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Kuyini ukuhlolwa kwe-BUN (blood urea nitrogen)?

I-BUN, noma i-blood urea nitrogen test, inganikeza imininingwane ebalulekile mayelana nokusebenza kwezinso zakho. Umsebenzi omkhulu wezinso zakho ukukhipha imfucuza noketshezi olwengeziwe emzimbeni wakho. Uma unesifo sezinso, lokhu kungcola kungakha egazini lakho futhi kungaholela ezinkingeni ezinkulu zempilo, kufaka phakathi umfutho wegazi ophakeme, i-anemia nesifo senhliziyo.

Ukuhlolwa kukala inani le-urea nitrogen egazini lakho. I-Urea nitrogen ingenye yemikhiqizo kadoti ekhishwe egazini lakho yizinso zakho. Izinga eliphakeme kunelejwayelekile le-BUN kungaba uphawu lokuthi izinso zakho azisebenzi kahle.

Abantu abanezifo zezinso zakuqala kungenzeka bangabi nazimpawu. Ukuhlolwa kwe-BUN kungasiza ukuthola izinkinga zezinso zisencane lapho ukwelashwa kungasebenza kangcono.

Amanye amagama wokuhlolwa kwe-BUN: Urea nitrogen test, serum BUN

Kusetshenziselwa ini?

Ukuhlolwa kwe-BUN kuvame ukuba yingxenye yochungechunge lwezivivinyo ezibizwa ngephaneli ephelele yemetabolic, futhi kungasetshenziswa ukusiza ukuxilonga noma ukuqapha isifo sezinso noma ukuphazamiseka.


Kungani ngidinga ukuhlolwa kwe-BUN?

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa kwe-BUN njengengxenye yokuhlolwa okujwayelekile noma uma usengozini yenkinga yezinso noma usengozini. Yize isifo sokuqala sezinso ngokuvamile singenazo izimpawu noma izimpawu, izici ezithile zingakubeka engcupheni enkulu. Lokhu kufaka phakathi:

  • Umlando womndeni wezinkinga zezinso
  • Isifo sikashukela
  • Umfutho wegazi ophezulu
  • Isifo senhliziyo

Ngaphezu kwalokho, amazinga akho e-BUN angahlolwa uma uhlangabezana nezimpawu zesifo sezinso esiseduze, njenge:

  • Udinga ukuya endlini yangasese (uchame) kaningi noma njalo
  • Ukulunywa
  • Ukukhathala okuqhubekayo
  • Ukuvuvukala ezingalweni, emilenzeni, noma ezinyaweni
  • Amajaqamba emisipha
  • Inkinga yokulala

Kwenzekani ngesikhathi sokuhlolwa kwe-BUN?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.


Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi amalungiselelo akhethekile wokuhlolwa kwe-BUN. Uma umhlinzeki wakho wezokunakekelwa kwempilo naye eyalele okunye ukuhlolwa kwegazi, kungadingeka ukuthi uzile ukudla (ungadli noma uphuze) amahora ambalwa ngaphambi kokuhlolwa. Umhlinzeki wakho wezokunakekelwa kwempilo uzokwazisa uma ngabe kukhona imiyalelo ekhethekile ongayilandela.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Amazinga ajwayelekile we-BUN angahluka, kepha imvamisa izinga eliphakeme le-urea nitrogen yegazi liyisibonakaliso sokuthi izinso zakho azisebenzi kahle. Kodwa-ke, imiphumela engajwayelekile ayikhombisi njalo ukuthi unesimo sezempilo esidinga ukwelashwa. Izinga eliphakeme kunelejwayelekile le-BUN lingadalwa nawukuphelelwa ngamanzi emzimbeni, ukusha, imithi ethile, ukudla okunamaprotheni amaningi, noma ezinye izinto, kufaka phakathi iminyaka yakho. Amazinga e-BUN ngokuvamile akhula njengoba ukhula. Ukuze ufunde ukuthi imiphumela yakho isho ukuthini, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.


Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-BUN?

Ukuhlolwa kwe-BUN wuhlobo olulodwa kuphela lokukalwa kokusebenza kwezinso. Uma umhlinzeki wakho wezempilo esola ukuthi unesifo sezinso, kunganconywa ukuhlolwa okwengeziwe. Lokhu kungafaka isilinganiso se-creatinine, okungomunye umkhiqizo odoti ohlungwe izinso zakho, nohlolo olubizwa nge-GFR (Glomerular Filtration Rate), olinganisela ukuthi izinso zakho zilicwenga kahle kanjani igazi.

Izinkomba

  1. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2019. Igazi i-Urea nitrogen; [kubuyekezwe i-2018 Dec 19; kucashunwe ngo-2019 uJan 27]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/blood-urea-nitrogen-bun
  2. ULyman JL. Igazi urea nitrogen ne-creatinine. I-Emerg Med Clin eNyakatho Am [Inthanethi]. I-1986 Meyi 4 [icashunwe ngo-2017 Jan 30]; 4 (2): 223–33. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pubmed/3516645
  3. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998-2017. Ukuhlolwa kwegazi i-Urea Nitrogen (BUN): Ukubuka konke; 2016 Jul 2 [kucashunwe 2017 Jan 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: http://www.mayoclinic.org/tests-procedures/blood-urea-nitrogen/home/ovc-20211239
  4. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998-2017. Ukuhlolwa kwegazi i-Urea Nitrogen (BUN): Imiphumela; 2016 Jul 2 [icashunwe 2017 Jan 30]; [cishe izikrini eziyi-7]. Kutholakala kusuka: http://www.mayoclinic.org/tests-procedures/blood-urea-nitrogen/details/results/rsc-20211280
  5. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998-2017. Isifo Sezinso Esingamahlalakhona; 2016 Aug 9; [kucashunwe ngo-2017 Jan 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: http://www.mayoclinic.org/diseases-conditions/chronic-kidney-disease/symptoms-causes/dxc-20207466
  6. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Izinhlobo Zokuhlolwa Kwegazi; [kubuyekezwe 2012 Jan 6; kukhonjiwe ngo-2017 Jan 30]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/types
  7. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ziyini Izingozi Zokuhlolwa Kwegazi? [kubuyekezwe 2012 Jan 6; kukhonjiwe ngo-2017 Jan 30]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/risks
  8. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ongakulindela Nezivivinyo Zegazi; [kubuyekezwe 2012 Jan 6; kukhonjiwe ngo-2017 Jan 30]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
  9. National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isisekelo Sezifo Sezinso; [kubuyekezwe u-2012 Mar 1; kukhonjiwe ngo-2017 Jan 30]; [cishe izikrini eziyi-7]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/health-communication-programs/nkdep/learn/causes-kidney-disease/kidney-disease-basics/pages/kidney-disease-basics.aspx
  10. Uhlelo Lukazwelonke Lokufundisa Ngezifo Zezinso: Ukuhlolwa Kwelabhorethri [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Uhlelo Lukazwelonke Lokufundisa Ngezifo Zezinso: Imiphumela Yakho Yokuhlolwa Kwezinso; [kubuyekezwe u-2013 Feb; kukhonjiwe ngo-2017 Jan 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation
  11. Isisekelo Sezinso Sikazwelonke [i-Intanethi]. ENew York: INational Kidney Foundation Inc., c2016. Mayelana Nezifo Ezingapheli Zezinso; [kucashunwe ngo-2017 Jan 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.kidney.org/kidneydisease/aboutckd

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