Oyingozi futhi ezingalapheki ukwehluleka kwezinso in namakati

izinso enempilo ukususa izinto eziyingozi ukuthi buthelela umzimba cat sika. Kodwa ngezinye izikhathi izinso zingenawo sibhekane ngokuphumelelayo lo msebenzi wabo. Esinye sezifo ezimbi kakhulu izinso - ukungasebenzi kwezinso, lapho ingxenye (futhi ngezinye izikhathi ngokuphelele) ikhono kulahleka ekwakhekeni futhi kukhuthaza umchamo. Lokhu-ke ebangela izinhlekelele ezibangelwa asidi-base, amanzi kanye nosawoti, homeostasis osmotic. Ngenxa yalokho, ukonakala zonke zomzimba.

Ukwehluleka oyingozi kwezinso (ngemuva kwalokhu ARF) ubonakala ngokuzumayo. Isizathu itholakala acute lesion izinso kwezicubu (noma izinso), ngokuvamile emuva. Yesilinganiso obonakalayo njengoba ukwehla elibukhali ngevolumu umchamo, kuze anuria (ukungabi khona umchamo).

Ukwehluleka oyingozi kwezinso in namakati uhlukaniswe izigaba ezine. Eyokuqala ukuncipha inani umchamo futhi wegazi iconsi. Esikhathini yesibili kwezulu esiteji inani umchamo sanciphisa kangcono noma eyeka ukuba kude kwaso bebonke. Ekwelapheni kungenzeka ukwanda zokukhwabanisa (ngisho kokweqa kuyinsakavukela), kodwa kuphela usawoti namanzi isuswa umzimba. Uma zamanje sisihle, futhi ukwelashwa ilungile ke ukubuyiselwa kuzothatha cishe izinyanga ezimbili.

Okungalapheki ukwehluleka kwezinso in namakati (the CRI) uvame ngeminyaka futhi kwenzeka kwelinye wesithathu amakati amadala. Ukukhomba CKD futhi kudinga imizamo zokuxilonga nokwelapha, njengoba lesi sifo kungavuka futhi ube nemfihlo. izifundo Laboratory baye babonisa eside (amasonto amabili noma ngaphezulu) ukwanda egazini urea kanye creatinine (azotemia).

ukuhluleka Okungalapheki kwezinso libhekene ukwehluleka oyingozi kwezinso. Olunamandla, njengoba sazi, konke siqala okungazelelwe, eba isikhathi eside okungamahlalakhona (iminyaka eminingi) futhi kwenzeka kwi zasemuva zezinye izifo kwezinso. Kukhona elithi "ihlawulelwa ukwehluleka kwezinso in namakati" lapho umsebenzi kwezinso, naphezu isifo esingelapheki usebenze ngendlela egculisayo.

ukusazi ngokunembile isifo esikuphethe yenziwa kuphela udokotela (ngesisekelo wokuhlola, ukubhekwa (ngihlolwa edingekayo), kanye assays). Uma izimpawu ezichazwa musa ukuchitha labo amahora eziyigugu yokuzihlola, - Letha isilwane sakho emtholampilo. Lesi sifo iphathwa. Nakuba isikhathi eside. Kodwa amathuba zokutakula omkhulu. Ngesikhathi uphethwe. Ngaphezu kwalokho, i-amakati amadala efiselekayo yonyaka ngihlolwa zokuvimbela (ngisho noma kungekho ukuphambuka).

Thola izigaba sokuqala CKD kunzima: izimpawu lokuqala "Auca" lapho lilimele kwezintathu ezimbili izinso kanye nesikhathi elahlekile. Kodwa ngisho Kulokhu, ukuphathwa kungenzeka, nakuba kuyoba nzima futhi eside. ukwehluleka kwezinso in namakati zidinga ukwelashwa sina.

Ngaphambi kohambo emtholampilo ukuqoqa umchamo ngangokunokwenzeka (sicela ulethe), ke ngeke umsindise isikhathi. Esikhathini umtholampilo, cishe uzocelwa ukuthatha i x-ray kanye ultrasound (kumelwe ngakususi unesimila kwetshe izinso). Ungayeki. Kuyadingeka ngempela. Mhlawumbe ikati bayofaka udayi ukuze kuvele umehluko. Ingabe Ningethuki. Le nqubo ibizwa lakwenza a "isithombe" elikhanyako yangaphakathi izinso izakhiwo. Kungathatha futhi biopsy (isampula izicubu izinso isuswe inaliti mncane ngaphansi izinzwa).

ukwelashwa letibekiwe, yebo, incike uphethwe. Amatshe ziyasuswa noma ngokudla (a ekhethekile, yezokwelapha) noma surgically. Nokho, abaningi amakati amadala inkinga ayikho namatshe, ukonakala kwazo izicubu kwezinso. Futhi lapha, ngeshwa, alulame ngokugcwele akukwazi. Ukwelashwa iqondiswa kakade inqubo ingasheshi futhi ukhulula isimo.

Yesikhathi eside izibikezelo nge isifo sezinso akuzona kamnandi ikakhulukazi, uma isifo itholwa ekuseni futhi izinyathelo zokuqondisa ngesikhathi esifanele ingathathwa. Uma umsebenzi kwahilela eyesithathu, lilimale, ezinye izinso, ithemba ibuthakathaka. Kodwa ukwelashwa ongisekelayo ukuzincisha ukudla bayakwazi ukunikeza kumnikazi cat namanje eminyakeni 2-3 yokuxhumana.