Izintso zezinye zezitho ezibalulekileyo emzimbeni wethu. Zifana nesihluzo emzimbeni wethu. Zihluza inkunkuma egazini zize ziyikhuphe njengomchamo. Kodwa ngamanye amaxesha, ngenxa yezizathu ezahlukeneyo, ukusebenza kwezi zintso zimbini kunokuncipha okanye kuyeke ngokupheleleyo. Le meko siyibiza ngokuba kukusilela kwezintso. Xa oko kusenzeka, kufuneka senze i-dialysis okanye sifakwe isintso. Ngoko ke, namhlanje siza kuthetha ngokuba yintoni olu fakelo lwezintso kunye nento ekufuneka uyazi ngayo.
Ngamafutshane, yintoni ukufakelwa kwezintso?
Ukufakelwa kwezintso yinkqubo yotyando apho kususwa izintso eziphilileyo zize zifakwe emzimbeni womntu onezintso ezingasebenzi kakuhle. Emva koko izintso ezintsha zithatha umsebenzi wokucoca inkunkuma emzimbeni. Kufana nokususa isihluzo esidala, esiphukileyo uze usifake esitsha.
Singafumana izintso eziphilileyo ezifunekayo koku ngeendlela ezimbini eziphambili.
1. Kumnikeli ophilayo: Oku kuthetha ukuba umntu ophilayo onezintso eziphilileyo unikela ngokuzithandela enye yezintso zakhe.
2. Umnikeli oswelekileyo: Oku kuthetha ukufumana izintso kumntu ofileyo engqondweni kodwa amalungu akhe asasebenza.
Makhe sijonge ezi ndlela zimbini ngeenkcukacha ezithe vetshe.
| Uhlobo loMnikeli | Inkcazo |
|---|---|
| Umnikeli ophilayo | Apha, izintso zifunyanwa kumntu ophilayo. Lo mntu uhlala elilungu losapho elisondeleyo (umama, utata, umnakwabo), iqabane, okanye umhlobo osenyongweni. Ukufakelwa kwezintso okufumaneka ngale ndlela kuyaphumelela kakhulu . Umngcipheko wokwaliwa ngumzimba uphantsi. Nangona kunjalo, ukufumana umxhasi ofanelekileyo onje ngolu kunzima kancinci. |
| Umnikeli Oswelekileyo | Apha, izintso zifunyanwa kumntu oswelekileyo. Aba bantu basenokuba babonakalise umnqweno wabo wokunikela ngamalungu abo omzimba ngelixa besaphila. Okanye, ukunikela ngamalungu omzimba kungenziwa emva kokufa ngemvume yosapho. Olu hlobo lokufakelwa luqhelekile. |
Eyona nto ibalulekileyo kukujonga kakuhle ukuba kukho ukufana okuhle phakathi komntu onikela ngezintso nomntu ozifumanayo. Uhlobo lwegazi kunye nolunye uhlobo lwezicubu zibaluleke kakhulu koku.
Ngubani ofuna ukufakelwa izintso?
Ukufakelwa kwezintso kujongwa kakhulu kubantu abakwinqanaba lokugqibela lesifo sezintso esingapheliyo . Oku kubizwa ngokuba kukusilela kwezintso kwinqanaba lokugqibela. Kweli nqanaba, izintso zakho zilahlekelwa ngokupheleleyo kubuchule bazo bokucoca imveliso engcolileyo.
Ngokwesiqhelo, iindlela ezimbini eziphambili zomntu onesifo esinjalo zezi:
- I-Dialysis: Ukucoca igazi lomzimba ngoncedo lomatshini.
- Ukufakelwa kwezintso: Ukufakelwa kwezintso eziphilileyo.
Kwezi zimbini, ukufakelwa izintso lolona khetho lufanelekileyo kumguli ofanelekileyo, kuba lubavumela ukuba baphile ubomi obungcono nobuqhelekileyo kunokuba bavalelwe kwi-dialysis.
Ufanelekela njani ukufakelwa izintso?
Isibhedlele ngasinye sinokuba neendlela ezahlukeneyo zoku, kodwa ngokubanzi, ezi ziqinisekiso zilandelayo kufuneka zifezekiswe:
- Ukuba ukwinqanaba lokugqibela lesifo sezintso kwaye unyangwa nge-dialysis.
- Isantya sokuhluza seGlomerular (GFR) esingaphantsi kwe-20 mL/min.
- Ukuqonda kakuhle imiyalelo kunye namayeza omawuwalandele emva kotyando.
- Yiba sempilweni entle ngokwasemzimbeni nangokwengqondo ukuze ukwazi ukumelana nokufakelwa isitho.
- Ukuba nenkxaso yosapho (inkxaso yoluntu) elungileyo yokukunyamekela nokukunceda.
Lwenziwa njani olu tyando?
Nangona abantu abaninzi besoyika oku, olu lutyando oluphumeleleyo ngoku ehlabathini. Ngexesha lotyando, oogqirha benza utyando oluncinci esiswini sakho esisezantsi, nokuba kwicala lasekunene okanye lasekhohlo, baze bafake intso entsha. Emva koko bayidibanisa nemithambo yegazi ekufutshane. I-ureter yentso entsha iqhagamshelwe kwisinyi sakho. Kulapho umchamo oveliswa yintso entsha uphuma khona emzimbeni wakho.
"Kuza kwenzeka ntoni ke kwizintso zam ezimbini ezindala?"
Kwiimeko ezininzi, izintso zakho ezindala nezingasebenzi kakuhle azisuswa ngotyando. Zishiywa emzimbeni wakho. Nangona kunjalo, kubantu abaneemeko ezithile, ezifana nesifo sezintso esine-polycystic, izintso ezindala zinokufuna ukususwa.
Olu tyando ludla ngokuthatha malunga neeyure ezine ukuya kwezintandathu .
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele kangangeentsuku ezintathu. Ngelo xesha, oogqirha kunye nabasebenzi bonyango baya kukunyamekela kakuhle.
Ngamanye amaxesha ukufakelwa kwezintso okutsha kuqala ukusebenza ngoko nangoko . Kodwa ngamanye amaxesha kungathatha iintsuku okanye iiveki ezimbalwa ukuba kuqale ukusebenza. Ngeli xesha, kunokufuneka uye kwi-dialysis okwethutyana.
Eyona nto ibalulekileyo kukuba emva kotyando, uya kunikwa amayeza akhethekileyo oza kuwasebenzisa ubomi bakho bonke. La mayeza abizwa ngokuba ngamayeza okunciphisa umzimba .
La mayeza asebenza ngokwenza buthathaka amasosha omzimba wakho kancinci. Kungenjalo, umzimba wakho uya kuyibona le ntsholongwane intsha "njengeyasemzini" uze uzame ukuyilahla . La mayeza ayayithintela loo nto. Ngoko ke kubaluleke kakhulu ukusela la mayeza kanye njengoko ugqirha wakho ekuxelela, ungaphoswa lusuku olunye.
Ubomi bunjani emva kotyando?
Ukufakelwa izintso ngempumelelo kufana nethuba lesibini ebomini. Uza kuqala ukuziva unamandla kwaye unamandla ngakumbi kunangaphambili. Uza kukhululeka kubomi obabunqunyelwe yi-dialysis. Uza kukhululeka ukutya nokusela nantoni na oyithandayo (ewe, kukho imiqathango ethile). Iingxaki ezifana ne-anemia eziza nesifo sezintso nazo ziya kusonjululwa kakhulu.
Izinto ekufuneka ziqwalaselwe ngexesha lokululama
Ixesha lokuchacha lidla ngokuthatha malunga neeveki ezintandathu . Ngeli xesha, zinyamekele ezi zinto.
- Musa ukuphakamisa izinto ezinzima: Kuphephe ukuphakamisa izinto ezinzima ubuncinane iinyanga ezimbini.
- Ukuqhuba: Musa ukuqhuba kangangeeveki ezintandathu.
- Sela amanzi amaninzi: Ukusela malunga neelitha ezimbini zamanzi ngosuku kulungile kakhulu kwimpilo yezintso ezintsha.
- Kuphephe ukutya ukutya okuluhlaza: Ekubeni amasosha omzimba wakho ebuthathaka, ukutya izinto ezifana nenyama eluhlaza, intlanzi eluhlaza, iisaladi eziluhlaza, kunye namaqanda angaphekwanga kakuhle kwandisa umngcipheko wakho wokugula.
- Musa ukutya ezi zinto:
- I-Grapefruit: I-Grapefruit kunye nejusi ye-grapefruit zinokusebenzisana namayeza akho omzimba, ngoko ke ziphephe ngokupheleleyo.
- Iipilisi zokunciphisa iintlungu (ii-NSAID): Ezinye iipilisi zokunciphisa iintlungu onokuzithenga kwikhemesti, ezifana ne-Ibuprofen kunye ne-Naproxen, zinokuba yingozi kwizintso zakho. Musa ukuthatha naluphi na unyango ngaphandle kokubonisana nogqirha wakho nangasiphi na isizathu.
- Ezinye iivithamini kunye nezongezo zemifuno: Ezi zinokusebenzisana namayeza akho, ngoko ke qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba usebenzise naziphi na izongezo.
Udinga nini ukubona ugqirha?
Uza kutyelelwa rhoqo ekliniki. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Umkhuhlane ongama-37 Celsius (100 Fahrenheit) okanye ngaphezulu.
- Intlungu okanye ukuqaqamba okutsha kwindawo apho kukho izintso ezifakelwe kwenye indawo.
- Ukudumba komzimba (i-edema).
- Iimpawu ezifana nomkhuhlane ( ukugodola , iintlungu zomzimba, intloko ebuhlungu, isicaphucaphu).
- Ukuba ubungakanani bomchamo owukhuphayo buyancipha ngequbuliso.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga okanye ezingaqhelekanga.
Umyalezo Wokuya Ekhaya
- Ukufakelwa kwezintso yindlela yonyango ephumelele kakhulu kubantu abanesifo sezintso esinganyangekiyo esikwinqanaba lokugqibela.
- Izinga lempumelelo lokufakelwa izintso kumntu ophilayo liphezulu kakhulu.
- Emva kotyando, kubalulekile ukuthatha amayeza (ii-immunosuppressants) anikiweyo ukuthintela umzimba ukuba ungalamkeli izintso ezintsha ubomi bakho bonke.
- Ngexesha lokuchacha kwakho, landela imiyalelo kagqirha wakho ngononophelo, ingakumbi malunga nokutya kunye nokuphakamisa iintsimbi.
- Ukuba ufumana iimpawu ezilumkisayo ezinje ngomkhuhlane, iintlungu kwindawo yokufakwa inaliti, okanye ukudumba, funa ingcebiso kagqirha ngoko nangoko.
- Ukufakelwa izintso kukuvumela ukuba uphile ubomi obuzimeleyo nobusemgangathweni, obungenasifo sokudayayila.
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