Ukungasebenzi kahle kwezinso

Ukwehluleka kwezinso okunamandla ukulahleka okusheshayo (okungaphansi kwezinsuku ezimbili) kwekhono lezinso zakho lokususa imfucuza nokusiza ukulinganisela uketshezi nama-electrolyte emzimbeni wakho.

Ziningi izimbangela zokulimala kwezinso. Kubandakanya:

• I-acute tubular necrosis (i-ATN; ukulimala kumaseli we-tubule wezinso)
• Gwema isifo sezinso ngokuzenzakalela
• Ukuqina kwegazi okuvela kwi-cholesterol (i-cholesterol emboli)
• Ukwehla kokugeleza kwegazi ngenxa yengcindezi yegazi ephansi kakhulu, engabangelwa ukusha, ukoma, ukopha, ukulimala, ukushaqeka okubangelwa yisifo septic, ukugula okungathi sína noma ukuhlinzwa
• Ukuphazamiseka okubangela ukujiya ngaphakathi kwemithambo yegazi yezinso
• Izifo ezilimaza izinso ngqo, njenge-acute pyelonephritis noma i-septicemia
• Izinkinga zokukhulelwa, kufaka phakathi ukuphazamiseka kwe-placenta noma i-placenta previa
• Ukuvinjelwa kwe-Urinary tract
• Izidakamizwa ezingekho emthethweni ezifana ne-cocaine ne-heroine
• Imithi ehlanganisa imishanguzo engewona ama-steroidal anti-inflammatory (NSAIDs), ama-antibiotic athile kanye nemithi yengcindezi yegazi, umehluko we-intravenous (udayi), umdlavuza othile kanye nezidakamizwa ze-HIV

Izimpawu zokwehluleka okukhulu kwezinso zingafaka noma yikuphi okulandelayo:

• Izitulo ezinegazi
• Iphunga lokuphefumula nokunambitheka kwensimbi emlonyeni
• Ukulimaza kalula
• Izinguquko esimweni sengqondo noma imizwa
• Ukwehla kwesifiso sokudla
• Ukwehla kwemizwa, ikakhulukazi ezandleni noma ezinyaweni
• Ukukhathala noma ukunyakaza okuvilaphayo
• Ubuhlungu beFlank (phakathi kwezimbambo nezinqulu)
• Ukuthuthumela kwesandla
• Inhliziyo ibubula
• Umfutho wegazi ophezulu
• Isicanucanu noma ukuhlanza, kungahlala izinsuku
• Ukopha ngamakhala
• Ama-hiccups aqhubekayo
• Ukopha isikhathi eside
• Ukuquleka
• Ukuphelelwa umoya
• Ukuvuvukala ngenxa yokugcina umzimba kuketshezi (kungabonakala emilenzeni, emaqakaleni nasezinyaweni)
• Izinguquko zokuchama, njengokuchama okuncane noma ukungabikho nhlobo, ukuchama ngokweqile ebusuku, noma ukuchama okuyeka ngokuphelele

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola.

Ukuhlolwa kokubheka ukuthi izinso zakho zisebenza kahle kangakanani kufaka:

• BUN
• Imvume ye-Creatinine
• I-serum creatinine
• I-potassium yeSerum
• Ukuhlolwa komchamo

Okunye ukuhlolwa kwegazi kungenziwa ukuthola imbangela eyisisekelo yokwehluleka kwezinso.

I-ultrasound yezinso noma yesisu yiyona ndlela ekhethwayo yokuhlola ukuvinjelwa komgudu womchamo. I-X-ray, i-CT scan, noma i-MRI yesisu nayo ingatshela uma kukhona ukuvinjelwa.

Lapho imbangela isitholakele, inhloso yokwelashwa ukusiza izinso zakho zisebenze futhi futhi zivimbele uketshezi nodoti ekwakheni emzimbeni wakho ngenkathi zisalulama. Imvamisa, kuyodingeka ulale esibhedlela ukuze uthole ukwelashwa.

Inani liketshezi oliphuzayo lizokhawulelwa kunani lomchamo ongawukhiqiza. Uzotshelwa ukuthi yini ongayidla futhi ongayidli ukunciphisa ukwanda kobuhlungu obungahle bususwe izinso. Ukudla kwakho kungadinga ukuthi kube nama-carbohydrate amaningi futhi kube namaprotheni amancane, usawoti kanye ne-potassium.

Ungadinga ama-antibiotic ukwelapha noma ukuvimbela ukutheleleka. Amaphilisi amanzi (i-diuretics) angasetshenziswa ukusiza ukususa uketshezi emzimbeni wakho.

Imithi izonikezwa ngomthambo ukusiza ukulawula izinga lakho le-potassium yegazi.

Ungadinga i-dialysis. Lokhu ukwelashwa okwenziwa izinso ezinempilo ngokujwayelekile - ukususa emzimbeni imfucumfucu eyingozi, usawoti owengeziwe namanzi. I-Dialysis ingasindisa impilo yakho uma amazinga akho e-potassium ephezulu kakhulu ngendlela eyingozi. I-Dialysis izosetshenziswa futhi uma:

• Isimo sakho sengqondo siyashintsha
• Uba ne-pericarditis
• Ugcina uketshezi oluningi kakhulu
• Awukwazi ukususa imfucuza ye-nitrogen emzimbeni wakho

I-Dialysis izovame ukuba yisikhathi esifushane. Kwezinye izimo, ukulimala kwezinso kukhulu kakhulu kangangokuba i-dialysis iyadingeka unomphela.

Shayela umhlinzeki wakho uma okukhipha umchamo kuhamba kancane noma kuyeka noma unezinye izimpawu zokwehluleka okukhulu kwezinso.

Ukuvimbela ukwehluleka okukhulu kwezinso:

• Izinkinga zezempilo ezifana nomfutho wegazi ophakeme noma isifo sikashukela kufanele zilawulwe kahle.
• Gwema izidakamizwa nemithi engadala ukulimala kwezinso.

Ukwehluleka kwezinso; Ukwehluleka kwezinso; Ukwehluleka kwezinso - okukhulu; I-ARF; Ukulimala kwezinso - okunamandla

• Ukwakheka kwezinso

IMolitoris BA. Ukulimala kanzima kwezinso. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 112.

I-Oh MS, i-Briefel G. Ukuhlolwa kokusebenza kwezinso, amanzi, ama-electrolyte, ne-acid-base balance. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 14.

I-Weisbord SD, iPalevsky PM. Ukuvimbela nokuphathwa kokulimala kanzima kwezinso. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 29.