Ukukhishwa komchamo - kwehlile

Ukwehla kokukhishwa komchamo kusho ukuthi ukhiqiza umchamo omncane kunokujwayelekile. Iningi labantu abadala lenza okungenani i-500 mL yomchamo emahoreni angama-24 (izinkomishi ezingaphezudlwana kwezingu-2).

Izimbangela ezivamile zifaka:

• Ukuphelelwa ngamanzi emzimbeni ngokungaphuzi uketshezi olwanele nokuhlanza, isifo sohudo, noma imfiva
• Ukuvinjelwa okuphelele komgudu womchamo, okufana nokuvela endlaleni yesinye
• Imithi efana ne-anticholinergics namanye ama-antibiotic

Izimbangela ezingavamile kakhulu zifaka:

• Ukwehla kwegazi
• Ukutheleleka okunzima noma esinye isimo sezokwelapha esiholela ekushaqeni

Phuza inani loketshezi umhlinzeki wakho wokunakekelwa kwezempilo ancoma.

Umhlinzeki wakho angakutshela ukuthi ulinganise inani lomchamo owukhiqizayo.

Ukwehla okukhulu kokukhishwa komchamo kungaba uphawu lwesimo esibi. Kwezinye izimo, kungasongela impilo. Isikhathi esiningi, ukukhishwa komchamo kungabuyiselwa ngokunakekelwa kwezokwelapha ngokushesha.

Xhumana nomhlinzeki wakho uma:

• Uyabona ukuthi ukhiqiza umchamo omncane kunokujwayelekile.
• Umchamo wakho ubukeka umnyama kakhulu kunokujwayelekile.
• Uyahlanza, unesifo sohudo, noma unomkhuhlane omkhulu futhi awukwazi ukuthola uketshezi olwanele ngomlomo.
• Unesiyezi, ikhanda elikhanyayo, noma ukushaya okusheshayo ngokuncipha komchamo.

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo efana nale:

• Inkinga iqale nini futhi ishintshile ngokuhamba kwesikhathi?
• Uphuza kangakanani usuku ngalunye futhi ukhiqiza umchamo ongakanani?
• Ngabe uke waqaphela noma yiluphi ushintsho kumbala womchamo?
• Yini eyenza inkinga ibe yimbi kakhulu? Kungcono?
• Wake waba nokuhlanza, uhudo, umkhuhlane, noma ezinye izimpawu zokugula?
• Imiphi imithi oyiphuzayo?
• Unomlando wezinkinga zezinso noma zesinye?

Ukuhlolwa okungenziwa kufaka phakathi:

• I-ultrasound yesisu
• Ukuhlolwa kwegazi kwama-electrolyte, ukusebenza kwezinso, nokubalwa kwegazi
• Ukuhlolwa kwesisu kwe-CT (kwenziwe ngaphandle kwedayi ehlukile uma umsebenzi wakho wezinso ukhubazekile)
• Ukuskena kabusha
• Ukuhlolwa komchamo, kufaka phakathi ukuhlolwa kokutheleleka
• I-cystoscopy

Oliguria

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

U-Emmett M, uFenves AV, uSchwartz JC. Sondela esigulini esinesifo sezinso. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 25.

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

URiley RS, uMcPherson RA. Ukuhlolwa okuyisisekelo komchamo. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 28.