Ngaba ugqirha wakho wosapho okanye ugqirha wakho oyintloko ukuxelele ukuba ubone ingcali yezintso? Usenokuba woyika kancinci, ucinga, "Ngaba kukho into engalunganga kakhulu ngezintso zam?" Kodwa akukho mfuneko yokoyika. Ufike kwindawo elungileyo. Aba gqirha ziingcali kwizifo zezintso. Ke namhlanje, masithethe ngokuba ngubani ingcali yezintso, okanye i-nephrologist,, benza ntoni, kwaye yintoni ekufuneka uyazi xa uye kubona enye.
Ngubani lo gqirha wezintso (i-Nephrologist)?
Ngamafutshane, iNefrologist ngugqirha ogxile kwizintso zethu nakwesiphi na isifo esichaphazela izintso. Sikwababiza ngokuba "ngoogqirha bezintso." Emva kokuba ngugqirha jikelele (MBBS), bachitha eminye iminyaka emibini nangaphezulu befunda ngokukodwa ngezifo zezintso.
Ukuba ugqirha wakho wosapho unenkxalabo malunga nokusebenza kwezintso zakho, umzekelo ukuba uvavanyo lwakho lwegazi lubonisa inqanaba le-creatinine eliphakamileyo kancinci, uza kukuthumela kwi-nephrologist. Le ngcali iza kuxilonga unobangela wengxaki yakho ize iphuhlise isicwangciso sonyango ukuze iyilawule, iyithintele ukuba ingabi mandundu, okanye iyinyange.
Iimeko eziphambili ezinyangwa yiNefrologist
Ingcali yezifo zengqondo igxila kwiingxaki ezahlukeneyo ezinxulumene nezintso. Makhe sijonge ezimbalwa zazo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Isifo sezintso | Le yimeko eyonakalisa izintso kancinci kancinci ngokuhamba kwexesha. Kusenokungabikho zimpawu zibalulekileyo kwizigaba zokuqala. Nangona kunjalo, ukuba ifunyenwe kwangethuba, amayeza kunye notshintsho kwindlela yokuphila lunokunceda ukuthintela umonakalo ongakumbi. |
| Ukusilela Kwezintso | Eli linqanaba lokugqibela lesifo sezintso. Apha, ugqirha uza kucebisa ukuba uxiliswe nge-dialysis.- Oko kuthetha ukucoca igazi ngomatshini - ukuba kucetyiswa, uya kulijonga ngokupheleleyo elo nyango. Usenokucebisa nokufakelwa izintso . |
| Igazi elonyukayo | Ukuba unoxinzelelo lwegazi oluphezulu olunzima ukululawula, ugqirha wezintso angakunceda. Ngamanye amaxesha iingxaki zezintso zinokwenza kube nzima ukulawula uxinzelelo lwegazi. |
| Umonakalo wezintso obangelwa ngumhlaza | Ezinye iintlobo zomhlaza okanye unyango lwazo lunokonakalisa izintso. Umzekelo, iimeko ezifana ne-multiple myeloma, umhlaza wesinyi, umhlaza wesibeleko, kunye nomhlaza wamathumbu amakhulu. |
| Isifo seNephrotic | Oku kubangela ukuba kukhutshwe iproteni eninzi kumchamo. Oku kunokubangela ukudumba kwiindawo ezahlukeneyo zomzimba, ingakumbi ezijikeleze amehlo nemilenze. |
| Isifo sezintso sePolycystic | Kulapho ke kwakheka khona ii-cysts ezizele lulwelo ngaphakathi kwezintso. Ukuba ezi ziba nkulu, zingonakalisa izintso zide zibangele ukuba zingaphumeleli. |
Izinto onokuzizisa xa usiya kugqirha okokuqala
Ukuba ulungiselela kwangaphambili xa uza kubona ugqirha, kuya kuba lula kakhulu kuwe nakugqirha. Nazi ezinye izinto onokuzikhumbula uze uziphathe.
| Izinto oza kuzizisa | Kutheni kunjalo? (Ukubaluleka) |
|---|---|
| Iimpawu zakhoKwaye uluhlu olubhaliweyo lokuba kudala kangakanani bekho. | Oku kwenza kube lula kugqirha ukuba afumane umfanekiso ocacileyo wemeko yakho. |
| Uluhlu lwamayeza onke owasebenzisayo ngoku (kuquka nalawo asetyenziswa kwezinye iimeko). | Amanye amayeza anokuchaphazela izintso, ngoko ke olu lwazi lubaluleke kakhulu. |
| Imbali yakho yezonyango kunye neerekhodi zonyango zangaphambili, ingakumbi iingxelo zegazi, umchamo kunye ne-scan yesisu. | Oku kunceda ukuthelekisa neerekhodi ezindala kwaye kuthintele ukuvavanywa kwakhona okungeyomfuneko. |
| Amagama kunye neenkcukacha zonxibelelwano zabanye oogqirha osebenzisa amayeza kubo okwangoku. | Oku kuya kukunceda uthethe nabo kwaye ufumane ulwazi ukuba kuyimfuneko. |
Luhlobo luni lovavanyo oluza kwenziwa ngugqirha?
Emva kokuxoxa ngeempawu zakho kunye nembali yakho, ugqirha wakho uza kukuhlola. Ukongeza, banokuyalela iimvavanyo ezininzi ukunceda ekufumaneni unobangela ochanekileyo, ezifana nezi:
- Uvavanyo lomchamo: Uya kucelwa ukuba uqokelele inani elincinci lomchamo kwikomityi. Ngamanye amaxesha unokucelwa ukuba uqokelele isampulu yomchamo yeeyure ezingama-24. Ilebhu iya kuvavanya umchamo ukuze ibone izinto ezifana nenkunkuma, iiproteni, iihomoni kunye neeminerali. Umchamo uya kuhlolwa igazi okanye iimpawu zosulelo.
- I-ultrasound scan: Oku kusebenzisa amaza esandi ukuthatha imifanekiso yezintso zakho. Oku kunokukunceda ubone ubungakanani kunye nokuma kwezintso zakho, kunye nokuba kukho amatye okanye iithumba. Akunabuhlungu.
- I-CT scan: Olu luchungechunge lwemifanekiso ye-X-ray. Oku kudala umfanekiso ocacileyo, onemilinganiselo emithathu (3D) wezintso.
- I-Biopsy: Oku kuquka ukususa iqhekeza elincinci kakhulu lesicwili esisezintsoni kusetyenziswa inaliti size silihlole phantsi kwemakroskopu. Oku kunokunceda ekuqinisekiseni ukuba loluphi uhlobo lwesifo esonakalisile izintso.
Eyona nto ibalulekileyo kukuba ukuba ugqirha ucebisa uvavanyo, buza ukuba kutheni kwaye ulindele ntoni kulo.
Imibuzo omele uyibuze i-nephrologist yakho
Xa ubona ugqirha wakho, ungathandabuzi ukubuza nayiphi na imibuzo onayo. Okukhona usazi ngakumbi ngesifo sakho, kokukhona uya kuba ngcono. Nazi ezinye zemibuzo onokuzibuza:
- Kutheni ugqirha wam endithumele kuwe?
- Kutheni ukusebenza kwezintso zam kuncipha?
- Ingakanani inqanaba lokusebenza kwezintso zam xa kuthelekiswa nezintso eziphilileyo?
- Ingaba ndinesifo sezintso? Ukuba kunjalo, sikuliphi inqanaba? Kuthetha ukuthini oko?
- Ziziphi iindlela zonyango endinazo?
- Zithini iziphumo ebezingalindelekanga zonyango ngalunye?
- Nje ukuba ndiqalise unyango, zeziphi iingcebiso eziza kundinceda ndiqhubeke nalo ngendlela efanelekileyo?
- Ngaba kufuneka ndenze utshintsho kwindlela endiphila ngayo (njengokutya, ukuzilolonga)?
- Ndingakufowunela xa ndinengxaki okanye ndineempawu ezintsha?
Bhala phantsi iimpendulo zale mibuzo, okanye ucele umntu ohamba naye ukuba azibhale phantsi. Ngale ndlela, kuya kuba lula ukukhumbula kamva.
Umyalezo Wokuya Ekhaya
- Ingcali yezifo zezintso ngugqirha ogxile kwizifo zezintso. Ukuba ugqirha wakho oqhelekileyo ukuthumele kuye, ungakhathazeki, usezandleni ezikhuselekileyo.
- Xa usiya kugqirha, zizise zonke iimpawu zakho, amayeza owasebenzisayo, kunye neengxelo zangaphambili ngokulandelelana kwazo.
- Ungathandabuzi ukubuza ugqirha wakho nayiphi na imibuzo onayo, nokuba mincinci kangakanani na. Kubalulekile ukuba nolwazi olupheleleyo ngemeko yakho.
- Landela isicwangciso sonyango sikagqirha wakho kunye notshintsho kwindlela ophila ngayo (ukutya, umthambo) ngokusondeleyo. Oku kuya kunceda ukulawula umonakalo kwizintso zakho.
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