Ibali elingasemva kwezintso: (iRenal Cortex) ngumzimba wethu!

Namhlanje siza kuthetha ngezintso, ilungu elibaluleke kakhulu emzimbeni wethu. Ngokukodwa, inxalenye engaphandle yezintso, i-renal cortex . Oku kusenokuvakala ngathi ligama nje, kodwa yindawo emangalisayo emzimbeni wethu eyenza umsebenzi omninzi ngokuthula. Ngoko ke, masifunde ngale nto ngokweenkcukacha ezithe vetshe, ngokungathi sithetha nomhlobo, akunjalo?

Yintoni iRenal Cortex? Iphi?

Ngamafutshane, igama elithi "Cortex" lidla ngokuthetha umaleko ongaphandle okanye isigqubuthelo sesitho emzimbeni wethu. Ngoko ke, i-Renal Cortex yinxalenye engaphandle yezintso zethu. Abanye abantu bayibiza ngokuba yi "Kidney Cortex". Le "Renal Cortex" ijikeleze inxalenye engaphakathi yezintso, i-medulla . Ifana neqokobhe. Kodwa, le "Renal Cortex" ayikho nje apho, ikwagqunywe yi-membrane ekhuselayo, i-tissue eqinileyo ebizwa ngokuba yi "Renal Capsule". Cinga ngayo njengolusu lwetswele, ezi zenziwe ngamaleko aliqela.

Ngoku, kule `(Renal Cortex)`, iiyunithi zokucoca igazi eziyimfuneko emzimbeni wethu, oko kukuthi, i` (Nephrons)`, ziyaqala. Akunakwenzeka, kukho malunga nesigidi `(Nephrons)` esifana nale kwintso enye! Ayimangalisi na? Iyunithi yokucoca ephambili kule `(Nephron)` yiglomerulus . Le `(Glomerulus)` iqhagamshelwe kwitshaneli `(Tubule). Kukule channel apho inkunkuma isuswa khona kwaye izinto ezifunekayo emzimbeni zifunxwa zibuyele emzimbeni. Ngaphakathi kwi`(Renal Cortex)`, ezi channel zijijekile kancinci, zijijekile, kwaye `(Zidityanisiwe). Nangona kunjalo, kwi`(Medulla), eyinxalenye engaphakathi yentso, ezi channel zithe tye kancinci.

Makhe sijonge apho izintso zethu zikhoyo. Zifumaneka esifubeni sethu, ngaphantsi nje kwembambo, ngasemva kwesisu. Ngokwesiqhelo, izintso esinye sifumaneka kwicala ngalinye lomqolo. Ngokuchanekileyo, phakathi kwamathumbu kunye ne-diaphragm. Kwizintso nganye, kuqala inxalenye efana netyhubhu ebizwa ngokuba yi- ureter , edibanisa nesinye.

Umbala wale `(Renal Cortex)` ubomvu ngombala omdaka . Le yinxalenye engaphandle yezintso. Igubungela i`(Medulla)`, eyinxalenye engaphakathi yezintso. Ngaphakathi kwi`(Medulla)`, kukho iziqwenga ezincinci ezizinxantathu, ezibizwa ngokuba ziiphiramidi zezintso . I`(Renal Cortex)` igubungela ezi `(Renal Pyramids)` njengesiciko.

Kwenzeka ntoni ngokwenene kwi-Renal Cortex? Yintoni umsebenzi wezintso?

Njengenxalenye yendlela yakho yomchamo, i-renal cortex ibandakanyeka ngokuthe ngqo ekusebenzeni kwezintso zakho. Izintso azilolungu nje elisusa inkunkuma. Zenza okungaphezulu koko. Jonga:

• Ilawula ii-electrolytes kunye nokulinganisela kwamanzi: Inceda ukugcina amanqanaba etyuwa namanzi afanelekileyo emzimbeni.
• Ilawula uxinzelelo lwegazi lwakho kunye nobungakanani bolwelo olungaphandle kweeseli zakho (ulwelo olungaphandle kweeseli).
• Inceda ekuvelisweni kweeseli ezibomvu zegazi.
• Igcina ibhalansi ye-acid-base yomzimba.
• Inegalelo ekuvelisweni kwevithamini D.
• Ilawula ibhalansi ye-calcium kunye ne-phosphate.
• Ikwanceda ekuvelisweni kweglucose (Glucogenesis): Nangona uninzi lweglucose (iswekile) esiyidingayo iveliswa sisibindi, enye iveliswa nazizintso.

Khawucinge nje ukuba kuninzi kangakanani okwenzekayo ngaphakathi kweli candelo lincinci le-cortex! Kuyamangalisa ngokwenene, akunjalo?

Ziziphi izifo eziqhelekileyo ezinokuchaphazela i-Renal Cortex?

Ngelishwa, kukho izifo ezahlukeneyo ezichaphazela izintso. Ezinye zezi zinokuchaphazela ne-`(Renal Cortex)`.

• Isifo Sezintso Esingapheliyo (CKD): Oku kukulahlekelwa kancinci kancinci kokusebenza kwezintso. Kudla ngokubangelwa sisifo seswekile okanye uxinzelelo lwegazi oluphezulu.
• Umhlaza Wezintso: I-Renal Cell Carcinoma lolona hlobo luqhelekileyo lomhlaza wezintso.
• Ukusilela Kwezintso / Ukusilela Kwezintso: Oku kungenzeka ngequbuliso 'Okubukhali' okanye kungaba yinto engapheliyo ngokuhamba kwexesha. Isifo Sezintso Esikwinqanaba Lokugqibela yimeko apho izintso zingasasebenzi kakuhle. Emva koko kufuneka i-Dialysis.
• Usulelo lwezintso (iPyelonephritis): Olu hlobo losulelo lunokwenzeka xa iintsholongwane, ezifana neentsholongwane, zihamba zingena kwi-ureters yakho zize zingene kwizintso zakho. Ezi mpawu zibonakala ngequbuliso. Oogqirha baya kunika amayeza okubulala iintsholongwane oku.
• Amatye Ezintso: Iikristale zinokwakheka kumchamo wakho kwaye zithintele ukuhamba komchamo. Ngamanye amaxesha la matye anokudlula ngokwawo. Okanye kukho unyango lokuwaqhekeza okanye ukuwasusa.
• IiCysts zeNtso/iiCysts zeNtso: IiCysts ezifana ne-sac ezizaliswe lulwelo zinokukhula kwizintso. Ezi cysts zingonakalisa nezintso. Oogqirha baya kuzisusa ezi ukuba kuyimfuneko.
• Isifo sezintso esinePolycystic (PKD): Esi sisifo esibangelwa lufuzo. Kule meko, ii-cysts ezininzi zikhula kwizintso. I-PKD inokubangela uxinzelelo lwegazi oluphezulu kunye nokungasebenzi kakuhle kwezintso. Abantu abane-PKD kufuneka bahlale bephantsi kweliso likagqirha rhoqo.

Ezinye iimeko ezinzulu ngakumbi

Ukongeza koku, kukho nezinye izifo ezininzi ezinxulumene nezintso, ezinye zazo eziyingozi kakhulu.

• I-Acidosis:Xa izintso zingasebenzi kakuhle, i-asidi egazini inokunyuka. Oku kunokubangela iingxaki ezininzi zempilo. Ukuba ayinyangwa, inokuba yingozi ebomini.
• I-Acute okanye i-Chronic Interstitial Nephritis: Oku kubangela ukuba izintso zidumbe, nto leyo enokubangela ukuba izintso zingaphumeleli.
• Isifo seswekile okanye i-Hypertensive Nephropathy: Uxinzelelo lwegazi oluphezulu kunye nesifo seswekile esingalawulekiyo zonakalisa izintso. Oku kukwabizwa ngokuba yi-`(Nephropathy)`.
• Izifo zeGlomerular: Ezi zifo zinokubangela ukuba i-glomeruli yakho idumbe okanye yonakale, nto leyo enokubangela ukuba izintso zingasebenzi kakuhle.
• Isifo Sotshintsho Oluncinci: Esi sisifo sezintso. Kule meko, iiglomeruli zonakele kwaye inani elikhulu leeprotheyini liphuma kumchamo.
• I-Proteinuria kunye ne-Nephrotic Syndrome: I-Proteinuria ithetha ukuba umchamo wakho une-protein ephezulu. Oku kungaba luphawu lomonakalo wezintso. Ukuba umchamo wakho une-protein eninzi, ingaba luphawu lwe-Nephrotic Syndrome. Oku kwenzeka xa izintso ezonakeleyo zivuza iiproteni ezininzi egazini lakho zingena kumchamo wakho.
• I-Uremia: Iityhefu ezimele zisuswe zizintso zize zikhutshwe emchameni endaweni yoko ziqokelelana egazini. I-Uremia inokuba yingozi ebomini ukuba ayinyangwa.

Ziziphi iimpawu eziqhelekileyo zesifo sezintso?

Iingxaki ezininzi zezintso azibonisi zimpawu kwasekuqaleni. Yiyo loo nto iyingozi kakhulu. Njengoko umonakalo wezintso uqhubeka, unokuqala ukufumana izinto ezifana nezi:

• Ukuqaqamba kwemisipha: Ukuqaqamba kwemisipha kunokwenzeka ngenxa yokungalingani kwe-electrolyte emzimbeni. Oku kudla ngokuba yimbangela yokuqaqamba kwemisipha. Nangona kunjalo, kunokuchaphazela naliphi na iqela lemisipha.
• Umchamo omnyama okanye umchamo onegazi : Xa izihluzo ezikwizintso zonakele, iiseli ezibomvu zegazi zinokuvuza zingene emchameni. Oku kubizwa ngokuba yi-'Hematuria''.
• Umchamo onegwebu: Ukuba kukho amaqamza kumchamo, oko kuthetha ukuba kukho iproteni eninzi kakhulu.
• Ulusu olukrwada nolomileyo: Ukungalingani kweeminerali kunye nezondlo egazini kunokubangela ukuba ulusu lukrwada nolome.
• Ukuchama rhoqo: Ezinye iingxaki zokucoca inkunkuma zinokubangela ukuba ufune ukuchama rhoqo.
• Amehlo avuvukileyo okanye amaqatha neenyawo ezivuvukileyo: Xa ukusebenza kwezintso kuncipha, umzimba uqala ukugcina iiproteni kunye nesodium. Oku kubangela ukudumba, okanye ukudumba.
• Iingxaki zokulala, ukudinwa kunye nokungabi namdla wokutya: Ukuba iityhefu ziqokelelana egazini, ubuthongo bakho, umdla wokutya kunye namandla akho anokuncipha.

Ungayijonga njani impilo ye (Renal Cortex)?

Oogqirha basebenzisa iimvavanyo ezininzi ukulinganisa ukusebenza kwezintso nokuxilonga iingxaki zezintso. Ugqirha wakho unokucebisa iimvavanyo ezifana nezi:

• Uvavanyo lwemifanekiso: Umzekelo, ii-X-ray, ii-CT scans, ii-MRIs, ii-ultrasounds, okanye imifanekiso yamayeza enyukliya. Ezi zinokubonisa ukungaqheleki okanye ukuvaleka kwezintso. Umzekelo, zinokulinganisa ubukhulu be-renal cortex. Ukuba i-cortex incinci, oko kuthetha ukuba izintso zonakele.
• Uvavanyo lwegazi: Olu vavanyo lunokujonga ukuba iiglomeruli zakho zicoca igazi kakuhle kangakanani na.
• I-Biopsy Yezintso: Kule nkqubo, ugqirha uthatha isampuli encinci yezicubu zezintso aze azihlole phantsi kwe-microscope.
• I-Ureteroscopy: Kule nkqubo, ugqirha udlulisa ityhubhu (i-endoscope) kwi-urethra yakho ukuze ajonge iingxaki ngaphakathi kwesinyi sakho nakwi-ureters.
• Uhlalutyo lomchamo: Olu vavanyo lulinganisa izinto ezithile kumchamo, ezifana neproteni negazi, ukuze kufunyanwe naziphi na iingxaki ezinokuthi zibonise imeko yempilo okanye usulelo.
• Uvavanyo Lokusebenza Kwezintso / Uvavanyo Lokusebenza Kwezintso: Olu vavanyo lubonisa indlela ezisebenza kakuhle ngayo izintso zakho. Uvavanyo olunye lwegazi lubizwa ngokuba yi-`(Creatinine).` Olu vavanyo lunokuvavanya ukusebenza kwezintso kwaye lubone indlela izintso zakho ezisusa ngayo inkunkuma egazini lakho ngempumelelo.

Ziziphi iindlela zonyango zezifo ezinxulumene ne-Renal Cortex?

Unyango lwezifo ezichaphazela izintso zakho kunye ne-renal cortex luxhomekeke kwimeko onayo. Umzekelo, ukuba unentsholongwane, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane.

Ukuba kukho into ekufuneka isuswe, njengelitye lezintso, ithumba, okanye umhlaza, kunokufuneka wenze utyando okanye utyando.

Ndingazigcina njani izintso zam ziphilile? Kubaluleke kakhulu!

Kubalulekile ukuba uhlolwe rhoqo ngugqirha ukuze ujonge impilo yezintso zakho. Oku kubaluleke kakhulu ukuba uneengxaki zempilo ezifana noxinzelelo lwegazi oluphezulu, ukutyeba kakhulu, kunye nesifo seswekile. Unganciphisa umngcipheko wakho wokuba neengxaki zezintso ngokuthi:

• Kuphephe okanye uyeke ukutshaya. Ngaba oku kufanelekile ukukuthetha?
• Nciphisa ukutya ityuwa eninzi. Oku kunokuchaphazela ibhalansi yeeminerali egazini lakho.
• Sela amanzi amaninzi. Oku kunceda izintso zikhuphe iityhefu.
• Yandisa umthambo wemihla ngemihla. Oku kunokunceda ekunciphiseni uxinzelelo lwegazi oluphezulu.
• Nciphisa ukusetyenziswa kwamayeza angengowe-steroidal anti-inflammatory (NSAIDs). Ukusela kakhulu la mayeza kungonakalisa izintso zakho.
• Gcina ubunzima bakho busempilweni.
• Jonga uxinzelelo lwakho lwegazi rhoqo. Oku kuya kukunceda ukhawuleze uchonge nawaphi na amanqanaba aphezulu kunokuba bekulindelwe.
• Lumka amanqanaba eswekile egazini lakho kwaye ugcine isifo sakho seswekile silawulwa.

Yintoni umahluko phakathi kwe (Renal Cortex) kunye ne (Renal Medulla)?

Izintso zenziwe ngezicubu ezixineneyo. Oku kubizwa ngokuba yi-renal parenchyma . Ziqulathe iinxalenye ezimbini ezibizwa ngokuba yi-cortex kunye ne-medulla. Njengoko besitshilo ngaphambili, i-renal cortex yinxalenye engaphandle yezintso, kwaye i-medulla yinxalenye engaphakathi.

I-`(Renal Cortex)` ithambile kancinci. I-`(Medulla)` ithambile.

Nangona zombini ezi ndawo zineetyhubhu, i-cortex ineeglomeruli, iityhubhu ezidityanisiweyo, kunye nemithambo yegazi. Yiyo loo nto inembonakalo yegranular. Iityhubhu kwi-medulla zithe tye kancinci kwaye zibizwa ngokuba ziityhubhu eziqokelelayo (kuba ziqokelela umchamo). I-medulla ikwanazo neeluphu zeHenle, okanye iindawo ezibunjwe ngo-U zeetyhubhu eziqokelelayo.

Ufanele uye nini kugqirha malunga neengxaki zezintso?

Ukuba ucinga ukuba unengxaki yezintso, kuya kufuneka ubone ugqirha. Usenokubona iimpawu ezifana nezi:

• Utshintsho kumchamo wakho (njengegazi kumchamo wakho okanye umbala omnyama) okanye utshintsho kwimikhwa yakho yokuchama (njengokufuna ukuya kwindlu yangasese rhoqo okanye ukuba nentlungu xa uchama).
• Ulusu olomileyo okanye olurhawuzelelayo.
• Ukudinwa kakhulu.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Ukushukuma kwemisipha.
• Ukulahlekelwa ngumdla wokutya okanye incasa yesinyithi ekutyeni.
• Intlungu yesisu okanye ukuhlanza.
• Ukudumba, ingakumbi emaqatheni okanye ezandleni.

Ukuba uneemeko ezithile, ugqirha wakho unokuyalela uvavanyo oluqhelekileyo lokusebenza kwezintso:

• Ukuba kukho umntu kusapho onesifo sezintso.
• Isifo seswekile.
• Isifo sentliziyo.
• Igazi elonyukayo.
• Ukutyeba kakhulu okanye ukutyeba kakhulu.
• Ukuba uthatha amayeza athile rhoqo (umz., amayeza oxinzelelo lwegazi).

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, ukuba ufuna ukunyamekela izintso zakho, kufuneka uqale ukhathalele impilo yakho iyonke kuqala. Oko kuthetha ukubaLawula uxinzelelo lwakho lwegazi kunye namanqanaba eswekile egazini, sela amanzi amaninzi, yitya kakuhle. Kwakhona , lala ngokwaneleyo kwaye uzilolonge. Ukuba ubona naluphi na utshintsho kwindlela ochama ngayo okanye nayiphi na intlungu, thetha nogqirha wakho ngayo kwaye nisebenzisane ukuze nifumane isisombululo. Khumbula, izintso zethu zisebenza buthule, ngoko ke kufuneka sizinyamekele kakuhle!

Izintso , i-cortex yezintso, i-nephron, isifo sezintso, umsebenzi wezintso, inkqubo yomchamo, impilo yezintso