Ukusilela Kwezintso Okubukhali - Masiqaphele oku!

Ngaba wakha wacinga ngezihluzo ezibini ezinamandla emzimbeni wethu? Zizintso zethu. Bekuya kwenzeka ntoni ukuba ziyeka ukusebenza ngequbuliso, njengokucima kombane? Yiloo nto siyibiza ngokuba yi-"Acute Kidney Failure " okanye "Acute Renal Failure" kunyango. Oku kunokwenzeka kwiiyure ezimbalwa okanye kwiintsuku ezimbalwa. Kodwa ungakhathazeki, ukuba uyazi oku kwaye ufumane unyango ngokukhawuleza, uninzi lwexesha izintso zakho zinokubuyiselwa kwisimo esiqhelekileyo.

Ngamafutshane, yintoni umsebenzi wezi zintso?

Masiqonde oku ngokulula. Umsebenzi ophambili wezintso kukucoca igazi lethu nokususa inkunkuma engafunekiyo kulo njengomchamo. Akunjalo nje kuphela, kodwa la malungu mabini amancinci enza izinto ezininzi ezibalulekileyo njengokulawula ubungakanani bamanzi emzimbeni, ukulawula uxinzelelo lwegazi , ukunceda ekwenzeni iiseli ezibomvu zegazi , kunye nokulinganisela ii-electrolytes ezibalulekileyo emzimbeni. Ngoko ke xa ezi zonakalisiwe , zonke ezi zinto zihamba gwenxa.

Yintoni umahluko phakathi kwe-Acute kunye ne-Chronic?

Usenokuba ukhe weva ngento ebizwa ngokuba yi-"Chronic Kidney Disease" ( CKD ). Oko kunye ne-"Acute Kidney Failure" zizinto ezimbini ezahlukeneyo.

• Ukusilela Kwezintso Okubukhali: Oku kwenzeka ngequbuliso, ngequbuliso . Ukuba unyango lunyangwa ngokufanelekileyo, kukho ithuba lokuchacha ngokupheleleyo .
• Isifo Sezintso Esingapheliyo (CKD): Esi sisifo esithatha ixesha elide esibangela ukuba izintso zibe buthathaka ngokuhamba kwexesha . Sidla ngokubangelwa zizifo ezithatha ixesha elide ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu. Lo monakalo uhlala uhleli .

Ugqirha wakho angaqinisekisa ngokulula ukuba zeziphi kwezi meko zimbini onazo ngokwenza i-ultrasound scan. Ngokubanzi, kwi-CKD, izintso zibonakala zincinci ngobukhulu.

Ungazibona njani izigaba zesifo sezintso?

Kukho umlinganiselo wokusebenza kwezintso, esiwubiza ngokuba yi-`(eGFR – i-estimated Glomerular Filtration Rate)`. Ngamafutshane, le yindlela izintso zakho ezihluza ngayo igazi. Eli xabiso lisetyenziselwa ukwahlula izigaba zesifo.

Qaphela ezi mpawu!

Ngamanye amaxesha le meko inokwenzeka ngaphandle kweempawu. Ngamanye amaxesha ifumaneka ngengozi ngexesha lovavanyo lwenye imeko. Nangona kunjalo, ukuba ufumanisa iimpawu, zingabandakanya:

• Ubungakanani bomchamo buncitshiswa kakhulu.
• Ukudumba kwemilenze, amaqatha, kunye neenyawo (ngenxa yokugcina ulwelo).
• Ukuhlala uziva udiniwe kakhulu kwaye ulele.
• Ubunzima bokuphefumla.
• Ukugabha okanye isicaphucaphu.
• Ukutya akunancasa.
• Ulusu olurhawuzelelayo.
• Ubunzima bokwenza isigqibo (Ukudideka).
• Intlungu yesifuba okanye ukuxinana.
• Ukushukuma kwemisipha.
• Intlungu yesisu okanye umqolo.
• Umkhuhlane, ukurhawuzelela kwesikhumba, okanye ukopha empumlweni.

Kutheni oku kusenzeka? Izizathu ezi-3 eziphambili!

Kukho iindidi ezintathu eziphambili zezizathu zokungasebenzi kakuhle kwezintso ngesiquphe.

1. Ukuphazamiseka kokuhamba kwegazi ukuya kwizintso

Oku kusenokuba kungenxa yezi zinto zilandelayo:

• Ukuphelelwa ngamanzi emzimbeni kakhulu okanye ukutsha kakhulu.
• Iintsholongwane.
• Ukumelwa yintliziyo.
• Ukungasebenzi kakuhle kwesibindi.
• Ezinye ii-painkillers (ii-NSAIDs ezifana ne-Aspirin, i-Ibuprofen, i-Naproxen) kunye namanye amayeza oxinzelelo lwegazi oluphezulu.

2. Ukuvalwa komchamo

Ukuba indlela ivalekile kangangokuba umchamo oveliswa kwizintso awukwazi ukuphuma, olo xinzelelo lunokubuyela umva kwaye lonakalise izintso.

• Amatye ezintso.
• Ukwanda kweprostate kumadoda.
• Umhlaza wesinyi, umlomo wesibeleko, ikholoni, okanye iprostate.
• Ukonakala kwemithambo-luvo kwindlela yomchamo.

3. Umonakalo othe ngqo kwizintso ngokwazo

Ezinye izinto zingonakalisa ngokuthe ngqo iiseli zezintso.

• Amanye amayeza (umz. ii-NSAIDs, amayeza e-chemotherapy, amanye amayeza okubulala iintsholongwane).
• Ukudumba kwemibhobho emincinci ehluza umchamo kwizintso (iGlomerulonephritis). Oku kunokubangelwa zizifo ezibangelwa kukwasulelwa okanye izifo ezibangelwa kukuzikhusela komzimba ezifana ne-lupus.
• Amahlwili egazi okanye iidiphozithi ze-cholesterol.

Iphathwa njani?

Iindaba ezimnandi zezokuba ukuba ifunyenwe kwangethuba, inganyangwa kwaye inyangeke. Unyango luxhomekeke kwimeko yakho kunye nesizathu.

• Ukulaliswa esibhedlele: Kwiimeko ezininzi, le meko ifuna ukulaliswa esibhedlele ukuze ufumane unyango.
• Unyango lwesizathu:Into yokuqala ekufuneka yenziwe kukufumana unobangela wokungasebenzi kakuhle kwezintso uze unyange. Umzekelo, ukuba kukuphelelwa ngamanzi emzimbeni, kunikwa ityuwa, ukuba kusulelo, kunikwa amayeza okubulala iintsholongwane, kwaye ukuba kungenxa yeyeza, liyayekiswa.
• Ukutya: Ugqirha wakho angakuxelela ukuba unciphise ukutya okunetyuwa eninzi kunye ne-potassium de izintso zakho ziphiliswe. Oku kungenxa yokuba ukukhupha ezi zinto kungumthwalo kwizintso zakho. Angakuxelela ukuba unciphise izinto ezifana neebhanana, ispinatshi, iitumato, iiorenji, kunye neetapile endaweni yoko utye ukutya okune-potassium encinci njengee -apile, iidiliya, amaqunube, kunye ne-cauliflower .
• Amayeza: Amayeza anokunikwa ukulawula amanqanaba e-phosphorus kunye ne-potassium egazini.
• I-Dialysis: Ukuba umonakalo kwizintso unzima, umatshini kuya kufuneka wenze umsebenzi wezintso de ziphinde ziphile. Oku kubizwa ngokuba yi-dialysis. Oku akunyangi izintso, kodwa kunceda ekususeni inkunkuma emzimbeni kwaye kusindise ubomi de izintso ziphinde ziphile.

Asinakuzikhusela na kule meko?

Kakade kunokwenzeka. Ukuba unyamekela izinto ezimbalwa ezilula, ungawunciphisa lo mngcipheko.

1. Lumka ngeentlungu: Kuphephe ukusebenzisa rhoqo nangokugqithisileyo iintlungu ezithengiswa ngaphandle kwemvume kagqirha (ii-NSAID) (ezifana ne-Ibuprofen kunye ne-Naproxen). Dibana nogqirha wakho phambi kokuba usebenzise naliphi na iyeza.

2. Landela imiyalelo kagqirha wakho: Ukuba uneengxaki zempilo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, zilawule ngokufanelekileyo. Sebenzisa amayeza achazwe ngugqirha wakho ngqo.

3. Indlela yokuphila enempilo: Sela amanzi amaninzi, yitya ukutya okunesondlo, kwaye uzilolonge. Ezi zinto zigcina umzimba wakho uphilile, kungekuphela nje kwizintso zakho.

Isifo sezintso, ukusilela kwezintso ngokukhawuleza kwi-sinhala, ukungaphumeleli kwezintso, ukwehla kokuphuma komchamo, i-eGFR, i-creatinine sinhala, i-dialysis sinhala