Ungakuphatha njani ukusilela kwezintso ezingapheliyo

Umxholo

• Unyango lokungaphumeleli kwezintso ezingapheliyo
• Iimpawu zokungaphumeleli kwezintso ezingapheliyo
• Izizathu eziphambili zokungaphumeleli kwezintso ezingapheliyo
• Ungakuthintela njani ukwanda kokungaphumeleli kwezintso ezingapheliyo
• Nantsi indlela yokutya ngokufanelekileyo kwividiyo:

Ukunyanga ukusilela okungapheliyo kwezintso (CRF) kunganyanzeleka ukuba kwenziwe i-dialysis, eyinkqubo enceda ukucoca igazi, ukususa izinto ezimbi kunye nokunceda ukugcina ukusebenza kakuhle komzimba, ngakumbi xa izintso zisebenza kuphela nge-15% . Ukongeza, kunokuba yimfuneko ukufakelwa izintso, ukugcina ukutya okuncinci kwiprotein kunye netyuwa kunye nokuthatha amayeza aboniswe yi-nephrologist, enje nge-diuretics kunye ne-antihypertensives.

Isifo sezintso sithathwa njengenganyangekiyo xa ukwenzakala kuthabatha ngaphezulu kweenyanga ezintathu, kubangela iimpawu ezinje ngemilenze edumbileyo, uxinzelelo lwegazi kunye nentlungu yomqolo, umzekelo, neziphumo eziphambili zokungasebenzi kwezintso, ezinokukhokelela ekufeni.

Unyango lokungaphumeleli kwezintso ezingapheliyo

Kumanqanaba okuqala okusilela kwezintso okungapheliyo, isixa sokutya esityebileyo kwiiprotein, ityuwa kunye ne-potassium kufuneka sincitshiswe, kuthintele ukomisa umzimba kwaye uthathe amachiza okonyusa uxinzelelo lwegazi, afana ne-Lisinopril okanye i-Ramipril, ukugcina uxinzelelo lwegazi, ukunciphisa ilahleko ye-albinin umchamo kuba unceda ukugcina ukusebenza kwezintso.

Nangona kunjalo, kumanqanaba okuqhubela phambili ukutya akwanelanga kwaye, kunokuba yimfuneko ukwenza olunye unyango olunjenge:

• I-Peritoneal dialysis: kukuhluzwa kwegazi okwenziwa ekhaya yonke imihla yeveki ebusuku, kubeka ulwelo ngaphakathi esiswini ukucoca igazi, kwaye kufuneka ihlale esiswini malunga neeyure ezisi-8;
• IHemodialysis: isigulana kufuneka siye esibhedlele ukuya kucoca igazi ngomatshini owenza imisebenzi efanayo nezintso. Ngexesha lale nkqubo, igazi litsalwa ngenaliti engalweni lize libuyiselwe emzimbeni ngenye ityhubhu, xa zisuswe iityhefu.
• Ukutshintshwa kwezintso: Olu luqhaqho apho izintso ezinesifo zithathelwa indawo zizintso ezisempilweni ezinikelwe sisigulana esifanelekileyo. Olu tyando luthatha ixesha kwaye ukuchacha kuthatha malunga neenyanga ezintathu, ukwaliwa kwelungu elitsha. Fumana ezinye iinkcukacha malunga nokufakelwa kwezintso.

Isifo sezintso esinganyangekiyo sinokuhlelwa ngokwamanqanaba aliqela, kukho iidigri ezi-5 kwaye esokugqibela sesona sinzima kakhulu, njengoko izintso zisebenza kuphela nge-15%, ezifuna unyango olufana nedialysis okanye ukufakelwa.

Iimpawu zokungaphumeleli kwezintso ezingapheliyo

Kwinqanaba lokuqala, umntu lowo usenokungabi nazimpawu kuba izintso ziyaqhelana nengxaki. Nangona kunjalo, ezinye iimpawu zinokuvela kancinci, ezinje:

• Uxinzelelo lwegazi;
• Ukudumba kwindawo esezantsi yamehlo;
• Ukudumba imilenze neenyawo;
• Ukuvuka uyokuchama xa ibingengomkhwa lo;
• Ukuchama amagwebu;
• Sindwe kakhulu;
• Ukungabikho komdla;
• IPallor;
• Umqolo obuhlungu;
• Isicaphucaphu nokugabha.

Ukuchonga ukungaphumeleli kwezintso okungapheliyo, kufuneka kwenziwe uvavanyo lwegazi kunye nomchamo. Ezi mvavanyo zibalulekile ukujonga ubungakanani be-urea, i-albhamuin kunye ne-creatinine ekhoyo emzimbeni, kuba xa izintso zingasebenzi kakuhle, ukugxila kwazo kuphezulu kakhulu kwaye kubonakala kumchamo.

Izizathu eziphambili zokungaphumeleli kwezintso ezingapheliyo

Oyena nobangela uphambili wokungaphumeleli kwezintso kukulawulwa gwenxa kwezifo ezinje ngesifo seswekile noxinzelelo lwegazi, ezigcwala kakhulu ukusebenza kwezintso.

Ukusuleleka rhoqo kumchamo, ubukho be-cysts yelifa kunye nesifo sentliziyo, ukongeza ekusebenziseni iziyobisi, amayeza kunye nobukho bomhlaza wezintso kunokubangela ukonzakala okukhulu okukhokelela kwisifo sezintso.

Ungakuthintela njani ukwanda kokungaphumeleli kwezintso ezingapheliyo

Ukuthintela esi sifo ekubeni siqhubele phambili, kufuneka silawule uxinzelelo lwegazi kunye namanqanaba eswekile, ukugcina ukutya okunesondlo ngokutya okuncinci kwetyuwa, iswekile kunye namafutha. Ukongeza, kubalulekile ukugcina ubunzima bomzimba obaneleyo, ukuphelisa ukusetyenziswa kwecuba, ukunciphisa ukutya iziselo ezinxilisayo kunye nokuzilolonga rhoqo.

La manyathelo kufuneka amkelwe ukuthintela ukuqala kwesi sifo sezintso.

Nantsi indlela yokutya ngokufanelekileyo kwividiyo: