Ukuxoxa ngokusilela kwenja kwakhona

-Ukuzimela i-renal renal-

Kwiintsuku ezili-10 ezidlulileyo okanye ngaphezulu, izinja ezimbini ziye zafumana ukungaphumeleli kwezintso, enye ihambile, kwaye omnye umnini wezilwanyana usasebenza nzima ukuze awuphathe. Isizathu sokuba sicace gca malunga nokungaphumeleli izintso kubalulekile kuba ngexesha lovavanyo lokuqala lwebhayili, isibindi kunye nezalathisi zisempilweni kakhulu, kwaye kwakungekho mpawu yokusilela kwezintso emzimbeni. Emva kweentsuku ezi-1 zokufunda, umzimba ngequbuliso waziva engakhululekanga, ngokuncipha komnqweno, ubuthathaka bomzimba, kunye nokubhalwa kwengqondo. Ke, ngomhla wesithathu wokuya esibhedlele ukuze kuhlolwe, izikhombisi zezintso zibonise ukungaphumeleli izintso, kunye nezikhombisi zesibindi kuyanda. Kungekudala, ezinye izifo ezibalulekileyo zelungu ezinje ngo-Uremia, ukungaphumeleli kwentliziyo, kunye neHepatic Encephalopapay kwavela enye emva kweentsuku ezimbalwa. Nasiphi na kwezi zifo zingumntu ngamnye zingakhokelela ekufeni kwezinja ... Kutheni le nto ukusilela kwezintso? Ngaba lisekhona ithemba emva kokusilela kwezintso kwenzeka?

Yintoni ukungaphumeleli izintso? Okokuqala, ukusilela kweRenal ayisiyo isifo esinye, kodwa iqashiso elihlanganyelweyo lezifo ezininzi ezinxulumene nempilo yezintso kunye nokwehla okusebenzayo. Izintso ezisempilweni inoxanduva lokulawula ulwelo emzimbeni, ukukhulula iihomoni eziyimfuneko ekuveliseni iiseli ezibomvu zegazi, ukucoca i-toxins ecocekileyo, kunye nokugcina ibhalansi ye-elektrolyte. Xa izintso zineengxaki, ayinakwenza ngokuphumelelayo le misebenzi, ke ukusilela kukaRenal kuhlala kukhokelela kwi-Anemia, i-elektrolyte ukungalingani, i-Acidosis, i-Alkalosis, naseRia.

Ukungaphumeleli kwenja enokwahlulwa kuba kukungaphumeleli kwe-Renan kunye nokungaphumeleli kwemali engapheliyo. Esona sizathu sixhaphakileyo sokungaphumeleli izintso sihambelana nokungenisa iityhefu okanye usulelo, olunokubangela ukwehla ngesiquphe umsebenzi wezintso ngaphakathi okanye kwiintsuku ezimbalwa okanye iintsuku. Uninzi lokungaphumeleli izintso olunzima kunzima ukuchonga unobangela wesi sifo, ngaphandle kokuba liyeza elingachanekanga elinokugqitywa ngeendlela iirekhodi zonyango. Ukungaphumeleli kwezintso kukuphuhliswa okuhlala iiveki, iinyanga, okanye iminyaka, kunye nokwehla okuqhubekayo komsebenzi wezintso. E-United States, inxenye enkulu yawo inxulumene ngqo nokwaluphala, kwaye e-China, ukutya okungapheliyo kokutya okunganyangekiyo kwezinto eziyingozi okanye imikhwa yokutyikitya kwesafola ikwahambelana nayo. Unobangela wokunganyangekiyo kwizintso okungapheliyo kunzima kakhulu ukumisela. Kuphela kuxa ilahleko yezintso ingaphezulu kwe-75% yomsebenzi wayo kuya kubakho ukubonakaliswa kwamaphondo. Kusenokwenzeka ukuba emva kokutya ukutya okuthile unyaka, akuyi kubakho ngxaki. Ngexesha elifikelela kunyaka-1 kunye nosuku olu-1, izintso ziya kuphakama kubungakanani bomgangatho, okhokelela ekungaphumlweni kwezintso.

Iimeko zokungaphumeleli kwi-Renal-

Nayiphi na into echaphazela impilo yezintso inokukhokelela ekungaphumlweni kwezintso. Ukuba icacisiwe, izizathu zinokuqhekeka zangamanqaku alandelayo

1: Ukuhlukumeka akubonakaliswa kuphela kubuso obuthathaka kunye nonyamezelo, kodwa kukhokelela ekunciphiseni kokuhlaziywa kweselfowuni, ngokuthe ngcembe kwenzekile. Esi sesona sizathu siphambili sokungaphumeleli izintso ezingapheliyo kubangelwa zizinto ezingaphandle. Kumanqaku angaphambili kwizinja ezikhulileyo, sazisa ukuba izifo zentliziyo kunye nezifo zezaphetha zezona zinto zibangela ukufa kwizinja ezikhulileyo.

2: Ukuphuculwa kwendalo okanye iingxaki zemfuza, uphuhliso lwezintso, okanye ukuba nesine kuphela xa kuza umntu othile ekuzalweni kwezintso, zonke ezinokukhokelela ekungaphumlweni kwemali.

I-3: Izifo zentsholongwane, izifo ezininzi ezosulelayo kunye neebhaktiriya zinokuhlasela izintso, zibangela umonakalo weeseli zezintso. Uninzi lwazo lubangelwa kukubhukuda kumanzi angcolisekileyo kwaye amdaka, okanye ukusela amanzi amdaka kwiindawo ezingaphandle. Ezi bacteria okanye iintsholongwane zihlala zibangela ukuvuvukala kwezintso kunye nokwenzakala kweseli, kulandelwa ngumsebenzi wezintso, olwanda kakhulu, kwaye ekugqibeleni ukusilela kwezintso.

I-4: I-Nephrototity yeyona nto ixhaphakileyo yokungaphumeleli i-renal eTshayina, kunye nezinto ezinetyhefu zinokonakalisa iiseli zezintso. Xa izinja zitya ukutya okunetyhefu, ezinjengokuhombisa kunye neenyibiba, ukutya okuninzi kunokubangela ukungaphumeleli kwezintso, kwaye unalo nayeza ukuyiphatha; Amachiza amaninzi anokubangela ukungaphumeleli kwezintso, njengamayeza amaninzi ebandayo kunye ne-mamamicin. Ubuncinci isiqingatha semiyalelo yeziyobisi ichaza ukuba isifo sezintso kufuneka siphathwe ngononophelo okanye sincitshiswe idosi kufuneka isetyenziselwe ukungonwabisi iRenal.

I-5: Ithuba elifutshane lokuphelelwa ngamanzi amdaka, isitya esiqhubekayo, ukugabha, ukutshisa, ukopha okuninzi, njalo njalo.

-Uqinisekile ngokungapheliyo ukusilela

Ukusilela kwezintso kunye nezingapheliyo zezifo ezinzulu kakhulu ezinokusongela ubomi bezinja. Ukungaphumeleli kweRenan Inokufa ngeentsuku ezimbalwa, kodwa into elungileyo kukuba ngonyango olufanelekileyo, ithamsanqa linokukhokelela ekubuyiseleni ngokupheleleyo. Ukungaphumeleli kwemali engapheliyo kusenokungabonakali iimpawu ezibonakalayo kwixesha elifutshane, kodwa ukuphuculwa kwesi sifo kungakwazi ukuthandwa. Inokugcina kuphela izintso ukusuka ekuphulukaneni nomsebenzi kunye nomgangatho wobomi obudala.

Ngokutsho koMbutho weRenal yeHlabathi (iris), ukungaphumeleli kwizintso zezintso kuhlelwe kumanqanaba amane. Inqanaba eliphezulu, iimpawu ezifuywayo ezingaphezulu, kunye nonyango lwangaphambili, ixesha elide lawo. Ngokweenkcukacha-manani zombutho, ixesha lokusinda kwamaphakathi elinja kwinqanaba lokuqala lokusilela kwizintso ezingama-400, ixesha lesithathu liyintsuku ezili-100 ukuya kwi-11 kuphela. Ngokwenyani, ukufunyanwa kwangoko kwezifo kunye nokhathalelo lwesayensi lwabantwana bezilwanyana zasekhaya badlala indima ethatha isigqibo ebude bobomi. Ngaphandle kwe-dialysis, okuthile akukho nyango lweziyobisi ngokusilela kwezintso, ngenxa yoko isiphumo sonyango olungenamkhethe basenokukhawulezisa isantya sokuphuhliswa kwesifo.

Ekubeni ukuqatshelwa kwangoko kubalulekile, zithini iimbonakaliso zokusilela kwe-renal? Isizathu sokuba isizathu sokungaphumeleli okungapheliyo kunzima ukufumana ukuba iimpawu zalo zokuqala azisebenzi kakhulu, kwaye ukufunyanwa kuhlala kuhamba kunye nezinto ezikhoyo, njengokunyuka komlomo kwi-blaner encitshisiweyo; Umzekelo, ubuthathaka benkqubo kunye nengqondo yengqondo ebangelwa kukuncipha komxholo we-potassium ngomxholo; Umzekelo, ukugabha rhoqo kunye nokugada okwethutyana; Njengoko imeko iba mandundu, kunokubakho ezinye iimpawu ezicacileyo ngakumbi, njengegazi kumchamo, ukozela, ukugcwala komlomo, ukuhamba okuqinisekileyo, ukuncipha okanye ukuncipha okanye ukuthoba umchamo.

Emva kokufumana ezi mpawu zingentla, kwangoko uthathe isilwanyana sakho kwisibhedlele esikufutshane esibhedlele kwi-biechemical. Kuyacetyiswa ukuba wenze uvavanyo lwe-biochemical ngezinto ezili-16 okanye ngaphezulu, ezimele zibandakanye izikhombisi zentsothi ezinjengeHelinine, urea nitrogen, kunye nePhosphorus. Ngenxa yokuba isibindi kunye ne-creney ihlala ikhula kunye, ukujonga izalathisi zesibindi kubalulekile. Ngokusekwe kwiziphumo zoviwo, chonga uhlobo lokungaphumeleli kweRenal, zama ukubona unobangela wokungaphumeleli kwemali kangangoko kunokwenzeka, emva koko ufumane unyango olujolise kulo. Ngqongqo, ngokungqongqo, kwaye emva koko balawule ubomi nokutya, kuphela ngale ndlela banokuphuhliswa kwesi sifo kunokuba kulibaziseka kangangoko kunokwenzeka kwaye umgangatho wobomi anyuswe.