Ake sifunde kabanzi nge-"renal cortex" yezinso zakho.

Sonke siyazi ngezinso, akunjalo? Lezi zitho ezimbili ezincane ezihlunga futhi zihlukanise imfucuza emzimbeni bese ziyikhipha njengomchamo, uyazi ukuthi empeleni zenza okungakanani? Izinso, ezenza umsebenzi omuhle ngokuthula ukuze zigcine ibhalansi yomzimba wethu, zifana nesihlanzi esikhulu emzimbeni wethu. Namuhla sizokhuluma ngengxenye ebaluleke kakhulu yalezi zinso, okungukuthi, 'igobolondo' noma i-Renal Cortex, okuyingxenye engaphandle kakhulu yezinso. Leli gama lingase libe lisha kuwe, kodwa uzomangala lapho ufunda ngomsebenzi wale ngxenye!

Kalula nje, iyini le Renal Cortex?

Cabanga ngenso njengesithelo. Ingxenye efana nesikhumba sangaphandle sesithelo ibizwa ngokuthi i-Renal Cortex . Lena ungqimba lwangaphandle lwenso. Odokotela bayibiza nangokuthi 'i-renal cortex'. Ingxenye ephakathi yenso ngaphakathi kwale Cortex ibizwa ngokuthi i-Medulla . Ngakho-ke le Cortex izungeza futhi ivikele i-Medulla. Ngaphandle, yonke lenso imbozwe olunye ulwelwesi oluqinile oluvikelayo olubizwa ngokuthi i-Renal Capsule .

Into ebaluleke kakhulu ezinso amayunithi okuhlunga igazi. Siwabiza ngokuthi ama -nephron . Ubuwazi, cishe kunezigidi zala ma-nephron ezinso elilodwa! La ma-nephron aqala ku-Renal Cortex. Isihlungi esiyinhloko ku-nephron sibizwa ngokuthi i-Glomerulus . Lesi sihlungi sihlunga igazi futhi imfucuza engafuneki idlula kuma-tubules. Ngaphakathi ku-Cortex, la ma-tubules ayinkimbinkimbi kakhulu. Kodwa uma efika e-Medulla, aba ama-tubules aqondile.

Yimiphi imisebenzi eyinhloko yezinso kanye ne-cortex yezinso?

Izinso aziyona nje into eyenza umchamo. Zenza imisebenzi eminingi ebaluleke kakhulu egcina ibhalansi yomzimba wethu wonke. I-Renal Cortex idlala indima ebalulekile kukho konke lokhu.

• Ukulawula ibhalansi kasawoti namanzi: Izinso zisiza ekugcineni amazinga afanele ama-electrolyte , njenge-sodium ne-potassium, kanye namanzi emzimbeni wethu.
• Ukulawulwa komfutho wegazi: Izinso nazo zibalulekile ekulawuleni umfutho wegazi, njengoba zilawula inani loketshezi nosawoti emzimbeni.
• Ukukhiqizwa kwamangqamuzana abomvu egazi: I-hormone (i-Erythropoietin) esiza ekukhiqizeni amangqamuzana abomvu egazi ikhiqizwa yizinso.
• Ibhalansi ye-asidi nesisekelo: Omunye umsebenzi wezinso ukugcina amazinga e-asidi nesisekelo afanele egazini lethu.
• Ukukhiqizwa kwevithamini D: Izinso nesibindi zisebenza ndawonye ukuguqula ivithamini D esiyidlayo ibe uhlobo umzimba ongalusebenzisa.
• Ibhalansi ye-calcium ne-phosphate: Izinso zisiza futhi ukulawula amazinga e-calcium ne-phosphate, abalulekile emathanjeni aqinile.
• Ukukhiqizwa kwe-glucose: Ushukela (i-glucose) umzimba wethu owudingayo wenziwa kakhulu yisibindi, kodwa inani elincane likhiqizwa nezinso. Lokhu kubizwa ngokuthi i-glucogeneis .

Yiziphi izifo nezimo ezivamile ezithinta i-cortex yezinso?

Ngeshwa, kunezimo eziningi ezingathinta izinso zethu, ikakhulukazi i-Renal Cortex. Ake sibheke ezimbalwa zazo.

Ngaphezu kwalokhu, kunezinye izimo eziningana ezingathi sína ezithinta izinso.

• I-Acidosis: Uma izinso zingasebenzi kahle, igazi liba ne-asidi. Lokhu kungaba yingozi empilweni uma kungelashwa.
• I-Nephropathy: Ukulimala kwezinso okubangelwa isifo sikashukela (i-Diabetic Nephropathy) kanye nomfutho wegazi ophezulu (i-Hypertensive Nephropathy).
• Izifo ze-Glomerular: Ukulimala noma ukuvuvukala kwezihlungi (i-glomeruli) ezinso nakho kungaholela ekuhlulekeni kwezinso.
• I-Proteinuria kanye ne-Nephrotic Syndrome: I-Proteinuria ukukhishwa ngokweqile kweprotheyini emchameni. Lokhu kuyisibonakaliso sokulimala kwezinso. Uma kukhishwa iphrotheyini eningi kakhulu, kungaba yisimo esibizwa ngokuthi i-Nephrotic Syndrome.
• I-uremia: Isimo lapho ubuthi okufanele bususwe yizinso buqongelela egazini esikhundleni sokususwa emzimbeni. Lesi futhi yisimo esiyingozi kakhulu.

Yiziphi izimpawu ezivamile zesifo sezinso?

Into eyingozi kakhulu ngezifo eziningi zezinso ukuthi azibonisi izimpawu ezicacile ezigabeni zokuqala . Lezi zimpawu ziqala ukuvela kuphela lapho isifo sesiqhubekele phambili.

Yiziphi izivivinyo ezenziwayo ukuhlola impilo yezinso?

Uma udokotela wakho esola ukusebenza kwezinso, angase acele ukuhlolwa okuningana ukuze akuqinisekise.

• Ukuhlolwa Kwezithombe (i-X-ray, i-CT scan, i-MRI, i-Ultrasound): Lokhu kuhlolwa kungabheka ukuma, usayizi, kanye nokuba khona kwanoma yikuphi ukuvinjelwa noma ukukhubazeka ezinso. Isibonelo, uma ukujiya kwe-cortex yezinso kuncipha, kungacatshangwa ukuthi izinso lonakele.
• Ukuhlolwa Kwegazi: Lokhu kungalinganisa ukuthi ama-glomeruli ezinso ahlunga kahle kangakanani igazi. I-Serum Creatinine ukuhlolwa okuvame kakhulu.
• Ukuhlolwa Kwezinso: Kulokhu, kuthathwa ingxenye encane kakhulu yezicubu zezinso bese ihlolwa ngaphansi kwe-microscope.
• Ukuhlolwa komchamo: Kuthathwa isampula yomchamo bese kuhlolwa amaprotheni, igazi, njll. Lokhu kunganikeza izinkomba mayelana nokutheleleka noma izimo zezokwelapha.

Ungazigcina kanjani izinso zakho ziphilile?

Kungcono ukuvimbela isifo sezinso ngaphambi kokuba sivele kunokuyilapha ngemva kokuba sivele. Nazi ezinye izinto ezilula ongazenza.

• Gwema ukubhema: Ukubhema konakalisa imithambo yegazi ehambisa igazi ezinso.
• Nciphisa usawoti: Ukudla usawoti omningi kungakhuphula umfutho wegazi futhi kulimaze izinso.
• Phuza amanzi amaningi: Ukuphuza amanzi anele kusiza izinso ukuthi zisuse ubuthi kalula emzimbeni.
• Ukuzivocavoca nsuku zonke: Ukuzivocavoca kungasiza ekulawuleni umfutho wegazi nokugcina isisindo esinempilo.
• Nciphisa ukusetshenziswa kwemithi yobuhlungu: Ukusetshenziswa isikhathi eside futhi ngokweqile kwemithi elwa nokuvuvukala engeyona eye-steroidal (NSAIDs) , njenge-Brufen ne-Diclofenac, kuyingozi ezinso. Ungaqhubeki nokusebenzisa lokhu ngaphandle kweseluleko sikadokotela.
• Gcina isisindo esinempilo: Ukukhuluphala ngokweqile kungaholela kushukela kanye nomfutho wegazi ophakeme.
• Lawula umfutho wegazi lakho kanye namazinga kashukela egazini: Uma unesifo sikashukela noma umfutho wegazi ophakeme, kubalulekile ukuthi uzilawule kahle ukuze uvikele izinso zakho.

Ngingayibona nini udokotela?

Uma ucabanga ukuthi unenkinga yezinso, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha. Qaphela kakhulu uma unezinye zezimpawu noma izinto eziyingozi ezilandelayo:

Uma unezimpawu ezifana nalezi:

• Ukushintsha kombala womchamo (ogcwele igazi noma onamafu) noma ushintsho emikhubeni yokuchama (ukuchama njalo, ubuhlungu lapho uchama).
• Isikhumba esomile noma esilumayo.
• Ukuzizwa ukhathele kakhulu.
• Umfutho wegazi ophezulu (i-Hypertension).
• Ukuqhaqhazela kwemisipha.
• Ukulahlekelwa yisifiso sokudla noma ukunambitheka kwensimbi ekudleni.
• Ubuhlungu besisu noma ukuhlanza.
• Ukuvuvukala, ikakhulukazi eduze kwamaqakala noma izandla.

Uma unalezi zinto eziyingozi:

• Ukuba nesifo sezinso emndenini.
• Isifo sikashukela.
• Isifo senhliziyo.
• Umfutho wegazi ophezulu.
• Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile.

Uma unalezi zici eziyingozi, kubaluleke kakhulu ukuthi uhlole ukusebenza kwezinso zakho ngezikhathi ezinqunywe udokotela wakho.