Zvinokonzera njodzi, kuongororwa uye kurapwa kwetsvo kusakwanisa mushure mekuvhiyiwa
Paanoronga kuvhiyiwa, vanhu vazhinji havafungi kuti vanogona kunge vane chinetso chakakomba kana chinotyisa. Zvinosuruvarisa kuti, vamwe vanhu vane matambudziko makuru panguva yavo yekudzoka, uye imwe yeiyo kushaya kukanganisa. Ngozi dzekuvhiya dzinosiyana kubva kune varwere kusvika kune murwere, zvichienderana nezera ravo, hutano uye mararamiro avo.
Renal kukundikana ndeye izwi rezvokurapa rehupi kusakundikana, uye zvinoreva kuti itsvo hadzikwanisi kushanda zvakanaka zvakakwana kuti inonese ropa zvakanaka. Izwi rokuti renal kusakona ndiyo izwi rinowanzoshandiswa panguva ino, asi unogona kunzwa kuongororwa kwekurwadziwa kweputsvo (AKI) iyo inoratidzira kuratidza unyoro hwakanaka hwetsvo kusakundikana.
Ipi Isingakwanisi Pashure Pokuvhiya
Itsvo dzinoshanda kushandura tsvina kubva muropa. Vanosvina ropa mumutumbi wemunhu mazana emakisi pazuva, kubvisa mvura yakawanda uye yakasvibiswa kubva muropa uye kuishandura iyo mumugini.
Apo mumwe munhu anokonzera kusagadzikana kwetsvo kwekutanga, vane chirwere chakakundikana chepfungwa, zvinoreva kuti inongoerekana iri dambudziko uye inokwanisa kugadziriswa. Kukanganiswa kwemashoko ekugara kwechirwere ndiro izwi reinso dzakaparadzwa zvachose.
Kuoma kweinso kusagadzikana kunoongororwa zvikuru nematoriro e laboratori ekutsvaira renal function iyo inosanganisira creatinine, pamwe nemamwe mimwe mhinduro yeB lab kusanganisira BUN, GFR, uye kubvumirwa kwekusika.
Kushayiwa kwepoyi kunoratidzwa apo chirinini chinonzi creatinine chinokwana 1.5 nguva yechirwere chekutanga chechiremba kana maitsvo aishanda zvakajeka panguva yekuedzwa.
A creatinine uwandu hunopfuura 1.2 milligrams per deciliter inofadza varume, uye pasi pe1 1.1 ine utano hwevakadzi.
Semuenzaniso, murume ane chine creinine ye .8 mg / dl asati avhiyiwa zvakanaka mukati mehutano hwakanaka.
Kana akange ane chiremera che 1.6, mushure mekuvhiyiwa zuva raitevera, aizoonekwa kuti ane chirwere chakashata chekushaya simba. Kuongororwa kunogonawo kugoverwa zvichienderana nemuviri. Urine huwandu hwehuwandu hunopfuura ma55 millilitres emukoni pa kirogiramu wehutatu hwehuviri paawa inotora maawa matanhatu kana kupfuura inoratidza kuora kwakakomba kwepvo.
Dzimwe nguva dambudziko iri rinogadziriswa nyore nyore nekuwedzera kwemvura, iyo inowedzera kukonzera urin uye inobvumira mafungiro kushanda zvakanaka zvakare. Kune vamwe, itsvo dzave dzichikuvadza uye hadzina kushanda zvakajeka sezvavakaita vasati vavhiyiwa. Nenzira yevanhu vakawanda, tsvete dzakakanganisika dzinogona kushanda zvakanaka zvakakwana kuti muviri ugare wakasimba.
Mumatambudziko akaoma, itsvo haikwanisi kuisa ropa zvachose, uye haigoni kuita urini. Kuvhiringidza kukonzera urini chinetso chakakomba uye kurapwa kwekurapa kunofanira kutsvaga pakarepo kana kuchiitika apo uchidzoka kumba.
Dhiyabhorosi Dambudziko Matambudziko Pashure Kokuvhiya
Dialysis Pashure Kokuvhiya
Dialysis inowanzoitwa kana itsvo dzisingagoni kushanda zvakanaka zvakachengetedza muviri kuti uve noutano. Hapana humwechete hune creatinine hunoratidza kuti dialysis inofanira kuitwa, mamwe magwaro anoti creatinine ye8 inofanira kutungamirira ku dialysis, vamwe vanoti 10.
Kunyange zvakadaro, vamwe vanoti chipini chekusika chinongova chikamu chimwe chete chepikicha, uye zviratidzo zvinorwara nemurwere zvinofanira kutungamirira kurapwa kupfuura zvinogadzirwa nera laboratory.
Chii Chinonzi Dialysis?
Dialysis ndiyo mushonga unoita basa iro itsvo dzisingakwanisi kuita: kusvibiswa kweropa kubvisa tsvina, electrolytes, uye mvura yakawandisa. Munguva ye dialysis, iyo huru yemuchina inowanikwa muropa yewaini. Ropa rinobuda kunze kwemuviri kubva kune iyo IV nzvimbo kuburikidza ne tube, uye dialysis mhepo inosvibisa ropa ndokubva yadzorera kumuviri. Izvi zvinotora maawa mana kusvika matanhatu uye zvinowanikwa katatu pavhiki kana kupfuura, zvichienderana nezvinodiwa nemumwe munhu.
Chiremba anoongorora kurapwa kwetsvo, anonzi nephrologist, anogadzirisa zvirongwa zvemuchina we dialysis kusanganisira kuti yakawandisa yakadini inofanira kubviswa mumuviri.
Zvinokonzerwa Nengozi Nekukundikana Kwetsvo Mushure mekuvhiya
Chimwe chinonyanya kuzivikanwa chinokonzerwa nephiyo kusakwanisa mushure mokunge dialysis iine kuvhiyiwa kwepfungwa kana kuvhiyiwa mutsara (chirongwa chakaitwa mumidziyo yeropa). Aya maitiro ehutano anogona kuwedzera kukura kwehutachiwana hwehuputi hwakakosha zvokuti unoda chirwere che dialysis, kana kwenguva pfupi kana kwenguva refu.
Kuva nehutano hwepfungwa mushure mekuvhiyiwa ndeyewo ngozi inokosha. Vaya vakatove vakagadzirisa zvinetso zvepvo zvinowanzove vakawedzera kukuvara mushure mekuvhiyiwa.
Vakwegura vanowanzogadzirisa kukuvadza kwepvo kupfuura murwere muduku, sezvo varwere vaduku vanowanzova noutano husati hwaitika. Varwere vane high blood pressure, chirwere chemwoyo uye chirwere cheshuga chiri pangozi yakanyanya.
Kupera kwemajini emuropa kwenguva yakareba kunogona kukuvadza itsvo. Kukuvadzwa kunorwadza, kurasikirwa kukuru kweropa, kushushikana kweropa kwemazuva akawanda, uye kukura chirwere chakanyanya chinonzi septic shock pamberi, panguva kana mushure mekuvhiyiwa kunogonawo kuwedzera mikana ye dialysis mushure mekuvhiyiwa.
Kukurisa hutachiona hwehutachiona hutachiona mushure mekuvhiyiwa, kana usina kutorwa kana kuti hutachiona hahupinduri kurapwa, kunogona kukonzera kuora kwepvo.
Muzhinji, uyo anorwara / akawanda akakuvara murwere anenge achangobva kuvhiyiwa uye mumazuva anotevera nzira, inowedzera huwandu hwenyoka hukuvadzwa hunoonekwa.
Nguva Yenguva Dzakasiyana neDisal-Term Dialysis
Kune varwere vakawanda vanovhiya vane hutano kukundikana, dialysis haifaniri, uye dambudziko rinogona kugadzirisa kana kuvandudza zvakakwana kuti urambe hutano hwakanaka.
Kune vanhu vanoona mafungiro asina hanya mushure mekuvhiyiwa uye vachida dialysis, dambudziko iri rakanyanya, uye basa rehso rinovandudza zvakakwana kuti dialysis haisi nguva refu. Urwu urwere hunozivikanwa seHome Renal Failure, kana ARF.
Kune vamwe, kuora kwetsvo kunogara nekusingaperi zvokuti dialysis inokosha. Kune avo vanhu, dambudziko racho rinogara risingaperi uye rinoda dialysis kunze kwekunge vawana kushaya kwepvo . Iyi ndiyo nzira inonzi inonzi End Stage Renal Disease (ESRD) kana kusagadzikana kwechirwere chisingaperi.
> Kwakabva:
> Mutsvo Yakakosha Kukuvadza mushure meKubata Kuvhima Kwemimba: A Retrospective Cohort Analysis. Tsvakurudzo Inoshandiswa Pakutsvakurudza uye Kuita. http://www.hindawi.com/journals/ccrp/2014/132175