Ukungaphumeleli kwezintso okuNgapheliyo (CKD) kwiikati

Xa izintso zekati zisilela kancinci, kubizwa ngokuba yi- chronic kidney failure. Nangona kungekho unyango lwesi sifo, iikati zihlala ziphila ubomi obude kwaye bonwabile ngonyango lwakwangoko. Fumana yonke into malunga neempawu, ukuxilongwa, kunye nonyango lokungaphumeleli kwezintso kwiikati apha.

Isifo sezintso ezingapheliyo (Chronic kidney disease) (CKD) sisifo apho izintso ziye ziyeke ngokuthe ngcembe ukusebenza. Esi sifo sisekelwe ekuvukeleni okungapheliyo, isizathu saso asikacaci. Ngexesha le-nephritis engapheliyo, izicubu zezintso ezisebenza ngakumbi zilahlekile kwaye zithathelwe indawo zizicubu ezixhumeneyo.

I-CKD inqabile kwiikati ezincinci. Ngokuya indala ikati, kokukhona iba nkulu ingozi yokuba ne-CKD. Kwiminyaka engaphezu kweshumi ubudala, phakathi kwama-30 nama-40 ekhulwini eekati sele zichaphazelekile. Amadoda angamadoda afunyaniswa kwangaphambili, ngokomndilili, kwiminyaka eyi-12 ubudala kunabasetyhini abaneminyaka eyi-15 ubudala. Nangona kunjalo, izilwanyana zihlala zihlala zingasazi isigulo sazo ixesha elide, ngamanye amaxesha iinyanga okanye iminyaka.

Iziphumo zeCKD kwiikati

Umsebenzi ophambili wezintso kukucoca izinto eziyityhefu emzimbeni. Ezi tyhefu zidlulela kumchamo, zishiya iiproteni eziphilileyo emzimbeni. Ukuba izintso azisasebenzi ngokufanelekileyo, yonke into ephilayo iyabandezeleka. Izinto ezinetyhefu ekufuneka zikhutshiwe ngomchamo azikwazi ukuhluzwa kwaye zihlale emzimbeni. Ngelixa i-urea ngokwayo ayinayo ityhefu, inokujika ibe yityhefu eyingozi i-ammonia, ehlasela ingqondo.

Iimpawu zokusilela kwezintso

Njengezinye izifo, ezifana ne-pancreatitis, iikati zibonisa intlungu emva kwexesha elide kwaye azibonakalisi ixesha elide. Kuphela xa isibini kwisithathu esilungileyo sezicubu zezintso zitshatyalalisiwe ukuba ikati ibonisa iimpawu zokungaphumeleli kwezintso. Kwiinqanaba zokuqala, iikati zisela ngakumbi kwaye zivelise umchamo ngakumbi ngokufanelekileyo. Kwiikati zangaphakathi, oku kubonakala xa ucoca ibhokisi ye-litter. Ezinye iimpawu zinokuvela kamva kwiimeko zomntu ngamnye. Oku kuquka:

• ukukhathala
• ukulahleka kwesidlo
• i-anemia
• Vomit
• isifo sohudo
• ukupheliswa kwamanzi
• ukuphefumula okubi

Kwinqanaba lokugqibela lokungaphumeleli kwezintso, iikati azikwazi ukuvelisa umchamo kwaye zibonise ngakumbi iimpawu zetyhefu, ezifana ne-cramps, ngenxa yokuba izintso zihluleka njengezitho zokukhupha. Nalu ushwankathelo lwazo zonke izigaba zokungoneli kwezintso kwiikati:

Inqanaba I: Ukungaphumeleli kwezintso okuQalayo

• I-Creatinine kuluhlu oluqhelekileyo, i-protein / creatinine ratio evamile
• akukho zimpawu

Inqanaba I: Akukho mpembelelo ebomini okwangoku.

Inqanaba II: Ukusilela kwakwangoko

• I-Creatinine inyuke kancinci, i-protein / creatinine ratio kwindawo yomda
• kuphela iikati ezimbalwa esele zibonisa iimpawu zokuqala ezifana nokunyuka kokusela

Inqanaba II: Umndilili wokuphila ngaphandle konyango malunga neminyaka emi-3.

Inqanaba III: Ukungaphumeleli kwe-Uremic Renal

• I-Creatinine ngaphezu koluhlu oluqhelekileyo, i-protein / creatinine ratio yanda, i-75% yezicubu zezintso zitshatyalalisiwe
• Iimpawu ezinjengokwanda kokusela kunye nokuphelelwa ngumdla zibonakala; Ukwandiswa kokwenzeka kwezinto zomchamo egazini

Inqanaba III: Umndilili wokuphila ngaphandle konyango malunga neminyaka emi-2.

Inqanaba IV: Ukungaphumeleli kweZintso kwiNqanaba lokugqibela

• Ukunyuka ngokuphawulekayo kwe-creatinine kunye neprotheyini / i-creatinine ratio
• Ikati ayisakwazi ukuchama
• Ikati ibonisa iimpawu ezinzima ezifana ne-cramps, ukuhlanza okukhulu, ukwala ukutya, njl.

Inqanaba IV: Umndilili wokuphila ngaphandle konyango ziintsuku ezingama-35.

Ukufunyaniswa kwangethuba kokusilela kwezintso kwiikati

Ngokukhawuleza ukuba isifo sibonwa, kungcono. Ngoku kuyacetyiswa ukuba iikati ezingaphezulu kweminyaka esixhenxe zihlolwe izintso qho ngonyaka. Ngokukodwa, ixabiso le-SDMA, eliye lafunyanwa kuphela iminyaka embalwa, libonisa isifo sezintso kwasekuqaleni, ukuze unyango luqale ngaphambi kokuba ikati ibe naziphi na iimpawu.

Uxinzelelo lwegazi lwekati kufuneka luhlolwe rhoqo kwaye luphathwe ukuba luyimfuneko, njengoko uxinzelelo lwegazi oluphezulu lonakalisa iinqanawa kwizintso. Ngaphezu kwe-60 pesenti yazo zonke iikati ezinesifo sezintso zinoxinzelelo lwegazi oluphezulu. Ngaphandle kokonakalisa izintso, oku kubangela isifo senhliziyo kwikati.

Kwiwebhusayithi yomenzi wamayeza ebhayoloji, iHeel Veterinär, uya kufumana uvavanyo lwezintso simahla olunokukunceda uchonge iimpawu zesifo sezintso ezingapheliyo kwikati yakho kwangoko: https://www.vetepedia.de/gesundheitsthemen /katze/niere/nieren -jonga/

Uxilongo lokungaphumeleli kwezintso

Ukusela okwenyukayo akukwazi nje ukuba ngumqondiso wokungaphumeleli kwezintso, kodwa kunye nezinye izifo ezininzi. Isifo seswekile okanye i-thyroid disorders nayo inokwenzeka. Noko ke, uhlolisiso ngokubanzi ludla ngokubonisa ukuba sisiphi isifo esibandakanyekileyo. Uvavanyo lwegazi nomchamo elabhoratri emva koko lunika uxilongo oluthembekileyo. I-CKD kuxa amaxabiso ezintso ze-urea, i-creatinine, kunye ne-SDMA kunye namaxabiso e-phosphorus egazini kunye nexabiso leprotheyini kumchamo liphezulu kakhulu (kakhulu).

Unyango lokungaphumeleli kwezintso

Nokuba isifo sezintso sibonwa kuphela kwinqanaba lokugqibela, okt xa ikati ibonakalisa iimpawu kwaye ubuncinci isibini kwisithathu sezicubu zezintso sele zitshatyalalisiwe, oku ngokuqhelekileyo ayisosigwebo sokufa esiqatha kwikati. Nangona lungekho unyango lwe-CKD, unyango lwakwangoko lunokucothisa ukuqhubeka kwesi sifo kwaye lunike ikati yakho iminyaka embalwa eyonwabileyo ezayo. Unyango lwenziwa ngeendlela ezininzi:

• Ukunciphisa amanqanaba e-phosphorus yegazi: ngokutya okuphantsi kwe-phosphorus kunye ne-phosphate binders
• Ukunciphisa amanqanaba eprotheyini kumchamo: ngokutya kunye namayeza okulwa noxinzelelo lwegazi

Ugqirha wezilwanyana kufuneka alungelelanise zombini unyango ngamayeza kunye nokutya okuyimfuneko kwimeko yokungaphumeleli kwezintso ezingapheliyo kwikati kunye neqondo lesi sifo.

Ukutya kweekati ezineCKD

Ukutshintsha ukutya yintsika engundoqo yonyango lwe-CKD kwiikati. Ukuba ikati isaqhuba kakuhle ngokubanzi, tshintshela kwisondlo sezintso ngokukhawuleza, nangona kumanyathelo amancinci. Okokuqala, iimpawu zokulahlekelwa ngumdla kunye ne-nausea zikhululekile kuba kubaluleke kakhulu ukuba ikati ibe nesidlo esihle xa utshintsha ukutya. Kwiminyaka elandelayo, amaxabiso eentso zekati amiselwa rhoqo kwaye unyango luhlengahlengiswe kwindlela yesi sifo. Ikati ene-CKD ingaphila ngolonwabo iminyaka eliqela ngaphezulu.