Xa ufumana uvavanyo lwegazi, ngaba wakha walibona ixabiso elibizwa ngokuba yi-'BUN' kwingxelo? Ugqirha wakho usenokuba ukuchazele oku. Nangona kunokubonakala kunzima kubantu abaninzi, eneneni luvavanyo oluqhelekileyo olukuxelela ulwazi oluninzi olubalulekileyo malunga nempilo yezintso zethu. Ngoko ke, ungoyiki. Namhlanje, masithethe ngokuba yintoni kanye le BUN, kutheni yenziwa, kunye nokuba ixabiso layo lithini.
Ithetha ukuthini iBUN nje?
Kulungile, masiqale kwasekuqaleni. Eli gama elithi BUN limele iBlood Urea Nitrogen . NgesiSinhala, lithetha ubungakanani be-urea nitrogen egazini.
Ngoku khawucinge nje ukuba imizimba yethu ifana nomzi-mveliso omkhulu. Izondlo esizityayo nesiziselayo, ingakumbi iiproteni (umzekelo, inyama, intlanzi, amaqanda, ubisi), ziguqulwa zibe ngamandla kunye nezinto ezifunekayo ukuze umzimba ukhule kule mzi-mveliso. Xa le nkqubo isenzeka, kwakheka imveliso yenkunkuma. Loo nkunkuma ibizwa ngokuba yi-urea nitrogen .
Ezi mveliso zenkunkuma ziqala ziveliswe esibindini sethu. Emva koko, zongezwa egazini zize zihambe emzimbeni wonke. Ngelixa zihamba ngolu hlobo, eli gazi lidlula kwizintso zethu. Izintso zifana nezihluzo ezibini ezilungileyo emzimbeni wethu. Umsebenzi wazo ophambili kukucoca nokwahlula ezi mveliso zenkunkuma ezingafunekiyo egazini size sizisuse emzimbeni ngomchamo.
Ngoko ke, into eyenziwa lolu vavanyo lwe-BUN kukulinganisa ukuba ingakanani i-urea nitrogen eseleyo egazini lakho ngaphambi kokuba ihluzwe zizintso.
Ngamafutshane, i-BUN sisixa se-urea nitrogen egazini lakho. Oku kunokukunika umbono obalulekileyo wokuba izintso zakho zisebenza kakuhle kangakanani.
Kutheni oogqirha becebisa olu vavanyo lwe-BUN?
Kukho izizathu ezahlukeneyo zokuba ugqirha angakucela ukuba wenze uvavanyo lwe-BUN.
- Njengenxalenye yokuhlolwa kwempilo rhoqo: Eli xabiso le-BUN lidla ngokulinganiswa njengenxalenye yokubala igazi elipheleleyo, okwenziwa rhoqo ngonyaka okanye rhoqo. Oku kudla ngokubandakanywa kwiphakheji yovavanyo ebizwa ngokuba yiComprehensive Metabolic Panel (CMP) okanye iBasic Metabolic Panel (BMP) .
- Ukuba urhanela ukuba unesifo sezintso: Ukuba usemngciphekweni wokuba nesifo sezintso, ugqirha wakho unokuyalela olu vavanyo. Ekubeni isifo sezintso sidla ngokungabi nazimpawu kwasekuqaleni, sinokunceda ekuchongeni abantu abaneempawu ezinobungozi kwangethuba.
Zeziphi izinto ezibangela umngcipheko wesifo sezintso?
- Ukuba kukho umntu kusapho lwakho (umama, utata, abantakwenu noodadewabo) onesifo sezintso.
- Ukuba unesifo seswekile .
- Ukuba une- high blood pressure .
- Ukuba unesifo sentliziyo .
- Ukuba ubonakalisa iimpawu zesifo sezintso: Kukho iimpawu ezithile ezibonakala xa isifo sezintso siba sibi kakhulu. Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka wenze uvavanyo lwe-BUN.
| Ezinye iimpawu zesifo sezintso esikwinqanaba lokugqibela | |
|---|---|
| Isidingo sokuchama rhoqo kunesiqhelo. | |
| Umchamo onegwebu. | |
| Igazi kumchamo. | |
| Ukuziva udiniwe kakhulu kwaye udinwe rhoqo. | |
| Ukutya akunancasa. | |
| Ukudumba komzimba (ingakumbi izandla, iinyawo, namaqatha). | |
Kuthetha ukuthini xa i-BUN 'inyuswa'?
Le yinto abantu abaninzi abayoyikayo. Ukuba inqanaba lakho le-BUN liphezulu kunomlinganiselo ocetyiswayo, oko kuthetha ukuba izintso zakho azisebenzi kakuhle . Oko kukuthi, azihluzi kakuhle inkunkuma ye-urea nitrogen egazini.
Nangona kunjalo, i-BUN ephezulu ayithethi ukuba kukho ingxaki kwizintso zakho. Nokuba izintso zakho ziphilile ngokupheleleyo, i-BUN yakho inokunyuka ngenxa yezinye izizathu.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukutya ukutya okutyebileyo kwiproteni | Ukuba utya inyama eninzi, intlanzi, amaqanda, kunye neeprotein shakes, ubungakanani benkunkuma ye-urea eveliswa emzimbeni nayo iya kwanda. |
| Ukuphelelwa ngamanzi emzimbeni | Xa umzimba uphelelwe ngamanzi emzimbeni, igazi liyaqina. Emva koko ubuninzi be-urea egazini buyanda. Kubonakala ngathi ngumntu osebenze elangeni imini yonke kwaye engaselanga manzi. |
| Ukwaluphala | Ukusebenza kwezintso kunokwehla kancinci ngokwemvelo njengoko sikhula (abantwana abancinci badla ngokuba namanqanaba aphantsi e-BUN). |
| Amanye amayeza | Amanye amayeza (umz. iCarbamazepine, iMethotrexate, iTetracycline) anokubangela ukuba amanqanaba e-BUN anyuke. |
| Ezinye iimeko zempilo | Amanqanaba e-BUN anokunyuswa ngenxa yeemeko ezifana nokutsha, ukuhlaselwa yintliziyo, amanqanaba aphezulu oxinzelelo, ukopha esiswini okanye emathunjini (ukopha kwe-GI), okanye ukuvaleka kwendlela yomchamo. |
Eyona nto ibalulekileyo kukungaxhalabi xa inqanaba lakho le-BUN linyuka, kodwa kuthetha nogqirha wakho ukuze ufumane unobangela. Ugqirha wakho uza kufikelela kwisigqibo ngokuthelekisa kungekuphela nje inqanaba le-BUN, kodwa kunye nezinye iimpawu zovavanyo, ezifana ne -creatinine .
Ngaba ixabiso le-BUN lingaba 'liphantsi'?
Ewe, kunokwenzeka. Kodwa inqanaba le-BUN eliphantsi aliqhelekanga kangako. Ngokuqhelekileyo alibonisi ingxaki enkulu yempilo. Nangona kunjalo, kukho izizathu ezithile zokuba inqanaba le-BUN linokuba phantsi.
- Ukutya okuneproteni ephantsi: Ukuba ungumntu otya imifuno okanye utya ukutya okuneproteni ephantsi kakhulu.
- Ubungakanani bomzimba omncinci:
- Ukusela amanzi amaninzi kakhulu kunokungcolisa igazi kwaye kunciphise uxinano lwe-BUN.
- Isifo sesibindi: Ekubeni i-urea iveliswa esibindini, amanqanaba e-BUN anokuba phantsi kwiimeko ezinzima ezichaphazela ukusebenza kwesibindi.
Kwenzeka ntoni ngaphambi nangexesha lovavanyo lwegazi?
Olu luvavanyo lwegazi oluqhelekileyo nolulula kakhulu.
Ngaphambi kovavanyo
Ukuba uthatha amayeza okunciphisa igazi okanye unengxaki yokopha, xelela ugqirha wakho kwangaphambili. Buza ugqirha wakho ukuba uza kuzila ukutya iiyure ezisi-8 ukuya kwezili-12, njengoko ezinye iimvavanyo zinokwenziwa kunye ne-BUN.
Ngexesha lovavanyo
- Ngokwesiqhelo, kukhethwa umthambo engalweni yakho kufutshane nengqiniba ukuze kutsalwe igazi.
- Indawo ihlanjwa ngento efana notywala, kwaye igazi elincinci lithathwa lifakwe kwibhotile encinci kusetyenziswa inaliti encinci kakhulu.
- Uza kuva umngxuma omncinci. Indawo isenokuba luhlaza okwesibhakabhaka emva koko, kodwa iya kunyamalala ngokupheleleyo emva kosuku okanye ezimbini.
- Emva koko le sampuli yegazi ithunyelwa kwilabhoratri. Kungathatha usuku okanye iintsuku ezintathu ukuba iziphumo zibuye.
Kwenzeka ntoni emva kokuba ingxelo yovavanyo ifikile?
Wakuba ufumene ingxelo yovavanyo, ugqirha wakho uza kukuchazela ukuba kuthetha ukuthini kuwe. Ugqirha wakho akayi kwenza isigqibo ngokusekelwe kwixabiso le-BUN kuphela. Ugqirha wakho uza kuqwalasela ezinye izinto ezininzi ukuze afumane umfanekiso opheleleyo wokusebenza kwezintso zakho.
- I-Serum Creatinine: Le yenye imveliso yenkunkuma elinganiswa egazini. Luvavanyo olubaluleke ngakumbi kune-BUN xa kufikwa ekusebenzeni kwezintso.
- Isantya sokuhluza seGlomerular esiQikelelweyo (eGFR): Olu asilovavanyo oluthe ngqo. Lixabiso elibala ukuba izintso zakho zicoca igazi lakho ngokukhawuleza kangakanani, kusetyenziswa izinto ezifana nenqanaba le-creatinine yakho, ubudala, kunye nesini.
Ugqirha uza kuhlanganisa zonke ezi xabiso ukuze afikelele kwisigqibo sokugqibela malunga nempilo yezintso zakho.
Ukuba inqanaba le-BUN liphezulu, yintoni enokwenziwa ukuze lincitshiswe?
Into ebalulekileyo ekufuneka uyiqonde apha kukuba oogqirha abaniki amayeza "okunciphisa" amanqanaba e-BUN. Into abayenzayo kukufumana unobangela wamanqanaba aphezulu e-BUN baze banyange loo nto.
Nangona kunjalo, ukuba umntu ongenaso isifo sezintso unezinga eliphezulu le-BUN, linokulawulwa ngokutshintsha indlela yokuphila elula.
Kubalulekile: Ukuba unesifo sezintso, qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba wenze utshintsho olulandelayo.
1. Sela amanzi amaninzi: Ukuphelelwa ngamanzi emzimbeni yeyona nto ibangela ukuba inqanaba le-BUN libe phezulu. Ukuba inqanaba lakho le-creatinine liqhelekile kodwa i-BUN yakho iphezulu, kusenokwenzeka ukuba kungenxa yokuphelelwa ngamanzi emzimbeni.
- Indoda ifanele isele iikomityi ezili-13 zolwelo (malunga neelitha ezi-3) ngosuku.
- Kucetyiswa ukuba umfazi asele iikomityi ezili-9 (malunga neelitha ezi-2.2) zolwelo ngosuku.
2.Lawula ukutya kwakho okuneproteni eninzi: Ukutshintshela ekutyeni okuneproteni ephantsi kunokunceda ukunciphisa amanqanaba e-BUN.
| Ukutya okuneproteni ephantsi onokukutya ngakumbi | Ukutya okuneproteni eninzi ekufuneka kuncitshiswe okanye kuphetshwe |
|---|---|
| Iinkozo: irayisi, i-oats, ipasta | Inyama: Inyama yenkomo, Inkukhu, Ingulube, Isalmon |
| Iziqhamo: ii-apile, amaqunube, iibhanana | Ukutya kobisi: ubisi, itshizi, iyogathi |
| Imifuno: Imifuno eluhlaza, iipepile zentsimbi, ibroccoli | Ezinye: amaqanda, iilentili, iitshizi, i-soy, i-tofu |
| Amafutha asempilweni: i-avokhado, amantongomane, ioyile yekhokhonathi |
Ngokomndilili, umntu utya phakathi kwama-40-60 eegram zeproteni ngosuku. Nangona kunjalo, umntu onezinga eliphezulu le-BUN unokufuna ukunciphisa eli nani ngokweengcebiso zikagqirha wakhe.
Umyalezo Wokuya Ekhaya
- I-BUN yimveliso engcolileyo eyenziwe yiproteni esiyityayo kwaye kufuneka ihluzwe kwaye isuswe zizintso.
- Olu vavanyo lunika umbono ngokuyintloko wokusebenza kwezintso .
- Ayizizo zonke izihlandlo apho amanqanaba e-BUN enyuka khona, kodwa luphawu lwesifo sezintso. Ezinye izinto, ezinje ngokuphelelwa ngamanzi emzimbeni kunye nokutya okuneproteni eninzi, nazo zinokudlala indima.
- Ugqirha wakho kuphela onokukwazi ukunika ingcaciso epheleleyo ngeziphumo zovavanyo lwakho.
- Ukuba inqanaba le-BUN liphezulu, nyanga unobangela oyintloko.Yiyo leyo into ebaluleke kakhulu. Ukutshintsha indlela ophila ngayo kunye nokutya kwakho ngokweengcebiso zikagqirha wakho kunokwenza umahluko omkhulu.
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