Acute kunye ezingapheliyo ukusilela kwezintso ziikati

izintso Healthy ususe izinto ezinobungozi ukuba yande emzimbeni ikati yakhe. Kodwa ngamanye amaxesha izintso musa ukumelana umsebenzi wabo. Enye izifo ezininzi kakhulu izintso - ukusilela kwezintso, apho ngokomkhethe (kwaye ngamanye amaxesha ngokupheleleyo) ukukwazi ilahlekileyo ekubeni kusekwe kwaye kukhuthaza nomchamo. Oku kubangela ukuphazamiseka kwendlela acid-base, amanzi kunye netyuwa, homeostasis osmotic. Ngenxa yoko, umonakalo zonke iinkqubo zomzimba.

ukusilela Acute kwezintso (emva koku ARF) livela ngesiquphe. Isizathu siyifumana ancedisana etsolo sisilonda esidumbileyoesingaphakathi kwezintso (okanye kidney), ngokufuthi ingathityazwa. Abangaboni lubonakale njenge ukuhla elibukhali kwi umthamo umchamo, ukuya anuria (ukungabikho umchamo).

Acute kwezintso ukusilela ziikati yahlulwe izigaba ezine. Eyokuqala ukucuthwa kwimali umchamo kunye noxinzelelo lwegazi drop. Xa isixa isigaba kwezulu yesibini umchamo yancitshiswa kakhulu okanye liyayeka ukuba kude kwaso ngokubanzi. Xa unyango yongeniselo kunokwenzeka ubuqhophololo (yaye esingadlulanga norm), kodwa kuphela ityuwa namanzi iyasuswa emzimbeni. Ukuba yangoku intle, kwaye unyango ilungile, ngoko ke ukubuyiselwa uya kuthabatha malunga neenyanga ezimbini.

ukusilela Chronic kwezintso ziikati (i liqu) ngokufuthi phendla ubudala yaye kwenzeka kwesinye kwisithathu iikati abadala. Ukuchonga CKD kwaye kufuna iinzame zokuxilonga ngamayeza nokunyanga, njengoko esi sifo kwenzeke imfihlo. Izifundo zeLebhu aye abonisa ixesha elide (iiveki ezimbini okanye nangaphezulu) ukunyuka urea igazi creatinine (azotemia).

ukusilela Chronic kwezintso luphawulwa ukusilela oyingozi kwezintso. Acute, njengokuba sisazi, zonke ekuqala ngequbuliso, iphuhlise ixesha ezigulo ezondeleyo elide (iminyaka eliqela) kwaye kwenzeka kwisiqalo nezinye izifo sezintso. Kukho igama elithi "babuyekezwe kwezintso ukusilela ziikati" apho kakuhle kwezintso umsebenzi, nangona esinganyangekiyo isifo ukusebenza ngokwanelisayo.

ukuxilongwa senziwa kuphela ngugqirha (ngokususela uhlolo, yokucupha (examination lonyango efunekayo), kunye zePCR). Ukuba mpawu zixelwe Musa ukuchitha abo anqabileyo iiyure yokuzihlola, - khulisa qabane ukuya ekliniki. Isifo iphathwa. Nangona ixesha elide. Kodwa ke amathuba ekuphulukenwe zinkulu. Ngelo xesha kwesifo. Ngaphezu koko, ngokuba ziikati abadala mviwo enqwenelekayo zonyango lokunqanda ngonyaka (nokuba akukho kuphambuka).

Chonga ukuba sikwinqanaba lokuqala CKD kunzima: iimpawu zokuqala "Auca" xa yonakele-esithathwini ezimbini kwezintso kunye nexesha elingadlalwanga. Kodwa kule imeko, unyango kunokwenzeka, nangona kuya kuba nzima yaye elide. ukusilela kwezintso ziikati kufuna unyango kakhulu.

Phambi kokuba uhambo ukuya ekliniki kuqokelela umchamo kangangoko kunokwenzeka (nceda wazise), kuya konga ixesha. Xa ekliniki, mhlawumbi uya kucelwa ukuba bathathe i-x-reyi kwaye ultrasound (kufuneka ngaphandle thumba kunye lityeni izintso). Musa ukuyeka. Kuyafuneka ngokwenene. Mhlawumbi ikati iya kuzisa umbala umahluko. Yenza ningankwantyi. Le ndlela kwenziwa ukuba 'umfanekiso' ecace nezakhiwo kidney lwangaphakathi. Ngamana athathe kwaye biopsy (isampuli kidney inyama isusiwe inaliti phantsi Ukubulawa).

Emiselweyo unyango, kakade, kuxhomekeke isifo. Amatye zisuswa mhlawumbi ukutya (a ezizodwa, medical) okanye intsumpa. Noko ke, abaninzi ingxaki iikati abadala ayikho kwamatye, yaye angakwazi inyama kwezintso. Kwaye apha, ngelishwa, akanakuba bachache ngokupheleleyo. Unyango sibhekiswe sele kwinkqubo abazimisele phantsi kwaye ekunciphiseni imeko.

Ingxelo zexesha elide kunye nesifo sezintso abangekho kamnandi, ukuba esi sifo kungabonwa kuselithuba kwaye kuthathwe amanyathelo afanelekileyo ngexesha elifanelekileyo. Ukuba umsebenzi kuphela wesithathu, ezingonakalanga, ezinye nezintso, ithemba ibuthathaka. Kodwa unyango inkxaso sokudla bayakwazi ukuba anike umnini kunye ikati iminyaka 2-3 zonxibelelwano.