Unyango lokungaphumeleli kwezintso ezingapheliyo

Umxholo

• 1. Ukulawulwa koxinzelelo lwegazi oluphezulu kunye neswekile
• 2. Ukunyamekela ukutya
• 3. Ukusetyenziswa kwamayeza
• 4. Ukuba nemikhwa yokuphila esempilweni
• Unyango lwezifo zezintso eziphambili

Unyango lwesifo sezintso esinganyangekiyo luxhomekeke kwinqanaba esikuyo esi sifo, kwaye senziwa ngenjongo yokulungisa iziphene ezibangelwa kukungasebenzi kakuhle kwezintso, ukuze kulibaziseke ukwanda kwaso.

Ke, unyango lukhokelwa yi-nephrologist, kwaye lubandakanya ukhathalelo ngokutya, ukulungiswa koxinzelelo lwegazi kunye namanqanaba eswekile yegazi, ukubekwa kweliso kwisixa somchamo esivelisiweyo kunye nokusetyenziswa kwamayeza anje nge-diuretics, umzekelo. Kwiimeko ezinzima kakhulu, i-dialysis okanye ukufakelwa kwezintso kungabonakaliswa.

Isifo esinganyangekiyo sezintso, ekwabizwa ngokuba kukusilela okungapheliyo kwezintso, kuvela xa izintso zisilela ukusebenza njengoko kufanelekile, zibangela iingxaki ezinje ngotshintsho kumanqanaba eetyhefu, i-electrolyte, ulwelo kunye ne-pH yegazi. Qonda ukuba yintoni ukusilela kwezintso kunye neempawu zayo eziphambili.

Ukusilela kwezintso akunanyango, kwaye akukho lonyango lunokunceda izintso zisebenze, nangona kunjalo, lukhona unyango, oluboniswa yingcali yezonyango. Izikhokelo eziphambili zibandakanya:

1. Ukulawulwa koxinzelelo lwegazi oluphezulu kunye neswekile

Uxinzelelo lwegazi kunye nesifo seswekile zezona zinto zibangela isifo esinganyangekiyo sezintso, ngoko ke kubaluleke kakhulu ukuba ezi zifo zilawulwe kakuhle ukuthintela ukuba esi sifo singabi mandundu.

Ke, i-nephrologist iya kuhlala ihamba neemvavanyo ezibeka esweni ezi zifo, kwaye ukuba kukho imfuneko, lungisa amayeza ukuze uxinzelelo lube ngaphantsi kwe-130x80 mmHg kunye namanqanaba eswekile yegazi alawulwa. Ukongeza, kubalulekile ukuba unike ingqalelo amanqanaba e-cholesterol kunye ne-triglyceride.

2. Ukunyamekela ukutya

Ekutyeni okusilelayo kwezintso, kufuneka ube nolawulo olukhethekileyo lokutya izakhamzimba ezinje ngetyuwa, i-phosphorus, i-potassium kunye ne-protein, kwaye kwiimeko ezinzima kakhulu kusenokufuneka ukuba kulawulwe nokusetyenziswa kolwelo ngokubanzi, njengamanzi kunye neencindi.

Ke kuyacetyiswa ukuba umntu onesifo sezintso ezingapheliyo kufuneka akhatshwe yingcali yesondlo, eya kuthi ikwazi ukunika isikhokelo ngakumbi kwixabiso elifanelekileyo lomntu ngamnye, ngokomsebenzi wezintso kunye neempawu ezinikiweyo.

Bukela le vidiyo ingezantsi ngesikhokelo esithile esivela kwisondlo sethu:

3. Ukusetyenziswa kwamayeza

Ukongeza kumayeza okulawula uxinzelelo lwegazi, isifo seswekile kunye ne-cholesterol, ukuba kubonisiwe ngugqirha, amanye amayeza anokufuneka ukulawula ezinye iingxaki zokungaphumeleli kwezintso, ezinje:

• Womchamo, NjengoFurosemide: kubonisiwe ukwandisa imveliso yomchamo kunye nokunciphisa ukudumba;
• Erythropoietin: yihomoni eveliswa zizintso, enokuncitshiswa kukusilela kwezintso, okunokubangela i-anemia. Ke ngoko, le hormone kufuneka ithathe indawo, ukuba yehlile kwaye inoxanduva lwe-anemia.
• Ukongezwa kwezondlo: i-calcium kunye ne-vitamin D izongezo zinokuba yimfuneko ukunqanda umngcipheko wokuqhekeka, ukukhubazeka kunye nentlungu yethambo, exhaphake kakhulu kwizigulana ezinesifo esinganyangekiyo sezintso. Intsimbi, i-folic acid kunye nevithamini B12 izongezo zisenokufuneka xa kukho i-anemia;
• Unyango lokulawula i-phosphate: Ukudakumba kumanqanaba e-phosphate kunokuvela ngokusilela kwezintso kwaye kuguqule imetabolism yamathambo, ke ngoko, ukusetyenziswa kweziyobisi ezilawula amaxabiso azo, njengeCalcium Carbonate, iAluminiyam Hydroxide okanye iSevelamer, kungabonakaliswa.

La machiza aboniswa ngugqirha wezono, kwaye zihlala ziyimfuneko xa sele kukho ukumodareyitha ukuya kuthintelo olunzima lokusebenza kwezintso.

Ugqirha kufuneka acebise ngamayeza afanele ukuthintelwa, njengoko enetyhefu kwizintso, ezinje ngamayeza okubulala iintsholongwane kunye namachiza ahlasela ukudumba, umzekelo.

4. Ukuba nemikhwa yokuphila esempilweni

Ukuziqhelanisa nokuzivocavoca umzimba, ungatshayi, ukunqanda iziselo ezinxilisayo, ukugcina ubunzima bakho phantsi kolawulo kunye nokuthintela uxinzelelo zezinye zeengcebiso ezisempilweni ezinceda ukuphucula imetabolism yomzimba, ukusebenza kwegazi nokusebenza kunye nokukhusela impilo yezintso, ukunceda ukuhambisa ukusilela kwezintso.

Unyango lwezifo zezintso eziphambili

Ukunyanga ukungaphumeleli kwezintso, apho izintso zingasasebenzi okanye zisebenze kancinci, kufuneka i-dialysis, equka ukusebenzisa umatshini ukubuyisela ukusebenza kwezintso nokususa ulwelo oluninzi kunye neetyhefu egazini. I-Dialysis inokwenziwa ngeeseshoni ze-hemodialysis okanye nge-peritoneal dialysis. Qonda ukuba yintoni i-hemodialysis kwaye isebenza njani.

Enye into enokwenzeka kukuba ukufakelwa izintso, nangona kunjalo, akusoloko kunokwenzeka ukufumana umntu onikelayo ofanelekileyo kwaye umntu akasoloko enesalathiso sonyango okanye iimeko zeklinikhi zokuhlinzwa. Fumana ngakumbi kuTshintsho lweZintso: ukuba yenziwa njani kwaye iphola njani.