Ngaba wakha wathatha ingxelo yegazi lakho wajonga unobumba ngamnye kunye nenombolo engaphakathi kuwo waza wazibuza ukuba kuthetha ukuthini konke oku? Ngamanye amaxesha kunokuba nzima ukukuqonda. Kaloku, i-eGFR luvavanyo olusixelela okuninzi ngempilo yethu, ingakumbi impilo yezintso zethu. Namhlanje, masithethe ngokuba yi-GFR yintoni, ukuba olu vavanyo luthini, kwaye lunokunceda njani ekukhuseleni izintso zethu.
Kalula nje, yintoni i-GFR?
Igama elipheleleyo le-GFR yi -Glomerular Filtration Rate . Nangona eli gama liyinkimbinkimbi kancinci, intsingiselo yalo ilula kakhulu. Cinga ngezintso zethu ezimbini njengeyona ndlela ilungileyo yokucoca emzimbeni wethu. Umsebenzi ophambili wezintso kukucoca nokucoca yonke inkunkuma engeyomfuneko kunye neetyhefu egazini lethu size sizikhuphe emzimbeni njengomchamo .
Ngoko ke, i-GFR yindlela yokulinganisa ukuba izintso zakho zenza njani ngokukhawuleza nangokufanelekileyo lo msebenzi wokucoca igazi.
Eli gama livela kwizigidi zeefilitha ezincinci ezikwizintso. Ezi sizibiza ngokuba yi "Glomeruli." Ixabiso le-GFR libalwa ngokusekelwe kubungakanani begazi elicocwa zezifilitha ngomzuzu.
Ngokwesiqhelo, ukulinganisa ngqo i-GFR yakho kunzima kwaye kuthatha ixesha. Yiyo loo nto oogqirha bedla ngokusebenzisa uvavanyo olubizwa ngokuba yi-`eGFR (estimated Glomerular Filtration Rate). Oku kubandakanya ukuthatha isampuli yegazi elula kuwe, ukulinganisa inqanaba lenkunkuma ebizwa ngokuba yi -`Creatinine` ekuyo, uze uyidibanise kwizinto ezifana neminyaka yakho kunye nesini sakho uze ubale i-GFR yakho usebenzisa ifomula ekhethekileyo yemathematika.
I-Creatinine yimveliso yendalo yenkunkuma eveliswa zizihlunu zethu ngexesha lokuvelisa amandla. Izintso eziphilileyo ziyayihluza phantse ngokupheleleyo zize ziyikhuphe emchameni. Amanqanaba aphezulu e-creatinine egazini luphawu lokuba inkqubo yokucoca izintso ayisebenzi kakuhle.
Amanqanaba esifo sezintso kunye namaxabiso e-GFR
Ixabiso elikwingxelo yakho ye-eGFR lingakunika umbono olungileyo wokuba izintso zakho zisebenza kakuhle kangakanani. Ngokusekelwe kweli xabiso, ungaxilonga isifo sezintso (esingapheliyo).Isifo sezintso esinganyangekiyo (CKD) sahlulwe sangamabakala amahlanu aphambili. Oku kuya kunceda ugqirha wakho aqonde imeko yakho ngqo.
| Iqonga | Ixabiso le-GFR (mL/min/1.73 m²) | Intsingiselo |
|---|---|---|
| Isigaba soku-1 | 90 nangaphezulu | Ukusebenza kwezintso kuyinto eqhelekileyo, kodwa ezinye iimpawu, ezifana neproteni kumchamo, zinokubonisa ukuba kukho umonakalo othile. |
| Isigaba sesiBini | Ukususela kuma-60 ukuya kuma-89 | Ukwehla kancinci kokusebenza kwezintso. Isekwimeko entle. |
| Isigaba IIIa | 45 ukuya kuma-59 | Ukwehla okuncinci ukuya kokuphakathi kokusebenza kwezintso. |
| Isigaba IIIb | 30 ukuya ku-44 | Ukwehla okuphakathi okanye okuqatha kokusebenza kwezintso. |
| Inqanaba lesi-4 | Ukususela kwi-15 ukuya kwi-29 | Ukwehla okukhulu kokusebenza kwezintso. |
| Inqanaba V | Ngaphantsi kwe-15 | Imeko apho izintso ziphantse okanye zingasebenzi ngokupheleleyo. |
Kubalulekile:I-GFR eqhelekileyo kumntu oselula osempilweni iphakathi kweminyaka engama-90-120. Kuqhelekile ukuba i-GFR yehle ngokwemvelo njengoko sikhula. Nangona kunjalo, i-GFR engaphantsi kwama-60 ibonisa umngcipheko wesifo sezintso kunye nesifo sentliziyo.
Ngubani ekufuneka enze olu vavanyo lwe-GFR?
Ugqirha wakho unokuhlala ejonga i-GFR yakho ngexesha lokuhlolwa konyaka, kodwa kubalulekile ukuba uyihlole ukuba usengozini yokuba nesifo sezintso okanye uneempawu ezinxulumene naso.
Iimpawu ekufuneka uziqaphele:
- Ukuva iintlungu okanye ukungakhululeki xa uchama.
- Ukuchama kakhulu okanye kancinci kunesiqhelo.
- Igazi kumchamo, umbala ofana negwebu okanye omdaka.
- Ukudumba okujikeleze amehlo, isisu, izihlahla, okanye amaqatha.
- Intlungu engapheliyo embindini womqolo, evela kwindawo apho izintso zikhoyo.
Abantu abaneengozi:
- Abantu abanesifo seswekile .
- Uxinzelelo lwegazi oluphezulu, oko kukuthi, abantu abanoxinzelelo lwegazi oluphezulu .
- Abantu abanesifo sentliziyo .
- Ukuba kukho umntu kusapho onesifo sezintso okanye isifo seswekile .
- Ukuba unezifo zomchamo ezixhaphakileyo.
- Abantu abaneengxaki ezithile zokuzikhusela komzimba .
- Abantu abatshayayo .
Ukuba unayo nayiphi na kwezi mpawu okanye izinto ezinokubangela umngcipheko, kungcono ukubona ugqirha wakho ngokukhawuleza ukuze akunike icebiso.
Yintoni enokwenziwa ukukhusela izintso ngaphandle kokunciphisa i-GFR?
Ukugcina inqanaba le-GFR lilungile kuthetha ukugcina impilo yezintso zethu. Indlela esiphila ngayo kunye nemikhwa yokutya inefuthe elikhulu koku.
Khumbula, ukusela amanzi amaninzi kuphela akuyi kubuyisela ukusebenza kwezintso esele zonakele. Kulungile ukuhlala unamanzi ngokusela amanzi, kodwa kubaluleke ngakumbi ukulawula izizathu ezibangela umonakalo kwizintso.
Utshintsho kwindlela yokutya:
- Nciphisa ukusetyenziswa kwetyuwa kangangoko unako. Nciphisa ubungakanani betyuwa oyongezayo ngelixa upheka. Yeka ukuzisa ityuwa eyahlukileyo etafileni.
- Ziphephe ukutya okucutshungulweyo. Izinto ezifana nesoseji, iham, ibhekoni, intlanzi ekheniweyo, isuphu ekheniweyo, kunye neenoodles ezikhawulezileyo ziqulethe ityuwa eninzi.
- Yongeza imifuno emitsha, iziqhamo, kunye neenkozo ekutyeni kwakho.
- Ukuba unesifo seswekile okanye uxinzelelo lwegazi oluphezulu, landela isicwangciso sokutya esinikwe ngugqirha wakho okanye ingcali yesondlo ngokuchanekileyo.
Utshintsho kwindlela yokuphila:
- Soloko ujonge uxinzelelo lwakho lwegazi kunye namanqanaba eswekile egazini. Sela amayeza owanikwe ngugqirha wakho ngexesha.
- Ukuba uyatshaya, yeka ngoko nangoko. Ukutshaya konakalisa imijelo ethwala igazi izintso.
- Ukusetyenziswa ixesha elide kwamanye amayeza, anjengee -painkillers, kunokuba yingozi kwizintso. Ngoko ke, musa ukuqhubeka nokusebenzisa amayeza ngaphandle kokubonisana nogqirha.
- Gcina ubunzima bomzimba busempilweni . Zilolonge rhoqo.
Ukuba unenkxalabo malunga ne-GFR yakho, okanye ukuba ingxelo ibonisa ukuba iphantsi, ungoyiki kwaye uthethe nogqirha wakho ngayo. Uza kuyijonga ngokupheleleyo impilo yakho aze akunike unyango kunye neengcebiso ozifunayo.
Umyalezo Wokuya Ekhaya
- I-GFR (iGlomerular Filtration Rate) luvavanyo olubalulekileyo olulinganisa ukuba izintso zakho zihlambulula igazi lakho kakuhle kangakanani.
- Ixabiso le-eGFR elingaphantsi kwama-60 linokuba luphawu lokuqala lwesifo sezintso. Okukhona sifunyanwa kwangoko, kokukhona kulula ukunyanga.
- Buza ugqirha wakho nayiphi na imibuzo onayo malunga nengxelo yakho ye-GFR. Musa ukuzenzela uxilongo lwakho ngokusekelwe kuphando olukwi-intanethi.
- Isifo seswekile kunye noxinzelelo lwegazi oluphezulu zezona ntshaba zimbini ziphambili zezintso. Lawula ezi meko kakuhle.
- Ukutya okunempilo, ukutya okungenatyuwa ingako, ukuzilolonga, kunye nokuphepha ukutshaya zezona zibonelelo zinkulu onokuzinika izintso zakho.
- Ukuba uneempawu ezifana notshintsho kumchamo wakho, ukudumba, okanye iintlungu zomqolo, musa ukuzityeshela kwaye funa ingcebiso kagqirha ngoko nangoko.
I-GFR, i-eGFR, izintso, uvavanyo lomsebenzi wezintso, i-creatinine, isifo sezintso, uvavanyo lwegazi, uvavanyo lwegazi, ukusilela kwezintso
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