Ngaba ugqirha wakho ukuxelele ukuba unesifo sezintso seSigaba sesi-3? Kuqhelekile ukuba uzive usoyika kwaye wothukile xa usiva la mazwi. "Owu Thixo wam, kuza kwenzeka ntoni emva koko?", "Ngaba ubomi bam bunqunyelwe?", njl. Imibuzo emininzi inokuza engqondweni yakho. Kodwa ungakhathazeki. Oku akupheleli nje ebomini bakho. Olu luphawu nje lokuba kufuneka ukhathalele impilo yakho ngaphezu kwesiqhelo. Masithethe ngale nto namhlanje, ngokucacileyo nangokulula, kwaye sifumane iimpendulo kuyo yonke imibuzo onayo engqondweni.
Yintoni kanye kanye isifo sezintso sesigaba sesi-3?
Ngamafutshane, izintso ezimbini emzimbeni wethu zifana nee-super filters ezimbini. Umsebenzi wazo ophambili kukucoca inkunkuma kunye nezinto ezingafunekiyo egazini size sizikhuphe njengomchamo. Isifo sezintso siyenzeka xa umsebenzi wezi zihluzo zimbini uncipha kancinci kancinci.
Kukho amanqanaba ama-5 esifo sezintso. Inqanaba lesi-3 lithetha ukuba izintso zakho zinciphise ukusebenza kwazo ukuya kuthi ga kwisiqingatha sesiqhelo. Khawuthelekelele imeko apho oomatshini abangama-50 kwi-100 kumzi-mveliso bengasebenzi.
Oogqirha balinganisa oku ngovavanyo olubizwa ngokuba yi-GFR (Glomerular Filtration Rate). Ngamafutshane, eli xabiso le-GFR likuxelela ukuba lingakanani igazi elinokucoca izintso zakho ngomzuzu. Kwinqanaba lesi-3, eli xabiso le-GFR liphakathi kwama-30 nama-59. Oku kukwaneenxalenye ezimbini, i-3A kunye ne-3B. Kwinqanaba lesi-3B, umngcipheko uphezulu kancinci.
Ziziphi iimpawu kunye nemiphumo yempilo eviwayo kweli nqanaba?
Iindaba ezimnandi zezokuba uninzi lwabantu abakwinqanaba lesi-3 abanazo iimpawu ezithile. Nangona kunjalo, abanye abantu banokufumana iimpawu ezithile.
- Ukudumba kwezandla, iinyawo, okanye amaqatha.
- Intlungu yomqolo (apho izintso zikhoyo).
- Utshintsho kwindlela yokuchama (ukuchama kancinci okanye kancinci).
Nangona kunjalo, eyona mpawu iyingozi ngaphezu kwezi ziziphumo ebezingalindelekanga zokusebenza kwezintso okunciphileyo. Ezi zizinto ekufuneka siziqwalasele ngokwenene.
| Ingxaki enokwenzeka yempilo | Icacisiwe ngokulula |
|---|---|
| Igazi elonyukayo | Izintso azinakunceda ekulawuleni uxinzelelo lwegazi. Ukongeza, uxinzelelo lwegazi oluphezulu luyonakalisa ngakumbi izintso. Ngumjikelo onzima osebenza macala omabini. |
| I-anemia | Izintso zivelisa ihomoni (i-Erythropoietin) enceda ekwenzeni iiseli ezibomvu zegazi. Xa izintso zingaphumeleli, le homoni ayibi ninzi, nto leyo ekhokelela kwi-anemia. Oku kunokukwenza uzive udiniwe kwaye ungenabomi ngalo lonke ixesha. |
| Isifo Samathambo | Izintso zinceda ukugcina amathambo eqinile ngokuvuselela i-vitamin D. Xa le nkqubo ingasebenzi kakuhle, amathambo aba buthathaka aze aqale ukuqaqamba. |
Ukuba le meko ayinyangwa kwaye ayilawuleki, esi sifo sinokudlulela kwinqanaba lesi-4. Inqanaba lesi-4 yimeko embi kakhulu esondele kakhulu ekusileleni kwezintso. Ukuba ufikelela kwelo nqanaba, uya kufuna unyango lwe-dialysis, oluyimatshini ococa igazi lakho, okanye ukufakelwa kwezintso, ukuze usinde.
Indlela yokulawula inqanaba lesi-3? Simele senze ntoni?
Into yokuqala ekufuneka uyiqonde kukuba umonakalo osele wenziwe awunakuguqulwa ngokupheleleyo. Kodwa ungakhathazeki. Zininzi izinto esinokuzenza ukuze siyeke ukonakaliswa kwezintso nokulawula ezinye izifo eziye zavela. Eli lelona xesha libalulekileyo ebomini bakho.
Utshintsho kwindlela yokuphila
Kubaluleke kakhulu ukulandela ezi zinto ngokuchanekileyo.
| Oko sifanele sikwenze | Kutheni oko kubalulekile? |
|---|---|
| Ukudibana nogqirha ngomhla ocwangcisiweyo | Oku kubalulekile ukuze ujonge imeko yakho kwaye wenze naluphi na utshintsho olufunekayo. Kusenokufuneka ubonane nengcali yezintso (Nephrologist). |
| Ulawulo loxinzelelo lwegazi kunye nesifo seswekile | Ezi zezona ziintshaba zimbini ezinkulu zezintso. Ukulawula ezi zimbini kunokunciphisa kakhulu umonakalo kwizintso. |
| Ukutshintsha ukutya | Oku kubaluleke kakhulu. Ugqirha wakho uza kukucebisa ukuba unciphise ukutya okuneproteni eninzi, ityuwa, ipotassium kunye ne-cholesterol. |
| Ukuzikhwebula ngokupheleleyo ekutshayeni | Ukutshaya konakalisa imijelo ehambisa igazi ezintso. |
| Ukuzilolonga kunye nokulawula ubunzima | Ukugcina ubunzima obusempilweni kuyingenelo kwimpilo iyonke. |
| Ukuphepha ezinye iintlungu zokubulala iintlungu | Ezinye izithomalalisi zentlungu (ii-NSAID) ezifana ne-ibuprofen kunye ne-naproxen zingonakalisa izintso zakho. Buza ugqirha wakho ngaphambi kokuba usebenzise naluphi na unyango. |
Amayeza anokumiselwa ngugqirha
Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokukunika amayeza afana nala.
- Amayeza okwehlisa uxinzelelo lwegazi: Amayeza afana ne-ACE inhibitors okanye ii-ARB.
- I-Diuretics: Zinceda ekususeni ulwelo olungeyomfuneko kunye nenkunkuma eqokelelana emzimbeni ngomchamo.
- Amayeza okwehlisa i-cholesterol.
- Unyango lwe-anemia: Iinaliti ze-Erythropoietin, ezinceda ekuveliseni iiseli ezibomvu zegazi.
- Izinto zokubopha iVitamin D kunye nePhosphate: Zigcina amathambo eqinile kwaye zilawula amanqanaba e-phosphate egazini.
Isifo sezintso seSigaba sesi-3 asikokuphela kobomi bakho. Lithuba elihle lokucinga ngokutsha ngendlela ophila ngayo kwaye uqale indlela entsha eya empilweni.
Uphando lubonise ukuba ayinguye wonke umntu okwinqanaba lesi-3 oya kudlulela kwinqanaba lesi-4. Oko kuthetha ukuba ukuba ulandela icebiso likagqirha wakho ngokuchanekileyo kwaye wenze utshintsho kwindlela ophila ngayo, ngokuqinisekileyo ungaligcina inqanaba lakho langoku lesifo seswekile kwaye uphile ubomi obude nobusempilweni. Kufuna ukuzinikela nokuzithiba. Joyina ugqirha wakho kolu hambo.
Umyalezo Wokuya Ekhaya
- Isifo sezintso seSigaba sesi-3 sithetha ukuba izintso zilahlekelwe yinxenye yomsebenzi wazo. Kodwa oku akusiso isigwebo sokufa.
- Nangona umonakalo wezintso ungenakulungiseka, kunokwenzeka ukunqanda okanye ukulibazisa ukuba esi sifo singabi sibi.
- Iinjongo zakho eziphambili kufuneka kukugcina uxinzelelo lwakho lwegazi kunye nesifo seswekile (ukuba unazo) zilawulwa kakuhle.
- Sela amayeza owanikwe ngugqirha ngexesha elifanelekileyo. Musa ukuyeka ukuthatha naliphi na iyeza ngaphandle kokucinga.
- Landela icebiso lokutya (ukunciphisa ityuwa, iproteni, kunye ne-potassium) ngokuchanekileyo.
- Musa ukulibazisa naziphi na iikliniki ezicwangcisiweyo kunye novavanyo lwezonyango. Ubomi bakho buxhomekeke kuzo.
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