Ukuba unesifo seswekile, mhlawumbi uyazi ukuba kubaluleke kangakanani ukulawula amanqanaba eswekile egazini lakho. Kodwa ubusazi na ukuba ikwakhusela amalungu amabini amancinci amile okweembotyi emzimbeni wakho, izintso? La ngamalungu abalulekileyo acoca igazi lethu aze asuse inkunkuma engafunekiyo emzimbeni. Kodwa ukuba isifo seswekile asilawulwa, la malungu axabisekileyo angaqala ukonakala, kwaye oko kungenzeki ngaphandle kweempawu ezinkulu.
Yintoni le isifo sezintso sibangelwa sisifo seswekile?
Ngamafutshane, xa isifo seswekile singalawulwa kakuhle, amanqanaba aphezulu eswekile egazini ngokuhamba kwexesha ayayonakalisa imithambo yegazi ethambileyo kwizintso. Oku kuthintela izintso ekwenzeni umsebenzi wazo ophambili wokucoca igazi. Oku sikubiza ngokuba sisifo sezintso seswekile, okanye njengoko oogqirha besibiza , isifo sezintso esingapheliyo (CKD) .
Okuxhalabisayo kukuba, uphando lufumanise ukuba umntu omnye kwabathathu (1 kwabathathu) abadala abanesifo seswekile nabo banaso esi sifo sezintso.
Esi sifo sibangela ukuba izintso ziphulukane kancinci kancinci namandla azo okucoca inkunkuma kunye namanzi agqithisileyo emzimbeni. Ukuba oku akuphathwanga kakuhle, ekugqibeleni kunokukhokelela ekungasebenzini kwezintso. Kwimeko enjalo, kuya kufuneka utyando lwe-dialysis okanye utyando lwezintso ukuze uphile.
Kuthatha ixesha elingakanani ukuba izintso ziwohloke ngenxa yesifo seswekile?
Kuthatha iminyaka ukuba lo monakalo wenzeke. Kodwa eyona ngxaki inkulu apha kukuba abantu abaninzi bahlala ixesha elide bengazi nokuba banesifo seswekile sohlobo lwesibini . Khawucinge nje, abanye abantu bafumanisa ukuba banesifo seswekile kwaye izintso zabo sele zonakele ngandlela thile ngovavanyo xa besiya kugqirha ngenxa yesinye isifo.
Ngoko ke, nokuba awunaso isifo seswekile okwangoku, kubalulekile ukuba uqaphele izinto ezibangela umngcipheko waso. Ukufunyaniswa kwangethuba kwesi sifo kunokuthintela ukonakala kwezintso.
Qaphela ezi mpawu zokuqala zesifo seswekile
Jonga itheyibhile engezantsi ukuze ubone ukuba unazo na iimpawu ezidwelisiweyo. Ezi ziimpawu eziqhelekileyo ezinokubonakala kwizigaba zokuqala zesifo seswekile.
| Uphawu | Ngamagama alula... |
|---|---|
| Ukuchama rhoqo | Ukufuna ukuchama rhoqo kunesiqhelo. |
| Ukoma okungaqhelekanga | Ukuziva unxaniwe ngakumbi nokuba usela amanzi angakanani na. |
| Ndiziva ndilambile ngakumbi | Nokuba emva kokutya kakuhle, uziva ulambile kwakhona emva kwexesha elithile. |
| Ukudinwa rhoqo | Ukuziva udiniwe kakhulu kwaye ulele ngaphandle kwesizathu. |
| Umbono ofipheleyo | Ukuziva ungaboni kakuhle. |
| Ukuphola kwenxeba okulibazisekileyo | Nokuba inxeba elincinci okanye ukukrweleka kuthatha ixesha elide ukuphola. |
| Ukungaziva mnandi okanye iintlungu ezinyaweni | Ukurhawuzelela, ukutsha, okanye iintlungu ezandleni nasezinyaweni (ezixhaphakileyo kwisifo seswekile sohlobo lwesibini). |
Zithini iimpawu zesifo sezintso? Kutheni zifika emva kwexesha?
Le yeyona nto ibalulekileyo ekufuneka siyiqaphele sonke. Iimpawu zesifo sezintso ziqala ukubonakala kuphela xa isifo sele sinzima kakhulu.
Isizathu kukuba izintso zethu zizitho eziqinileyo kakhulu ezingavumiyo ukutshatyalaliswa ngokulula. De kube malunga ne-75% yazo yonakele, ezinye iindawo eziphilileyo zisebenza nzima ukugcina ulungelelwano kwiinkqubo zomzimba. Yiyo loo nto singaziva nto de kubekho umonakalo omkhulu.
Xa kuvela iimpawu, uninzi lomonakalo kwizintso lusenokuba sele lwenzekile. Ngoko ke ukulinda ukuba iimpawu zivele akuyongcinga ilungileyo.
Ezi ziimpawu ezinokuthi zivele xa isifo siqala ukuba nzima:
- Ukudumba kwemilenze, amaqatha, neenyawo
- Ukudumba okujikeleze amehlo xa uvuka kusasa
- Ukuncipha kokuchama rhoqo okanye umchamo onegwebu
- Ubunzima bokuphefumla kunye nokudinwa rhoqo
- Ukulahlekelwa ngumdla kunye nesicaphucaphu
- Ulusu olomileyo nolurhawuzelayo
- Ukungalali
- Ukuqaqamba kwemisipha
Ngoko ke, senza ntoni? Sizikhusela njani izintso zethu ezixabisekileyo?
Ngethamsanqa, zininzi izinto esinokuzenza ukuthintela le meko okanye ukulawula ukuqhubeka kwayo. Eyona nto ibalulekileyo kukufumana uhlolo lwezonyango ngexesha.1. Thetha nogqirha wakho: Ukuba unesifo seswekile, thetha ngokukhululekileyo nogqirha wakho malunga nempilo yezintso zakho. Kubalulekile ukuba izintso zakho zihlolwe ubuncinane kanye ngonyaka.
2. Uvavanyo lwe-ACR yomchamo: Olu luvavanyo olulula kakhulu. Lujonga ubungakanani obuncinci beproteni ebizwa ngokuba yi-albumin kumchamo wakho. Izintso eziphilileyo azihluzi le proteni egazini. Ukubakho kwale nto kumchamo luphawu lokuqala lokuba izintso ziqala ukonakala.
3. Uvavanyo lwegazi (uvavanyo lwegazi lwe-eGFR): Olu luvavanyo lokuba izintso zakho zicoca igazi kakuhle kangakanani, njengepesenti. Oku kubizwa ngokuba yi -eGFR (i-estimated Glomerular Filtration Rate) . Ukwehla kweli xabiso kuthetha ukuba izintso azisebenzi kakuhle.
4. Lawula uxinzelelo lwegazi kunye namanqanaba eswekile:
- Uxinzelelo lwegazi: Uxinzelelo lwegazi oluphezulu lolunye utshaba olukhulu lwezintso. Jonga uxinzelelo lwegazi lwakho rhoqo kwaye uthathe amayeza achazwe ngugqirha wakho ngqo.
- Iswekile Egazini: Gcina amanqanaba eswekile egazini lakho ekwinqanaba elimiselweyo. Thetha nogqirha wakho malunga novavanyo lwe -HbA1c uze ulandelele ngokufanelekileyo.
5. Landela imiyalelo kagqirha wakho: Ngamanye amaxesha ugqirha wakho unokukunika amayeza akhethekileyo (umz. ii-ACE inhibitors, ii-ARBs) ukukhusela izintso zakho. Zisebenzise kanye njengoko kuyalelwe. Kwakhona, kuphephe ukuqhubeka usebenzisa amayeza anjengeentlungu ngaphandle kokubonisana nogqirha wakho.
6. Indlela yokuphila enempilo:
- Nciphisa ukusetyenziswa kwetyuwa ekutyeni.
- Yitya ukutya okunempilo.
- Zilolonge rhoqo.
- Kuphephe ukutshaya ngokupheleleyo.
Ufanele uye nini kugqirha ngoko nangoko?
Ukuba unesifo seswekile kwaye ufumana enye okanye ngaphezulu kwezi mpawu zilandelayo, bona ugqirha wakho ngokukhawuleza.
- Ukudumba okungaqhelekanga kwemilenze, iingalo, okanye ubuso.
- Utshintsho kwindlela yokuchama (ukuncipha, ukwanda, ukubila).
- Ukudinwa okunganyamezelekiyo okanye ubunzima bokuphefumla.
- Ukulahlekelwa ngumdla wokutya okanye isicaphucaphu.
Kwimeko yongxamiseko: Ukuba ngequbuliso ufumana ubunzima bokuphefumla, iintlungu eziqatha esifubeni, okanye uzive ngathi ulahlekelwa zingqondo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Ukuba unesifo seswekile, kufuneka unyamekele izintso zakho rhoqo. Yinxalenye yokulawula isifo sakho seswekile.
- Iimpawu zesifo sezintso zibonakala kuphela xa isifo siqhubela phambili. Ngoko ke musa ukulinda ukuba iimpawu zibonakale, yiba nesibindi sokuzilungisa.
- Fumana uvavanyo olulula lomchamo (Urine ACR) kunye nolwegazi (eGFR) olujonga ukusebenza kwezintso zakho ubuncinane kanye ngonyaka.
- Ukugcina iswekile yegazi lakho kunye noxinzelelo lwegazi lulawulwa kakuhle yeyona ndlela ilungileyo yokukhusela izintso zakho.
- Ukuba unengxaki encinci okanye amathandabuzo malunga nempilo yakho, ungaze ungathandabuzi ukuyixoxa ngokukhululekileyo nogqirha wakho.
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