Chiremba akakuudza here kuti une dambudziko reitsvo kana kushaya simba? Kana kuti wakambonzwa here kuti mumwe munhu waunoziva ane chirwere cheitsvo? Zvakajairika kunzwa kutya uye kunetseka zvishoma paunonzwa mashoko aya. Asi kana tichiziva izvi, kutya ikoko kunogona kuderedzwa zvakanyanya. Saka nhasi, ngatitaurei nezvechirwere ichi cheitsvo chinogara kwenguva refu, kureva kuti, Chronic Kidney Disease (CKD), kuti matanho acho akasiyana ndeapi, uye zvatinofanira kuita padanho rega rega.
Renal function (eGFR)
Measure kidney function based on creatinine value
Sei chirwere cheitsvo (CKD) chakakamurwa kuita zvikamu?
Zvichitaurwa zviri nyore, CKD chirwere chinodzikira zvishoma nezvishoma nekufamba kwenguva. Izvi hazviitike kamwe chete. Ndosaka vanachiremba vachiisa chirwere ichi muzvikamu 1 kusvika 5 kuti vanzwisise kuoma kwacho.
Funga nezvazvo semasitepisi. Kana uri pamusoro pemasitepisi, itsvo dzako dzinoshanda zvakanaka. Paunenge uchidzika, mashandiro adzo anoderera.
- Matanho ekutanga (matanho 1-3): Munguva iyi, itsvo dzako dzichiri kushanda zvakanaka kana kuti padanho rakajairika . Kazhinji, hapana zviratidzo zvikuru zvinoonekwa padanho iri.
- Matanho ekunonoka (matanho 4-5): Padanho iri, mashandiro eitsvo adzikira zvakanyanya. Padanho rekupedzisira, itsvo dzinogona kunge dzisisina kushanda zvakanaka zvachose.
Asi izvi hazvirevi kuti chirwere cheitsvo chemunhu wese chichaenderera mberi kusvika padanho rechishanu. Nekurapwa kwakakodzera uye shanduko dzemararamiro, vanhu vazhinji vanogona kudzora chirwere ichi padanho rayo razvino uye kunonotsa kufambira mberi kwacho kwenguva yakareba.
Matanho aya anoonekwa sei? Chii chinonzi GFR?
Zvakanaka, ngationei kuti chiremba angaziva sei kuti uri padanho ripi chaizvo. Izvi zvinonyanya kutsanangurwa nekutarisa "kusvika kwehuwandu hweitsvo" dzako.
Itsvo mbiri dziri mumuviri wedu dzakaita semafirita maviri emvura. Basa guru reitsvo nderekusefa nekuchenesa tsvina isingadiwe, mvura yakawandisa nemunyu kubva muropa uye kuiburitsa seweti. Kune mamiriyoni emayuniti madiki mukati meitsvo anoita izvi zvekusefa. Tinoadaidza kuti (nephrons). Sefa huru mune imwe neimwe yemanephrons aya inonzi (glomerulus).
Kuyerwa kwekucheneswa kweropa rako nekukurumidza kuburikidza nemafirita aya kunonzi Glomerular Filtration Rate , kana kuti GFR .
Kana itsvo dzikakuvara, chiyero ichi chekupfapfaidza (GFR) chinoderera. Nekuti zvakaoma kuyera GFR iyi zvakananga, vanachiremba vanoyera huwandu hwetsvina inonzi creatinine'' muropa rako vozoishandisa kuverenga GFR yako vachishandisa equation yakakosha, senge zera rako uye murume kana mukadzi. Tinodaidza izvi kuti estimated GFR , kana kuti eGFR.Uku ndiko kukosha kunoratidzwa se eGFR mumushumo weropa rako.
Pamusoro pezvo, bvunzo yeweti inoitirwa kutarisa kana paine mapuroteni (albumin) muweti. Dzimwe nguva, kunyangwe eGFR iri yakajairika, mapuroteni ari muweti anogona kuva chiratidzo chekutanga chekukuvara kweitsvo.
Clinical vitamins and nutritional supplements
Clinically proven high quality vitamins, minerals and immune nutritional supplements.
Check Availability →Matanho eCKD uye zvazvinoreva
Iyi ndiyo eGFR value inoshandiswa kupatsanura matanho mashanu eCKD. Unogona kuinzwisisa zviri nyore nekutarisa tafura iyi.
| Danho | Kukosha kwe eGFR (mL/min) | Mamiriro eitsvo |
|---|---|---|
| Chikamu chekutanga | 90 kana kupfuura | Itsvo hadzina kukuvara zvakanyanya, asi mwero wekusefa wakajairika. |
| Chikamu chechipiri | 60 - 89 | Itsvo dzinokuvadzwa zvishoma uye mwero wekusefa unodzikira zvishoma. |
| Chikamu 3a | 45 - 59 | Itsvo dzinokuvara zvishoma uye mwero wekusefa wakaderera zvakanyanya. |
| Chikamu 3b | 30 - 44 | Kukuvara kuri pakati nepakati kweitsvo uye kuwedzera kudzikira kwekusefa. |
| Danho rechina | 15 - 29 | Itsvo dzakuvara zvakanyanya. Kusefa kwacho kwakaderera zvikuru. |
| Danho rechishanu | Vari pasi pemakore gumi nemashanu | Kutadza kushanda kweitsvo. Panguva iyi, dialysis kana kuti kuisirwa itsvo zvinodiwa. |
Ndezvipi zviratidzo zvinogona kuonekwa padanho rega rega?
Chimwe chezvinhu zvinoshamisa zveCKD ndechekuti zviratidzo zvinosiyana zvichienderana nedanho.
Danho 1 nerechipiri
Mukutanga uku, vanhu vazhinji havaratidzi zviratidzo nekuti itsvo dzavo dzichiri kushanda zvakanaka. Zvinowanzoonekwa netsaona kana ropa kana weti yaongororwa chimwe chirwere, kana kana BP yaongororwa. Asi vamwe vanhu vanogona kuona zvinhu zvakaita seizvi:
- Kuzvimba kwemaoko, tsoka, kana zvitsitsinho
- Kutapukirwa kwezvirwere zvemunzira yeweti kakawanda
- Weti ine furo
Madanho 3a ne3b
Sezvo mashandiro eitsvo achiderera zvakanyanya, muviri unowana nguva yakaoma yekuzvijaira. Apa ndipo panotanga vanhu vazhinji kuona zviratidzo.
- Kuzvimba kwemakumbo netsoka
- Kuderedza huremu uye kurasikirwa nechido chekudya
- Kunzwa kuneta uye kusaziva hupenyu
- Kurwadziwa kwetsandanyama
- Kuoma kufema
- Kushaya hope
- Ganda rinokwenya
- Kuda kuita weti kakawanda, kunyanya husiku
- Weti ine furo kana kuti yakasviba
Matanho 4 ne5
Panguva iyi, itsvo hadzisisiri kushanda zvakanaka, uye tsvina inobva mumuviri inotanga kuungana muropa. Izvi zvinogona kukonzera matambudziko akakomba. Kuwedzera kune zviratidzo zvataurwa pamusoro apa, zvinotevera zvinogonawo kuitika:
- Kuomerwa nekuisa pfungwa pachinhu chimwe chete
- Musoro
- Kurwadziwa kwedumbu rezasi
- Kurira kwemaoko nemakumbo
- Kusvotwa nekurutsa
- Kurega kuita weti kwakadzikira kana kuti kwapera zvachose
- Mweya unonhuwa
- Kuchinja ruvara rweganda (kusviba kana kuti kuchena)
Ndeipi mishonga yekurapa chirwere cheitsvo?
Hapana mushonga weCKD parizvino. Zvisinei, kurapwa kunogona kudzora zviratidzo uye kunonotsa kufambira mberi kwechirwere. Nzira dzekurapa dzinosiyana zvichienderana nedanho rechirwere.
Kurapa kwedanho 1 nerechipiri
Chinangwa chikuru panguva ino ndechekudzivirira kukuvara kweitsvo. Chiremba wako anogona kukurudzira zvinotevera:
- Kana ukasvuta, rega ipapo ipapo.
- Kudya chikafu chine hutano, chine munyu mushoma nemafuta mashoma.
- Kurovedza muviri nguva dzose.
- Kudzora huremu hwemuviri.
- Kana uine chirwere cheshuga, dzora huwandu hweshuga muropa rako zvakanaka.
- Kana uine BP yakakwira, idzore.
Kurapa kwematanho 3a ne3b
Padanho iri, pamwe chete nekuchinja mararamiro, mishonga inogonawo kudiwa kudzora chirwere ichi.
- Mishonga yeBP yakakwira: Kunyangwe usina BP yakakwira, mimwe mishonga inogona kuderedza kukuvara kweitsvo dzako.
- Mishonga inoderedza cholesterol.
- Mishonga yechirwere cheshuga: Mimwe mishonga, kunyanya SGLT2 inhibitors, inopiwa kuchengetedza itsvo kunyangwe kune vanhu vasina chirwere cheshuga.
- Mishonga inobvisa munyu nemunyu: Inobatsira kubvisa munyu wakawandisa mumuviri.
- Mimwe mishonga: Mapiritsi esimbi kana mamwe mavhitamini ekuchengetedza mapfupa akasimba uye kudzivirira kupererwa neropa.
Kurapa kwematanho 4 ne5
Kana itsvo dzava kuda kushanda, mishonga chete haichakwani kuchengetedza hutano hwemuviri. Sarudzo mbiri huru dzekurapa panguva ino ndeidzi:
- Dialysis: Muchina unobvisa ropa kubva muitsvo dzako.
- Kuisirwa itsvo: Kuisirwa itsvo ine hutano mumuviri nekuvhiyiwa.
Mishonga yese iyi inosarudzwa nachiremba wako mushure mekuongororwa kwakazara kwehutano hwako. Saka , zvakakosha zvikuru kukurukura nezvayo nachiremba wako nguva dzose uye kutevedzera mazano avo.
Mharidzo Yekuenda Nayo Kumba
- CKD chirwere chinopedza simba reitsvo zvishoma nezvishoma nekufamba kwenguva.
- Chirwere ichi chakakamurwa kuita zvikamu 1 kusvika 5 zvichienderana nekuoma kwacho, uye chiyero chinonzi eGFR chinoshandiswa pakuita izvi.
- Pakutanga, kazhinji hapana zviratidzo zvinoonekwa. Saka, kana uine zvinhu zvine njodzi zvakaita sechirwere cheshuga kana BP, zvakakosha kuti ugare uchiongororwa nachiremba.
- Kunyange hazvo CKD isingarapike zvachose, kuipa kwechirwere ichi kunogona kudzorwa nekurapwa kwakakodzera uye kuchinja mararamiro.
- Gara uchitaurirana nachiremba wako pachena nezvemamiriro ako ezvinhu, danho rako, uye kurapwa kwako.
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