Ndiani anofanira kuongororwa chirwere chetsvo?
Ndezvipi zvingaita kuti tsitsi dzakanaka dzitange kushanda zvisina kukodzera? Ndezvipi zvirwere zvinokonzera mafungiro ako kukonzera kunze kwehupisi mukutengesa? Iyi mibvunzo inowanzoitwa nevarwere vangu pandinovaudza pamusoro pezvirwere zvadzo zvisingaperi (CKD) kuongororwa.
Ngatitaurire nezvemamiriro ezvinhu ane zvirwere zvinokuisa pangozi yekuve nehutano hwetsvo.
Idzi ndidzo zvirwere zvakakosha kuti iwe nachiremba wako muve nehanya nemishonga yenyu inogara nguva dzose, uye muite zvakanaka.
Zvinowanzoita zvinokonzera kuora kwepvo kazhinji zvirwere zvechipiri zvakadai sechirwere cheshuga uye kwete zvirwere zvepfungwa zvepfungwa. Icho chirevo chakavakirwa pauchapupu huripo hunoti tinogona kuunganidza kubva kuUnited States Renal Data System (USRDS) data.
Iko Inowanzonyorei Isingaperi Kidney Disease?
Apo inotsanangurwa neGFR <60 muna 2005-2010, 6.3 muzana yevanhu vemuUnited States vakawana chirwere chepfungwa dzisingaperi, kana CKD (ichienzaniswa ne9,3 uye 8.5 muzana yehuga nehutachiona hwehutano, zvichienderana). Kana, kunyange zvakadaro, taifanira kuisa mamwe emiganhu iyo CKD inogona kurondedzerwa (sekuwedzera kweprotini excretion mumuguta, kana albumin excretion kupfuura 30 mg / zuva), kuwandisa kweCKD kunokwira kusvika 9.2 muzana. Mune mamwe mazwi, inenge imwe yevanhu gumi ichava neCKD.
Zvinokonzerwa neHIV Kidney Disease
Chirwere cheshuga chave chiri nhamba isinganzwisisiki imwe ingozi yeCKD, ine inenge makumi mana kubva muzana yevarwere vanotaura chirwere chacho, zvose muna 1988-1994, uye 2005-2010. Mupiro wehutachiona hwepamusoro sechikonzero chinokonzera unoratidzika wakasimuka kubva pasi kusvika pakati pezana makumi maviri.
Kuwedzera muviri kunoratidzika kunge kwakaramba kuchiita chikonzero chakakosha, asi mupiro kubva kuhutano hwemwoyo unoita sokuti wakakwira kubva pakati pemakore makumi maviri kusvika ku40 muzana. Izvi zvingaita kuti zvive zvakapararira sechirwere cheshuga sechiitiko chinotyisa. Iko kukura kunogonawo kufananidzwa nekukurukurwa kukuru kwehutano hwepfungwa nekuda kwekupararira kuongororwa uye kukudzwa kwevarwere.
Unogona kuona kuti dzakawanda zvezvirwere izvi zvinotaurwa pamusoro apa hazvibvi kunobva kuitsvo. Ichokwadi, itsvo dzinowanzotakura zvirwere zvechirwere ichi. Zvirwere izvi zvinokanganisa mafungiro epfungwa ndeye nzira dzakasiyana dzisingasviki pakukura kwechikamu ichi. Kungokupa pfungwa, kunyange zvakadaro, nzira idzi dzinogona kusanganisira kuwedzerwa mukati memubhadharo weropa mukati meeyo's filter (glomerulus), iyo inotungamirira kuwedzera kuwedzerwa mafiritsi. Izvi zvinonzi "adaptive hyperfiltration." Mune nguva pfupi, izvi ndizvo zvinogadzirisa chokwadi chokuti iwe unogona kuva nechirwere chepfungwa sezvo zvichiita kuti kuongororwa ropa kuve "kutarisa kwakanaka." Mumazuva mazhinji, izvi ndizvo chaizvoizvo kuti sei itsvo dzichitanga "kupisa" uye kuwedzera ruvara rwemavara. Chimbofungidzira motokari iri kuendeswa mberi nekufamba pamakiromita makumi maviri / awa.
Motokari iyo ichaputsa zvakanaka munguva pfupi, zvakanaka? Izvi ndizvo zvinoitika kana chirwere cheshuga chinokanganisa mafungiro ako.
Saka sei ndiri kutungamirira vaverengi pamakonzera eCKD? Chinangwa changu ndechokuendesa kumusha iyo iyo inofanirwa kuva nemamiriro ezvinhu anotevera, iwe unofanira kuzvifunga iwe munhu ari pangozi yakakura yekubata zvirwere zvepfungwa uye kuva nechokwadi chokuti unoedzwa. Zvichienderana nezvesimba rako, ungada kutumirwa kune nephrologist uyewo nekuwedzera hutungamiri. Zvakare nekupfupisa, izvi zvinotevera ndezvi:
- Diabetes mellitus
- Hypertension
- Utano hwepfungwa (izvi zvinogona kusanganisira vanhu vane chirwere chemwoyo chinonzi ischemic, kurwisa kwemwoyo, kurohwa, chirwere chepachiviri chevascular, aneurysms, nezvimwewo)
- Kuwedzera muviri
- Genetic tendency uye mungozi zvinokonzerwa nema polycystic itsvo
- Zvinhu zvakasiyana-siyana zvinokonzera sekugara kwenguva refu NSAID (painkiller) kushandiswa, kutora nguva yakareba kutungamirira, nezvimwewo.
> Kwakabva:
> US Renal Data System, USRDS 2013 Annual Data Report: Atlas of Chronic Chronic Disease and End-Stage Renal Disease muUnited States, National Institutes of Health, National Institute of Diabetes uye Digestive uye Kidney Diseases, Bethesda, MD, 2013.
Iyo data yakataurwa pano yakapiwa neUnited States Renal Data System (USRDS). Kududzirwa uye kuburitswa kwemashoko aya ndezvomubati (s) uye hapana nzira inofanira kuonekwa seyo mutemo wepamutemo kana kududzirwa kwehurumende yeUnited States.