Ngaba wakha wathatha ingxelo yovavanyo lwegazi, wajonga oonobumba namanani akuyo, waza wazibuza, "Kuthetha ukuthini oku?"? Uninzi lwexesha, simamela oko kuthethwa ngugqirha, kodwa amanye amagama akule ngxelo asiwazi. Elinye igama elinjalo abantu abaninzi abaliqhelileyo, kodwa abangalaziyo ngokwenene, lithi "Creatine." Eli gama lincinci liqulathe ibali elikhulu malunga nempilo yesitho esibaluleke kakhulu emzimbeni wethu, izintso. Ngoko ke namhlanje, masithethe ngalo.
Ngamafutshane, yintoni i-creatinine?
Khawucinge nje, xa izihlunu zethu zisebenza kakuhle, oko kukuthi, xa sihamba, sibaleka, okanye siphakamisa iintsimbi, imveliso yenkunkuma iveliswa kuloo nkqubo. Loo mveliso yenkunkuma yendalo yileyo siyibiza ngokuba yi-creatinine. Le asiyonto ifunekayo emzimbeni wethu. Ngoko ke, inkqubo yokucoca ephucukileyo yomzimba, izintso zethu ezimbini, zihluza kwaye zahlule ezi mveliso zenkunkuma egazini kwaye ziyikhuphe emchameni.
Ngoko ke xa ugqirha elinganisa inqanaba le-creatinine egazini lakho, ujonga indlela izintso zakho ezisebenza kakuhle ngayo umsebenzi wazo wokucoca. Sidla ngokubiza olu vavanyo ngokuba luvavanyo lwe-creatinine egazini.
Athini amanqanaba aqhelekileyo e-creatinine?
Ngenxa yokuba i-creatinine iveliswa zizihlunu, eli xabiso linokwahluka ngokuxhomekeke kubunzima bezihlunu zomntu kunye nobukhulu bomzimba wakhe. Ngokubanzi, amadoda anamanqanaba aphezulu e-creatinine kunabasetyhini kuba anezihlunu ezininzi.
| Umntu | Uluhlu oluQhelekileyo lweCreatinine (mg/dL) |
|---|---|
| Kwabasetyhini | 0.6 - 1.1 mg/dL |
| Kwamadoda | 0.7 - 1.3 mg/dL |
Into ebalulekileyo kukuba la manani anokwahluka kancinci kwilabhoratri nganye, ngoko ke ngugqirha wakho kuphela onokukunika uvavanyo oluchanekileyo lwamaxabiso akwingxelo yakho.
Ubudlelwane phakathi kwe-creatinine kunye nomsebenzi wezintso (GFR)
Lonke inani legazi emzimbeni wethu lidlula kwizintso izihlandlo ezingamakhulu ngemini. Ukulinganiswa kwesi santya izintso ezicoca ngaso igazi kubizwa ngokuba yiGlomerular Filtration Rate , okanye iGFR . Ngamafutshane, esi sisilinganiselo sokusebenza kakuhle kwezintso.
Ugqirha wakho akanakulinganisa i-GFR yakho ngokuthe ngqo. Kulapho uvavanyo lwe-creatinine lungena khona. I-GFR yakho ibalwa ngokutshintsha izinto ezifana nenqanaba le-creatinine egazini lakho, ubudala, kunye nesini zibe yifomyula ekhethekileyo. Oku sikubiza ngokuba yi-eGFR (i-GFR eqikelelweyo) .
Ngamafutshane: Ukunyuka kwamanqanaba e-creatinine egazini kunokubonisa ukwehla kwamandla okucoca izintso (i-GFR). Ixabiso le-GFR elingaphantsi kwama-60 linokuba luphawu lwesifo sezintso.
Kutheni le nto kwenziwa olu vavanyo lwe-creatinine?
Oogqirha bayalela olu vavanyo ukujonga ukuba izintso zakho zisebenza kakuhle kangakanani na. Ngamanye amaxesha, bayayalela olu vavanyo ukuba uneempawu ezinxulumene nesifo sezintso.
- Isicaphucaphu nokuhlanza
- Umnqweno wokutya
- Ukudinwa rhoqo kunye nobuthathaka
- Iingxaki zokungalali
- Utshintsho kwinani lokuchama rhoqo okanye ubungakanani bokuchama
- Ukudumba kwemilenze namaqatha
Nokuba awunazo ezi mpawu, ugqirha wakho uya kucebisa olu vavanyo ukuze ajonge izintso zakho ukuba unezifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, isifo sentliziyo, okanye isifo sesibindi . Kwenziwa nokubona ukuba amayeza athile ayayichaphazela na intso yakho.
Ungenza njani uvavanyo?
Kukho iindlela ezimbini eziphambili zokujonga amanqanaba e-creatinine:
1. Uvavanyo lwegazi (uvavanyo lwegazi lwe-eGFR): Le yindlela esetyenziswa kakhulu. Isampuli yegazi ithathwa engalweni yakho njengesiqhelo, inqanaba le-creatinine elikuyo liyalinganiswa, kwaye ixabiso le-eGFR liyabalwa. Ungacelwa ukuba uzile ukutya iiyure ezimbalwa ngenxa yoku.
2. Uvavanyo lokuClearance Creatinine: Le ndlela ayisasetyenziswa kakhulu. Kule meko, wonke umchamo okhutshwayo kwixesha leeyure ezingama-24 kufuneka uqokelelwe kwisitya esikhethekileyo. Ubungakanani be-creatinine kuloo sampuli yomchamo bulinganiswa ukuze kufunyanwe umbono wokusebenza kwezintso.
Zithini iziphumo?
I-GFR ephantsi ibonisa ukungasebenzi kakuhle kwezintso. Le meko inokuba ngequbuliso (ebukhali) okanye ixesha elide (engapheliyo).
Oogqirha bahlula ubukhali besifo sezintso esingapheliyo zibe ngamanqanaba ahlukeneyo ngokusekwe kwixabiso le-GFR.
| Iqonga | Ixabiso le-GFR | Intsingiselo |
|---|---|---|
| Mna | 90 nangaphezulu | Umsebenzi oqhelekileyo wezintso |
| II | 60-89 | Umsebenzi oncitshiswe kancinci |
| IIIa | 45-59 | Isifo sezintso esingapheliyo esingenamandla |
| IIIb | 30-44 | Isifo sezintso esingapheliyo esiphakathi |
| IV | 15-29 | Isifo sezintso esingapheliyo esibukhali |
| V | Ngaphantsi kwe-15 | Ukungasebenzi kakuhle kwezintso (okudla ngokufuna i-dialysis) |
Ezinye izizathu zokuba amanqanaba e-creatinine angaqhelekanga
Into ebalulekileyo kukuba inqanaba eliphezulu le-creatinine alisoloko lithetha isifo sezintso. Ngamanye amaxesha eli xabiso linokutshintsha ngenxa yezizathu ezithile.
- Ukuzilolonga okunzulu: Xa uzilolonga ngokugqithisileyo, izihlunu zakho zivelisa i-creatinine engakumbi.
- Ukutya okunenyama ebomvu eninzi: Ekubeni inyama ebomvu ine-creatinine, ukutya kakhulu kuyo kunokunyusa amanqanaba egazi okwethutyana.
- Amayeza athile: Amanye amayeza okubulala iintsholongwane kunye namanye amayeza anokubangela utshintsho kumanqanaba e-creatinine.
- Ubunzima bemisipha obugqithisileyo: Umntu olungisa umzimba unokuba namanqanaba aphezulu e-creatinine kunomntu oqhelekileyo.
- Ukuphelelwa ngamanzi emzimbeni: Nokuba akukho manzi aneleyo emzimbeni, amanqanaba e-creatinine anokuxinana aze abonise ixabiso eliphezulu.
- Ukungasebenzi kakuhle kwentliziyo kunye neengxaki zesinyi.
Yintoni omawuyenze ukuba i-GFR iphantsi?
Ukuba ugqirha wakho ufumanisa ukuba i-GFR yakho iphantsi, uza kufumanisa unobangela aze akucebise ngonyango olulungele wena.
Izizathu ezimbini eziphambili zesifo sezintso esingapheliyo luxinzelelo lwegazi oluphezulu kunye nesifo seswekile. Ukuba unezi meko, inyathelo lokuqala kukuzilawula kakuhle ngokutya okunempilo, ukuzilolonga, kunye namayeza amiselweyo.
Ukuba imbangela ayicacanga, okanye ukuba imeko imbi kakhulu, ugqirha wakho uza kukuthumela kwi -nephrologist .
Ukujonga rhoqo i-GFR yakho kunokukunceda ubone indlela umsebenzi wezintso zakho otshintsha ngayo ngokuhamba kwexesha. Ugqirha wakho angalungisa amayeza akho ngokufanelekileyo.
Kubaluleke kakhulu ukuba ungasebenzisi naziphi na izithomalalisi zentlungu, iziqholo, okanye ezinye izongezo ezithengiswa ngaphandle kwemvume kagqirha wakho kuqala. Ezinye zezi zingonakalisa izintso zakho.
Ukusebenza kwezintso ngokwemvelo kuyehla njengoko sikhula, ngoko ke kungcono ukukunyamekela oku ngokukhawuleza kwaye ugcine naluphi na umsebenzi wezintso onawo.
Umyalezo Wokuya Ekhaya
- I-Creatinine yinkunkuma eveliswa xa izihlunu zethu zisebenza. Iyahluzwa ize isuswe zizintso.
- Ukulinganisa amanqanaba e-creatinine egazini lakho (ingakumbi i-eGFR yakho) yenye yezona zilingo zibalulekileyo zokuvavanya impilo yezintso zakho.
- Nangona ukunyuka kwamanqanaba e-creatinine egazini okanye ukwehla kwe-GFR kudla ngokuba luphawu lwesifo sezintso, oku akusoloko kunjalo. Ezinye izinto nazo zinokudlala indima.
- Ulawulo olufanelekileyo lwesifo seswekile kunye noxinzelelo lwegazi oluphezulu lubalulekile ukukhusela izintso.
- Xoxa rhoqo nogqirha wakho ngeziphumo zovavanyo lwakho kunye nayo nayiphi na imithi oyithathayo (kuquka amayeza okudambisa iintlungu athengiswa ngaphandle kwemvume kagqirha).
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho