Ukuhlolwa kwegazi le-Urea Nitrogen (BUN)

-Delile

• Kungani kwenziwa ukuhlolwa kweBUN?
• Ngisilungiselela kanjani isivivinyo seBUN?
• Kwenziwa kanjani ukuhlolwa kwe-BUN?
• Kusho ukuthini imiphumela yokuhlolwa kwe-BUN?
• Ziyini izingozi zokuhlolwa kwe-BUN?
• Ukuthatha

Kuyini ukuhlolwa kwe-BUN?

Ukuhlolwa kwegazi urea nitrogen (BUN) kusetshenziselwa ukuthola ukuthi izinso zakho zisebenza kahle kangakanani. Lokhu ikwenza ngokulinganisa inani le-urea nitrogen egazini. I-Urea nitrogen ngumkhiqizo odoti owenziwe esibindini lapho umzimba udiliza amaprotheni. Imvamisa izinso ziyayihluza le nkunkuma, bese kuthi ukuchama kuyisuse emzimbeni.

Izinga le-BUN livame ukwanda lapho izinso noma isibindi sezonakele. Ukuba ne-nitrogen eningi kakhulu egazini kungaba uphawu lwezinkinga zezinso noma zesibindi.

Kungani kwenziwa ukuhlolwa kweBUN?

Ukuhlolwa kwe-BUN ukuhlolwa kwegazi okusetshenziselwa kakhulu ukuhlola ukusebenza kwezinso. Kuvame ukwenziwa kanye nokunye ukuhlolwa kwegazi, njengokuhlolwa kwegazi kwe-creatinine, ukwenza ukuxilongwa okufanele.

Ukuhlolwa kwe-BUN kungasiza ukuxilonga lezi zimo ezilandelayo:

• ukulimala kwesibindi
• ukungondleki
• ukusakazeka kahle
• ukoma komzimba
• ukuvinjelwa komgudu womchamo
• ukuhluleka kwenhliziyo
• ukopha emathunjini

Isivivinyo singasetshenziselwa ukunquma ukusebenza kokwelapha kwe-dialysis.

Ukuhlolwa kwe-BUN nakho kuvame ukwenziwa njengengxenye yokuhlolwa okujwayelekile, ngesikhathi sokuhlala esibhedlela, noma ngesikhathi noma ngemuva kokwelashwa kwezimo ezinjengesifo sikashukela.

Ngenkathi ukuhlolwa kwe-BUN kukala inani le-urea nitrogen egazini, akubonakali imbangela yenani eliphakeme noma elingaphansi kwesilinganiso se-urea nitrogen.

Ngisilungiselela kanjani isivivinyo seBUN?

Ukuhlolwa kwe-BUN akudingi ukulungiswa okukhethekile. Kodwa-ke, kubalulekile ukuthi utshele udokotela wakho uma uthatha noma imuphi umuthi kadokotela noma owuthengisayo. Imithi ethile ingathinta amazinga akho e-BUN.

Eminye imithi, kufaka phakathi i-chloramphenicol noma i-streptomycin, ingehlisa amazinga akho e-BUN. Eminye imishanguzo, njengama-antibiotics athile kanye ne-diuretics, ingakhuphula amazinga akho e-BUN.

Imithi ejwayelekile ebekiwe engaphakamisa amazinga akho e-BUN ifaka:

• i-amphotericin B (i-AmBisome, i-Fungizone)
• i-carbamazepine (Tegretol)
• cephalosporins, iqembu lama-antibiotic
• i-furosemide (Lasix)
• imethotrexate
• methyldopa
• i-rifampin (Rifadin)
• i-spironolactone (Aldactone)
• i-tetracycline (Sumycin)
• isisu se-thiazide
• i-vancomycin (Vancocin)

Qiniseka ukuthi utshela udokotela wakho uma uthatha noma iyiphi yale mithi. Udokotela wakho uzocubungula lolu lwazi lapho ebuyekeza imiphumela yakho yokuhlolwa.

Kwenziwa kanjani ukuhlolwa kwe-BUN?

Ukuhlolwa kwe-BUN ukuhlolwa okulula okubandakanya ukuthatha isampula encane yegazi.

Ngaphambi kokudonsa igazi, uchwepheshe uzohlanza indawo engalweni yakho engenhla ngesibulali magciwane. Bazokubopha ibhande lokunwebeka engalweni yakho, elizokwenza imithambo yakho ivuvukele igazi. Uchwepheshe uzobe esefaka inaliti eyinyumba emthanjeni bese edonsela igazi kuthubhu enamathiselwe enalithini. Ungase uzwe ubuhlungu obumnene kuya ekulinganiseni lapho inaliti ingena.

Lapho sebeqoqe igazi elanele, uchwepheshe uzosusa inaliti afake ibhandishi endaweni yokubhoboza. Bazothumela isampuli yakho yegazi elabhorethri ukuze ihlolwe. Udokotela wakho uzokulandela ukuze axoxe ngemiphumela yokuhlolwa.

Kusho ukuthini imiphumela yokuhlolwa kwe-BUN?

Imiphumela yokuhlolwa kwe-BUN ilinganiswa ngama-milligram nge-deciliter ngayinye (mg / dL). Amanani ajwayelekile we-BUN ajwayele ukwehluka ngokuya ngobulili nobudala. Kubalulekile futhi ukuqaphela ukuthi ilabhorethri ngayinye inamabanga ahlukene ngokujwayelekile.

Ngokuvamile, amazinga ajwayelekile e-BUN awela kulezi zigaba ezilandelayo:

• amadoda amadala: 8 kuya ku-24 mg / dL
• abesifazane abadala: 6 kuya ku-21 mg / dL
• izingane ezineminyaka engu-1 kuya kwengu-17 ubudala: 7 kuya ku-20 mg / dL

Amazinga ajwayelekile we-BUN kubantu abadala abangaphezu kwama-60 aphezulu kakhulu kunamazinga ajwayelekile kubantu abadala abangaphansi kweminyaka engama-60.

Amazinga aphezulu e-BUN angakhombisa:

• Isifo senhliziyo
• ukuhluleka kwenhliziyo
• ukuhlaselwa yinhliziyo muva nje
• ukopha emathunjini
• ukoma komzimba
• amazinga aphezulu wamaprotheni
• isifo sezinso
• ukwehluleka kwezinso
• ukoma komzimba
• ukuvimba komgudu womchamo
• ukucindezeleka
• ukushaqeka

Khumbula ukuthi eminye imishanguzo, njengama-antibiotic athile, ingakhuphula amazinga akho e-BUN.

Amazinga we-BUN aphansi angakhombisa:

• ukwehluleka kwesibindi
• ukungondleki
• ukuntuleka okukhulu kwamaprotheni ekudleni
• ukweqisa emzimbeni

Ngokuya ngemiphumela yakho yokuhlolwa, udokotela wakho futhi angaqhuba ezinye izivivinyo ukuqinisekisa ukuxilongwa noma ukuncoma ukwelashwa. I-hydration efanele iyindlela ephumelela kunazo zonke yokwehlisa amazinga we-BUN. Ukudla okune-protein ephansi nakho kungasiza ukwehlisa amazinga we-BUN. Umuthi ngeke unconywe ukwehlisa amazinga we-BUN.

Kodwa-ke, amazinga weBUN angajwayelekile akusho ukuthi unesimo sezinso. Izici ezithile, njengokuphelelwa amanzi emzimbeni, ukukhulelwa, ukudla okuphezulu noma okuphansi kwamaprotheni, ama-steroids, nokuguga kungathinta amazinga akho ngaphandle kokukhombisa ingozi yezempilo.

Ziyini izingozi zokuhlolwa kwe-BUN?

Ngaphandle kokuthi ufuna ukunakekelwa kwesimo esiphuthumayo sezokwelapha, ngokujwayelekile ungabuyela emisebenzini yakho ejwayelekile ngemuva kokwenza ukuhlolwa kwe-BUN. Tshela udokotela wakho uma unenkinga yokopha noma uthatha imithi ethile efana nezinciphisi zegazi. Lokhu kungadala ukuthi wophe ngaphezu kokulindelekile ngesikhathi sokuhlolwa.

Imiphumela emibi ehambisana nokuhlolwa kwe-BUN ifaka:

• ukopha endaweni yokubhoboza
• ukulinyazwa endaweni yokubhoboza
• ukuqoqwa kwegazi ngaphansi kwesikhumba
• ukutheleleka endaweni yokubhoboza

Ezimweni ezingavamile, abantu baba nekhanda noma baquleke ngemuva kokudonswa igazi. Yazisa udokotela wakho uma uhlangabezana nanoma yimiphi imiphumela emibi engalindelekile noma ende emva kokuhlolwa.

Ukuthatha

Ukuhlolwa kwe-BUN ukuhlolwa kwegazi okusheshayo nokulula okuvame ukusetshenziselwa ukuhlola ukusebenza kwezinso. Amazinga e-BUN aphakeme ngokungafani noma aphansi ngokungajwayelekile akusho ukuthi unezinkinga ngokusebenza kwezinso. Uma udokotela wakho esola ukuthi unenkinga yezinso noma esinye isimo sempilo, bazoku-oda izivivinyo ezengeziwe ukuqinisekisa ukuxilongwa bese bethola imbangela.