Mazuva ano, tinowanzonzwa nezvechirwere cheitsvo , handiti? Asi vanhu vazhinji havazivi kuti vari panjodzi yekubatwa nechirwere cheitsvo . Dzimwe nguva, kunyangwe zviratidzo zvikaonekwa, hatizvitarisiri zvakanyanya. Nekuda kweizvi, panguva iyo vanhu vazhinji vanoenda kunoona chiremba, chirwere chacho chingave chakakomba zvishoma. Saka, zvakakosha zvikuru kutarisira hutano hweitsvo. Chiremba ane hunyanzvi anotibatsira parwendo urwu anonzi Nephrologist . Ngationei kuti Nephrologist uyu ndiani, uye kuti tinofanira kuona mumwe wavo muzviitiko zvipi.
Zvichitaurwa zviri nyore, ndiani chiremba wezvirwere zvepfungwa uyu?
Chiremba wepfungwa (anodaidzwa kuti 'nephr-ro-lo-gist') chiremba ane hunyanzvi mukuongorora nekurapa itsvo nezvimwe zvirwere zvine chekuita nadzo. Zvikuru sei, chiremba ane hunyanzvi muzvirwere zveitsvo . Dzimwe nguva basa iri rinonziwo mushonga weitsvo.
Imwe yenhengo dzinokosha mumuviri wedu iitsvo. Dzakaita semafirita maviri. Dzinosefa ropa redu uye dzinobvisa tsvina isingadiwe nemvura yakawandisa seweti . Kana maitiro aya asingashande zvakanaka, chepfu inotanga kuungana mumuviri wedu.
Kana uine zvirwere zvakaita sechirwere cheshuga, kufuta, chirwere chemwoyo, uye BP , une mukana wakakura wekuva nechirwere cheitsvo. Zvakare, munhu ane chirwere cheitsvo anogonawo kuva neBP yakakwira kana chirwere chemwoyo. Saka zvese izvi zvakabatana.
Chinhu chakanaka ndechekuti kana chirwere cheitsvo chikaonekwa nekukurumidza , kukuvara kwacho kunogona kudzorwa uye dzimwe nguva kutodzoserwa shure. Ndosaka uchida rubatsiro rwenyanzvi yezvepfungwa.
Ndeupi musiyano uripo pakati peNephrologist neUrologist?
Izvi zvinovhiringidza vanhu vazhinji. Kana uine dambudziko reitsvo, unoshamisika kana uchifanira kuenda kuna Nephrologist kana Urologist. Kunyangwe vese vachirapa matambudziko ane chekuita neitsvo, hunyanzvi hwavo hwakasiyana. Ngatinzwisisei musiyano uyu zvakajeka.
| Chiremba ane hunyanzvi | Nzvimbo huru yekutarisa |
|---|---|
| Chiremba weitsvo (nyanzvi yeitsvo) | Vanonyanya kutarisa mashandiro eitsvo nezvirwere zvinodzikanganisa. Semuenzaniso, chirwere cheitsvo chisingaperi (CKD), kutadza kushanda kweitsvo, uye BP yakakwira inokonzerwa nechirwere cheitsvo. Kuongororwa kweropa (dialysis) uye kutarisirwa mushure mekuisirwa mwana chimwe chikamu chebasa ravo. Havaiti kuvhiyiwa. |
| Chiremba wezvemukati memudumbu (urologist) | Vanonyanya kutarisana nehurongwa hwese hweweti , kureva itsvo, dundira, ureter, uye urethra. Vanotarisawo zvirwere zvenhengo dzekubereka dzevarume. Ivo vanachiremba vekuvhiya . Semuenzaniso, chiremba weurologist anoita mabasa ekuvhiya akadai sekubvisa matombo eitsvo uye kubvisa bundu muhurongwa hweweti. |
Zvichitaurwa zviri nyore, kana dambudziko rako riri rekushanda kweitsvo (semuenzaniso creatinine yakawanda muropa), chiremba weNephrologist achakubatsira. Asi kana dambudziko rako richida kuvhiyiwa (semuenzaniso matombo eitsvo), unofanira kuenda kuna chiremba weUrologist.
Unofanira kuona chiremba wepfungwa rini?
Chiremba wemhuri yako (General Practitioner) anowanzo kukutumira kuna chiremba weitsvo. Kana uine chimwe chezvikonzero zvinotevera kana zviratidzo, zvakanaka kutaura nachiremba wako woona chiremba wepfungwa.
Zvinhu zvine njodzi
- Kuva nenhoroondo yemhuri yechirwere cheitsvo: Kana amai vako, baba, kana vanun'una vako vakambova nechirwere cheitsvo, uri panjodzi huru.
- Chirwere cheshuga: Chirwere cheshuga ndicho chinokonzera kukuvara kweitsvo. Saka, munhu wese ane chirwere cheshuga anofanira kutarisira itsvo dzake.
- Kukwira Kweropa: Kukwira kweropa kunogona kukuvadza tsinga dzeropa dzakapfava dzinoendesa ropa kuitsvo.
Zviratidzo zvekuchenjerera
Kana uine chimwe kana kupfuura chezviratidzo zvinotevera, nyatsoteerera.
| Chiratidzo | Dzidza nezveizvi |
|---|---|
| Weti ine furo | Zvakajairika kuva nemapundu kana uchiita weti obva anyangarika. Zvisinei, kana ukaona mapundu madiki akawanda akafanana nesoda, chiratidzo chekuti mapuroteni akawandisa muweti (proteinuria). Ichi chinogona kuva chiratidzo chekutanga chekukuvara kweitsvo . |
| Kurwara kwemunzira yeweti kakawanda (Chronic UTIs) | Kana zvirwere zvemunzira yeweti zvikaitika kakawanda, utachiona hunogona kupararira huchienda kuitsvo, izvo zvinogona kukonzera kukuvara kweitsvo zvachose. |
| Matombo eItsvo Anoramba Achidzoka | Matombo eitsvo anogona kukuvadza itsvo uye kukonzera hutachiona. Kana chirwere ichi chikaitika kakawanda, zvakakosha kutarisa chikonzero chacho. |
| Kuzvimba | Kana itsvo dzisisakwanise kubvisa mvura yakawandisa nemunyu, makumbo, zvitsitsinho, maoko, kana kumeso zvinotanga kuzvimba. Kuzvimba kwakatenderedza maziso, kunyanya mangwanani, chiratidzo chinowanzoitika. |
| Ganda rinokwenya uye kurwadziwa kwemapfupa/majoini | Kana itsvo dzikatadza kushanda zvakanaka, calcium nephosphorus muropa zvinokanganiswa. Izvi zvinogona kukonzera kuvaviwa kwakanyanya uye kurwadziwa kwemapfupa. Chirwere ichi chinonzi Renal Bone Disease. |
| Zvimwe zvinhu | Zviratidzo zvechirwere cheitsvo zvinosanganisira kuneta nguva nenguva, kushaya mweya, kushaya chido chekudya, kuda kurutsa, uye ropa muweti. |
Zvakakosha here kuona chiremba wepfungwa panguva yekutanga kwechirwere cheitsvo?
Ehe, zvechokwadi. Chirwere cheitsvo chakakamurwa kuita zvikamu zvishanu. Muchikamu chekutanga 1-3, itsvo dzichiri kugona kusefa ropa. Kana ukaona chiremba wezvemapfupa panguva ino, anogona kukupa mishonga yekudzivirira chirwere kuti chisanyanya kuipa uye kuchengetedza mashandiro eitsvo kwenguva yakareba sezvinobvira. Pachikamu chechina-chishanu, mashandiro eitsvo anogona kuderedzwa zvakanyanya kana kutomira zvachose. Panguva iyoyo, ungangoda kufunga nezve dialysis kana kuisirwa itsvo.
Yeuka, usamirira kusvika wava nezviratidzo. Kana uine zvinhu zvinokuvadza, enda kuna chiremba wako nguva nenguva kuti itsvo dzako dziongororwe.
Nyanzvi yezvepfungwa inyanzvi ine ruzivo rwepamusoro-soro uye kudzidziswa mune izvi. Mushure mekupedza chikoro chekurapa, vanowana makore ekudzidziswa muInternal Medicine, vachizotevera Fellowship in Nephrology. Saka, vanogona kupa mazano akanakisa uye kurapwa kwehutano hweitsvo dzako.
Mharidzo Yekuenda Nayo Kumba
- Nyanzvi yezvirwere zveitsvo (nephrologist) inyanzvi yekuongorora nekurapa zvirwere zveitsvo.
- Kana uine chirwere cheshuga, BP, kana kuti une nhoroondo yemhuri yechirwere cheitsvo, uri panjodziwo.
- Usafuratira zviratidzo zvakaita seweti ine furo, kuzvimba kwemuviri, kuneta nguva nenguva, uye ganda rinokwenya.
- Kana uchida kugadzirisa dambudziko reitsvo uchishandisa mishonga usingavhiyiwi, enda kuna Nephrologist. Kana uchida kuvhiyiwa, enda kuna Urologist.
- Kana muine zviratidzo, tangai maona chiremba wemhuri yenyu. Achakutumirai kuna chiremba wepfungwa kana zvichidikanwa.
- Kana chirwere cheitsvo chikaonekwa nekukurumidza, mikana yekuwana mhedzisiro yakanaka yekurapwa inowedzera.
Chiremba wepfungwa, itsvo, chirwere cheitsvo, chirwere cheitsvo, chiremba weuropathy, kutadza kweitsvo, dialysis, nyanzvi yeitsvo
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga