Izinga lokuhlunga le-Glomerular

Izinga lokuhlunga le-Glomerular (GFR) ukuhlolwa okusetshenziselwa ukuhlola ukuthi izinso zisebenza kahle kangakanani. Ngokukhethekile, ilinganisela ukuthi lingakanani igazi elidlula kuma-glomeruli umzuzu ngamunye. IGlomeruli izihlungi ezincane ezisezinsweni ezihlunga imfucuza egazini.

Kudingeka isampula yegazi.

Isampuli yegazi ithunyelwa elebhu. Lapho, kuvivinywa izinga le-creatinine kusampula yegazi. I-Creatinine ingumkhiqizo wemfucuza wamakhemikhali we-creatine. I-Creatine iyikhemikhali elenziwa ngumzimba ukunikezela ngamandla, ikakhulukazi emisipheni.

Uchwepheshe webhu uhlanganisa izinga lakho le-creatinine yegazi nezinye izinto eziningana ukulinganisa i-GFR yakho. Amafomula ahlukene asetshenziselwa abantu abadala nezingane. Ifomula ifaka okunye noma konke okulandelayo:

• Ubudala
• Isilinganiso se-creatinine yegazi
• Ubuhlanga
• Ucansi
• Ukuphakama
• Isisindo

Ukuhlolwa kwe-creatinine clearance, okubandakanya ukuqoqwa komchamo wamahora angama-24, nakho kunganikeza ukulinganiselwa kokusebenza kwezinso.

Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi umise okwesikhashana noma yimiphi imithi engathinta imiphumela yokuhlolwa. Lokhu kufaka phakathi ama-antibiotic nemithi ye-acid esiswini.

Qiniseka ukuthi utshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo. Ungayeki ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nodokotela wakho.

Tshela udokotela wakho uma ukhulelwe noma ucabanga ukuthi kungenzeka. I-GFR ithinteka ngokukhulelwa.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.

Ukuhlolwa kwe-GFR kukala ukuthi izinso zakho zilihluza kahle kanjani igazi. Udokotela wakho angayalela lokhu kuhlolwa uma kunezimpawu zokuthi izinso zakho azisebenzi kahle. Kungenziwa futhi ukubona ukuthi isifo sezinso sesikhule kangakanani.

Ukuhlolwa kwe-GFR kunconyelwe abantu abanesifo esingapheliyo sezinso. Kuyanconywa futhi kubantu abangahle babe nesifo sezinso ngenxa:

• Isifo sikashukela
• Umlando womndeni wesifo sezinso
• Ukutheleleka kaningi komchamo
• Isifo senhliziyo
• Umfutho wegazi ophezulu
• Ukuvinjelwa kwe-Urinary

NgokweNational Kidney Foundation, imiphumela ejwayelekile isukela ku-90 kuye ku-120 mL / min / 1.73 m². Abantu abadala bazoba namazinga aphansi kunamazinga ajwayelekile e-GFR, ngoba i-GFR incipha ngeminyaka.

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nodokotela wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Amaleveli angaphansi kwama-60 mL / min / 1.73 m² izinyanga ezintathu noma ngaphezulu ziwuphawu lwesifo esingapheliyo sezinso. I-GFR ingaphansi kwe-15 mL / min / 1.73 m² kuwuphawu lokuhluleka kwezinso futhi kudinga usizo lwezokwelapha ngokushesha.

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

GFR; I-GFR elinganiselwayo; eGFR

• Ukuhlolwa kwe-Creatinine

UKrishnan A, uLevin A. Ukuhlolwa kwelabhorethri yesifo sezinso: isilinganiso se-glomerular filtration, urinalysis, kanye neproteinuria. 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 23.

I-Landry DW, iBazari H. Indlela eya esigulini esinesifo so-renal. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.