Ingabe izinso zakho ziphilile? Ake sixoxe ngokuhlolwa kwe-Blood Urea Nitrogen (BUN)!

Uma uya kudokotela, ungase uzwe othile ethi, "Masenze ukuhlolwa kwe-BUN." Ungase uzibuze, "Kuyini lokhu kwe-BUN?" Ungakhathazeki, ukuhlolwa kwegazi okulula kakhulu. Inhloso eyinhloko yalokhu kuhlolwa ukubona ukuthi izinso zakho zisebenza kahle kangakanani. Ngakho-ke, ake sixoxe ngalokhu ngemininingwane ethe xaxa, akunjalo?

Kuyini i-Blood Urea Nitrogen (BUN)?

Kalula nje, i-Blood Urea Nitrogen , esiyibiza ngokuthi i-BUN ngamafuphi, ilinganisa inani le-urea nitrogen egazini lethu. Kulungile, manje usubuza, "Iyini le-urea nitrogen?"

Ngemva kokuba iphrotheni ekudleni esikudlayo igayiwe, kwakheka udoti obizwa ngokuthi i-urea nitrogen . Lokhu kwakheka esibindini sethu. Bese kuhamba ngegazi liye ezinso. Izinso zisebenza njengesihlungi, zisusa le-urea nitrogen engafuneki egazini bese ziyikhipha emchameni.

Ngakho-ke, ngokubheka ukuthi une-urea nitrogen engakanani egazini lakho, udokotela wakho angathola umbono wokuthi izinso zakho zisebenza kahle kangakanani. Kujwayelekile ukuba ne-urea nitrogen egazini lakho. Kodwa-ke, uma iphezulu kakhulu, kusho ukuthi izinso zakho azisusi kahle le mikhiqizo engcolile, futhi kungase kube khona okungahambi kahle ngezinso zakho.

Kungani odokotela bencoma lokhu kuhlolwa kwe-BUN?

Kunezizathu eziningana zokuthi kungani udokotela angase akucele ukuthi uhlolwe i-BUN.

• Njengengxenye yokuhlolwa kwempilo okuvamile: Ngezinye izikhathi, ukuhlolwa kwe-BUN kwenziwa ngesikhathi sokuhlolwa kwakho kwempilo kwaminyaka yonke, noma njengengxenye yochungechunge lokuhlolwa kwegazi, njenge-Comprehensive Metabolic Panel (CMP) noma i-Basic Metabolic Panel (BMP). Lokhu kungakunikeza umbono ojwayelekile wempilo yakho iyonke.
• Uma usengozini yesifo sezinso: Uma usengozini enkulu yesifo sezinso, udokotela wakho angase akuncome lokhu kuhlolwa. Isifo sezinso sivame ukuba nezimpawu ezimbalwa ezigabeni zokuqala. Kodwa-ke, uma unanoma yikuphi kwalokhu okulandelayo, ingozi yakho iphakeme:
• Uma kukhona emndenini oke waba nesifo sezinso.
• Uma unesifo sikashukela.
• Uma une-high blood pressure (umfutho wegazi ophakeme).
• Uma unesifo senhliziyo.
• Uma unezimpawu zesifo sezinso: Uma unezimpawu ezibonisa isifo sezinso esithuthukile, kuwumqondo omuhle ukuthola ukuhlolwa kwe-BUN. Izimpawu zingase zihlanganise:
• Ukudinga ukuchama kaningi kunokujwayelekile.
• Umchamo unesimo esifana negwebu.
• Igazi liyadlula nomchamo.
• Ngizizwa ngikhathele kakhulu.
• Ngiphelelwa yisifiso sokudla.
• Ikakhulukazi izandla, izinyawo, namaqakala ziyavuvukala.

Iyini inani elijwayelekile le-BUN?

Amanani ajwayelekile e-BUN ayahlukahluka kuye ngobudala bakho nobulili.Ngakho-ke, udokotela wakho kuphela ongakutshela ngokuqinisekile ukuthi izinga lakho le-BUN lijwayelekile noma cha. Amazinga e-BUN ezinganeni ezincane nasezinsaneni ngokuvamile aphansi kunakwabantu abadala.

Yiliphi izinga le-BUN elibonisa ukwehluleka kwezinso?

Odokotela abakuxilongi ukwehluleka kwezinso ngokusekelwe ku-BUN kuphela. Kodwa-ke, uma i-BUN yakho iphakeme kakhulu kunokuvamile, futhi omunye umkhiqizo ongcolile egazini obizwa ngokuthi i-creatinine nawo uphezulu, khona-ke ungase ube nokwehluleka kwezinso.

Kusho ukuthini ukuthi izinga le-BUN liphezulu?

Izinga le-BUN eliphezulu livame ukusho ukuthi izinso zakho azisebenzi kahle . Kodwa-ke, ngisho nabantu abanezinso eziphilile ngezinye izikhathi bangaba namazinga aphezulu e-BUN. Lezi ezinye zezinto ezingaba imbangela yalokhu:

• Ukudla okuneprotheni eningi: Uma udla ukudla okuningi okuneprotheni njengenyama, inhlanzi namaqanda, amazinga akho e-BUN angakhuphuka.
• Ukuphelelwa amanzi emzimbeni: Uma umzimba ungaphuzi amanzi anele.
• Ukuguga: Amazinga e-BUN angakhuphuka kancane njengoba ukhula.
• Imithi ethile: Isibonelo, eminye imithi efana ne-`(Carbamazepine)`, `(Methotrexate)`, kanye ne-`(Tetracycline)` ingakhuphula amazinga e-BUN. Kubalulekile ukwazisa udokotela wakho ngemithi oyiphuzayo.
• Ukusha: Umuntu oshile kakhulu angase abe nezinga eliphezulu le-BUN.
• Ukuvaleka komgudu womchamo: Uma kukhona ukuvaleka okuvimbela umchamo ukuthi ungaphumi kahle.
• Ukucindezeleka: Ukucindezeleka ngokweqile ngezinye izikhathi kungaba nomthelela.
• Isifo senhliziyo.
• Ukopha kwamathumbu.

Kusho ukuthini ukuthi izinga le-BUN liphansi?

Amazinga aphansi e-BUN akuvamile , kodwa kunezimbangela eziningana ezingaba khona:

• Ukudla okunamaphrotheni aphansi: Uma inani lamaphrotheni ekudleni okudlayo liphansi kakhulu.
• Uma ungumuntu omncane.
• Ukuphuza amanzi amaningi ngokweqile: Uma uphuza amanzi amaningi kunalokho umzimba wakho okudingayo.
• Isifo sesibindi: Uma unesifo sesibindi.

Yini okufanele ngiyenze ngaphambi kokuhlolwa kwe-BUN?

Ngaphambi kokuba wenze ukuhlolwa kwe-BUN, kufanele utshele udokotela wakho uma unesifo sokopha noma uma uthatha imithi yokunciphisa igazi . Ngezinye izikhathi udokotela wakho angase ancome okunye ukuhlolwa kwegazi kanye nokuhlolwa kwe-BUN. Kwezinye ukuhlolwa kwegazi, kuzodingeka uzile ukudla (ungadli noma uphuze) amahora angu-8 kuya kwangu-12.Kungase kudingeke. Ngakho-ke, buza udokotela wakho uma udinga ukuzila ukudla ngaphambi kokuhlolwa kwe-BUN noma olunye ukuhlolwa kwegazi.

Ukuhlolwa kwe-BUN kwenziwa kanjani?

Amazinga e-BUN alinganiswa ngokuhlolwa kwegazi okulula kakhulu.

• Udokotela noma umhlengikazi uzohlanza indawo lapho kukhona khona umthambo engalweni yakho ngokuwusula nge-iodine, i-isopropyl alcohol, noma esinye isihlanzi.
• Bese kuthi, kusetshenziswa inaliti encane (encane kancane kunesigxobo sendlebe), kukhishwe igazi elincane emthanjeni osengalweni yakho liye emabhodleleni amancane.
• Ungase uzwe ubuhlungu obuncane, njengokungathi ulunywe yintuthwane yomchamo . Ungase uzizwe futhi ulimale kancane lapho igazi likhishwe khona. Kodwa lawo mabala enaliti azophola ngokushesha.
• Ngemuva kwalokho, isampula yegazi lakho lithunyelwa elabhorethri ukuze lihlolwe. Kungathatha izinsuku ezimbili kuya kwezintathu ukuthi umbiko ufike.

Kwenzekani ngemva kokuhlolwa kwe-BUN?

Uma ilabhorethri isiqedile ukuhlola isampula yegazi lakho, udokotela wakho uzokufonela ukuze achaze imiphumela yombiko wokuhlolwa futhi aphendule noma yimiphi imibuzo ongase ube nayo. Uma udokotela wakho esola ukuthi unesifo sezinso, angase acele ukuhlolwa okwengeziwe. Okuyinhloko yile:

• Ukuhlolwa kwe-Serum Creatinine: Lokhu kuhlola ukunqwabelana komkhiqizo ongcolile obizwa ngokuthi i-creatinine egazini.
• Izinga Lokuhlunga Le-Glomerular Elilinganiselwe (eGFR): Lena inombolo udokotela wakho ayibala ngokusekelwe enanini le-creatinine egazini lakho. Inikeza umbono wokuthi izinso zakho zihlanza igazi lakho kahle kangakanani. Leli zinga lokuhlunga libalwa ngokusekelwe emazingeni akho amaprotheni, ubudala, ubulili, usayizi womzimba, kanye nohlanga.

Unganciphisa kanjani amazinga aphezulu e-BUN?

Esikhundleni sokuthi ngqo "amazinga aphansi e-BUN," odokotela bazama ukuthola imbangela yamazinga aphezulu e-BUN bese belapha leyo nkinga . Kodwa-ke, enye yezindlela ezilula zokusiza ukwehlisa amazinga e-BUN ukushintsha ukudla kwakho.

Ngaphandle kokuthi unesifo sezinso noma usebenzisa i-dialysis yezinso, kubalulekile ukuphuza uketshezi oluningi . Uma i-serum creatinine yakho ijwayelekile kodwa i-BUN yakho iphakeme, lokhu kuvame ukukhombisa ukuphelelwa amanzi emzimbeni.

• Ngokwesilinganiso, indoda kufanele iphuze cishe izingilazi zamanzi eziyi-13 (cishe amalitha ama-3) ngosuku.
• Owesifazane kufanele aphuze cishe izingilazi zamanzi ezingu-9 (cishe amalitha angu-2.2) ngosuku.

Futhi, ukudla ukudla okunamaphrotheni aphansi kungasiza ekwehliseni amazinga e-BUN. Ukudla okunempilo nonamaphrotheni aphansi kuhlanganisa:

• Okusanhlamvu: i-oats, ilayisi, isinkwa, ama-noodle, i-pasta.
• Izithelo: ama-apula, amajikijolo, ubhanana.
• Imifino: Imifino eluhlaza, i-chili, i-broccoli.
• Amafutha anempilo:Ama-avokhado, amantongomane, uwoyela kakhukhunathi.

Yiziphi izinto okungafanele uzidle uma izinga lakho le-BUN liphezulu?

Uma i-BUN yakho iphezulu, kungcono ukunciphisa noma ukuqeda ukudla okucebile ngamaprotheni . Izibonelo zokudla okucebile ngamaprotheni zifaka:

• Inyama: inyama yenkomo, inkukhu, ingulube, i-salmon.
• Ukudla kobisi: ubisi, ushizi, iyogathi.

Iningi labantu kufanele lidle amagremu aphakathi kuka-40 no-60 eprotheyini ngosuku. Kodwa-ke, uma i-BUN yakho iphezulu, kungadingeka unciphise ukudla kwakho amaprotheni kube cishe ingxenye yaleli nani. Kungcono ukubonisana nodokotela wakho noma isazi sokudla okunempilo ngalokhu.

Ingabe ikhona imithi yokwelapha amanani angavamile e-BUN?

Odokotela ngokuvamile abanikezi imithi ethile yokulungisa amazinga e-BUN . Belapha isimo esiyisisekelo esibangele amazinga e-BUN angajwayelekile.

Ufuna ukuphinde ubonane nodokotela nini?

Uma sekuphele izinsuku ezimbalwa uhlolwe i-BUN futhi ungakatholi lwazi oluvela kudokotela wakho mayelana nombiko, kungumqondo omuhle ukumshayela ucingo ubuze ngawo.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ngemva kokuhlolwa kwe-BUN, ungabuza udokotela wakho imibuzo efana nale:

• "Dokotela, umbiko wami wokuhlolwa usho ukuthini?"
• "Ingabe kukhona okunye ofuna ukukuhlola?"
• "Yini okufanele ngiyenze ukuze ngehlise i-BUN yami?"
• "Ingabe kukhona isifo esibangela ukuthi izinga lami le-BUN lingavamile?"

Khumbula, i-urea nitrogen iwumkhiqizo ongcolile okhiqizwa yisibindi sethu ngeprotheni esiyidlayo. Ngezinye izikhathi, inani le-urea nitrogen egazini lingaba phezulu kakhulu noma liphansi kakhulu. Lokhu kungabangela izinkinga zempilo. Uma unezimpawu ze-urea nitrogen ephezulu noma ephansi egazini, kungcono ukukhuluma nodokotela. Angenza ukuhlolwa kwe-BUN ukuze abone ukuthi izinso zakho zisebenza kanjani futhi akunikeze ukwelashwa okudingekayo.

Okokugcina, okufanele ukukhumbule

Kulungile, ngakho-ke kusukela kulokho esikhulume ngakho namuhla, bekufanele ngabe uqonde ukuthi ukuhlolwa kwe-Blood Urea Nitrogen (BUN) kuyini, kungani kwenziwa, nokuthi kungakutshelani.

Kafushane:

• Ukuhlolwa kwe-BUN kuhlola ukuthi izinso zakho zisebenza kahle kangakanani .
• I-nitrogen ye-urea iwumkhiqizo ongcolile okhiqizwa yiprotheni oyidlayo.
• Kungaba nezizathu ezahlukahlukene zokuthi amazinga e-BUN angakhuphuka noma ehle . Akudingeki kube yinkinga yezinso njalo.
• Uma unemibuzo mayelana namazinga akho e-BUN noma impilo yezinso, ungangabazi ukukhuluma nodokotela wakho . Uzokuchazela konke ngokuningiliziwe.

Ukunakekela impilo yakho kubaluleke kakhulu, ngakho-ke kungcono ukuqaphela lezi zivivinyo!

I - nitrogen ye-urea egazini, ukuhlolwa kwe-BUN, ukusebenza kwezinso, isifo sezinso, i-creatinine, iphrotheni, ukuhlolwa kwezempilo, ukuhlolwa kwegazi