Uma uthola ukuhlolwa kwegazi, wake wabona inani elibizwa ngokuthi 'BUN' embikweni? Udokotela wakho kungenzeka ukuthi ukuchazele lokhu. Nakuba kungase kubonakale kuyinkimbinkimbi kubantu abaningi, empeleni kuwukuhlolwa okuvamile kakhulu okukutshela ulwazi oluningi olubalulekile mayelana nempilo yezinso zethu. Ngakho-ke, ungesabi. Namuhla, ake sixoxe ngokuthi iyini le BUN, ukuthi kungani yenziwa, nokuthi izindinganiso zayo zithini.
Kusho ukuthini nje ukuthi i-BUN?
Kulungile, ake siqale kusukela ekuqaleni. Leli gama elithi BUN limele i-Blood Urea Nitrogen . NgesiSinhala, lisho inani le-urea nitrogen egazini.
Manje ake ucabange ukuthi imizimba yethu ifana nefektri enkulu. Izakhamzimba esizidlayo nesiziphuzayo, ikakhulukazi amaprotheni (isibonelo, inyama, inhlanzi, amaqanda, ubisi), ziguqulwa zibe amandla kanye nezinto ezidingekayo ukuze umzimba ukhule kule fektri. Uma le nqubo yenzeka, kwakheka umkhiqizo ongcolile. Lowo mfucuza ubizwa ngokuthi i-urea nitrogen .
Le mikhiqizo yokungcola iqala ukukhiqizwa esibindini sethu. Bese, yengezwa egazini bese ihamba emzimbeni wonke. Ngesikhathi sihamba kanje, leli gazi lidlula ezinso zethu. Izinso zinjengezihlungi ezimbili ezinhle kakhulu emzimbeni wethu. Umsebenzi wazo oyinhloko ukuhlunga nokuhlukanisa le mikhiqizo yokungcola engafuneki egazini bese uyisusa emzimbeni ngomchamo.
Ngakho-ke, lokhu kuhlolwa kwe-BUN kwenziwa ukukala ukuthi ingakanani i-urea nitrogen esele egazini lakho ngaphambi kokuba ihlungwe yizinso.
Kalula nje, i-BUN inani le-urea nitrogen egazini lakho. Lokhu kungakunikeza umbono obalulekile wokuthi izinso zakho zisebenza kahle kangakanani.
Kungani odokotela bencoma lokhu kuhlolwa kwe-BUN?
Kunezizathu eziningana zokuthi kungani udokotela angase akucele ukuthi uhlolelwe i-BUN.
- Njengengxenye yokuhlolwa kwempilo okuvamile: Leli nani le-BUN livame ukulinganiswa njengengxenye yokubalwa kwegazi okuphelele, okuvame ukwenziwa minyaka yonke noma ngezikhathi ezithile. Lokhu kuvame ukufakwa ephaketheni lokuhlola elibizwa ngokuthi i-Comprehensive Metabolic Panel (CMP) noma i-Basic Metabolic Panel (BMP) .
- Uma usola isifo sezinso: Uma usengozini yokuthola isifo sezinso, udokotela wakho angase akuyalele lokhu kuhlolwa. Njengoba isifo sezinso sivame ukungabi nazimpawu ezigabeni zokuqala, singasiza ekuboneni abantu abanezici eziyingozi kusenesikhathi.
Yiziphi izinto ezandisa ingozi yesifo sezinso?
- Uma kukhona emndenini wakho (umama, ubaba, izingane zakini) onesifo sezinso.
- Uma unesifo sikashukela .
- Uma une -high blood pressure .
- Uma unesifo senhliziyo .
- Uma ubonisa izimpawu zesifo sezinso: Kunezimpawu ezithile ezibonakala lapho isifo sezinso siba sibi kakhulu. Uma unalezi zimpawu, kufanele nakanjani uthole ukuhlolwa kwe-BUN.
| Ezinye izimpawu zesifo sezinso esisesigabeni sokugcina | |
|---|---|
| Isidingo sokuchama kaningi kunokujwayelekile. | |
| Umchamo onegwebu. | |
| Igazi emchameni. | |
| Ukuzizwa ukhathele kakhulu futhi ukhathele njalo. | |
| Ukudla akunambitheki. | |
| Ukuvuvukala komzimba (ikakhulukazi izandla, izinyawo, namaqakala). | |
Kusho ukuthini uma i-BUN 'ikhuliswa'?
Lokhu kuyinto abantu abaningi abayesabayo. Uma izinga lakho le-BUN liphakeme kunezinga elinconywayo, kungasho ukuthi izinso zakho azisebenzi kahle . Okusho ukuthi, azihlungi kahle imfucuza ye-urea nitrogen egazini.
Kodwa-ke, i-BUN ephezulu akusho ngaso sonke isikhathi ukuthi kunenkinga ngezinso zakho. Ngisho noma izinso zakho ziphilile ngokuphelele, i-BUN yakho ingakhuphuka ngezinye izizathu.
| Isizathu | Incazelo elula |
|---|---|
| Ukudla ukudla okucebile ngamaprotheni | Uma udla inyama eningi, inhlanzi, amaqanda, kanye nama-protein shake, inani lemfucuza ye-urea ekhiqizwa emzimbeni nalo lizokhula. |
| Ukuphelelwa amanzi emzimbeni | Uma umzimba uphelelwe amanzi emzimbeni, igazi liyaqina. Bese kuba nokwanda kwe-urea egazini. Kubukeka njengomuntu osebenze elangeni usuku lonke futhi engaphuzanga manzi. |
| Ukuguga | Ukusebenza kwezinso kungase kwehle kancane ngokwemvelo njengoba sikhula (izingane ezincane zivame ukuba namazinga aphansi e-BUN). |
| Eminye imithi | Eminye imithi (isib. i-Carbamazepine, i-Methotrexate, i-Tetracycline) ingabangela amazinga e-BUN akhuphuke. |
| Ezinye izimo zempilo | Amazinga e-BUN angakhuphuka ngenxa yezimo ezifana nokusha, ukuhlaselwa yinhliziyo, amazinga aphezulu okucindezeleka, ukopha esiswini noma emathunjini (ukopha kwe-GI), noma ukuvaleka komgudu womchamo. |
Into ebaluleke kakhulu ukungesabi lapho izinga lakho le-BUN likhuphuka, kodwa ukukhuluma nodokotela wakho ukuthola ukuthi iyini imbangela. Udokotela wakho uzofinyelela esiphethweni ngokuqhathanisa hhayi nje izinga le-BUN, kodwa nezinye izindinganiso zokuhlola, njenge -creatinine .
Ingabe inani le-BUN lingaba 'phansi'?
Yebo, kungenzeka. Kodwa izinga eliphansi le-BUN alivamile kakhulu. Ngokuvamile alibonisi inkinga enkulu yezempilo. Kodwa-ke, kunezizathu ezithile ezenza amazinga e-BUN abe phansi.
- Ukudla okunamaphrotheni aphansi: Uma udla imifino noma udla ukudla okunamaphrotheni aphansi kakhulu.
- Usayizi womzimba omncane:
- Ukuphuza amanzi amaningi ngokweqile: Ukuphuza amanzi amaningi kunganciphisa igazi futhi kwehlise izinga le-BUN.
- Isifo sesibindi: Njengoba i-urea ikhiqizwa esibindini, amazinga e-BUN angase abe phansi ezimweni ezinzima ezithinta ukusebenza kwesibindi.
Kwenzekani ngaphambi naphakathi nalokhu kuhlolwa kwegazi?
Lokhu ukuhlolwa kwegazi okulula kakhulu, okuvamile.
Ngaphambi kokuhlolwa
Uma uthatha imithi yokunciphisa igazi noma unenkinga yokopha, tshela udokotela wakho kusengaphambili. Buza udokotela wakho ukuthi uzozila ukudla amahora angu-8-12, njengoba ezinye izivivinyo zingenziwa kanye ne-BUN.
Ngesikhathi sokuhlolwa
- Ngokuvamile, kukhethwa umthambo engalweni yakho eduze kwendololwane ukuze kukhishwe igazi.
- Indawo ihlanzwa ngento efana notshwala, bese kuthathwa igazi elincane lifakwe ebhodleleni elincane kusetshenziswa inalithi encane kakhulu.
- Uzozwa ukugwazwa okuncane. Indawo ingase ibe luhlaza okwesibhakabhaka kancane ngemva kwalokho, kodwa izonyamalala ngokuphelele ngosuku olulodwa noma ezimbili.
- Leli sampula legazi libe selithunyelwa elabhorethri. Kungathatha usuku noma izinsuku ezintathu ukuthi imiphumela ibuye.
Kwenzekani ngemva kokufika kombiko wokuhlolwa?
Uma usuthole umbiko wokuhlolwa, udokotela wakho uzochaza ukuthi kusho ukuthini kuwe. Udokotela wakho ngeke enze isinqumo ngokusekelwe enanini le-BUN kuphela. Udokotela wakho uzocabangela ezinye izici eziningana ukuze athole isithombe esiphelele somsebenzi wezinso zakho.
- I-Serum Creatinine: Lona omunye umkhiqizo ongcolile olinganiswa egazini. Kuwukuhlolwa okubaluleke kakhulu kune-BUN uma kukhulunywa ngokusebenza kwezinso.
- Izinga Lokuhlunga Le-Glomerular Elilinganiselwe (eGFR): Lokhu akulona ukuhlolwa okuqondile. Kuyinani elibala ukuthi izinso zakho zihlanza igazi lakho ngokushesha kangakanani, kusetshenziswa izinto ezifana nezinga lakho le-creatinine, ubudala, kanye nobulili.
Udokotela uzohlanganisa zonke lezi zindinganiso ukuze afinyelele esiphethweni sokugcina mayelana nempilo yezinso zakho.
Uma izinga le-BUN liphezulu, yini engenziwa ukuze lincishiswe?
Into ebalulekile okufanele uyiqonde lapha ukuthi odokotela abanikezi imithi yokwehlisa amazinga e-BUN. Abakwenzayo ukuthola imbangela yamazinga aphezulu e-BUN bese belapha leyo mbangela.
Kodwa-ke, uma umuntu ongenaso isifo sezinso enezinga eliphezulu le-BUN, lingalawulwa ngokushintsha indlela yokuphila elula.
Okubalulekile: Uma unesifo sezinso, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokwenza izinguquko ezilandelayo.
1. Phuza amanzi amaningi: Ukuphelelwa amanzi emzimbeni kuyimbangela eyinhloko yezinga le-BUN eliphakeme. Uma izinga lakho le-creatinine lijwayelekile kodwa i-BUN yakho iphakeme, kungenzeka kakhulu ukuthi kungenxa yokuphelelwa amanzi emzimbeni.
- Indoda kufanele iphuze izinkomishi ezingu-13 zoketshezi (cishe amalitha amathathu) ngosuku.
- Kunconywa ukuthi owesifazane aphuze izinkomishi ezingu-9 (cishe amalitha angu-2.2) zoketshezi ngosuku.
2.Lawula ukudla kwakho okucebile ngamaprotheni: Ukushintshela ekudleni okunamaphrotheni aphansi kungasiza ekunciphiseni amazinga e-BUN.
| Ukudla okunamaphrotheni aphansi ongakudla kakhulu | Ukudla okunamaphrotheni amaningi okufanele kuncishiswe noma kugwenywe |
|---|---|
| Okusanhlamvu: ilayisi, i-oats, i-pasta | Inyama: Inyama yenkomo, Inkukhu, Ingulube, I-Salmon |
| Izithelo: ama-apula, amajikijolo, ubhanana | Ukudla kobisi: ubisi, ushizi, iyogathi |
| Imifino: Imifino eluhlaza, upelepele, i-broccoli | Okunye: amaqanda, amalentili, ama-chickpeas, i-soy, i-tofu |
| Amafutha anempilo: ukwatapheya, amantongomane, uwoyela kakhukhunathi |
Ngokwesilinganiso, umuntu udla amagremu angama-40-60 eprotheyini ngosuku. Kodwa-ke, umuntu onamazinga aphezulu e-BUN kungadingeka anciphise leli nani ngokuya ngeseluleko sikadokotela wakhe.
Umlayezo Wokuya Nawe Ekhaya
- I-BUN iwumkhiqizo ongcolile owakhiwa yiprotheni esiyidlayo futhi kumele uhlungwe futhi ukhishwe yizinso.
- Lokhu kuhlolwa kunikeza umbono ngokusebenza kwezinso .
- Akuzona zonke izikhathi lapho amazinga e-BUN ekhuphuka, kuba uphawu lwesifo sezinso. Ezinye izici, njengokuphelelwa amanzi emzimbeni kanye nokudla okunamaphrotheni amaningi, nazo zingadlala indima.
- Udokotela wakho kuphela ongakunikeza incazelo ephelele yemiphumela yokuhlolwa kwakho.
- Uma izinga le-BUN liphezulu, yelapha imbangela eyinhloko.Yilokho okubaluleke kakhulu. Ukushintsha indlela yakho yokuphila kanye nokudla ngokweseluleko sikadokotela wakho kungenza umehluko omkhulu.
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