Singathetha nge-Acute Tubular Necrosis, echaphazela izintso?

Izintso zezinye zezitho ezibalulekileyo emzimbeni wethu. Njengesihluzo, umsebenzi ophambili wezintso kukucoca igazi lethu nokususa izinto ezingafunekiyo njengomchamo. Kodwa ngamanye amaxesha ezi zintso zinokonakala. I-Acute Tubular Necrosis (ATN) yimeko echaphazela izintso kwaye inokuba yingozi kakhulu. Makhe sithethe ngale nto ngokulula namhlanje.

Yintoni i-Acute Tubular Necrosis?

Ngamafutshane, i-Acute Tubular Necrosis kuxa izintso zethu zonakele ngenxa yokungafumani ioksijini eyaneleyo kunye nokuhamba kwegazi. Ngaphakathi kwezintso zethu, kukho izakhiwo ezincinci ezifana neetyhubhu, esizibiza ngokuba ziityhubhu . Njengesihluzo, ezi tyhubhu zezona zihluza imveliso yenkunkuma kunye nolwelo olongezelelweyo emzimbeni wethu kwaye zikhuphe njengomchamo. Ngoko ke, kule meko ibizwa ngokuba yi-ATN, zezo tyhubhu zonakeleyo.

Khawucinge nje, ukuba izinto ezincinci zesihluzo kwisihluzo samanzi ziyavaleka okanye zaphukile, amanzi awayi kucocwa ngokufanelekileyo, akunjalo? Kunjalo ke ngale nto. Xa ezi tubules zonakele, izintso azisebenzi kakuhle. Emva koko, ii-electrolytes (oko kukuthi, iityuwa ezifana ne-sodium kunye ne-potassium) kunye nolwelo emzimbeni wethu ziqala ukuqokelelana emzimbeni endaweni yokuphuma. Ezi ngamanye amaxesha zinokunyuka ziye kumanqanaba ayingozi. Oku kunokukhokelela nasekungasebenzini kwezintso ngokukhawuleza , imeko apho izintso ziyeka ukusebenza ngequbuliso.

Kutheni le meko isenzeka?

Kulungile, ngoku unombuzo wokuba kutheni le meko ibizwa ngokuba yi-ATN isenzeka. Kunokubakho izizathu ezahlukeneyo.

Izizathu eziphambili:

Ezona zinto zixhaphakileyo ziziganeko apho umlinganiselo weoksijini ofikelela kwizintso uncipha.

• Ukuba unesifo sentliziyo , umlinganiselo wegazi oya kwizintso unokuncipha kuba intliziyo ayimpompi igazi ngokufanelekileyo.
• Kunjalo ke nakwimeko efana nestroke . Ngeli xesha, ukuhamba kwegazi ukuya ebuchotsheni nasezintsoni kunokuphazamiseka.

Kwiimeko ezinjalo, iiseli ezikwizintso azifumani ioksijini eziyidingayo kwaye ziqala ukufa. Yiyo loo ndlela iityhubhu ezikhankanyiweyo ngaphambili ezonakala ngayo.

Ngenxa yeekhemikhali:

Ezinye iikhemikhali zingonakalisa ezi tubules.

• Umzekelo, idayi yomahluko esetyenziswa kwezinye iimvavanyo ze-X-ray . Mhlawumbi ukhe wayibona into yokuba ngamanye amaxesha bayakunika inaliti ngaphambi kokuba wenze into efana ne-CT scan? Izinto ezinjalo.
• Amanye amayeza okubulala iintlungu .
• Amanye amayeza okubulala iintsholongwane , ingakumbi ukuba asetyenziswa gwenxa ngaphandle kwengcebiso kagqirha.
• Ezinye iikhemikhali ezinobungoziIintlobo zezilwanyana nazo zingabangela oku.

Yiyo loo nto oogqirha beqwalasela imeko yezintso zakho ngaphambi kokuba bakunike amayeza okanye benze naluphi na uvavanyo.

Ngubani osengozini enkulu yokuphuhlisa oku?

Nangona nabani na enokuba nale meko, abanye abantu basengozini enkulu kancinci.

• Abantu abaye banciphisa okanye bavala ngokupheleleyo ukuhamba kwegazi ukuya kwizintso, umzekelo, ngenxa yokuqhekeka kwegazi .
• Kwabo bebenoxinzelelo lwegazi oluphantsi kakhulu ixesha elide, okanye abo bebesoyika kakhulu .
• Ukuba kulahleke igazi elininzi ngexesha lotyando olukhulu, okanye ukuba kulahleke igazi elininzi emzimbeni ngenxa yokwenzakala okukhulu (ukwenzakala) .
• Ukonakala okukhulu kwemisipha . Ngamanye amaxesha kunokuba kubi njengengozi enkulu.
• Le ngozi ikwaphezulu nakubantu abanesifo sesibindi .

Ukuba uneemeko ezinje, kubaluleke kakhulu ukuba uzikhathalele ngakumbi izintso zakho.

Zithini iimpawu zoku?

Iimpawu ze-ATN zisenokungabonakali ngoko nangoko, kodwa zinokukhula kancinci zibe:

• Ukuphuma komchamo okunciphileyo: Uza kubona ukuba inani lomchamo owukhuphayo ngosuku liye lehla.
• Ukudumba kunye nokugcinwa kolwelo: Iindawo ezifana nemilenze, iingalo, kunye nobuso zinokudumba ngenxa yokuqokelelana kolwelo oluninzi emzimbeni.
• Isicaphucaphu nokuhlanza: Ukulahlekelwa ngumdla wokutya kunye nokuziva ngathi uhlanza kunokwenzeka.
• Ingxaki yokuvuka/ukozela: Usenokuziva udiniwe, ulele ngalo lonke ixesha.
• Ukuziva udiniwe: Ukuziva udiniwe, ungenamdla wokwenza nantoni na.
• Ukudideka: Ubunzima bokugxila, unokuziva uphazamisekile kancinci.

Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, ingakumbi ukuba uchama kancinci, bona ugqirha ngokukhawuleza, kuba oku kungaba yingxaki yezintso.

Uyifumana njani le nto?

Ukuba uneempawu ezichazwe apha ngasentla, kwaye ugqirha wakho ukrokrela ukuba une-ATN, banokwenza uvavanyo oluninzi ukuqinisekisa oko.

Zithini iimvavanyo?

• Uvavanyo lwegazi: Oku kujonga ikakhulu ubungakanani benkunkuma egazini lakho.
• Inqanaba le -Urea Nitrogen (BUN) egazini .
• Inqanaba le-creatinine .
• Kwakhona, amanqanaba e-electrolyte , ngakumbi amanqanaba e-potassium kwi-plasma .

Ukuba ezi zinto zikhona egazini xa zininzi, oko kuthetha ukuba izintso azisebenzi kakuhle.

• Uvavanyo lomchamo: Isampulu yomchamo wakho iyathathwa ize ihlolwe phantsi kwe-microscope ( uvavanyo lomchamo wakho nge-microscope ). Oku kunokukunika umbono othile ngomonakalo owenzeka kwizintso zakho.

• I-Biopsy Yezintso: Kwezinye iimeko, ingakumbi ukuba ukuxilongwa akuqinisekanga, kuthathwa iqhekeza elincinci lesicwili esiphuma kwizintso ukuze sihlolwe. Oku kubizwa ngokuba yi -biopsy .

I-ATN idla ngokuchongwa yingcali yezifo zezintso , ugqirha ogxile kwizifo zezintso. Uza kujonga iimpawu zakho kunye neziphumo zovavanyo ukuze abone ukuba kwenzeka ntoni kanye kanye.

Iphathwa njani le nto?

Xa unyanga i-ATN, eyona nto ibalulekileyo kunyango lwesizathu esiyintloko . Oko kukuthi, ukuba kungenxa yokuhlaselwa yintliziyo, yinyange, ukuba kungenxa yoxinzelelo lwegazi oluphantsi, okanye ukuba kungenxa yeyeza, yeka ukulisebenzisa elo yeza.

Unyango olusisiseko kunye notshintsho kwindlela yokuphila:

• Ukuvumela izintso ukuba ziphilise: Kwiimeko ezininzi, izintso zinokuziphilisa ngokwazo ukuya kwinqanaba elithile, kodwa kuthatha ixesha elithile.
• Ukutya: Ngeli xesha, ugqirha wakho uza kukuxelela ukuba ulandele imiqathango ethile yokutya.
• Ukunciphisa ulwelo: Kuya kufuneka unciphise umlinganiselo wamanzi, iti, ikofu, kunye nesuphu oyiselayo.
• Nciphisa i-sodium (ityuwa): Nciphisa ubuninzi betyuwa oyongezayo ekutyeni kwakho.
• Uthintelo lwePotassium: Nciphisa ukutya okutyebileyo kwi-potassium (iibhanana, iiorenji, imifuno ethile).

Oku kwenzelwa ukuthintela ezi zinto ukuba zingaqokeleleki ngokungeyomfuneko emzimbeni de izintso ziphiliswe.

• Amayeza:
• I-Diuretics: Amayeza okunyusa ukuphuma komchamo. La mayeza anceda ekususeni ulwelo olugqithisileyo emzimbeni.
• Amayeza okulawula i-potassium: Amayeza anokunikwa ukulawula amanqanaba e-potassium egazini.

Ngaba kuya kufuneka i-dialysis?

Abanye abantu banokufuna i-dialysis de izintso zabo zibe ngcono. I-Dialysis ngumatshini ococa igazi eliphuma kwizintso ngokungekho mthethweni. Oku kusenokuba kokwexeshana kwaye kunokumiswa xa izintso zibuyele esiqhelweni.

Ngaba oku kungathintelwa?

Nangona i-ATN ingenakuthintelwa ngokupheleleyo, kukho izinto esinokuzenza ukunciphisa amathuba okuba yenzeke.

• Ukugcina izintso zakho zinomoya-mpilo ofanelekileyo kwaye zijikeleza kakuhle: Le yeyona nto ibalulekileyo. Oko kuthetha ukulawula izinto ezifana noxinzelelo lwegazi kunye nesifo sentliziyo.
• Ukuba uvavanywa ngedayi yokwahlulahlula: Sela amanzi amaninzi ngaphambi nasemva kovavanyo olunjalo. Oku kunceda ukuba idayi ikhutshwe ngokukhawuleza kwizintso zakho.
• Ngaphambi kokuba utofelwe igazi: Qinisekisa ukuba uhlobo lwegazi lakho luyahambelana .
• Ukulawula izifo ezinokwenzakalisa izintso:
• Igazi elonyukayo
• Iswekile yemellitus
• Isifo sesibindi
• Isifo sentliziyo

Ukuba unayo nayiphi na kwezi zifo, zilawule kakuhle ngokweengcebiso zonyango.

• Lumka ngeentlungu: Kuphephe ukusebenzisa iintlungu ezithengiswa ngaphandle kwemvume kagqirha, ezifana ne -ibuprofen kunye ne -naproxen sodium , rhoqo ngaphandle kwengcebiso kagqirha. Oku kubaluleke kakhulu ukuba sele uneengxaki zezintso.

Kuza kuthatha ixesha elingakanani ukuze umntu aphile kule meko?

I-acute tubular necrosis inokuhlala ukusuka kwiintsuku ezimbalwa ukuya kwiiveki ezininzi.

• Kumntu osempilweni ngokubanzi, le meko inokuguqulwa , oko kuthetha ukuba izintso ziqala ukusebenza kakuhle kwakhona.
• Nangona kunjalo, kumntu onezinye iingxaki zempilo, ezifana nesifo seswekile okanye isifo sentliziyo, ixesha lokuchacha linokuba lide. Ngamanye amaxesha, izintso zisenokungachacha ngokupheleleyo, nto leyo eshiya ubuthathaka obuthile.

Yiyo loo nto kubaluleke kakhulu ukuqaphela iimpawu kunye nokufuna unyango kwangethuba. Oku kuya kunciphisa umonakalo kwizintso kwaye kwandise amathuba okuchacha ngokukhawuleza.

Umyalezo Wokuya Ekhaya

Kulungile, ngoko ke ndiyathemba ukuba ngoku unembono entle malunga ne-Acute Tubular Necrosis esithethe ngayo namhlanje.

• I-ATN yimeko apho iityhubhu kwizintso zonakele ngenxa yokunqongophala kwegazi kunye neoksijini kwizintso.
• Ukuhlaselwa yintliziyo, isifo sohlangothi, amayeza athile, kunye neekhemikhali zinokubangela oku.
• Iimpawu zingabandakanya ukuncipha komchamo, ukudumba, isicaphucaphu, kunye nokozela.
• Oku kubonwa ngovavanyo lwegazi nomchamo.
• Unyango luquka ukunyanga unobangela oyintloko, ukulawula ukutya, kunye nokwenza i-dialysis ukuba kuyimfuneko.
• Ukuphila ubomi obulungele izintso kunye nokulawula izifo ezingapheliyo kunokunceda ekuthinteleni oku.

Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza ukuba ubona into engaqhelekanga ngezintso zakho (ingakumbi ukwehla kokuphuma komchamo). Ngale ndlela, ungayinyanga ngaphambi kokuba ibe yingxaki enkulu.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho. Hlala usempilweni!

Izintso , i-acute tubular necrosis, isifo sezintso, ukungasebenzi kakuhle kwezintso, uxinzelelo lwegazi, ioksijini, i-dialysis, umchamo