Ngaba nawe awukwazi ukuchama? Ingaba le yimeko eyingozi? Masifunde nge (Anuria).

Ngamanye amaxesha sivakalelwa kukuba, 'Andiselanga manzi aneleyo namhlanje, yiyo loo nto ndikhuphe umchamo omncinci.' Kodwa ngaba wakha waba nosuku okanye iiyure ezimbalwa apho ungakhange uchame konke konke, nokuba usele amanzi angakanani na? Okanye ngaba umlinganiselo owuphulukileyo ubuncinci kangangokuba awunakuwucinga? Oku akuqhelekanga. Namhlanje siza kuthetha ngesi sifo sibi esibizwa ngokuba yi-Anuria . Le yingxamiseko, ngoko ke kubaluleke kakhulu ukwazi ukuba wenze ntoni ngayo.

Ngamafutshane, yintoni i-Anuria?

I-Anuria kuxa izintso zakho ziyeka ukuvelisa umchamo ngokupheleleyo. Okanye, uyeka ukuphuma komchamo ngenxa yokuvaleka kwenye indawo kwinkqubo yakho yomchamo. Olu lolona hlobo lubi kakhulu lwemeko ebizwa ngokuba yi-Oliguria . I-Oliguria kuxa ubungakanani bomchamo owuvelisayo buphantsi ngendlela engaqhelekanga.

Ubungakanani bomchamo esiwukhuphayo buthetha lukhulu ngempilo yethu. Izintso zomntu omdala osempilweni zihlala zivelisa ngaphezulu kweemililitha ezingama-500 (500 ml) zomchamo ngosuku. Oko kufana nobungakanani bebhotile. Ebantwaneni, eli nani liyahluka ngokuxhomekeke kwiminyaka kunye nobukhulu bomzimba.

Nangona kunjalo, umntu omdala one-anuria ukhupha umchamo omncinci kakhulu ngosuku, phakathi kwe-0 kunye ne-100 milliliters .

Ziziphi iimpawu ze-anuria?

Uphawu olucacileyo lwale meko kukungabikho okanye ukuphuma komchamo kancinci. Nangona kunjalo, usenokuba nezinye iimpawu ezinxulumene nesifo esibangela i-anuria.

Umzekelo, ukuba i-anuria ibangelwa zizifo ezifana nesifo sezintso, isifo sesibindi, okanye isifo sentliziyo, ezi mpawu zilandelayo zinokubakho.

Izifo ezifana nesifo seswekile nazo zingonakalisa izintso. Ngoko ke, ukuba awufumani mchamo uneleyo kwaye unezinye iimpawu ezikhankanyiweyo apha ngasentla, yiya kwigumbi likaxakeka lesibhedlele (ETU) ngokukhawuleza.

Yintoni ebangela i-anuria?

Kukho iindidi ezintathu eziphambili zezizathu ze-anuria. Masizijonge nganye nganye.

1. Ukungafumani igazi okanye ulwelo olwaneleyo kwizintso: Ukuze zisebenze kakuhle, izintso zifuna igazi elifanelekileyo. Ukuba olu nikezelo luyancipha, imveliso yomchamo iyayeka.

2. Ukuphazamiseka kwenkqubo yokucoca igazi ngezintso: Nangona izintso zifumana igazi, ngesizathu esithile inkqubo yokucoca elo gazi nokwenza umchamo inokuphazamiseka.

3. Ukuvaleka kwendlela yomchamo emva kokuba umchamo wenziwe: Nangona umchamo wenziwe zizintso, ukuba kukho ukuvaleka kwenye indawo endleleni umchamo ohamba ngayo uye esinyini uze uphume, umchamo awuyi kukhululwa.

Le theyibhile ingezantsi inemizekelo ethile enxulumene nezi ndidi zezizathu.

Ingaba le meko imbi kangakanani? Ngaba kukho naziphi na iingxaki?

Ewe, i-Anuria yimeko embi kakhulu nebeka ubomi esichengeni . Izintso zisusa inkunkuma kunye nolwelo olongezelelweyo emzimbeni wethu. Xa izintso zingasebenzi, le nkunkuma kunye nolwelo ziyaqokelelana emzimbeni. Oku kunokukhokelela ekufeni.

Ukuba ayinyangwa, i-anuria inokubangela umonakalo osisigxina kwizintso, nto leyo ekhokelela ekubeni ingaphumeleli ngokupheleleyo.

Ingakanani inciphayo indlela izintso ezisebenza ngayo ngaphambi kokuba umntu afe?

Oogqirha balinganisa ukusebenza kwezintso ngovavanyo olubizwa ngokuba yi-eGFR (estimated Glomerular Filtration Rate) . Xa amandla ezintso okucoca inkunkuma ehla, sibiza ngokuba yiChronic Kidney Disease (CKD).

Kukho amanqanaba ama-5 e-CKD.

• Inqanaba loku-1: i-eGFR ingama-90 nangaphezulu. Izintso zisebenza kakuhle, kodwa kunokubakho umonakalo othile.
• Inqanaba lesi-5: I-eGFR ingaphantsi kwe-15. Oku kuthetha ukuba izintso zisondele kakhulu ekusileleni ngokupheleleyo, okanye sele zingasebenzi.

Ukuba ufikelela kwinqanaba lesi-5, ubomi bakho busenokungasindiswa ngaphandle kokuba udlule kwi-dialysis okanye ukufakelwa izintso.

Uyifumana njani le nto, Gqirha?

Xa ubona ugqirha, uza kukubuza imibuzo embalwa malunga nembali yakho yezonyango kunye neempawu zakho.

• "Usele ntoni namhlanje? Usele malini?"
• "Ugqibele nini ukuchama?"
• "Ingaba uziva ngathi uchama kancinci kunesiqhelo?"
• "Wakha wanengxaki yokuchama ngolu hlobo ngaphambili?"
• "Ingaba imilenze neenyawo zakho zidumbile?"
• "Ngaba ukhe walibona igazi kumchamo wakho (iHematuria)?"
• "Ingaba uzive udiniwe kakhulu kutshanje?"

Ukongeza kule mibuzo, ugqirha unokuyalela iimvavanyo ezahlukeneyo ukuqinisekisa imeko ye-anuria kunye nokujonga impilo yezintso.

Zithini iimvavanyo?

Iphathwa njani i-Anuria?

Indlela yonyango ixhomekeke kwisizathu se-anuria.

• Ukuba unobangela yingxamiseko efana nokuhlaselwa yintliziyo, i-sepsis, okanye i-shock, eyona nto iphambili koogqirha kukuyinyanga loo meko.
• Ukuba unesifo sezintso esibi kakhulu, ungadinga i-dialysis okanye ukufakelwa izintso ukuze ucoce igazi lakho.
• Ukuba kukho ukuvaleka kwendlela yomchamo, ugqirha uza kufaka i-catheter ukuze akhuphe umchamo ngokukhawuleza kwisinyi. Umzekelo, i-catheter ye-Foley okanye i-catheter ye-suprapubic . Ngamanye amaxesha, izixhobo ezibizwa ngokuba yi -ureteral stents zingasetyenziswa ukugcina imibhobho ethwala umchamo ukusuka kwizintso ukuya kwisinyi ivulekile.
• Ukuba le meko ibangelwa kukuphelelwa ngamanzi emzimbeni, umzimba uphinda umanziswe ngamanzi ngokuwunika amanzi okusela okanye ngokuwunika i-saline (i-intravenous - IV fluids) ngomthambo.

Ngaba i-Anuria ingathintelwa? Ufanele uye nini kugqirha?

Ukuba unesifo esinganyangekiyo esinokubangela i-anuria, esifana nesifo seswekile okanye isifo sentliziyo, kubalulekile ukulandela imiyalelo kagqirha wakho ukuze ulawule imeko yakho. Le miyalelo ingabandakanya:

• Oko kutya nokusela, kunye nokuba kungakanani na.
• Ukurekhoda ubunzima bomzimba yonke imihla.
• Ukuchonga iimpawu zokudumba okanye ukugcinwa kwamanzi emzimbeni.
• Ukuthatha amayeza anikwe ngugqirha ngexesha elifanelekileyo.

Kwakhona, kwiimeko apho ukuphelelwa ngamanzi emzimbeni kunokwenzeka, njengokuhlanza okanye urhudo, kubaluleke kakhulu ukusela ulwelo olwaneleyo .

Ufanele uye nini kugqirha?

Ukuba unesifo sezintso okanye sentliziyo kwaye uqaphela ukuba uchama kancinci kunesiqhelo, ingakumbi ukuba usela ulwelo oluninzi, fowunela ugqirha wakho ngoko nangoko. Kwakhona, qaphela naluphi na utshintsho kumbala womchamo wakho (umz., umbala omnyama).