Ungakwelapha Kanjani Ukwehluleka Kwezinso Okungalapheki

-Delile

• Ukwelashwa kokuhluleka kwezinso okungamahlalakhona
• Izimpawu zokuhluleka kwezinso okungamahlalakhona
• Izimbangela eziyinhloko zokuhluleka kwezinso okungapheli
• Ungakuvimbela kanjani ukwanda kokuhluleka kwezinso okungamahlalakhona
• Nakhu ukuthi ungadla kahle kanjani kuvidiyo:

Ukwelapha ukwehluleka kwezinso okungamahlalakhona (CRF) kungadingeka ukwenza i-dialysis, okuyinqubo esiza ukuhlunga igazi, ukuqeda izinto ezimbi nokusiza ukugcina ukusebenza kahle komzimba, ikakhulukazi lapho izinso zisebenza kuphela ngo-15% . Ngaphezu kwalokho, kungahle kudingeke ukufakelwa izinso, ukugcina ukudla okuncane kunamaprotheni nosawoti kanye nokuthatha imithi ekhonjiswe yi-nephrologist, efana ne-diuretics ne-antihypertensives.

Isifo sezinso sithathwa njengesingapheli lapho ukulimala kuthatha izinyanga ezingaphezu kwezingu-3, ​​kubangela izimpawu ezinjengemilenze evuvukele, umfutho wegazi ophakeme nobuhlungu beqolo, ngokwesibonelo, nomphumela omkhulu wokuhluleka kwezinso, okungaholela ekufeni.

Ukwelashwa kokuhluleka kwezinso okungamahlalakhona

Esigabeni sokuqala sokuhluleka kwezinso okungamahlalakhona, inani lokudla okunothe amaprotheni, usawoti kanye ne-potassium kufanele lehliswe, kugweme ukomisa amanzi futhi kuthathe imishanguzo yokwelapha isisu, efana neLisinopril noma iRamipril, ukugcina umfutho wegazi, ukunciphisa ukulahleka kwe-albumin ku umchamo ngoba usiza ukugcina ukusebenza kwezinso.

Kodwa-ke, ezingeni eliphakeme kakhulu lokudla akwanele futhi, kungadingeka ukwenza ezinye izindlela zokwelapha ezinjenge:

• I-Peritoneal dialysis: kungukuhlungwa kwegazi okwenziwa ekhaya zonke izinsuku zeviki ebusuku, kufakwa uketshezi esiswini ukuhlunga igazi, futhi kufanele kuhlale esiswini amahora angaba ngu-8;
• IHemodialysis: isiguli kufanele siye esibhedlela ukuhlunga igazi ngomshini owenza imisebenzi efanayo nezinso. Phakathi nale nqubo, igazi likhishwa ngomjovo engalweni bese libuyiselwa emzimbeni ngenye ipayipi, lapho ubuthi sebususiwe.
• Ukufakelwa kwezinso: kuwukuhlinzwa lapho izinso ezinesifo zithathelwa indawo izinso ezinempilo ezinikelwe isiguli esifanelekayo. Lokhu kuhlinzwa kuthatha isikhathi futhi ukululama kuthatha cishe izinyanga ezintathu, ngokwenqatshwa kwesitho esisha. Thola imininingwane eminingi ngokufakelwa kwezinso.

Isifo sezinso esingalapheki singahlukaniswa ngezigaba eziningana, kuneziqu ezi-5 kanti esokugcina sinzima kakhulu, njengoba izinso zisebenza kuphela ngo-15%, zidinga ukwelashwa okufana ne-dialysis noma ukufakelwa kabusha.

Izimpawu zokuhluleka kwezinso okungamahlalakhona

Esikhathini sokuqala, lowo muntu kungenzeka angabi nazimpawu ngoba izinso zivumelanisa nenkinga. Noma kunjalo, ezinye izimpawu zingavela kancane, njenge:

• Umfutho wegazi ophakeme;
• Ukuvuvukala engxenyeni engezansi yamehlo;
• Imilenze nezinyawo ezivuvukile;
• Ukuvuka ayochama lapho lokhu kwakungewona umkhuba;
• Umchamo ngegwebu;
• Ukhathele kakhulu;
• Ukuntula ukudla;
• Pallor;
• Ukuhlungu obusemhlane;
• Isicanucanu nokuhlanza.

Ngokuthola ukuxilongwa kokuhluleka kwezinso okungapheli, kufanele kwenziwe ukuhlolwa kwegazi nomchamo. Lezi zivivinyo zibalulekile ukuhlola inani le-urea, i-albhamuin ne-creatinine emzimbeni, ngoba lapho izinso zingasebenzi kahle, ukugxila kwazo kuphakeme kakhulu futhi kuvela emchameni.

Izimbangela eziyinhloko zokuhluleka kwezinso okungapheli

Izimbangela ezinkulu zokuhluleka kwezinso okungamahlalakhona ukuphatha kabi izifo ezinjengesifo sikashukela nomfutho wegazi ophakeme, okugcwala kakhulu ukusebenza kwezinso.

Ukutheleleka okuvamile komchamo, ukutholakala kwama-cysts efa kanye nesifo senhliziyo, ngaphezu kokusetshenziswa kwezidakamizwa, imishanguzo nokuba khona komdlavuza wezinso nakho kungadala ukulimala okukhulu okuholela esifo sezinso.

Ungakuvimbela kanjani ukwanda kokuhluleka kwezinso okungamahlalakhona

Ukuvimbela lesi sifo ekuqhubekeni, kuyadingeka ukulawula umfutho wegazi kanye namazinga kashukela, ukugcina ukudla okunomsoco ngokudla okuncane kasawoti, ushukela namafutha. Ngaphezu kwalokho, kubalulekile ukugcina isisindo somzimba esanele, ukuqeda ukusetshenziswa kogwayi, ukunciphisa ukuphuza iziphuzo ezidakayo nokuzivocavoca umzimba njalo.

Lezi zinyathelo kumele futhi zamukelwe ukuvimbela ukuqala kwalesi sifo sezinso.

Nakhu ukuthi ungadla kahle kanjani kuvidiyo: