Ngaba ukhathazekile ngezintso zakho? Masithethe ngeSifo sezintso esingapheliyo

Izintso zizitho ezimbini ezincinci, kodwa ezinamandla emzimbeni wethu. Zifana nezihluzo ezimbini ezinamandla emzimbeni wethu. Zicoca igazi lethu kwaye zisusa inkunkuma, iityhefu, kunye namanzi agqithisileyo njengomchamo. Kodwa khawucinge ukuba kwenzeka ntoni xa ezi zihluzo zimbini zingasebenzi kancinci kancinci? Yiloo nto siyibiza ngokuba yiChronic Kidney Disease (CKD) . Oku kuxa izintso zilahlekelwa ngamandla azo okusebenza ngokuhamba kwexesha.

Ngamafutshane, zibaluleke kangakanani izintso kuthi?

Ezi mbotyi zimbini zezintso zifumaneka kumacala omabini omqolo wakho, ngaphantsi nje kwembambo yakho. Nganye ilingana nesandla sakho ngobukhulu.

Nangona umsebenzi wabo ophambili ikukucoca igazi, benza nezinye izinto ezininzi ezibalulekileyo:

• Igcina ibhalansi yee -electrolytes, ezifana netyuwa kunye ne-potassium, emizimbeni yethu.
• Ivelisa iihomoni ezifunekayo ukulawula uxinzelelo lwegazi.
• Inceda ukugcina amathambo ethu eqinile.
• Inceda ekwenzeni iiseli ezibomvu zegazi .

Khawucinge nje, ukuba izintso ezimbini, ezisebenza kakhulu, ziba buthathaka, siqala ukugula ngenxa yenkunkuma eqokelelana emzimbeni.

Zeziphi izigaba ezi-5 zesifo sezintso?

Isifo sezintso esinganyangekiyo sahlulwe saba ngamanqanaba amahlanu. La manqanaba amiselwa yindlela izintso zakho ezihluza ngayo inkunkuma egazini lakho. Oogqirha benza uvavanyo lwegazi nomchamo ukuze bafumane ukuba ukuliphi na inqanaba.

Umlinganiselo oyintloko osetyenzisiweyo koku yi -GFR (Glomerular Filtration Rate) . Ngamafutshane, oku kulinganisa ukuba zingaphi iimililitha zegazi ezihluzwa zizintso zakho ngomzuzu. Kukwajonga nenqanaba lenkunkuma ebizwa ngokuba yi-creatinine egazini. Ukuba izintso zisebenza kakuhle, le creatinine ikhutshwa kumchamo. Xa izintso zibuthathaka, i-creatinine iqala ukuqokelelana egazini.

• Inqanaba loku-1: Umonakalo omncinci kakhulu. I-GFR isenokuba yinto eqhelekileyo.
• Inqanaba lesi-2: Ukusebenza kwezintso okunciphile kancinci.
• Inqanaba lesi-3: Ukusebenza kwezintso okunciphileyo okuphakathi.
• Inqanaba lesi-4: Ukusebenza kwezintso okunciphileyo kakhulu.
• Inqanaba lesi-5: Ukungasebenzi kakuhle kwezintso ngokupheleleyo. Oku kubizwa ngokuba sisifo sezintso esikwinqanaba lokugqibela .

Zithini iimpawu? Amaxesha amaninzi iimpawu azibonakali ekuqaleni.

Eyona nto iyingozi ngesi sifo kukuba kwizigaba zokuqala, akukho zimpawu zibonakalayo . Kuphela xa isifo siba sibi kakhulu apho iimpawu ziqala ukubonakala khona. Kungoko ke, kubaluleke kakhulu ukuzazi ezi mpawu.

Zithini izizathu eziphambili zesifo sezintso?

Isifo sezintso senzeka xa izintso zonakele kwaye zingakwazi ukucoca igazi ngokufanelekileyo. Kwisifo sezintso esingapheliyo, lo monakalo uvela kancinci kancinci kwiminyaka emininzi.

Izizathu ezibini eziphambili neziqhelekileyo zezi:

1. Uxinzelelo lwegazi oluphezulu

2. Isifo seswekile

Ukongeza kwezi zizathu zimbini ziphambili, kukho nezinye izizathu.

• I-Glomerulonephritis: Oku kwenzeka xa iiyunithi zokucoca ezincinci ezingaphakathi kwezintso zonakele.
• Isifo sezintso esine-polycystic: Esi sisifo semfuza esidluliselwa kwizizukulwana ngezizukulwana. Ii-cysts ezininzi ezizaliswe lulwelo ziyavela kwizintso, nto leyo enciphisa ukusebenza kwazo.
• Ukuvaleka kwendlela yomchamo: Ukuvaleka kokuhamba komchamo ngenxa yamatye omchamo, ukwanda kweprostate kumadoda, okanye umhlaza.
• I-Vesicoureteral reflux: Oku kwenzeka xa umchamo ubuyela umva usuka kwisinyi uye kwizintso.
• Usulelo lwezintso oluqhelekileyo (iPyelonephritis).
• Izifo ezifana ne -lupus zilapho amajoni omzimba azijikela khona.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Nabani na unokuba nesifo sezintso, kodwa ukuba unezi meko zilandelayo, umngcipheko wakho uphezulu kancinci.

• Ukuba unesifo seswekile .
• Ukuba une- high blood pressure .
• Ukuba unesifo sentliziyo .
• Ukuba kukho umntu kusapho oye waba nesifo sezintso (impembelelo yelifa).
• Ukuba uneminyaka engaphezu kwama -60 ubudala.
• Iipilisi zokunciphisa iintlungu zohlobo lwe-NSAID(umz. i-Ibuprofen, i-Diclofenac) ukuba isetyenziswe ixesha elide ngaphandle kwengcebiso kagqirha.
• Ukuba kukho ukungaqheleki kwisakhiwo okanye ubungakanani bezintso.

Inyangwa njani? Singenza ntoni?

Isifo sezintso esinganyangekiyo asinakunyangwa ngokupheleleyo. Nangona kunjalo, zininzi izinto esinokuzenza ukulawula umonakalo kwizintso nokugcina ukusebenza kwazo ixesha elide kangangoko kunokwenzeka .

Utshintsho kwindlela yokuphila

• Bona ugqirha wakho ngexesha: Bona ugqirha wakho okanye ingcali yezifo zengqondo ngexesha kwaye uvavanywe.
• Lawula isifo seswekile kunye noxinzelelo lwegazi: Le yeyona nto ibalulekileyo. Gcina iswekile kunye noxinzelelo lwegazi lakho lulawulwa.
• Ziphephe iipilisi eziyingozi kwizintso: Qiniseka ukuba ubuza ugqirha wakho, ingakumbi xa usebenzisa iipilisi zokuthomalalisa iintlungu.
• Ukutya okulungele izintso: Landela ukutya okunciphisa ityuwa (i-sodium), i-potassium, kunye neproteni. Kungcono ukuthetha nogqirha wezokutya ngale nto uze ufumane ingcebiso.
• Kuphephe ukutshaya ngokupheleleyo.
• Zilolonge iintsuku ezininzi ngeveki.
• Gcina ubunzima bakho busempilweni.

Unyango ngamayeza

Ugqirha wakho unokukunika amayeza ahlukeneyo ngokuxhomekeke kwisizathu kunye nenqanaba lemeko yakho.

• (ACE) inhibitors okanye amayeza ohlobo lwe- (ARB) okunciphisa uxinzelelo lwegazi.
• Amayeza okususa ulwelo olungaphezulu emzimbeni.
• Amayeza okunciphisa amanqanaba e-cholesterol.
• Ukuba une-anemia, thatha amayeza anceda ekwenzeni iiseli ezibomvu zegazi.
• Amayeza anjengevithamini D okugcina amathambo eqinile.

Kuthekani ukuba izintso aziphumeleli ngokupheleleyo? (Isifo sezintso seSigaba sokugqibela)

Ukuba isifo sifikelela kwinqanaba lesi-5, oko kuthetha ukuba izintso ziphantse zangasebenzi ngokupheleleyo, kufuneka ezinye iindlela zokusinda. Kuba ukuba izintso ziyeka ukusebenza kwaye inkunkuma iqokelelana emzimbeni, oko kunokukhokelela ekufeni.

Kukho iindlela ezimbini eziphambili:

1. Ukucoca izintso (i-Dialysis)

2. Ukufakelwa kwezintso

1. Ukucoca izintso (i-Dialysis)

Oku kuquka ukusebenzisa umatshini ukwenza umsebenzi wokucoca igazi owenziwe zizintso zakho. Zimbini iindlela eziphambili:

• I-Hemodialysis: Kule nto, igazi lakho lithunyelwa kumatshini osusa inkunkuma, amanzi angaphezulu, kunye netyuwa emzimbeni wakho, kwaye emva koko igazi elicociweyo libuyiselwa emzimbeni wakho. Oku kudla ngokwenziwa esibhedlele, ngokuqhelekileyo kathathu ngeveki, malunga neeyure ezine ngalo lonke ixesha.
• I-Peritoneal Dialysis:Kule meko, kufakwa ityhubhu (i-catheter) kwisisu sakho kwaye kufakwa ulwelo olukhethekileyo kuyo. Emva kokuba ulwelo lufunxe inkunkuma emzimbeni wakho, luyasuswa kwaye kufakwa ulwelo olutsha. Le yinkqubo enokwenziwa sisigulana ekhaya.

2. Ukufakelwa kwezintso

Oku kuquka ukutshintshwa kwezintso ezingasebenzi kakuhle ngotyando ngezintso eziphilileyo. Ekubeni umntu ophilileyo enokuphila kakuhle ngentso enye, izintso zinokufunyanwa kwimithombo emibini ngenxa yesi sizathu.

• Kumntu ophilayo: Ngokwesiqhelo kuvela kumntu ofana nelungu losapho okanye umhlobo.
• Kumntu oswelekileyo: Izintso ezivela kumntu oswelekileyo oye wabonisa umdla wokunikela ngezitho zomzimba.

Simele senze ntoni ukuze sizikhusele kwesi sifo?

Kubaluleke kakhulu ukuthintela isifo sezintso ngaphambi kokuba sikhule kunokusinyanga emva kokuba sikhule.

• Landela indlela yokuphila enempilo: Ukutya okunesondlo, ukuzilolonga ngokwaneleyo, kunye nokuphepha ukutshaya kunye notywala obungeyomfuneko kubaluleke kakhulu.
• Lawula uxinzelelo lwakho lwegazi kunye namanqanaba eswekile: Ukuba unesifo seswekile okanye uxinzelelo lwegazi oluphezulu, lulawule ngokufanelekileyo. Sela amayeza akho njengoko uyalelwe.
• Lumka ngeentlungu: Musa ukuthatha iintlungu ixesha elide ngaphandle kwengcebiso kagqirha.
• Sela amanzi aneleyo.
• Fumana uhlolo lwezonyango rhoqo: Ukuba unezinto ezinokubangela umngcipheko, vavanya igazi nomchamo wakho ubuncinane kanye ngonyaka ukuze kujongwe imeko yezintso zakho.

Isifo sezintso sisifo esihlala ubomi bonke. Kodwa akukho mfuneko yokoyika. Ngolawulo olufanelekileyo nonyango, uninzi lwabantu luphila ubomi obonwabisayo nobuqhelekileyo. Eyona nto ibalulekileyo kukuba lilungu elisebenzayo leqela lakho lonyango. Thetha ngokukhululekileyo nogqirha wakho, ubuze imibuzo, kwaye ulandele imiyalelo yakhe ngokuchanekileyo.