Ngaba ucele uvavanyo lwe-BUN? Masibone ukuba yintoni le (BUN - Uvavanyo lwe-Blood Urea Nitrogen)

Ngaba ugqirha wakho ukunike uvavanyo lwegazi waza wathi 'BUN'? Mhlawumbi ulibonile eli gama kwiingxelo zakho zakudala. Xa usiva eli gama, abantu abaninzi bacinga ukuba, "Yintoni le?" Kodwa akukho nto yokoyika. Olu luvavanyo lwegazi olulula kakhulu olukuxelela ulwazi olubalulekileyo malunga nempilo yomzimba wakho, ingakumbi izintso zakho. Ngoko ke namhlanje, masifumanise ukuba yintoni kanye kanye olu vavanyo lweBUN, lukhangela ntoni, kwaye ingxelo ithini.

Ngamafutshane, yintoni i-Blood Urea Nitrogen (BUN)?

Kulula kakhulu ukuyiqonda le nto. Cinga ngayo ngolu hlobo...

Iproteni esiyityayo (umzekelo, inyama, intlanzi, amaqanda, ubisi, iilentili, njl.njl.) iyagaywa esibindini sethu ize iguqulwe ibe ngamandla. Ngexesha lale nkqubo, ikhemikhali ebizwa ngokuba yi-'Urea Nitrogen' iveliswa njengemveliso engasemva, oko kukuthi, njengemveliso yenkunkuma. Le yinto engenamsebenzi emzimbeni wethu.

Le nitrogen ye-urea ingena egazini lethu, ihambe emzimbeni wonke kunye negazi, ize ifikelele kwizintso. Omnye wemisebenzi ephambili yezintso eziphilileyo kukucoca igazi, ukwahlula ezi zinto zingcolileyo, kwaye zikhuphe emchameni.

Ngoko ke, ukuba izintso zakho ziphilile kwaye zisebenza kakuhle, zihluza uninzi lwale BUN. Kusala inani elincinci kakhulu egazini. Nangona kunjalo, ukuba kukho ubuthathaka okanye isifo kwizintso, azikwazi ukuhluza le BUN ngokufanelekileyo. Emva koko inani le-BUN egazini liyanda ngaphezu kwamanqanaba aqhelekileyo. Yiloo nto uvavanyo lwe-BUN luyilinganisayo .

Kutheni ugqirha angacebisa uvavanyo lwe-BUN?

Kusenokuba nezizathu ezahlukeneyo zokwenza uvavanyo lwe-BUN.

• Njengenxalenye yovavanyo lwempilo oluqhelekileyo: Ngamanye amaxesha iphakheji yovavanyo lwegazi (`Iphaneli eNcamathisekileyo yeMetabolic - CMP` okanye `Iphaneli eSisiseko yeMetabolic - BMP`) oyifumanayo ngexesha lovavanyo lwakho lonyaka ibandakanya olu vavanyo lweBUN.
• Ukuba ukrokrela ukuba unesifo sezintso: Ukuba ugqirha wakho ukrokrela ukuba unesifo sezintso, uza kwenza oku ukuqinisekisa ukuba unesifo.
• Ukuba usemngciphekweni wesifo sezintso: Ukuba uneemeko ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, isifo sentliziyo, okanye ukuba umntu kusapho lwakho ukhe waba nesifo sezintso, nawe usemngciphekweni, ngoko ke olu vavanyo lwenzelwe ukujonga imeko yezintso zakho.
• Ngaphambi kokuba uqale amayeza: Ngaphambi kokuba uqale amayeza anokuchaphazela izintso, olu vavanyo lwenziwa ukuze kuchongwe imeko yesiseko sezintso.
• Xa ulaliswe esibhedlele: Olu luvavanyo oluqhelekileyo lokujonga amanqanaba olwelo lomzimba kunye nokusebenza kwezintso xa ulaliswe esibhedlele ngenxa yeemeko ezithile zempilo.

Ngaba unazo ezi mpawu? Emva koko xelela ugqirha wakho.

Ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, isenokuba luphawu lwengxaki yezintso. Ngoko ke qiniseka ukuba uthetha nogqirha wakho ngayo.

• Utshintsho kubungakanani bomchamo owudlulayo (ukwanda okanye ukuncipha).
• Umchamo onombala ofana negwebu, onegazi, okanye omdaka ngebala.
• Ukuziva intlungu xa uchama.
• Ukudumba ezandleni, ezinyaweni, emaqatheni, kufutshane namehlo, ebusweni, okanye esiswini.
• Imilenze engasebenzi kakuhle ngexesha lokulala.
• Intlungu emqolo ongezantsi, kwindawo yezintso.
• Ndiziva ndidiniwe kakhulu ngalo lonke ixesha.

Ndizilungiselela njani uvavanyo lwegazi lwe-BUN?

Oku kulula kakhulu.

Ukulungiselela: Ngaphambi kolu vavanyo, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye nezongezo). Amanye amayeza anokuchaphazela ingxelo. Ukuba unayo, ugqirha wakho uya kukuxelela ukuba uyeke ukuwasebenzisa iintsuku ezimbalwa. Ukuba wenza uvavanyo lwe-BUN kuphela, ungatya kwaye usele ngokuqhelekileyo. Nangona kunjalo, ukuba wenza olunye uvavanyo, unokucelwa ukuba uzile ukutya iiyure ezimbalwa. Landela le miyalelo ngononophelo.

Ngexesha lovavanyo: Kwilabhoratri, ingcali iza kuthatha isampuli encinci yegazi kumthambo osengalweni yakho. Uza kuziva uthukile kancinci ngombane xa inaliti ifakwa. Ihlala imizuzwana embalwa kuphela.

Emva kovavanyo: Usenokuziva uqaqanjelwa kancinci kwaye utyumkile apho igazi litsalwe khona. Oku kuqhelekile. Ungaqhubeka nemisebenzi yakho yesiqhelo. Uza kufumana ingxelo kwiintsuku ezimbalwa, kuxhomekeke kwilabhoratri kunye nomsebenzi kagqirha.

Ithini ingxelo yeBUN?

Ixabiso lakho le-BUN kwingxelo yakho likwii-milligrams nge-deciliter (mg/dL). Ixabiso le-BUN lomntu omdala osempilweni kufuneka libe phakathi kwe -7 mg/dL kunye ne-20 mg/dL . Nangona kunjalo, eli xabiso linokwahluka kancinci ngokuxhomekeke kwiminyaka, isini, kunye nelebhu.

Okubaluleke kakhulu: Musa ukoyika ukuba ukufundwa kwe-BUN yakho kungaphaya komlinganiselo oqhelekileyo. Kukho ezinye izinto ezinokuchaphazela ukufundwa kwe-BUN yakho. Ngoko ke soloko ubonisa ingxelo yakho kugqirha wakho kwaye ucele ingcaciso.

Makhe sijonge le theyibhile ingezantsi ukuze sibone ukuba yintoni ebangela ukuba amanqanaba e-BUN anyuke aze ehle.

Ezinye iimvavanyo ezenziwe kunye ne-BUN

Kunzima ukufikelela kwizigqibo ngokusekelwe kwinqanaba le-BUN kuphela, ngoko ke ugqirha uza kwenza ezinye iimvavanyo ezimbalwa ukuze afumane umfanekiso opheleleyo wezintso.

Uvavanyo lweCreatinine

Olu lolunye uvavanyo lwegazi olubalulekileyo olujonga impilo yezintso. I-Creatinine yimveliso engcolileyo eveliswa zimisipha zethu. Ikwahluzwa kwaye ikhutshwe zizintso. Xa uthelekisa amaxabiso e-BUN kunye ne-Creatinine kunye, unokufumana umbono ocacileyo malunga nokusebenza kwezintso. Oku kubizwa ngokuba yi-BUN/Creatinine ratio . Ngokwesiqhelo, olu mlinganiselo kufuneka ube phakathi kwe-10:1 kunye ne-20:1.

Uvavanyo lwe-GFR (Izinga lokuHlunga iGlomerular)

Oku kulinganisa indlela izintso zakho ezicoca ngayo inkunkuma egazini lakho ngokukhawuleza. Oku kunokukunika umbono olungileyo ngomsebenzi wezintso zakho (% umsebenzi wezintso). Ukuba i-GFR yakho iphantsi kakhulu, inokubonisa ukungasebenzi kakuhle kwezintso.

Ungayilawula njani imigangatho ye-BUN?

Ukuba inqanaba le-BUN liphezulu, akukho nyango lithile lokulihlisa. Ugqirha uza kufumana unobangela oyintloko wenqanaba eliphezulu le-BUN aze anyange loo meko. Umzekelo, ukuba inqanaba le-BUN liphezulu ngenxa yoxinzelelo lwegazi oluphezulu, oko kuya kunyangwa. Kwangaxeshanye, uza kukucebisa ukuba utshintshe indlela otya ngayo nendlela ophila ngayo.

Izinto ezinceda ukwehlisa amanqanaba e-BUN:

• Sela amanzi amaninzi: Kulungile ukusela ubuncinci iiglasi ezisi-8 ukuya kwezili-10 zamanzi ngosuku. Nangona kunjalo, ukuba sele unesifo sezintso esibi okanye ukwi-dialysis, qiniseka ukuba ubuza ugqirha wakho malunga nokuba ungakanani na amanzi omele uwasele. Ukusela amanzi amaninzi ngamaxesha anjalo nako kunokuba yingxaki.
• Ukutya okuneproteni ephantsi: Nciphisa ukutya okuneproteni ephezulu njengenyama kunye neemveliso zobisi. Endaweni yoko, faka iziqhamo, imifuno, irayisi, i-oats kunye nepasta ekutyeni kwakho.

Nyusa inqanaba le-BUN (ukuba liphantsi):

Inqanaba le-BUN eliphantsi alisoloko liyingxaki enkulu. Nangona kunjalo, ukuba ufuna ukulinyusa, ungatya ukutya okuninzi okuneproteni eninzi kwaye ugxile kwimpilo yesibindi (ukunciphisa utywala, ukunciphisa ubunzima).