Izinto Ezibalulekileyo Okufuneka Uzazi Ngokungasebenzi Kwezintso | Nirogi Lanka

Ngaba wakha wema kancinci wacinga ukuba zingakanani na izinto ezisebenza kwizintso zakho ezimbini ezincinci kuwe yonke imihla? Nangona kunjalo, ngamanye amaxesha, izintso zakho zinokuba nzima ukusebenza ngendlela ezifanele zisebenze ngayo. Oku sikubiza ngokuba kukusilela kwezintso. Nangona oku kunokuvakala kungaphaya kwamandla, eNirogi Lanka , sikholelwa ukuba ukuqonda impilo yakho sesona sixhobo sinamandla onaso. Ukuhlala unolwazi linyathelo lokuqala lokulawula impilo-ntle yakho.

Yintoni Ukusilela Kwezintso?

Ngamafutshane, ukungasebenzi kakuhle kwezintso kwenzeka xa enye okanye zombini izintso zakho zingasasebenzi kakuhle. Azikwazi ukwenza imisebenzi yazo ebalulekileyo zodwa. Oku kunokwenzeka ngeendlela ezimbini eziphambili: Ukungasebenzi kakuhle kwezintso okukhawulezileyo , okwenzeka ngequbuliso nangokukhawuleza—nangona kwezinye iimeko, kunokuba yinto yexeshana kwaye iguqulwe ngonyango—kunye neSifo Sezintso Esingapheliyo (CKD) , esibhekisa ekuwohlokeni kancinci kancinci kokusebenza kwezintso ngokuhamba kwexesha. I-CKD lolona hlobo luqhelekileyo lwengxaki yezintso.

Ukuba ukusebenza kwezintso kuyaqhubeka nokuwohloka, kunokufikelela kwinqanaba lokugqibela elaziwa ngokuba yi -End-Stage Kidney Disease (ESKD) . Ngaphandle kokungenelela kwezonyango, i-ESKD ibeka ubomi esichengeni; isigulana sinokuphila iintsuku okanye iiveki ezimbalwa kuphela ngaphandle konyango. Nangona kunjalo, ungoyiki—ngolawulo olufanelekileyo nokhathalelo eNirogi Lanka, unokugcina umgangatho wobomi obuhle nangona uphila nesifo sezintso.

Zenza Ntoni Izintso Zakho?

Makhe sijonge indlela ezisebenza ngayo ezi zitho zomzimba emzimbeni wakho. Izintso zakho ezimbini zimile okweembotyi kwaye zilingana nenqindi lakho. Unesinye kwicala ngalinye lomqolo wakho, ngaphantsi nje kwembambo yakho. Nangona uninzi lwabantu lunezimbini, kunokwenzeka ngokupheleleyo ukuba uphile ubomi obusempilweni ngesinye sezintso esisebenzayo.

Indima ephambili yezintso zakho kukucoca ityhefu emzimbeni wakho . Zicinge njengenkqubo yokucoca ephucukileyo: zihluza igazi lakho zize zisuse inkunkuma, ethi emva koko ikhutshwe njengomchamo.

Ukuba izintso zakho azisebenzi kakuhle, le nkunkuma iqala ukuqokelelana emzimbeni wakho. Oku kukwenza uzive ungaphilanga kakuhle, kwaye ukuba ayinyangwa, ekugqibeleni inokubulala. Nangona kunjalo, njengoko kukhankanyiwe, ngononophelo olufanelekileyo nokubekwa esweni, le meko inokulawulwa ngempumelelo.

Kuqheleke Kangakanani Ukusilela Kwezintso?

Ukungasebenzi kakuhle kwezintso kuxhaphakile. Kumazwe afana ne-United States, malunga nabantu abangama-750,000 bayachaphazeleka minyaka le, kwaye kwihlabathi liphela, izigidi zabantu ziphila nale meko. NaseSri Lanka, abantu abaninzi bajongene nale ngxaki, ikakhulu ngenxa yokuxhaphaka kwezifo ezinje ngeswekile kunye noxinzelelo lwegazi.

Zithini Izigaba Ezintlanu Zesifo Sezintso?

Ukuze sifumanise inqanaba lesifo sezintso, sijonga i-eGFR yakho (Izinga lokuHlanganisa iGlomerular eliQikelelweyo) , elilinganiswa ngovavanyo lwegazi.

Ngamafutshane, i-eGFR ilinganisa indlela izintso zakho ezihluza ngayo inkunkuma. Umntu osempilweni uhlala ene-eGFR engaphezulu kwama-90. Ukuba i-eGFR yakho yehla iye kwi-0, oko kuthetha ukuba izintso azinawo amandla okusebenza aseleyo.

Kukho amanqanaba amahlanu aphambili esifo sezintso:

• Inqanaba lokuQala: I-GFR yakho ingama-90 nangaphezulu. Kusenokubakho umonakalo omncinci kwizintso, kodwa izintso zisasebenza ngendlela eqhelekileyo.
• Inqanaba lesiBini: I-GFR yakho iphakathi kwama-60 nama-89. Umonakalo ubaluleke kakhulu kuneSigaba soku-1, kodwa ziyaqhubeka nokusebenza kakuhle.
• Inqanaba lesiThathu: I-GFR yakho iphakathi kwama-30 nama-59. Apha, ukusebenza kwezintso kuncitshiswe kancinci ukuya kutsho kakhulu.
• Inqanaba lesi-4: I-GFR yakho iphakathi kwe-15 kunye ne-29. Ukusebenza kwezintso kuyaphazamiseka kakhulu kweli nqanaba.
• Inqanaba lesi-5: I-GFR yakho ingaphantsi kwe-15. Oku kubonisa ukungasebenzi kakuhle kwezintso okanye ukungasebenzi kakuhle kwazo zonke, kwaye iimpawu zihlala zibonakala kweli nqanaba.

Ziziphi Iimpawu Ezilumkisayo Zokungasebenzi Kwezintso Kwasekuqaleni?

Amaxesha amaninzi, kwizigaba zokuqala, usenokungabi nazimpawu kwaphela okanye zibe zincinci kakhulu. Nokuba uzive uphilile, i-Chronic Kidney Disease (CKD) inokubangela umonakalo wangaphakathi.

Iimpawu ziyahluka kumntu nomntu. Ukuba izintso zakho ziyasokola, unokubona enye okanye ezingaphezulu kwezi zilandelayo:

• Ukudinwa okungapheliyo. Oku kungaphezulu kokudinwa nje; kukudinwa okunzulu okungasombululwa kukuphumla.
• Isicaphucaphu nokuhlanza, okudla ngokuhamba nokulahlekelwa ngumdla wokutya.
• Ubunzima bokugxila okanye inkungu yengqondo. Ukuziva udidekile engqondweni okanye ungakwazi ukugxila kwimisebenzi.
• Ukudumba (ukudumba). Ingakumbi ezandleni zakho, emaqatheni, okanye kufutshane namehlo, ingakumbi xa uvuka kusasa.
• Utshintsho kwindlela ochama ngayo. Kusenokufuneka uchame rhoqo, ungachami rhoqo, okanye uqaphele ukuba umchamo wakho ubonakala unamagwebu.
• Ukuqaqamba kwemisipha okanye ukuqaqamba.
• Ulusu olomileyo okanye olurhawuzelelayo.
• Incasa yesinyithi emlonyeni wakho okanye ukuphelelwa ngumdla wokutya.

Musa ukoyika ukuba unenye okanye ezimbini kwezi mpawu, kodwa ukuba ziyaqhubeka, kufuneka ubonane nogqirha ngoko nangoko . Ukuba ufumana imeko engxamisekileyo, fowunela u-911 okanye undwendwele isebe lezongxamiseko elikufutshane nawe.

Zithini Izinto Ezibangela Ukungasebenzi Kwezintso?

Izizathu eziphambili zeSifo sezintso esingapheliyo kunye nokungasebenzi kakuhle kwezintso okulandelayo zezi:Isifo seswekile kunye noxinzelelo lwegazi oluphezulu . Zombini ziimeko eziqhelekileyo nezilawulekayo esizibona rhoqo eNirogi Lanka.

Ukuba unesifo seswekile kwaye asilawulwa kakuhle, amanqanaba eswekile egazini lakho aya kunyuka rhoqo, nto leyo ekhokelela kwi-hyperglycemia. Ukuba la manqanaba ahlala ephezulu rhoqo, anokubangela umonakalo omkhulu kwizintso zakho nakwamanye amalungu omzimba abalulekileyo ekuhambeni kwexesha.

Uxinzelelo lwegazi oluphezulu, okanye uxinzelelo lwegazi oluphezulu, lwenzeka xa igazi linyanzelwa ukuba lingene emithanjeni yakho ngoxinzelelo olukhulu. Ngaphandle konyango lwexesha elide, olu xinzelelo longezelelweyo lunokubangela umonakalo omkhulu kwizicubu ezibuthathaka kwizintso zakho.

Ukungasebenzi kakuhle kwezintso akwenzeki ngobusuku obunye. Kukho nezinye izinto ezininzi ezibangela oku:

• Isifo sezintso esinePolycystic (PKD): Esi sisifo semfuza esifunyanwa ngabazali. Sibangela ukuba iingxowa ezizaliswe lulwelo, ezaziwa ngokuba zii-cysts, zikhule ngaphakathi kwezintso.
• Izifo ze-Glomerular: Ezi meko zichaphazela amandla ezintso okucoca inkunkuma egazini lakho ngokufanelekileyo.
• Izifo zezintso ezizikhusela ngokwazo emzimbeni: Umzekelo, iLupus . Esi sisifo esibangelwa kukuzikhusela komzimba apho amajoni akho omzimba ahlasela ngempazamo iiseli zakho eziphilileyo. Oku kunokukhokelela ekulimaleni kwamalungu omzimba, iintlungu zamalungu, umkhuhlane, kunye nokudumba kolusu.

Ngamanye amaxesha, ukungasebenzi kakuhle kwezintso kunokuvela ngokukhawuleza ngenxa yezizathu ezingalindelekanga. Oku kwaziwa ngokuba yi- Acute Kidney Injury (AKI) . Kule meko, ukusebenza kwezintso kuyehla ngequbuliso, rhoqo kwiintsuku ezimbalwa. Ngethamsanqa, le meko idla ngokuguqulwa.

Izizathu eziqhelekileyo zokwenzakala kwezintso ngokukhawuleza ziquka:

• Amayeza athile: Ngokukodwa, ukusetyenziswa kwexesha elide kwee-painkillers ezithile.
• Ukuphelelwa ngamanzi emzimbeni kakhulu: Xa umzimba wakho ungenazo izinto ezaneleyo.
• Ukuvaleka komchamo: Oku kunokubangelwa ziimeko ezifana namatye ezintso.
• Izifo ezinganyangwanga emzimbeni: Umzekelo, isifo sentliziyo okanye isifo sesibindi.

Zithini izinto ezibangela ukungasebenzi kakuhle kwezintso?

Ukungasebenzi kakuhle kwezintso kunokuchaphazela nabani na. Nangona kunjalo, usenokuba sengozini enkulu ukuba unezi zinto zilandelayo:

• Unesifo seswekile .
• Une -hypertension (uxinzelelo lwegazi oluphezulu) .
• Unesifo sentliziyo .
• Kukho imbali yosapho enesifo sezintso (ufuzo olubangela ukuba umntu abe nesifo).
• Uneengxaki zesakhiwo kwizintso zakho.
• Ungumntu omnyama okanye ozelwe eMelika (ngenxa yezizathu ezithile zofuzo).
• Uneminyaka engaphezu kwama-60 ubudala .
• Unembali ende yokusebenzisa iintlungu, ingakumbi ii-NSAIDs ezithengiswa ngaphandle kwemvume kagqirha (Nonsteroidal Anti-inflammatory Drugs) .

Zithini iingxaki zokungasebenzi kakuhle kwezintso?

Izintso zakho zenza imisebenzi ebalulekileyo. Xa zingaphumeleli, oko kunokukhokelela kwiingxaki ezahlukeneyo, ezinje:

• Igazi elonyukayo.
• I-anemia: Izintso zivelisa i-hormone enceda ekudaleni iiseli ezibomvu zegazi. Xa zonakele, olu hlobo lokuvelisa luyehla.
• Isifo samathambo.
• Ulwelo olujikeleze imiphunga yakho.
• Ukonakala kwemithambo-luvo.
• Ukungalingani kwe-electrolyte: Utshintsho kumanqanaba eeminerali ezifana ne-sodium kunye ne-potassium egazini lakho.

Nceda ungacingi ukuba ukuxilongwa kokungasebenzi kakuhle kwezintso kuthetha isiphelo. Ukuba ulandela ngokungqongqo isicwangciso sonyango sikagqirha wakho—esinokubandakanya amayeza, utshintsho lwendlela yokuphila, kunye nemida yokutya kwityuwa kunye nezondlo ezithile—ungayilawula le meko ngokufanelekileyo. Nangona kunjalo, ukungawunaki umcebisi wezonyango kunokukhokelela ekuwohlokeni ngakumbi kunye nemiphumo enokuba yingozi ebomini. Apha eNirogi Lanka, silapha ukuxhasa uhambo lwakho lolawulo olungcono.

Ngaba ukungasebenzi kakuhle kwezintso kwinqanaba lokugqibela kunokubangela ukufa?

Ewe, iSifo sezintso esiQhelekileyo (ESKD) singasongela ubomi. Nangona kunjalo, njengoko kukhankanyiwe, ngonyango olufanelekileyo, abantu abaninzi banokuphila ubomi obupheleleyo. Kubalulekile ukukhumbula ukuba okwangoku akukho nyango lupheleleyo lokungasebenzi kakuhle kwezintso. Unyango lugxile ekugcineni ukusebenza kwezintso zakho okuseleyo ixesha elide kangangoko kunokwenzeka kunye nokulibazisa ukwehla okuqhubekayo.

Ifunyanwa njani ingxaki yokungasebenzi kakuhle kwezintso?

Ugqirha wakho uza kusebenzisa iimvavanyo ezahlukeneyo ukuvavanya ukuba izintso zakho zisebenza kakuhle kangakanani. Ukuba ugqirha wakho ukrokrela ukuba usemngciphekweni wokungasebenzi kakuhle kwezintso, ngokuqhelekileyo uya kuyalela oku kulandelayo:

• Uvavanyo lwegazi: Olu vavanyo lulinganisa indlela izintso zakho ezihluza ngayo inkunkuma egazini lakho. Isampuli ithathwa kumthambo osengalweni yakho ize ihlolwe kwilebhu. I-eGFR yakho ifunyanwa ngolu vavanyo.
• Uvavanyo lomchamo: Olu vavanyo lujonga umchamo wakho ukuba akukho zinto zifana neproteni okanye igazi. Uza kucelwa ukuba unike isampuli kwisikhongozeli esicocekileyo ukuze sihlolwe elebhu.
• Uvavanyo lokufota: Olu luvumela ugqirha wakho ukuba acinge ngezintso zakho ukuze ajonge iingxaki okanye imiqobo. Uvavanyo oluqhelekileyo lokufota luquka i-Kidney Ultrasound , i-CT Urogram , kunye ne -MRI .

Inyangwa njani ingxaki yezintso?

Indlela yokunyanga ukungasebenzi kakuhle kwezintso ixhomekeke kwisizathu esiyintloko kunye nobunzima bemeko yakho. Nangona ukungasebenzi kakuhle kwezintso kuyimeko enzima, esongela ubomi engenakuphiliswa ngokupheleleyo, isicwangciso sonyango esifanelekileyo eNirogi Lanka sinokukunceda uphile ubomi obude, obukhululekileyo ngelixa ulawula iimpawu kunye neengxaki ngokufanelekileyo.

Ukuba ukusebenza kwezintso zakho kuyehla kancinci kancinci, iqela lakho lezempilo liza kujonga impilo yakho ngokusondeleyo kwaye lisebenzise amaqhinga okugcina ukusebenza okuseleyo ixesha elide kangangoko kunokwenzeka. Oku kungabandakanya:

• Uvavanyo lwegazi rhoqo.
• Ukujonga uxinzelelo lwegazi rhoqo.
• Amayeza abhalwe ngugqirha alungiselelwe iimfuno zakho.

Ukuba ukwi -End-Stage Kidney Failure , unyango olusebenzayo lubalulekile ukuze uphile ubomi. Kukho iindlela ezimbini eziphambili zonyango: i-Dialysis kunye ne -Kidney Transplantation .

Amayeza Okungasebenzi Kwezintso

Ngokuxhomekeke kwinto ebangele isifo sakho sezintso, ugqirha wakho unokukunika enye okanye ezingaphezulu kwezi zilandelayo:

• Ii-Angiotensin-converting enzyme (ACE) inhibitors okanye ii-Angiotensin II receptor blockers (ARBs): Ezi zinceda ekulawuleni nasekuthomalaliseni uxinzelelo lwakho lwegazi.
• I-Diuretics: Zidla ngokubizwa ngokuba "ziipilisi zamanzi," ezi zinceda umzimba wakho ukhuphe ulwelo olugqithisileyo.
• Iistatini: Ezi zisetyenziselwa ukunciphisa amanqanaba akho e-cholesterol.
• Izinto ezivuselela i-erythropoietin: Ukuba unesifo sokunqongophala kwegazi, ezi zinceda umzimba wakho uvelise iiseli ezibomvu zegazi.
• IVithamin D kunye neCalcitriol: Ezi zinceda ekukhuseleni impilo yamathambo akho kwaye zithintele ukuwohloka.
• Izibopheleli ze-phosphate: Ezi zinceda ukususa i-phosphorus engaphezulu egazini lakho.

I-Dialysis

I-Dialysis isebenza njengesihluzo sangaphandle segazi lakho, inika izintso zakho inkxaso eziyidingayo xa zingasakwazi ukusebenza zodwa. Kukho iintlobo ezimbini eziphambili:

• I-Hemodialysis: Kule nkqubo, umatshini ucoca igazi lakho. Uninzi lwezigulane lufumana olu nyango esibhedlele okanye kwiziko le-dialysis elikhethekileyo kathathu ukuya kane ngeveki. Kunokuba nzima kakhulu, njengoko kuya kufuneka uhlale uqhagamshelwe kumatshini iiyure ezininzi ngeseshoni nganye.
• I-Peritoneal dialysis: I-catheter ifakwa esiswini sakho, nto leyo evumela isisombululo esikhethekileyo se-dialysis ukuba singene kwisisu sakho. Olu lwelo lufunxa inkunkuma kunye nolwelo olugqithisileyo, oluthi emva koko lukhutshwe lubuyele ngaphandle. Kwiimeko ezininzi, olu hlobo lwe-dialysis lunokwenziwa ukhululekile ekhayeni lakho.

Ukufakelwa Kwezintso

Kwi- Kidney Transplant , ugqirha wotyando utshintsha izintso zakho ezonakeleyo ngezo ziphilileyo ezivela kumnikeli. Eli lungu lomnikelo linokuvela kumnikeli oswelekileyo okanye kumnikeli ophilayo. Ungaphila ubomi obupheleleyo nobunempilo ngentso enye esebenzayo. Emva kokufakelwa, kuya kufuneka uthathe amayeza ubomi bakho bonke ukuthintela umzimba wakho ukuba ungalamkeli ilungu elitsha.

Ngaba ukungasebenzi kakuhle kwezintso kwinqanaba lokugqibela kunokunyangeka?

Ingqikelelo yakho ixhomekeke kwizinto ezahlukeneyo. Ngonyango oluzinikeleyo, ungaphila ubomi obanelisayo nobonwabisayo. Nangona kunjalo, kufuneka ulungiselele inyani yokuba unyango luya kufuneka ebomini bakho bonke. Nceda ukhumbule, isifo sezintso kunye nokungaphumeleli akunakubuyiselwa umva ; unyango lugxile ekucothiseni ukuqhubela phambili kunye nokulawula imeko.

Ingathintelwa njani ingxaki yezintso?

Nangona isifo sezintso esinganyangekiyo (CKD) kunye nokusilela kwezintso akunakuhlala kutshintshwa, ungathatha amanyathelo asebenzayo ukukhusela ukusebenza kwezintso zakho okuseleyo. Ukwamkela imikhwa esempilweni kunye nemizila eqhelekileyo kunokucothisa kakhulu ukuqhubela phambili kwesi sifo.

Ukuba une-CKD okanye usengozini yokungasebenzi kakuhle kwezintso, cinga ngezi zinto zilandelayo:

• Jonga ukusebenza kwezintso zakho rhoqo (njengoko ugqirha wakho ekucebisile).
• Ukuba unesifo seswekile, gcina amanqanaba eswekile egazini lakho ekwinqanaba elifanelekileyo .
• Gcina uxinzelelo lwakho lwegazi lukwinqanaba eliqhelekileyo nelisempilweni .
• Ziphephe zonke iimveliso zecuba , kuquka nokutshaya.
• Nciphisa ukutya okune-potassium eninzi kunye ne-sodium (ityuwa) . Nxibelelana nogqirha wakho okanye ingcali yesondlo, njengoko ezinye iziqhamo kunye nemifuno zinobuninzi be-potassium ngokwemvelo.
• Yiya rhoqo kwintlanganiso yezonyango ecwangcisiweyo kunye nomboneleli wakho wezempilo.

Yintoni onokuyilindela ukuba unesifo sezintso?

Akukho ndlela yokuphelisa ukungasebenzi kakuhle kwezintso. Nangona kunjalo, ngokuxilongwa ngokuchanekileyo nangonyango oluqhubekayo, ungaphila ubomi obude nobunentsingiselo ngaphandle kokubeka ubomi bakho esichengeni.

Ufanele uye nini kugqirha?

Ukuba unezizathu ezibangela ukungasebenzi kakuhle kwezintso, nceda ucwangcise intlanganiso nogqirha wakho. Oku kuquka:

• Une- high blood pressure (uxinzelelo lwegazi oluphezulu) .
• Uqaphela utshintsho kwiindlela zakho zokuchama (ezifana nokuchama rhoqo, ukuncipha kokuphuma komchamo, umchamo onamagwebu, okanye igazi kumchamo wakho).
• Ufumana inkungu yengqondo okanye ubunzima bokugxila.
• Uhlushwa sisicaphucaphu okanye ukuhlanza okungapheliyo.
• Uxilongwe ukuba unesifo seswekile .
• Unembali yosapho lwakho yesifo sezintso.
• Unembali yangaphambili yokwenzakala kwezintso (umz., ukungasebenzi kakuhle kwezintso ngokukhawuleza).
• Usebenzisa rhoqo amayeza okudambisa iintlungu ohlobo lwe-NSAID .

Ukuba ubona naziphi na kwezi mpawu, musa ukuzityeshela. Inyathelo elilumkileyo kukubonana nogqirha ngokukhawuleza ukuze ufumane ingcebiso yobungcali kwezonyango.

Imibuzo Omele Uyibuze Ugqirha Wakho

Cinga ngokuxoxa ngale mibuzo malunga nokungasebenzi kakuhle kwezintso nomboneleli wakho wezempilo:

• Kwafunyaniswa njani ukuba ndinengxaki yezintso?
• Ukuba ayikokusilela kwezintso, zeziphi ezinye iimeko ezinokubangela ezi mpawu?
• Yintoni unobangela wokuphazamiseka kwezintso zam?
• Ngaba ndifuna i-dialysis?
• Yeyiphi indlela ye-dialysis ondicebisa yona?
• Ngaba ndingumntu ofanelekileyo wokufakelwa izintso?
• Ngawaphi amayeza owacebisayo?
• Ngaba kufuneka ndenze utshintsho oluthile kwindlela enditya ngayo okanye endiyithathayo emanzini?
• Kufuneka ndiye rhoqo kangakanani kwintlanganiso zokulandelela?

Ufanele Ucinge Nini Ngokhathalelo Lwe-Hospice Xa Ungasebenzi Kakuhle Kwizintso?

Ukugqiba ukuba uza kutshintshela nini kunyango lwe-hospice kuwe okanye kumntu omthandayo lukhetho oluxhomekeke kuwe. Iqela lakho lezonyango linokukunceda ukukukhokela kwindlela efanelekileyo yemeko yakho. Injongo ephambili yonyango lwe-hospice kukubonelela ngentuthuzelo, isidima, kunye nenkxaso ngexesha lokungasebenzi kakuhle kwezintso. Kwimeko yokungasebenzi kakuhle kwezintso, i-hospice idla ngokuqwalaselwa xa unyango olufana ne-dialysis okanye ukufakelwa kwezicubu zomzimba lungasasebenzi okanye lungasasebenzi kwisigulana.

Izinto eziphambili zokuThatha ukusuka eNirogi Lanka

Izintso zakho zizitho ezibalulekileyo ezinoxanduva lokucoca inkunkuma kunye nolwelo olugqithisileyo emzimbeni wakho. Ukungasebenzi kakuhle kwezintso kuthetha ukuba la malungu awasawenzi imisebenzi yawo ebalulekileyo, enokuba yingozi ebomini ngaphandle kokungenelela okufanelekileyo. Nangona kunjalo, ungalahli ithemba; iindlela ezinje nge -dialysis okanye ukufakelwa kwezintso zinokukunceda ugcine umgangatho wobomi obuhle. Isicwangciso sakho sokhathalelo sinokubandakanya amayeza kunye nohlengahlengiso oluthile lokutya. Soloko uye kwiindibano zakho zonyango rhoqo. Ukuba unemibuzo okanye iinkxalabo malunga nonyango lwakho, amayeza, utshintsho lwendlela yokuphila, okanye naluphi na umba wesicwangciso sakho sokhathalelo, thetha ngokukhululekileyo nogqirha wakho.

Amagama angundoqo: Ukusilela kwezintso, Isifo sezintso, Isifo seswekile, Uxinzelelo lwegazi, I-Dialysis, Ukufakelwa kwezintso