Kule mihla, sihlala sisiva ngesifo sezintso , akunjalo? Kodwa abantu abaninzi abazi ukuba nabo basengozini yokufumana isifo sezintso . Ngamanye amaxesha, nokuba kuvela iimpawu, asizinikeli ngqalelo ingako. Ngenxa yesi sizathu, xa abantu abaninzi besiya kugqirha, esi sifo sisenokuba sibi kakhulu. Ngoko ke, kubaluleke kakhulu ukunyamekela impilo yezintso. Ugqirha oyingcali osincedayo kolu hambo ubizwa ngokuba yiNefrologist . Makhe sibone ukuba ngubani lo Nephrologist, kwaye kwiimeko ezinjani ekufuneka simbone.
Ngamafutshane, ngubani lo gqirha wezifo zengqondo?
Ingcali yezifo zezintso (ebizwa ngokuba yi-'nephr-ro-lo-gist') ngugqirha ogxile ekuxilongeni nasekunyangeni izifo zezintso nezinye izifo ezinxulumene nazo. Ngokukodwa, ngugqirha ogxile kwizifo zezintso . Ngamanye amaxesha eli candelo likwabizwa ngokuba liyeza lezintso.
Elinye lamalungu abalulekileyo emzimbeni wethu zizintso. Zifana nezihluzo ezibini. Zihluza igazi lethu kwaye zisusa inkunkuma engafunekiyo kunye namanzi agqithisileyo njengomchamo . Ukuba le nkqubo ayisebenzi kakuhle, iityhefu ziqala ukuqokelelana emizimbeni yethu.
Ukuba uneemeko ezifana nesifo seswekile, ukutyeba kakhulu, isifo sentliziyo, kunye noxinzelelo lwegazi oluphezulu , unamathuba amaninzi okuba nesifo sezintso. Kwakhona, umntu onesifo sezintso unokufumana uxinzelelo lwegazi oluphezulu okanye isifo sentliziyo. Ngoko ke zonke ezi zinto zidibene.
Eyona nto ingcono kukuba ukuba isifo sezintso sifunyenwe kwangethuba , umonakalo ungalawuleka kwaye ngamanye amaxesha ubuye uguqulwe. Yiyo loo nto udinga uncedo lwengcali yezintso.
Yintoni umahluko phakathi kweNefrologist kunye neUrologist?
Le yinto edida abantu abaninzi. Xa unengxaki yezintso, uyazibuza ukuba kufuneka uye kwiNefrologist okanye kwiUrologist. Nangona bobabini benyanga iingxaki ezinxulumene nezintso, ubuchule babo bahlukile. Masiwuqonde kakuhle lo mahluko.
| Ugqirha oyingcali | Indawo ephambili ekugxilwe kuyo |
|---|---|
| Ingcali yezintso (ingcali yezintso) | Bagxila kakhulu ekusebenzeni kwezintso kunye nezifo ezizichaphazelayo. Umzekelo, isifo sezintso esingapheliyo (CKD), ukungasebenzi kakuhle kwezintso, kunye noxinzelelo lwegazi oluphezulu olubangelwa sisifo sezintso. I-Dialysis kunye nonyango emva kokufakelwa izintso nazo ziyinxalenye yendima yazo. Abenzi utyando. |
| Ingcali yotyando lomchamo (ugqirha wenkqubo yomchamo) | Bagxila kuyo yonke inkqubo yomchamo , oko kukuthi, izintso, isinyi, imibhobho yomchamo, kunye nomchamo. Bakwajonga nezifo zenkqubo yokuzala yamadoda. Bangoogqirha botyando . Umzekelo, ingcali yomchamo yenza iinkqubo zotyando ezifana nokususa amatye ezintso kunye nokususa amathumba kwinkqubo yomchamo. |
Ngamafutshane, ukuba ingxaki yakho ikwimisebenzi yezintso (umz. i-creatinine ephezulu egazini), i-Nephrologist iya kukunceda. Kodwa ukuba ingxaki yakho ifuna utyando (umz. amatye ezintso), kuya kufuneka uye kwi-Urologist.
Ufanele uye nini kwi-Nephrologist?
Ugqirha wakho wosapho (uGqirha oQhelekileyo) uhlala ekuthumelela kwingcali yezintso. Ukuba unezinye zezi zinto zilandelayo okanye iimpawu ezinobungozi, kuya kuba bubulumko ukuthetha nogqirha wakho uze ubone ingcali yezintso.
Izinto ezinobungozi
- Ukuba nembali yentsapho yakho yesifo sezintso: Ukuba umama wakho, utata, okanye abantakwenu okanye abantakwenu bakha banesifo sezintso, usemngciphekweni omkhulu.
- Isifo seswekile: Isifo seswekile sisona sizathu siphambili somonakalo wezintso. Ngoko ke, wonke umntu onesifo seswekile kufuneka anyamekele izintso zakhe.
- Uxinzelelo Lwegazi Oluphezulu: Uxinzelelo lwegazi oluphezulu lungonakalisa imithambo yegazi ethambileyo ehambisa igazi ezintso.
Iimpawu ekufuneka uziqaphele
Ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, ziqaphele.
| Uphawu | Funda ngale nto |
|---|---|
| Umchamo onogwebu | Kuqhelekile ukuba namaqamza athile xa uchama aze anyamalale. Nangona kunjalo, ukuba ubona amaqamza amaninzi amancinci afana ne-soap sud, luphawu lweproteni eninzi kumchamo (proteinuria). Oku kungaba luphawu lokuqala lomonakalo wezintso . |
| Usulelo oluqhelekileyo lwendlela yomchamo (ii-UTIs ezingapheliyo) | Ukuba usulelo lomchamo luvela rhoqo, usulelo lunokusasazeka luye kwizintso, nto leyo enokubangela umonakalo ongunaphakade kwizintso. |
| Amatye Ezintso Aphindaphindayo | Amatye ezintso anokonakalisa izintso aze abangele usulelo. Ukuba le meko iyenzeka rhoqo, kubalulekile ukujonga unobangela oyintloko. |
| Ukudumba | Xa izintso zingakwazi ukususa amanzi angaphezulu kunye netyuwa, imilenze, amaqatha, izandla, okanye ubuso buqala ukudumba. Ukudumba okujikeleze amehlo, ingakumbi kusasa, nako luphawu oluqhelekileyo. |
| Ulusu olurhawuzelelayo kunye nentlungu yamathambo/amalungu | Xa izintso zingasebenzi kakuhle, ibhalansi ye-calcium kunye ne-phosphorus egazini iyaphazamiseka. Oku kunokubangela ukurhawuzelela okukhulu kunye nentlungu yamathambo. Le meko ibizwa ngokuba yi-Renal Bone Disease. |
| Ezinye iimpawu | Iimpawu zesifo sezintso ziquka ukudinwa rhoqo, ukuphefumla kancinci, ukungabi namdla wokutya, isicaphucaphu, kunye negazi kumchamo. |
Ingaba kubalulekile ukubona ugqirha wezifo zezintso xa unesifo sezintso?
Ewe, ngokuqinisekileyo. Isifo sezintso sahlulwe ngamanqanaba ama-5. Kwinqanaba lokuqala ukuya kwelesi-3, izintso zisenamandla okucoca igazi. Ukuba ubona ingcali yezintso kweli nqanaba, ingakunika unyango lokulawula isifo ukuba singabi sibi kwaye igcine ukusebenza kwezintso ixesha elide kangangoko kunokwenzeka. Kwinqanaba lesi-4 ukuya kwelesi-5, ukusebenza kwezintso kunokuncipha kakhulu okanye kuyeke ngokupheleleyo. Ngelo xesha, unokufuna ukuqwalasela i-dialysis okanye ukufakelwa izintso.
Khumbula, ungalindi de ube neempawu. Ukuba unezinto ezinokubangela umngcipheko, bonana nogqirha wakho rhoqo ukuze ahlolwe izintso zakho.
Ingcali ye-nephrologist yingcali enolwazi oluphezulu noqeqesho kweli candelo. Emva kwesikolo sezonyango, bafumana iminyaka yoqeqesho kwi-Internal Medicine, kulandele i-Fellowship kwi-Nephrology. Ngenxa yoko, banokukunika iingcebiso ezilungileyo kunye nonyango lwempilo yezintso zakho.
Umyalezo Wokuya Ekhaya
- Ingcali yezifo zezintso ngugqirha ogxile ekuxilongeni nasekunyangeni izifo zezintso.
- Ukuba unesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye imbali yosapho lwakho yesifo sezintso, nawe usengozini.
- Musa ukuzityeshela iimpawu ezifana nomchamo onamagwebu, ukudumba komzimba, ukudinwa rhoqo, kunye nokurhawuzelelwa lusu.
- Ukuba ufuna ukulawula ingxaki yezintso ngamayeza ngaphandle kotyando, yiya kwiNefrologist. Ukuba udinga utyando, yiya kwiUrologist.
- Ukuba uneempawu ezithile, qala ubonane nogqirha wosapho lwakho. Uza kukuthumela kwi-nephrologist ukuba kuyimfuneko.
- Ukuba isifo sezintso sifunyenwe kwangoko, kokukhona amathuba okufumana iziphumo ezilungileyo zonyango aba maninzi.
Ingcali ye-Nephrologist, izintso, isifo sezintso, isifo sezintso, ingcali yomchamo, ukusilela kwezintso, i-dialysis, ingcali yezintso
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