Dzimwe Arthritis Mishonga Inogona Kukonzera Kuora Kwetsvo
Basa repyiyo rinosanganisira kubvisa tsvina yemagetsi kubva muropa, kuronga mvura yemuviri mumuviri, nekuchengetedza acidity / alkalinity yemvura. Zvose ropa uye urinho rinogona kuongorora kana itsvo dziri kushanda zvakanaka. Ropa rekuongorora rinosangana nehso rinowanzorayirwa pamwe nechiropa chekuedza kuongorora varwere vari kurapwa nemamwe mishonga yeArthritis.
Iroyi tsvina inogona kunge yakagadzirisa chikamu chemamwe mishonga yeArthritis . Zvinetso zvepoyo zvinokura kubva mukushandiswa kwemishonga yeArthritis hazvisi zvisizvo, asi zvinogona kuitika. Vanachiremba vanogona kurongedza kuongororwa kuti vaongorore kushanda kwemamwe madhiragi paitsvo, kuongorora kwezvinetso zvepvo kana kusagadzikana nemabasa ekushaya.
Dambudziko reRopa reIiyo Basa
BUN (Ropa Urea Nitrojeni) chirwere chekuongorora ropa chinoongorora maitiro epvo. Urea inonzi-chibereko cheproteine metabolism uye inoumbwa muropa. Urea inosvibiswa kubva muropa neitsvo uye yakanyanyiswa mumuguta.
Arthritis mishonga uye gout mishonga inogona kuwedzera maitiro eBUN anosanganisira:
- allopurinol
- NSAIDs
- methotrexate
- high-dose aspirin
- Tylenol / acetaminophen
Kubuda kwepachiropa , iyo inogona kunge yakakomba chikamu cheNSAID, inogona kukonzera kukwirira kweBUN.
- BUN mararamiro akaenzana ari 7-20 mg / dl
Serum creatinine chirwere cheropa chinoshandiswawo kuongorora maitiro epvo.
Creatinine is-a-product of creatine iyo inobatanidzwa nemusimba simba metabolism. Chinhu chiduku chiduku chemuumbi mumuviri chinoshandurwa ku créinine zuva rega rega. Creatinine, iyo inoshandisa tsvina yemuchero kubva kunotendeuka, yakasvibiswa kubva muropa neitsvo uye yakanyanyiswa mumugini.
Ropa creatinine rinowanzochengetedzwa zvakasimba neitsvo. Creatinine mazinga muropa anokwidziridzwa kana chinetso chepfungwa chisina simba. Kunyange zvazvo uhu uye hutano hunochinja hutsika huripo hwe creatinine, kumira kweropa romunhu kuumba creatinine inoita kuti iwedzere kuongororwa kuBUN kuti uongorore zvinetso zvepso.
- Serum creatinine chidimbu chinokwana 0.8-1.2 mg / d (murume) uye 0.6-0.9 mg / d (vakadzi).
Urine Kuedzwa kweKiyi Basa
Urinalysis ndiyo inonyanya kushandiswa yemuyeso inoshandiswa kurongedza zvinetso zvepoyo. Dhipatimendi iri nyore rinogona kuona kuvepo kweglucose, mapuroteni, ketoni, kana bilirubin mumuguta, uyewo acidity kana alkalinity yemuguta - zvose izvo zviratidzo zvezvinetso zvepfungwa. Kuonekwa kwemuti unogara uchionekwa neurinalysis. Maitiro asina kunaka anogona kuonekwa microscopically.
Urea kubviswa ndiro chirwere chinoshandisa shanduro yeropa kuti uone huwandu hweurea huri muropa uye miviri miviri, yechipiri inounganidzwa awa imwe mushure mekutanga urini samuenzaniso. Uyu muedzo unoona kuti urea yakawanda zvakasvibiswa sei neitsvo mumuguta.
- Urea clearance yakasarudzwa ndeye 64-99 ml / min
Kuberekwa kwechidini , uye kuyerwa semeri / min, inofanidza huwandu hwe creatinine mumurini pamwe nema creatinine muropa, kazhinji zvichienderana nezviyero zvemaawa makumi maviri nemasere emuenzaniso uye yeropa rinoshandiswa pakuguma kwemaawa 24 .
Sezvakambotaurwa, creatinine inowanikwa mumagadzirirwo emaplasma anogadzikana. Apo mukusika inenge yakasvibiswa, haisati yadzorerwa zvakare uye inowanikwa zvakavanzika neitsvo. Kubvumirwa kwekusika kunoshandiswa kuenzana ne glomerular filtration rate, muongorori wakaenzana wehvo basa.
- Creatinine clearance rurefu rwakaenzana / 24 hino urini kuvanhu vakuru
Urine osmolality inguva yomuti urongwa hunoenderana nehuwandu hwezvikamu zvinoputika mumuguta. Inofanirwa mu milliosmols / kg.
- Urine osmolality zviyero zvakadzika makumi mashanu kusvika ku 1400 mOsm / kg (random) kana kupfuura 850 mOsm / kg kwemaawa 12 kusvika ku14 maawa ekudzivirira kwemvura.
Urine protein test inotora maawa makumi maviri nemasere emugine.
- Kazhinji = muenzaniso unofanirwa kuva nezvishoma kudarika kana zvakaenzana na 150 mg yeprotheni.
Zvisina kuchena zvepfungwa Zvitsva Zvinoreva Zvinetso zveKinney Matambudziko
Chero mimwe miedzo inowanikwa kuti haina kubva kune yakarongeka yakawanda ndiyo zviratidzo zvezvinetso zvepfungwa. Iwe, pamwe chete nechiremba wako, unofanira kusarudza kana imwe yemishonga yako yeArthritis ichikonzera dambudziko . Kuisa kana kushandura mishonga kungangodaro ndiyo nzira inotevera yakanakisisa, kubvumira matambudziko epiyo kugadzirisa.
Cherechedza: Zvose zvinowanzoenderana ne laboratory uye nzira inoshandiswa kuedza
Sources:
Clinical Diagnosis By Laboratory Methods, Todd-Sanford, 15th edition, 1974.