Uvavanyo lweGlomerular Filtration Rate (GFR)

Umxholo

• Yintoni uvavanyo lweglosfera lokuhluza (GFR)?
• Isetyenziselwa ntoni?
• Kutheni ndifuna uvavanyo lwe-GFR?
• Yintoni eyenzekayo ngexesha lovavanyo lwe-GFR?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-GFR?
• Izalathiso

Yintoni uvavanyo lweglosfera lokuhluza (GFR)?

Umgangatho wokuhluza i-glomerular (GFR) luvavanyo lwegazi olujonga ukuba izintso zakho zisebenza kakuhle kangakanani. Izintso zakho zinezihluzo ezincinci ezibizwa ngokuba yi-glomeruli. Ezi zihluzo zinceda ukususa inkunkuma kunye nolwelo olugqithisileyo egazini. Uvavanyo lwe-GFR luqikelela ukuba lingakanani igazi elidlula kwezi zihluzo ngomzuzu ngamnye.

I-GFR inokulinganiswa ngokuthe ngqo, kodwa luvavanyo olunzima, olufuna ababoneleli abakhethekileyo. Ke i-GFR ihlala iqikelelwa kusetyenziswa uvavanyo olubizwa ngokuba yi-GFR eqikelelweyo okanye i-eGFR. Ukufumana uqikelelo, umboneleli wakho uya kusebenzisa indlela eyaziwa ngokuba sisibali seGFR. I-GFR yokubala luhlobo lwefomula yemathematika eqikelela izinga lokuhluza usebenzisa ezinye okanye zonke ezi nkcukacha zilandelayo malunga nawe:

• Iziphumo zovavanyo lwegazi ezilinganisa i-creatinine, imveliso yenkunkuma ehluzwe zizintso
• Ubudala
• Ubunzima
• Ukuphakama
• Isini
• Uhlanga

I-eGFR luvavanyo olulula olunokunika iziphumo ezichanekileyo.

Amanye amagama: i-GFR eqikelelweyo, i-eGFR, ukubalwa kwenqanaba lokuhluza le-glomerular, cGFR

Isetyenziselwa ntoni?

Uvavanyo lwe-GFR lusetyenziselwa ukunceda ukufumanisa isifo sezintso kwinqanaba lokuqala, xa sinokunyangeka kakhulu. I-GFR ingasetyenziselwa ukubeka esweni abantu abanezifo zesifo esingasigxina (CKD) okanye ezinye iimeko ezibangela ukulimala kwezintso. Oku kubandakanya isifo seswekile kunye noxinzelelo lwegazi.

Kutheni ndifuna uvavanyo lwe-GFR?

Isifo sokuqala sezintso asibangeli mpawu. Kodwa unokufuna uvavanyo lwe-GFR ukuba usemngciphekweni omkhulu wokufumana isifo sezintso. Izinto zomngcipheko zibandakanya:

• Seswekile
• Igazi elonyukayo
• Imbali yosapho yokusilela kwezintso

Kamva isifo sezintso senza iimpawu. Ke unokufuna uvavanyo lwe-GFR ukuba unayo nayiphi na impawu zilandelayo:

• Ukuchama ngaphezulu okanye ngaphantsi rhoqo kunesiqhelo
• Ukurhawuzelela
• Ukudinwa
• Ukudumba ezingalweni, emilenzeni, nasezinyaweni
• Iintlanzi zemisipha
• Isicaphucaphu nokugabha
• Ukuphelelwa ngumdla wokutya

Yintoni eyenzekayo ngexesha lovavanyo lwe-GFR?

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?

Kuya kufuneka ukhawuleze (ungatyi okanye usele) okanye uphephe ukutya okuthile 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?

Iziphumo zakho ze-GFR zingabonisa enye yezi zinto zilandelayo:

• Ngokuqhelekileyo-mhlawumbi awunaso isifo sezintso
• Ngaphantsi kwesiqhelo-unokuba nesifo sezintso
• Ngaphantsi kakhulu kwesiqhelo-unokuba nokusilela kwezintso

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

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

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-GFR?

Nangona umonakalo kwizintso uhlala usisigxina, ungathatha amanyathelo okuthintela umonakalo ongaphezulu. Amanyathelo anokubandakanya:

• Amayeza oxinzelelo lwegazi
• Amayeza okulawula iswekile yegazi ukuba unesifo seswekile
• Iindlela zokuphila ezinje ngokufumana umthambo ngakumbi kunye nokugcina ubunzima obusempilweni
• Ukunciphisa umda utywala
• Ukuyeka ukutshaya

Ukuba unyanga isifo sezintso kwangethuba, unokukwazi ukuthintela ukusilela kwezintso. Olunye unyango olunokukhethwa kukusilela kwezintso yi-dialysis okanye ukufakelwa kwezintso.

Izalathiso

1. Ingxowa mali yezintso yaseMelika [kwi-Intanethi]. I-Rockville (MD): Ingxowa-mali yeZintso zaseMelika, Inc .; c2019. Isifo Esinganyangekiyo Sezintso (CKD) [icatshulwe ngo-2019 ngoMvulo 10]; [malunga nezikrini ezi-2], Ifumaneka kwi: http://www.kidneyfund.org/kidney-disease/chronic-kidney-disease-ckd
2. Amayeza kaJohn Hopkins [kwi-Intanethi]. IBaltimore: IYunivesithi yaseJohn Hopkins; c2019. Isifo Esinganyangekiyo Sezintso [sicatshulwe ngo-2019 kuMatshi 10]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-kidney-disease
3. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC; Umbutho waseMelika weKhemesti yezonyango; c2001–2019. Uqikelelo lweGreyterular Filtration Rate (eGFR) [ehlaziyiweyo ye-2018 kaDec 19; icatshulwe ngo-2019 ngoMvulo 10]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/tests/estimated-glomerular-filtration-rate-egfr
4. Intliziyo kaZwelonke, iMiphunga, kunye neZiko leGazi [kwi-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lwegazi [lukhankanywe ngo-2019 kuMatshi 10]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.nhlbi.nih.gov/health-topics/blood-tests
5. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lwezifo zezintso ezingapheliyo kunye nokuchongwa; I-2016 Okt [icatshulwe ngo-Epreli 2019]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/tests-diagnosis
6. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Imibuzo Ebuzwa Rhoqo: I-eGFR [icatshulwe ngo-Epreli 2019]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/frequently-asked-questions
7. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; I-Glomerular Filtration Rate (GFR) yeekharityhuleyitha [ezicatshulwe ngo-2019 ngoMvulo 10]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/glomerular-filtration-rate-calculators
8. Isiseko seNtso kuZwelonke [kwi-Intanethi]. ENew York: Isiseko seNtso seSizwe Inc., c2019. Isikhokelo sezeMpilo kwi-Z: Malunga neSifo seZintso esingapheliyo [icatshulwe ngo-2019 kuMvulo 10]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.kidney.org/atoz/content/about-chronic-kidney-disease
9. Isiseko seNtso kuZwelonke [kwi-Intanethi]. ENew York: Isiseko seNtso seSizwe Inc., c2019. Isikhokelo seMpilo esiya ku-Z: Uqikelelo lweGreyterular Filtration Rate (eGFR) [icatshulwe ngo-2019 kuMatshi 10]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.kidney.org/atoz/content/gfr
10. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): IYunivesithi yaseFlorida; c2019. Izinga lokuhluza leGlomerular: Ubume [uhlaziye i-2019 kaMatshi 10; icatshulwe ngo-2019 ngoMvulo 10]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/glomerular-filtration-rate
11. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. Inzululwazi yezeMpilo: Inqanaba lokucocwa kweGlomerular [icatshulwe ngo-2019 ngoMvulo 10]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=glomerular_filtration_rate
12. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2018. Ulwazi lwezeMpilo: Igreyithi yokuHlanywa kweGlomerular (GFR): Isishwankathelo sesihloko [sihlaziyiwe ngo-2018 nge-15 kaMatshi; icatshulwe ngo-2019 ngoMvulo 10]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/special/glomerular-filtration-rate/aa154102.html

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.