BUN (Igazi le-Urea Nitrogen)

Umxholo

• Yintoni uvavanyo lweBUN (igazi urea nitrogen)?
• Isetyenziselwa ntoni?
• Kutheni ndifuna uvavanyo lweBUN?
• Kwenzeka ntoni ngexesha lovavanyo lweBUN?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lweBUN?
• Izalathiso

Yintoni uvavanyo lweBUN (igazi urea nitrogen)?

I-BUN, okanye uvavanyo lwe-nitrogen yegazi, inokubonelela ngolwazi olubalulekileyo malunga nokusebenza kwezintso. Owona msebenzi wezintso zakho kukususa inkunkuma kunye nolwelo olongezelelekileyo emzimbeni wakho. Ukuba unesifo sezintso, le nto inkunkuma inokwakha egazini lakho kwaye inokukhokelela kwiingxaki ezinzulu zempilo, kubandakanya uxinzelelo lwegazi oluphezulu, i-anemia kunye nesifo sentliziyo.

Uvavanyo lilinganisa inani le-urea nitrogen egazini lakho. I-nitrogen ye-Urea yenye yeemveliso zenkunkuma ezisuswe egazini lakho zizintso zakho. Amanqanaba aphezulu kune-BUN angangumqondiso wokuba izintso zakho azisebenzi ngokufanelekileyo.

Abantu abanesifo sezintso zakuqala abanokungabi nazimpawu. Uvavanyo lwe-BUN lunokunceda ukufumanisa iingxaki zezintso kwinqanaba lokuqala xa unyango lunokusebenza ngakumbi.

Amanye amagama ovavanyo lwe-BUN: Urea uvavanyo lwe-nitrogen, i-serum BUN

Isetyenziselwa ntoni?

Uvavanyo lwe-BUN luhlala luyinxalenye yoluhlu lweemvavanyo ezibizwa ngokuba yiphaneli ebanzi ye-metabolic, kwaye inokusetyenziselwa ukunceda ukufumanisa okanye ukujonga isifo sezintso okanye ukuphazamiseka.

Kutheni ndifuna uvavanyo lweBUN?

Umboneleli wakho wokhathalelo lwempilo unokuyalela uvavanyo lwe-BUN njengenxalenye yovavanyo oluqhelekileyo okanye ukuba unayo okanye usengozini yengxaki yezintso. Nangona isifo sokuqala sezintso sihlala singenazimpawu okanye zimpawu, izinto ezithile zinokukubeka emngciphekweni omkhulu. Oku kubandakanya:

• Imbali yosapho yeengxaki zezintso
• Seswekile
• Igazi elonyukayo
• Isifo sentliziyo

Ukongeza, amanqanaba akho e-BUN anokujongwa ukuba ufumana iimpawu zesifo sezintso kamva, ezinje:

• Kufuneka uye kwigumbi lokuhlambela (uchame) rhoqo okanye rhoqo
• Ukurhawuzelela
• Ukudinwa okuphindaphindiweyo
• Ukudumba ezingalweni, emilenzeni, nasezinyaweni
• Iintlanzi zemisipha
• Ingxaki yokulala

Kwenzeka ntoni ngexesha lovavanyo lweBUN?

Ingcali yokhathalelo lwempilo iyakuthatha isampulu yegazi kumthambo engalweni yakho, isebenzisa inaliti encinci. Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Unokuziva uluma kancinci xa inaliti ingena okanye iphuma. Oku kuhlala kuthatha imizuzu engaphantsi kwesihlanu.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awudingi naluphi na ulungiselelo olukhethekileyo lovavanyo lweBUN. Ukuba umboneleli wakho wezempilo uye wayalela ezinye iimvavanyo zegazi, unokufuna ukuzila ukutya (ungatyi okanye usele) iiyure ezininzi ngaphambi kovavanyo. Umboneleli wakho wezempilo uya kukwazisa ukuba ngaba kukho nayiphi na imiyalelo ekhethekileyo ekufuneka uyilandele.

Ngaba bukhona ubungozi kuvavanyo?

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza.

Zithetha ntoni iziphumo?

Amanqanaba aqhelekileyo e-BUN angahluka, kodwa ngokubanzi inqanaba eliphezulu legazi urea nitrogen luphawu lokuba izintso zakho azisebenzi ngokuchanekileyo. Nangona kunjalo, iziphumo ezingaqhelekanga azisoloko zibonisa ukuba unemeko yonyango efuna unyango. Amanqanaba aphezulu kune-BUN aqhelekileyo anokubangelwa kukuphelelwa ngamanzi emzimbeni, ukutsha, amayeza athile, ukutya okuneprotein ephezulu, okanye ezinye izinto, kubandakanya ubudala bakho. Amanqanaba e-BUN ahlala ekhula njengoko usiya ukhula. Ukuze ufunde ukuba zithini iziphumo zakho, thetha nomboneleli wakho wezempilo.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lweBUN?

Uvavanyo lwe-BUN luhlobo olunye kuphela lokulinganisa ukusebenza kwezintso. Ukuba umboneleli wakho wezempilo ukrokrela ukuba unesifo sezintso, uvavanyo olongezelelweyo lunokucetyiswa. Oku kunokubandakanya umlinganiso we-creatinine, eyenye imveliso yenkunkuma ehluzwe zizintso zakho, kunye novavanyo olubizwa ngokuba yi-GFR (iGlomerular Filtration Rate), eqikelela ukuba izintso zakho zilicoca njani igazi.

Izalathiso

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2. ILyman JL. Igazi urea nitrogen kunye ne-creatinine. I-Emerg Med kwiKlinikhi yaseNyakatho Am [kwi-Intanethi]. Ngo-1986 ngoMeyi 4 [icatshulwe ngowama-2017 kaJan 30]; 4 (2): 223–33. Ifumaneka kwi: https://www.ncbi.nlm.nih.gov/pubmed/3516645
3. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998-2017. Uvavanyo lwegazi lwe-Urea Nitrogen (BUN): Ubume; I-2016 Jul 2 [icatshulwe ngo-2017 ngoJan 30]; [malunga nezikrini ezi-3]. Ifumaneka kwi: http://www.mayoclinic.org/tests-procedures/blood-urea-nitrogen/home/ovc-20211239
4. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998-2017. Uvavanyo lwegazi lwe-Urea Nitrogen (BUN): Iziphumo; I-2016 Jul 2 [icatshulwe ngo-2017 ngoJan 30]; [malunga nezikrini ezi-7]. Ifumaneka kwi: http://www.mayoclinic.org/tests-procedures/blood-urea-nitrogen/details/results/rsc-20211280
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9. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Isiseko seZifo zeZintso; [ihlaziyiwe ngo-2012 Mar 1; kucatshulwe ngo-2017 kuJan 30]; [malunga nezikrini ezi-7]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/health-communication-programs/nkdep/learn/causes-kidney-disease/kidney-disease-basics/pages/kidney-disease-basics.aspx
10. Inkqubo Yemfundo Yesifo Sezintso kuZwelonke: Uvavanyo lweLebhu [kwi-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Inkqubo Yemfundo Yesifo Sezintso Kuzwelonke: Iziphumo Zakho Zokuvavanywa Kwezintso; [ihlaziywe ngo-2013 Feb; kucatshulwe ngo-2017 kuJan 30]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation
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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.