Masithethe nje ngezifo ezichaphazela umbindi wezintso kunye nenxalenye engaphandle yazo (iRenal Parenchymal Disease)!

Izintso emzimbeni wethu zifana nabasebenzi abathuleyo, akunjalo? Zenza umsebenzi omninzi singazi nokuba siwuqonda. Zicoca igazi lethu imini yonke, zilawula ubungakanani bamanzi emzimbeni, kwaye zisusa inkunkuma engeyomfuneko. Kodwa ngamanye amaxesha, ezi zintso nazo zineengxaki. Namhlanje siza kuthetha ngesifo esichaphazela ezi zintso. Esi sisifo se-renal parenchymal, okanye ngesiNgesi `(Renal Parenchymal Disease)` . Eli gama lisenokuvakala linzima xa usiva, kodwa masiliqonde ngokulula.

Yintoni isifo sezintso esibizwa ngokuba yi-Renal Parenchymal Disease?

Ngamafutshane, eli liqela leemeko ezonakalisa izintso. Lichaphazela kakhulu inxalenye yezintso ebizwa ngokuba yi-"Parenchyma" . Ngoku usenokuba uzibuza ukuba yintoni le parenchyma. Oko kukuthi, iindawo eziphambili zezintso ezisebenzayo, okanye ezinceda ukusebenza kwezintso. Le parenchyma ineenxalenye ezimbini eziphambili:

1. I-Renal Cortex : Le yinxalenye engaphandle kwezintso. Iiyunithi zokucoca ezincinci kwizintso zethu, ezibizwa ngokuba zii-nephrons , ziqala apha. Ezi nephrons zifana nezihluzo ezincinci. Zineendawo ezimbini. Enye yimithambo yegazi ebizwa ngokuba yi-glomerulus . Enye yityhubhu encinci ebizwa ngokuba yi-renal tubule .

• Igazi liqala lihluzwe yi -glomeruli .
• Umsebenzi wee -renal tubules kukuphinda kufunxwe amanzi, izondlo kunye neeminerali ezifunekayo emzimbeni kunye nokukhupha inkunkuma engeyomfuneko ngomchamo.
• Ukongeza, i-kidney cortex ikwavelisa i-hormone ebizwa ngokuba yi -`Erythropoietin (EPO) `. Le hormone ye-`(EPO)` inceda i-`Bone Marrow` yethu ukuba ivelise iiseli ezibomvu zegazi.

2. I-Renal Medulla : Le ikwicala elingaphakathi lezintso. Uninzi lwee-nephrons lukwindawo le.

Ngoko ke, oogqirha babiza nayiphi na imeko echaphazela i-cortex okanye i-medulla yezintso ngokuthi sisifo se-renal parenchyma. Sibizwa nangamanye amagama, umzekelo, izifo ze-bilateral renal parenchyma, kunye nesifo se-kidney parenchymal.

Ziziphi iintlobo eziphambili zesi sifo?

Esi sifo singahlulwahlulwa sibe ziintlobo ezimbini eziphambili:

• Isifo se-Acute Renal Parenchymal : Oku kuqala ngequbuliso.
• Isifo Sezintso Esingapheliyo : Oku kuhamba kancinci kwaye kuhlala ixesha elide.

Ingaba esi sifo siyingozi?

Kuxhomekeke kakhulu kwisizathu kunye nobukhali bemeko. Ezinye iimeko ezincinci zinokuba ngcono ngonyango. Kodwa kwiimeko ezinzima,Ingaqhubekela phambili ibe yi-'Kidney Failure.' Njengoko usazi, ukusilela kwezintso yinto enokuba yingozi ebomini ukuba ayinyangwa.

Ziziphi iimpawu zokuqala ezinokubonwa?

Amaxesha amaninzi, akukho zimpawu zibalulekileyo kwizigaba zokuqala zesi sifo. Yiyo loo nto eyenza kube yinto eyoyikisayo. Kodwa njengoko isifo siqhubeka kwaye izintso zakho zingasebenzi kakuhle, unokufumana iimpawu ezifana nezi:

• Igazi kumchamo (iHematuria)
• Ulusu olomileyo nolurhawuzelayo
• Ukuziva udiniwe kakhulu
• Umnqweno wokutya
• Ukuncipha kwenani leeseli ezibomvu zegazi egazini (i-Anemia)
• Isicaphucaphu nokuhlanza
• Ukuchama kakhulu kunokuqhelekileyo
• Ukudumba okujikeleze amehlo
• Ukudumba kwezandla, iinyawo, namaqatha (i-Edema)

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukubona ugqirha.

Yintoni ebangela oku?

Izizathu ezimbini eziphambili zesifo sezintso esingapheliyo luxinzelelo lwegazi oluphezulu kunye nesifo seswekile . Nangona kunjalo, kusenokubakho ezinye izizathu:

• Izifo ezizikhuselayo emzimbeni , ezifana neLupus Nephritis
• I-Glomerulonephritis (ukudumba kweeyunithi zokucoca izintso)
• `Umhlaza Wezintso`
• Isifo sezintso esinePolycystic ( ii-kidney cysts)
• `Isifo seSickle Cell`

Izinto ezinokubangela isifo se-kidney parenchymal ngesiquphe (esibukhali) zezi:

• Impendulo enzima ye-allergy (i-Anaphylaxis)
• `Iintsholongwane zebhaktheriya`
• `Amatye Ezintso`
• `Iintsholongwane zezintso`
• I-Pulmonary Embolism (igazi eliqhekekileyo kwimithambo yegazi eliya emiphungeni)
• `Ukuphelelwa ngamanzi emzimbeni kakhulu`
• `Iintsholongwane zosulelo`

Amanye amayeza anokubangela le meko `(Isifo esibukhali). Imizekelo:

• `Ii-enzyme inhibitors eziguqula i-angiotensin (i-ACE Inhibitors)`
• `Ii-Angiotensin II receptor blockers (ARBs)`
• `Amayeza Angalwiyo Nee-steroidal Alwa Nokuvuvukala (ii-NSAID)` (umz. i-Ibuprofen, i-Diclofenac)

Ngubani onokuba nethuba elikhulu lokufumana esi sifo?

Nabani na unokufumana esi sifo, kodwa usemngciphekweni omkhulu ukuba unesi sifo silandelayo:

• Ukuba kukho umntu kusapho onale ngxaki yesifo se-kidney parenchyma
• Ukuba unesifo seswekile
• Ukuba unesifo sentliziyo
• Ukuba 'unexinzelelo lwegazi oluphezulu'

Kwakhona, ukuba uneminyaka engaphezu kwama-60 ubudala kwaye usebenzisa rhoqo amayeza okudambisa iintlungu athengiswa ngaphandle kwekhawuntara (i-OTC) kunye ne -NSAID ebhalwe ngugqirha, umngcipheko wakho unokuba phezulu nangakumbi.

Ziziphi iingxaki ezinokubakho zesi sifo?

Ukuba esi sifo asilawulwa kakuhle, iingxaki ezahlukeneyo zingavela. Ezinye zazo zezi:

• Ukwanda kwe-asidi yolwelo lomzimba (i-Metabolic Acidosis)
• Ukwanda kwamanqanaba e-phosphate (phosphorus) egazini (i-Hyperphosphatemia)
• Ukwanda kwamanqanaba e-potassium egazini (i-Hyperkalemia)
• Ukwehla kwenani leeseli ezibomvu zegazi (i-anemia)
• Intlungu ebangelwa kukufumba kwe-uric acid emalungeni (iGout)
• I-Osteoporosis
• Inkqubo yomzimba yokuzikhusela ebuthathaka

Kubalulekile: Asinguye wonke umntu oza kuba neengxaki ezinjalo. Nangona kunjalo, ukuba uyayinyamekela le ngxaki kwaye ufumane unyango olufanelekileyo, ungaziphepha kakhulu.

Ungayixilonga njani ngokuchanekileyo le sifo? (Ukuxilongwa)

Ugqirha uza kukubuza ngeempawu zakho, ahlole imbali yakho yezonyango, akubuze ngamayeza owaselayo, aze akuhlole ngokwasemzimbeni. Emva koko, ukuba bacinga ukuba unesifo, baya kuyalela iimvavanyo ezininzi ukuqinisekisa ukuba unesifo. Ezinye zezi ziquka:

• Uvavanyo Lokusebenza Kwezintso : Olu luquka uvavanyo lwegazi kunye novavanyo lomchamo. Uvavanyo lwegazi lujonga izinga lakho lokucoca i-glomerular eliqikelelweyo (i-eGFR) kunye nenqanaba le-creatinine kwi-serum . Uvavanyo lomchamo lujonga i -proteinuria kunye negazi kumchamo.
• Uvavanyo lwemifanekiso : Olu vavanyo lunokunceda oogqirha ukuba bafumane umfanekiso ocacileyo wobukhulu, imilo, kunye nolwakhiwo lwezintso. Banokuyalela i-ultrasound scan, i-MRI (Magnetic Resonance Imaging) , okanye i-CT (Computed Tomography) .
• I-Kidney Biopsy : Kolu vavanyo, ugqirha uthatha iqhekeza elincinci lesicubu sezintso aze alivavanye kwilebhu. Olu vavanyo lwe-biopsy lunokubonelela ngolwazi olungenakwenziwa zezinye iimvavanyo.

Iphathwa njani?

Unyango lwesifo sezintso esibangelwa yi-parenchymal luxhomekeke kwizinto ezininzi. Ezi ziquka:

• Yintoni kanye kanye ebangela esi sifo kwaye siyingozi kangakanani.
• Ubudala bakho kunye nempilo yakho iyonke.

Iindlela zakho zonyango zingabandakanya:

• Kuphephe ukusebenzisa ii-NSAID dambisa iintlungu kunye namanye amayeza anokwenza isifo sezintso sibe sibi ngakumbi.
• Ziphephe ngokupheleleyo ukusebenzisa icuba (ukutshaya, ukutshaya i-vaping, ukuhlafuna icuba, njl.njl.).
• Ukuzivocavoca umzimba rhoqo.
• Ukugcina ubunzima obusempilweni obukufaneleyo.
• Ukuthatha amayeza afunekayo ukulawula uxinzelelo lwegazi, i-cholesterol, kunye nesifo seswekile.
• Thetha nengcali ye-Renal Dietitian ukuze uphuhlise ukutya okuluncedo kwizintso. Oku kungabandakanya ukutya okunciphisa iiproteni, okunciphisa amanqanaba e-cholesterol egazini, kunye nokunciphisa ityuwa (i-sodium) kunye ne-potassium.

Ukuba isifo sinzima, unyango olulandelayo lunokufuneka:

• Ii-Corticosteroids (uhlobo lonyango olunciphisa ukudumba)
• `I-Dialysis` (ukucoca igazi ngoncedo lomatshini xa izintso zingasebenzi kakuhle)
• Ii-immunosuppressants (amayeza anciphisa ukusebenza kwenkqubo yomzimba yokuzikhusela)
• `Ukufakelwa kwezintso`

Ukuba ndinesi sifo, ndimele ndilindele ntoni?

Ukuba unesi sifo, kufuneka usebenzisane neqela lakho lezonyango ukulawula umonakalo kwizintso zakho nokugcina ukusebenza kwazo ixesha elide kangangoko. Nazi ezinye izinto onokuzenza:

• Ukutya ukutya okuluncedo kwizintso.
• Jonga rhoqo amanqanaba eswekile egazini lakho kunye noxinzelelo lwegazi.
• Ndwendwela ingcali yezifo zengqondo uze uhlole izintso zakho rhoqo.
• Ukuthatha amayeza achazwe ngugqirha kanye ngexesha elifanelekileyo.

Ungaphila ixesha elingakanani nale sifo?

Kunzima ukunika impendulo enye kulo mbuzo. Kuba kuxhomekeke kwizinto ezininzi, njengobunzima besifo, ubudala bakho, isini, kunye nempilo iyonke. Ukuba izintso zakho zonakele kakhulu, ixesha lokuphila kwakho linokwehla. Ukuba usebenzisa i-dialysis, kulindeleke ukuba uphile iminyaka emi-5 ukuya kweli-10.

Kodwa khumbula! Oku kungumndilili nje. Abantu abaninzi baphila ixesha elide kakhulu ngonyango olufanelekileyo kunye nokufakelwa izintso. Kwanabantu abanesifo sezintso esikwinqanaba lokugqibela banokuphila iminyaka engama-20-30. Ngoko ke, thetha nogqirha wakho kwaye ufunde ngakumbi ngemeko yakho.

Ngaba zikho iindlela zokuthintela esi sifo? (Ukuthintela)

Nangona ingezizo zonke izizathu ezinokuthintelwa, ungayinciphisa ingozi yakho yokuba nesi sifo ngokwenza ezi zinto zilandelayo:

• Zilolonge ngamandla ubuncinane iintsuku ezintlanu ngeveki, ubuncinane imizuzu engama-30 ngosuku.
• Ukunciphisa ukusetyenziswa kotywala.
• Ukugcina ubunzima obusempilweni obukufaneleyo.
• Ukuba usemngciphekweni omkhulu wokuba nesifo sezintso (umz. isifo seswekile, uxinzelelo lwegazi oluphezulu), bona ugqirha rhoqo ukuze akuhlole.
• Ziphephe ngokupheleleyo ukutshaya.
• Ukunciphisa ubuninzi betyuwa eyongezwa ekutyeni.
• `I-NSAID`Sebenzisa amayeza okudambisa iintlungu kuphela njengoko uyalelwe ngugqirha.

Zeziphi izinto zokutya ekufuneka umntu onesi sifo aziphephe?

Ukuba unesifo sezintso, kubaluleke kakhulu ukubona ingcali yokutya kwezintso . Uza kwenza isicwangciso sokutya esifanelekileyo kuwe nesilungele izintso zakho. Kuya kufuneka unciphise ukutya okunetyuwa eninzi, iiproteni, iphosphorus kunye nepotassium. Eminye imizekelo yile:

• Iponyoponyo
• Ibhanana
• Ukutya okusemathinini
• Ukutya okulula okunetyuwa okufana neetships kunye neepretzels
• Iziqhamo zeCitrus kunye nejusi, ezifana neeorenji
• Iziqhamo ezomisiweyo
• Inyama ezicutshungulweyo (ezifana neesoseji, iibhola zenyama)
• Ispinatshi

Kubalulekile: Olu luhlu lusenokungabi lolwawo wonke umntu. Cela ingcali yesondlo sakho ukuba ikunike iingcebiso ezithile malunga nokutya okulungileyo kuwe kunye noko kufuneka ukuphephe.

Ufanele uye nini kugqirha?

Ukuba unesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye esinye isifo esinokubangela isifo sezintso, bona ugqirha wakho rhoqo ukuze ahlolwe. Ukufunyaniswa kwangethuba nokuqonda izinto ezikubangela umngcipheko kunokunceda ukuthintela umonakalo ongakumbi kwizintso zakho.

Kufuneka uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Iimpawu zesifo sezintso esibizwa ngokuba yi-renal parenchymal disease zihlala zibonakala emva kokuba kwenzeke umonakalo omkhulu kwizintso. Ukuba ufumana naziphi na kwezi mpawu, bona ugqirha ngokukhawuleza:

• Ukuba izihlunu zihlala zijijekile
• Ukuba unomdla wokutya
• Ukuba uziva udiniwe kakhulu
• Ukuba unengxaki yokugxila okanye yokulala
• Ukuba unesikhumba esirhawuzelelayo
• Ukuba uneengxaki ezingayekiyo
• Ukuba izandla zakho, amaqatha, okanye iinyawo zakho zidumbile
• Ukuba uchama kakhulu okanye ngaphantsi kunesiqhelo

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa undwendwela ugqirha, kunokuba luncedo ukubuza le mibuzo:

• Uyazi njani ukuba ndinesifo sezintso esibizwa ngokuba yi-renal parenchymal disease?
• Inzulu kangakanani loo nto?
• Loluphi unyango olucebisayo?
• Ndingenza ntoni ukukhusela izintso zam?
• Ungacebisa ingcali yesondlo ekhethekileyo kwizigulana zezintso?
• Ungandixelela ngeqela lenkxaso elinceda abantu abanesi sifo?

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Isifo sezintso sisifo esichaphazela ukusebenza kwezintso zakho. Injongo ephambili yonyango kukulawula esi sifo ukuze kugcinwe ukusebenza kwezintso ixesha elide kangangoko kunokwenzeka. Abantu abaninzi baphila nesi sifo iminyaka emininzi.

Nangona kunjalo, xa ufumana isifo esifana nesi kwaye kufuneka ufumane unyango oluqhubekayo, ungaziva ukhathazekile kwaye unomsindo. Oku kuqhelekile. Ukuthetha ngale nto nosapho lwakho nabahlobo bakho abathembekileyo kunokukunceda. Ungajoyina amaqela enkxaso kubantu abanale meko. Ukuba unemibuzo, ungoyiki ukuthetha nogqirha wakho. Baza kukunceda. Awuwedwa!

Isifo sezintso , isifo sezintso se-parenchymal, i-kidney parenchyma, ukusebenza kwezintso, ukusilela kwezintso, isifo sezintso, ukusebenza kwezintso, isifo seswekile, uxinzelelo lwegazi oluphezulu