Wake wazizwa sengathi uchama kancane noma ngobuningi obuncane? Ngokuvamile, izinso zethu zikhiqiza umchamo njengoba kudingeka ukuze kugcinwe ibhalansi yomzimba. Okusho ukuthi, izinso zenza umsebenzi wazo ngokubheka izinto ezifana nobuningi bamanzi esiwaphuzayo kanye nobuningi bokujuluka esibukhiqizayo. Kodwa-ke, uma ngokuzumayo uhlangabezana nokwehla kobuningi bomchamo owukhiqizayo, kungaba uphawu lwenkinga yempilo. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi 'i-Oliguria'.
Iyini ngempela i-Oliguria?
Kalula nje, i-oliguria yilapho umzimba wakho ukhiqiza umchamo omncane kunokujwayelekile. Kumuntu omdala, sikubheka njenge-oliguria uma inani lomchamo elikhiqizwa ngosuku lingaphansi kwamamililitha angu-400. Kubantwana abancane kanye nezinsana, leli nani libalwa ngokusekelwe esisindweni sabo.
Kodwa kanye nalokhu, kunesinye isimo esibucayi okudingeka sisazi. Leso yi -Anuria . Uma isimo se-oliguria singelashwa kahle, singakhula sibe yi-anuria. I-Anuria yilapho ukukhiqizwa komchamo yizinso kuncipha kakhulu, lapho kukhishwa khona amamililitha ayi-100 noma ngaphansi ngosuku. Lesi yisimo esibucayi kakhulu. Ngoba kusho ukuthi izinso zilahlekelwa amandla azo okuhlunga igazi. Ngakho-ke, kubalulekile ukufuna ukwelashwa ngokushesha.
Yiziphi izimbangela zokuncipha kokuchama?
Kungaba nezizathu eziningi zokwehla kokukhishwa komchamo. Ezinye zivamile, kanti ezinye zidinga usizo lwezokwelapha.
Imbangela eyinhloko: Ukuphelelwa amanzi emzimbeni
Lena yimbangela evame kakhulu ye-oliguria. Ukuphelelwa amanzi emzimbeni kwenzeka lapho umzimba wethu ungatholi amanzi anele, noma lapho kulahleka uketshezi oluningi emzimbeni. Cabanga nje, uyahlanza , noma isisu sakho sivuvukele. Bese kulahleka amanzi amaningi emzimbeni. Ngaleso sikhathi, izinso zinciphisa ukukhiqizwa komchamo ukuze kongiwe amanzi emzimbeni. Ngakho-ke, kubaluleke kakhulu ukuphuza amanzi amaningi.
Ukusha kanye nezingozi ezinkulu
Ngemva kokusha okukhulu, kulahleka amanzi amaningi emzimbeni. Lokhu kungaholela ekuphelelweni kwamanzi emzimbeni okukhulu kanye nokwehla kokukhishwa komchamo . Futhi, izingozi ezinkulu zingabangela ukopha ngokweqile (ukopha) , ukushaqeka kwe-anaphylactic (ukushaqeka okubangelwa ukusabela okukhulu kokungezwani komzimba) , noma ukushaqeka kwe-septic (ukushaqeka okubangelwa ukutheleleka ngemva kokuhlinzwa).Lesi simo singase senzeke ngenxa yezinto ezifana).
Ukuvaleka komgudu womchamo
Umchamo okhiqizwa ezinso zethu uyahamba uye esinyeni bese uphuma ngohlelo lwamapayipi. Kufana nohlelo lwamapayipi endlini. Uma kukhona okubhajwe ndawana thize kulolu hlelo, umchamo uyayeka ukuphuma.
- Amatshe ezinso
- Izicubu zezibazi ezakheka ngemva kokuhlinzwa
- Izinto ezifana nesimila zingabangela lokhu kuvinjelwa.
Eminye imithi
Eminye imithi oyithathayo ingabangela nokuncipha kokuchama.
| Uhlobo lwesidakamizwa | Incazelo |
|---|---|
| Ama-Anti-Inflammatories Angewona Ama-steroidal (ama-NSAID) | Iziqeda-buhlungu ezifana ne-aspirin ne-ibuprofen. |
| Ama-antibiotic | Ezinye izinhlobo zama-antibiotic. |
| Imithi yokwelapha ngamakhemikhali | Imithi yeminye imidlavuza. |
| Ama-ACE Inhibitors | Umuthi osetshenziselwa ukulawula umfutho wegazi ophakeme. |
| Uketshezi Oluhlukile | Uketshezi oluthile olufakwa emzimbeni ukuze kwenziwe i-X-ray noma ezinye izikena. |
Ezinye izifo
- Isifo sezinso: Ngezinye izikhathi i-oliguria ayibangelwa ukwehluleka kwezinso, kodwa ingaba uphawu lwesifo sezinso. Okusho ukuthi, kuyisibonakaliso sokuthi izinso azisebenzi kahle.
- Isifo senhliziyo noma isifo samaphaphu:Ezimweni ezifana nokwehluleka kwenhliziyo, inhliziyo ayikwazi ukupompa igazi elanele emzimbeni. Lokhu kunciphisa inani legazi eliya ezinso, okubangela ukuthi kuncishiswe ukukhiqizwa komchamo. Uma unalezi zimo, kubalulekile ukwazisa udokotela wakho ngokuncipha kokukhishwa komchamo wakho.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzokubuza imibuzo embalwa. Usunesikhathi esingakanani unale nkinga, ukhipha umchamo ongakanani, zikhona yini ezinye izimpawu ezifana nokuhlanza noma ubuhlungu besisu, nokuthi yimiphi imithi oyiphuzayo.
Ngemuva kwalokho, kuzokwenziwa ukuhlolwa ngokomzimba bese kucelwa isampula yomchamo . Ukuhlolwa komchamo kungahlola izifo noma ezinye izinkinga. Ngezinye izikhathi, kungenziwa i-ultrasound scan ukuhlola izinso noma ezinye izitho zomzimba. Kwezinye izimo, i-cystoscopy ingenziwa, okuhilela ukufaka ithubhu elincane elinekhamera (i-endoscope) esinyeni ukuze kubhekwe ngaphakathi.
Into ebaluleke kakhulu ukutshela udokotela uma ubona ukwehla kokuchama, ngaphandle kokukushalazela. Uma imbangela isheshe itholakale, kuzoba lula ukwelapha.
Iphathwa kanjani?
Ukwelashwa kuncike esibangweni sesimo sakho.
- Uma kungenxa yokuphelelwa amanzi emzimbeni: Udokotela wakho uzokutshela ukuthi uphuze amanzi amaningi kanye noketshezi oluqukethe ama-electrolyte, njengeJeevani. Uma isimo sibi kakhulu, kungadingeka ukuthi unikezwe i-saline (IV fluids) emthanjeni.
- Uma kungenxa yokuvaleka: Uma unamatshe amancane ezinso, ukuphuza amanzi amaningi kuzowasiza ukuthi adlule. Ngezinye izikhathi, unganikezwa imithi yokusiza ukuthi adlule amatshe. Uma amatshe amakhulu, kungadingeka ukuthi uthole ukwelashwa okubizwa ngokuthi i-lithotripsy, okusebenzisa amaza omsindo ukuwahlukanisa, noma ukuhlinzwa.
- Uma kungenxa yemithi: Udokotela wakho angase anqume ukunciphisa umthamo wakho noma akunike omunye umuthi. Kodwa khumbula, ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngaphandle kokukhuluma nodokotela wakho kuqala.
- Uma kungenxa yesifo sezinso: Uzothunyelwa kudokotela ochwepheshe besifo sezinso, obizwa ngokuthi i-nephrologist . Uma isimo sibi kakhulu, kungadingeka ukufakelwa izinso noma ukwelashwa nge-dialysis , okuwumshini ohlanza igazi.
Umlayezo Wokuya Nawe Ekhaya
- I-Oliguria iwukuchama okuncane kunokujwayelekile. Imbangela eyinhloko yalokhu ukuphelelwa amanzi emzimbeni, kodwa kungaba yingozi empilweni uma kungelashwa.
- Ukuncipha kokuchama kungaba uphawu lwezimo ezibucayi, njengemithi ethile, isifo sezinso, isifo senhliziyo, noma ukuvaleka komchamo.
- Uma uphuza amanzi amaningi kodwa umchamo wakho ungakhuphuki, kufanele nakanjani ubone udokotela ukuze athole imbangela futhi athole ukwelashwa.
- Ungayeki ukuthatha noma yimuphi umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
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