Isivivinyo se-Glomerular Filtration Rate (GFR)

-Delile

• Luyini uvivinyo lwe-glomerular filtration rate (GFR)?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwe-GFR?
• Kwenzekani ngesikhathi sokuhlolwa kwe-GFR?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-GFR?
• Izinkomba

Luyini uvivinyo lwe-glomerular filtration rate (GFR)?

Izinga lokuhlunga i-glomerular (GFR) ukuhlolwa kwegazi okuhlola ukuthi izinso zakho zisebenza kahle kangakanani. Izinso zakho zinezihlungi ezincane ezibizwa nge- glomeruli. Lezi zihlungi zisiza ukususa imfucuza noketshezi oluningi egazini. Ukuhlolwa kwe-GFR kulinganisa ukuthi lingakanani igazi elidlula kulezi zihlungi umzuzu ngamunye.

I-GFR ingalinganiswa ngqo, kepha isivivinyo esiyinkimbinkimbi, esidinga abahlinzeki abakhethekile. Ngakho-ke i-GFR ivame ukulinganiselwa kusetshenziswa isivivinyo esibizwa nge-GFR elinganiselwa noma i-eGFR. Ukuze uthole isilinganiso, umhlinzeki wakho uzosebenzisa indlela eyaziwa njenge-GFR wokubala. Isibali se-GFR luhlobo lwefomula yezibalo elilinganisela izinga lokuhlunga kusetshenziswa olunye noma lonke lolu lwazi olumayelana nawe:

• Imiphumela yokuhlolwa kwegazi elinganisa i-creatinine, umkhiqizo odoti ohlungwa izinso
• Ubudala
• Isisindo
• Ukuphakama
• Ubulili
• Ubuhlanga

I-eGFR isivivinyo esilula esinganikeza imiphumela enembile kakhulu.

Amanye amagama: kulinganiselwa i-GFR, i-eGFR, isilinganiso sokuhlunga se-glomerular, i-cGFR ebaliwe

Kusetshenziselwa ini?

Ukuhlolwa kwe-GFR kusetshenziselwa ukusiza ukuxilonga izifo zezinso zisencane, lapho zelapheka kakhulu. I-GFR ingasetshenziselwa ukuqapha abantu abanezifo ezingapheli zezinso (CKD) noma ezinye izimo ezidala ukulimala kwezinso. Lokhu kubandakanya isifo sikashukela nomfutho wegazi ophezulu.

Kungani ngidinga ukuhlolwa kwe-GFR?

Isifo sezinso sesigaba sokuqala asivame ukudala izimpawu. Kodwa ungadinga ukuhlolwa kwe-GFR uma usengozini enkulu yokuthola isifo sezinso. Izici zobungozi zifaka:

• Isifo sikashukela
• Umfutho wegazi ophezulu
• Umlando womndeni wokuhluleka kwezinso

Kamuva isifo sezinso senza izimpawu. Ngakho-ke ungadinga ukuhlolwa kwe-GFR uma unezinye zalezi zimpawu ezilandelayo:

• Kuchama kaningi noma ngaphansi kunokujwayelekile
• Ukulunywa
• Ukukhathala
• Ukuvuvukala ezingalweni, emilenzeni, noma ezinyaweni
• Amajaqamba emisipha
• Isicanucanu nokuhlanza
• Ukuphelelwa isifiso sokudla

Kwenzekani ngesikhathi sokuhlolwa kwe-GFR?

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?

Ungadinga ukuzila ukudla (ungadli noma uphuze) noma uvikele ukudla okuthile amahora amaningana 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?

Imiphumela yakho ye-GFR ingakhombisa okukodwa kokulandelayo:

• Okujwayelekile-mhlawumbe awunaso isifo sezinso
• Ngaphansi kokujwayelekile-ungaba nesifo sezinso
• Ngaphansi kakhulu kokujwayelekile-ungaba nokuhluleka kwezinso

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

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

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-GFR?

Yize ukulimala kwezinso kuvame ukuhlala unomphela, ungathatha izinyathelo ukuvimbela okunye ukulimala. Izinyathelo zingafaka:

• Imithi yengcindezi yegazi
• Imithi yokulawula ushukela wegazi uma unesifo sikashukela
• Izinguquko zendlela yokuphila njengokuzivocavoca umzimba nokugcina isisindo esinempilo
• Ukunciphisa utshwala
• Ukuyeka ukubhema

Uma welapha isifo sezinso kusenesikhathi, ungakwazi ukuvimbela ukwehluleka kwezinso. Okuwukuphela kwezindlela zokwelashwa zokwehluleka kwezinso yi-dialysis noma ukufakelwa izinso.

Izinkomba

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6. National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Imibuzo Ebuzwa Njalo: I-eGFR [icashunwe ngo-2019 Ephreli 10]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/frequently-asked-questions
7. National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. I-Glomerular Filtration Rate (GFR) Calculators [icashunwe ngo-2019 Ephreli 10]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/glomerular-filtration-rate-calculators
8. Isisekelo Sezinso Sikazwelonke [i-Intanethi]. ENew York: INational Kidney Foundation Inc., c2019. Umhlahlandlela Wezempilo Oya ku-Z: Mayelana Nezifo Ezingamahlalakhona Zezinso [kucashunwe ngo-2019 Ephreli 10]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.kidney.org/atoz/content/about-chronic-kidney-disease
9. Isisekelo Sezinso Sikazwelonke [i-Intanethi]. ENew York: INational Kidney Foundation Inc., c2019. Umhlahlandlela Wezempilo Oya ku-Z: Isilinganiso Esilinganiselwe Sokuhlunga se-Glomerular (eGFR) [eshiwo ngo-2019 Ephreli 10]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.kidney.org/atoz/content/gfr
10. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida; c2019. Izinga lokuhlunga le-Glomerular: Ukubuka konke [kubuyekezwe ngo-2019 Ephreli 10; kucashunwe 2019 Ephreli 10]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/glomerular-filtration-rate
11. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2019. I-Health Encyclopedia: Isilinganiso se-Glomerular Filtration Rate [esicashunwe ngo-2019 Ephreli 10]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=glomerular_filtration_rate
12. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Imininingwane Yezempilo: I-Glomerular Filtration Rate (GFR): Ukubuka konke kwesihloko [kuvuselelwe i-2018 Mar 15; kucashunwe 2019 Ephreli 10]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/special/glomerular-filtration-rate/aa154102.html

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.