Izinso zingenye yezitho ezibaluleke kakhulu emzimbeni wethu. Zifana nesihlungi emzimbeni wethu. Zihlunga imfucuza egazini bese ziyikhipha njengomchamo. Kodwa ngezinye izikhathi, ngenxa yezizathu ezahlukene, ukusebenza kwalezi zinso ezimbili kungancipha kancane kancane noma kume ngokuphelele. Lesi simo sibizwa ngokuthi ukwehluleka kwezinso. Uma lokho kwenzeka, kufanele senze i-dialysis noma sifakwe izinso. Ngakho-ke, namuhla sizokhuluma ngokuthi kuyini lokhu kufakelwa izinso nokuthi yini okudingeka ukwazi ngakho.
Kalula nje, kuyini ukufakelwa izinso?
Ukufakelwa kwezinso inqubo yokuhlinzwa lapho kususwa khona izinso eziphilile bese zifakwa emzimbeni womuntu onezinso ezingasebenzi kahle. Izinso ezintsha bese zithatha umsebenzi wokuhlunga imfucuza emzimbeni. Kufana nokususa isihlungi esidala, esiphukile bese usifaka esisha.
Singathola izinso ezinempilo ezidingekayo kulokhu ngezindlela ezimbili eziyinhloko.
1. Kumnikeli ophilayo: Lokhu kusho ukuthi umuntu ophilayo onezinso eziphilile unikela ngokuzithandela ngesinye sezinso zakhe.
2. Umnikeli Oshonile: Lokhu kusho ukuthola izinso kumuntu ofile ubuchopho kodwa ezinye izitho zakhe zisasebenza.
Ake sibheke lezi zindlela ezimbili ngemininingwane ethe xaxa.
| Uhlobo Lomnikeli | Incazelo |
|---|---|
| Umnikeli Ophilayo | Lapha, inso itholakala kumuntu ophilayo. Lo muntu ngokuvamile uyilungu lomndeni eliseduze (umama, ubaba, umfowabo), umlingani, noma umngane omkhulu. Ukufakelwa kwezinso okwenziwa ngale ndlela kuyaphumelela kakhulu . Ingozi yokwenqatshwa ngumzimba iphansi. Kodwa-ke, ukuthola umnikeli ofanele njengalona kunzima kancane. |
| Umnikeli Oshonile | Lapha, inso itholakala kumuntu oshonile. Laba bantu kungenzeka ukuthi baveze ukuzimisela kwabo ukunikela ngezitho zabo zomzimba ngesikhathi besaphila. Noma, ukunikela ngezitho zomzimba kungenzeka ngemva kokufa ngemvume yomndeni. Lolu hlobo lokufakelwa luvamile. |
Into ebaluleke kakhulu ukuhlola kahle ukuthi kukhona yini ukufana okuhle phakathi komuntu onikela ngenso nomuntu oyitholayo. Uhlobo lwegazi kanye nohlobo lwezicubu kubaluleke kakhulu kulokhu.
Ubani odinga ukufakelwa izinso?
Ukufakelwa kwezinso kucatshangelwa kakhulu abantu abasesigabeni sokugcina sesifo sezinso esingamahlalakhona . Lokhu kubizwa ngokuthi ukwehluleka kwezinso kwesigaba sokugcina. Kulesi sigaba, izinso zakho zilahlekelwa ngokuphelele ikhono lazo lokuhlunga imikhiqizo engcolile.
Ngokuvamile, izinketho ezimbili eziyinhloko zesiguli esinjengalesi yilezi:
- I-Dialysis: Ukuhlanza igazi lomzimba ngosizo lomshini.
- Ukufakelwa Kwezinso: Ukufakelwa kwezinso eziphilile.
Kulezi ezimbili, ukufakelwa izinso kuyindlela engcono kakhulu yesiguli esifanelekayo, njengoba kubavumela ukuba baphile impilo engcono nejwayelekile kunokuvalelwa e-dialysis.
Ufanelekela kanjani ukufakelwa izinso?
Isibhedlela ngasinye singase sibe nezindlela ezahlukene zokwenza lokhu, kodwa ngokuvamile, lezi zimfanelo ezilandelayo kufanele zihlangatshezwe:
- Njengoba usesigabeni sokugcina sesifo sezinso futhi uphathwa nge-dialysis.
- Izinga Lokuhlunga le-Glomerular (GFR) elingaphansi kuka-20 mL/min.
- Ukuqonda kahle imiyalelo nemithi okufanele ilandelwe ngemva kokuhlinzwa.
- Yiba nempilo enhle ngokomzimba nangokwengqondo ukuze ukwazi ukumelana nokufakelwa.
- Ukuba nokusekelwa okuhle komndeni (ukusekelwa komphakathi) ukuze kukunakekele futhi kukusize.
Ukuhlinzwa kwenziwa kanjani?
Nakuba abantu abaningi besaba lokhu, lokhu manje sekuwukuhlinzwa okuphumelelayo emhlabeni. Ngesikhathi sokuhlinzwa, odokotela benza ukusika okuncane esiswini sakho esingezansi, kungaba ngakwesokudla noma kwesobunxele, bese befaka inso entsha. Bese beyixhuma emithanjeni yegazi eseduze. I-ureter yezinso entsha ixhunywe esinyeni sakho. Yilapho umchamo okhiqizwa yinso entsha uphuma khona emzimbeni wakho.
"Khona-ke kuzokwenzekani ngezinso zami ezimbili ezindala?"
Ezimweni eziningi, izinso zakho ezindala nezingasebenzi kahle azisuswa ngokuhlinzwa. Zishiywa emzimbeni wakho. Kodwa-ke, kubantu abanezimo ezithile, njengesifo sezinso se-polycystic, izinso ezindala zingadinga ukususwa.
Lokhu kuhlinzwa kuvame ukuthatha amahora amane kuya kwayisithupha .
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela cishe izinsuku ezintathu. Phakathi naleso sikhathi, odokotela kanye nabasebenzi abahlengikazi bazokunakekela kahle.
Ngezinye izikhathi ukufakelwa kwezinso okusha kuqala ukusebenza ngokushesha . Kodwa ngezinye izikhathi kungathatha izinsuku noma amasonto ambalwa ukuthi kuqale ukusebenza. Phakathi naleso sikhathi, kungadingeka ukuthi uye ku-dialysis okwesikhashana.
Into ebaluleke kakhulu ukuthi ngemva kokuhlinzwa, uzonikezwa imithi ekhethekile ozoyithatha impilo yakho yonke. Le mithi ibizwa ngokuthi imithi yokucindezela amasosha omzimba .
Le mithi isebenza ngokwenza buthaka isimiso somzimba wakho sokuzivikela kancane. Ngaphandle kwalokho, umzimba wakho uzobona izinso ezintsha "njengezingaphandle" bese uzama ukuzenqaba . Le mithi iyakuvimbela lokho ukuthi kungenzeki. Ngakho-ke kubaluleke kakhulu ukuthatha le mithi njengoba nje udokotela wakho ekutshelile, ngaphandle kokulahlekelwa yilodwa usuku.
Injani impilo ngemva kokuhlinzwa?
Ukufakelwa izinso okuphumelelayo kufana nethuba lesibili lokuphila. Uzoqala ukuzizwa unamandla futhi unamandla kakhulu kunangaphambili. Uzokhululeka empilweni eyayinqunyelwe yi-dialysis. Uzokhululeka ukudla nokuphuza noma yini oyithandayo (vele, kunemikhawulo ethile). Izinkinga ezifana ne-anemia ezihambisana nesifo sezinso nazo zizoxazululwa kakhulu.
Izinto okufanele uzicabangele ngesikhathi sokululama
Isikhathi sokululama sivame ukuthatha cishe amasonto ayisithupha . Phakathi nalesi sikhathi, nakekela lezi zinto.
- Ungaphakamisi izinto ezisindayo: Gwema ukuphakamisa izinto ezisindayo okungenani izinyanga ezimbili.
- Ukushayela: Ungashayeli cishe amasonto ayisithupha.
- Phuza amanzi amaningi: Ukuphuza cishe amalitha amabili amanzi ngosuku kuhle kakhulu empilweni yezinso ezintsha.
- Gwema ukudla ukudla okuluhlaza: Njengoba amasosha omzimba wakho ebuthaka, ukudla izinto ezifana nenyama eluhlaza, inhlanzi eluhlaza, amasaladi aluhlaza, namaqanda angaphekiwe kahle kwandisa ingozi yakho yokugula.
- Ungazidli lezi zinto:
- I-Grapefruit: Ijusi le-Grapefruit kanye ne-grapefruit lingathintana nemithi yakho yokuzivikela komzimba, ngakho-ke gwema ngokuphelele.
- Ama-Painkiller (ama-NSAID): Amanye ama-painkiller ongawathenga ekhemisi, njenge-Ibuprofen ne-Naproxen, angaba yingozi ezinso zakho. Ungathathi noma yimuphi umuthi ngaphandle kokubonisana nodokotela wakho nganoma yisiphi isizathu.
- Amanye amavithamini kanye nezithasiselo zamakhambi: Lokhu kungathintana nemithi yakho, ngakho qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokusebenzisa noma yiziphi izithako.
Kunini lapho udinga ukubonana nodokotela?
Uzoba nokuvakasha njalo emtholampilo. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Umkhuhlane ongama-37 Celsius (100 Fahrenheit) noma ngaphezulu.
- Ubuhlungu noma ukuvuvukala okusha endaweni lapho kukhona khona izinso ezifakwe kwenye indawo.
- Ukuvuvukala komzimba (i-edema).
- Izimpawu ezifana nomkhuhlane ( ukugodola , ubuhlungu bomzimba, ikhanda elibuhlungu, isicanucanu).
- Uma inani lomchamo owukhiphayo lincipha ngokuzumayo.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile noma ezingavamile.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakelwa izinso kuyindlela yokwelapha ephumelela kakhulu kubantu abanesifo sezinso esingamahlalakhona esigabeni sokugcina.
- Izinga lempumelelo lokufakelwa inso kumuntu ophilayo liphezulu kakhulu.
- Ngemva kokuhlinzwa, kubalulekile ukuthatha imithi (ama-immunosuppressants) enikezwa ukuvimba umzimba ukuthi ungalamukeli izinso ezintsha impilo yakho yonke.
- Ngesikhathi ululama, landela imiyalelo kadokotela wakho ngokucophelela, ikakhulukazi mayelana nokudla kanye nokuphakamisa izinsimbi.
- Uma uzwa izimpawu eziyisixwayiso ezifana nomkhuhlane, ubuhlungu endaweni yomjovo, noma ukuvuvukala, funa iseluleko sezokwelapha ngokushesha.
- Ukufakelwa izinso kukuvumela ukuthi uphile impilo ekhululekile nesezingeni eliphezulu, engenakho ukuhlanza igazi.
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