Wakambotora gwaro rako reropa ukatarisa bhii rega rega nenhamba yaro here ukazvibvunza kuti zvinorevei? Dzimwe nguva zvinogona kuoma kunzwisisa. Ehe, eGFR bvunzo inotiudza zvakawanda nezvehutano hwedu, kunyanya hutano hweitsvo dzedu. Nhasi, ngatitaurei nezve GFR chii, kuti bvunzo iyi inoti chii, uye kuti ingabatsira sei kuchengetedza itsvo dzedu.
Zvichitaurwa zviri nyore, chii chinonzi GFR?
Zita rakazara reGFR ndiGlomerular Filtration Rate . Kunyange zvazvo zita racho rakaoma kunzwisisa, zvinoreva izvi zviri nyore kwazvo. Funga nezveitsvo dzedu mbiri senzira yakanakisisa yekusefa mumuviri wedu. Basa guru reitsvo nderekusefa nekuchenesa tsvina yese isina basa nehupfu muropa redu uye kuiburitsa mumuviri seweti .
Saka, GFR ndiyo nzira yekuyera kuti itsvo dzako dziri kuita basa iri rekuchenesa ropa nekukurumidza uye zvinobudirira sei.
Zita iri rinobva kumamiriyoni emafirita madiki ari muitsvo. Tinoadaidza kuti ``Glomeruli``. Kukosha kweGFR kunoverengerwa zvichienderana nekuti ropa rinocheneswa zvakadii nemafirita aya paminiti.
Kazhinji, kuyera GFR yako zvakananga kunonetsa uye kunotora nguva. Ndosaka vanachiremba vachiwanzoshandisa bvunzo inonzi `eGFR (estimated Glomerular Filtration Rate). Izvi zvinosanganisira kutora sampuro yeropa kubva kwauri, kuyera huwandu hwetsvina inonzi `Creatinine` iri mairi, wozoiwedzera pazvinhu zvakaita sezera rako uye murume kana mukadzi uye kuverenga GFR yako uchishandisa fomura yemasvomhu yakakosha.
Creatinine tsvina inogadzirwa netsandanyama dzedu panguva yekugadzira simba. Itsvo dzine hutano dzinoisefa zvachose dzoiburitsa muweti. Kuwanda kwecreatinine muropa chiratidzo chekuti nzira yekusefa kweitsvo yakanganiswa.
Matanho echirwere cheitsvo uye GFR values
Kukosha kuri mumushumo wako we eGFR kunogona kukupa pfungwa yakanaka yekuti itsvo dzako dziri kushanda zvakanaka sei. Zvichibva pahuwandu uhwu, unogona kuongorora chirwere cheitsvo (ChronicChirwere cheKidney Chisingaperi (CKD) chakakamurwa kuita zvikamu zvikuru zvishanu. Izvi zvichabatsira chiremba wako kunzwisisa mamiriro ako chaiwo.
| Danho | Kukosha kweGFR (mL/min/1.73 m²) | Zvinoreva |
|---|---|---|
| Chikamu Chekutanga | 90 kana kupfuura | Kushanda kweitsvo kwakajairika, asi zvimwe zviratidzo, zvakaita seprotein muweti, zvinogona kuratidza kuti pane kukuvara. |
| Chikamu chechipiri | Kubva pamakore makumi matanhatu kusvika makumi masere nemapfumbamwe | Kushanda kweitsvo kushoma. Kuchiri mumamiriro akanaka. |
| Danho rechitatu | 45 kusvika 59 | Kudzikira kwekushanda kweitsvo zvishoma kusvika pakati nepakati. |
| Danho rechitatub | 30 kusvika 44 | Kudzikira kwekushanda kweitsvo kuri pakati nepakati kana kwakanyanya. |
| Danho rechina | Kubva pamakore gumi nemashanu kusvika makumi maviri nemapfumbamwe | Kudzikira kwakanyanya kwekushanda kweitsvo. |
| Danho V | Vari pasi pemakore gumi nemashanu | Chirwere chekuti itsvo dziri pedyo kana kuti dziri kutadza kushanda zvachose. |
Zvakakosha:Avhareji yeGFR yemunhu wechidiki ane hutano hwakanaka iri pakati pemakore 90-120. Zvakajairika kuti GFR iderere sezvatinokura. Zvisinei, GFR iri pasi pe60 inoratidza njodzi yechirwere cheitsvo pamwe nechirwere chemwoyo.
Ndiani anofanira kuita bvunzo iyi yeGFR?
Chiremba wako anogona kazhinji kuongorora GFR yako panguva yekuongororwa kwegore negore, asi zvakakoshawo kuti uiongorore kana uri panjodzi yekubatwa nechirwere cheitsvo kana kuti uine zviratidzo zvine chekuita nacho.
Zviratidzo zvekuchenjerera:
- Kunzwa kurwadziwa kana kusagadzikana paunenge uchiita weti.
- Kuita weti zvishoma kana kupfuura zvakajairwa.
- Ropa riri muweti, rine furo kana kuti ruvara rwebrown.
- Kuzvimba kwakatenderedza maziso, dumbu, maoko, kana zvitsitsinho.
- Kurwadziwa kunogara kuripo pakati pemusana, kuchibva panzvimbo iri itsvo.
Vanhu vane zvinhu zvinokonzera njodzi:
- Vanhu vane chirwere cheshuga .
- Kukwira kweropa, kureva vanhu vane BP yakakwira .
- Vanhu vane chirwere chemwoyo .
- Kana paine munhu mumhuri ane nhoroondo yechirwere cheitsvo kana chirwere cheshuga .
- Kana uchigara uine zvirwere zvemudumbu .
- Vanhu vane mamwe matambudziko e autoimmune .
- Vanhu vanoputa fodya .
Kana uine chimwe chezviratidzo izvi kana zvinhu zvinoisa njodzi, zvakanaka kuti uone chiremba wako nekukurumidza kuti akupe mazano.
Chii chingaitwe kudzivirira itsvo pasina kuderedza GFR?
Kuchengetedza huwandu hwakanaka hweGFR zvinoreva kuchengetedza hutano hweitsvo dzedu. Mararamiro edu uye maitiro edu ekudya zvine simba guru pane izvi.
Yeuka kuti, kunwa mvura yakawanda chete hakudzoreri mashandiro eitsvo dzakatokuvara. Zvakanaka kugara uchinwa mvura, asi zvakanyanya kukosha kudzora zvinokonzera kukuvara kweitsvo.
Kuchinja mukudya:
- Deredza munyu zvakanyanya sezvinobvira. Deredza munyu waunowedzera paunenge uchibika. Rega kuunza munyu wakasiyana patafura.
- Dzivisa zvekudya zvakagadzirwa nemagetsi. Zvinhu zvakaita semasoseji, ham, bacon, hove dzemumagaba, soups dzemumagaba, uye manoodles epakarepo zvine munyu wakawanda.
- Wedzera miriwo mitsva, michero, uye zviyo mukudya kwako.
- Kana uine chirwere cheshuga kana BP, tevera chirongwa chekudya chakapihwa nachiremba wako kana nyanzvi yezvekudya .
Kuchinja kwemararamiro:
- Gara uchitarisa BP yako uye huwandu hweshuga muropa. Inwa mushonga wawakanyorerwa nachiremba wako nenguva.
- Kana ukasvuta, rega ipapo ipapo. Kusvuta kunokuvadza nzira dzinoendesa ropa kuitsvo.
- Kushandisa mimwe mishonga kwenguva refu, yakadai semishonga inoderedza marwadzo, kunogona kukuvadza itsvo. Saka, usaramba uchitora mishonga usina kubvunza chiremba.
- Ramba uine huremu hwakanaka hwemuviri . Rovedza muviri nguva nenguva.
Kana uine zvinokunetsa nezve GFR yako, kana kuti kana mushumo wacho unoratidza kuti yakaderera, usavhunduke wotaura nachiremba wako nezvazvo. Iye achanyatsoongorora hutano hwako uye achakupa kurapwa nemazano aunoda.
Mharidzo Yekuenda Nayo Kumba
- GFR (Glomerular Filtration Rate) inzira inokosha inoongorora kuti itsvo dzako dziri kuchenesa ropa rako zvakanaka sei.
- Kuwanda kwe eGFR kuri pasi pe60 kunogona kuva chiratidzo chekutanga chechirwere cheitsvo. Kana chikaonekwa nekukurumidza, zvinova nyore kurapa.
- Bvunza chiremba wako chero mibvunzo yauinayo nezve GFR report yako. Usazviongorore wega zvichibva pakutsvaga kwawakaita online.
- Chirwere cheshuga neBP zvakanyanya ndizvo zvimwe zvevavengi vakuru veitsvo. Dzora mamiriro aya zvakanaka.
- Kudya zvine hutano, kudya zvine munyu mushoma, kurovedza muviri, uye kusaputa fodya ndizvo zvinobatsira zvikuru itsvo dzako.
- Kana uine zviratidzo zvakaita sekuchinja kweweti yako, kuzvimba, kana kurwadziwa kwemusana, usazviregeredza uye tsvaga rubatsiro rwechiremba nekukasika.
GFR, eGFR, itsvo, bvunzo yekushanda kweitsvo, creatinine, chirwere cheitsvo, bvunzo yeropa, bvunzo dzeropa, kutadza kweitsvo
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