Uma sikhuluma nge-COVID-19, into yokuqala efika engqondweni umonakalo ewubangela emaphashini, noma ngezinye izikhathi enhliziyweni. Kodwa ubuwazi ukuthi leli gciwane lingathinta nezinye izitho eziningi ezibalulekile emizimbeni yethu, ikakhulukazi izinso zethu, ngendlela engathi sína kakhulu kunalokho esikucabangayo? Lokhu kuyinto abantu abaningi abangazi, kodwa ngokuqinisekile kuyinto okufanele uyazi. Ngakho-ke ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba lokhu kuqwashisa kuzokusiza ekuvikeleni wena nabathandekayo bakho.
Renal function (eGFR)
Measure kidney function based on creatinine value
I-COVID-19 izilimaza kanjani izinso?
Okokuqala, ake sibheke ukuthi izinso zethu ziyini nokuthi zenzani. Kalula nje, izinso ziyizitho ezimbili ezimise okwebhontshisi ezitholakala kuzo zombili izinhlangothi zomgogodla wethu, ngaphansi nje kwesikhala sezimbambo. Inkonzo lezi zitho ezimbili ezincane ezinikeza umzimba wethu ayiyona into encane.
- Ukukhipha imfucuza engadingekile kanye noketshezi oluningi emzimbeni njengomchamo.
- Kusiza ekulawuleni umfutho wegazi wethu .
- Kusiza ekwakheni amangqamuzana abomvu egazi athwala umoya-mpilo aye emzimbeni.
Cabanga ukuthi bekuzokwenzekani uma igciwane le-Covid-19 lithinta izinso zethu, ezenza imisebenzi ebaluleke kangaka.
Ucwaningo luthole ukuthi cishe ingxenye yabantu abalaliswe esibhedlela abane-COVID-19 bahlushwa yisimo esibizwa ngokuthi i-Acute Kidney Injury (AKI) . Lokhu kuwukulahlekelwa umsebenzi wezinso ngokuzumayo esikhathini esingamahora noma izinsuku. Uma lokhu kwenzeka, imfucuza evela emzimbeni iqala ukuqongelela egazini. Lesi yisimo esibi esingaba yingozi empilweni.
Yiziphi izimbangela zalolu hlobo lokulimala kwezinso okubangelwa yi-COVID-19?
Odokotela bathole izimbangela eziningana ezingaba khona zalokhu:
- Ukulimala okuqondile kumaseli ezinso ngokwawo: Ngezinye izikhathi, ukutheleleka okukhulu okubangelwa ukushaqeka kwe-septic kungalimaza amapayipi athambile ahlinzeka ngegazi ezinso. Siphinde sikubize ngokuthi "i-Acute Tubular Necrosis" ngokwezokwelapha.
- Ingozi eyengeziwe yokujiya kwegazi: Ukutheleleka yi-COVID-19 kwandisa ukuthambekela komzimba ekwakheni amahlule egazi. Lawa mahlule egazi amancane angabhajwa emithanjeni yegazi ethambile yezinso futhi alimaze izinso.
- Igciwane lihlasela izinso ngqo: Kwezinye izimo, kunobufakazi bokuthi igciwane le-COVID-19 lingena ngqo emaseli ezinso futhi liwalimaze.
Ziyini izimpawu zokulimala kwezinso okubukhali (i-AKI)?
Abanye abantu bangase bangabi nazo nhlobo izimpawu phakathi nalesi sikhathi. Kodwa-ke, abantu abaningi bangase babe nezimpawu ezilandelayo noma ngaphezulu. Kubalulekile ukuqaphela lokhu.
| Isibonakaliso | Nakekela lokhu. |
|---|---|
| Ukuncipha kokuchama | Uma uchama kancane kakhulu kunokujwayelekile noma uma uyeka ukuchama ngokuphelele. |
| Ukuvuvukala komzimba | Ukuvuvukala, ikakhulukazi emaqakaleni, emilenzeni, nasemaceleni kwamehlo. |
| Ukukhathala okungavamile | Ukukhathala okukhulu nokukhathala ngaphandle kwesizathu. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula ngenxa yokuqongelela koketshezi emaphashini. |
| Ukudideka/ukuwohloka komqondo | Ukudideka kwengqondo okubangelwa yimiphumela ebuchosheni. |
| Ukuhlanza kanye nesicanucanu | Isicanucanu nokuhlanza okubangelwa ukunqwabelana kwemfucuza egazini. |
| Ezinye izimpawu ezinkulu | Kwezinye izimo ezinzima kakhulu, ukuquleka noma ngisho nokuquleka kungase kwenzeke. |
Okubalulekile: Uma umuntu one-COVID-19 eba nanoma yiziphi zalezi zimpawu, kubaluleke kakhulu ukwazisa udokotela ngokushesha.
Funda ngokwelashwa kanye nokululama
Uma lolu hlobo lomonakalo wezinso oluzumayo luvela ngenxa ye-COVID-19, odokotela bazokwelapha kokubili ukutheleleka kwe-COVID kanye nezinso ngesikhathi esisodwa. Ezimweni ezimbi kakhulu, ukusebenza kwezinso kungabuyiselwa kuze kube yilapho izinso sezikwazi ukusebenza ngendlela evamile futhi.I-Dialysis, noma i-hemodialysis, iyindlela yokwelapha edinga i-dialysis . Kalula nje, lokhu kwenzeka lapho izinso zingakwazi ukwenza umsebenzi wazo, bese kusetshenziswa umshini ukuhlanza igazi.
Kungenzeka ukuthi izinso zilulame ngokuphelele ngemva kwalesi simo. Kodwa-ke, ezimweni eziningi, ngemva kokulimala kwezinso okungazelelwe okubangelwe yi-COVID-19, izinso azisebenzi kahle njengoba zazisebenza ngaphambili. Ngakho-ke, ngemva kokukhishwa esibhedlela, udokotela wakho angakudlulisela kudokotela wezinso . Lesi seluleko sizoba sibaluleke kakhulu ukunciphisa ingozi yokuthola isifo sezinso esingamahlalakhona esikhathini esizayo.
Uma usuvele unesifo sezinso...
Lena yingxenye okudingeka siyinake ngokukhethekile. Uma usuvele unesifo sezinso, isibonelo , isifo sezinso esingamahlalakhona esibangelwa isifo sikashukela noma umfutho wegazi ophakeme, usengozini enkulu yokugula kakhulu uma uthola i-COVID-19.
Ngakho-ke, ukuzivikela kubaluleke kakhulu kuwe kunanoma ubani omunye.
- Thola umuthi wokugomela i-COVID-19: Ungathola yonke imithamo yomthi wokugomela i-COVID-19 ngokushesha okukhulu, njengoba udokotela wakho ekuyalele. Lesi yisivikelo esingcono kakhulu onaso.
- Geza izandla zakho njalo: Zijwayeze ukugeza izandla zakho kahle ngensipho noma usebenzise isihlanzi esinotshwala.
- Gcina ibanga lakho: Hlala kude nabantu abagulayo kanye nezindawo ezinabantu abaningi ngangokunokwenzeka.
- Uma usebenzisa i-dialysis: Ungayeki ukwelashwa kwakho nganoma yisiphi isizathu. Kodwa-ke, uma unezimpawu ezifana nomkhuhlane noma ukukhwehlela, bazise ngaphambi kokuya emtholampilo.
- Uma uke wafakelwa izinso: Landela uhlelo lwakho lokwelashwa njengoba uyalelwe. Ungalokothi uyeke ukuthatha imithi yokulwa nokwenqatshwa enikezwe udokotela wakho. Khuluma nodokotela wakho uma unenkinga.
Umlayezo Wokuya Nawe Ekhaya
- I-COVID-19 akuyona nje isifo esithinta amaphaphu. Ingalimaza kakhulu nezinso zakho.
- Qaphela izimpawu ezinjengokuncipha kokuchama, ukuvuvukala emilenzeni noma eduze kwamehlo, kanye nokukhathala okukhulu. Lokhu kungaba izimpawu zokulimala kwezinso okungazelelwe.
- Uma usuvele unesifo sezinso, qaphela kakhulu ukuze uzivikele ku-COVID-19. Qiniseka ukuthi uyagonywa.
- Ungalokothi uyeke ukwelashwa kwakho nge-dialysis noma imithi yangemva kokufakelwa ngaphandle kweseluleko sikadokotela.
- Uma unokungabaza noma ukukhathazeka ngempilo yakho, ikakhulukazi izinso zakho, khuluma nodokotela wakho ngokukhululekile ngakho.
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