Uma unesifo sikashukela, sekuyisikhathi sokunakekela izinso zakho kakhulu. Enye yezinkinga ezinkulu zesifo sikashukela ukulimala kwezinso. Ngokwezokwelapha lesi simo sibizwa ngokuthi " Isifo Sezinso Esinesifo Sikashukela ." Kungenzeka ukuthi uke wezwa udokotela wakho esibiza ngokuthi i-Diabetic Nephropathy . Kalula nje, yilapho izinso zakho zonakaliswa umfutho wegazi ophakeme ongalawuleki kanye noshukela wegazi ophezulu isikhathi eside.
Uma izinso zonakele ngale ndlela, ikhono lazo lokuhlunga nokukhipha imfucuza emzimbeni liyancipha kancane kancane. Lokhu akwenzeki konke ngesikhathi esisodwa, lesi sifo siqhubeka kancane kancane ngezigaba ezinhlanu. Kodwa into engcono kakhulu ukuthi, ngokwelashwa okufanele kanye nokushintsha kwendlela yokuphila, singalawula lesi simo futhi sivimbele izinkinga.
Ezigabeni zokuqala zalesi sifo sezinso, azikho izimpawu ezibonakalayo. Yingakho kubalulekile ukukhuluma nodokotela wakho futhi uhlole ukusebenza kwezinso zakho okungenani kanye ngonyaka.
Udokotela wakho uvame ukuhlola umchamo wakho kanye namasampula egazi, ikakhulukazi ebheka uhlobo lweprotheni ebizwa ngokuthi i-microalbumin emchameni wakho. Lokhu kuyisibonakaliso sokuqala sokuthi izinso zakho seziqala ukonakala.
Yiziphi izigaba ezi-5 zesifo sezinso esinesifo sikashukela?
Manje ake siqonde izigaba ezinhlanu zalesi sifo ngokwehlukana, ngendlela elula. Ukuqaphela lokhu kuzosiza kakhulu ekuboneni nasekulawuleni lesi sifo kusenesikhathi.
| Isiteji | Kwenzekani ezinso? | Izici eziyinhloko nezinto okufanele zenziwe |
|---|---|---|
| Isigaba 1 | Izinso zisebenza kanzima kancane kunokujwayelekile futhi zingase zibe zinkulu kancane ngobukhulu. | Azikho izimpawu zangaphandle. Inani elincane kakhulu leprotheyini (i-microalbumin) lingabonakala emchameni. Izinguquko endleleni yokuphila zibaluleke kakhulu. |
| Isigaba sesi-2 | Izinso seziqala ukubonisa umonakalo omncane. Zisasebenza kahle. | Azikho izimpawu zangaphandle. Inani leprotheni emchameni liphakeme kancane kunesigaba 1. Kufanele uqhubeke nokulandela imiyalelo yesigaba 1. |
| Isigaba 3 | Ukusebenza kwezinso kwehle kakhulu. | Ngokuvamile azikho izimpawu. Abanye abantu bangase babe nokuvuvukala kwezitho zomzimba, umfutho wegazi ophakeme, kanye ne-anemia. Kubalulekile ukubona udokotela ochwepheshe bezifo zezinso (Nephrologist). |
| Isigaba 4 | Izinso zonakele kakhulu. Umsebenzi wazo uphansi kakhulu. | Izimpawu zifaka phakathi ukuvuvukala kwamalungu kanye noshintsho ekuchameni kaningi. I-potassium, i-phosphorus, kanye ne-asidi egazini kuyakhula. Kudingeka ukubhekwa eduze kwezokwelapha ukuze kuvinjelwe ukwehluleka kwezinso. |
| Isigaba 5 | Ukwehluleka kwezinso kuphelele noma kuseduze. | Izimpawu ezibucayi ziyavela, ezidinga i-dialysis noma ukufakelwa izinso. |
Izigaba Zokuqala (Isigaba 1 nesesi-2) - Isexwayiso Esithule
Ungacabangi ukuthi ngoba nje ungezwa lutho kulezi zigaba ezimbili zokuqala, akusiyo ingozi. Empeleni lesi yisikhathi esihle kakhulu sokwenza okuthile. Lesi yisikhathi esihle kakhulu sokumisa noma sokulibazisa umonakalo ezinso zakho.
Izinto ongazenza ngalesi sikhathi
- Lawula ushukela wegazi lakho kanye nomfutho wegazi: Lena yinto ebaluleke kakhulu. Thatha imithi udokotela wakho ayinikeza ngesikhathi. Kungaba kuhle uma ungaba nedivayisi ekhaya yokukala ushukela wakho kanye nomfutho wegazi.
- Ukudla okunempilo: Nciphisa ukudla usawoti ngangokunokwenzeka. Gwema ukudla okumnandi, ukudla okunamafutha, kanye nokudla okusheshayo. Faka imifino, izithelo, kanye namakhambi ekudleni kwakho.
- Ukuzivocavoca:Zivocavoce okungenani imizuzu engama-30 ngosuku. Ukuhamba, ukugijima, noma ukugibela ibhayisikili kuyizinketho ezinhle.
- Gcina isisindo esinempilo: Ukugcina isisindo esifanele ubude bakho kunciphisa ingcindezi ezinso zakho.
- Uma ubhema, yeka manje: Ukubhema konakalisa imithambo yegazi ethwala igazi liye ezinso.
Izigaba 3 no-4 - Isikhathi sokuqaphela
Ngisho nasesigabeni sesithathu, ungase ungaziboni izimpawu ezinkulu. Kodwa-ke, abanye abantu baqala ukuzwa ukuvuvukala emilenzeni nasezingalweni zabo. Umfutho wegazi wakho ungase ukhuphuke futhi ungase ube ne-anemia. Kulesi sigaba, udokotela wakho uzokudlulisela kudokotela ochwepheshe bezifo zezinso, obizwa ngokuthi i -nephrologist . Kubaluleke kakhulu ukulandela imiyalelo yakhe.
Isigaba sesine yisimo esibucayi kakhulu. Okwamanje, ukusebenza kwezinso kwehle kakhulu. Izimpawu zifaka phakathi ukuvuvukala kwamalungu, izinguquko ezikhathini zokuchama noma inani lokuchama, kanye namazinga aphezulu e-potassium ne-phosphorus egazini. Kuleli qophelo, wena nodokotela wakho kudingeka nisebenze kanzima ukuvimbela ukwehluleka kwezinso ngokuphelele.
Isigaba 5 - Ukwehluleka Kwezinso
Lesi yisigaba sokugcina. Lapha, ukusebenza kwezinso zombili kume ngokuphelele noma sekuseduze kakhulu nokuyeka. Kuleli qophelo, kuvela izimpawu ezahlukahlukene ngenxa yokuqongelela kwemfucuza emzimbeni kanye nobuthi.
- Ukuvuvukala kwamalungu
- Isikhumba esibuhlungu ngendlela engabekezeleleki
- Ukuqaqamba kwemisipha
- Isicanucanu nokuhlanza
- Ukuhlungu obusemhlane
- Isifiso sokudla
- Ukukhishwa komchamo okuncane kakhulu noma akukho nhlobo
- Ubunzima bokuphefumula, ukuqwasha
- Ukuphazamiseka kwenkumbulo kanye nokuqonda (Ukudideka)
- Ukuquleka
- Ukuzwa ukunambitheka kwensimbi emlonyeni
Ukuze zisinde ngemva kokufinyelela kulesi sigaba, izinso kumele zenze imisebenzi yazo ngendlela ehlukile. Kunezindlela ezimbili zokwelapha eziyinhloko zalokhu.
1. I-Dialysis: Yilapho igazi lomzimba lihlanzwa khona ngosizo lomshini, kususwa amanzi angaphezulu kanye nemikhiqizo engcolile. Kunezinhlobo ezimbili zalokhu: I-Hemodialysis (indlela eyenziwa esibhedlela ngokuyixhuma emshinini) kanye ne -Peritoneal Dialysis (indlela eyenziwa ekhaya ngesisu).
2. Ukufakelwa Kwezinso: Ukufakelwa kwezinso eziphilile (kusuka kumuntu ophilayo noma oshonile) ngokuhlinzwa emzimbeni.
Umlayezo Wokuya Nawe Ekhaya
- Uma unesifo sikashukela, khumbula njalo ukuthi singathinta izinso zakho. Kodwa ungakhathazeki, lokhu kungalawulwa.
- Into ebaluleke kakhulu ukugcina ushukela wegazi lakho kanye nomfutho wegazi wakho kulawulwa kahle. Thatha imithi njengoba nje udokotela wakho ekuyalele.
- Njengoba kungekho zimpawu ezigabeni zokuqala, cela udokotela wakho ukuthi ahlole ukusebenza kwezinso zakho okungenani kanye ngonyaka (iphrotheni emchameni wakho kanye ne-creatinine egazini lakho).
- Indlela yokuphila enempilo (ukudla okuhle, ukuvivinya umzimba, nokugwema ukubhema) isebenza njengodonga olukhulu lokuvikela izinso zakho.
- Uma kutholakale ukuthi unesifo sezinso, ungesabi futhi ulandele imiyalelo kadokotela wakho ngqo. Ngokuphathwa okufanele, ungaphila impilo enempilo.
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