Ngubani omele ahlolwe isifo seengtso?
Yintoni enokubangela intliziyo epholileyo ukuba iqale ukusebenza ngokungaqhelekanga? Ziziphi izifo ezenza ukuba iinjongo zakho zikwazi ukucoca i-toxins engozini? Le mibuzo iqhelekileyo ukuba izigulane zam ziba nazo xa ndibaxelela ngesifo sabo sesifo esingasasigxina (CKD).
Makhe sithethe ngeemeko zezifo ezikubeka esichengeni sokufumana isifo sesifo.
Ezi zezi zifo ezifanele zenze wena kunye nodokotela wakho kugcine iso lakho kwintliziyo yakho rhoqo, kwaye uyiphathe ngokufanelekileyo.
Iziganeko eziqhelekileyo ezibangela ukuba umonakalo wezintso zivame ukugula izifo zesibini zesifo sikashukela kunye nezifo zengqondo zangaphakathi . Esi sigqibo sisekelwe kububungqina obunenjongo yokuba sinokuqokelela kwi-United States ye-Renal Data System (USRDS) idatha.
Ziyintoni Eziqhelekileyo Izifo Ezigugu Zengqondo?
Xa kuchazwe ngu- GFR <60 ngo-2005-2010, ama-6.3 ekhulwini labantu base-US badibene nokuxilongwa kwezifo zesifo esingasasigxina, okanye i-CKD (xa kuthelekiswa ne-9.3 kunye ne-8.5 ekhulwini yesifo sikashukela nesifo se-cardiovascular, ngokulandelana). Ukuba, nangona kunjalo, kufuneka sidibanise ezinye iiparitha apho iCKD ingachazwa khona (njengokwanda kwiprotheyini ekwandisiweyo kumchamo, okanye i-albumin ngaphandle kwe-30 mg / ngosuku), izinga lokukhula kwe-CKD liphakama libe ngama-9.2 ekhulwini. Ngamanye amagama, phantse omnye kwabayishumi baya kuba neCKD.
Iingxaki zeSifo esiPhezulu seNtsholongwane
Isifo sikashukela sinye into engabonakaliyo yengozi enye yeCKD, malunga neepesenti ezingama-40 zezigulane ezibika ukugula, zombini kwixesha lika-1988-1994, no-2005-2010. Igalelo loxinzelelo lwexinzelelo njengokuba kunokwenzeka isizathu sibonakala siphakamileyo ukusuka kumazantsi ukuya kuma-20 ekhulwini.
Ubuthakathaka bubonakala bube yimbangela ebalulekileyo, kodwa igalelo evela kwisifo senhliziyo sisenokubonakala sisuka kwi-20s ukuya kuma-40 ekhulwini. Oku kuya kwenza ukuba ibe njengento yesifo sikashukela njengengxaki yobungozi. Olu konyuka lunokuthi ludibanise nokuxilongwa okukhulu kwesifo senhliziyo ngenxa yokuvavanywa kwandiso kunye nokuqonda okukhulu kwesigulane.
Unokuthi uqaphele ukuba ezininzi zezi zikhankanywe apha ngasentla azixhomekanga kwizintso. Enyanisweni, iintso zihlala ziphethe ubunzima bezi zifo zesekondari. Ezi zifo zichaphazela umsebenzi wezintso ngeendlela ezahlukeneyo ezingaphezulu kweli nqaku. Ukuze nje unike ingcamango, kodwa ezi ndlela zingabandakanywa ukwanda kweengcinezelo zegazi ngaphakathi kwefilisi yefom (i-glomerulus), ekhokelela ekunyuseni izinga lokuhlanjululwa. Oku kubizwa ngokuthi "ukulungelelanisa ukungena." Ngethuba elifutshane, oku kubonisa ukuba unokwenene unesifo sezintso kubangelwa ukuba iziphumo zokuhlolwa kwegazi "zibukeka ziqhelekileyo." Kwixesha elide, oku kuchanekileyo nokuba kutheni izintso ziqala "ukutshisa" kwaye zivelise izicubu ezibomvu. Khawucinge ngomoto oqhutyelwa phambili kwiimitha ezili-200 / iyure.
Le moto iya kuphuka ngokukhawuleza, kulungile? Oku kwenzekayo xa isifo sikashukela sichaphazela iinjongo zakho.
Ngoko kutheni ndibachazela abafundi kuba zizathu zeCKD? Injongo yam kukuqhubela ekhaya ingongoma ekufuneka ube nale miqathango elandelayo, kufuneka uzibheke njengomntu osengozini enkulu yokukhula kwesifo sentso kwaye uqinisekise ukuba uvavanywe. Ngokuxhomekeke kwinqanaba lakho, unokufuna ukuthunyelwa kwi- nephrologist kunye nokuphathwa okuqhubekayo. Kwakhona shwa nkathela, le miqathango yile:
- Iswekile yemellitus
- U xinzelelo
- Isifo se-Cardiovascular disease (oku kuquka abantu abanesifo senhliziyo yesisu, ukuhlaselwa yintliziyo, izibetho, izifo zesifo se-vascular, aneurysms, njl.
- Ukunyanya
- Ukuthambekela kwe-Genetic kunye nemingcipheko enjengamazinyo e-polycystic
- Izizathu ezininzi zifana nokusetyenziswa kwe- NSAID ende (ixesha elide), ukusetyenziswa kwexesha elide, njl njl.
> Umthombo:
> I- US Renal Data System, i-USRDS ka-2013 Ingxelo Yonyaka Yedatha: I-Atlas yeZifo Eziphilileyo ezingapheliyo kunye neSifo seSigxina seMpilo e-Renal e-United States, amaZiko eZwelonke wezeMpilo, isiZwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane kunye neNtsholongwane yeziThambo, eBetdada, MD, 2013.
Idatha echazwe apha ifakwe yi-United States Renal Data System (USRDS). Ukuchazwa kunye nokunika ingxelo ngale nkcukacha kukuxanduva lomlobi kwaye akufuneki kubonwe njengomgaqo-nkqubo okanye ukuchazwa koorhulumente wase-US.