Ukwelashwa kokuhluleka kwezinso okungamahlalakhona
-Delile
- 1. Ukulawulwa komfutho wegazi ophakeme nesifo sikashukela
- 2. Ukunakekela ukudla
- 3. Ukusetshenziswa kwemithi
- 4. Ukuba nemikhuba yokuphila enempilo
- Ukwelashwa kwesifo sezinso esithuthukile
Ukwelashwa kwesifo esingapheliyo sezinso kuncike esigabeni esikuso lesi sifo, futhi senziwa ngenhloso yokulungisa ukukhubazeka okubangelwa ukungasebenzi kahle kwezinso, ukuze kubambezele ukwanda kwaso.
Ngakho-ke, ukwelashwa kuqondiswa i-nephrologist, futhi kufaka ukunakekelwa ekudleni, ukulungiswa kwengcindezi yegazi namazinga kashukela egazini, ukubhekwa kwenani lomchamo okhiqizwayo nokusetshenziswa kwemithi efana ne-diuretics, isibonelo. Ezimweni ezimbi kakhulu, i-dialysis noma ukufakelwa kwezinso kungakhonjiswa.
Isifo sezinso esingapheliyo, esibizwa nangokuthi ukwehluleka kwezinso okungamahlalakhona, kuvela lapho izinso zehluleka ukusebenza ngendlela ebekufanele zenze ngayo, zidale izinkinga ezifana nezinguquko emazingeni obuthi, ama-electrolyte, uketshezi negazi i-pH. Qonda ukuthi kuyini ukuhluleka kwezinso nezimpawu zako eziyinhloko.
Ukuhluleka kwe-renal akunakhambi, futhi akukho muthi okungasiza izinso ukusebenza kuphela, noma kunjalo, kukhona ukwelashwa, okukhonjiswa yi-nephrologist. Imihlahlandlela eyinhloko ifaka phakathi:
1. Ukulawulwa komfutho wegazi ophakeme nesifo sikashukela
Umfutho wegazi ophakeme nesifo sikashukela yizimbangela eziyinhloko zezifo ezingamahlalakhona zezinso, ngakho-ke kubaluleke kakhulu ukuthi lezi zifo zilawulwe kahle ukuvikela ukuthi lesi sifo singabi sibi kakhulu.
Ngakho-ke, i-nephrologist izohlala ihambisana nokuhlolwa okuqapha lezi zifo, futhi uma kunesidingo, lungisa imithi ukuze ingcindezi ibe ngaphansi kuka-130x80 mmHg futhi amazinga e-glucose egazi alawulwe. Ngaphezu kwalokho, kubalulekile futhi ukunaka amazinga we-cholesterol ne-triglyceride.
2. Ukunakekela ukudla
Ekudleni kokuhluleka kwezinso, kuyadingeka ukuthi kube nokulawula okukhethekile kokudla kwezakhi ezifana nosawoti, i-phosphorus, i-potassium kanye namaprotheni, futhi ezimweni ezinzima kakhulu kungadingeka futhi ukulawula ukusetshenziswa kuketshezi ngokujwayelekile, njengamanzi neziphuzo.
Ngakho-ke, kunconywa ukuthi umuntu onesifo esingapheliyo sezinso kufanele futhi ahambisane nesazi sokudla, ozokwazi ukunikeza ukuholwa okwengeziwe ngamanani afanele umuntu ngamunye, ngokomsebenzi wezinso nezimpawu ezethulwayo.
Buka le vidiyo engezansi ukuthola imihlahlandlela evela kongoti bokudla:
3. Ukusetshenziswa kwemithi
Ngaphezu kwemithi yokulawula umfutho wegazi, isifo sikashukela kanye ne-cholesterol, uma kukhonjiswa ngudokotela, eminye imithi ingadingeka futhi ukulawula ezinye izinkinga zokuhluleka kwezinso, njenge:
- Izidakamizwa, njengeFurosemide: kukhonjisiwe ukukhulisa ukukhiqizwa komchamo nokunciphisa ukuvuvukala;
- I-Erythropoietin: yihomoni ekhiqizwa izinso, engancishiswa ukwehluleka kwezinso, okungadala i-anemia. Ngakho-ke, le hormone kufanele ishintshwe, uma yehla futhi inesibopho se-anemia.
- Ukwengeza okunomsoco: izongezo ze-calcium nevithamini D kungadingeka ukuze kugweme ingozi yokuqhekeka, ukukhubazeka nobuhlungu bamathambo, okuvame kakhulu ezigulini ezinesifo esingapheliyo sezinso. I-iron, i-folic acid kanye ne-vithamini B12 izengezo nazo zingadingeka lapho kune-anemia;
- Izindlela zokulawula i-phosphate: Ukwehla kwamazinga emazingeni e-phosphate kungavela ngokuhluleka kwezinso futhi kuguqule imetabolism yamathambo, ngakho-ke, ukusetshenziswa kwezidakamizwa ezilawula amanani azo, njengeCalcium Carbonate, Aluminium Hydroxide noma iSevelamer, kungakhonjiswa.
La makhambi akhonjiswa yi-nephrologist, futhi imvamisa ayadingeka uma sekuvele kunokukhubazeka okulingene nokuya ngamandla ekusebenzeni kwezinso.
Udokotela kufanele futhi aluleke amakhambi okufanele agwenywe, ngoba anobuthi ezinso, njengamanye ama-antibiotic nemithi elwa nokuvuvukala, ngokwesibonelo.
4. Ukuba nemikhuba yokuphila enempilo
Ukuzijwayeza ukuzivocavoca umzimba, ungabhemi, ugweme iziphuzo ezidakayo, ukugcina isisindo sakho silawulwa nokugwema ukucindezeleka ezinye zezincomo ezinempilo ezisiza ukuthuthukisa umzimba, ukugeleza kwegazi okusebenzayo nokuvikela impilo yezinso, okusiza ukuthi kube nokuhluleka kwezinso okuqhubekayo.
Ukwelashwa kwesifo sezinso esithuthukile
Ukwelapha ukwehluleka kwezinso okuthuthukile, lapho izinso zingasasebenzi noma zisebenze kancane kakhulu, kudingeka i-dialysis, equkethe ukusebenzisa umshini ukufaka esikhundleni sezinso ukusebenza nokususa uketshezi oluningi nobuthi egazini. I-Dialysis ingenziwa ngezikhathi ze-hemodialysis noma i-peritoneal dialysis. Qonda ukuthi yini i-hemodialysis nokuthi isebenza kanjani.
Okunye okungenzeka ukuthi ukufakelwa izinso, kodwa-ke, akwenzeki ngaso sonke isikhathi ukuthola umnikeli ohambisanayo futhi umuntu akanaso njalo isibonakaliso sezokwelapha noma izimo zomtholampilo zokuhlinzwa. Thola okuningi ku-Kidney Transplant: kwenziwa kanjani nokuthi ilulama kanjani.