Isifo sezinso esingalapheki: izimpawu nokwelashwa

-Delile

• Izimpawu Zesifo Sezinso Esingamahlalakhona
• Yelashwa kanjani
• Izigaba ze-CKD

Isifo Sezinso Esingamahlalakhona, esaziwa nangokuthi i-CKD noma Ukwehluleka Kwezinso Okungalapheki, sibonakala ngokulahleka okuqhubekayo kwekhono lezinso lokuhluza igazi, okwenza isiguli sizwe izimpawu ezifana nokuvuvukala ezinyaweni nasemaqakaleni, ukuba buthakathaka nokubukeka kwegwebu umchamo, isibonelo.

Ngokuvamile, isifo sezinso esingalapheki sivame kakhulu kubantu asebekhulile, abanesifo sikashukela, abanezifo ezinomfutho wegazi ophezulu noma kubantu abanomlando womndeni wesifo sezinso. Ngakho-ke, kubalulekile ukuthi laba bantu benze umchamo nokuhlolwa kwegazi ngezikhathi ezithile, ngomthamo we-creatinine, ukubheka ukuthi izinso zisebenza kahle yini nokuthi kunengozi yokuthola i-CKD.

Izimpawu Zesifo Sezinso Esingamahlalakhona

Izimpawu eziyinhloko ezihlobene ne-Chronic Kidney Disease yilezi:

• Umchamo ngegwebu;
• Zivuvukele izinyawo namaqakala, ikakhulukazi ekupheleni kosuku;
• Ukushoda kwegazi;
• Ukukhathala okuvame ukuhambisana nokushoda kwegazi;
• Ukwanda kwemvamisa yomchamo, ikakhulukazi ebusuku;
• Ubuthakathaka;
• Malaise;
• Ukuntula ukudla;
• Ukuvuvukala kwamehlo, okuvame ukuvela kuphela esigabeni esithuthuke kakhulu;
• Ukucanuzela kwenhliziyo nokuhlanza, esigabeni esithuthuke kakhulu sesifo.

Ukuxilongwa kokuhluleka kwezinso okungamahlalakhona kungenziwa ngokuhlolwa komchamo, okuthola ubukhona be-protein albumin noma cha, nokuhlolwa kwegazi, ngesilinganiso se-creatinine, ukuhlola inani lalo egazini. Endabeni yesifo esingapheliyo sezinso, kukhona i-albhamuin emchameni futhi ukugxila kwe-creatinine egazini kuphakeme. Funda konke mayelana nokuhlolwa kwe-creatinine.

Yelashwa kanjani

Ukwelashwa kwesifo esingapheliyo sezinso kufanele kuqondiswe yi-nephrologist, futhi ukusetshenziswa kwezidakamizwa ezisiza ukulawula izimpawu kuvame ukukhonjiswa, kufaka phakathi i-diuretics, efana neFurosemide, noma imithi yomfutho wegazi ophakeme, njengeLosartana noma iLisinopril, ngokwesibonelo.

Ezimweni esezithuthuke kakhulu, ukwelashwa kungafaka i-hemodialysis ukuhlunga igazi, kususe noma ikuphi ukungcola izinso ezingakwazi, noma ukufakelwa izinso.

Ngaphezu kwalokho, iziguli ezinesifo esingapheliyo sezinso kufanele zidle ukudla okungenawo amaprotheni amaningi, usawoti kanye ne-potassium, futhi kubalulekile ukuthola ukuholwa ngudokotela wezokudla. kukhonjiswe yisazi sokudla. Bheka kuvidiyo engezansi ukuthi uzodlani uma kwenzeka Ukwehluleka Kwezinso:

Izigaba ze-CKD

Isifo Sezinso Esingamahlalakhona singahlukaniswa ngokohlobo lokulimala kwezinso kwezinye izigaba, ezinjenge:

• Isigaba 1 isifo sezinso esingalapheki: Ukusebenza kwezinso okujwayelekile, kepha imiphumela yomchamo noma ye-ultrasound ikhombisa ukulimala kwezinso;
• Isigaba 2 isifo sezinso esingalapheki: Ukwehla kokuncipha kokusebenza kwezinso nemiphumela yokuhlolwa ekhombisa ukulimala kwezinso;
• Isigaba 3 isifo sezinso esingalapheki: Umsebenzi wezinso onciphiswe ngokulingene;
• Isigaba 4 sesifo sezinso esingalapheki: Umsebenzi wezinso othinteke kakhulu;
• Isigaba sesi-5 sesifo sezinso esingalapheki: Ukwehliswa okukhulu kokusebenza kwezinso noma ukwehluleka kwesigaba sokugcina.

Isifo sezinso esingalapheki asinakulapheka, kepha singalawulwa ngemithi ekhonjiswe yi-nephrologist nokudla okuholwa ngudokotela wezokudla. Kodwa-ke, ezimweni zesigaba sesine noma sesi-5 sesifo sezinso, ukufakwa kwe-hemodialysis noma ukufakelwa kwezinso kuyadingeka. Qonda ukuthi ukufakelwa izinso kwenziwa kanjani.