Ingabe ukhathazekile ngezinso zakho? Ake sixoxe ngeSifo Sezinso Esingamahlalakhona

Izinso ziyizitho ezimbili ezincane, kodwa ezinamandla emzimbeni wethu. Zifana nezihlungi ezimbili ezinamandla kakhulu emzimbeni wethu. Zihlanza igazi lethu futhi zisuse ukungcola, ubuthi, namanzi angaphezulu njengomchamo. Kodwa cabanga ukuthi kwenzekani uma lezi zihlungi ezimbili zihluleka kancane kancane? Yilokho esikubiza ngokuthi i-Chronic Kidney Disease (CKD) . Yilapho izinso zilahlekelwa khona kancane kancane amandla azo okusebenza ngokuhamba kwesikhathi.

Kalula nje, izinso zibaluleke kangakanani kithi?

Lezi zinhlayiya ezimbili zezinso zitholakala kuzo zombili izinhlangothi zomgogodla wakho, ngaphansi nje kwekheji lezimbambo zakho. Ngayinye ilingana nesandla sakho.

Nakuba umsebenzi wabo oyinhloko ukuhlanza igazi, benza nezinye izinto eziningi ezibalulekile:

• Igcina ibhalansi yama-electrolyte, njengosawoti kanye ne-potassium, emizimbeni yethu.
• Ikhiqiza ama-hormone adingekayo ukulawula umfutho wegazi.
• Kusiza ukugcina amathambo ethu eqinile.
• Kusiza ekwakheni amangqamuzana egazi abomvu .

Ngakho-ke cabanga, uma izinso ezimbili, ezisebenza kakhulu, ziba buthakathaka, siqala ukugula ngenxa yemfucuza eqongelela emzimbeni.

Yiziphi izigaba ezi-5 zesifo sezinso?

Isifo sezinso esingamahlalakhona sihlukaniswe izigaba ezinhlanu. Lezi zigaba zinqunywa ukuthi izinso zakho zihlunga kahle kangakanani imfucuza egazini lakho. Odokotela benza ukuhlolwa kwegazi nomchamo ukuze bathole ukuthi ukusiphi isigaba.

Isilinganiso esiyinhloko esisetshenziswa kulokhu yi -GFR (Glomerular Filtration Rate) . Kalula nje, lokhu kulinganisa ukuthi zingaki amamililitha egazi ezihluzwa yizinso zakho ngomzuzu. Kuhlola futhi izinga lomkhiqizo ongcolile obizwa ngokuthi i-creatinine egazini. Uma izinso zisebenza kahle, le creatinine ikhishwa emchameni. Lapho izinso zibuthakathaka, i-creatinine iqala ukuqongelela egazini.

• Isigaba 1: Umonakalo omncane kakhulu. I-GFR ingaba yinto evamile.
• Isigaba 2: Ukusebenza kwezinso okunciphile kancane.
• Isigaba 3: Ukusebenza kwezinso okunciphile okulingene.
• Isigaba 4: Ukusebenza kwezinso okunciphe kakhulu.
• Isigaba 5: Ukwehluleka kwezinso ngokuphelele. Lokhu kubizwa ngokuthi isifo sezinso sesigaba sokugcina .

Ziyini izimpawu? Ngokuvamile izimpawu azibonakali ekuqaleni.

Into eyingozi kakhulu ngalesi sifo ukuthi ezigabeni zokuqala, azikho izimpawu ezibonakalayo . Kuphela lapho lesi sifo siba sibi kakhulu lapho izimpawu ziqala khona ukuvela. Ngakho-ke, kubaluleke kakhulu ukuqaphela lezi zimpawu.

Yiziphi izimbangela eziyinhloko zesifo sezinso?

Isifo sezinso senzeka lapho izinso zilimala futhi zingakwazi ukuhlunga igazi kahle. Esifweni sezinso esingamahlalakhona, lo monakalo uvela kancane kancane eminyakeni eminingi.

Izizathu ezimbili eziyinhloko nezivame kakhulu zalokhu yilezi:

1. Umfutho Wegazi Ophakeme

2. Isifo sikashukela

Ngaphezu kwalezi zizathu ezimbili eziyinhloko, kunezinye izizathu.

• I-Glomerulonephritis: Lokhu kwenzeka lapho amayunithi okuhlunga amancane ngaphakathi kwezinso onakele.
• Isifo sezinso esine-polycystic: Lesi yisimo sofuzo esidluliselwa ezizukulwaneni ngezizukulwane. Ama-cyst amaningi agcwele uketshezi akheka ezinso, okunciphisa ukusebenza kwawo.
• Ukuvaleka komgudu womchamo: Ukuvaleka kokuhamba komchamo ngenxa yamatshe omchamo, ukwanda kwe-prostate kwabesilisa, noma umdlavuza.
• I-Vesicoureteral reflux: Lokhu kwenzeka lapho umchamo ugeleza usuka kwesinye uye ezinso.
• Ukutheleleka kwezinso okuvamile (i-Pyelonephritis).
• Izifo ezifana ne -lupus yilapho amasosha omzimba eziphendukela khona.

Ubani osengozini enkulu yokuthola lesi sifo?

Noma ubani angaba nesifo sezinso, kodwa uma unezimo ezilandelayo, ingozi yakho iphakeme kancane.

• Uma unesifo sikashukela .
• Uma une -high blood pressure .
• Uma unesifo senhliziyo .
• Uma othile emndenini eke waba nesifo sezinso (ithonya elizuzwe njengefa).
• Uma uneminyaka engaphezu kwengu -60 ubudala.
• Ama-painkiller ohlobo lwe-NSAID(isib. i-Ibuprofen, i-Diclofenac) uma isetshenziswa isikhathi eside ngaphandle kweseluleko sikadokotela.
• Uma kukhona ukungalingani ekwakhiweni noma ngobukhulu bezinso.

Iphathwa kanjani? Yini esingayenza?

Isifo sezinso esingamahlalakhona asikwazi ukwelapheka ngokuphelele. Kodwa-ke, kunezinto eziningi esingazenza ukulawula umonakalo wezinso nokugcina ukusebenza kwazo isikhathi eside ngangokunokwenzeka .

Izinguquko zendlela yokuphila

• Bona udokotela wakho ngesikhathi: Bona udokotela wakho noma udokotela wezinzwa ngesikhathi bese uhlolwa.
• Lawula isifo sikashukela kanye nomfutho wegazi: Lena yinto ebaluleke kakhulu. Gcina ushukela kanye nomfutho wegazi lakho kulawulwa.
• Gwema imithi elimaza izinso: Qiniseka ukuthi ubuza udokotela wakho, ikakhulukazi uma uphuza imithi yokubulala izinhlungu.
• Ukudla okulungele izinso: Landela ukudla okunciphisa usawoti (i-sodium), i-potassium, kanye namaprotheni. Kungcono ukukhuluma nodokotela wezokudla ngalokhu bese uthola iseluleko.
• Gwema ukubhema ngokuphelele.
• Zivocavoce izinsuku eziningi ngesonto.
• Gcina isisindo esinempilo.

Ukwelashwa ngemithi

Udokotela wakho angase akunike imithi ehlukene kuye ngokuthi imbangela kanye nesigaba sesimo sakho sibangelwa yini.

• (ACE) inhibitors noma imithi yohlobo lwe- (ARB) yokwehlisa umfutho wegazi.
• Imithi yokukhipha uketshezi emzimbeni.
• Imithi yokwehlisa amazinga e-cholesterol.
• Uma une-anemia, thatha imithi esiza ekwakheni amaseli abomvu egazi.
• Imithi efana ne-vitamin D yokugcina amathambo eqinile.

Kuthiwani uma izinso zihluleka ngokuphelele? (Isifo Sezinso Esisesigabeni Sokugcina)

Uma lesi sifo sifika esigabeni sesi-5, okusho ukuthi izinso sezicishe zahluleka ngokuphelele, kudingeka ezinye izindlela zokusinda. Ngoba uma izinso ziyeka ukusebenza futhi imfucuza iqoqana emzimbeni, kungaholela ekufeni.

Kunezinketho ezimbili eziyinhloko:

1. Ukuhlanza Izinso (i-Dialysis)

2. Ukufakelwa Kwezinso

1. Ukuhlanza Izinso (i-Dialysis)

Lokhu kuhilela ukusebenzisa umshini ukwenza umsebenzi wokuhlanza igazi owenziwe yizinso zakho. Kunezindlela ezimbili eziyinhloko:

• I-Hemodialysis: Kulokhu, igazi lakho lithunyelwa emshinini osusa imfucuza, amanzi engeziwe, nosawoti emzimbeni wakho, bese igazi elihlanziwe libuyiselwa emzimbeni wakho. Lokhu kuvame ukwenziwa esibhedlela, ngokuvamile kathathu ngesonto, cishe amahora amane isikhathi ngasinye.
• I-Dialysis ye-Peritoneal:Kulokhu, kufakwa ipayipi (i-catheter) esiswini sakho bese kufakwa uketshezi olukhethekile ngalo. Ngemva kokuba uketshezi selumunce imfucuza emzimbeni wakho, luyasuswa bese kufakwa uketshezi olusha. Lena inqubo isiguli esingayenza ekhaya.

2. Ukufakelwa Kwezinso

Lokhu kuhilela ukufaka izinso eziphilile ngokuhlinzwa. Njengoba umuntu ophilile engaphila kahle ngenso eyodwa, izinso zingatholakala emithonjeni emibili ngale njongo.

• Kusuka kumuntu ophilayo: Ngokuvamile kuvela kumuntu ofana nelungu lomndeni noma umngane.
• Kusuka kumuntu oshonile: Inso evela kumuntu oshonile obonise intshisekelo yokunikela ngezitho zomzimba.

Yini okufanele siyenze ukuze sizivikele kulesi sifo?

Kubaluleke kakhulu ukuvimbela isifo sezinso ngaphambi kokuba siqale kunokuselapha ngemva kokuba siqalile.

• Landela indlela yokuphila enempilo: Ukudla okunempilo, ukuvivinya umzimba okwanele, nokugwema ukubhema notshwala obungadingekile kubaluleke kakhulu.
• Lawula umfutho wegazi lakho kanye namazinga kashukela: Uma unesifo sikashukela noma umfutho wegazi ophezulu, zilawule ngendlela efanele. Thatha imithi yakho njengoba uyalelwe.
• Qaphela ngamaphilisi okudambisa izinhlungu: Ungaphuzi amaphilisi okudambisa izinhlungu isikhathi eside ngaphandle kweseluleko sikadokotela.
• Phuza amanzi anele.
• Thola ukuhlolwa njalo kwezokwelapha: Uma unezici eziyingozi, hlola igazi nomchamo wakho okungenani kanye ngonyaka ukuze uqaphe isimo sezinso zakho.

Isifo sezinso siyisimo sokuphila konke. Kodwa asikho isidingo sokwesaba. Ngokuphathwa nokwelashwa okufanele, abantu abaningi baphila impilo ejabulisayo nejwayelekile. Into ebaluleke kakhulu ukuba yilungu elisebenzayo lethimba lakho lokwelapha. Khuluma ngokukhululekile nodokotela wakho, ubuze imibuzo, bese ulandela imiyalelo yakhe ngqo.