Kubvisa 'rudzi' kubva pakuongorora chirwere cheitsvo: Sei izvi zvichikosha kudaro? (eGFR)

Fungidzira, chiremba wako anofungidzira kuti une dambudziko neitsvo dzako. Saka, anokukumbira kuti uongororwe ropa kuti uone mashandiro eitsvo dzako. Ungashamisika kana akakuudza kuti nhamba iri pamushumo iwoyo inosiyana zvichienderana nerudzi rwako, handiti? "Mashandiro eitsvo dzangu anosiyana sei zvichienderana nerudzi rwangu?" Ungave uchishamisika. Iri idambudziko guru rave richiitika munyika yezvekurapa kwenguva yakareba, uye ikozvino riri kugadziriswa. Nhasi tichataura nezvazvo.

Chii chinonzi equation iyi inoyera mashandiro eitsvo?

Itsvo dzedu dzakaita semafirita maviri ane simba kwazvo mumuviri. Basa guru reitsvo nderekusefa tsvina isingadiwi kubva muropa uye kuchengetedza muviri wakachena. Saka, chimwe chezviyero zvikuru zvinoshandiswa navanachiremba kuongorora hutano hweitsvo ieGFR . Izvi zvinomirira chiyero cheGlomerular Filtration Rate .

Zvichitaurwa zviri nyore, inoyera kuti itsvo dzako dziri kuchenesa ropa rako nekukurumidza uye zvinobudirira sei. Nekuti zvakaoma kuyera izvi zvakananga, tinozvifungidzira tichishandisa masvomhu ekuenzanisa anoshandisa zvinhu zvakaita sehuwandu hwetsvina inonzi creatinine muropa rako, zera rako, uye kuti uri murume kana mukadzi.

Dambudziko rakatangira papi? 'Rudzi' rwakazova sei chinhu chikuru?

Kwenguva yakati, pakanga paine shanduko inoshamisa mu equation iyi ye eGFR: 'rudzi' . Asi izvi hazvina kushanda kumarudzi ese. Zvaingoshanda chete kana mumwe munhu akazviti "Munhu Mutema."

Kureva kuti, munhu muchena nemunhu mutema vane zera rimwe chete, murume kana mukadzi, uye creatinine level vakagamuchira ma eGFR maviri. Kana munhu mutema aive munhu muchena, equation yakakwidza kukosha ikoko netsaona.

Chii chakaitika? EGFR yakaratidza kuti mashandiro eitsvo dzemunhu mutema aive nani pane zvazvaive chaizvo. Nekuda kweizvozvo, vakanonoka kuwana kurapwa kwavaida, senge kutanga dialysis kana kuiswa pane runyorwa rwevanhu vanoisirwa itsvo. Uku kwaive kusaruramisira kukuru, kusina kurongeka.

Sei shoko rokuti 'rudzi' rakashandiswa kubva pakutanga?

Izvi zvinokonzerwa nekutsvagurudza kwakaitwa muma1990. Ongororo yakaitwa panguva iyoyo (Modification of Diet in Renal Disease - MDRD study) yakawana kuti vanhu vatema vaiva nemazinga akakwira e creatinine muropa kupfuura vanhu vachena. Vakati izvi zvakakonzerwa nechitendero chekare, icho chave kupikiswa nesainzi chekuti "vanhu vatema vanowanzova netsandanyama dzakawanda kupfuura vanhu vachena."

Panguva iyoyo, kusanganisira vanhu vatema muongororo kwaionekwa sechinhu chikuru, asi nhasi uno tava kunzwisisa kuti 'rudzi' hachisi chinhu chemuviri, asi chimiro chemagariro evanhu.

Rwendo rwekugadzirisa chikanganiso ichi

Nerombo rakanaka, mumakore achangopfuura, vadzidzi vezvekurapa, vanachiremba, vanachiremba vezvirwere zvetsinga , nevanorwira kodzero dzevarwere vakatanga kubvunza nezvenyaya iyi. "Kana pasina hwaro hwezvekuzvarwa nahwo hweizvi, sei tichibata vatema nevasiri vatema zvakasiyana?" vakabvunza.

Nekuda kweizvozvo , National Kidney Foundation neAmerican Society of Nephrology vakabatana kuti vagadzire boka rebasa revarwere, masayendisiti, uye vanachiremba. Nekuda kwekushanda kwavo nesimba, muna 2021, maequation maviri matsva eGFR akaunzwa pasi rose akabvisa zvachose 'rudzi' .

1. Equation yekutanga: Kufanana neyekare, inoshandisa creatinine level chete (asi isina 'rudzi').

2. Equation yechipiri: Pamusoro pemazinga e creatinine, imwe chiratidzo chemakemikari chinonzi cystatin C chinoshandiswawo. Kunyangwe izvi zviri zvechokwadi, equation yekutanga inokurudzirwawo nekuti bvunzo ye cystatin C haiwanikwe muma laboratories ese pasi rose uye inodhura.

Kuchinja uku kuri kuitika nekukurumidza zvikuru munyaya dzezvekurapa pasi rose. Zvinonakidza zvechokwadi kuti kuchinja kwemakore gumi kuri kuitika mumwedzi mishomanana iri kutevera.

Sei musiyano uyu uchikosha kwatiri?

Ungafunga kuti, iri idambudziko reAmerica, chii chatinofanira kufunga nezvaro? Asi mushonga inyaya yepasi rose. Kubudirira kwesainzi kana kugadziriswa kunoitika mune imwe nzvimbo yepasi kunokanganisa pasi rose.

• Kurapwa Kwakarurama: Izvi zvinovimbisa kodzero yemurwere, chero kupi zvako pasi rose uye werudzi rupi zvarwo, yekuwana chirwere chakarurama uye chakarurama.
• Kugadzirisa zvikanganiso mukurapa: Uyu muenzaniso mukuru wekuti mushonga ibasa rinogara richizvivandudza uye richigadzirisa zvikanganiso zvaro.
• Kuteerera inzwi remurwere: Inzwi remurwere raivewo chinhu chakakosha pakuita shanduko iyi. Izvi zvinoratidza kukosha kwekuteerera pfungwa dzevarwere, pane kuteerera vezvehutano vega vachiita sarudzo.

Ehe, kuchinja equation iyi hakuzobvisi kusarongeka kwese kwehutano nemusi mumwechete. Kune zvinhu zvakawanda zvemagariro nehupfumi zvinozvikonzera. Asi iyi idanho rakasimba uye rinokosha munzira iyoyo.

Kana iwe kana mumwe munhu waunoziva ane chirwere cheitsvo, taura nachiremba wako pachena nezvebvunzo dzako dzekurapa uye kurapwa. Vabvunze nezve eGFR yako, zvinorevei, uye nzira dzakanakisisa dzekurapa nadzo.

Chirwere cheitsvo, eGFR, creatinine, bvunzo dzeitsvo, kusaenzana kwehutano, mushonga, chirwere cheitsvo