Iimpawu zeNqanaba eliPhakamileyo le-Creatinine

Umxholo

• Yintoni i-creatinine?
• Uluhlu oluqhelekileyo noluphakamileyo
• Uvavanyo lwe-creatinine yegazi
• Uvavanyo lwe-creatinine yomchamo
• Zingathetha ntoni iziphumo zakho eziphezulu
• Iimpawu ezinokuhamba ne-creatinine ephezulu
• Ityhefu yeziyobisi (nephrotoxicity ebangelwa ziziyobisi)
• Usulelo lwezintso (pyelonephritis)
• IGlomerulonephritis
• Seswekile
• Igazi elonyukayo
• Isifo sentliziyo
• Ukuvalwa kwendlela yokuchama
• Ukusilela kwezintso
• Nini ukubona ugqirha
• Yintoni umbono we-creatinine ephezulu?

Yintoni i-creatinine?

I-Creatinine yimveliso yenkunkuma eyenziwe yimisipha yakho. Izintso zakho zisebenza ukucoca i-creatinine kunye nezinye iimveliso zenkunkuma egazini lakho. Emva kokucoca, ezi mveliso zenkunkuma ziyagxothwa emzimbeni wakho kumchamo.

Ukulinganisa amanqanaba e-creatinine kunokunika ukuqonda okubalulekileyo kwindlela ezinokusebenza ngayo izintso zakho. Ugqirha wakho unokulinganisa amanqanaba e-creatinine kwigazi lakho nakumchamo wakho.

Amanqanaba e-creatinine angaphezulu okanye angaphantsi kwamanqanaba aqhelekileyo anokubonisa ubukho bempilo. Makhe sijonge ngakumbi kwi-creatinine ephezulu, iimpawu ezihamba nayo, kunye nexesha lokubonana nogqirha.

Uluhlu oluqhelekileyo noluphakamileyo

Amanqanaba e-Creatinine anokugqitywa kusetyenziswa uvavanyo lwegazi okanye uvavanyo lomchamo.

Uvavanyo lwe-creatinine yegazi

Unokubona olu vavanyo lubizwa ngokuba luvavanyo lwe-serum creatinine. Ngexesha lovavanyo, igazi liyaqokelelwa lisuka emthanjeni engalweni yakho lize emva koko lithunyelwe elabhoratri ukuze lihlalutywe.

Ngokwe-Mayo Clinic, uluhlu oluqhelekileyo lwe-creatinine (yabantu abadala) egazini ngesiqhelo:

• Iiyunithi zase-U.S. I-0.84 ukuya kwi-1.21 milligrams ngedesilitha nganye (mg / dL)
• Iiyunithi zaseYurophu: I-74.3 ukuya kwi-107 micromoles ilitha nganye (umol / L)

Amanqanaba okudala ngaphezu kwamaxabiso aqhelekileyo anokuqwalaselwa njengaphezulu. Ugqirha wakho unokufuna ukuqinisekisa la maxabiso ngokusebenzisa uvavanyo lomchamo okanye ngokuphinda uvavanyo lwegazi.

Uvavanyo lwe-creatinine yomchamo

Ugqirha wakho unokuqokelela isampuli yomchamo engaqhelekanga (eyodwa) kolu vavanyo, kodwa baya kuthi bacele isampulu yeeyure ezingama-24. Isampuli yomchamo weeyure ezingama-24 kubandakanya ukuqokelela umchamo wakho kangangexesha leeyure ezingama-24.

Ngokwe-Mayo Clinic Laboratories, umchamo oqhelekileyo we-creatinine kwiisampulu zomchamo weeyure ezingama-24 zezi:

• Iiyunithi zase-U.S. I-955 ukuya kwi-2,936 milligrams ngeyure ezingama-24 (mg / ngosuku) yamadoda; I-601 ukuya kwi-1,689 mg / iiyure ezingama-24 kwabasetyhini
• Iiyunithi zaseYurophu: I-8.4 ukuya kwi-25.9 millimoles ngeyure ezingama-24 (mmol / ngosuku) yamadoda; I-5.3 ukuya kwi-14.9 mmol / ngosuku kubafazi

Amanqanaba okuchama e-urine ngaphezulu kwezi zigaba athathelwa phezulu, kwaye kuvavanyo olongezelelekileyo okanye ukuphinda kuvavanyo kunokufuneka.

Inani le-creatinine kumchamo linokusetyenziswa ngokudibeneyo kunye neziphumo ze-serum creatinine ukubala imvume yakho ye-creatinine, ebonisa ukuba izintso zakho zilicoca njani igazi lakho.

Amanqanaba e-Creatinine anokuhluka ngenxa yeminyaka efana nobudala, isini, ubuhlanga, i-hydration, okanye ubunzima bomzimba. Ukongeza, amanqanaba esalathiso aqhelekileyo anokuhluka ukusuka kwelebhu ukuya kwelebhu.

Kubalulekile ukuba ungazami ukutolika iziphumo zakho ngokwakho. Ugqirha wakho uza kusebenza nawe ukuvavanya nokutolika iziphumo zakho nokuba zinokuthetha ntoni na.

Zingathetha ntoni iziphumo zakho eziphezulu

Ke kuthetha ntoni ukuba unamanqanaba aphezulu e-creatinine?

Ngokubanzi, amanqanaba aphezulu e-creatinine anokubonisa ukuba izintso zakho azisebenzi kakuhle.

Zininzi izinto ezinokubangela i-creatinine ephezulu, ezinye zazo zinokubakho ngexesha elinye. Imizekelo inokubandakanya izinto ezinjengokuphela kwamanzi emzimbeni okanye ukungenisa izixa ezikhulu zeprotein okanye isongezo sokuyila. Zonke ezi zinto zinokuba nzima okwexeshana kwizintso zakho.

Nangona kunjalo, abanye oonobangela be-creatinine ephezulu banokuthi babhekise kwimeko yezempilo. Uninzi lwezi meko lunokubangela umonakalo okanye isifo esichaphazela ukusebenza kwezintso. Banokubandakanya:

• Ityhefu yeziyobisi (nephrotoxicity)
• Usulelo lwezintso (pyelonephritis)
• glomerulonephritis
• isifo seswekile
• igazi elonyukayo
• isifo sentliziyo, njenge-atherosclerosis okanye ukungaphumeleli kwentliziyo
• ukuvalwa kwendlela yokuchama
• ukusilela kwezintso, zombini ezigwenxa nezingapheliyo

Iimpawu ezinokuhamba ne-creatinine ephezulu

Iimpawu ze-creatinine ephezulu zixhomekeka kwimeko ebangela oko.

Ityhefu yeziyobisi (nephrotoxicity ebangelwa ziziyobisi)

Olunye unyango lunokubangela umonakalo kwizintso kwaye lonakalise amandla abo okusebenza. Imizekelo yezi ziyobisi yile:

• I-antibiotics, njenge-aminoglycosides, i-rifampin kunye ne-vancomycin
• iziyobisi zentliziyo, ezinje nge-ACE inhibitors kunye ne statins
• iziyobisi chemotherapy
• womchamo
• lithium
• Iiproton pump inhibitors

Iimpawu ezihamba kunye ne-creatinine ephezulu kwaye inokukhula ngokukhawuleza inokubandakanya:

• ukugcinwa kwamanzi, ngakumbi emzimbeni wakho osezantsi
• ukugqithisa amanani asezantsi omchamo
• ndiziva ndibuthathaka okanye ndidiniwe
• ukudideka
• isicaphucaphu
• ukuqhawukelwa ngumphefumlo
• ukubetha kwentliziyo ngendlela engaqhelekanga
• iintlungu zesifuba

Usulelo lwezintso (pyelonephritis)

Usulelo lwezintso luhlobo losulelo lwe-urinary tract (UTI). Kungenzeka xa iibhaktheriya okanye iintsholongwane zichaphazela ezinye iindawo zomchamo ngaphambi kokuba unyukele kwizintso.

Ukuba ishiywe inganyangwa, usulelo lwezintso lunokubangela umonakalo kwizintso zakho kunye nokusilela kwezintso. Ezinye iimpawu zosulelo lwezintso ekufuneka uzijongile zibandakanya:

• ifiva
• Intlungu ebekwe endaweni yakho ngasemva, kwicala, okanye ekuthini
• Ukuchama okuhlala kunjalo okanye kubuhlungu
• umchamo obonakala umnyama, kunamafu, okanye ligazi
• umchamo onuka kakubi
• Ukugodola
• isicaphucaphu okanye ukugabha

IGlomerulonephritis

IGlomerulonephritis yenzeka xa iinxalenye zezintso zakho ezicoca igazi lakho zitshisa. Ezinye zezinto ezinokubangela zibandakanya ukosuleleka okanye izifo ezizimele njenge-lupus kunye ne-Goodpasture syndrome.

IGlomerulonephritis inokukhokelela ekunqobeni kwezintso kunye nomonakalo kunye nokusilela kwezintso. Iimpawu zale meko zibandakanya:

• igazi elonyukayo
• igazi lomchamo, elinokuthi lenze ukuba libonakale lipinki okanye limdaka
• umchamo obonakala ugwebu ngenxa yamanqanaba aphezulu eproteni
• ukugcinwa kolwelo ebusweni, ezandleni nasezinyaweni

Seswekile

Isifo seswekile yimeko apho iswekile esegazini lakho iphezulu kakhulu.Amanqanaba eswekile aphakamileyo anokukhokelela kwiingxaki ezahlukeneyo zempilo, esinye sazo sisifo sezintso.

Zimbini iintlobo zesifo seswekile- uhlobo 1 kunye nohlobo 2. Iimpawu zohlobo lweswekile 1 zinokukhula ngokukhawuleza ngelixa iimpawu zohlobo lwesibini zihlala zikhula kancinci. Iimpawu eziqhelekileyo zesifo seswekile zibandakanya:

• ndiziva ndinxaniwe kakhulu
• ukuchama rhoqo
• ukwanda kwesidlo
• ndiziva ndidiniwe
• ukungaboni kakuhle
• uvakalelo lokuba ndindisholo okanye ukubetha ezandleni nasezinyaweni
• ukuphola kwenxeba kancinci

Igazi elonyukayo

Uxinzelelo lwegazi oluphezulu lwenzeka xa amandla egazi atyhala kwiindonga zemithambo yakho iphezulu kakhulu. Oku kungonakalisa okanye kunciphise imithambo yegazi ejikeleze izintso, ichaphazele ukusebenza kwezintso kwaye ibangele i-creatinine ephezulu.

Kuba uxinzelelo lwegazi oluphezulu kaninzi alunazimpawu, abantu abaninzi abazi ukuba banalo. Ihlala ifunyenwe ngexesha lokuvavanywa kwempilo rhoqo.

Isifo sentliziyo

Imiqathango echaphazela intliziyo kunye nemithambo yegazi, njenge-atherosclerosis kunye nokuhluleka kwentliziyo, kunokuchaphazela ukusebenza kwezintso. Ezi meko zinokuchaphazela ukuhamba kwegazi ngezintso, ezikhokelela ekonakaleni okanye ekulahlekelweni ngumsebenzi.

Iimpawu ze-atherosclerosis aziqhelekanga zenzeke de i-artery iyancipha kakhulu okanye ivalwe ngokupheleleyo. Banokuxhomekeka kuhlobo lomthambo ochaphazelekayo. Ezinye zeempawu zibandakanya:

• Intlungu yesifuba (angina)
• ukuqhawukelwa ngumphefumlo
• ukubetha kwentliziyo okungaqhelekanga (arrhythmia)
• Ndiziva ndidiniwe okanye ndibuthathaka
• iimpawu ezinjengokubetha, njengokukhubazeka okanye ukuthetha ingxaki

Iimpawu zokusilela kwentliziyo yokuxinana kunokubandakanya:

• ubunzima bokuphefumla okanye ukuphefumla kancinci
• Ndiziva ndidiniwe okanye ndidiniwe
• ukudumba esiswini, emilenzeni, okanye ezinyaweni

Ukuvalwa kwendlela yokuchama

Umchamo wakho wokuchama unokuvalwa ngenxa yezinto ezahlukeneyo, ezinje ngamatye ezintso, iprostate eyandisiweyo, okanye amathumba. Xa oku kusenzeka, umchamo unokuqokelelana kwizintso, okukhokelela kwimeko ebizwa ngokuba yi-hydronephrosis.

Iimpawu zokuvalwa kwendlela yokuchama kunokukhula ngokukhawuleza okanye ngokucothayo ekuhambeni kwexesha kuxhomekeke kwisizathu. Ezinye zeempawu ekufuneka uzijongile ukongeza kwinqanaba eliphezulu lokudala zibandakanya:

• iintlungu emqolo okanye ecaleni
• Ukuchama rhoqo okanye okubuhlungu
• igazi kumchamo wakho
• ukugqithisa izixa ezincinane zomchamo okanye ukuba nomjelo womchamo obuthathaka
• Ndiziva ndidiniwe okanye ndidiniwe

Ukusilela kwezintso

Ukusilela kwezintso kubhekisa ekunciphiseni kokusebenza kwezintso kwaye yenye yezona zinto zixhaphakileyo ze-creatinine ephezulu. Ingaba nzima okanye ingapheliyo. Iimpawu zokungaphumeleli kwezintso ngokukhawuleza zinokuza ngokukhawuleza ngelixa ezo zingaphumeleli kwizintso ezingapheliyo zikhula ngokuhamba kwexesha.

Ezinye zeempawu zokusilela kwezintso ekubukeni zibandakanya:

• ukugcinwa kwamanzi, ngakumbi emzimbeni wakho osezantsi
• ukugqithisa amanani asezantsi omchamo
• ndiziva ndibuthathaka okanye ndidiniwe
• intloko ebuhlungu
• ukudideka
• isicaphucaphu
• ingxaki yokulala
• ukuxhamla izihlunu
• ukuziva urhawuzelele
• ukuqhawukelwa ngumphefumlo
• iintlungu zesifuba

Nini ukubona ugqirha

Kuya kufuneka usoloko ubiza ugqirha wakho ukuba unempawu ezintsha, ezingachazwanga, okanye eziphindaphindayo, ngakumbi ukuba ziyahambelana neemeko ezifana nesifo sezintso, isifo seswekile, okanye isifo sentliziyo.

Ugqirha wakho uya kusebenza nawe ukuvavanya iimpawu zakho kunye nokuchonga unyango olulungele wena.

Kubalulekile ukuba ukhumbule ukuba iintlungu zesifuba kunye nokungaphumeleli kwezintso kufuneka zihlale zithathwa ngokungathí sina. Kuya kufuneka uqiniseke ukuba ufuna unyango kwangoko ukuba ufumana enye yazo.

Yintoni umbono we-creatinine ephezulu?

Zininzi izinto ezinokubangela amanqanaba aphezulu e-creatinine. Ukongeza, iimpawu ze-creatinine ephezulu zinokwahluka ngokuxhomekeke kwisizathu.

Kwiimeko ezininzi, amayeza anokunceda ukusombulula amanqanaba aphezulu e-creatinine ngokunyanga imeko ebangela ukwanda. Eminye imizekelo ibandakanya i-antibiotics yosulelo lwezintso okanye amayeza anceda ukulawula uxinzelelo lwegazi oluphezulu.

Kwiimeko zokungaphumeleli kwezintso, i-dialysis inokufuneka ukongeza kumayeza ukunceda ukucoca ityhefu kunye nemveliso yenkunkuma egazini lakho. Kwiimeko ezinzima okanye kumanqanaba okugqibela, unokufakelwa izintso.