Azotemia - kuyini? Incazelo, izimpawu kanye nokwelashwa

Azotemia - kuyini? khona Ukwandisa igazi imikhiqizo nitrogen-oqukethe, okuyinto akhiwa ngemva amaprotheni ukucubungula. Lokhu kubonisa eziqhubekayo ukwehluleka kwezinso.

Izimpawu zesifo

Azotemia - kuyini? Lesisifo ngqo okuhlobene nezinso. Bona encishisiwe le glomerular filtration isilinganiso. Esikhathini igazi kwandisa lokuhlushwa nitrogen asalile, indican, amino acid, njll Ukwandiswa ngezabelo Inkomba nitrogen, creatinine, futhi urea.

Lapho izinso basebenza kwimodi ejwayelekile, isilinganiso lezi zinto ingeqi amayunithi 15. imikhiqizo ye-nitrogen kuthiwa excreted ku umchamo. Uma izinso siphukile, iqala amaprotheni catabolism asebenzayo, lonke uhlelo ehluleka.

izinhlobo azotemia

Azotemia - kuyini? Lesi sifo ihlukaniswe izinhlobo ezintathu. azotemia Oku-kwezinso luqala ngemva ukwehla okukhipha inhliziyo. Izinso ungatholi igazi ngokwanele. azotemia Oku-kwezinso kwenzeka ngenxa yokuhluleka inhliziyo, ukuntuleka kwamanzi emzimbeni, encishisiwe kwegazi, ukushaqeka, nangenxa yezinye izizathu eziningi. Lapho Inkomba idlula iphuzu 15, isizathu itholakala ukwehluleka filtration creatinine nitrogen. GFR incipha ngenxa hypoperfusion. Lokhu kuholela ekwandeni serum creatinine nitrogen. Ngemva reabsorption inombolo yakhe ikhula ngokushesha.

Eyesibili uhlobo azotemia - kwezinso. Ngokuvamile kuholela uremia. Ngokuvamile, lokhu isimo kwenzeka ngenxa kwezinso parenchymal isifo noma ukulimala. azotemia kwezinso yalezi zizathu:

• glomerulonephritis;
• ukwehluleka kwezinso;
• acute necrosis ijabulise, nabanye.

Ngesimo esinjalo, azotemia Inkomba ngaphansi uphawu 15. GFR incipha egazini lenyuke nitrogen ezingeni, futhi creatinine. Reabsorption kwenzeka ngenxa kulimaze kuya tubule proximal. Nitrogen excreted ku umchamo.

Uhlobo wesithathu azotemia - postrenal. Kulokhu, isithiyo umchamo standard ngezansi izinso. Izizathu kungaba zokugula azalwa naso:

• Hyperplasia Prostatic;
• Reflux vesicoureteral;
• isimila, ukugxisha le urethra;
• ukhulelwe;
• amatshe e-ureter.

Lokhu kungaphumela ukuthuthukiswa hydronephrosis ngenxa ukumelana ukugeleza umchamo. Kulokhu inkomba uphawu 15. okungenhla nephron ingcindezi inyuka, elibangela lesi reabsorption asebenzayo nitrogen. Ngakho, it kwandisa Inkomba.

symptomatology lesi sifo

Esinye sezifo kuyaqabukela zenzeka - azotemia. Ngezimpawu zesifo njengoba kugeleza ziqala ukuba bathuthuke. Izimpawu eyinhloko azotemia yilezi:

• isikhumba eliphaphathekile;
• oliguria (kwehle umchamo okukhipha);
• umlomo njalo owomile;
• ukoma;
• Agijima umfutho wegazi;
• ukuvuvukala;
• uremia;
• tachycardia;
• ubuthakathaka jikelele.

Phakathi ukugula kungabonakala nasemkhakheni:

• yokuntuleka esesuthi;
• isicanucanu;
• ukuhlanza;
• ezomile futhi camera ulimi;
• dyspepsia;
• anaemia;
• ammonia iphunga avela emlonyeni;
• uhudo kakhulu;
• ukuthuthukiswa enterocolitis, stomatitis kanye gingivitis;
• ithole amajaqamba;
• nokucindezeleka;
• nokunganaki abukhali, nese uthi nikhathazekile;
• ukozela;
• Ukundindizela.

izimpawu engeziwe ye azotemia kukhona esikhumbeni ukulunywa futhi omile, ngezinye izikhathi kukhona ukwehla asizwe nokuwa umbono.

ukuhlola

Azotemia, izimpawu, ukwelashwa ekufinyelelwa ukuxilongwa - isifo eziyinkimbinkimbi. Ukuze yokwelashwa okuphumelelayo idinga ukusazi ngokunembile isifo esikuphethe, kanye nokuthola izizathu oholele azotemia. Ukuxilongwa kwenziwa Nephrologist (onguchwepheshe ekusebenzelaneni izinso izifo) kanye Urologist. Isiguli unika ukuhlolwa kwegazi kanye nomchamo. Isiguli kukalwa index nitrogen bese creatinine.

ukwelashwa

Azotemia, okuyinto ukwelashwa iqala kuboniswana Urologist noma Nephrologist - isifo esiyingozi futhi kudinga uphethwe ngokucophelela. Ngemva yi test inikezwa yokwelapha. Nge uphethwe esifike ngesikhathi futhi kunembile lesi sifo iphathwa ngokushesha nangempumelelo. Ezigulini ngasekupheleni kabi bangezwa yezinkinga engathandeki, eziningi zazo ziyingozi empilweni.

Phakathi ukwelashwa usebenzisa hemodialysis. Esimisiwe esebenzisa aqede izimpawu abuhlungu azotemia. izidakamizwa esetshenziswa ukuthi ukubuyisela blood pressure evamile futhi sithuthukise inhliziyo umsebenzi. Azotemia - kuyini? Lesi sifo kwenzeka kwi isizinda izinso imisebenzi. Ngakho-ke, igazi aqoqana eziningi nitrogen ezingenziwanga excreted ngaphandle komzimba inani eligcwele. Therapy ihlose ukubuyisela nokusebenza kwezinso. Udokotela olukhethekile lokudla angabelwa. Kuyadingeka ngesikhathi ukwelashwa ukuba bangayeki ukuzivocavoca.

Kunconyelwe ukuzithiba medicate. ukukhetha Independent izidakamizwa kungaholela nomphumela ohlukile - nokwehluleka ukusebenza kwezinso. Ngakho-ke, lapho kuqubuka lesi sifo kufanele axhumane ngokushesha ne udokotela.

zokuvimbela

Ngokuba nokuvimbela azotemia badinga ukugcina izivikeli mzimba, ukwenza yokuzijwayeza, umsebenzi kanye izintaba emoyeni opholile. Qiniseka ukuthi ubeke eceleni isikhathi sokuzithabisa. Kuyadingeka ukuba ugweme hypothermia nesikhathi ukulapha noma isiphi isifo ezihambisana kanye nezinso.

ukuba nombono ongafani ngeke

Izibikezelo Abampofu ekwelapheni azotemia kuphela ukubeka ngokungabi bikho ukwelashwa okufanelekile futhi ifike ngesikhathi. Ukuze ngasekupheleni ukubona udokotela ngenkuthalo ethuthuka isifo, zikhona izinkinga ezingase zivele ezengeziwe, okuyinto nzima ukwelashwa. Ngempatho esifike ukuphathwa udokotela azotemia has a Izibikezelo evumayo. ukwelashwa Kuhlanganiswe aqede izimpawu futhi normalizes uhlelo urinary.