Wake wathatha umbiko wokuhlolwa kwegazi, wabheka izinhlamvu nezinombolo kuwo, wazibuza, "Kusho ukuthini lokhu?"? Isikhathi esiningi, silalela lokho okushiwo udokotela, kodwa amanye amagama akulo mbiko asiwajwayele. Elinye igama elinjalo abantu abaningi abalijwayele, kodwa abangalazi ngempela, elithi "Creatine." Leli gama elincane liqukethe indaba enkulu mayelana nempilo yesitho esibaluleke kakhulu emzimbeni wethu, izinso. Ngakho-ke namuhla, ake sixoxe ngakho.
Kalula nje, iyini i-creatinine?
Cabanga nje, lapho imisipha yethu isebenza kahle, okungukuthi, lapho sihamba, sigijima, noma siphakamisa izinsimbi, kukhiqizwa udoti kuleyo nqubo. Lowo mkhiqizo odaka ongokwemvelo yilokho esikubiza ngokuthi i-creatinine. Lokhu akuyona into umzimba wethu oyidingayo. Ngakho-ke, uhlelo lokuhlunga oluthuthuke kakhulu emzimbeni, izinso zethu ezimbili, zihlunga futhi zihlukanise le mikhiqizo edaka egazini bese ziyikhipha emchameni.
Ngakho-ke uma udokotela elinganisa izinga le-creatinine egazini lakho, ubheka ukuthi izinso zakho zenza kahle kangakanani umsebenzi wazo wokuhlunga. Ngokuvamile sibiza lokhu kuhlolwa ngokuthi ukuhlolwa kwe-creatinine egazini.
Ayini amazinga ajwayelekile e-creatinine?
Ngenxa yokuthi i-creatinine ikhiqizwa yimisipha, leli nani lingahluka kuye ngokuthi imisipha yomuntu ingakanani kanye nosayizi womzimba wakhe. Ngokuvamile, amadoda anamazinga aphezulu e-creatinine kunabesifazane ngoba anemisipha eminingi.
| Umuntu | Ibanga Elijwayelekile Le-Creatinine (mg/dL) |
|---|---|
| Kwabesifazane | 0.6 - 1.1 mg/dL |
| Kwabesilisa | 0.7 - 1.3 mg/dL |
Into ebalulekile ukuthi lezi zinombolo zingahluka kancane kusuka elabhorethri kuya kwelebhu, ngakho udokotela wakho kuphela ongakunikeza ukuhlolwa okunembile kwamanani embikweni wakho.
Ubudlelwano phakathi kwe-creatinine kanye nokusebenza kwezinso (i-GFR)
Lonke inani legazi emzimbeni wethu lidlula ezinso izikhathi ezingamakhulu ngosuku. Ukulinganiswa kwalesi sivinini lapho izinso zihlanza khona igazi kubizwa ngokuthi i-Glomerular Filtration Rate , noma i-GFR . Kalula nje, lokhu kuyindlela yokusebenza kahle kwezinso.
Udokotela wakho akakwazi ukukala i-GFR yakho ngqo. Yilapho-ke ukuhlolwa kwe-creatinine kungena khona. I-GFR yakho ibalwa ngokufaka izinto ezifana nezinga le-creatinine egazini lakho, ubudala, kanye nobulili kufomula ekhethekile. Lokhu sikubiza ngokuthi i-eGFR (i-GFR elinganisiwe) .
Kalula nje: Ukwanda kwamazinga e-creatinine egazini kungabonisa ukwehla kwamandla okuhlunga izinso (i-GFR). Inani le-GFR elingaphansi kwama-60 lingaba uphawu lwesifo sezinso.
Kungani kwenziwa lokhu kuhlolwa kwe-creatinine?
Odokotela bavame uku-oda lokhu kuhlolwa ukuze bahlole ukuthi izinso zakho zisebenza kahle kangakanani. Ngezinye izikhathi, ba-oda lokhu kuhlolwa uma unezimpawu ezihlobene nesifo sezinso.
- Isicanucanu nokuhlanza
- Isifiso sokudla
- Ukukhathala okuvamile kanye nobuthakathaka
- Izinkinga zokungalali
- Ushintsho ekuphindaphindeni noma enanini lokuchama
- Ukuvuvukala kwemilenze namaqakala
Ngisho noma ungenazo lezi zimpawu, udokotela wakho uvame ukuncoma lolu vivinyo ukuze ahlole izinso zakho uma unezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, isifo senhliziyo, noma isifo sesibindi . Kwenziwa futhi ukuze kubonakale ukuthi imithi ethile iyazithinta yini izinso zakho.
Ungenza kanjani isivivinyo?
Kunezindlela ezimbili eziyinhloko zokuhlola amazinga e-creatinine:
1. Ukuhlolwa kwegazi (ukuhlolwa kwegazi kwe-eGFR): Lena yindlela evame ukusetshenziswa kakhulu. Isampula yegazi ithathwa engalweni yakho njengenjwayelo, izinga le-creatinine elikuyo liyalinganiswa, bese kubalwa inani le-eGFR. Ungase ucelwe ukuba uzile ukudla amahora ambalwa ngenxa yalokhu.
2. Ukuhlolwa Kokuhlanzwa Kwe-Creatinine: Le ndlela ayisasetshenziswa kakhulu. Kulokhu, wonke umchamo okhishwa esikhathini samahora angama-24 udinga ukuqoqwa esitsheni esikhethekile. Inani le-creatinine kuleyo sampula yomchamo liyalinganiswa ukuze kutholakale umbono wokusebenza kwezinso.
Imiphumela ithini?
I-GFR ephansi ibonisa ukungasebenzi kahle kwezinso. Lesi simo singaba ngokuzumayo (okubukhali) noma isikhathi eside (esingamahlalakhona).
Odokotela bahlukanisa ubucayi besifo sezinso esingamahlalakhona ngezigaba eziningana ngokusekelwe enanini le-GFR.
| Isiteji | Inani le-GFR | Incazelo |
|---|---|---|
| Mina | 90 noma ngaphezulu | Ukusebenza kwezinso okuvamile |
| II | 60-89 | Umsebenzi oncishisiwe kancane |
| IIIa | 45-59 | Isifo sezinso esingamahlalakhona esincane |
| IIIb | 30-44 | Isifo sezinso esingamahlalakhona esimaphakathi |
| IV | 15-29 | Isifo sezinso esingamahlalakhona esibi |
| V | Ngaphansi kweminyaka eyi-15 | Ukwehluleka kwezinso (ngokuvamile okudinga i-dialysis) |
Ezinye izizathu zamazinga e-creatinine angajwayelekile
Into ebalulekile ukuthi izinga eliphezulu le-creatinine alisho njalo isifo sezinso. Ngezinye izikhathi leli nani lingashintsha ngezinye izizathu.
- Ukuzivocavoca okunamandla: Uma uvivinya umzimba ngokweqile, imisipha yakho ikhiqiza i-creatinine eyengeziwe.
- Ukudla okunenyama ebomvu eningi: Njengoba inyama ebomvu iqukethe i-creatinine, ukudla kakhulu kuyo kungakhuphula amazinga egazi okwesikhashana.
- Imithi ethile: Eminye imithi elwa namagciwane kanye neminye imithi ingabangela ushintsho emazingeni e-creatinine.
- Imisipha eminingi: Umuntu oqinisa umzimba angase abe namazinga aphezulu e-creatinine kunomuntu ojwayelekile.
- Ukuphelelwa amanzi emzimbeni: Ngisho noma kungekho manzi anele emzimbeni, amazinga e-creatinine angagxila futhi abonise inani eliphezulu.
- Ukwehluleka kwenhliziyo nezinkinga zesinyi.
Yini okufanele uyenze uma i-GFR iphansi?
Uma udokotela wakho ethola ukuthi i-GFR yakho iphansi, uzonquma imbangela futhi ancome ukwelashwa okufanele wena.
Izimbangela ezimbili eziyinhloko zesifo sezinso esingamahlalakhona umfutho wegazi ophakeme kanye nesifo sikashukela. Uma unalezi zimo, isinyathelo sokuqala ukuzilawula kahle ngokudla okuhle, ukuzivocavoca umzimba kanye nemithi enqunyiwe.
Uma imbangela ingacacile, noma uma isimo sibi kakhulu, udokotela wakho uzokudlulisela kudokotela wezinzwa .
Ukuhlola njalo i-GFR yakho kungakusiza ubone ukuthi ukusebenza kwezinso zakho kushintsha kanjani ngokuhamba kwesikhathi. Udokotela wakho angakwazi ukulungisa imithi yakho ngokufanele.
Kubaluleke kakhulu ukungasebenzisi noma yiziphi izidambisi-zinhlungu ezithengiswa ngaphandle kwemithi kadokotela, amakhambi, noma ezinye izithasiselo ngaphandle kokukhuluma nodokotela wakho kuqala. Ezinye zalezi zingalimaza izinso zakho.
Ukusebenza kwezinso kuyehla ngokwemvelo njengoba siguga, ngakho-ke kungcono ukunakekela lokhu ngokushesha okukhulu futhi ulondoloze noma yimuphi umsebenzi wezinso onawo.
Umlayezo Wokuya Nawe Ekhaya
- I-Creatinine iwumkhiqizo ongcolile okhiqizwa lapho imisipha yethu isebenza. Iyahlungwa futhi isuswe yizinso.
- Ukulinganisa amazinga e-creatinine egazini lakho (ikakhulukazi i-eGFR yakho) kungenye yezivivinyo ezibaluleke kakhulu zokuhlola impilo yezinso zakho.
- Nakuba ukwanda kwamazinga e-creatinine egazini noma ukwehla kwe-GFR kuvame ukuba uphawu lwesifo sezinso, lokhu akwenzeki njalo. Ezinye izici nazo zingadlala indima.
- Ukulawula kahle isifo sikashukela kanye nomfutho wegazi ophakeme kubalulekile ukuze kuvikelwe izinso.
- Xoxa njalo nodokotela wakho ngemiphumela yokuhlolwa kwakho kanye nanoma yimiphi imithi oyithathayo (kufaka phakathi imithi yokubulala ubuhlungu ongayithenga esitolo).
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