Ukungakwazi ukusebenza kwe-Renal

Incazelo jikelele yalesi sifo

Izinso yisitho esihluza udoti egazini. Baphinde babambe iqhaza ekulawuleni, ekulinganiseni nasekukhiqizeni amangqamuzana egazi abomvu emzimbeni. Izimpawu zokuhluleka kwezinso zihlotshaniswa nokunqwabelana kwemfucuza kanye noketshezi oluningi emzimbeni, okungadala ukukhathala, ukuqunjelwa, nezinye izinkinga. Ukwehluleka ukukhipha i-potassium egazini kungaholela ekufeni kungazelelwe[2]… Ukwehluleka kwezinso okungamahlalakhona yisifo esibonakala ngokulahleka kancane kancane kokusebenza kwezinso. Lapho ifinyelela esigabeni sokugcina, uketshezi, ama-electrolyte kanye namazinga aphezulu emfucuza angakha emzimbeni. Lesi sifo singabonakaliswa isikhathi eside kuze kube yilapho ukusebenza kwezinso kukhubazeka kakhulu. Isifo sezinso esingalapheki singaqhubekela esigabeni esibulalayo sokuhluleka kwezinso, okuyingozi ngaphandle kokuhlunga okufakelwayo (i-dialysis) noma ukufakelwa kwezinso[1].

Izimbangela zokuhluleka kwezinso

Ukwehluleka okukhulu kwezinso kungenzeka ngezizathu eziningi. Phakathi kokuvamile:

  • i-necrosis enamandla ye-tubular;
  • ukoma okukhulu noma ngokuzumayo;
  • ukulimala kwezinso ezinobuthi kubuthi noma emithini ethile;
  • izifo ezizimele zezinso ezinjenge-acute nephrotic syndrome ne-interstitial nephritis;
  • ukuvimbela umgudu womchamo;

Ukuncipha kwegazi nakho kungalimaza izinso. Izici ezilandelayo zingaholela ekwehleni kokugeleza kwegazi kuya ezinso:

  • umfutho wegazi ophansi
  • ukusha;
  • ukuphela kwamanzi emzimbeni;
  • ukopha;
  • ukulimala;
  • ukushaqeka kwamanzi;
  • ukungenelela kokuhlinzwa.

Ezinye izifo, njenge-septicemia kanye ne-pyelonephritis enamandla, zingathinta ngqo izinso. Ukukhulelwa nakho kungadala izinkinga ezilimaza izinso, kufaka phakathi i-previa kanye nokuphazamiseka kweplacenta[3].

Izinhlobo zokwehluleka kwezinso

  1. 1 Ukwehluleka okukhulu kwe-renal prerenal. Icasulwa ukunganele kwegazi eliya ezinso. Abakwazi ukuhlunga ubuthi egazini ngaphandle kokugeleza okwanele kwegazi. Lolu hlobo lokwehluleka kwezinso luvame ukwelashwa ngokushesha nje lapho udokotela enquma imbangela yokwehla kwegazi.
  2. 2 Ukwehluleka okukhulu kwezinso kwangaphakathi - kungadalwa ukulimala okuqondile ezinso ngenxa yethonya lomzimba noma ingozi. Izimbangela zifaka phakathi ukugcwala kwe-toxin kanye ne-ischemia, okuwukushoda komoya-mpilo ezinso. Ischemia ucasulwa izici ezifana: glomerulonephritis, ukushaqeka, ukopha.
  3. 3 Ukwehluleka kwezinso okungapheli. Lapho kunganikezwa igazi elanele ezinso isikhathi eside, baqala ukungenwa futhi balahlekelwe amandla abo okusebenza.
  4. 4 Ukwehluleka kwezinso okungamahlalakhona. Ikhula ngenxa yomonakalo wesikhathi eside ovela esifweni sangaphakathi sezinso. Ukuvinjelwa kwesikhathi eside kwepheshana lokuchama kuvimbela ukuchama. Lokhu kubangela ingcindezi kanye nokulimala okungenzeka kwezinso.

Izimpawu zokuhluleka kwezinso

  • indle enegazi;
  • umoya onukayo;
  • ukunyakaza okuhamba kancane, okuvilaphayo;
  • ukukhathala;
  • izandla eziqhaqhazelayo;
  • ukulinyazwa okulula;
  • izinguquko esimweni sengqondo noma imizwa, ikakhulukazi kubantu abadala;
  • ukuncipha kokudla;
  • ukunciphisa ukuzwela, ikakhulukazi ezandleni noma ezinyaweni;
  • isicanucanu nokuhlanza;
  • umfutho wegazi ophakeme;
  • ukunambitheka kwensimbi emlonyeni.

Izimpawu nezimpawu zesifo esingapheliyo sezinso zikhula ngokuhamba kwesikhathi uma ukulimala kwezinso kuqhubeka kancane. Izimpawu nezimpawu zesifo esingapheliyo sezinso zingafaka izinto ezinjengalezi:

  • isicasuli;
  • ukuhlanza;
  • ukulahlekelwa ukudla;
  • ukukhathala nobuthakathaka;
  • izinkinga zokulala;
  • izinguquko ngesikhathi sokuchama;
  • ukuncipha kwengqondo;
  • amajaqamba;
  • ukuvuvukala kwemilenze namaqakala;
  • ukulunywa okuphikelelayo;
  • ubuhlungu besifuba uma uketshezi luqoqa luzungeze inhliziyo;
  • ukuphefumula okuncane uma uketshezi luhlangana emaphashini;
  • umfutho wegazi ophakeme (umfutho wegazi ophakeme) okunzima ukuwulawula.

Izimpawu nezimpawu zesifo sezinso kaningi azicacisi futhi zingadalwa ezinye izimo. Ngoba izinso ziyakwazi ukujwayela futhi zinxephezele umsebenzi olahlekile, izimpawu nezimpawu zingavela kancane kuze kube nomonakalo ongalungiseki[1].

Izinkinga zokuhluleka kwezinso

Isifo sezinso esingalapheki singathinta cishe zonke izitho ezikumuntu. Izinkinga ezingaba khona zifaka:

  • Ukugcinwa kwamanzi, okungaholela ekuvuvukeni ezandleni nasezinyaweni, umfutho wegazi ophezulu, noma uketshezi emaphashini.
  • Ukwanda okungalindelekile kwamazinga e-potassium egazi (i-hyperkalemia), okungaphazamisa amandla enhliziyo okusebenza futhi ekugcineni kusongele impilo.
  • Izifo zenhliziyo.
  • Ingozi eyengeziwe yokuphuka kwamathambo.
  • Ukushoda kwegazi.
  • Ukwehla kwe-sex drive, ukungasebenzi kahle kwe-erectile, noma ukwehla kokuzala.
  • Ukulimala kwesistimu yezinzwa eziphakathi ezingadala ubunzima bokugxila, izinguquko zobuntu, noma ukuquleka.
  • Ukwehla kokuzivikela komzimba, okwenza umuntu abe sengozini yokutheleleka ngezifo.
  • I-Pericarditis, ukuvuvukala kolwelwesi lwe-sac olwamboza inhliziyo (pericardium).
  • Izinkinga zokukhulelwa ezibeka ubungozi kumama nombungu.

Ukulimala kwezinso okungenakulungiseka okwenzeka esigabeni sokuphela kwesifo ekugcineni kudinga i-dialysis noma ukufakelwa izinso ukusindisa umuntu[3].

Ukuvimbela ukwehluleka kwezinso

Ukunciphisa ubungozi bokuhlaselwa yilesi sifo, siphakamisa ukulandela lezi zinyathelo:

  1. 1 Landela imiyalo kumuthi, ikakhulukazi e-counter. Uma usebenzisa ukudambisa izinhlungu okuthengwa ekhawunteni njenge-aspirin, ibuprofen, qiniseka ukulandela izinkomba. Inani elikhulu lokunciphisa izinhlungu lingaba nomthelela omubi ezinso. Buza udokotela wakho ukuthi ngabe le mithi iphephile yini kuwe.
  2. 2 Gcina isisindo esinempilo. Uma elungile, mgcine nomsebenzi ojwayelekile womzimba. Uma kwenzeka ukuthi umaki uphakeme kunokujwayelekile, kufanelekile ukuxoxa ngamasu wokunciphisa umzimba okunempilo nodokotela wakho.
  3. 3 Yeka ukubhema. Kulimaza izinso futhi kubhebhethekisa lesi sifo esivele sikhona.
  4. 4 Thola ukuhlolwa njalo kwezokwelapha futhi uma kunezifo, zigcine zilawulwa. Uma unanoma yiziphi izifo noma izimo ezandisa ubungozi besifo sezinso, qiniseka ukuthi welapha futhi ubonane nodokotela wakho.[4].

Ukuxilongwa kokuhluleka kwezinso

Kunezifundo eziningana ezisetshenziselwa ukuxilonga ukwehluleka kwezinso. Lokhu kufaka phakathi:

  1. 1 Ukuhlaziywa komchamo. Udokotela uyayala ukuthi ibheke noma ikuphi ukungahleleki, kufaka phakathi amaprotheni angajwayelekile noma ushukela ogcina umchamo. Ukuhlolwa kwezidumbu zomchamo nakho kungenziwa. Lokhu kukuvumela ukuthi ulinganise inani lamaseli abomvu namhlophe, uthole amazinga aphezulu amabhaktheriya.
  2. 2 Izilinganiso zevolumu yomchamo. Ukukala ukuphuma komchamo kungenye yezivivinyo ezilula kakhulu zokuthola ukwehluleka kwezinso. Isibonelo, ukukhishwa komchamo ophansi kungakhombisa ukuthi isifo sezinso sihlobene nokuvalwa kokugeleza komchamo, okungabangelwa izifo eziningi noma ukulimala.
  3. 3 Ukuhlolwa kwegazi. Isetshenziselwa ukukala izinto ezihlungwa izinso. Isibonelo, njenge-urea nitrogen ne-creatinine. Ukukhula kwabo ngokushesha kungakhombisa ukwehluleka okukhulu kwezinso.
  4. 4 Ukuhlolwa kwezinso. Ukuhlolwa okufana ne-ultrasound, i-MRI, ne-computed tomography izithombe zezinso ngokwazo kanye nomgudu womchamo. Lokhu kuvumela i-nephrologist ukuthi ibheke ukuvinjelwa noma ukungajwayelekile ezinso.
  5. 5 Isampula yezicubu zezinso. Amasampula amathishu ahlolwe amadiphozi angavamile, izibazi noma izinto ezithathelwanayo. I-biopsy isetshenziselwa ukuqoqa isampula. Le yinqubo elula futhi ivame ukwenziwa ngaphansi kwe-anesthetic yendawo ukuqeda noma yikuphi ukungakhululeki. Isampula liqoqwa ngenaliti ye-biopsy efakwe esikhunjeni ezinso. Kusetshenziswa i-X-ray noma imishini ye-ultrasound ukuthola izinso nokusiza udokotela ukuqondisa inaliti[4].

Ukwelashwa kokwehluleka kwezinso emithini ejwayelekile

Ukwelashwa kuzoya ngesizathu esiyinhloko sokulimala kanzima kwezinso. Umgomo ukubuyisela ukusebenza kwezinso okujwayelekile. Udokotela kufanele enze ukuhlolwa okuningiliziwe futhi, ngesisekelo sayo, akhethe ukwelashwa okulungile, okusebenzayo kakhulu. Imvamisa iqukethe lezi zici.

Ukudla

Udokotela angase anikeze ukudla okulawula ngokuqinile inani loketshezi isiguli esiludlayo. Lokhu kuzonciphisa ukunqwabelana kobuthi obuvame ukususwa izinso. Ukudla okunama-carbohydrate amaningi kanye namaprotheni aphansi, usawoti kanye ne-potassium kuvame ukutuswa.

Imithi

Udokotela wakho angakunikeza ama-antibiotic ukwelapha noma ukuvimbela noma yikuphi ukutheleleka okwenzeka emzimbeni wakho ngasikhathi sinye. Umchamo ungasiza izinso ukuqeda uketshezi. I-calcium ne-insulin kusiza ukuvimbela ukwanda okuyingozi emazingeni e-potassium egazi.

I-Dialysis

Ezinye iziguli zingadinga i-dialysis. Le nqubo ayihlali ibekiwe. Kubandakanya ukukhipha igazi emzimbeni wakho emshinini ozihluzayo. Igazi elimsulwa libuyiselwa emzimbeni. Uma izinga le-potassium yegazi lesiguli liphezulu ngendlela eyingozi, i-dialysis ingonga impilo. Njengomthetho, le nqubo iyadingeka uma kukhona ushintsho esimweni sengqondo somuntu, uma ephazamiseka, ukuchama kuyayeka, i-pericarditis iyaqala[3].

Ukufakelwa kwezinso

Izinzuzo zokufakelwa kabusha ukuthi izinso ezintsha zingasebenza kahle futhi akusadingeki ukuthi kwenziwe i-dialysis. Ububi bokuhlinzwa ukuthi ngemuva kwawo isiguli kufanele sithathe ama-immunosuppressants. Le mithi inemiphumela yayo emibi, eminye yayo imibi kakhulu. Ngaphezu kwalokho, ukuhlinzwa kokufakelwa kwesinye isikhathi akuphumeleli ngaso sonke isikhathi.[4].

Ukudla okunempilo kokuhluleka kwezinso

  • Kubaluleke kakhulu ukunciphisa inani lamaprotheni asetshenzisiwe. Ungathola okwengeziwe ngalokhu esigabeni esinemikhiqizo enqatshelwe. Ngakho-ke, imithombo eyinhloko yamandla amafutha nama-carbohydrate.
  • Amafutha emifino (uwoyela womnqumo, uwoyela we-flaxseed) okunye okuhle kakhulu ezilwaneni ezingagcwalisa umzimba ngokweqile.
  • Kusuka kuma-carbohydrate, kuvunyelwe ukudla iphalishi. Ilayisi nommbila kubhekwa njengenzuzo ngokukhethekile. Kodwa ezinye zazo zivinjelwe ngokuqinile - amazambane noma izithelo ezomisiwe, isibonelo. Ngoba bayakwazi ukuphakamisa izinga le-potassium egazini.
  • Ukuze uthuthukise ukunambitheka kwezitsha, ungangeza amakhambi, izinongo ngaphandle kasawoti kubo.
  • Amajusi omuncu wezithelo nemifino (utamatisi, i-orange, i-lime, ilamula) avunyelwe.

Kubalulekile ukuqinisekisa ukuthi ukudla kunothiswa ngamavithamini, izinto eziwusizo, kepha ngokuqinisekile kucatshangelwa iqiniso lokuthi kukhona okungavunyelwe phakathi kwabo. Kungcono ukubonisana nodokotela wakho ukuthola ukudla okufanele.

Imithi yendabuko yokwehluleka kwezinso

  1. 1 Kudingeka ukulungiselela iqoqo lezinhlayiya zommbila, amaqabunga e-birch nama-blueberry, izimbali ze-linden, impande ye-burdock, kanye namaqabunga entambo, ama-crus omisiwe, i-astragalus, i-mint, i-sage. Zonke izingxenye kufanele zixutshwe, ziqoshwe. Bese u-2 tbsp. l. iqoqo, uthele izingilazi ezimbili zamanzi abilayo, ukhiphe ku-thermos futhi uvumele ukuthi uphuze ubusuku bonke. Thatha ingilazi yesine kathathu ngosuku.
  2. 2 Elinye ikhambi umhluzi we-sea buckthorn. Ukuze uyilungiselele, udinga ukuthulula amanzi abilayo ngaphezu kwamagremu angu-100 amajikijolo amasha e-rosehip, bese uyilahla ku-cheesecloth bese uvumela ukuthi yome kancane. Khona-ke - phisa ku-thermos ngamanzi abilayo bese uvumela ukuthi uphuze amahora ambalwa. Amajikijolo amasha e-sea buckthorn nawo adinga ukuthelwa ngamanzi abilayo, agaywe bese akhanywa aphume kule ngxube. Isiketshezi samanje se-rosehip kufanele sihlungwe, sipholise futhi sihlanganiswe ne-sea buckthorn, engeza u-50 ml wejusi kalamula noshukela, vumela isiphuzo siphuze amahora amabili bese uphuza ama-2 ml kathathu ngosuku isigamu sehora ngaphambi kokudla.
  3. 3 Uma kunesifo sezinso, abasekeli bemithi yendabuko bayelulekwa ukuthi bathathe i-decoction ye-echinacea, elungiselelwe nazo zonke izingxenye zayo: izimbali, amaqabunga nezimpande. I-50 g ye-echinacea eqoshiwe kufanele ithululwe ngelitha le-vodka, futhi igcinwe endaweni emnyama izinsuku eziyi-14, izamazama ngezikhathi ezithile. Bese uhlunga bese uthatha amaconsi ayi-10 njalo emahoreni amane.
  4. 4 Ungalungisa iqoqo lemithi kusuka ezitshalweni ezilula: ezithathwe ngokulingana okulinganayo kwe-lemon balm, i-mint ne-calendula. Udinga ukugaya le ngxube kanye nezipuni ezi-4. Thela izingilazi ezimbili zamanzi ashisayo, ulethe emathunjini ngomlilo omncane, bese uthele ku-thermos bese ukuvumela ukuba kuphuze ubusuku bonke. Phuza i-100 ml kanye ngosuku izinyanga ezi-1.
  5. 5 I-decoction yamaqabunga e-currant emnyama, amahlumela okusajingijolo nama-rose hips ithinta kahle izinso. Zonke izingxenye ngezilinganiso ezilinganayo kufanele zichotshozwe futhi zenziwe njengetiye elilula. Phuza ingilazi engu-1 usuku lonke izinyanga ezimbalwa.

Ukudla okuyingozi nokulimazayo kokuhluleka kwezinso

Udokotela wakho angase akunikeze ukudla okunomkhawulo wamaprotheni. Inyama, izinkukhu, amaqanda, i-cottage shizi - kubalulekile ukudla le mikhiqizo ngobuningi obuncane. Isilinganiso esiqondile samaprotheni ngosuku esigulini ngasinye sinqunywa udokotela, kuye ngesiteji nezici zenkambo yokuntuleka.

  • Kubalulekile ukunciphisa usawoti owudlayo. Igcina amanzi emzimbeni, okufaka isandla ekubukeni kwe-edema, kukhulisa umfutho wegazi ophezulu.
  • I-Phosphorus nayo idinga ukwehliswa. Lapho kukhona ukwehluleka kwezinso, i-phosphate ikhishwa kancane emzimbeni. Lokhu kudala ukukhiqizwa kwehomoni ekhipha i-calcium emathanjeni. Kulokhu ziba ntekenteke, i-osteoporosis ingaqala.
  • I-Potassium ayivunyelwe, njengoba okuqukethwe kwayo okuphezulu egazini kungaholela ekuboshweni kwenhliziyo. Le nto itholakala ekudleni okufana nobhanana, amakhambi, amantongomane, izithelo ezomisiwe, ushokoledi, amahlumela kakolweni, ukwatapheya nobhontshisi.
  • Udokotela anganciphisa inani lamanzi umuntu angawasebenzisa. Ngokuhluleka kwezinso, isiguli somile, kepha izinso zinobunzima bokukhipha uketshezi oluningi, olugcwele i-edema.
  • Kubalulekile ukubeka ngaphandle ukudla okucasulayo izinso - ikhofi, itiye elinamandla, ushokoledi, izitsha ezibabayo, umhluzi wenyama, inhlanzi, amakhowe, utshwala.
Imithombo yolwazi
  1. I-athikili: Isifo esingapheliyo sezinso, umthombo
  2. Статья: «Ukwehluleka Kwezinso (Izimpawu, Izimpawu, Izigaba, Izimbangela, Nokwelapha)
  3. I-athikili: "Ukwehluleka Okubalulekile Kwezinso", umthombo
  4. I-athikili: "Ukwehluleka Kwezinso", umthombo
Ukuphrinta kwezinto

Ukusetshenziswa kwanoma iyiphi into ngaphandle kwemvume yethu ebhaliwe akuvunyelwe.

Imithetho yokuphepha

Abaphathi ababophezelekile kunoma imuphi umzamo wokusebenzisa noma iyiphi iresiphi, iseluleko noma ukudla, futhi futhi akuqinisekisi ukuthi imininingwane ebekiwe izokusiza noma ikulimaze wena uqobo. Hlakanipha futhi ngaso sonke isikhathi uthintane nodokotela ofanele!

Qaphela!

Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!

Ukudla okunomsoco kwezinye izifo:

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