Ngubani ingcali yezifo zengqondo? Ngaba kufuneka unyamekele izintso zakho?

Ngaba wakha weva nge- 'Nephrologist '? Mhlawumbi ugqirha wakho ukuthumele kwenye. Okanye mhlawumbi ukhathazekile kancinci ngengxaki yezintso. Namhlanje, masithethe ngokuba ngubani i-nephrologist, benza ntoni, kwaye kufuneka ubabone nini.

Ngubani kanye kanye ingcali yezifo zengqondo?

Ngamafutshane, ingcali yezifo zezintso ngugqirha ogxile kwizifo zezintso kunye nonyango lwazo. Njengoko usazi, izintso emzimbeni wethu ziyinxalenye yenkqubo yethu yomchamo. Zifana nezitho ezimbini ezimile okwembotyi. Zihluza igazi lethu kwaye zisuse inkunkuma, amanzi agqithisileyo, kunye nee-electrolytes njengomchamo. Ngoko ke impilo yezi zintso ibaluleke kakhulu.

Ngubani i-Pediatric Nephrologist?

Emva koko, nabantwana abancinci banokuba neengxaki zezintso. Ingcali yezifo zezintso zabantwana ngugqirha ogxile ekunyangeni izifo zezintso kunye nonyango lwazo kubo bonke abantu, ukususela kwiintsana ezisandul’ ukuzalwa ukuya kubantwana abancinci nakubantu abadala abancinci. Bayazi nendlela ezi ngxaki ezichaphazela ngayo abantwana abancinci njengoko bekhula.

Yintoni eyenziwa yingcali yezifo zengqondo?

Kulungile, ngoku makhe sijonge ukuba yintoni kanye kanye eyenziwa yingcali yezifo zengqondo. Ngokuyintloko baxilonga baze banyange iimeko ezifana nesifo sezintso kunye nokungasebenzi kakuhle kwezintso . Ayisiyiyo loo nto kuphela, bayazi kakuhle nendlela isifo sezintso esinokuchaphazela ngayo amanye amalungu omzimba. Umzekelo:

• Izifo Ezichaphazela Umzimba: Ngamanye amaxesha inkqubo yomzimba wethu yokuzikhusela inokonakalisa izintso zethu.
• Isifo sentliziyo: Iingxaki zezintso zinokuchaphazela intliziyo, kwaye iingxaki zentliziyo zinokuchaphazela izintso. Kukho unxibelelwano oluqinileyo phakathi kwezi zimbini.
• Uxinzelelo lwegazi oluphezulu (iHypertension): Uxinzelelo lwegazi oluphezulu alulungelanga izintso, kwaye isifo sezintso sinokubangela uxinzelelo lwegazi oluphezulu.

Usebenza nzima kangakanani ukuze ube yingcali yezifo zengqondo?

Ucinga ukuba ukuba yingcali yezifo zengqondo kulula? Akunjalo konke konke! Luhambo olude noluzinikeleyo. Cinga nje ukuba bafanele bafunde ntoni:

• Okokuqala, iminyaka emine yemfundo yasekholejini.
• Emva koko kuya kufuneka ufunde kwisikolo sezonyango iminyaka emine.
• Akupheleli apho. Kufuneka baqeqeshwe iminyaka emithathu yokuhlala apho. Ngeli xesha, bafumana uqeqesho olukhethekileyo kwi-Internal Medicine okanye kwi-Pediatrics.
• Emva koko, kufuneka wenze uqeqesho olukhethekileyo lweminyaka emibini okanye emithathu kwizifo zezintso, oko kukuthi, "ubudlelane." Le yeyona nxalenye inzulu ye-nephrology.
• Abanye baqeqeshwa unyaka owongezelelweyo ukuze bagxile kwi- kidney transplant (Transplant Nephrology) okanye kungenelelo olunxulumene nezifo zezintso (Interventional Nephrology).
• Okokugqibela, eSri Lanka, ubhaliso kwiBhunga lezonyango laseSri Lanka luyimfuneko, kwaye kumazwe angaphandle, kufuneka izatifikethi ezizodwa (iSiqinisekiso seBhodi) ezivela kwiibhodi ezaziwayo kuloo mazwe.

Uyabona, hayi indlela ebaluleke ngayo le nto! Yiyo loo nto benolwazi olunzulu kangaka ngezintso.

Yintoni i-Transplant Nephrology kunye ne-Interventional Nephrology?

Ngaphambili besithetha ngoqeqesho olongezelelweyo olukhethekileyo olubizwa ngokuba yi-`( Transplant Nephrology)` kunye ne-`(Interventional Nephrology)`. Makhe sijonge ukuba ziintoni ezo.

• I-Transplant Nephrology yingcali ejongene nokufakelwa kwezintso kunye nepancreas, kunye nokhathalelo lwezigulane ezifumene olu fakelo. Oku kuthetha ukuba emva kokuba izintso zifakelwe, luxanduva lwabo ukunika iingcebiso ngamayeza afunekayo ukuze ziqhubeke zisebenza kakuhle de zibe zifakwe emzimbeni ngokufanelekileyo.
• I-Interventional Nephrology yingcali egxile ekudaleni nasekugcineni ukufikelela kwimithambo yegazi, ingakumbi kwi-dialysis (ukucocwa kwegazi). Bakwaqhuba ne-kidney biopsies, ezingamaqhekeza amancinci ezicubu ezithathwe kwizintso. Baqeqeshwe kakuhle koku:
• Ukufaka nokukhupha ii-catheter (ezi ziityhubhu ezithambileyo nezingenanto zisetyenziselwa ukufaka ulwelo emzimbeni).
• Ukubeka ii-stents (ezi ziityhubhu zeplastiki ezifakwa ngaphakathi kwemithambo yegazi ukuze zihlale zivulekile).
• Ukususa amahlwili egazi.
• IiFistulograms (oku kujonga unxibelelwano olungaqhelekanga kwizintso, oko kukuthi, i-fistula).
• Ukwenza i-biopsy yezintso.

Ziziphi iimeko eziqhelekileyo ezinyangwa yingcali yezifo zengqondo?

Zeziphi iintlobo zezifo ezinyangwa yingcali yezifo zengqondo? Nazi ezinye zezifo abadla ngokuzinyanga:

• Isifo sezintso seswekile kunye nezinye izifo zezintso ezibangelwa sisifo seswekile. Isifo seswekile lutshaba olukhulu lwezintso.
• Igazi elonyukayo.
• Ukungasebenzi kakuhle kwezintso.
• Isifo sezintso esine-Cystic.
• Amatye ezintso. Abantu abaninzi baye bakuva oku.
• Isifo Sokuqaqamba Kwesibindi.
• Isifo sezintso esikwinqanaba lokugqibela.
• Isifo seHemolytic Uremic.
• Iintsholongwane zoMchamo (UTIs).
• Usulelo lwezintso.
• I-Hyponatremia (amanqanaba aphantsi esodium emzimbeni) kunye nokunye ukungalingani kwe-electrolyte.
• Iidosi ezinobungozi ezifuna i-dialysis.
• I-Glomerulonephritis (GN): Oku kuxa iiyunithi zokucoca ezincinci kwizintso zivuvukala.

Zeziphi iimvavanyo kunye neenkqubo ezenziwa yingcali yezifo ze-nephrologist?

Zeziphi iimvavanyo kunye neenkqubo ezisetyenziswa yingcali yezifo zengqondo ukuxilonga nokunyanga izifo?

• Uvavanyo olwahlukeneyo lokufota: Olu luquka ii-X-ray, ii-CT scans, kunye nee-ultrasound. Ezi zinokunceda ukubona imilo, ubungakanani, kunye nokuba khona kweethumba ezintso.
• Uvavanyo Lokusebenza Kwezintso: Olu luvavanyo olukuxelela kakuhle ukuba izintso zakho zisebenza kakuhle kangakanani. Luquka uvavanyo lwegazi kunye novavanyo lomchamo.
• I-Dialysis: Njengoko besitshilo ngaphambili, ukuba izintso zakho azisebenzi kakuhle, umatshini we-dialysis ungakwenzela lo msebenzi. Oku kubandakanya umatshini othatha igazi lakho, ucoca inkunkuma kunye nolwelo olugqithisileyo, uze ubuyisele igazi elicociweyo emzimbeni wakho.
• I-Biopsy Yezintso: Kule meko, ugqirha wezifo zengqondo uthatha iqhekeza elincinci kakhulu lesicwili sezintso zakho aze alithumele kwilebhu. Oku kunceda kakhulu ekuxilongeni isifo sezintso.
• Ukhathalelo Lokufakelwa Kwezintso: Xa utyandwa izintso, ugqirha wokufakelwa izintso uya kubeka izintso eziphilileyo (ezivela kumntu onikelayo) kwi-pelvis yakho. Kwiimeko ezininzi, izintso zakho ezingasebenzi kakuhle ziya kuhlala emzimbeni wakho. Ingcali ye-nephrologist iya kusebenza nogqirha wakho ukukunceda ulungiselele utyando kwaye ikunike unyango olufunayo ngexesha lokuchacha kwakho.

Yintoni umahluko phakathi kweNefrologist kunye neUrologist?

Le yinto edida abantu abaninzi. Yintoni umahluko phakathi kwengcali yezifo zengqondo kunye nengcali yezifo zomchamo? Oku kudideka kuvela kuba umsebenzi wazo zombini unxulumene kancinci.

Ngamafutshane, ingcali yezifo zengqondo igxile kwiimeko ezichaphazela izintso.Ukuba unengxaki echaphazela izintso zakho okanye ukusebenza kwezintso, ugqirha ofanelekileyo kuwe yingcali yezintso.

Ingcali ye-urologist ngugqirha oxilonga aze anyange izifo ezichaphazela inkqubo yomchamo. Inkqubo yakho yomchamo ibandakanya isinyi sakho, i-urethra, i-ureters, kunye nezintso. Bakwagxile kwiimpawu, iimeko, kunye nonyango lweenkqubo zokuzala zamadoda nabasetyhini. Ukuba unengxaki ngenkqubo yakho yomchamo okanye inkqubo yokuzala, kufuneka ubone ingcali ye-urologist.

Omnye umahluko obalulekileyo kukuba oogqirha bezifo zomchamo banoqeqesho lotyando. Bangenelela kuphela kwiingxaki zezintso xa kufuneka utyando, njengomhlaza wezintso okanye amatye ezintso. Oogqirha bezifo zemithambo abenzi utyando. Banyanga izintso ngamayeza nangezinye iindlela.

Ndifanele ndidibane nini nogqirha wezifo zengqondo?

Kulungile, ngoku mhlawumbi uyazibuza, 'Ndingambona nini ugqirha wezintso?' Ukuba uneempawu zesifo sezintso, ngokuqinisekileyo kuya kufuneka ubonane nogqirha wezintso. Nazi ezinye zeempawu:

• Imbali Yebhayoloji Yesifo Sezintso: Ukuba isalamane sakho segazi sikhe saba nesifo sezintso, usengozini enkulu. Ingcali yezifo zezintso inokunceda ekuthinteleni isifo sezintso okanye isifumane kwaye isinyange kwangethuba.
• Isifo seswekile: Isifo seswekile singonakalisa izintso. Ukuba unesifo seswekile, usemngciphekweni omkhulu wokungasebenzi kakuhle kwezintso.
• Uxinzelelo Lwegazi Oluphezulu: Uxinzelelo lwegazi oluphezulu lunokonakalisa nezintso. Njengoko usazi, izintso zisebenzisa imithambo yegazi ukucoca igazi. Xa uxinzelelo lusanda, ukuguquguquka kwezi mithambo yegazi kuyancipha, nto leyo enokunciphisa inani legazi kunye neoksijini efikelela kwizintso. Oku kunokukhokelela ekungasebenzini kwezintso.
• Utshintsho ekuchameni: Ukuba ubona naluphi na utshintsho kumchamo wakho okanye kwimikhwa yokuchama, oko kungaba luphawu lwesifo sezintso. Umzekelo, kusenokufuneka uchame rhoqo, ukhuphe umchamo omncinci, umchamo wakho usenokubonakala unamagwebu, okanye umchamo wakho unokuba mnyama ngombala.
• Inkungu Yobuchopho: Oku kungaba luphawu lwesifo sezintso. Asikuko imeko yezonyango, kodwa oogqirha basebenzisa eli gama ukuchaza izinto ezifana nokucinga kancinci kunye nokuziva uphazamisekile. Ukuba uzifumana udidekile, ulibale, okanye unengxaki yokugxila, yazi loo nto.

Kwenzeka ntoni ngosuku lokuqala lokubonana nogqirha wezifo zengqondo?

Kwenzeka ntoni ngosuku lokuqala xa usiya kubona ugqirha wezintso? Nantsi into edla ngokwenzeka:

• EyakhoUkujonga zonke iirekhodi zonyango ezindala.
• Ukubuza ngeempawu zakho.
• Kuyenziwa uvavanyo lomzimba .
• Izinto ezifana novavanyo lwegazi, uvavanyo lomchamo, kunye novavanyo lwemifanekiso ziyacwangciswa.

Ulungiselela njani ukuya kugqirha wezifo zengqondo?

Kubaluleke kakhulu ukuba ulungiselele usuku lwakho lokuqala lokubonana nogqirha wezifo zengqondo. Nazi ezinye izinto onokuzenza:

• Ukuba kukho naziphi na iifomu ocelwe ukuba uzigcwalise ngaphambi kokuba ubone ugqirha, zigcwalise.
• Bhala phantsi eminye imibuzo ocinga ukuba ibaluleke kakhulu ukuyixoxa nogqirha uze uyithathe uye nayo kuluhlu lwemibuzo .
• Ukuba kukho utshintsho oluye lwenzeka kutshanje kwimpilo yakho, lukhumbule.
• Gcina irekhodi yazo zonke iimpawu zakho kwi "Symptom Dayari". Bhala phantsi izinto ezifana nomhla eziqale ngawo iimpawu, ixesha, kunye nexesha ezibe nalo.
• Yazi imbali yempilo yosapho lwakho. Olu lwazi luya kunceda ugqirha wakho ukuba afumanise ukuba unesifo.
• Nxiba impahla ekhululekileyo nekulula ukuyinxiba . Izinto ezifana neeT-shirts, iihempe, iziketi, kunye neebhulukhwe.
• Bhala uluhlu lweenkqubo oye wazenza .
• Ukuba uneziphumo zovavanyo ezivela kwabanye oogqirha, thatha iikopi zazo uhambe nazo.
• Bhala amagama kunye neenombolo zefowuni zogqirha wakho oyintloko kunye nabanye oogqirha obabona rhoqo .
• Ukuba ujonga uxinzelelo lwakho lwegazi ekhaya, hamba nesixhobo sakho sokujonga uxinzelelo lwegazi .
• Gcina uluhlu lwamayeza onke owasebenzisayo ngoku . Faka amayeza abhalwe ngugqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini kunye nezongezo.
• Hamba namakhadi akho einshorensi .
• Ukuba kunokwenzeka, yiza nomhlobo okanye ilungu losapho. Banokukubhala amanqaku, bakuncede ubuze imibuzo, bakukhumbuze oko ugqirha akuthethayo, kwaye bakuncede ucwangcise uvavanyo.
• Buza nangeentlanganiso zokulandelela .

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, ngokwezinto esizithethileyo namhlanje, ndiyathemba ukuba unombono olungileyo wokuba ngubani ugqirha wezintso, benza ntoni, kwaye kufuneka ubabone nini. Izintso zizinto ezithuleyo, kodwa zibalulekile kakhulu emzimbeni wethu. Yiyo loo nto kubaluleke kangaka ukunyamekela impilo yezintso zakho.

Ukuba unesikrokro malunga nesifo sezintso, ukuba uneempawu, okanye ukuba kukho umntu kusapho lwakho onesifo sezintso, ungathandabuzi ukufuna ingcebiso kagqirha. Ukuba kuyimfuneko, bonana nogqirha wezintso. Bakhona ukukunceda. Ukuba isifo sifunyenwe kwangethuba, kulula kakhulu ukunyanga. Ukunyamekela izintso zakho kusezandleni zakho!

Izintso , ingcali yezifo zengqondo, isifo sezintso, i-dialysis, inkqubo yomchamo, uxinzelelo lwegazi oluphezulu, isifo seswekile