Isifo sezintso esinganyangekiyo: iimpawu kunye nonyango

Umxholo

• Iimpawu zesifo sezintso ezingapheliyo
• Unyango lwenziwa njani
• Amanqanaba eCKD

Isifo seZintso esingapheliyo, esikwabizwa ngokuba yi-CKD okanye ukusilela kwezintso okungapheliyo, sibonakala ngokuphulukana okukhoyo kwezintso ukukwazi ukucoca igazi, nto leyo ebangela ukuba isigulana sifumane iimpawu ezinjengokudumba kweenyawo namaqatha, ubuthathaka nokubonakala kwegwebu umchamo, umzekelo.

Ngokubanzi, isifo esinganyangekiyo sezintso sihlala sihleli kubantu abadala, seswekile, kwizigulana ezixinzelelekileyo okanye kubantu abanembali yosapho yesifo sezintso. Ke ngoko, kubalulekile ukuba aba bantu benze umchamo kunye novavanyo lwegazi ngamaxesha athile, kunye nomthamo we-creatinine, ukujonga ukuba izintso zisebenza ngokufanelekileyo na kwaye kukho umngcipheko wokuphuhliswa kwe-CKD.

Iimpawu zesifo sezintso ezingapheliyo

Iimpawu eziphambili ezinxulumene neSifo seZintso esingapheliyo zezi:

• Ukuchama amagwebu;
• Iinyawo ezidumbileyo namaqatha, ngakumbi ekupheleni kosuku;
• Anemia;
• Ukudinwa okuhlala kunxulunyaniswa neanemia;
• Ukwanda kwamaza okuchama, ngakumbi ebusuku;
• Ubuthathaka;
• Malaise;
• Ukungabikho komdla;
• Ukudumba kwamehlo, okuhlala kubonakala kwinqanaba eliphezulu kakhulu;
• Isicaphucaphu nokugabha, kwinqanaba eliphezulu kakhulu lesi sifo.

Ukuxilongwa kokungaphumeleli kwezintso okungapheliyo kungenziwa kuvavanyo lomchamo, olufumanisa ubukho be-protein ye-albin okanye akunjalo, kunye novavanyo lwegazi, kunye nemilinganiselo ye-creatinine, ukujonga ubungakanani bayo egazini. Kwimeko yesifo sezintso ezinganyangekiyo, kukho i-albin kumchamo kwaye uxinzelelo lwe-creatinine egazini luphezulu. Funda konke malunga novavanyo lwe-creatinine.

Unyango lwenziwa njani

Unyango lwezifo zezintso ezinganyangekiyo kufuneka lukhokelwe yi-nephrologist, kwaye ukusetyenziswa kwamachiza anceda ukulawula iimpawu kuhlala kubonisiwe, kubandakanya i-diuretics, efana neFurosemide, okanye amayeza oxinzelelo lwegazi oluphezulu, njengeLosartana okanye iLisinopril, umzekelo.

Kwiimeko eziphambili kakhulu, unyango lunokubandakanya i-hemodialysis yokucoca igazi, kususwe nakuphi na ukungcola okungenakukwazi izintso, okanye ukufakelwa kwezintso.

Ukongeza, abaguli abanesifo esinganyangekiyo sezintso kufuneka batye ukutya okuneeprotein, ityuwa kunye ne potassium, kwaye kubalulekile ukuba ukhokelwe yingcali yezondlo. iboniswe yingcali yesondlo. Jonga kwividiyo engezantsi ukuba ungatya ntoni xa kungaphumeleli iZintso:

Amanqanaba eCKD

Isifo seNtso esinganyangekiyo sinokuhlelwa ngohlobo lokonzakala kwezintso kumanqanaba athile, anje ngala:

• Isigaba 1 isifo esinganyangekiyo sezintso: Umsebenzi oqhelekileyo wezintso, kodwa umchamo okanye iziphumo ze-ultrasound zibonisa ukonakala kwezintso;
• Isigaba 2 sesifo sezintso ezingapheliyo: Ukuncipha kokuphulukana nokusebenza kwezintso kunye neziphumo zovavanyo ezibonisa ukonakala kwezintso;
• Isigaba sesi-3 sesifo sezintso ezingapheliyo: Ukunciphisa umsebenzi weentso;
• Isigaba sesi-4 sesifo sezintso ezingapheliyo: Umsebenzi wezintso ochaphazelekayo kakhulu;
• Isigaba sesi-5 sesifo esingapheliyo sezintso: Ukuncitshiswa okunzima kokusebenza kwezintso okanye ukusilela kwezintso kwinqanaba lokugqibela.

Isifo sezintso esinganyangekiyo asinyangeki, kodwa sinokulawulwa ngamachiza aboniswe yi-nephrologist kunye nokutya okukhokelwa sisondlo. Nangona kunjalo, kwimeko yenqanaba lesi-4 okanye lesi-5 isifo sezintso, i-hemodialysis okanye ukufakelwa kwezintso kuyimfuneko. Qonda ukuba kwenziwa njani ukufakelwa kwezintso.