Wake wathatha umbiko wakho wegazi wabheka uhlamvu ngalunye nenombolo kuwo wazibuza ukuthi kusho ukuthini konke lokhu? Ngezinye izikhathi kungaba nzima ukukuqonda. Nokho, i-eGFR iyisivivinyo esisitshela okuningi ngempilo yethu, ikakhulukazi impilo yezinso zethu. Namuhla, ake sixoxe ngokuthi i-GFR iyini, ukuthi lokhu kuhlolwa kusho ukuthini, nokuthi kungasiza kanjani ekuvikeleni izinso zethu.
Kalula nje, iyini i-GFR?
Igama eliphelele le-GFR yi -Glomerular Filtration Rate . Nakuba leli gama liyinkimbinkimbi kancane, incazelo yalokhu ilula kakhulu. Cabanga ngezinso zethu ezimbili njengohlelo lokuhlunga oluhle kakhulu emzimbeni wethu. Umsebenzi oyinhloko wezinso ukuhlunga nokuhlanza yonke imfucuza engadingekile kanye nobuthi egazini lethu bese kukhishwa emzimbeni njengomchamo .
Ngakho-ke, i-GFR iyisilinganiso sokuthi izinso zakho zenza lo msebenzi wokuhlanza igazi ngokushesha nangendlela ephumelelayo kangakanani.
Leli gama livela ezigidini zezihlungi ezincane ezinso. Lokhu sikubiza ngokuthi ``i-Glomeruli.`` Inani le-GFR libalwa ngokusekelwe ekutheni lingakanani igazi elihlanzwa yilezi zihlungi ngomzuzu.
Ngokuvamile, ukulinganisa i-GFR yakho ngqo kuyinkimbinkimbi futhi kuthatha isikhathi. Yingakho odokotela bevame ukusebenzisa ukuhlolwa okubizwa ngokuthi i-`eGFR (isilinganiso sokuhlunga se-Glomerular esilinganiselwe). Lokhu kuhilela ukuthatha isampula yegazi elilula kuwe, ukulinganisa izinga lomkhiqizo ongcolile obizwa ngokuthi i-`Creatinine` kuwo, bese uwufaka ezintweni ezifana neminyaka yakho nobulili bakho bese kubalwa i-GFR yakho usebenzisa ifomula ekhethekile yezibalo.
I-Creatinine iwumkhiqizo wemvelo okhiqizwa yimisipha yethu ngesikhathi sokukhiqizwa kwamandla. Izinso ezinempilo ziyayihlunga cishe ngokuphelele bese ziyikhipha emchameni. Izinga eliphakeme le-creatinine egazini liwuphawu lokuthi inqubo yokuhlunga izinso ayisebenzi kahle.
Izigaba zesifo sezinso kanye namanani e-GFR
Inani elisembikweni wakho we-eGFR lingakunikeza umbono omuhle wokuthi izinso zakho zisebenza kahle kangakanani. Ngokusekelwe kuleli nani, ungaxilonga isifo sezinso (Esingamahlalakhona).Isifo Sezinso Esingapheli (CKD) sihlukaniswe ngezigaba ezi-5 eziyinhloko. Lokhu kuzosiza udokotela wakho aqonde isimo sakho esiqondile.
| Isiteji | Inani le-GFR (mL/min/1.73 m²) | Incazelo |
|---|---|---|
| Isigaba I | 90 noma ngaphezulu | Ukusebenza kwezinso kuyinto evamile, kodwa ezinye izimpawu, njengeprotheni emchameni, zingase zibonise ukuthi kukhona umonakalo othile. |
| Isigaba II | Kusukela ku-60 kuya ku-89 | Ukwehla okuncane kokusebenza kwezinso. Kusesesimeni esihle. |
| Isigaba IIIa | 45 kuya ku-59 | Ukwehla okuncane kuya kokumaphakathi kokusebenza kwezinso. |
| Isigaba IIIb | 30 kuya ku-44 | Ukwehla okumaphakathi noma okukhulu kokusebenza kwezinso. |
| Isigaba IV | Kusukela ku-15 kuya ku-29 | Ukwehla okukhulu kokusebenza kwezinso. |
| Isigaba V | Ngaphansi kweminyaka eyi-15 | Isimo lapho izinso ziseduze noma zingasebenzi ngokuphelele. |
Okubalulekile:I-GFR evamile kumuntu osemusha onempilo iphakathi kweminyaka engama-90-120. Kujwayelekile ukuthi i-GFR yehle ngokwemvelo njengoba sikhula. Kodwa-ke, i-GFR engaphansi kwama-60 ikhombisa ingozi yesifo sezinso kanye nesifo senhliziyo.
Ubani okudingeka enze lolu vivinyo lwe-GFR?
Udokotela wakho angakwazi ukuhlola i-GFR yakho ngesikhathi sokuhlolwa kwaminyaka yonke, kodwa kubalulekile futhi ukuyihlola uma usengozini yesifo sezinso noma unezimpawu ezihlobene nayo.
Izimpawu okufanele uziqaphele:
- Ukuzwa ubuhlungu noma ukungakhululeki lapho uchama.
- Ukuchama cishe noma ngaphansi kwalokho okuvamile.
- Igazi emchameni, elinombala onsundu noma ophuzi.
- Ukuvuvukala okuzungeze amehlo, isisu, izihlakala, noma amaqakala.
- Ubuhlungu obuqhubekayo phakathi nomhlane, obuvela endaweni lapho izinso zitholakala khona.
Abantu abanezici eziyingozi:
- Abantu abanesifo sikashukela .
- Umfutho wegazi ophezulu, okungukuthi, abantu abanomfutho wegazi ophezulu .
- Abantu abanesifo senhliziyo .
- Uma kukhona emndenini onomlando wesifo sezinso noma isifo sikashukela .
- Uma unezifo zomgudu womchamo ezivame ukwenzeka.
- Abantu abanezinkinga ezithile zokuzivikela komzimba .
- Abantu ababhemayo .
Uma unezinye zalezi zimpawu noma izici eziyingozi, kungcono ukubona udokotela wakho ngokushesha ngangokunokwenzeka ukuze uthole iseluleko.
Yini engenziwa ukuvikela izinso ngaphandle kokunciphisa i-GFR?
Ukugcina izinga le-GFR elihle kusho ukugcina impilo yezinso zethu. Indlela yethu yokuphila kanye nemikhuba yethu yokudla inethonya elikhulu kulokhu.
Khumbula, ukuphuza amanzi amaningi kuphela ngeke kubuyisele ukusebenza kwezinso esezonakele kakade. Kuhle ukuhlala unamanzi ngokuphuza amanzi, kodwa kubaluleke nakakhulu ukulawula izimbangela eziyinhloko zokulimala kwezinso.
Izinguquko ekudleni:
- Nciphisa ukusetshenziswa kukasawoti ngangokunokwenzeka. Nciphisa inani likasawoti olifakayo ngenkathi upheka. Yeka ukuletha usawoti ohlukile etafuleni.
- Gwema ukudla okucutshunguliwe. Izinto ezifana namasoseji, i-ham, i-bacon, inhlanzi ekheniwe, amasobho akheniwe, kanye nama-noodle asheshayo ziqukethe usawoti omningi.
- Faka imifino emisha, izithelo, kanye nokusanhlamvu ekudleni kwakho.
- Uma unesifo sikashukela noma umfutho wegazi ophakeme, landela uhlelo lokudla olunikezwe udokotela wakho noma isazi sokudla okunempilo ngqo.
Izinguquko zendlela yokuphila:
- Njalo qapha umfutho wegazi lakho kanye namazinga kashukela egazini. Thatha imithi oyinikezwe udokotela wakho ngesikhathi.
- Uma ubhema, yeka ngokushesha. Ukubhema konakalisa imigudu ethwala igazi liye ezinso.
- Ukusebenzisa imithi ethile isikhathi eside, njengemithi yokuqeda ubuhlungu, kungaba yingozi ezinso. Ngakho-ke, ungaqhubeki nokuthatha imithi ngaphandle kokubonisana nodokotela.
- Gcina isisindo somzimba siphilile . Vivinya umzimba njalo.
Uma unenkinga nge-GFR yakho, noma uma umbiko ubonisa ukuthi iphansi, ungesabi futhi ukhulume nodokotela wakho ngakho. Uzoyihlola ngokuphelele impilo yakho futhi akunikeze ukwelashwa neseluleko osidingayo.
Umlayezo Wokuya Nawe Ekhaya
- I-GFR (i-Glomerular Filtration Rate) iyisivivinyo esibalulekile esilinganisa ukuthi izinso zakho zihlanza kahle kangakanani igazi lakho.
- Inani le-eGFR elingaphansi kuka-60 lingaba uphawu lokuqala lwesifo sezinso. Uma sitholakala kusenesikhathi, kuba lula kakhulu ukuselapha.
- Buza udokotela wakho noma yimiphi imibuzo onayo mayelana nombiko wakho we-GFR. Ungazenzeli ukuxilongwa kwakho ngokusekelwe ocwaningweni oluku-inthanethi.
- Isifo sikashukela kanye nomfutho wegazi ophezulu kuyizitha ezimbili eziyinhloko zezinso. Lawula lezi zimo kahle.
- Ukudla okunempilo, ukudla okunosawoti omncane, ukuvivinya umzimba, nokugwema ukubhema kuwusizo olukhulu kakhulu ongalunika izinso zakho.
- Uma unezimpawu ezifana nokushintsha komchamo wakho, ukuvuvukala, noma ubuhlungu bomhlane, ungazinaki futhi funa iseluleko sezokwelapha ngokushesha.
I-GFR, i-eGFR, izinso, ukuhlolwa kokusebenza kwezinso, i-creatinine, isifo sezinso, ukuhlolwa kwegazi, ukuhlolwa kwegazi, ukwehluleka kwezinso
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