Wakambofunga nezvemafirita maviri ane simba kwazvo mumuviri wedu here? Itsvo dzedu. Chii chingaitika kana dzikangoerekana dzamira kushanda, sekunge magetsi adzima? Ndizvo zvatinodaidza kuti "Acute Kidney Failure " kana kuti "Acute Renal Failure" mukurapa. Izvi zvinogona kuitika mukati memaawa mashoma kana mazuva mashoma. Asi usazvidya moyo, kana uchiziva izvi uye ukatora kurapwa nekukurumidza, kazhinji itsvo dzako dzinogona kudzorerwa pamaitiro adzo.
Zvichitaurwa zviri nyore, itsvo idzi dzinoshanda sei?
Ngatinzwisisei izvi zviri nyore. Basa guru reitsvo nderekusefa ropa redu nekubvisa tsvina isingadiwe kubva mariri seweti. Kwete izvozvo chete, asi nhengo mbiri idzi diki dzinoitawo zvinhu zvakawanda zvakakosha zvakaita sekudzora huwandu hwemvura mumuviri, kudzora BP , kubatsira kugadzira masero matsvuku eropa , uye kuyera ma electrolytes anodiwa mumuviri. Saka kana izvi zvakuvara , zvese izvi zvinokanganisika.
Chii chiri musiyano pakati peAcute neChronic?
Ungave wakambonzwa nezvechimwe chinhu chinonzi "Chronic Kidney Disease" ( CKD ). Izvozvo uye "Acute Kidney Failure" zvinhu zviviri zvakasiyana.
- Kukundikana kweitsvo zvakanyanya: Izvi zvinoitika kamwe kamwe, kamwe kamwe . Kana zvikarapwa nemazvo, pane mukana wekupora zvachose .
- Chirwere Cheitsvo Chisingaperi (CKD): Ichi chirwere chinoitika zvishoma nezvishoma, kwenguva refu chinoita kuti itsvo dzishaye simba nekufamba kwenguva . Chinowanzo kukonzerwa nematambudziko enguva refu akadai sechirwere cheshuga kana BP . Kukuvara uku kunowanzogara kwenguva refu .
Chiremba wako anogona kuvimbisa zviri nyore kuti ndeipi yezvirwere zviviri izvi nekuita ultrasound scan. Kazhinji, muCKD, itsvo dzinoita sediki pakukura.
Nzira yekuziva sei matanho echirwere cheitsvo?
Pane chiyero chekushanda kweitsvo, chatinodaidza kuti `(eGFR - inofungidzirwa kuti Glomerular Filtration Rate)`. Zvichitaurwa zviri nyore, iyi ndiyo nzira iyo itsvo dzako dzinosefa ropa zvakanaka. Kukosha uku kunoshandiswa kupatsanura matanho echirwere.
| Danho rechirwere | kukosha kwe eGFR | Zvinoreva |
|---|---|---|
| Chikamu Chekutanga | 90 kana kupfuura | Itsvo dziri kushanda zvakanaka, asi panogona kunge paine zviratidzo zvekukuvadzwa kudiki. |
| Chikamu chechipiri | 60 - 89 | Kushanda kweitsvo kunoderera zvishoma. |
| Danho rechitatu | 45 - 59 | Basa radzikira kusvika padanho riri pakati nepakati kana kuti riri pakati nepakati. |
| Danho rechitatub | 30 - 44 | Kushanda kwechinhu kunenge kwakaderera zvishoma kana zvakanyanya. |
| Danho rechina | 15 - 29 | Kushanda kweitsvo kwaderera zvakanyanya. |
| Chikamu V | Vari pasi pemakore gumi nemashanu | Itsvo dzava pedyo nekukundikana zvachose (Kidney Failure). |
Zivai zviratidzo izvi!
Dzimwe nguva chirwere ichi chinogona kuitika pasina zviratidzo. Dzimwe nguva chinowanikwa netsaona panguva yekuongororwa kwechimwe chirwere. Zvisinei, kana ukava nezviratidzo, zvinogona kusanganisira:
- Huwandu hweweti hunobuda hunoderera zvikuru.
- Kuzvimba kwemakumbo, zvitsitsinho, netsoka (nekuda kwekusabata kwemvura mumuviri).
- Kunzwa kuneta zvakanyanya uye hope nguva dzose.
- Kutadza kufema zvakanaka.
- Kurutsa kana kuda kurutsa.
- Chikafu hachina kunaka.
- Ganda rinokwenya.
- Kuomerwa nekusarudza zvaunoda (Kuvhiringidzika).
- Kurwadziwa kwechipfuva kana kusimba.
- Kugwinha kwetsandanyama.
- Kurwadziwa kwemudumbu kana musana.
- Fivha, mapundu paganda, kana kubuda ropa mumhino.
Kana ukangoerekana waona chimwe chezviratidzo izvi, kunyanya kana uri kuita weti shoma, zvakakosha kuti uone chiremba kana kuenda kuchipatara cheEmergency Department (ETU) nekukasika .
Sei izvi zviri kuitika? Zvikonzero zvikuru zvitatu!
Kune mhando nhatu huru dzezvikonzero zvinokonzera kutadza kushanda kweitsvo kamwe kamwe.
1. Kusafamba zvakanaka kweropa kuenda kuitsvo
Izvi zvinogona kunge zvichikonzerwa ne:
- Kushaya mvura yakakwana mumuviri kana kutsva zvakanyanya.
- Utachiona.
- Kukundikana kwemoyo.
- Kukundikana kwechiropa.
- Mimwe mishonga inoderedza marwadzo (NSAIDs dzakadai seAspirin, Ibuprofen, Naproxen) nemimwe mishonga yekurapa BP yakakwira.
2. Kuvharika kwekuita weti
Kana nzira yacho ikavharika zvekuti weti inogadzirwa muitsvo haigone kubuda, kumanikidzwa ikoko kunogona kudzokera shure nekukuvadza itsvo.
- Matombo eitsvo.
- Kukura kweprostate muvarume.
- Kenza yedundira, muromo wechibereko, ura, kana prostate.
- Kukuvadzwa kwetsinga dziri muweti.
3. Kukuvadzwa zvakananga kweitsvo pachadzo
Zvimwe zvinhu zvinogona kukuvadza zvakananga masero eitsvo.
- Mimwe mishonga (semuenzaniso NSAIDs, mishonga yechemotherapy, mimwe mishonga inorwisa mabhakitiriya).
- Kuzvimba kwemachubhu madiki anosefa weti kubva muitsvo (Glomerulonephritis). Izvi zvinogona kukonzerwa nehutachiona kana zvirwere zve autoimmune zvakaita se lupus.
- Kuvhara ropa kana cholesterol.
Inorapwa sei?
Mashoko akanaka ndeekuti kana ikaonekwa nekukurumidza, inogona kurapwa uye kurapika. Kurapwa kunoenderana nemamiriro ako ezvinhu uye chikonzero.
- Kupinda muchipatara: Kazhinji, chirwere ichi chinoda kuti munhu apinde muchipatara kuti arapwe.
- Kurapa chikonzero:Chinhu chekutanga chekuita ndechekutsvaga chikonzero chekutadza kushanda kweitsvo uye kuchirapa. Semuenzaniso, kana chiri chekushaya mvura mumuviri, mushonga wemunyu unopihwa, kana chiri chirwere, mushonga wemishonga inorwisa mabhakitiriya unopihwa, uye kana chiri chemushonga, unomiswa.
- Kudya: Chiremba wako anogona kukuudza kuti uderedze kudya zvine munyu nepotassium yakawanda kusvika itsvo dzako dzapora. Izvi zvinodaro nekuti kubvisa izvi mutoro paitsvo dzako. Anogona kukuudza kuti uderedze zvinhu zvakaita semabhanana, sipinachi, matomatisi, maranjisi, nembatatisi asi panzvimbo pezvo idya zvekudya zvine potassium shoma senge maapuro, mazambiringa, mastrawberry, necauliflower .
- Mishonga: Mishonga inogona kupihwa kudzora huwandu hwephosphorus nepotassium muropa.
- Kuongororwa kwetsvo: Kana kukuvara kwetsvo kwakanyanya, muchina uchafanira kuita basa retsvo kusvika dzapora. Izvi zvinonzi dialysis. Izvi hazvirape itsvo, asi zvinobatsira kubvisa tsvina mumuviri uye kuchengetedza hupenyu kusvika itsvo dzapora.
Hatigoni kuzvidzivirira kubva mumamiriro ezvinhu aya here?
Ehe zvinogoneka. Kana ukaita zvinhu zvishoma zviri nyore, unogona kuderedza njodzi iyi.
1. Chenjerera nemishonga inoderedza marwadzo: Dzivisa kushandisa mishonga inoderedza marwadzo inotengwa nevatengi (NSAIDs) nguva dzose uye zvakanyanya (yakadai seIbuprofen neNaproxen). Bvunza chiremba wako usati watora chero mushonga.
2. Tevedzera mirairo yachiremba wako: Kana uine chero zvirwere zvakaita sechirwere cheshuga kana BP, zvidzore nemazvo. Shandisa mishonga yawakanyorerwa nachiremba wako nemazvo.
3. Mararamiro ane hutano: Inwa mvura yakawanda, idya chikafu chakakwana, uye kurovedza muviri. Zvinhu izvi zvinochengetedza muviri wako wese uine hutano, kwete itsvo dzako chete.
Mharidzo Yekuenda Nayo Kumba
- Kukundikana kweKidney zvakanyanya (Acute Kidney Failure) zvinoreva kurasikirwa nekushanda kweitsvo kamwe kamwe. Zvisinei, kana munhu achirapwa nekukasika, zvinogona kurapwa zvachose.
- Kana uine zviratidzo zvakaita sekudzikira kwemvura inobuda mumuviri, kuzvimba kwemakumbo, uye kuneta zvakanyanya, usapedza nguva wobva waona chiremba nekukasika.
- Kudzora zvirwere zvisingaperi zvakaita sechirwere cheshuga neBP ndiyo imwe yenzira dzakanakisisa dzekudzivirira itsvo dzako.
- Dzivisa kushandisa mishonga inoderedza marwadzo kwenguva refu usina kupiwa mazano nachiremba. Izvi zvinogona kukuvadza itsvo dzako.
Chirwere cheitsvo, kutadza kushanda zvakanaka kweitsvo, kutadza kushanda zvakanaka kweitsvo, kudzikira kwemushonga weti, eGFR, creatinine sinhala, dialysis sinhala
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