Indaba ngemuva kwezinso: (I-Renal Cortex) ingumzimba wethu!

Namuhla sizokhuluma ngezinso, isitho esibaluleke kakhulu emzimbeni wethu. Ngokukhethekile, ingxenye engaphandle yezinso, i-renal cortex . Lokhu kungase kuzwakale njengegama nje, kodwa kuyindawo emangalisayo emzimbeni wethu eyenza umsebenzi omningi buthule. Ngakho-ke, ake sifunde ngalokhu ngemininingwane eyengeziwe, njengokungathi sikhuluma nomngane, akunjalo?

Iyini i-Renal Cortex? Ikuphi?

Kalula nje, igama elithi "Cortex" livame ukusho ungqimba lwangaphandle noma isembozo sesitho emzimbeni wethu. Ngakho-ke, i-Renal Cortex iyingxenye engaphandle kakhulu yezinso zethu. Abanye abantu bayibiza nangokuthi "i-Kidney Cortex". Le "Renal Cortex" izungeze ingxenye engaphakathi yezinso, i-medulla . Ifana negobolondo. Kodwa, le "Renal Cortex" ayikho lapho nje kuphela, imbozwe futhi yi-membrane evikelayo, izicubu eziqinile kancane ezibizwa ngokuthi "i-Renal Capsule". Cabanga ngayo njengesikhumba sika-anyanisi, lezi zenziwe ngezingqimba eziningana.

Manje, kule `(Renal Cortex)`, amayunithi abalulekile okuhlanza igazi emzimbeni wethu, okungukuthi, i -`(Nephrons)`, ayaqala. Akunakwenzeka ukucabanga, cishe kunezigidi ezingu-`(Nephrons)` ezinjengalezi enso eyodwa! Akumangalisi yini? Iyunithi yokuhlunga eyinhloko kule `(Nephron)` yi -glomerulus . Le `(Glomerulus)` ixhunywe kumzila `(Tubule). Kungale mzila lapho imfucuza isuswa khona futhi izinto ezidingwa ngumzimba zimuncwa zibuyele emzimbeni. Ngaphakathi kwe-`(Renal Cortex)`, lezi ziteshi zisontekile kancane, zigoqekile, futhi `(Zihlanganisiwe).` Kodwa-ke, ku-`(Medulla), okuyingxenye engaphakathi yezinso, lezi ziteshi ziqondile kancane.

Ake sibheke ukuthi izinso zethu zikuphi. Zitholakala esifubeni sethu, ngaphansi nje kwesikhala sezimbambo, ngemuva kwesisu. Ngokuvamile, izinso elilodwa litholakala ohlangothini ngalunye lomgogodla. Uma sikhuluma iqiniso, phakathi kwamathumbu ne-diaphragm. Kusukela kuso ngasinye isinso, kuqala ingxenye efana nepayipi ebizwa ngokuthi i -ureter , exhuma esinyeni.

Umbala wale `(Renal Cortex)` ubomvu onsundu . Lena yingxenye engaphandle kakhulu yezinso. Imboza i-`(Medulla)`, okuyingxenye engaphakathi yezinso. Ngaphakathi kwe-`(Medulla)`, kunezingcezu ezincane ezingonxantathu, ezibizwa ngokuthi amaphiramidi ezinso . I-`(Renal Cortex)` imboza lawa maphiramidi ezinso njengesivalo.

Kwenzekani ngempela ku-Renal Cortex? Uyini umsebenzi wezinso?

Njengengxenye yomgudu wakho womchamo, i-renal cortex ihileleke ngqo ekusebenzeni kwezinso zakho. Izinso aziyona nje isitho esisusa ukungcola. Zenza okungaphezu kwalokho. Bheka:

• Ilawula ama-electrolyte kanye nokulinganisela kwamanzi: Isiza ukugcina amazinga kasawoti namanzi afanele emzimbeni.
• Ilawula umfutho wegazi lakho kanye nenani loketshezi olungaphandle kwamaseli akho (uketshezi olungaphandle kweseli).
• Kusiza ekukhiqizweni kwamangqamuzana egazi abomvu.
• Igcina ibhalansi ye-acid-base yomzimba.
• Isiza ekukhiqizweni kwevithamini D.
• Ilawula ibhalansi ye-calcium ne-phosphate.
• Kuphinde kusize ekukhiqizweni kwe-glucose (Glucogenesis): Nakuba iningi le-glucose (ushukela) esilidingayo empeleni likhiqizwa yisibindi, elinye likhiqizwa nezinso.

Cabanga nje ukuthi kuningi kangakanani okwenzeka ngaphakathi kwale cortex encane! Kuyamangalisa ngempela, akunjalo?

Yiziphi izifo ezivamile ezingathinta i-Renal Cortex?

Ngeshwa, kunezifo ezahlukahlukene ezithinta izinso. Ezinye zalezi zingathinta ne-`(Renal Cortex)`.

• Isifo Sezinso Esingapheli (CKD): Lokhu kuwukulahlekelwa kancane kancane kokusebenza kwezinso. Ngokuvamile kubangelwa isifo sikashukela noma umfutho wegazi ophakeme.
• Umdlavuza Wezinso: I-Renal Cell Carcinoma uhlobo oluvame kakhulu lomdlavuza wezinso.
• Ukwehluleka Kwezinso / Ukwehluleka Kwezinso: Lokhu kungenzeka ngokuzumayo 'Okubukhali' noma kungaba okungapheli ngokuhamba kwesikhathi. Isifo Sezinso Esisesigabeni Sokugcina yisimo lapho izinso zingasasebenzi kahle. Kudingeka i-Dialysis.
• Ukutheleleka Kwezinso (i-Pyelonephritis): Lolu hlobo lokutheleleka lungenzeka lapho amabhaktheriya, njengebhaktheriya, ehamba e-ureter yakho futhi engena ezinso zakho. Lezi zimpawu zivela ngokuzumayo. Odokotela bazokunikeza ama-antibiotic kulokhu.
• Amatshe Ezinso: Amakristalu angakheka emchameni wakho futhi avimbele ukugeleza komchamo. Ngezinye izikhathi la matshe angadlula ngokwawo. Noma kunezindlela zokwelapha ukuwaphula noma ukuwasusa.
• Ama-Kidney Cysts / Ama-Renal Cysts: Ama-cysts agcwele uketshezi angakhula ezinso. La ma-cysts angalimaza nezinso. Odokotela bazowasusa uma kudingeka.
• Isifo Sezinso Esibangelwa Yi-Polycystic (PKD): Lesi yisimo esibangelwa yizakhi zofuzo. Kulesi simo, ama-cyst amaningi akhula ezinso. I-PKD ingabangela umfutho wegazi ophakeme kanye nokwehluleka kwezinso. Abantu abane-PKD kufanele bahlale beqashwe ngudokotela.

Ezinye izimo ezingathi sína kakhulu

Ngaphezu kwalokhu, kunezinye izifo eziningi ezihlobene nezinso, ezinye zazo eziyingozi kakhulu.

• I-Acidosis:Uma izinso zingasebenzi kahle, i-asidi egazini inganda. Lokhu kungabangela izinkinga eziningi zempilo. Uma kungelashwa, kungaba yingozi empilweni.
• I-Acute noma i-Chronic Interstitial Nephritis: Lokhu kubangela ukuthi izinso zivuvuke, okungaholela ekuhlulekeni kwezinso.
• I-Diabetic Nephropathy noma i-Hypertensive Nephropathy: Umfutho wegazi ophezulu nesifo sikashukela esingalawulwa kulimaza izinso. Lokhu kubizwa nangokuthi `(Nephropathy)`.
• Izifo Ezithinta I-Glomerular: Lezi zifo zingabangela ukuthi i-glomeruli yakho ivuvuke noma yonakale, okungaholela ekuhlulekeni kwezinso.
• Isifo Sokushintsha Okuncane: Lesi futhi yisifo sezinso. Kulokhu, ama-glomeruli ayonakala futhi inani elikhulu lamaprotheni likhishwa emchameni.
• I-Proteinuria kanye ne-Nephrotic Syndrome: I-Proteinuria yilapho umchamo wakho uqukethe amazinga aphezulu e-protein. Lokhu kungaba uphawu lokulimala kwezinso. Uma umchamo wakho uqukethe amaprotheni amaningi, kungaba uphawu lwe-Nephrotic Syndrome. Lokhu kwenzeka lapho izinso ezonakele zivuza amaprotheni amaningi egazini lakho angene emchameni wakho.
• I-Uremia: Ubuthi okufanele buhlanzwe yizinso bese bukhishwa emchameni esikhundleni salokho buqongelela egazini. I-Uremia ingaba yingozi empilweni uma ingelashwa.

Yiziphi izimpawu nezimpawu ezivamile zesifo sezinso?

Izinkinga eziningi zezinso azibonisi zimpawu ezigabeni zokuqala. Yilokho okuyingozi kakhulu. Njengoba ukulimala kwezinso kuqhubeka, ungase uqale ukuzwa izinto ezifana nalezi:

• Ukuqaqamba Kwemisipha: Ukuqaqamba kwemisipha kungenzeka ngenxa yokungalingani kwama-electrolyte emzimbeni. Lokhu kuvame ukubangela ukuqaqamba kwemisipha. Kodwa-ke, kungathinta noma yiliphi iqembu lemisipha.
• Umchamo omnyama noma umchamo onegazi kuwo: Uma izihlungi ezisezinso zonakele, amangqamuzana abomvu egazi angavuza emchameni. Lokhu kubizwa ngokuthi "i-Hematuria".
• Umchamo onegwebu: Uma kukhona amagwebu emchameni, kusho ukuthi kuneprotheni eningi kakhulu.
• Isikhumba esomile nesilumayo: Ukungalingani kwamaminerali nezakhamzimba egazini kungabangela isikhumba ukuba silume futhi some.
• Ukuchama kaningi: Ezinye izinkinga ngokuhlunga imfucuza zingabangela ukuthi udinge ukuchama kaningi.
• Amehlo avuvukile noma amaqakala nezinyawo ezivuvukile: Lapho ukusebenza kwezinso kwehla, umzimba uqala ukugcina amaprotheni ne-sodium. Lokhu kubangela ukuvuvukala, noma ukuvuvukala.
• Izinkinga zokulala, ukukhathala kanye nokuntuleka kwesifiso sokudla: Uma ubuthi buqongelela egazini, ukulala kwakho, isifiso sokudla kanye namandla kungase kunciphe.

Ungayihlola kanjani impilo ye-(Renal Cortex)?

Odokotela basebenzisa izivivinyo eziningana ukuze balinganise ukusebenza kwezinso futhi baxilonge izinkinga zezinso. Udokotela wakho angase ancome izivivinyo ezinjengalezi:

• Ukuhlolwa kwezithombe: Isibonelo, ama-X-ray, ama-CT scan, ama-MRI, ama-ultrasound, noma izithombe zemithi yenuzi. Lokhu kungabonisa ukungalingani noma ukuvaleka kwezinso. Isibonelo, kungalinganisa ukujiya kwe-renal cortex. Uma i-cortex incane, kusho ukuthi izinso zonakele.
• Ukuhlolwa kwegazi: Lokhu kungahlola ukuthi ama-glomeruli akho ahlunga kahle kangakanani igazi.
• Ukuhlolwa Kwezinso: Kule nqubo, udokotela uthatha isampula encane yezicubu zezinso bese eyihlola ngaphansi kwe-microscope.
• I-Ureteroscopy: Kule nqubo, udokotela udlulisa ithubhu (i-endoscope) nge-urethra yakho ukuze abheke izinkinga ngaphakathi kwesinye sakho kanye nama-ureter.
• Ukuhlolwa Komchamo: Lokhu kuhlolwa kulinganisa izinto ezithile emchameni, njengeprotheni negazi, ukuthola noma yikuphi ukukhubazeka okungase kubonise isimo sezokwelapha noma ukutheleleka.
• Ukuhlolwa Kokusebenza Kwezinso / Ukuhlolwa Kokusebenza Kwezinso: Lokhu kuhlolwa kubonisa ukuthi izinso zakho zisebenza kahle kangakanani. Ukuhlolwa kwegazi okukodwa kubizwa ngokuthi `(Creatinine).` Lokhu kungahlola ukusebenza kwezinso futhi kubone ukuthi izinso zakho zisusa kanjani udoti egazini lakho ngempumelelo.

Yiziphi izindlela zokwelapha izifo ezihlobene ne-Renal Cortex?

Ukwelashwa kwezifo ezithinta izinso zakho kanye ne-renal cortex kuncike esimweni onaso. Isibonelo, uma unesifo, udokotela wakho uzokunikeza ama-antibiotic.

Uma kukhona okudinga ukususwa, njengetshe lezinso, isimila, noma umdlavuza, kungadingeka ukuthi uhlinzwe noma uhlinzwe.

Ngingazigcina kanjani izinso zami ziphilile? Kubaluleke kakhulu!

Kubalulekile ukuhlolwa njalo kwezokwelapha ukuze kuqashwe impilo yezinso zakho. Lokhu kubaluleke kakhulu uma unezinkinga zempilo ezifana nomfutho wegazi ophakeme, ukukhuluphala ngokweqile, nesifo sikashukela. Unganciphisa ingozi yakho yokuthola izinkinga zezinso ngokuthi:

• Gwema noma uyeke ukubhema. Ingabe lokhu kuyafaneleka ukukusho?
• Nciphisa ukudla kwakho usawoti omningi. Lokhu kungathinta ibhalansi yamaminerali egazini lakho.
• Phuza amanzi amaningi. Lokhu kusiza izinso ukukhipha ubuthi.
• Khulisa ukuvivinya umzimba nsuku zonke. Lokhu kungasiza ekunciphiseni umfutho wegazi ophakeme.
• Nciphisa ukusetshenziswa kwemithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID). Ukuthatha kakhulu kwalokhu kungalimaza izinso zakho.
• Gcina isisindo esinempilo.
• Gada umfutho wegazi lakho njalo. Lokhu kuzokusiza ukuthi usheshe ubone noma yimaphi amazinga aphezulu kunalokho obekulindelwe.
• Nakekela amazinga kashukela egazini lakho futhi ugcine isifo sikashukela sakho silawulwa.

Uyini umehluko phakathi kwe-(Renal Cortex) kanye ne-(Renal Medulla)?

Inso yakhiwe ngezicubu eziminyene. Lokhu kubizwa ngokuthi i-renal parenchyma . Yakhiwe izingxenye ezimbili ezibizwa ngokuthi i-cortex kanye ne-medulla. Njengoba sesishilo ngaphambili, i-renal cortex yingxenye engaphandle yenso, kanti i-medulla yingxenye engaphakathi.

I-`(Renal Cortex)` inombala oluhlaza kancane. I-`(Medulla)` ibushelelezi.

Nakuba zombili izingxenye zinezimbobo, i-cortex inezimbobo ze-glomeruli, izimbobo ezigobile, kanye nemithambo yegazi. Yingakho inokubukeka okusanhlamvu. Ama-tubules ku-medulla aqonde kancane futhi abizwa ngokuthi ama-collecting tubules (ngoba aqoqa umchamo). I-medulla iphinde ibe nezimbobo ze-Henle, noma izingxenye ze-collecting tubules ezimise okwe-U.

Kufanele ubonane nini nodokotela mayelana nezinkinga zezinso?

Uma ucabanga ukuthi unenkinga yezinso, kufanele nakanjani ubone udokotela. Ungase ube nezimpawu ezifana nalezi:

• Izinguquko emchameni wakho (njengegazi emchameni wakho noma umbala omnyama) noma izinguquko emikhubeni yakho yokuchama (njengokudinga ukuya endlini yangasese kaningi noma ukuba nobuhlungu lapho uchama).
• Isikhumba esomile noma esilumayo.
• Ukukhathala okukhulu.
• Umfutho wegazi ophezulu (i-Hypertension).
• Ukuqhaqhazela kwemisipha.
• Ukulahlekelwa yisifiso sokudla noma ukunambitheka kwensimbi ekudleni.
• Ubuhlungu besisu noma ukuhlanza.
• Ukuvuvukala, ikakhulukazi eduze kwamaqakala noma izandla.

Uma unezimo ezithile, udokotela wakho angase akucele ukuhlolwa kokusebenza kwezinso njalo:

• Uma kukhona emndenini onomlando wesifo sezinso.
• Isifo sikashukela.
• Isifo senhliziyo.
• Umfutho wegazi ophezulu.
• Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile.
• Uma uphuza imithi ethile njalo (isib. imithi yomfutho wegazi).

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, uma ufuna ukunakekela izinso zakho, udinga ukuqala ngokunakekela impilo yakho iyonke kuqala. Lokho kusho ukuthiLawula umfutho wegazi lakho kanye namazinga kashukela egazini, phuza amanzi amaningi, udle kahle. Futhi , lala ngokwanele futhi uvivinye umzimba. Uma ubona noma yiziphi izinguquko emikhubeni yakho yokuchama noma ubuhlungu, khuluma nodokotela wakho ngakho futhi nisebenzisane ukuthola ikhambi. Khumbula, izinso zethu zisebenza buthule, ngakho-ke sidinga ukuzinakekela kahle!

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Izinso , i-cortex yezinso, i-nephron, isifo sezinso, ukusebenza kwezinso, uhlelo lomchamo, impilo yezinso