Ake sixoxe nje ngezifo ezithinta ingxenye engaphakathi nezinso (i-Renal Parenchymal Disease)!

Izinso emzimbeni wethu zifana nezisebenzi ezithule, akunjalo? Zenza umsebenzi omningi ngaphandle kokuthi siqaphele. Zihlanza igazi lethu usuku lonke, zilawula inani lamanzi emzimbeni, futhi zisuse imfucuza engadingekile. Kodwa ngezinye izikhathi, lezi zinso nazo ziba nezinkinga. Namuhla sizokhuluma ngesifo esithinta izinso ezinjalo. Leso yisifo sezinso esibizwa ngokuthi i-renal parenchymal disease, noma ngesiNgisi `(Renal Parenchymal Disease)` . Leli gama lingase lizwakale liyinkimbinkimbi uma ulizwa, kodwa masiliqonde kalula.

Iyini Isifo Sezinso Esibangelwa Yi-Parenchymal?

Kalula nje, leli yiqembu lezimo ezilimaza izinso. Lithinta kakhulu ingxenye yezinso ebizwa ngokuthi "i-Parenchyma" . Manje ungase uzibuze ukuthi iyini le parenchyma. Okusho ukuthi, izingxenye eziyinhloko zezinso ezisebenzayo, noma ezisiza ukusebenza kwezinso. Le parenchyma inezingxenye ezimbili eziyinhloko:

1. I-Renal Cortex : Lena yingxenye engaphandle kakhulu yezinso. Amayunithi amancane okuhlunga ezinso zethu, abizwa ngokuthi ama-nephron , aqala lapha. Lawa ma-nephron afana nezihlungi ezincane. Anezingxenye ezimbili. Esinye isiteshi segazi esibizwa ngokuthi i-glomerulus . Esinye ithubhu elincane elibizwa ngokuthi i-renal tubule .

• Igazi lihlungwa kuqala yi -glomeruli .
• Umsebenzi wama -renal tubules ukumunca amanzi, izakhamzimba, kanye namaminerali adingwa ngumzimba bese kukhishwa imfucuza engadingekile ngomchamo.
• Ngaphezu kwalokho, i-cortex yezinso ikhiqiza ne-hormone ebizwa ngokuthi i-`Erythropoietin (EPO) `. Le hormone `(EPO)` isiza i-`Bone Marrow` yethu ukuthi ikhiqize amaseli abomvu egazi.

2. I-Renal Medulla : Lokhu kutholakala engxenyeni engaphakathi yezinso. Iningi lama-nephron litholakala kule ngxenye.

Ngakho-ke, odokotela babiza noma yisiphi isimo esithinta i-cortex noma i-medulla yezinso ngokuthi isifo se-renal parenchyma. Sibizwa nangamanye amagama, isibonelo, izifo ze-bilateral renal parenchyma, kanye nesifo se-renal parenchymal.

Yiziphi izinhlobo eziyinhloko zalesi sifo?

Lesi sifo singahlukaniswa ngezinhlobo ezimbili eziyinhloko:

• Isifo Esibi Sezinso Esibangelwa Yi-Renal Parenchymal : Lokhu kuqala ngokuzumayo.
• Isifo Sezinso Esingapheli : Lokhu kuqhubeka kancane futhi kuhlala isikhathi eside.

Ingabe lesi sifo siyingozi?

Kuncike kakhulu embangela kanye nobucayi besimo. Ezinye izimo ezincane zingaba ngcono ngokwelashwa. Kodwa ezimweni ezinzima,Kungaqhubekela `ekuhlulekeni kwezinso.' Njengoba wazi, ukwehluleka kwezinso kuyinto engaba yingozi empilweni uma ingelashwa.

Yiziphi izimpawu zokuqala ezingabonakala?

Ngokuvamile, azikho izimpawu ezinkulu ezigabeni zokuqala zalesi sifo. Yilokho okwenza kube yinto eyesabekayo kancane. Kodwa njengoba lesi sifo siqhubeka futhi izinso zakho zilahlekelwa ukusebenza kahle, ungase ube nezimpawu ezifana nalezi:

• Igazi emchameni (i-Hematuria)
• Isikhumba esomile nesilumayo
• Ukuzizwa ukhathele kakhulu
• Isifiso sokudla
• Ukwehla kwenani lamaseli abomvu egazini (i-Anemia)
• Isicanucanu nokuhlanza
• Ukuchama okuningi kunokujwayelekile
• Ukuvuvukala okuzungeze amehlo
• Ukuvuvukala kwezandla, izinyawo, namaqakala (i-Edema)

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukubona udokotela.

Yini ebangela lokhu?

Izimbangela ezimbili eziyinhloko zesifo sezinso esingamahlalakhona umfutho wegazi ophakeme kanye nesifo sikashukela . Kodwa-ke, kungase kube nezinye izimbangela:

• Izifo ezizenzakalelayo , isibonelo , i-Lupus Nephritis
• I-Glomerulonephritis (ukuvuvukala kwamayunithi okuhlunga ezinso)
• `Umdlavuza Wezinso`
• Isifo Sezinso Esibangelwa Yi-Polycystic ( ama-cyst ezinso)
• `Isifo Se-Sickle Cell`

Izinto ezingabangela isifo esiphuthumayo sezinso se-"Acute" yizi:

• Ukusabela okukhulu kwe-allergy (i-Anaphylaxis)
• `Ukutheleleka Kwamagciwane`
• `Amatshe Ezinso`
• `Amathumba Ezinso`
• I-Pulmonary Embolism (ihlule legazi emthanjeni wegazi eliholela emaphashini)
• `Ukuphelelwa amanzi emzimbeni okukhulu`
• `Ukutheleleka Ngegciwane`

Eminye imithi ingabangela lesi simo `(esibucayi)`. Izibonelo:

• `Ama-enzyme inhibitors aguqula i-angiotensin (ama-ACE Inhibitors)`
• `Ama-Angiotensin II receptor blockers (ARBs)`
• `Izidakamizwa Ezingavimbeli Ukuvuvukala (ama-NSAID)` (isib. i-Ibuprofen, i-Diclofenac)

Ubani onamathuba amaningi okuthola lesi sifo?

Noma ubani angayithola le sifo, kodwa usengozini enkulu uma unalezi zinto ezilandelayo:

• Uma kukhona emndenini onalesi sifo se-kidney parenchyma
• Uma unesifo sikashukela
• Uma unesifo senhliziyo
• Uma une-'High Blood Pressure'

Futhi, uma uneminyaka engaphezu kwengu-60 ubudala futhi usebenzisa njalo imithi yokubulala ubuhlungu ethengiswa ngaphandle kwemithi kadokotela (i-OTC) kanye nemithi yokwelapha ubuhlungu ebhalwe yi -NSAID kadokotela, ingozi yakho ingaba phezulu nakakhulu.

Yiziphi izinkinga ezingaba khona ngenxa yalesi sifo?

Uma lesi sifo singalawulwa kahle, kungavela izinkinga ezahlukahlukene. Ezinye zazo yilezi:

• Ukwanda kwe-asidi yoketshezi lomzimba (i-Metabolic Acidosis)
• Amazinga e-phosphate (phosphorus) akhuphukile egazini (i-Hyperphosphatemia)
• Ukwanda kwamazinga e-potassium egazini (i-Hyperkalemia)
• Ukwehla kwenani lamaseli abomvu egazi (i-anemia)
• Ubuhlungu obubangelwa ukugcwala kwe-uric acid emalungeni (i-Gout)
• I-Osteoporosis
• Isimiso somzimba sokuzivikela esibuthakathaka

Okubalulekile: Akuwona wonke umuntu ozobhekana nalezi zinkinga. Kodwa-ke, uma unakekela lesi sifo futhi uthola ukwelashwa okufanele, ungazigwema kakhulu.

Uyithola kanjani ngokunembile lesi sifo? (Ukuxilongwa)

Udokotela uzobuza ngezimpawu zakho, abukeze umlando wakho wezokwelapha, abuze ngemithi oyiphuzayo, futhi enze ukuhlolwa ngokomzimba. Ngemuva kwalokho, uma besola ukuthi unesifo, bazoyala ukuhlolwa okuningana ukuqinisekisa ukuxilongwa. Ezinye zalezi zifo zifaka:

• Ukuhlolwa Kokusebenza Kwezinso : Lokhu kufaka phakathi ukuhlolwa kwegazi kanye nokuhlolwa komchamo. Ukuhlolwa kwegazi kuhlola izinga lakho lokuhlunga le-glomerular (eGFR) elilinganisiwe kanye nezinga le-creatinine egazini . Ukuhlolwa komchamo kuhlola i- proteinuria kanye negazi emchameni.
• Ukuhlolwa kwezithombe : Lokhu kungasiza odokotela ukuthola isithombe esicacile sosayizi, ukuma, kanye nesakhiwo sezinso. Bangase bacele ukuhlolwa kwe-ultrasound , ukuhlolwa kwe-MRI (Magnetic Resonance Imaging) , noma ukuhlolwa kwe -CT (Computed Tomography) .
• Ukuhlolwa Kwezinso : Kulokhu kuhlolwa, udokotela uthatha ingxenye encane yezicubu ezinso bese eyihlola elabhorethri. Le biopsy inganikeza ulwazi olungenakukwazi ukuhlinzekwa ngezinye izivivinyo.

Iphathwa kanjani?

Ukwelashwa kwesifo sezinso esibizwa ngokuthi i-renal parenchymal kuncike ezintweni eziningana. Lezi zihlanganisa:

• Yini ngempela ebangela lesi sifo nokuthi sibi kangakanani.
• Ubudala bakho kanye nempilo yakho iyonke.

Izinketho zakho zokwelapha zingafaka:

• Gwema ukusebenzisa ama-NSAID okubulala izinhlungu kanye neminye imithi engabangela ukugula kwezinso kube kubi kakhulu.
• Gwema ngokuphelele ukusebenzisa ugwayi (ukubhema, ukubhema i-vaping, ukuhlafuna ugwayi, njll.).
• Ukuzivocavoca umzimba njalo.
• Ukugcina isisindo esinempilo esikufanele.
• Ukuthatha imithi edingekayo yokulawula umfutho wegazi, i-cholesterol, nesifo sikashukela.
• Khuluma nochwepheshe wezokudla kwezinso ukuze uthuthukise ukudla okuzuzisa izinso. Lokhu kungafaka phakathi ukudla okunciphisa amaprotheni, kwehlisa amazinga e-cholesterol egazini, futhi kunciphise usawoti (i-sodium) kanye ne-potassium.

Uma lesi sifo sibi kakhulu, ukwelashwa okulandelayo kungadingeka:

• Ama-Corticosteroids (uhlobo lomuthi onciphisa ukuvuvukala)
• `I-Dialysis` (ukuhlanza igazi ngosizo lomshini lapho izinso zingasebenzi kahle)
• Ama-immunosuppressants (imithi enciphisa ukusebenza kwesimiso somzimba sokuzivikela)
• `Ukufakelwa Kwezinso`

Uma nginalesi sifo, yini okufanele ngiyilindele?

Uma unalesi sifo, udinga ukusebenzisana nethimba lakho lezokwelapha ukulawula umonakalo wezinso zakho nokugcina ukusebenza kwazo isikhathi eside ngangokunokwenzeka. Nazi ezinye izinto okufanele uzenze:

• Ukudla okuzuzisa izinso.
• Hlola njalo amazinga kashukela egazini lakho kanye nomfutho wegazi.
• Vakashela udokotela wezinso bese uhlola izinso zakho njalo.
• Ukuthatha umuthi onikezwe udokotela ngesikhathi esifanele.

Ungaphila isikhathi esingakanani nalesi sifo?

Kunzima ukunikeza impendulo eyodwa kulo mbuzo. Ngoba kuncike ezintweni eziningi, njengobunzima besifo, iminyaka yakho, ubulili, kanye nempilo iyonke. Uma izinso zakho zonakele kakhulu, isikhathi sokuphila kwakho singase sehle. Uma usebenzisa i-dialysis, ngokuvamile kulindeleke ukuthi uphile iminyaka emi-5 kuya kweyi-10.

Kodwa khumbula! Lokhu kumane kuyisilinganiso. Abantu abaningi baphila isikhathi eside kakhulu ngokwelashwa okufanele kanye nokufakelwa izinso. Ngisho nabantu abanesifo sezinso esisesigabeni sokugcina bangaphila iminyaka engama-20-30. Ngakho-ke, khuluma nodokotela wakho futhi ufunde kabanzi ngesimo sakho.

Zikhona yini izindlela zokugwema lesi sifo? (Ukuvimbela)

Nakuba kungezona zonke izimbangela ezingavinjelwa, unganciphisa ingozi yakho yokuthola lesi sifo ngokwenza lezi zinto:

• Zivocavoce ngamandla okungenani izinsuku ezinhlanu ngesonto, okungenani imizuzu engama-30 ngosuku.
• Ukunciphisa ukusetshenziswa kotshwala.
• Ukugcina isisindo esinempilo esikufanele.
• Uma usengozini enkulu yokuthola isifo sezinso (isib. isifo sikashukela, umfutho wegazi ophakeme), bona udokotela njalo ukuze akuhlole.
• Gwema ngokuphelele ukubhema.
• Ukunciphisa inani likasawoti elifakwa ekudleni.
• `I-NSAID`Sebenzisa imithi yokubulala izinhlungu kuphela njengoba kuqondiswe udokotela.

Yikuphi ukudla okufanele umuntu onalesi sifo akugweme?

Uma unesifo sezinso esibizwa ngokuthi i-renal parenchymal disease, kubaluleke kakhulu ukubonana nodokotela wezokudla wezinso . Uzokwakha uhlelo lokudla olufanele wena futhi oluhle ezinso zakho. Ngokuvamile kuzodingeka unciphise ukudla okunosawoti omningi, amaprotheni, i-phosphorus, kanye ne-potassium. Ezinye izibonelo yilezi:

• Ukwatapheya
• Ibhanana
• Ukudla okusemathinini
• Ukudla okulula okunosawoti okufana nama-chips nama-pretzels
• Izithelo ze-citrus namajusi, njengamawolintshi
• Izithelo ezomisiwe
• Inyama ecutshunguliwe (njengesoseji, ama-meatball)
• Isipinashi

Okubalulekile: Lolu hlu lungase lungabi olwawo wonke umuntu. Cela isazi sakho sezokudla iseluleko esiqondile mayelana nokuthi yikuphi ukudla okuhle kuwe nokuthi yini okufanele uyigweme.

Kufanele ubonane nini nodokotela?

Uma unesifo sikashukela, umfutho wegazi ophakeme, noma esinye isimo esingaholela esifweni sezinso, bona udokotela wakho njalo ukuze akuhlole. Ukutholwa kusenesikhathi nokuqonda izici zakho eziyingozi kungasiza ekuvimbeleni ukulimala okwengeziwe kwezinso zakho.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Izimpawu zesifo sezinso esibizwa ngokuthi i-renal parenchymal zivame ukuvela ngemva kokulimala okukhulu kwezinso. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, bheka udokotela ngokushesha:

• Uma imisipha ivame ukusonteka
• Uma unesifiso sokudla
• Uma uzizwa ukhathele kakhulu
• Uma unenkinga yokugxilisa ingqondo noma yokulala
• Uma unesikhumba esilumayo
• Uma unezinkinga ezingapheli
• Uma izandla zakho, amaqakala, noma izinyawo zakho zivuvukele
• Uma uchama kakhulu noma ngaphansi kunokujwayelekile

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uvakashela udokotela, kungaba usizo ukubuza le mibuzo:

• Wazi kanjani ukuthi nginesifo se-renal parenchymal?
• Kubaluleke kangakanani?
• Yikuphi ukwelashwa okuncomayo?
• Yini engingayenza ukuze ngivikele izinso zami?
• Ungamncoma yini uchwepheshe wezokudla okunempilo weziguli zezinso?
• Ungangitshela ngeqembu lokusekela elisiza abantu abanalesi sifo?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Isifo Sezinso Esibangelwa Yi-Renal Parenchymal yisimo esithinta ukusebenza kwezinso zakho. Umgomo oyinhloko wokwelashwa ukuphatha lesi sifo ukuze kugcinwe ukusebenza kwezinso isikhathi eside ngangokunokwenzeka. Abantu abaningi baphila nalesi sifo iminyaka eminingi.

Kodwa-ke, uma uthola ukuxilongwa okufana nalokhu futhi kufanele welashwe njalo, ungase uzizwe ukhungathekile futhi uthukuthele. Lokhu kuyinto evamile. Ukukhuluma ngalokhu nomndeni wakho othembekile nabangani kungakusiza. Ungajoyina amaqembu okusekela abantu abanalesi simo. Uma unemibuzo, ungesabi ukukhuluma nodokotela wakho. Bazokusiza. Awuwedwa!

Isifo sezinso, isifo sezinso se-parenchymal, i-renal parenchyma, ukusebenza kwezinso, ukwehluleka kwezinso, isifo sezinso, ukusebenza kwezinso, isifo sikashukela, umfutho wegazi ophakeme