Ukungaphumeleli kwezintso

Ukungasebenzi kakuhle kwezintso kukukhawuleza (ngaphantsi kweentsuku ezimbini) ukulahleka kwezintso zakho ukukwazi ukususa inkunkuma kunye nokunceda ulungelelwaniso lwamanzi kunye neelectrolyte emzimbeni wakho.

Zininzi izinto ezinokubangela ukonakala kwezintso. Ziquka:

• I-acute tubular necrosis (ATN; ukonakala kweeseli zesifo sezintso)
• Isifo sezintso ngokuzenzekelayo
• Igazi elixineneyo kwi-cholesterol (cholesterol emboli)
• Ukwehla kwegazi ngenxa yoxinzelelo lwegazi olusezantsi kakhulu, olunokubangelwa kukutsha, ukuphelelwa ngamanzi emzimbeni, ukopha, ukonzakala, ukothuka, isifo esibi okanye uqhaqho.
• Ukuphazamiseka okubangela ukujiya ngaphakathi kwemithambo yegazi yezintso
• Usulelo olonzakalisa ngokuthe ngqo izintso, ezinje nge-pyelonephritis ebukhali okanye i-septicemia
• Iingxaki zokukhulelwa, kubandakanya ukuphazamiseka kweplacenta okanye ipacenta previa
• Ukuvalwa kwendlela yokuchama
• Iziyobisi ezingekho mthethweni ezifana necocaine neqhawekazi
• Amayeza kubandakanya non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics ezithile kunye namayeza uxinzelelo lwegazi, umahluko efakwa (idayi), ezinye umhlaza kunye neziyobisi HIV

Iimpawu zokusilela kwezintso ezigwenxa zingabandakanya nayiphi na kwezi zinto zilandelayo:

• Izitulo zegazi
• Iphunga lokuphefumla kunye nencasa yentsimbi emlonyeni
• Ukukrala ngokulula
• Utshintsho kwisimo sengqondo okanye imeko
• Ukunciphisa ukutya
• Ukuhla kwemvakalelo, ngakumbi ezandleni nasezinyaweni
• Ukukhathala okanye ukuhamba kancinci
• Intlungu yeflank (phakathi kweembambo kunye nesinqe)
• Ukungcangcazela kwesandla
• Ukumbombozela kwentliziyo
• Igazi elonyukayo
• Isihlunu okanye ukugabha, kunokuhlala iintsuku
• Iimpumlo
• Ii-hiccups ezingapheliyo
• Ukopha ixesha elide
• Ukuxhuzula
• Ukuqhawukelwa ngumphefumlo
• Ukudumba ngenxa yokugcina umzimba kulwelo (kunokubonwa emilenzeni, emaqatheni nasezinyaweni)
• Utshintsho lomchamo, njengomchamo omncinci okanye ungabikho kwaphela, ukuchama okugqithisileyo ebusuku, okanye ukuchama okuyeka ngokupheleleyo

Umboneleli wezempilo uyakukuvavanya.

Uvavanyo lokujonga ukusebenza kakuhle kwezintso zakho lubandakanya:

• BUN
• Ukucoca creatinine
• I-serum creatinine
• I-potassium yeSerum
• Uhlalutyo lomchamo

Olunye uvavanyo lwegazi lunokwenziwa ukufumana esona sizathu sokusilela kwezintso.

Intso okanye isisu se-ultrasound luvavanyo olukhethwayo lokufumanisa ukuvaleka kwendlela yokuchama. I-X-ray, i-CT scan, okanye i-MRI yesisu inokuxela nokuba kukho ukubhloka.

Nje ukuba kufunyaniswe unobangela, injongo yonyango kukunceda izintso zakho zisebenze kwakhona kwaye zithintele ulwelo kunye nenkunkuma ekwakheni emzimbeni wakho ngelixa ziphola. Ngokwesiqhelo, kuya kufuneka ulale esibhedlele ukuze ufumane unyango.

Isixa solwelo oselwayo luya kuncitshiswa kumyinge womchamo onokuthi uvelise. Uya kuxelelwa into onokuyitya kwaye ungangayityi ukunciphisa ukwakheka kweetyhefu eziqhele ukususwa zizintso. Indlela otya ngayo ingadinga ukuba ibe nee-carbohydrate ezininzi kwaye ibe neeprotein ezincinci, ityuwa kunye ne-potassium.

Unokufuna i-antibiotics ukunyanga okanye ukuthintela usulelo. Iipilisi zamanzi (i-diuretics) zingasetyenziselwa ukunceda ukususa ulwelo emzimbeni wakho.

Amayeza aya kunikwa ngomthambo ukunceda ukulawula inqanaba lakho le-potassium yegazi.

Unokufuna i-dialysis. Olu lunyango olwenza izinto ezenziwa zizintso ezisempilweni- ukususa umzimba wenkunkuma eyingozi, ityuwa eyongezelelweyo kunye namanzi. I-Dialysis ingasindisa ubomi bakho ukuba amanqanaba akho e-potassium aphezulu kakhulu. I-Dialysis iya kusetyenziswa kwakhona ukuba:

• Isimo sakho sengqondo siyatshintsha
• Uphuhlisa i-pericarditis
• Ugcina ulwelo oluninzi
• Awunakho ukususa iimveliso zenkunkuma ye-nitrogen emzimbeni wakho

I-Dialysis iya kuhlala ixesha elifutshane. Kwezinye iimeko, umonakalo wezintso mkhulu kangangokuba i-dialysis iyimfuneko ngokusisigxina.

Fowunela umboneleli wakho ukuba ukuphuma kwakho komchamo kuhamba kancinci okanye kuyeka okanye unezinye iimpawu zokungaphumeleli kwezintso.

Ukuthintela ukusilela kwezintso

• Iingxaki zempilo ezinje ngoxinzelelo oluphezulu lwegazi okanye isifo seswekile kufuneka zilawulwe kakuhle.
• Thintela iziyobisi kunye namayeza anokubangela ukonzakala kwezintso.

Ukungaphumeleli kwezintso; Ukusilela kwezintso; Ukusilela kwezintso - etsolo; I-ARF; Ukulimala kwezintso - ngokukhawuleza

• I-anatomy yezintso

IMolitoris BA. Ukwenzakala kwezintso Acute. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 112.

I-Oh MS, i-Briefel G. Uvavanyo lomsebenzi we-renal, amanzi, ii-electrolyte, kunye ne-acid-base balance. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 14.

I-Weisbord SD, iNkulumbuso yePalevsky. Ukuthintela kunye nokulawulwa kokulimala kwezintso. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 29.