Mary Allen
Kana itsvo dzikamira kushanda, kune ngozi yemigumisiro yakakomba yenguva refu. Saka zvakakosha kuziva uye kubata chirwere chisingaperi chetsvo nekukasira. Tsvaga zvese nezve zviratidzo, kuongororwa, uye kurapwa kwechisingaperi itsvo kutadza mumakati pano.
Chronic renal insufficiency (CRF) inotsanangura kuderera kunonoka kwemabasa ose eitsvo. Izvi zvishoma nezvishoma kurasikirwa kweitsvo zvinogona kufambira mberi kwemwedzi nemakore pasina muridzi wekati anoona chero shanduko mukati yavo. Sezvo CKD ichifambira mberi, matishu eitsvo anowedzera uye anorasika uye anotsiviwa neanobatanidza tishu.
Metabolic disorders inongoitika kana 75 muzana kana kupfuura yeitsvo tishu dzaparadzwa uye kati inoratidza zviratidzo zvechirwere cheitsvo.
Chikonzero chekusagadzikana kwetsvo kusingaperi kuzvimba kusingaperi, chikonzero chinokonzeresa icho chisati chanyatsojeka.
Zviratidzo zveChisingaperi Renal Kukundikana muKatsi
Zvinosuruvarisa, zvirwere zveitsvo zvinowanzoonekwa munguva pfupi. Chete apo zvakanaka zviviri muzvitatu zveitsvo tishu zvakaparadzwa iyo kati inoratidza zviratidzo zvekusingaperi itsvo kukundikana.
Mumatanho ekutanga ekutadza kwetsvo kusingaperi, kati inonwa zvakanyanya uye inoburitsa weti yakawanda zvinoenderana. Mukati dzomukati, izvi zvinoonekwa pakuchenesa bhokisi remarara. Varidzi vekatsi dzekunze kazhinji havana mukana wekuziva izvi zviratidzo zvekutanga, sezvo katsi dzekunze dzinoda kuburitsa dundira kunze uye zvakare kunwa zvakawanda ipapo. Zvichienderana nekatsi, zvimwe zviratidzo zvinogona kuonekwa sezvo chirwere chinokura. Izvi ndezvi:
- manyaro
- kurasikirwa nechido
- kurutsa
- chirwere
- shaggy fur
- mweya wakaipa
Zvisinei, sezvo zviratidzo izvi zvichigonawo kuva chiratidzo chezvimwe zvirwere zvakadai sechirwere cheshuga mellitus, zvakakosha kuti katsi inyatsoongororwa nechiremba wemhuka.
Heino tarisiro yematanho ese echisingaperi itsvo kutadza mumakati uye zviratidzo:
Danho I: Inipient Renal Insufficiency
- creatinine mune yakajairika renji, protein/creatinine ratio yakajairika
- hapana zviratidzo
- hapana kukanganisa kwehupenyu hwose
Danho II: Kwekutanga Renal Kukundikana
- creatinine yakawedzera zvishoma, protein/creatinine ratio munzvimbo yemuganhu
- katsi shoma chete dzinotoratidza zviratidzo zvekutanga zvakadai sekuwedzera kunwa
- avhareji yekurarama hupenyu pasina kurapwa ndeye makore matatu
Nhanho III: Uremic Renal Kukundikana
- creatinine pamusoro peyakajairika chiyero, protein / creatinine ratio yakawedzera, 75% yeitsvo tishu dzakaparadzwa
- zviratidzo zvakadai sekuwedzera kunwa uye kurasikirwa kwechido zvinoonekwa;
- kuwedzera kuitika kwezvinhu weti muropa
- avhareji yekurarama hupenyu pasina kurapwa ndeye makore matatu
Danho IV: End-Stage Renal Kukundikana
- zvakanyanya kuwedzera creatinine uye protein / creatinine ratio
- katsi haichagoni kuita weti
- katsi inoratidza zviratidzo zvakakomba senge cramps, kurutsa kwakanyanya, kuramba kudya, nezvimwe.
- avhareji yekurarama hupenyu pasina kurapwa mazuva makumi matatu nemashanu
Kutanga Kuonekwa kweChisingaperi Nephritis muKatsi
Kukura kwekatsi, ndiko kuwedzera kwengozi yekuti inokura kusingaperi kweitsvo. Pazera rinopfuura makore gumi, pakati pe30 ne40 muzana yekatsi dzose dzinobatwa. Varume vevarume vanoonekwa kare, paavhareji, pamakore gumi nemaviri ekuberekwa kupfuura vakadzi pamakore gumi nemashanu.
Chiremba wezvipfuyo anogona chete kuita ongororo yakavimbika nekuongororwa ropa uye weti murabhoritari. Hwoko hweitsvo dze urea, creatinine, uye SDMA dzinowedzera zvakanyanya mumatsi anorwara. Mukuwedzera, mazinga ephosphate muropa uye mazinga eprotein muweti akawandisa.
Kuwedzerwa kweropa kwekati kunofanirawo kuongororwa nguva dzose uye kurapwa kana zvichidiwa, sezvo kukwirira kweropa kunokuvadza midziyo muitsvo. Inopfuura 60 muzana yekatsi dzose dzine itsvo dzisina simba dzine high blood pressure. Mukuwedzera pakukuvadza itsvo, izvi zvinokonzerawo chirwere chemwoyo mukati.
Izvo zvakakosha kuve neitsvo kuongororwa gore rega rega kune katsi anopfuura makore manomwe. Kunyanya, kukosha kweSDMA kunoratidza zvirwere zvetsvo mumatanho ekutanga. Kurapa kunogona kutangwa katsi isati yava nezviratidzo.
Chikafu Chakakodzera cheKatsi Dzine Chisingaperi Kidney Kukundikana
Chiremba wemhuka anofanirwa kugadzirisa zvese kurapwa nemishonga uye chikafu chinodiwa chekusingaperi itsvo kukundikana kune katsi uye chiyero chechirwere. Unofanirawo kutevera mitemo yake nokukurumidza. Muchidimbu, mapuroteni uye phosphorus yemukati mekudya inofanira kuderedzwa kana ichienzaniswa neyakajairika katsi chikafu. Katsi ine chirwere cheitsvo haifanirwe kupihwa zvimwe zvekudya kana mavhitamini ekuwedzera pasina kubvunza chiremba wemhuka. Mamwe magadzirirwo ane phosphorus yakawanda.
Chikafu chakakosha chekudya cheitsvo chave kuwanikwa kubva kune vanogadzira chikafu chakasiyana uye nenzira dzakasiyana, saka zvave nyore kuwana chikafu chekudya icho katsi inofarira kudya. Zvakakosha kuita shanduko zvishoma nezvishoma: Pakutanga, sanganisa chikafu chekudya nechikafu chinowanzoitwa ne spoonful uye kuwedzera chikamu nhanho nhanho.
Mhedzisiro yeChisingaperi Renal Kukundikana muKatsi
Basa guru reitsvo nderekusefa zvinhu zvine chepfu kubva mumuviri. Muchetura uhu unobva wapinda muweti, zvosiya mapuroteni ane utano mumuviri. Kana itsvo dzikasashanda zvakanaka, muviri wese unotambura. Zvinhu zvine chepfu izvo zvinofanirwa kuburitswa neweti hazvichakwanise kusefa uye kuramba zviri mumuviri. Nepo urea pachayo isiri-chepfu, inogona kushanduka kuita muchetura ane njodzi ammonia, inorwisa huropi. Ndosaka zvakakosha kuti muone CKD nekukasika kuitira kuti katsi irambe ichirarama hupenyu hurefu husina zviratidzo.