Ucele ukuhlolwa kwe-BUN? Ake sibone ukuthi kuyini lokhu (BUN - Ukuhlolwa kwe-Blood Urea Nitrogen)

Ingabe udokotela wakho ukunike ukuhlolwa kwegazi futhi kwathiwa 'BUN'? Cishe uke walibona leli gama emibikweni yakho yakudala. Uma uzwa leli gama, abantu abaningi bacabanga ukuthi, "Kuyini lokhu?" Kodwa akukho lutho okufanele ulwesabe. Lokhu ukuhlolwa kwegazi okulula kakhulu okukutshela ulwazi olubalulekile mayelana nempilo yomzimba wakho, ikakhulukazi izinso zakho. Ngakho-ke namuhla, ake sithole ukuthi yini ngempela le test ye-BUN, ukuthi ifunani, nokuthi uthini umbiko.

Kalula nje, iyini i-Blood Urea Nitrogen (BUN)?

Kulula kakhulu ukukuqonda lokhu. Cabanga ngale ndlela...

Iphrotheni esiyidlayo (isibonelo, inyama, inhlanzi, amaqanda, ubisi, amalentili, njll.) iyagaywa esibindini sethu bese iguqulwa ibe amandla. Phakathi nale nqubo, ikhemikhali ebizwa ngokuthi 'i-Urea Nitrogen' ikhiqizwa njengomkhiqizo olandelayo, okungukuthi, njengomkhiqizo olahliwe. Lokhu kuyinto engenamsebenzi emizimbeni yethu.

Le nitrogen ye-urea ingena egazini lethu, ihambe emzimbeni wonke negazi, bese ifika ezinso. Omunye wemisebenzi eyinhloko yezinso eziphilile ukuhlunga igazi, ukuhlukanisa le mikhiqizo engcolile, bese uyikhipha emchameni.

Ngakho-ke, uma izinso zakho ziphilile futhi zisebenza kahle, zihlunga iningi lale BUN. Kusala inani elincane kakhulu egazini. Kodwa-ke, uma kukhona ubuthakathaka noma isifo ezinso, azikwazi ukuhlunga le BUN kahle. Khona-ke inani le-BUN egazini liyanda ngaphezu kwamazinga ajwayelekile. Yilokho okulinganiswa ukuhlolwa kwe-BUN .

Kungani udokotela angancoma ukuhlolwa kwe-BUN?

Kungase kube nezizathu eziningana zokwenza ukuhlolwa kwe-BUN.

• Njengengxenye yokuhlolwa kwempilo okuvamile: Ngezinye izikhathi iphakheji yokuhlolwa kwegazi (`Iphaneli Ephelele Ye-Metabolic - CMP` noma `Iphaneli Eyisisekelo Ye-Metabolic - BMP`) oyithola ngesikhathi sokuhlolwa kwakho kwaminyaka yonke ihlanganisa lokhu kuhlolwa kwe-BUN.
• Uma usola ukuthi unesifo sezinso: Uma udokotela wakho esola ukuthi unesifo sezinso, uzokwenza lokhu ukuze akuqinisekise.
• Uma usengozini yesifo sezinso: Uma unezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, isifo senhliziyo, noma uma othile emndenini wakho eke waba nesifo sezinso, nawe usengozini, ngakho-ke lokhu kuhlolwa kwenziwa ukuhlola isimo sezinso zakho.
• Ngaphambi kokuqala umuthi: Ngaphambi kokuqala umuthi ongase uthinte izinso, lokhu kuhlolwa kwenziwa ukuze kutholakale isimo esiyisisekelo sezinso.
• Uma ulaliswe esibhedlela: Lokhu ukuhlolwa okujwayelekile kokuqapha amazinga oketshezi lomzimba kanye nokusebenza kwezinso uma ulaliswe esibhedlela ngenxa yezimo ezithile zezokwelapha.

Ingabe unalezi zimpawu? Bese utshela udokotela wakho.

Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kungaba uphawu lwenkinga yezinso. Ngakho-ke qiniseka ukuthi ukhuluma nodokotela wakho ngakho.

• Ushintsho enanini lomchamo owudlulayo (ukwanda noma ukwehla).
• Umchamo onombala onsundu, onegazi noma ophuzi.
• Ukuzwa ubuhlungu lapho uchama.
• Ukuvuvukala ezandleni, ezinyaweni, emaqakaleni, eduze kwamehlo, ebusweni, noma esiswini.
• Imilenze engapheli ngesikhathi sokulala.
• Ubuhlungu emhlane ongezansi, endaweni yezinso.
• Ukuzizwa ukhathele kakhulu ngaso sonke isikhathi.

Ngilungiselela kanjani ukuhlolwa kwegazi le-BUN?

Lokhu kulula kakhulu.

Ukulungiselela: Ngaphambi kwalokhu kuhlolwa, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo). Eminye imithi ingathinta umbiko. Uma unayo, udokotela wakho uzokutshela ukuthi uyeke ukuyithatha izinsuku ezimbalwa. Uma wenza ukuhlolwa kwe-BUN kuphela, ungadla futhi uphuze ngendlela evamile. Kodwa-ke, uma wenza okunye ukuhlolwa, ungase ucelwe ukuba uzile ukudla amahora ambalwa. Landela le miyalelo ngokucophelela.

Ngesikhathi sokuhlolwa: Elabhorethri, uchwepheshe uzothatha isampula encane yegazi emthanjeni osengalweni yakho. Uzozwa ukushaqeka okuncane kukagesi lapho inaliti ifakwa. Kuhlala imizuzwana embalwa kuphela.

Ngemva kokuhlolwa: Ungase uzizwe ubuhlungu futhi ulimele kancane lapho igazi likhishwe khona. Lokhu kuvamile. Ungaqhubeka nemisebenzi yakho evamile. Uzothola umbiko ezinsukwini ezimbalwa, kuye ngokuthi ilabhorethri isebenza kanjani kanye nomsebenzi kadokotela.

Uthini umbiko we-BUN?

Inani lakho le-BUN embikweni wakho lingama-milligram nge-deciliter (mg/dL). Inani le-BUN lomuntu omdala ophilile ngokuvamile kufanele libe phakathi kuka- 7 mg/dL no-20 mg/dL . Kodwa-ke, leli nani lingahluka kancane kuye ngobudala, ubulili, kanye nelebhu.

Okubaluleke kakhulu: Ungesabi uma ukufundwa kwe-BUN yakho kungaphezu kwesilinganiso esijwayelekile. Kunezinye izici ezingathinta ukufundwa kwe-BUN yakho. Ngakho-ke bonisa njalo udokotela wakho umbiko wakho bese ucela incazelo.

Ake sibheke ithebula elingezansi ukuze sibone ukuthi yini ebangela ukuthi amazinga e-BUN akhuphuke futhi ehle.

Ezinye izivivinyo ezenziwe kanye ne-BUN

Kunzima ukufeza noma yiziphi iziphetho ngokusekelwe ezingeni le-BUN kuphela, ngakho udokotela uzokwenza ezinye izivivinyo ezimbalwa ukuze athole isithombe esiphelele sezinso.

Ukuhlolwa kwe-Creatinine

Lokhu okunye ukuhlolwa kwegazi okubalulekile okuhlola impilo yezinso. I-Creatinine iwumkhiqizo ongcolile okhiqizwa yimisipha yethu. Iphinde ihlungwe futhi ikhishwe yizinso. Uma uqhathanisa amanani e-BUN kanye ne-Creatinine ndawonye, ​​​​ungathola umbono ocacile mayelana nokusebenza kwezinso. Lokhu kubizwa ngokuthi isilinganiso se-BUN/Creatinine . Ngokuvamile, lesi silinganiso kufanele sibe phakathi kuka-10:1 no-20:1.

Ukuhlolwa kwe-GFR (Izinga Lokuhlunga le-Glomerular)

Lokhu kulinganisa ukuthi izinso zakho zihlunga ngokushesha kangakanani imfucuza egazini lakho. Lokhu kungakunikeza umbono omuhle ngomsebenzi wezinso zakho (% umsebenzi wezinso). Uma i-GFR yakho iphansi kakhulu, kungabonisa ukwehluleka kwezinso.

Ungawalawula kanjani amazinga e-BUN?

Uma izinga le-BUN liphezulu, akukho muthi othize wokulinciphisa. Udokotela uzothola imbangela eyisisekelo yezinga eliphezulu le-BUN bese elapha leso simo. Isibonelo, uma izinga le-BUN liphezulu ngenxa yomfutho wegazi ophakeme, lokho kuzokwelashwa. Ngesikhathi esifanayo, uzokweluleka nokuthi ushintshe ukudla kwakho nendlela yakho yokuphila.

Izinto ezisiza ukwehlisa amazinga e-BUN:

• Phuza amanzi amaningi: Kuhle ukuphuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku. Kodwa-ke, uma usuvele unesifo sezinso esibi noma usebenzisa i-dialysis, qiniseka ukuthi ubuza udokotela wakho ukuthi kufanele uphuze amanzi angakanani. Ukuphuza amanzi amaningi kakhulu ngezikhathi ezinjalo nakho kungaba yinkinga.
• Ukudla okunamaphrotheni aphansi: Nciphisa ukudla okunamaphrotheni amaningi njengenyama nemikhiqizo yobisi. Kunalokho, faka izithelo, imifino, ilayisi, i-oats, ne-pasta ekudleni kwakho.

Khulisa izinga le-BUN (uma liphansi):

Izinga eliphansi le-BUN ngokuvamile aliyona inkinga enkulu. Kodwa-ke, uma ufuna ukulikhulisa, ungadla ukudla okucebile ngamaprotheni amaningi futhi ugxile empilweni yesibindi (ukunciphisa ukuphuza utshwala, ukwehlisa isisindo).