Izizathu zokungaphumeleli kwezintso

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Ukungaphumeleli kweengso: Ziyintoni ukuhluleka kweentso?

Ziziphi iingxaki zezintso?

Ukungaphumeleli kwezintso ngumqathango apho iinjongo zingasayi kucoca igazi legazi elingafunekiyo emlanjeni wegazi kwakunye nokuba kufanelekile. Oku kunokwenzeka ngezizathu ezahlukahlukeneyo, kunye nemigangatho esuka kumbandela omncinci onokukhangela lula kwixesha elide elidinga i-dialysis ukwenza umsebenzi wezintso.

Ukungaphumeleli Kwezintso Zengqondo

Kukho iintlobo ezimbini eziphambili zokusweleka kwezintso, eziqatha kwaye ezingapheliyo.

Ukungaphumeleli kweengtso ngokuqhelekileyo yinkxalabo yangoku kwaye ngokukhawuleza apho iinjongo zingasebenzi kunye nokuba zidla njalo . Kwiimeko ezininzi, imiba enzima kunye neentso eziphathekayo ngokukhawuleza zihlala zisombulula ngokupheleleyo okanye zibangele imiba emincinci ngokubuyela kumsebenzi oqhelekileyo. Kwezinye izigulane, umcimbi onjengokungcoliswa kwamanzi kunye neengxaki zinokuphathwa ngento elula njengokusela amanzi amaninzi okanye ukufumana ii-flu flu.

Eli gama lisebenza ngokugqithiseleyo kwisigqibo sokugula kwisithuba esingangeenyanga ezintandathu ubude, ngelixa iimeko ezingapheliyo zithetha iintsuku ezintandathu okanye ngaphezulu.

Ukungaphumeleli kweengxaki ezingapheliyo

Ukungaphumeleli kweengxaki ezingapheliyo, ingqwalasela yale nqaku, iyaziwa nangokuthi isifo se-renal sokugqibela okanye iSRD. Yimeko apho iintso zilahlekelwa khona amandla okucoca ilahleko kunye namanzi amaninzi ukusuka kumlambo ukuguqula umchamo. Xa iiintso zonakaliswe kangangokuthi azikwazi ukucoca igazi elaneleyo lokugcina ubomi, isigulane sidinga i-dialysis okanye ukutshintshwa kwezintso ukuze kuphile.

Xa iintshontsho ziyaphela, i-dialysis - unyango apho igazi lihlanjululwa kwaye lihlanjululwa ukwenza umsebenzi ongekwazi ukuyenza - iyenziwa. Nangona i-dialysis ingenza umsebenzi obalulekileyo weentso, unyango lubiza kakhulu kwaye lichitha ixesha, lifuna ubuncinane ezintathu zonyango ngeyure nganye.

Utyando lokutshintshwa kweentso luphela kuphela "unyango" lwesifo sokuqhawula isifo sokuqhaqhazela, njengoko ukufakelwa kweengso kusebenza kuyakususa isidingo sokudayilysis. Ukutshintshwa kubangela imingeni yayo kodwa kunika uphuculo olukhulu kwimpilo yonke xa uphando luphumelele.

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Isifo sikashukela kunye nokungaphumeleli kwezintso

Isifo sikashukela kunye nokungaphumeleli kwezintso

Isifo sikashukela esingalawulwayo siyi-# 1 esibangela ukuhluleka kwezintso e-United States, elijongene ne-30% yezigulane zesifo. Uninzi lwababamkeli beentsholongwane zentsholongwane luhlobo lunye okanye luhlobo lwesibini lweswekile .

Ngexesha elide, amanqanaba aphezulu e-glucose egazini awonakalisa iinjongo zokuhlutha iibhox kunye nenkunkuma kwigazi. I-molecule ye-glucose inkulu kunama-molecule apho iinjongo kufuneka kucatshulwa. Indlela yokucoca ibonakaliswe njengokuba i-glucose iphoqelelwa kumchamo, ngoko ke iinjongo zilahlekelwa amandla okucoca iinqununu ezincinane. Umonakalo uyaqhubeka kude kube nzima kakhulu ukuba inkunkuma iqala ukwakha kwigazi.

Iimvavanyo zegazi ziza kubonisa ukuphakanyiswa kwamanqanaba aphezulu kunye ne-BUN. Xa inkunkuma iqala ukwakhiwa, i-dialysis okanye ukutshintshwa kwezintso yinyathelo elilandelayo kunyango.

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Uxinzelelo lwegazi oluphezulu kunye nokungaphumeleli kwezintso

Uxinzelelo lwegazi oluphezulu kunye nokungaphumeleli kwezintso

Uxinzelelo lwe-hypertension, okanye uxinzelelo lwegazi oluphezulu , lubangele ukubola kweengxube zeentso. Njengoko uxinzelelo lwegazi lukhuphuka, iintso zizama ukuhlawulela ukunyuka kwengcinezelo. Izicubu ze-Scar ziqokelela ngaphezu kweenyanga kunye neminyaka kude kube iintso 'zokuhlunga igazi aliphazamiseki.

Ukushiya engaphendulwanga, uxinzelelo lwegazi oluphezulu luyaqhubeka lubangele ezintsheni deze zenze i-dialysis okanye ukutshintshwa kwezintso kubalulekile.

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Izifo eziSigxina ezingapheliyo kunye nokusilela kweengxaki

Izifo eziSigxina ezingapheliyo kunye nokusilela kweengxaki

Ukusuleleka kwengqondo engapheliyo kubangelwa ukutshatyalaliswa kweentso, okufana nokutshatyalaliswa kwabangelwa ngumxhesho ophezulu wegazi kunye nesifo sikashukela. Ngentsholongwane nganye, umonakalo ukwanda, de ukuba iintso zilahlekelwe amandla okucoca iincinci ezincinci kwigazi.

Ngokuphindaphindiweyo kwaye kunzulu kakhulu ukusuleleka, ukwanda kunokwenzeka ukuba ukungaphumeleli kwezintso kuya kubangela. Izifo ezithintekayo ze-Urinary ezingabanjwanga zikhokelela kwiintsholongwane zentsholongwane eziqhubekayo zize ziphathwe ngamayeza .

Ukuba izifo ezaneleyo zinzima ngokwaneleyo, okanye zinyanzelwanga kwaye zingaphendulwanga, umphumo unokuba ngumfuno wokuba udialysis okanye ukutshintshwa kwezintso.

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I-Polycystic Ingcinezelo Yeentso kunye Nokuhluleka Kwezinso

I-Polycystic Isifo Seengqondo

Kukho iintlobo ezimbini ze- polycystic isifo sesifo (PKD) . Iyokuqala, i-Autosomal Dominant PKD (ADPKD), isifo esiqhelekileyo esizuze ilifa-umntwana unelithuba eli-50% lokufumana esi sifo ukuba ngaba umzali uyayithwala. Enye kwiintsana ezingama-500 i-ADPKD, ebangela ukuba i-cysts ikhule kwizintso kwaye ibangela ukuhluleka kwezintso kwi-50% yamatyala.

I-Autosomal Recssive PKD (ARPKD) ayiqhelekanga kodwa ifom ephezulu kakhulu yesifo. Bobabini abazali kufuneka babe ngumphathiswa wesifo, kwaye abantwana babo banethuba elingama-25% lokuba ne-ARPKD. Malunga ne-1 kuma-20,000 osana olutsha oluneentsholongwane.

Kulo hlobo lwesifo, ama-cysts akhula ngaphakathi kweengtso, obangela umonakalo omkhulu kangangokuba izigulane ezininzi ziyafa ngenyanga yokuqala yokuphila.

Kwabo basinda, enye yesithathu iya kufuna i-dialysis eneminyaka eyi-10. Ukwenza izinto zibe zibi nakakhulu, abantwana abane-ARPKD nabo banxulumene nesifo sesibindi esingabangela iingxaki ezisongela ubomi.

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Iintsholongwane zeentso kunye nokungaphumeleli kwezintso

Iintsholongwane zeentso kunye nokungaphumeleli kwezintso

Ukukhula kwe-tumor kwizintso, nokuba ngumhlaza okanye obunobungozi, kunokudala umonakalo omkhulu kwizakhiwo zeengtso. Intso ekhulile imele ibe ngamasentimitha angama-10 ngamasentimitha ama-5, kodwa izibilini ngaphakathi kweentso zingakwazi ukufikelela kwiisentimitha ezili-10 ububanzi okanye zikhulu ngaphambi kokuba isiguli sivale kakhulu.

Ngethuba le-tumor ifunyenwe, nangona ingaba ngumdlavuza, iinjongo zingasasebenzi. Kwezinye iimeko, umonakalo unzima kangangokuba iinjongo kufuneka zisuswe ukukhusela umonakalo kwezinye izitho, kuquka nentliziyo. Ukuba iinjongo eziseleyo azisebenzi kakuhle, i-dialysis okanye ukutshintshwa kweengtso kunokufuneka.

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IiNtsholongwane zeIntsholongwane kunye neNtsilelo yeeNtliziyo

IiNtsholongwane zeIntsholongwane kunye neeNtshintsho zeeNtlo

Intsholongwane yokuzalwa engafaniyo yinkinga ngeentso ezikhoyo ekuzalweni. Ukungaqhelekanga kuvela kwizakhiwo ezingavumelekanga, ukujikeleza umchamo ovaliweyo, isikhundla esingaqhelekanga sezintso eziphazamisa ukusebenza, okanye nokuba zizalwe ngeentso ezinye kuphela. Ukuba ingxaki inzima ngokwaneleyo, ukungaphumeleli kwezintso kungabangela.

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Iimpawu zamathambo kunye nokungaphumeleli kwezintso

Iimpawu zeeNtliziyo kunye neeBlockages zeeNtliziyo

Amatye eentso, iingxaki ze-ureters (izibhabhane ezivumela umchamo ukuba ziqhume zivela kwiintongeni kwaye zifike kwi-bladder), kunye nezinye iimeko ziyakuthintela umchamo ukuba ungadli kwiintyo. Ngokuqhelekileyo, ingxaki iqala kwiintsholongwane, kodwa kwezinye iimeko ezinqabileyo, i-vestile ayikwazi ukukhupha kwaye umchamo uya kubuyela kwi-ureters, ize ibe ezintsheni.

Xa ukukhutshwa kukukhuselekile, iinjongo zonakaliswe njengoko umchamo uqhubeka uveliswa, kodwa awukwazi ukuphuma kweentliziyo. Le meko ingaba buhlungu kakhulu kwaye ingabangela ukuba utyando lukhulule ukwakhiwa komchamo.

Ukuba ingxaki ishiywe ingaphendulwanga, iinjongo zingasasebenzi kwaye zingadinga ukuba zisuswe ngugqirha. Kwiimeko ezininzi, iinjongo ezingenakonakala ziyakwazi ukuhlawula; Nangona kunjalo, ukuba ezinye iimpso zonakaliswe, i-dialysis okanye ukutshintshwa kweengtso kunokufuneka.

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Izinto ezijongene nobungozi Ukunqongophala kwezintso

Ukungaphumeleli Kwezinso: Ngubani Osemngciphekweni?

Izifundo zibonise ngokuphindaphindiweyo ukuba abantu base-Afrika-baseMerika bafuna ukunyangwa kweengxaki zezintso, zilandelwa ngabantu baseMelika, ngoko-Asia / Pacific Island Islands. ICaucasians yinto encinci yokufumana isifo se-renals esigxininini, kunye nezireyithi zezifo ezine ngaphantsi kwama-black.

Ukwahlukana kwimiba yesifo kubangelwe kwizinto ezininzi, kubandakanywa amazinga aphezulu eesifo sikashukela kwezinye iintlanga, ukufikelela kwiinkonzo zempilo, ukuzimisela ukulawula izifo ezifana nokunyuswa kwengcinezelo yegazi, kunye nokukwazi ukufumana iimichiza ezibalulekileyo.

Amadoda athile kakhulu ukuba aphelelwe yintsholongwane kunabesifazana-malunga nama-55% yezigulane zindoda. Isantya sesifo siphezulu phakathi kweminyaka engama-45 ukuya ku-64, ubudala xa isifo sikashukela kunye nezinye izifo sele zonakalise iintso emashumi eminyaka.

_Imithombo:

_{Izifo Ezikhokelela Ekutshaleni. UkuPiliswa koPhila. 2008. http://www.transplantliving.org/foreforetransplant/diseases/default.aspx}

_{Izibalo, i-United States ye-Renal Data System. 2007. http://www.usrds.org/2007/ref/A_incidence_07.pdf}