Ingaba izintso zakho ziphilile? Masithethe ngovavanyo lweBlood Urea Nitrogen (BUN)!

Xa usiya kugqirha, usenokuva umntu esithi, "Masenze uvavanyo lwe-BUN." Usenokuba uzibuza, "Yintoni le BUN?" Ungakhathazeki, luvavanyo lwegazi olulula kakhulu. Injongo ephambili yolu vavanyo kukubona ukuba izintso zakho zisebenza kakuhle kangakanani. Ngoko ke, masithethe ngale nto ngokweenkcukacha ezithe vetshe, akunjalo?

Yintoni i-Blood Urea Nitrogen (BUN)?

Ngamafutshane, iBlood Urea Nitrogen , esiyibiza ngokuba yiBUN ngamafutshane, ilinganisa ubungakanani be-urea nitrogen egazini lethu. Kulungile, ngoku ubuza, "Yintoni le urea nitrogen?"

Emva kokuba iproteni ekutyeni esikutyayo ityiwe, kwakheka inkunkuma ebizwa ngokuba yi-urea nitrogen . Le nkunkuma iyenzeka esibindini sethu. Emva koko idlula egazini iye kwizintso. Izintso zisebenza njengesihluzo, zisusa le urea nitrogen engafunekiyo egazini kwaye ziyikhuphe emchameni.

Ngoko ke, ngokujonga ukuba ingakanani i-urea nitrogen egazini lakho, ugqirha wakho unokufumana umbono wokuba izintso zakho zisebenza kakuhle kangakanani. Kuqhelekile ukuba ne-urea nitrogen egazini lakho. Nangona kunjalo, ukuba iphezulu kakhulu, oko kuthetha ukuba izintso zakho azisusi ngokufanelekileyo le nkunkuma, kwaye kunokubakho into engalunganga ngezintso zakho.

Kutheni oogqirha becebisa olu vavanyo lwe-BUN?

Kukho izizathu ezahlukeneyo zokuba ugqirha angakucela ukuba wenze uvavanyo lwe-BUN.

• Njengenxalenye yovavanyo lwempilo oluqhelekileyo: Ngamanye amaxesha, uvavanyo lwe-BUN lwenziwa ngexesha lovavanyo lwakho lwempilo lonyaka, okanye njengenxalenye yoluhlu lovavanyo lwegazi, olufana neComprehensive Metabolic Panel (CMP) okanye iBasic Metabolic Panel (BMP). Oku kunokukunika umbono ngokubanzi ngempilo yakho iyonke.
• Ukuba usemngciphekweni wesifo sezintso: Ukuba usemngciphekweni omkhulu wesifo sezintso, ugqirha wakho unokucebisa olu vavanyo. Isifo sezintso sidla ngokuba neempawu ezimbalwa kwizigaba zokuqala. Nangona kunjalo, ukuba unayo nayiphi na kwezi zilandelayo, umngcipheko wakho uphezulu:
• Ukuba kukho umntu kusapho okhe waba nesifo sezintso.
• Ukuba unesifo seswekile.
• Ukuba une-high blood pressure (i-Hypertension).
• Ukuba unesifo sentliziyo.
• Ukuba uneempawu zesifo sezintso: Ukuba uneempawu ezibonisa ukuba isifo sezintso siqhubele phambili, kungcono ukuba wenze uvavanyo lwe-BUN. Iimpawu zingabandakanya:
• Ukufuna ukuchama rhoqo kunesiqhelo.
• Umchamo unombala ofana negwebu.
• Igazi liyadlula nomchamo.
• Ndiziva ndidiniwe kakhulu.
• Ndiphelelwa ngumdla wokutya.
• Ingakumbi izandla, iinyawo, namaqatha ziyadumba.

Lithini ixabiso eliqhelekileyo le-BUN?

Amaxabiso e-BUN aqhelekileyo ayahluka ngokuxhomekeke kwiminyaka yakho kunye nesini sakho.Ngoko ke, ngugqirha wakho kuphela onokukuxelela ngokuqinisekileyo ukuba inqanaba lakho le-BUN liqhelekile okanye akunjalo. Amanqanaba e-BUN kubantwana abancinci nakwiintsana adla ngokuba phantsi kunakwabantu abadala.

Lithini inqanaba le-BUN elibonisa ukungasebenzi kakuhle kwezintso?

Oogqirha abafumanisi ukusilela kwezintso ngokusekelwe kwi-BUN yodwa. Nangona kunjalo, ukuba i-BUN yakho iphezulu kakhulu kunesiqhelo, kwaye enye inkunkuma egazini ebizwa ngokuba yi-creatinine nayo iphezulu, ngoko usenokuba nokusilela kwezintso.

Kuthetha ukuthini ukuba nenqanaba eliphezulu le-BUN?

Inqanaba eliphezulu le-BUN lidla ngokuthetha ukuba izintso zakho azisebenzi kakuhle . Nangona kunjalo, nabantu abanezintso eziphilileyo banokuba namanqanaba aphezulu e-BUN ngamanye amaxesha. Nazi ezinye zezinto ezinokubangela oku:

• Ukutya okuneproteni eninzi: Ukuba utya ukutya okuninzi okuneproteni eninzi njengenyama, intlanzi, namaqanda, amanqanaba akho e-BUN anokunyuka.
• Ukuphelelwa ngamanzi emzimbeni: Xa umzimba ungaseli manzi aneleyo.
• Ukwaluphala: Amanqanaba e-BUN anokunyuka kancinci njengoko ukhula.
• Amayeza athile: Umzekelo, amanye amayeza anje nge-`(Carbamazepine)`, `(Methotrexate)`, kunye ne-`(Tetracycline)` anokunyusa amanqanaba e-BUN. Kubalulekile ukwazisa ugqirha wakho ngamayeza owasebenzisayo.
• Ukutsha: Umntu otsha kakhulu unokuba nenqanaba eliphezulu le-BUN.
• Ukuvaleka komchamo: Ukuba kukho ukuvaleka komchamo okuthintela ukuphuma kakuhle komchamo.
• Uxinzelelo: Uxinzelelo olugqithisileyo ngamanye amaxesha lunokuba nefuthe.
• Ukuhlaselwa yintliziyo.
• Ukopha kwamathumbu.

Kuthetha ukuthini ukuba nenqanaba eliphantsi le-BUN?

Amanqanaba aphantsi e-BUN aqhelekanga , kodwa kukho izizathu ezininzi ezinokwenzeka:

• Ukutya okungenaproteni eninzi: Ukuba ubungakanani beproteni ekutyeni okutyayo buphantsi kakhulu.
• Ukuba ungumntu omncinci.
• Ukusela amanzi amaninzi: Ukuba usela amanzi amaninzi kunalawo umzimba wakho uwadingayo.
• Isifo sesibindi: Ukuba unesifo sesibindi.

Ndingenza ntoni ngaphambi kovavanyo lwe-BUN?

Ngaphambi kokuba wenze uvavanyo lwe-BUN, kufuneka uxelele ugqirha wakho ukuba unengxaki yokopha okanye ukuba uthatha amayeza okunciphisa igazi . Ngamanye amaxesha ugqirha wakho unokucebisa ezinye iimvavanyo zegazi kunye novavanyo lwe-BUN. Kwezinye iimvavanyo zegazi, kuya kufuneka uzile ukutya (ungatyi okanye usele) iiyure ezisi-8 ukuya kwezili-12.Kusenokuba yimfuneko. Ngoko ke, buza ugqirha wakho ukuba kufuneka uzile ukutya ngaphambi kovavanyo lwe-BUN okanye naluphi na olunye uvavanyo lwegazi.

Uvavanyo lwe-BUN lwenziwa njani?

Amanqanaba e-BUN alinganiswa ngovavanyo lwegazi olulula kakhulu.

• Ugqirha okanye umongikazi uza kucoca indawo apho kukho umthambo engalweni yakho ngokuwusula nge-iodine, i-isopropyl alcohol, okanye esinye isicoci.
• Emva koko, kusetyenziswa inaliti encinci (encinci kancinci kunepali yecici), igazi elincinci litsalwa emthanjeni osengalweni yakho lize lifakwe kwiibhotile ezincinci.
• Usenokuziva intlungu encinci, ngokungathi ulunywe yimbovane yomchamo . Usenokuziva utyumkile kancinci apho igazi litsalwe khona. Kodwa loo mpawu yenaliti iya kuphola ngokukhawuleza.
• Emva koko, isampuli yegazi lakho ithunyelwa kwilebhu ukuze ivavanywe. Kungathatha iintsuku ezimbini ukuya kwezintathu ukuba ingxelo ifike.

Kwenzeka ntoni emva kovavanyo lwe-BUN?

Nje ukuba ilebhu igqibe ukuvavanya isampuli yegazi lakho, ugqirha wakho uza kukufowunela ukuze achaze iziphumo zengxelo yovavanyo aze aphendule nayiphi na imibuzo onokuba nayo. Ukuba ugqirha wakho ukrokrela ukuba unesifo sezintso, unokuyalela ezinye iimvavanyo ezimbalwa. Ezona ziphambili zezi:

• Uvavanyo lwe-Serum Creatinine: Olu vavanyo lujonga ukuba imveliso yenkunkuma ebizwa ngokuba yi-creatinine iqokelelene na egazini.
• Isantya sokuhluza seGlomerular esiQikelelweyo (eGFR): Eli linani elibalwa ngugqirha wakho ngokusekelwe kubungakanani be-creatinine egazini lakho. Linika umbono wokuba izintso zakho zihlambulula igazi lakho kakuhle kangakanani. Eli zinga lokuhluza libalwa ngokusekelwe kumanqanaba eeproteni zakho, ubudala, isini, ubungakanani bomzimba, kunye nohlanga.

Indlela yokunciphisa amanqanaba aphezulu e-BUN?

Endaweni yokuthi ngqo "amanqanaba aphantsi e-BUN," oogqirha bazama ukufumana unobangela wamanqanaba aphezulu e-BUN baze banyange loo ngxaki . Nangona kunjalo, enye yezona ndlela zilula zokunceda ukwehlisa amanqanaba e-BUN kukutshintsha indlela otya ngayo.

Ngaphandle kokuba unesifo sezintso okanye usebenzisa i-kidney dialysis, kubalulekile ukusela ulwelo oluninzi . Ukuba i-serum creatinine yakho iqhelekile kodwa i-BUN yakho iphezulu, oku kudla ngokubonisa ukuphelelwa ngamanzi emzimbeni.

• Ngokomndilili, indoda kufuneka isele malunga neeglasi ezili-13 zamanzi (malunga neelitha ezi-3) ngosuku.
• Ibhinqa lifanele lisele malunga neeglasi ezili-9 zamanzi (malunga neelitha eziyi-2.2) ngosuku.

Kwakhona, ukutya ukutya okuneproteni ephantsi kunokunceda ukunciphisa amanqanaba e-BUN. Ukutya okunempilo nokungenaproteni ephantsi kuquka:

• Iinkozo: i-oats, irayisi, isonka, ii-noodles, ipasta.
• Iziqhamo: ii-apile, amaqunube, iibhanana.
• Imifuno: Imifuno eluhlaza, itshili, ibroccoli.
• Amafutha asempilweni:Iiavokhado, amantongomane, ioyile yekhokhonathi.

Zeziphi izinto ekungafanele uzitye ukuba inqanaba lakho le-BUN liphezulu?

Ukuba i-BUN yakho iphezulu, kungcono ukunciphisa okanye ukuyeka ukutya okuneproteni eninzi . Imizekelo yokutya okuneproteni eninzi ibandakanya:

• Inyama: inyama yenkomo, inkukhu, ingulube, isalmon.
• Ukutya kobisi: ubisi, itshizi, iyogathi.

Uninzi lwabantu lufanele lutye phakathi kwama-40 nama-60 eegram zeproteni ngosuku. Nangona kunjalo, ukuba i-BUN yakho iphezulu, kunokufuneka unciphise ukutya kwakho iiproteni ukuya kuthi ga kwisiqingatha sale mali. Kungcono ukubonisana nogqirha wakho okanye ingcali yesondlo malunga noku.

Ngaba kukho amayeza okunyanga amaxabiso angaqhelekanga e-BUN?

Oogqirha abadli ngokunika amayeza athile okulungisa amanqanaba e-BUN . Banyanga imeko ebangela amanqanaba e-BUN angaqhelekanga.

Ufuna ukuphinda umbone ugqirha kwakhona nini?

Ukuba sele kudlule iintsuku ezimbalwa ukususela oko wavavanywa i-BUN kwaye awukafumani lwazi kugqirha wakho malunga nengxelo, kulungile ukuba umfowunele ubuze ngayo.

Yeyiphi imibuzo omele uyibuze ugqirha?

Emva kokuba wenze uvavanyo lwe-BUN, ungabuza ugqirha wakho imibuzo efana nale:

• "Gqirha, ithetha ukuthini ingxelo yam yovavanyo?"
• "Ngaba kukho enye into ofuna ukuyivavanya?"
• "Ndingenza ntoni ukuze ndihlise i-BUN yam?"
• "Ngaba kukho isifo esibangela ukuba inqanaba lam le-BUN lingaqhelekanga?"

Khumbula, i-urea nitrogen yimveliso elahliweyo eveliswa sisibindi sethu kwiproteni esiyityayo. Ngamanye amaxesha, ubungakanani be-urea nitrogen egazini bunokuba phezulu kakhulu okanye bube sezantsi kakhulu. Oku kunokubangela iingxaki zempilo. Ukuba uneempawu ze-urea nitrogen ephezulu okanye ephantsi egazini, kungcono ukuthetha nogqirha. Emva koko angenza uvavanyo lwe-BUN ukuze abone ukuba izintso zakho zisebenza njani aze akunike unyango olufunekayo.

Okokugqibela, yintoni ekufuneka uyikhumbule

Kulungile, ngoko ke ngokwento esithethe ngayo namhlanje, bekufanele ukuba uqonde ukuba luyintoni uvavanyo lweBlood Urea Nitrogen (BUN) , kutheni lwenziwa, kwaye lunokukuxelela ntoni.

Kufuphi:

• Uvavanyo lwe-BUN lujonga ukuba izintso zakho zisebenza kakuhle kangakanani na .
• I-urea nitrogen yimveliso engcolileyo eveliswa yiproteni oyityayo.
• Kunokubakho izizathu ezahlukeneyo zokuba amanqanaba e-BUN anokunyuka okanye ehle . Akunyanzelekanga ukuba kube yingxaki yezintso rhoqo.
• Ukuba unemibuzo malunga namanqanaba akho e-BUN okanye impilo yezintso, ungathandabuzi ukuthetha nogqirha wakho . Uza kukuchazela yonke into ngokweenkcukacha.

Ukunyamekela impilo yakho kubaluleke kakhulu, ngoko ke kungcono ukuba uqaphele ezi mvavanyo!

I - nitrogen ye-urea egazini, uvavanyo lwe-BUN, umsebenzi wezintso, isifo sezintso, i-creatinine, iproteni, uvavanyo lwempilo, uvavanyo lwegazi