Ukungaphumeleli kwezintso ezingapheliyo: Iimpawu kunye nonyango

Umxholo

• Iimpawu zokusilela kwezintso
• Iimpawu zokusilela kwezintso ezibi:
• Iimpawu zokungaphumeleli kwezintso ezingapheliyo:
• Izizathu eziphambili
• Unyango lwenziwa njani

Ukusilela kwezintso kukusilela kwezintso ukucoca igazi, kususwe izinto ezimbi, ezinje nge-urea okanye i-creatinine, umzekelo, ezinokuqokelelana emzimbeni xa izintso zingasebenzi kakuhle.

Ukungaphumeleli kwe-renal kunokuba nzima okanye kunganyangeki, oku kubonakaliswa kukuncipha okukhawulezileyo ekusebenzeni kwezintso, ngelixa kwisifo esinganyangekiyo kukho ilahleko ngokuthe ngcembe yokusebenza kwezintso, okubangelwa zizinto ezinjengokuphelelwa ngamanzi emzimbeni, usulelo lomchamo, uxinzelelo lwegazi okanye umchamo, umzekelo.

Ngokubanzi, ukungaphumeleli kwezintso kuyanyangeka, kodwa ukusilela okungapheliyo kwezintso akusoloko kunyangeka kwaye unyango luhlala lwenziwa nge-hemodialysis okanye ukufakelwa kwezintso ukuphucula umgangatho wobomi wesigulana kunye nokukhuthaza impilo-ntle. Jonga ukuba wenziwa njani kwaye uchacha njani ukusuka kutshintsho lwezintso.

Iimpawu zokusilela kwezintso

Ukungaphumeleli kwe-renal kunokuzibonakalisa ngeempawu ezininzi, kuxhomekeke ekubeni kubuhlungu okanye kungapheliyo, njenge:

Iimpawu zokusilela kwezintso ezibi:

• Umchamo omncinci, tyheli omnyama kunye nephunga elinamandla;
• Ukudinwa ngokulula kunye nokuphefumla okufutshane;
• Iintlungu kumqolo osezantsi;
• Ukudumba kwemilenze neenyawo;
• Ukudinwa ngokulula kunye nokuphefumla okufutshane;
• Uxinzelelo oluphezulu;
• Umkhuhlane ongaphezulu ko 39ºC;
• Ukukhohlela igazi;
• Ukungabikho komdla kunye nobukho besicaphucaphu kunye nokugabha;
• Amaqhuma amancinci kulusu.

Ukongeza, utshintsho kwigazi kunye nomchamo lunokubonakala, kwaye ubukho beeproteni kumchamo bunokuchongwa, kunye namaxabiso aguqulweyo e-urea, i-creatinine, isodiyam kunye ne-potassium egazini. Funda ngendlela yokufumanisa ukungasebenzi kakuhle kwezintso.

Iimpawu zokungaphumeleli kwezintso ezingapheliyo:

• Ukuzimisela ukuchama rhoqo, ngakumbi ebusuku, ukuvuka ukuze uchame;
• Umchamo onamandla kunye nephunga;
• Uxinzelelo lwegazi oluphezulu olunokubangela ukubetha okanye ukusilela kwentliziyo;
• Ukuziva ubunzima obuphezulu kakhulu bomzimba;
• Iinyikima, ingakumbi ezandleni;
• Ukudinwa kakhulu;
• Izihlunu ezibuthathaka;
• Ukuxhuzulwa rhoqo;
• Ukulinganisa izandla neenyawo;
• Ukuphulukana nobuntununtunu;
• Ukuxhuzula;
• Isikhumba esimthubi;
• Isicaphucaphu nokugabha;
• Ukuphuhliswa kocwecwe omhlophe omncinci kulusu, olufana nomgubo, njengoko i-urea ikhazimla kukubila.

Xa ujonga ezi mpawu, kuyacetyiswa ukuba uqhagamshelane nengcali yezonyango ukuze uvavanyo lunokuyalelwa ukuba lufumanise ukusilela kwezintso kwaye ngaloo ndlela lubonise unyango olufanelekileyo.

Ukuchongwa kunokwenziwa ngokusekwe kwiimpawu kunye neemvavanyo ezinje nge-ultrasound, magnetic resonance, computed tomography, ukongeza kumchamo kunye nokuhlolwa kwegazi, njengokuhlalutya i-potassium, urea kunye ne-creatinine. Jonga indlela elinganiswa ngayo i-creatinine yegazi kunye nexabiso lesalathiso.

Izizathu eziphambili

Ukungaphumeleli kwezintso kunye nokugula okungapheliyo kunokwenzeka ngenxa:

• Ukuhla kwenani legazi kwizintso, ngenxa yokuphelelwa ngamanzi emzimbeni, ukungasebenzi kakuhle kwezintso okanye uxinzelelo lwegazi oluphantsi;
• Ukwenzakala kwezintso, ngenxa yamatye ezintso okanye izinto eziyityhefu ezinje ngamayeza;
• Ukuphazamiseka kokuhamba komchamo, Kubangelwa i-Prostate eyandisiweyo okanye ubukho be-tumor.
• Sepsis, apho iintsholongwane zifikelela kwizintso nakwamanye amalungu omzimba, anokubangela ukonakala kwilungu;
• Isifo sezintso sePolycystic, leyo ubonakala ubukho cysts eziliqela kwizintso, nto leyo enokuphazamisa ukusebenza kwayo;
• Ukusetyenziswa gwenxa kwamayeza kunye neeprotein supplements, kuba zinokubangela ukonakala kwilungu okanye ziphazamisane nomsebenzi wayo;
• Isifo sehemolytic-uremic Esi sisifo esibangelwe yityhefu eveliswe yintsholongwane ethile nesiphumo sokonakala kwemithambo yegazi, ihememia ye-hemolytic kunye nokuphulukana nomsebenzi wentso

Abantu ekunokwenzeka ukuba bakhule ukusilela kwezintso ngabo banesifo seswekile okanye abanoxinzelelo lwegazi kwaye abangahambi ngonyango olufanelekileyo oluboniswe ngugqirha. Ukongeza, imbali yosapho yeengxaki zezintso okanye abantu abaye bakhutshelwa ngaphambili okanye ngaphezulu kweminyaka engama-60 ubudala nabo banamathuba okuba nesi sifo. Bona ezinye izinto ezibangela ukusilela kwezintso.

Unyango lwenziwa njani

Unyango lokungaphumeleli kwezintso kufuneka lukhokelwe yi-nephrologist kunye nesondlo, kwaye lunokwenziwa ekhaya okanye esibhedlele, kuxhomekeke kubukrakra besifo. Ukufunda ukuhlala nesifo esinganyangekiyo njengokusilela kwezintso yinkqubo ebuthathaka kwaye echitha ixesha efuna ukuzinikela kunye nomzamo omkhulu.

Uninzi lwexesha, unyango lwenziwa ngokusetyenziswa kweziyobisi ezinje ngamachiza oxinzelelo lwegazi kunye ne-diuretics, njengeFurosemide, umzekelo. Ukongeza, ukutya okunotye kwii-carbohydrate kunye neeprotheyini ezisezantsi, ityuwa kunye ne-potassium kufuneka kugcinwe, ekufuneka iboniswe sisondlo. Funda ngakumbi malunga nonyango lokungaphumeleli kwezintso.

Kwiimeko ezinzima kakhulu, ezinje ngokusilela okungapheliyo kwezintso, kunokuba yimfuneko ukwenza ukufakelwa kwezintso okanye ukwenza i-hemodialysis, eyinkqubo ejolise ekucoceni igazi, isuse konke ukungcola okungenakucocwa zizintso. Jonga ukuba kwenziwa njani i-hemodialysis.

Funda amanye amaqhinga okutya ngokufanelekileyo ngokubukela: