Chiremba ane ruzivo nezveitsvo? Ndiani chiremba wezvetsinga?

Wakambonzwa nezve "Nephrologist" here? Pamwe chiremba wako akakutumira kune mumwe. Kana kuti pamwe mumwe munhu mumhuri mako akanzwa zita racho nekuda kwedambudziko reitsvo. Ndiani chaizvo chiremba wenephrologist? Chii chaizvo chavanoita? Ngatitaurei nezvazvo zviri nyore uye zvakajeka.

Ndiani chiremba wezvirwere zvetsinga uyu?

Zvichitaurwa zviri nyore, chiremba wepfungwa chiremba anonyanya kubata zvirwere zveitsvo nebasa razvo. Sekunge paine chiremba wemwoyo, chiremba wepfungwa chiremba anonyanya kubata itsvo.

Itsvo inhengo mbiri diki asi dzinoshamisa mumuviri wedu. Idzi nhengo dzakaita sebhinzi chikamu chikuru chehurongwa hwedu hweweti. Basa radzo guru nderekusefa ropa redu, kubvisa tsvina, mvura yakawandisa, uye ma electrolytes kubva mariri, uye kuzviburitsa seweti. Saka, kana paine dambudziko neitsvo idzi, rinogona kukanganisa muviri wese. Ndipo patinoda rubatsiro rwechiremba wepfungwa.

Kune vanachiremba vezvirwere zvepfungwa (nephrologists) here vevana vadiki?

Ehe, zvechokwadi. Tinodana vanachiremba vane hunyanzvi muzvirwere zveitsvo muvana vachangoberekwa, vana vadiki, nevakuru vechidiki vanachiremba vezvirwere zveitsvo zvevana .

Chii chaizvo chinoitwa nenyanzvi yezvirwere zvetsinga?

Chiremba wepfungwa haangooni nekurapa chirwere cheitsvo chete, asi anonzwisisawo migumisiro yechirwere cheitsvo pane dzimwe nhengo dzemuviri. Semuenzaniso:

• Kukwira Kweropa: Dzimwe nguva kukwira kweropa kunogona kukuvadza itsvo. Dzimwe nguva kukwira kweropa kunogona kukonzerwa nedambudziko reitsvo. Chiremba wezvirwere zvetsinga anoziva hukama huripo pakati pezviviri izvi.
• Chirwere chemwoyo: Kana itsvo dzikatadza kushanda, zvinokanganisa mwoyo zvakananga.
• Zvirwere zve autoimmune: Mune zvimwe zvirwere, masoja emuviri wedu anorwisa itsvo dzedu. Chiremba wezvirwere zvetsinga anogonawo kubatsira kudzora zvirwere izvi.

Ndeupi musiyano uripo pakati penyanzvi yezvemapfupa nenyanzvi yezvemauro?

Ichi chinhu chinovhiringidza vanhu vazhinji. Nekuti vanachiremba ava vese vanoshanda paitsvo. Asi pane musiyano mukuru mubasa ravo. Ngatizvitarisei kubva patafura.

Ndezvipi zvirwere zvinowanzo rapa chiremba wezvirwere zvetsinga?

Heano mamwe ematambudziko anowanzo rapwa nachiremba wezvepfungwa:

• Chirwere cheitsvo chine chirwere cheshuga: Vanhu vane chirwere cheshuga vanogona kukuvara kweitsvo nekufamba kwenguva.
• Kukwira kweropa: Kukwira kweropa kusingadzoreki muvengi mukuru weitsvo.
• Kukundikana kweitsvo:Kurasikirwa nekushanda kweitsvo kamwe kamwe (kwakakomba) kana zvishoma nezvishoma (kwenguva refu).
• Matombo eitsvo: Chiremba wezvirwere zveitsvo anorapa mamwe marudzi ematombo eitsvo kuti asadzokorore.
• Nephrotic syndrome: Chirwere apo huwandu hwakawanda hweprotein hunoburitswa muweti.
• Utachiona hweWeti (UTIs): Tsvaga chikonzero chehutachiona hweweti hunowanzoitika.
• Kusawirirana kwema electrolyte: Kusawirirana kwezvinhu zvakaita se sodium ne potassium kwakaderera kana kuti kwakakwira.
• Kunwa doro zvine chepfu kunoda dialysis.

Unofanira kuona chiremba wepfungwa rini?

Chiremba wako (GP) anowanzo kukutumira kuna chiremba wepfungwa. Heano mamwe ezvikonzero nei:

• Kuva nenhoroondo yemhuri yechirwere cheitsvo: Kana amai vako, baba, kana vanun'una vako vaine chirwere cheitsvo, iwe unogona kunge uri panjodzi.
• Kuva nechirwere cheshuga: Munhu wese ane chirwere cheshuga anofanira kuongororwa mashandiro eitsvo dzake nguva nenguva.
• Kuva neBP yakakwira: Kukwira kweBP kunogonawo kukuvadza itsvo.
• Kuchinja kweweti:
• Ropa muweti.
• Weti ine furo (inogona kuva chiratidzo chekubuda kweprotein mumuviri).
• Kuburitsa weti yakawanda kana shoma kupfuura yakajairika.
• Kusarongeka kwekuongororwa kweropa neweti: Chiremba anogona kukutumira kune zvimwe zvinhu zvakaita sekuwedzera kwe creatinine muropa rako, mapuroteni muweti yako, kana masero eropa.
• Mhute yehuropi: Dzimwe nguva, kana itsvo dzisiri kushanda zvakanaka, chepfu dzinoungana mumuviri dzinogona kukonzera kuoma kwekutarisa, kukanganwa, uye kuvhiringidzika.

Unogadzirira sei kushanya kuna chiremba wezvemapfupa?

Kana uchizoenda kunoona chiremba wezvirwere zvetsinga kekutanga, zvakakodzera kugadzirira zvishoma. Nenzira iyi, zvichave nyore kwauri nachiremba.

1. Tora zvinyorwa zvako zvekare zvekurapa: Isa mishumo yako yese yekare yeropa, mishumo yeweti, uye skena mishumo mufaira woenda nayo nenzira yakarongeka.

2. Nyora pasi mishonga yauri kushandisa pari zvino: Nyora pasi mishonga yose yauri kushandisa (kusanganisira yemamwe matambudziko). Nyora pasi mazita emishonga yacho, chiyero chayo, uye kuti unoitora kangani pazuva. Zvakanaka kuuya nemishonga yako yese kana zvichibvira.

3. Nyora pasi zviratidzo zvako: Nyora pasi zviratidzo zvako, kusanganisira kuti zvakatanga riini, uye kuti zvinotowedzera riini.

4.Ziva nhoroondo yezveutano hwemhuri yako: Tsvaga kana paine munhu mumhuri yako ane chirwere cheitsvo, chirwere cheshuga, kana BP.

5. Gadzirira kubvunza mibvunzo: Nyora pasi zvinhu zvaunoda kuziva nemibvunzo yauri kufunga. Unogona kuzvikanganwa paunosangana nachiremba.

6. Enda nemumwe munhu: Kana zvichibvira, enda nemumwe wemhuri kana shamwari. Zvinobatsira zvikuru kuteerera nekurangarira zvinotaurwa nachiremba, uye kuva nemumwe munhu anokubatsira.

Panguva yekusangana kwako kekutanga, chiremba achakubvunza nezvezviratidzo zvako, okuongorora, oongorora zvinyorwa zvako zvekurapa zvekare, uye oraira kuongororwa kweropa kana weti kana zvichidikanwa. Hapana chekunetseka nazvo. Zvese izvi zvinoitirwa kuwana mhinduro yakanakisa yedambudziko rako.