I-Oliguria - izimbangela, izimpawu, ukwelashwa ezinganeni nakubantu abadala

Okuqukethwe

Ngokuvumelana nomsebenzi walo, Ibhodi Lokuhlela le-MedTvoiLokony lenza yonke imizamo yokuhlinzeka ngokuqukethwe kwezokwelapha okuthembekile okusekelwa ulwazi lwakamuva lwesayensi. Ifulegi elengeziwe elithi "Okuqukethwe Okuhloliwe" libonisa ukuthi i-athikili ibuyekezwe noma yabhalwa udokotela ngokuqondile. Lokhu kuqinisekisa okuyizinyathelo ezimbili: intatheli yezokwelapha kanye nodokotela basivumela ukuthi sinikeze okuqukethwe kwekhwalithi ephezulu ngokuhambisana nolwazi lwamanje lwezokwelapha.

Ukuzibophezela kwethu kule ndawo kuye kwathakaselwa, phakathi kokunye, yiNhlangano Yezintatheli Zezempilo, eyaklomelisa Ibhodi Lokuhlela le-MedTvoiLokony ngesihloko sokuhlonipha esithi Umfundisi Omkhulu.

I-Oliguria yisimo esenzeka lapho umuntu omdala ekhipha i-400-100 ml yomchamo ngosuku. Ukukhipha leli nani lomchamo ngokuvamile kubonisa isimo sezempilo, njengesifo sezinso noma ukwehluleka kwenhliziyo. Kungase kube nezimbangela ezihlukahlukene ze-oliguria.

Iyini i-oliguria?

I-Oliguria yisimo esinezimbangela ezihluke kakhulu. Iziguli ezinalesi simo zichama ngamanani amancane, okungaphansi kuka-400/500 ml ngosuku kubantu abadala. Isilinganiso esivamile somchamo okhishwa kumuntu ophile kahle ngokuvamile singamalitha angu-2,5 ngosuku. Ezinsaneni, i-oliguria itholakala lapho inani lomchamo elikhishwe lingaphansi kwe-1 millimeter ngekhilogremu yesisindo somzimba ngehora. Ezinganeni, i-oliguria yenzeka lapho idlula isigamu semililitha yomchamo ngekhilogremu yesisindo somzimba ngehora. Ngokuvamile, i-oliguria iphenduka ibe i-anuria. I-Oliguria ivame ukusikisela iqiniso lokuthi umzimba wethu uthola izinguquko ezinkulu ze-pathological emgudwini womchamo. Njenge-anuria, kuwuphawu oludinga ukuzimisela okuphuthumayo kwembangela nokulaliswa esibhedlela.

Inani lomchamo esiwuchasayo lincike ekutheni siphuza uketshezi olungakanani phakathi nosuku. Kusobala ukuthi uma siphuza kancane, inani lomchamo lizoba lincane kakhulu. Kodwa-ke, uma naphezu kwenani elikhulu loketshezi olusetshenzisiwe, i-oliguria isaqhubeka, futhi ngaphezu kwalokho kunezimpawu ezifana nokuntula ukudla, ubuthakathaka noma i-hematuria - kufanele ngokushesha ubone udokotela.

Izinhlobo ze-oliguria

Kunezinhlobo ezintathu ze-oliguria kumatemu ezokwelapha.

1. I-Prerenal oliguria - kubangelwa ukuphazamiseka kokujikeleza kwegazi kwezinso, okuholela ekukhiqizweni komchamo omncane yisiguli.

2. I-Oliguria yezinso - kwenzeka ngenxa yokulimala kwesakhiwo sezinso, ezingase ziyeke ukuhlunga (lokhu kuwumsebenzi wabo oyinhloko).

3. I-Oliguria yemvelaphi engeyona yezinso - kuba umphumela wokuvimbeka kokuphuma komchamo emgudwini womchamo.

Izinkinga ze-oliguria

Izimbangela ze-oliguria zingahluka kuye ngokuthi imbangela yesimo.

Izinkinga ze-renal oliguria:

  1. izifo zezinso, ezihlanganisa: i-glomerulonephritis, ukwehluleka kwe-renal acute noma okungapheli, uremia noma i-hydronephrosis. Ngaphandle kwe-oliguria, isifo sezinso singase sibe nezinye izimpawu, njengokuvutha nokubuhlungu lapho uchama, igazi emchameni, ukuvuvukala kwezandla, izinyawo noma amaqakala; ukuvuvukala eduze kwamehlo noma umchamo onamafu;
  2. i-sarcoidosis: lesi yisimo esibonakala ngokuntula ukudla, ubuhlungu bamalunga noma umkhuhlane omkhulu;
  3. i-arterial hypertension eyingozi: ukuphazamiseka okubukwayo, ubuthakathaka, ukucindezela kwe-diastolic ephezulu;
  4. ama-radiological opposite agents;
  5. izinto ezinobuthi;
  6. ukuthatha ama-non-steroidal anti-inflammatory amalungiselelo noma imithi yomfutho wegazi ophezulu.

Izimbangela ze-oliguria ye-prerenal:

  1. ukuhluleka kwenhliziyo: ngaphezu kwe-oliguria, kukhona ukuphefumula, ukushaya kwenhliziyo okungavamile, umzamo ongabekezeleleki kahle, inani elincishisiwe lokujikeleza kwegazi emzimbeni (kungenzeka ngenxa yokopha noma ukusha);
  2. ukushaqeka kwe-cardiogenic noma septic;
  3. ukuphelelwa amanzi emzimbeni, ngaphezu kwe-oliguria, kubonakala ngomkhuhlane, isifo sohudo nokuhlanza.

Izimbangela ze-oliguria ye-extrarenal:

  1. izicubu ze-neoplastic: zibeka ingcindezi emgudwini womchamo, ekuqaleni kukhona i-hematuria ebuhlungu, khona-ke kunesidingo sokuchama njalo, isifiso esiqhubekayo sokuchama nobuhlungu;
  2. i-nephrolithiasis: ngaphandle kwe-oliguria, kukhona ubuhlungu obukhulu kakhulu esifundeni se-lumbar, isiguli sizwa ukucindezela kwesinye, ngaphezu kwalokho, kukhona ukuhlanza, isicanucanu nokushisa okuphezulu;
  3. Isinye se-Neurogenic: Lesi yisimo lapho esinyeni singasakwazi ukuba yindawo yokugcina umchamo. Ngenxa yalokho, umchamo uyagcinwa esinyeni kanye nezinkinga ngokuphuma kwawo;
  4. umdlavuza wendlala yesinye noma i-prostate ekhulisiwe: iziguli zikhononda ngenkinga yokuchama kanye nesikhathi eside sokuthulula esinyeni;
  5. i-hematuria;
  6. ukunamathela ngemuva kokuhlinzwa;
  7. i-schistosomiasis (isifo esiyisinanakazana esibangelwa ama-flukes).

Abesifazane abakhulelwe kanye oliguria

I-Oliguria ebonakala kwabesifazane abakhulelwe ingase ibonise pre-eclampsia (ubuthi bokukhulelwa)ebeka impilo kamama nengane engozini. Lesi simo ngokuvamile sibonakala nge-hypertension enzima ngemva kwamasonto angu-20 okukhulelwa kanye ne-proteinuria, futhi i-oliguria ingase ibonakale. Umphumela we-pre-eclampsia i-eclampsia yokukhulelwa, evame ukuholela ekubelethweni ngaphambi kwesikhathi, ingane encane, ukuphuma kwe-placenta, ngisho nokufa kwengane. Ngaphezu kwalokho, lesi simo siyingozi kumama, okungenzeka ahlaselwe isifo senhliziyo noma ukwehluleka kwezinso.

Ukwelashwa nokuxilongwa kwe-oliguria

Akunakwenzeka ukwelapha i-oliguria ngokwakho, ukuthola imbangela yayo futhi ukhethe ukwelashwa okufanele, kufanele uhlale uthintana nodokotela. Ngesikhathi sokuvakasha kwezokwelapha, uchwepheshe uqhuba ingxoxo nathi, lapho ebuza imibuzo eminingi, isibonelo, kusukela nini sinezimpawu ze-oliguria, zavela ngokuzumayo, zihlala ezingeni elifanayo noma mhlawumbe zine ziba zimbi. Kufanele sazise udokotela mayelana nenani loketshezi olusetshenzisiwe kanye nokuchama (kuyafaneleka ukwenza ibhalansi).

Udokotela angase atuse ukudlulisa isilinganiso sokulawula umchamo, okube sekuhlaziywa: umbala, i-uric acid kanye ne-protein content, nanoma yikuphi ukutheleleka okungenzeka.

Okubalulekile! Kufanele futhi wazise udokotela wakho nganoma yiziphi ezinye izimpawu noma imithi oyiphuzayo (ngisho nemithi etholakala ezitolo, isib. izithasiselo zokudla).

Kamuva, udokotela uncoma ukuhlolwa kokuxilonga esigulini, okuhlanganisa:

  1. i-computed tomography,
  2. ukuhlaziywa kwegazi,
  3. I-ultrasound yesisu.

Ikuphi ukwelashwa okuzonikezwa kuncike kumbangela ye-oliguria. Isiguli singase sinikezwe i- drip emthanjeni ukuze sibuyisele amanzi emzimbeni noma singase sibe se-dialysis kuze kube yilapho izinso zisebenza kahle.

I-Oliguria - ukuvimbela

I-Oliguria ayikwazi ukuvinjelwa uma ibangelwa esinye isimo sezokwelapha. Nokho, singagwema, ngokwesibonelo, ukuphelelwa amanzi emzimbeni, okubangela lesi sifo, ngokudla njalo inani elifanele loketshezi, ikakhulukazi ezimeni ezinomkhuhlane noma isifo sohudo. Ungathatha futhi iziphuzo ze-prophylactic esikhundleni sama-electrolyte alahlekile.

Ekwelapheni nasekuvimbeleni i-oliguria, kufanelekile ukuphuza ama-herbal infusions anemiphumela ye-diuretic ne-anti-inflammatory. Oda i-Prostata namuhla - ingxube yamakhambi atholakala ngentengo yokukhangisa ku-Medonet Market.

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