Ingabe udokotela wakho womndeni noma udokotela wakho oyinhloko ukutshelile ukuthi ubonane nochwepheshe wezinso? Kungenzeka ukuthi wesaba kancane, ucabanga ukuthi, "Ingabe kukhona okungahambi kahle kakhulu ngezinso zami?" Kodwa asikho isidingo sokwesaba. Ufike endaweni efanele. Laba odokotela bangochwepheshe bezifo zezinso. Ngakho-ke namuhla, ake sixoxe ngokuthi ungubani uchwepheshe wezinso, noma isazi sezinso, ukuthi benzani, nokuthi yini okudingeka ukwazi uma uya kuyo.
Ubani lo chwepheshe wezinso (udokotela wezinso)?
Kalula nje, i-Nephrologist ingudokotela ogxile ezinso zethu nanoma yisiphi isifo esithinta izinso. Siphinde sibabize ngokuthi "odokotela bezinso." Ngemva kokuba udokotela ojwayelekile (MBBS), bachitha eminye iminyaka emibili noma ngaphezulu befunda ngqo ngezifo zezinso.
Uma udokotela womndeni wakho ekhathazekile ngomsebenzi wezinso zakho, isibonelo uma ukuhlolwa kwegazi lakho kubonisa izinga le-creatinine eliphakeme kancane, uzokudlulisela kudokotela wezinzwa. Lochwepheshe uzobe esehlonza imbangela yenkinga yakho futhi athuthukise uhlelo lokwelapha ukuze ayilawule, ayivimbe ukuthi ingabi yimbi kakhulu, noma ayiphulukise.
Izimo eziyinhloko eziphathwa yi-Nephrologist
Udokotela wezinso ugxila ezinkingeni ezahlukahlukene ezihlobene nezinso. Ake sibheke ezimbalwa zazo.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Isifo Sezinso | Lesi yisimo esilimaza izinso kancane kancane ngokuhamba kwesikhathi. Kungase kungabi khona zimpawu ezinkulu ezigabeni zokuqala. Kodwa-ke, uma kutholwa kusenesikhathi, imithi kanye nezinguquko zendlela yokuphila kungasiza ekuvimbeleni umonakalo owengeziwe. |
| Ukwehluleka Kwezinso | Lesi yisigaba sokugcina sesifo sezinso. Lapha, udokotela uzoncoma i-dialysis.- Lokho kusho ukuhlanza igazi ngomshini - uma kunconywa, uzoqondisa ngokugcwele lokho kwelashwa. Angase futhi asikisele ukufakelwa izinso. |
| Umfutho Wegazi Ophakeme | Uma unomfutho wegazi ophakeme okunzima ukuwulawula, udokotela wezinzwa angakusiza. Ngezinye izikhathi izinkinga zezinso zingenza kube nzima nokulawula umfutho wegazi. |
| Ukulimala kwezinso okubangelwa umdlavuza | Ezinye izinhlobo zomdlavuza noma ukwelashwa kwazo kungalimaza izinso. Isibonelo, izimo ezifana ne-multiple myeloma, umdlavuza wesinyi, umdlavuza wesibeletho, kanye nomdlavuza wamathumbu amakhulu. |
| Isifo Sokuqaqamba Kwamalunga | Lokhu kubangela ukuthi kukhishwe inani elikhulu lamaprotheni emchameni. Lokhu kungabangela ukuvuvukala ezingxenyeni ezahlukene zomzimba, ikakhulukazi eduze kwamehlo nemilenze. |
| Isifo Sezinso Esinama-Polycystic | Lokhu kwenzeka lapho kwakheka ama-cyst agcwele uketshezi ngaphakathi kwezinso. Uma lawa eba makhulu, angalimaza izinso futhi aze abangele ukuthi zingasebenzi. |
Izinto okufanele uziphathe uma uya kobona udokotela okokuqala
Uma ulungiselela kusenesikhathi lapho uya kudokotela, kuzoba lula kakhulu kuwe nakudokotela. Nazi ezinye izinto okufanele uzikhumbule futhi uzithathe nawe.
| Okufanele ulethe | Kungani kunjalo? (Ukubaluleka) |
|---|---|
| Izimpawu zakhoFuthi uhlu olubhaliwe lokuthi sebenesikhathi esingakanani bekhona. | Lokhu kwenza kube lula ngodokotela ukuthola isithombe esicacile ngesimo sakho. |
| Uhlu lwazo zonke izidakamizwa ozithathayo njengamanje (kufaka phakathi lezo zezinye izimo). | Eminye imithi ingathinta izinso, ngakho-ke lolu lwazi lubaluleke kakhulu. |
| Umlando wakho wezokwelapha kanye namarekhodi ezokwelapha angaphambilini, ikakhulukazi imibiko yegazi, umchamo kanye neyokuskena kwesisu. | Lokhu kusiza ukuqhathanisa namarekhodi amadala futhi kugweme ukuhlolwa kabusha okungadingekile. |
| Amagama kanye nemininingwane yokuxhumana yabanye odokotela osebenzisa kubo imithi njengamanje. | Lokhu kuzokusiza ukuthi ukhulume nabo futhi uthole ulwazi uma kudingeka. |
Hlobo luni lokuhlolwa oluzokwenziwa udokotela?
Ngemva kokuxoxa ngezimpawu zakho nomlando wakho, udokotela wakho uzokuxilonga. Ngaphezu kwalokho, bangase bacele ukuhlolwa okuningana ukuze kutholakale imbangela eqondile, njengokuthi:
- Ukuhlolwa komchamo: Uzocelwa ukuthi uqoqe inani elincane lomchamo enkomishini. Ngezinye izikhathi ungase ucelwe ukuthi uqoqe isampula yomchamo yamahora angama-24. Ilebhu izohlola umchamo ukuze ithole izinto ezifana nemikhiqizo engcolile, amaprotheni, ama-hormone, kanye namaminerali. Umchamo uzohlolwa futhi igazi noma izimpawu zokutheleleka.
- Ukuskena nge-ultrasound: Lokhu kusebenzisa amaza omsindo ukuthatha izithombe zezinso zakho. Lokhu kungakusiza ubone ubukhulu nesimo sezinso zakho, nokuthi ngabe kukhona amatshe noma amathumba. Akubuhlungu.
- I-CT scan: Lolu uchungechunge lwezithombe ze-X-ray. Lokhu kudala isithombe esicacile, esinezinhlangothi ezintathu (3D) sezinso.
- Ukuhlolwa kwe-biopsy: Lokhu kuhilela ukususa ingxenye encane kakhulu yezicubu enso usebenzisa inaliti bese uyihlola ngaphansi kwe-microscope. Lokhu kungasiza ekunqumeni ukuthi hlobo luni lwesifo olulimaze izinso.
Into ebaluleke kakhulu ukuthi uma udokotela encoma ukuhlolwa, buza ukuthi kungani nokuthi yini ongayilindela kukho.
Imibuzo okufanele uyibuze udokotela wakho wezifo zabesifazane
Uma ubona udokotela wakho, ungangabazi ukubuza noma yimiphi imibuzo onayo. Uma wazi okwengeziwe ngesifo sakho, kulapho uzophila kangcono khona. Nansi eminye imibuzo ongayibuza:
- Kungani udokotela wami engithumele kuwe?
- Kungani ukusebenza kwezinso zami kwehla?
- Lingakanani izinga lokusebenza kwezinso zami uma liqhathaniswa nezinso eziphilile?
- Ingabe nginesifo sezinso? Uma kunjalo, sikusiphi isigaba? Kusho ukuthini lokho?
- Yiziphi izindlela zokwelapha enginazo?
- Iyini imiphumela emibi yalolo nalolo hlobo lokwelashwa?
- Uma sengiqalile ukwelashwa, yimaphi amacebiso azongisiza ukuthi ngiqhubeke nakho ngendlela efanele?
- Ingabe ngidinga ukwenza izinguquko endleleni yami yokuphila (njengokudla, ukuzivocavoca umzimba)?
- Ingabe kufanele ngikushayele ucingo uma nginenkinga noma uphawu olusha?
Bhala phansi izimpendulo zale mibuzo, noma ucele othile ohamba naye ukuthi azibhale phansi. Ngaleyo ndlela, kuzoba lula ukukhumbula kamuva.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela wezinso ungudokotela ogxile ezifweni zezinso. Uma udokotela wakho ojwayelekile ekuthumele, ungakhathazeki, usezandleni eziphephile.
- Uma uya kudokotela, letha izimpawu zakho, imithi oyiphuzayo, kanye nayo yonke imibiko yangaphambilini ngokulandelana.
- Unganqikazi ukubuza udokotela wakho noma yimiphi imibuzo onayo, kungakhathaliseki ukuthi mincane kangakanani. Kubalulekile ukuba nolwazi oluphelele ngesimo sakho.
- Landela uhlelo lokwelashwa lukadokotela wakho kanye nezinguquko zendlela yokuphila (ukudla, ukuvivinya umzimba) eduze. Lokhu kuzosiza ukulawula umonakalo wezinso zakho.
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