Wakambotora gwaro rekuongororwa ropa here, ukatarisa mavara nenhamba dziri pariri, wozvibvunza kuti, "Zvinorevei izvi?"? Kazhinji, tinoteerera zvinotaurwa nachiremba, asi mamwe mazwi ari pagwaro iri hatina kujaira. Rimwe shoko rakadaro iro vanhu vazhinji vanoziva, asi vasinganyatsoriziva, i "Creatine." Izwi diki iri rine nyaya huru pamusoro pehutano hwenhengo inonyanya kukosha yemuviri wedu, itsvo. Saka nhasi, ngatitaurei nezvazvo.
Zvichitaurwa zviri nyore, chii chinonzi creatinine?
Fungidzira, kana tsandanyama dzedu dzikashanda zvakanaka, ndiko kuti, patinofamba, patinomhanya, kana kusimudza zvinorema, tsvina inogadzirwa panguva iyoyo. Tsvina iyoyo inongoerekana yavapo ndiyo yatinoti creatinine. Ichi hachisi chinhu chinodiwa nemuviri wedu. Saka, sisitimu yekusefa yemuviri yepamusoro-soro, itsvo dzedu mbiri, dzinosefa uye dzinoparadzanisa tsvina iyi kubva muropa dzoiburitsa muweti.
Saka kana chiremba achiyera huwandu hwe creatinine muropa rako, anenge achitarisa kuti itsvo dzako dziri kuita basa radzo rekusefa. Tinowanzodaidza bvunzo iyi kuti serum creatinine test.
Ndezvipi mazinga e creatinine akajairika?
Nekuti creatinine inogadzirwa netsandanyama, kukosha uku kunogona kusiyana zvichienderana nehuremu hwetsandanyama dzemunhu nehukuru hwemuviri wake. Kazhinji, varume vane huwandu hwecreatinine hwakakwira zvishoma pane vakadzi nekuti vane huremu hwetsandanyama hwakawanda.
| Munhu | Range yeCreatinine Yakajairika (mg/dL) |
|---|---|
| Vakadzi | 0.6 - 1.1 mg/dL |
| Varume | 0.7 - 1.3 mg/dL |
Chinhu chakakosha ndechekuti nhamba idzi dzinogona kusiyana zvishoma kubva pakurabhoritari kuenda kune imwe, saka chiremba wako chete ndiye anogona kukupa ongororo chaiyo yehunhu huri mumushumo wako.
Hukama huripo pakati pe creatinine nekushanda kweitsvo (GFR)
Huwandu hweropa mumuviri wedu hunopfuura nepakati peitsvo kane mazana pazuva. Kuyerwa kwekumhanya uku uko itsvo dzinochenesa ropa kunonzi Glomerular Filtration Rate , kana kuti GFR . Zvichitaurwa zviri nyore, ichi chiyero chekushanda kweitsvo.
Chiremba wako haakwanise kuyera GFR yako zvakananga. Ndipo panopinda bvunzo ye creatinine. GFR yako inoverengerwa nekutsiva zvinhu zvakaita sezinga re creatinine muropa rako, zera, uye murume kana mukadzi kuita fomura yakakosha. Tinoidaidza kuti eGFR (inofungidzirwa kuti GFR) .
Zvichitaurwa zviri nyore: Kuwedzera kwehuwandu hwe creatinine muropa kunogona kuratidza kudzikira kwesimba rekusefa kweitsvo (GFR). Kuwanda kweGFR kuri pasi pe60 kunogona kuva chiratidzo chechirwere cheitsvo.
Sei bvunzo iyi ye creatinine ichiitwa?
Vanachiremba vanorayira bvunzo iyi kuti vaone kuti itsvo dzako dziri kushanda zvakanaka sei. Dzimwe nguva, vanorayira bvunzo iyi kana uine zviratidzo zvine chekuita nechirwere cheitsvo.
- Kusvotwa nekurutsa
- Kuda kudya
- Kuneta uye kushaya simba kakawanda
- Matambudziko ekushaya hope
- Kuchinja kwehuwandu hweweti kana huwandu hwayo
- Kuzvimba kwemakumbo netsoka
Kunyangwe kana usina zviratidzo izvi, chiremba wako anowanzo kurudzira bvunzo iyi kuti iongorore itsvo dzako kana uine zvirwere zvakaita seshuga, BP, chirwere chemwoyo, kana chirwere chechiropa . Izvi zvinoitirwawo kuona kana mimwe mishonga iri kukanganisa itsvo dzako.
Nzira yekuita bvunzo iyi sei?
Kune nzira mbiri huru dzekuongorora mazinga e creatinine:
1. Kuongororwa kweropa (eGFR Blood Test): Iyi ndiyo nzira inonyanya kushandiswa. Sample yeropa inotorwa kubva paruoko rwako sezvakajairika, huwandu hwe creatinine huri mahuri hunoyerwa, uye kukosha kwe eGFR kunoverengwa. Ungangokumbirwa kutsanya kwemaawa mashoma kuti uite izvi.
2. Kuongororwa kweCreatinine Clearance: Nzira iyi haichashandiswi zvakanyanya. Mukuita izvi, weti yese inoburitswa mumaawa makumi maviri nemana inofanira kuunganidzwa mumudziyo wakakosha. Huwandu hwecreatinine mumuenzaniso weweti iyoyo hunoyerwa kuti pave neruzivo rwekushanda kweitsvo.
Mhedzisiro yacho inoti chii?
Kuderera kweGFR kunoratidza kusashanda zvakanaka kweitsvo. Dambudziko iri rinogona kuitika kamwe kamwe (rakanyanya) kana kwenguva refu (risingaperi).
Vanachiremba vanoisa kuoma kwechirwere cheitsvo chisingaperi muzvikamu zvakasiyana-siyana zvichienderana nehuwandu hweGFR.
| Danho | Kukosha kweGFR | Zvinoreva |
|---|---|---|
| Ini | 90 kana kupfuura | Kushanda kweitsvo kwakajairika |
| II | 60-89 | Basa rakadzikira zvishoma |
| IIIa | 45-59 | Chirwere cheitsvo chisingaperi chisina kusimba |
| IIIb | 30-44 | Chirwere cheitsvo chisingaperi chiri pakati nepakati |
| IV | 15-29 | Chirwere cheitsvo chisingaperi |
| V | Vari pasi pemakore gumi nemashanu | Kutadza kushanda kweitsvo (kazhinji kunoda dialysis) |
Zvimwe zvikonzero zvekusagadzikana kwemazinga e creatinine
Chinhu chakakosha ndechekuti creatinine yakakwira hazvirevi kuti munhu arwara neitsvo nguva dzose. Dzimwe nguva kukosha uku kunogona kuchinja nekuda kwezvimwe zvikonzero.
- Kurovedza muviri zvakanyanya: Kana uchiita maekisesaizi akawandisa, tsandanyama dzako dzinoburitsa creatinine yakawanda.
- Kudya nyama tsvuku ine zvakawanda: Sezvo nyama tsvuku iine creatinine, kudya yakawandisa kunogona kuwedzera huwandu hweropa kwenguva pfupi.
- Mimwe mishonga: Mimwe mishonga inorwisa mabhakitiriya nemimwe mishonga inogona kukonzera shanduko muhuwandu hwe creatinine.
- Tsandanyama dzakawandisa: Munhu anovaka muviri anogona kunge aine creatinine yakawanda kupfuura munhuwo zvake.
- Kushaya mvura mumuviri: Kunyangwe pasina mvura yakakwana mumuviri, huwandu hwe creatinine hunogona kuwedzera kuwanda uye hunoratidza kukosha kwakanyanya.
- Kukundikana kwemoyo nematambudziko edundira.
Chii chekuita kana GFR yakaderera?
Kana chiremba wako akaona kuti GFR yako yakaderera, iye achaona chikonzero chacho uye achakurudzira kurapwa kwakakunakira.
Zvikonzero zviviri zvikuru zvechirwere cheitsvo chisingaperi iBP yakakwira uye chirwere cheshuga. Kana uine zvirwere izvi, danho rekutanga nderekuzvidzora zvakanaka nekudya zvakanaka, kurovedza muviri, uye mishonga yakanyorerwa nachiremba.
Kana chikonzero chacho chisina kujeka, kana kuti chirwere chacho chakanyanya kuipa, chiremba wako achakutumira kuna chiremba wezvirwere zvetsinga .
Kugara uchitarisa GFR yako kunogona kukubatsira kuona kuti mashandiro eitsvo dzako ari kuchinja sei nekufamba kwenguva. Chiremba wako anogona kugadzirisa mishonga yako zvichienderana nezvinodiwa.
Zvakakosha zvikuru kuti usashandise mishonga inonyaradza marwadzo, mishonga yemishonga, kana zvimwe zvinovaka muviri usingataure nachiremba wako. Zvimwe zvacho zvinogona kukuvadza itsvo dzako.
Kushanda kweitsvo kunodzikira sezvatinokura, saka zvakanaka kuti uzvigadzirise nekukurumidza uye uchengetedze chero kushanda kweitsvo kwaunako.
Mharidzo Yekuenda Nayo Kumba
- Creatinine tsvina inobuda kana tsandanyama dzedu dzichishanda. Inosefetwa yobviswa neitsvo.
- Kuyera huwandu hwe creatinine muropa rako (kunyanya eGFR yako) ndeimwe yemiedzo yakakosha yekuongorora hutano hweitsvo dzako.
- Kunyangwe kuwedzera kwehuwandu hwe creatinine muropa kana kudzikira kweGFR kuchiwanzova chiratidzo chechirwere cheitsvo, izvi hazviwanzoitika. Zvimwe zvinhu zvinogonawo kuita basa racho.
- Kudzora chirwere cheshuga neBP kwakakosha kudzivirira itsvo.
- Gara uchikurukura nachiremba wako zvabuda muongororo yako uye chero mishonga yauri kutora (kusanganisira mishonga inonyaradza marwadzo inotengeswa pasina kunyorerwa chiremba).
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