Uma udokotela ekutshela ukuthi unesifo sikashukela, into yokuqala efika engqondweni ukulawula ushukela egazini lakho. Kodwa ubuwazi ukuthi isifo sikashukela esingalawulwa singalimaza ngasese esinye isitho esibalulekile emzimbeni wakho, izinso? Lokhu akuyona into eyenzeka kubantu abaningi, kodwa kuyinkinga evamile yesifo sikashukela. Lesi simo sibizwa nangokuthi i-Diabetic Kidney Disease (DKD), i-Chronic Kidney Disease (CKD) noma i-Diabetic Nephropathy. Ngakho-ke namuhla, ake sixoxe ngobudlelwano phakathi kwesifo sikashukela nesifo sezinso.
Kwenzeka kanjani lokhu?
Kalula nje, izinso zakho zifana nesihlungi emzimbeni wakho. Umsebenzi oyinhloko wezinso ukuhlunga imfucuza egazini bese uyikhipha emzimbeni njengomchamo.
Uma unesifo sikashukela sohlobo lwesibili, amazinga kashukela egazini lakho angase abe phezulu njalo. Cabanga ngakho, ngaphakathi kwalezi zinso kunezigidi zezihlungi ezincane kakhulu, esizibiza ngokuthi i-glomeruli. Uma amazinga kashukela egazini lakho ehlala ephakeme njalo, lezi zihlungi ezincane zifakwa ngaphansi kokucindezeleka okukhulu. Kufana nesihlungi setiye esivalekayo uma uhlala uhlunga amanzi angcolile.
Uma lokhu kucindezela kusetshenziswa ngokuhamba kwesikhathi, lezi zihlungi ezithambile ziqala ukonakala. Ekugcineni, ngisho nezinto ezifana ne-albumin, iphrotheni ebalulekile umzimba oyidingayo ukugcina, ziqala ukuvuza ngalezi zihlungi bese ziphuma nomchamo. Ngamanye amazwi, iphrotheni iqala "ukuvuza" ezinso.
Izimpawu kanye nokutholwa
Into esabekayo ngalokhu ukuthi ezigabeni zokuqala, ungase ungabi nazimpawu. Ngisho noma izinso zakho sezivele zonakele, ungase ungazizwa lutho ngakho.
Yingakho kubaluleke kakhulu ukuthi kwenziwe ukuhlolwa kwezinso kukadokotela wakho ngesikhathi.
Ngenxa yalokhu, isampula yomchamo kanye nesampula yegazi kuhlolwa kakhulu.
- Ukuhlolwa komchamo: Uma izinso zingasebenzi kahle, kuzoba neprotheni eningi kakhulu ebizwa ngokuthi i-albumin emchameni.
- Ukuhlolwa kwegazi: Lokhu kungahlola ukuthi izinso zakho zihlunga igazi kahle yini.
Ithebula elingezansi libonisa umehluko phakathi kwalezi zigaba ezimbili.
| Isigaba salesi sifo | Izinto okufanele uzibone |
|---|---|
| Isigaba Sokuqala | Azikho izimpawu. Ngakho-ke, okuwukuphela kwendlela yokwazi ukuthi unesifo yini ukwenza izivivinyo ezinqunywe udokotela wakho. |
| Uma lesi sifo siqhubeka (Isigaba Esizayo) |
|
Yiziphi izinto ezandisa ingozi?
Uma isifo sikashukela sakho singalawuleki isikhathi eside, kulapho ingozi yakho yokuthola isifo sezinso iba nkulu khona. Uma amazinga kashukela egazini lakho ehlala ephakeme, ingozi yakho yokulimala kwezinso iyanda.
Ngaphezu kwalokho, lezi zici nazo zandisa ingozi:
- Ukuba nomfutho wegazi ophakeme
- Ukubhema
- Ukuba nesifo sezinso kumuntu emndenini (umama, ubaba, abafowabo nodadewabo)
- Ukuba nesifo senhliziyo
- Ukukhuluphala ngokweqile (ukukhuluphala ngokweqile)
- Ukuntuleka kokuvivinya umzimba
- Ukungalandeli ukudla okufanele ukulawula isifo sikashukela
- Ukwengeza usawoti omningi (i-sodium) ekudleni
Ungazivikela kanjani izinso? (Ukuvimbela)
Into ebaluleke kakhulu ongayenza ukuvikela izinso zakho ukulawula isifo sikashukela sakho. Lokho kukodwa kunganciphisa ingozi yakho yesifo sezinso cishe ngengxenye yesithathu. Lokho kusho ukuthi,
- Ukuhlola amazinga kashukela egazini ngezikhathi ezithile
- Ukuthatha umuthi njengoba nje udokotela emyalile
- Ukulandela ukudla okufanele
- Ukuya emitholampilo ngezinsuku ezihleliwe
Futhi, uma unezinye izimo zezokwelapha, njengomfutho wegazi ophakeme, kubalulekile ukuzilawula kahle.
Kubaluleke kakhulu ukungathathi imithi yokwelapha izinhlungu ethengiswa ngaphandle kwemithi kadokotela ngaphandle kokubonisana nodokotela wakho. Eminye imithi yokwelapha izinhlungu ingalimaza izinso zakho uma isetshenziswa isikhathi eside. Ngakho-ke, uma ubuhlungu buqhubeka, buza udokotela wakho ukuthi yimuphi umuthi ophephile ukuwuthatha.
Uma ubhema, yeka namuhla. Uma ukhuluphele kakhulu, yehlisa isisindo. Udokotela wakho angakusiza ngazo zonke lezi zinto.
Yiziphi izindlela zokwelapha?
Uma ukuhlolwa kubonisa ukuthi izinso zakho zonakele, umgomo wokuqala kadokotela wakho kuzoba ukuvimba lesi sifo ukuthi singabi sibi kakhulu. Ukuze benze lokhu, bazokwakha uhlelo lokukusiza ulawule ushukela wegazi lakho kanye nomfutho wegazi.
Kunezinto ezimbalwa ongazenza nalokhu:
- Uma ukhuluphele ngokweqile, yehlisa isisindo.
- Ukuzivocavoca njalo
- Ukuzithiba ngokuphelele otshwaleni nasegwayini
- Ukunciphisa usawoti
Imithi ingasiza futhi. Eminye imithi yomfutho wegazi ophakeme, njenge -ACE inhibitors kanye nama-ARB, iboniswe ukuthi inciphisa ukuqhubeka kwesifo sezinso. Ngisho noma ungenayo i-high blood pressure, udokotela wakho angase akunike le mithi ukuvikela izinso zakho. Ngaphezu kwalokho, izinhlobo ezintsha zemithi yesifo sikashukela, njenge -SGLT2 inhibitors , ama-GLP-1 agonists, kanye nama-nonsteroidal mineralocorticoid receptor antagonists (MRAs), zingasiza futhi ekulawuleni isifo sezinso esibangelwa isifo sikashukela.
Futhi, udokotela wakho angase akucebise ukuthi unciphise inani lamaprotheni owadlayo ukuze unciphise ukucindezeleka ezinso zakho.
Kuyini Ukwehluleka Kwezinso?
Uma isifo sezinso siqhubekela esigabeni esibizwa ngokuthi ukwehluleka kwezinso, kusho ukuthi izinso zakho zisebenza ngo-10% kuya ku-15% wamandla azo ajwayelekile. Lokhu kusho ukuthi izinso azikwazi ukwenza umsebenzi wokuhlanza nokukhipha uketshezi oludingekayo ukuze umzimba usebenze.
Lesi simo sibizwa ngokuthi yi-End-Stage Renal Disease (ESRD). Lezi ziguli zidinga i-dialysis noma ukufakelwa izinso ukuze ziphile.
Kodwa ungakhathazeki. Akuwona wonke umuntu othola isifo sezinso ngenxa yesifo sikashukela ozoba nalesi simo esibi. Iningi labantu lingasiphatha lesi sifo ngokwelashwa okufanele kanye nokushintsha indlela yokuphila.
Into ebaluleke kakhulu ukulawula kahle isifo sikashukela sakho, unakekele impilo yakho, futhi ulandele izivivinyo kanye nokwelashwa okunqunywe udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela esingalawulwa singalimaza izinso zakho ngasese.
- Njengoba kungekho zimpawu ezigabeni zokuqala, kubalulekile ukungayeki ukuhlolwa komchamo negazi okunqunywe udokotela wakho.
- Indlela engcono kakhulu yokuvikela izinso zakho ukugcina ushukela wegazi lakho kanye nomfutho wegazi kulawulwa.
- Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokusebenzisa noma yimuphi umuthi omusha, ikakhulukazi imithi yokubulala izinhlungu.
- Indlela yokuphila enempilo (ukudla okuhle, ukuvivinya umzimba, nokuyeka ukubhema) kungalawula kakhulu ukuqhubeka kwesifo sezinso.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho