mishonga inobvisa ropa rakawanda kana kuti une dambudziko rekubuda ropa, udza chiremba wako nguva isati yasvika. Bvunza chiremba wako kana uchizotsanya kwemaawa 8-12, sezvo mimwe miedzo inogona kuitwa pamwe chete neBUN.
Munguva yebvunzo
- Kazhinji, tsinga inosarudzwa kubva paruoko rwako pedyo negokora kuti ibudise ropa.
- Nzvimbo yacho inocheneswa nechimwe chinhu chakaita sedoro, uye ropa shoma rinopinzwa mubhodhoro diki uchishandisa tsono diki kwazvo.
- Uchanzwa kakubaya kadiki. Nzvimbo yacho inogona kunge yakaita bhuruu mushure mezvo, asi ichanyangarika zvachose muzuva rimwe chete kana maviri.
- Ropa iri rinozotumirwa kurabhoritari. Zvinogona kutora zuva rimwe kana matatu kuti mhedzisiro idzoke.
Chii chinoitika mushure mekunge mushumo webvunzo wasvika?
Kana wangogamuchira mushumo wekuongororwa, chiremba wako achakutsanangurira zvazvinoreva kwauri. Chiremba wako haazoiti sarudzo zvichibva paBUN chete. Chiremba wako achafunga nezvezvimwe zvinhu zvakati wandei kuti awane mufananidzo wakazara wekushanda kweitsvo dzako.
- Serum Creatinine: Iyi imwe tsvina inoyerwa muropa. Iyi bvunzo inonyanya kukosha kupfuura BUN kana zvasvika pakushanda kweitsvo.
- Inofungidzirwa Kuti Glomerular Filtration Rate (eGFR): Iyi haisi bvunzo yakananga. Inhamba inoverenga kuti itsvo dzako dziri kuchenesa ropa rako nekukurumidza zvakadii, uchishandisa zvinhu zvakaita sezinga re creatinine, zera, uye murume kana mukadzi.
Chiremba achabatanidza zvese izvi kuti asvike pamhedziso yekupedzisira nezvehutano hweitsvo dzako.
Kana huwandu hweBUN hwakakwira, chii chingaitwe kudzikisa?
Chinhu chakakosha kunzwisisa pano ndechekuti vanachiremba havanyoreri mishonga yekuderedza huwandu hweBUN. Chavanoita ndechekutsvaga chikonzero chehuwandu hweBUN hwakakwira uye kurapa chikonzero ichocho.
Zvisinei, kana munhu asina chirwere cheitsvo aine BUN level yakakwira, inogona kudzorwa nekuchinja mararamiro ake zviri nyore.
Zvakakosha: Kana uine chirwere cheitsvo, iva nechokwadi chekutaura nachiremba wako usati waita shanduko dzinotevera.
1. Inwa mvura yakawanda: Kushaya mvura mumuviri ndicho chikonzero chikuru chekukwira kweBUN. Kana creatinine yako iri yakajairika asi BUN yako yakakwira, zvingangodaro zvichikonzerwa nekushaya mvura mumuviri.
- Murume anofanira kunwa makapu gumi nematatu emvura (anenge marita matatu) pazuva.
- Zvinokurudzirwa kuti mukadzi anwe makapu mapfumbamwe (anenge marita 2.2) emvura pazuva.
2.Dzora kudya kwako kwakapfuma muprotein: Kuchinja kudya kune mapuroteni mashoma kunogona kubatsira kuderedza mazinga eBUN.
| Zvokudya zvine mapuroteni mashoma ekudya zvakawanda | Zvikafu zvine mapuroteni akawanda zvekuganhurira kana kudzivirira |
|---|---|
| Zviyo: mupunga, oats, pasta | Nyama: Nyama yemombe, Huku, Nguruve, Salmon |
| Muchero: maapuro, michero, mabhanana | Zvikafu zvemukaka: mukaka, chizi, yogati |
| Muriwo: Muriwo wegirini, mhiripiri, broccoli | Zvimwe: mazai, lentils, nyemba, soya, tofu |
| Mafuta ane hutano: avocado, nzungu, mafuta ekokonati |
Paavhareji, munhu anodya magiramu ari pakati pe40-60 eprotein pazuva. Zvisinei, munhu ane BUN levels yakakwira angangoda kuderedza huwandu uhu zvichienderana nezano rachiremba wake.
Mharidzo Yekuenda Nayo Kumba
- BUN tsvina inoumbwa kubva mupuroteni yatinodya uye inofanira kusefa uye kubviswa neitsvo.
- Bvunzo iyi inonyanya kupa pfungwa yekushanda kweitsvo .
- Kwete nguva dzese kana huwandu hweBUN hwakwira, chiratidzo chechirwere cheitsvo. Zvimwe zvinhu, zvakaita sekushaya mvura mumuviri uye kudya zvine mapuroteni akawanda, zvinogonawo kukonzera izvi.
- Munhu ega anogona kutsanangura zvizere zvabuda muongororo yenyu ndichiremba wenyu.
- Kana huwandu hweBUN hwakakwira, rapa chikonzero chacho.Ndicho chinhu chakakosha. Kuchinja mararamiro ako uye kudya kwako zvichienderana nezano rachiremba wako kunogona kuita mutsauko mukuru.
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