Ukwehluleka Kwezinso Okukhulu - Masiqaphele lokhu!

Wake wacabanga ngezihlungi ezimbili ezinamandla kakhulu emzimbeni wethu? Ziyizinso zethu. Bekungenzekani uma ziyeka ukusebenza ngokuzumayo, njengokuphazamiseka kukagesi? Yilokho esikubiza ngokuthi “ Ukwehluleka Kwezinso Okukhulu” noma “Ukwehluleka Kwezinso Okukhulu” kwezokwelapha. Lokhu kungenzeka emahoreni ambalwa noma ezinsukwini ezimbalwa. Kodwa ungakhathazeki, uma ukwazi lokhu futhi uthola ukwelashwa ngokushesha, isikhathi esiningi izinso zakho zingabuyiselwa esimweni esijwayelekile.

Kalula nje, uyini umsebenzi walezi zinso?

Masiqonde lokhu kalula. Umsebenzi oyinhloko wezinso ukuhlunga igazi lethu nokususa imfucuza engafuneki kulo njengomchamo . Akukhona lokho kuphela, kodwa lezi zitho ezimbili ezincane nazo zenza izinto eziningi ezibalulekile njengokulawula inani lamanzi emzimbeni, ukulawula umfutho wegazi , ukusiza ekwakheni amangqamuzana abomvu egazi , nokulinganisela ama-electrolyte abalulekile emzimbeni. Ngakho-ke uma lokhu kulimele, zonke lezi zinto zihamba kabi.

Uyini umehluko phakathi kwe-Acute kanye ne-Chronic?

Kungenzeka ukuthi uke wezwa ngento ebizwa ngokuthi “Isifo Sezinso Esingapheli” ( CKD ). Lokho kanye “Nokwehluleka Kwezinso Okukhulu” kuyizinto ezimbili ezihlukene.

• Ukwehluleka Kwezinso Okubukhali: Lokhu kwenzeka ngokuzumayo, ngokuzumayo . Uma kwelashwa kahle, kunethuba lokululama ngokuphelele .
• Isifo Sezinso Esingapheli (CKD): Lesi yisimo esiqhubekayo, esihlala isikhathi eside esibangela ukuba izinso zibe buthaka ngokuhamba kwesikhathi . Ngokuvamile sibangelwa yizimo zesikhathi eside ezifana nesifo sikashukela noma umfutho wegazi ophakeme. Lo monakalo uvame ukuba khona unomphela .

Udokotela wakho angaqinisekisa kalula ukuthi yiziphi kulezi zimo ezimbili onazo ngokwenza i-ultrasound scan. Ngokuvamile, ku-CKD, izinso zibonakala zincane ngobukhulu.

Ungazibona kanjani izigaba zesifo sezinso?

Kukhona isilinganiso sokusebenza kwezinso, esikubiza ngokuthi `(eGFR – isilinganiso se-Glomerular Filtration Rate)`. Kalula nje, yile ndlela izinso zakho ezihlunga ngayo igazi. Leli nani lisetshenziselwa ukuhlukanisa izigaba zesifo.

Qaphela lezi zimpawu!

Ngezinye izikhathi lesi simo singavela ngaphandle kwezimpawu. Ngezinye izikhathi sitholakala ngengozi ngesikhathi sokuhlolwa kwesinye isimo. Kodwa-ke, uma uba nezimpawu, zingase zihlanganise:

• Inani lokukhishwa komchamo lincishisiwe kakhulu.
• Ukuvuvukala kwemilenze, amaqakala, nezinyawo (ngenxa yokugcina uketshezi emzimbeni).
• Ukuzizwa njalo ukhathele kakhulu futhi ulele.
• Ubunzima bokuphefumula.
• Ukuhlanza noma isicanucanu.
• Ukudla akunambitheki.
• Isikhumba esilumayo.
• Ubunzima bokwenza isinqumo (Ukudideka).
• Ubuhlungu besifuba noma ukuqina.
• Ukuqhaqhazela kwemisipha.
• Ubuhlungu besisu noma umhlane.
• Umkhuhlane, ukuqubuka kwesikhumba, noma ukuphuma kwegazi ekhaleni.

Kungani lokhu kwenzeka? Izizathu ezintathu eziyinhloko!

Kunezinhlobo ezintathu eziyinhloko zezimbangela zokwehluleka kwezinso ngokuzumayo.

1. Ukuphazamiseka kokugeleza kwegazi ezinso

Lokhu kungase kube ngenxa yalokhu:

• Ukuphelelwa amanzi emzimbeni kakhulu noma ukusha okukhulu.
• Izifo.
• Ukwehluleka kwenhliziyo.
• Ukwehluleka kwesibindi.
• Amanye ama-painkiller (ama-NSAID afana ne-Aspirin, i-Ibuprofen, i-Naproxen) kanye neminye imithi yokwelapha umfutho wegazi ophakeme.

2. Ukuvinjelwa kokuchama

Uma indlela ivalekile kangangokuthi umchamo okhiqizwa ezinso awukwazi ukuphuma, leyo ngcindezi ingabuyela emuva futhi yonakalise izinso.

• Amatshe ezinso.
• I-prostate ekhulisiwe kwabesilisa.
• Umdlavuza wesinye, wesibeletho, umphimbo ophansi, noma i-prostate.
• Ukulimala kwemizwa emgudwini womchamo.

3. Ukulimala okuqondile ezinso ngokwazo

Ezinye izinto zingalimaza ngqo amangqamuzana ezinso.

• Eminye imithi (isib. ama-NSAID, imithi yamakhemikhali, eminye imithi elwa namagciwane).
• Ukuvuvukala kwamapayipi amancane ahlunga umchamo ovela ezinso (i-Glomerulonephritis). Lokhu kungabangelwa izifo noma izifo ezihlasela amasosha omzimba njenge-lupus.
• Amahlule egazi noma ama-cholesterol deposits.

Iphathwa kanjani?

Izindaba ezinhle ukuthi uma kutholakala kusenesikhathi, kungelashwa futhi kwelapheke. Ukwelashwa kuncike esimweni sakho kanye nembangela.

• Ukulaliswa esibhedlela: Ezimweni eziningi, lesi simo sidinga ukulaliswa esibhedlela ukuze uthole ukwelashwa.
• Ukwelapha imbangela:Into yokuqala okufanele uyenze ukuthola imbangela yokwehluleka kwezinso bese uyelapha. Isibonelo, uma kuwukuphelelwa amanzi emzimbeni, kunikezwa usawoti, uma kuyisifo, kunikezwa ama-antibiotic, kanti uma kungenxa yomuthi, uyamiswa.
• Ukudla: Udokotela wakho angakutshela ukuthi unciphise ukudla okunosawoti omningi kanye ne-potassium kuze kube yilapho izinso zakho ziphola. Lokhu kungenxa yokuthi ukukhipha lokhu kuwumthwalo ezinso zakho. Angakutshela ukuthi unciphise izinto ezifana nobhanana, isipinashi, utamatisi, amawolintshi, namazambane bese udla ukudla okune-potassium ephansi njengama -apula, amagilebhisi, ama-strawberry, kanye ne-cauliflower .
• Imithi: Imithi inganikezwa ukulawula amazinga e-phosphorus ne-potassium egazini.
• I-Dialysis: Uma umonakalo wezinso umkhulu, umshini kuzodingeka wenze umsebenzi wezinso zize ziphole. Lokhu kubizwa ngokuthi i-dialysis. Lokhu akwelaphi izinso, kodwa kusiza ekususeni udoti emzimbeni futhi kusindise impilo kuze kube yilapho izinso ziphola.

Asikwazi yini ukuzivikela kulesi simo?

Yebo kungenzeka. Uma unakekela izinto ezimbalwa ezilula, unganciphisa le ngozi.

1. Qaphela ngama-painkiller: Gwema ukusebenzisa njalo futhi ngokweqile ama-painkiller athengiswa ngaphandle kwemithi kadokotela (ama-NSAID) (njenge-Ibuprofen ne-Naproxen). Xhumana nodokotela wakho ngaphambi kokuthatha noma yimuphi umuthi.

2. Landela imiyalelo kadokotela wakho: Uma unezinkinga zezokwelapha ezifana nesifo sikashukela noma umfutho wegazi ophakeme, zilawule ngendlela efanele. Sebenzisa imithi udokotela wakho ayinikezayo ngqo.

3. Indlela yokuphila enempilo: Phuza amanzi amaningi, yidla ukudla okunempilo, futhi uvivinye umzimba. Lezi zinto zigcina umzimba wakho wonke uphilile, hhayi izinso zakho kuphela.

Isifo sezinso, ukwehluleka kwezinso okukhulu kwe-sinhala, ukwehluleka kwezinso, ukwehla kokukhishwa komchamo, i-eGFR, i-creatinine sinhala, i-dialysis sinhala