Izimpawu Zamazinga Aphezulu e-Creatinine

-Delile

• Yini i-creatinine?
• Amabanga ajwayelekile futhi aphezulu
• Ukuhlolwa kwegazi kwe-creatinine
• Ukuhlolwa komchamo we-urine
• Kungasho imiphumela yakho ephezulu
• Izimpawu ezingahambisana ne-creatinine ephezulu
• Ubuthi bezidakamizwa (i-nephrotoxicity eyenziwe yizidakamizwa)
• Ukutheleleka kwezinso (pyelonephritis)
• I-Glomerulonephritis
• Isifo sikashukela
• Umfutho wegazi ophezulu
• Isifo senhliziyo
• Ukuvinjelwa kwe-Urinary tract
• Ukuhluleka kwezinso
• Ukubonana nodokotela nini
• Uyini umbono we-creatinine ephezulu?

Yini i-creatinine?

I-Creatinine ngumkhiqizo odoti owenziwe yimisipha yakho. Izinso zakho zisebenza ukuhlunga i-creatinine kanye neminye imfucuza egazini lakho. Ngemuva kokuhlungwa, le mikhiqizo edoti iyaxoshwa emzimbeni wakho ichame.

Ukukala amazinga we-creatinine kunganikeza imininingwane ebalulekile yokuthi izinso zakho zingasebenza kanjani. Udokotela wakho angalinganisa amazinga e-creatinine egazini lakho nasemchameni wakho.

Amaleveli we-Creatinine angaphezulu noma angaphansi kwamabanga ajwayelekile angakhombisa ukuba khona kwesimo sempilo. Ake sibhekisise i-creatinine ephezulu, izimpawu ezihambisana nayo, nokuthi uzobona nini udokotela.

Amabanga ajwayelekile futhi aphezulu

Amaleveli we-Creatinine anganqunywa kusetshenziswa ukuhlolwa kwegazi noma ukuhlolwa komchamo.

Ukuhlolwa kwegazi kwe-creatinine

Ungabona futhi lokhu kuhlolwa okubhekiswe kukho njengokuhlolwa kwe-serum creatinine. Ngalesi sivivinyo, igazi liqoqwa lisuka emthanjeni osengalweni yakho bese lithunyelwa ebhodini ukuze lihlaziyeke ngokwengeziwe.

Ngokusho kweMayo Clinic, uhla olujwayelekile lwe-creatinine (lomuntu omdala) egazini ngokujwayelekile:

• Amayunithi e-U.S. 0.84 kuya ku-1.21 milligram nge-deciliter ngayinye (mg / dL)
• Amayunithi aseYurophu: Ama-micromoles angama-74.3 kuye kwayi-107 ilitha ngalinye (umol / L)

Amaleveli we-creatinine angaphezu kwamanani ebanga ajwayelekile angathathwa njengokuphakeme. Udokotela wakho angafuna ukuqinisekisa lezi zimiso ngokusebenzisa ukuhlolwa komchamo noma ngokuphinda ukuhlolwa kwegazi.

Ukuhlolwa komchamo we-urine

Udokotela wakho angaqoqa isampula yomchamo engahleliwe (eyodwa) yalolu vivinyo, kepha cishe bazocela isampula lamahora angama-24. Isampula yamahora angu-24 yomchamo ibandakanya ukuqoqa umchamo wakho esikhathini esingamahora angama-24.

Ngokuya ngeMayo Clinic Laboratories, amabanga ajwayelekile e-urine creatinine kusampula yamahora angu-24 yilawa:

• Amayunithi e-U.S. Ama-milligrams angama-955 kuya ku-2,936 ngamahora angama-24 (mg / ngosuku) kwabesilisa; 601 kuya ku-1,689 mg / 24 amahora wabesifazane
• Amayunithi aseYurophu: 8.4 kuya ku-25.9 millimoles ngamahora angama-24 (mmol / ngosuku) kwabesilisa; 5.3 kuya ku-14.9 mmol / ngosuku kwabesifazane

Amaleveli we-creatineine ngaphezu kwalezi zingqimba abhekwa njengaphakeme, futhi ukuhlolwa okungeziwe noma ukuphinda ukuhlolwa kungadingeka.

Inani le-creatinine emchameni lingasetshenziswa ngokuhlangana nemiphumela ye-serum creatinine ukubala imvume yakho ye-creatinine, ekala ukuthi izinso zakho zilihluza kahle kanjani igazi lakho.

Amaleveli we-Creatinine angahluka ngenxa yezinto ezifana nobudala, ubulili, ubuhlanga, i-hydration, noma isisindo somzimba. Ngokwengeziwe, amabanga wesethenjwa ajwayelekile angahluka kusuka kwelebhu kuya kubhu.

Kubalulekile ukuthi ungazami ukutolika imiphumela yakho uwedwa. Udokotela wakho uzosebenzisana nawe ukuhlola nokuhumusha imiphumela yakho nokuthi ingasho ukuthini.

Kungasho imiphumela yakho ephezulu

Ngabe kusho ukuthini uma unamazinga aphezulu e-creatinine?

Ngokuvamile, amazinga aphezulu e-creatinine angakhombisa ukuthi izinso zakho azisebenzi kahle.

Kunezimbangela eziningi ezingaba khona ze-creatinine ephezulu, ezinye zazo ezingaba yinto yesikhathi esisodwa. Izibonelo zingafaka izinto ezinjengokuphelelwa amanzi emzimbeni noma ukutholwa kwamaprotheni amaningi noma i-supplement creatine. Konke lokhu kungaba nzima okwesikhashana ezinso zakho.

Kodwa-ke, ezinye izimbangela ze-creatinine ephezulu zingakhomba esimweni sempilo. Eziningi zalezi zimo zingadala ukulimala noma izifo ezithinta ukusebenza kwezinso. Zingafaka:

• ubuthi bezidakamizwa (i-nephrotoxicity eyenziwe yizidakamizwa)
• ukutheleleka kwezinso (pyelonephritis)
• glomerulonephritis
• isifo sikashukela
• umfutho wegazi ophakeme
• isifo senhliziyo, njenge-atherosclerosis noma ukwehluleka kwenhliziyo okucinana
• ukuvinjelwa kwepheshana lomchamo
• ukwehluleka kwezinso, kokubili okunzima nokungapheli

Izimpawu ezingahambisana ne-creatinine ephezulu

Izimpawu ze-creatinine ephezulu zingaxhomeka esimeni esiyibangelayo.

Ubuthi bezidakamizwa (i-nephrotoxicity eyenziwe yizidakamizwa)

Eminye imishanguzo ingadala ukulimala ezinso futhi iphazamise ukusebenza kwazo. Izibonelo zale mithi yilezi:

• ama-antibiotic, njenge-aminoglycosides, i-rifampin, ne-vancomycin
• izidakamizwa zenhliziyo, njenge-ACE inhibitors kanye nezitatimende
• izidakamizwa zamakhemikhali
• isisu
• lithium
• iproton pump inhibitors

Izimpawu ezihambisana ne-creatinine ephezulu futhi ezingakhula ngokushesha zingafaka:

• ukugcinwa kwamanzi, ikakhulukazi emzimbeni wakho ophansi
• ukudlulisa inani eliphansi lomchamo
• ngizizwe ngibuthakathaka noma ngikhathele
• ukudideka
• isicanucanu
• ukuphelelwa umoya
• ukushaya kwenhliziyo okungajwayelekile
• ubuhlungu besifuba

Ukutheleleka kwezinso (pyelonephritis)

Ukutheleleka kwezinso uhlobo lokutheleleka kwe-urinary tract (UTI). Kungenzeka uma amabhaktheriya noma amagciwane engena kwezinye izingxenye zomgudu wakho wokuchama ngaphambi kokukhuphukela ezinso.

Uma ishiywe ingalashwa, izifo zezinso zingadala ukulimala ezinso zakho nasekuhlulekeni kwezinso. Ezinye izimpawu zokutheleleka kwezinso okufanele zibhekwe zifaka:

• imfiva
• ubuhlungu benziwe bube semhlane wakho, ohlangothini, noma ekubunjweni
• ukuchama okuvamile noma okubuhlungu
• umchamo obonakala umnyama, kunamafu, noma kunegazi
• umchamo onuka kabi
• Ukugodola
• isicanucanu noma ukuhlanza

I-Glomerulonephritis

IGlomerulonephritis yenzeka lapho izingxenye zezinso zakho ezihlunga igazi lakho zivutha. Ezinye izimbangela ezingaba khona zibandakanya ukutheleleka noma izifo ezizimele njenge-lupus ne-Goodpasture syndrome.

IGlomerulonephritis ingaholela ekulimaleni kwezinso nasekulimaleni nasekuhlulekeni kwezinso. Izimpawu zalesi simo zifaka:

• umfutho wegazi ophakeme
• igazi emchameni, okungenza ukuthi libonakale libomvana noma nsundu
• umchamo obonakala unamagwebu ngenxa yamazinga aphezulu wamaprotheni
• ukugcinwa koketshezi ebusweni, ezandleni nasezinyaweni

Isifo sikashukela

Isifo sikashukela yisimo lapho ushukela wegazi lakho uphakeme kakhulu. Izinga eliphakeme likashukela egazini lingaholela ezinkingeni zezempilo ezahlukahlukene, esinye sazo yisifo sezinso.

Kunezinhlobo ezimbili zesifo sikashukela - uhlobo 1 nohlobo 2. Izimpawu zesifo sikashukela sohlobo 1 zingakhula ngokushesha ngenkathi izimpawu zohlobo 2 zivame ukukhula kancane kancane. Izimpawu ezijwayelekile zesifo sikashukela zifaka:

• ukuzizwa womile kakhulu
• ukuchama kaningi
• ukwanda kwesifiso sokudla
• ngizizwe ngikhathele
• ukungaboni kahle
• ukuzwa ukuba ndikindiki noma ukuncinza ezandleni nasezinyaweni
• ukuphulukiswa kwesilonda kancane

Umfutho wegazi ophezulu

Umfutho wegazi ophakeme wenzeka lapho amandla egazi acindezela izindonga zemithambo yakho ephezulu kakhulu. Lokhu kungalimaza noma kunciphise imithambo yegazi ezungeze izinso, kuthinte ukusebenza kwezinso futhi kubangele i-creatinine ephezulu.

Njengoba umfutho wegazi ophakeme kaningi ungenazo izimpawu, abantu abaningi abazi ukuthi banayo. Kuvame ukutholakala ngesikhathi sokuhlolwa kwezempilo okujwayelekile.

Isifo senhliziyo

Izimo ezithinta inhliziyo nemithambo yegazi, njenge-atherosclerosis kanye ne-congestive heart failure, nazo zingathinta ukusebenza kwezinso. Lezi zimo zingathinta ukugeleza kwegazi ngezinso, okuholele ekulimaleni noma ekulahlekelweni komsebenzi.

Izimpawu ze-atherosclerosis azivame ukuvela kuze kube yilapho umthambo uncipha kakhulu noma uvinjwe ngokuphelele. Bangancika futhi ohlotsheni lwemithambo ethintekile. Ezinye izimpawu ezijwayelekile zifaka:

• ubuhlungu besifuba (angina)
• ukuphelelwa umoya
• ukushaya kwenhliziyo okungavamile (arrhythmia)
• ukuzizwa ukhathele noma ubuthakathaka
• izimpawu ezinjengokushaywa unhlangothi, njengokukhubazeka noma ukukhuluma kabi

Izimpawu zokwehluleka kwenhliziyo yokuqina zingabandakanya:

• ukuphefumula kanzima noma ukuphefumula okuncane
• ngizizwe ngikhathele noma ngikhathele
• ukuvuvukala esiswini, emilenzeni, noma ezinyaweni

Ukuvinjelwa kwe-Urinary tract

Ipheshana lakho lomchamo lingavinjelwa ngenxa yezinto ezahlukahlukene, ezinjengamatshe ezinso, i-prostate enwetshiwe, noma izicubu. Uma lokhu kwenzeka, umchamo unganqwabelana ezinso, okuholele esimweni esibizwa nge-hydronephrosis.

Izimpawu zokuvinjelwa kwe-urinary tract zingakhula ngokushesha noma kancane ngokuhamba kwesikhathi kuye ngesizathu. Ezinye izimpawu okufanele uzibheke ngaphezu kwezinga eliphakeme le-creatinine zifaka:

• ubuhlungu emhlane wakho noma ohlangothini
• ukuchama kaningi noma okubuhlungu
• igazi emchameni wakho
• ukudlulisa inani elincane lomchamo noma ukuthola umchamo obuthakathaka
• ngizizwe ngikhathele noma ngikhathele

Ukuhluleka kwezinso

Ukwehluleka kwezinso kusho ukwehla kokusebenza kwezinso kanye nesinye sezimbangela ezivame kakhulu ze-creatinine ephezulu.Kungaba kubi noma kungalapheki. Izimpawu zokwehluleka okukhulu kwezinso zingafika ngokushesha ngenkathi lezo zokuhluleka kwezinso okungamahlalakhona zikhula ngokuhamba kwesikhathi.

Ezinye izimpawu zokwehluleka kwezinso okufanele uzibuke zifaka:

• ukugcinwa kwamanzi, ikakhulukazi emzimbeni wakho ophansi
• ukudlulisa inani eliphansi lomchamo
• ngizizwe ngibuthakathaka noma ngikhathele
• ikhanda
• ukudideka
• isicanucanu
• inkathazo yokulala
• ukuqunjelwa kwemisipha
• ukuzwa ukulunywa
• ukuphelelwa umoya
• ubuhlungu besifuba

Ukubonana nodokotela nini

Kufanele njalo ushayele udokotela wakho uma uhlangabezana nezimpawu ezintsha, ezingachazeki, noma eziphindaphindayo, ikakhulukazi uma zihambisana nemibandela efana nesifo sezinso, isifo sikashukela, noma isifo senhliziyo.

Udokotela wakho uzosebenzisana nawe ukuhlola izimpawu zakho futhi anqume ukwelashwa okulungele wena.

Kubalulekile ukukhumbula ukuthi ubuhlungu besifuba nokuhluleka okukhulu kwezinso kufanele njalo kuthathwe ngokungathi sína. Kufanele uqiniseke ukuthi ufuna usizo lwezokwelapha ngokushesha uma uhlangabezana nakho ngakunye.

Uyini umbono we-creatinine ephezulu?

Kunezimbangela eziningi ezingaba khona zamazinga aphezulu e-creatinine. Ngokwengeziwe, izimpawu ze-creatinine ephezulu zingahluka ngokuya ngesizathu.

Ezimweni eziningi, imithi ingasiza ukuxazulula amazinga aphezulu e-creatinine ngokwelapha isimo esibangela ukwanda. Ezinye izibonelo zifaka ama-antibiotic wokutheleleka kwezinso noma imithi esiza ukulawula umfutho wegazi ophakeme.

Ezimweni zokuhluleka kwezinso, kungadingeka i-dialysis ngaphezu kwemithi yokusiza ukuhlunga ubuthi kanye nemikhiqizo emfucuza egazini lakho. Ezimweni ezinzima noma emacaleni okugcina, ukufakelwa kwezinso kungadingeka.