Amanye amayeza e-Arthritis angabangela ukuba i-Kidney Toxicity
Umsebenzi weezintso kubandakanya ukususa inkunkuma yamanzi kunye negazi, ukulawula ukulinganisela kwamanzi emzimbeni, nokugcina i-acidity / alkalinity yamanzi omzimba. Zomibini iimvavanyo zegazi kunye nomchamo zinganquma ukuba iintso zisebenza kakuhle. Iimvavanyo zegazi ezivavanya umsebenzi wezintso zivame ukulawulwa kunye kunye nokuhlolwa kwemisebenzi yesibindi ukujonga izigulane eziphathwe ngamachiza athile e-arthritis.
Inyoyiki yeezintso yiphumo elichaphazelekayo lamanye amayeza e-arthritis . Iingxaki zeengso eziphuhliswayo ekusebenziseni amayeza e-arthritis aziqhelekanga, kodwa ziyakwenzeka. Oogqirha bangase bahleleke rhoqo ukuba bahlole iimpembelelo ezithile kwezilwanyana kwizintso, ukuhlolwa kweengxaki zeengso okanye ukungaqhelekanga ngemisebenzi yengqondo.
Iimvavanyo zeGazi zeSebenzi zeeNtsebenzo
I-BUN (i-Blood Urea Nitrogen) yonyango lwegazi elihlola umsebenzi wezintso. I-urrea ngumveliso weprotheni metabolism kwaye yenziwa esibindi. Urea ihlanjululwa egazini ngamazinyo kwaye ikhutshwe kumchamo.
Amachiza e-Arthritis kunye ne-gout izidakamizwa ezinokunyusa amazinga eBUN ziquka:
- allopurinol
- NSAID
- methotrexate
- i-aspirin ephezulu
- Tylenol / acetaminophen
Ukuphuma kwegazi , okungaba yimpembelelo embi ye-NSAID, kunokubangela ukuphakama kwe-BUN.
- UHLU oluqhelekileyo luyi-7-20 mg / dl
I-serum creatinine yindlela yokuhlolwa kwegazi esetyenziselwa ukuhlola umsebenzi wengqondo.
I-Creatinine yi-product-generate ye-creatine echaphazelekayo kunye ne-muscle energy metabolism. Inani elincinci lokudala emzimbeni liguqulwa libe yi-creatinine yemihla ngemihla. I-Creatinine, umkhiqizo wenkunkuma yemveliso ekuguqulweni, ihlanjululwa egazini ngeentso kwaye idityaniswe kumchamo.
I-Blood creatinine igcinwe ngokuzinzile ngokutsha. Amanqanaba e-Creatinine egazini aphakanyisiwe xa umsebenzi wezintso ungasebenzi. Nangona ubudala kunye nobulili buchaphazela ixabiso eliqhelekileyo lokudala, ukuzinza kwinqanaba le-creatinine yegazi kwenza umntu abe novavanyo olukhethiweyo kwi-BUN ukuze ahlole iingxaki zeengtso.
- I-Serum creatinine ibanga eliqhelekileyo li-0.8-1.2 mg / dl (owesilisa) kunye ne-0.6-0.9 mg / dl (amabhinqa).
Uvavanyo lweeUni kwiSebenzi yeeNtsimbi
I-Urinalysis yindlela elula kakhulu yeemvavanyo zomchamo ezisetyenziselwa ukukhusela iingxaki zeengtso. I-dipstick elula iyakwazi ukubona ubukho be-glucose, iiprotheni, i-ketoni, okanye i-bilirubin kumchamo, kunye no-acidity okanye i-alkalinity yomchamo-zonke ezo zibonakaliso zeengxaki zezintso. Ukubonakala komchamo kuhlale kuphawulwe nge-urinalysis. Izifo ezingaqhelekanga zingabonwa ngokukodwa.
Isihlomelo se-Urea ngumvavanyo osebenzisa i-specimen yegazi ukuchonga izinga le-urrea ekhoyo kwigazi kunye neesampuli ezimbini zomchamo, okwesibini iqokelelwa emva kweyure emva kwesampuli sokuqala. Olu vavanyo lubona ukuba urea ucocelwa njani ngeentso kwi-urine.
- Isihlomelo se-Urea esiqhelekileyo si-64-99 ml / min
Isikhundla se-Creatinine , esilinganiselwe njenge ml / min, sifanisa izinga lokudalila kumchamo ngezinga lokudalila egazini, ngokuqhelekileyo kusekelwe kumlinganiselo weesampula zeeyure ezingama-24 kunye nesampula yegazi esetyenziswe ekupheleni kweeyure ezingama-24 .
Njengoko kuthethwe ngaphambili, i-creatinine ifumaneka kwiindawo eziphambili ze-plasma. Xa i-creatine ihlungiwe, ayiyi kubuyiselwa kwakhona kwaye iyimfihlo encinci yizintso. Isibonelelo sokudaliweyo sisetyenziselwa ukuqikelela izinga lokuhlanjululwa kwe-glomerular, uvavanyo oluqhelekileyo lwentsebenzo yeentso.
- Isiqulatho se-Creatinine isiqhelo esiqhelekileyo / umzuzu weeyure ezingama-24 kubantu abadala
I-urmo osmolality yinkalo yokuxilwa komchamo ngokusekelwe kwinani leengqungquthela ezigqityiwe kumchamo. Ilinganiselwa kuma-milliosmols / kg.
- Uluhlu lwe-osmolality oluqhelekileyo luphakathi kwama-50 ukuya ku-1400 mOsm / kg (ngokungqalileyo) okanye ngaphezulu kwe-850 mOsm / kg ukuya kwi-12 ukuya kwi-14 iiyure zokumisela.
Uvavanyo lwe-protein lweprotein lunokuqokelela kweyure ezingama-24.
- Isiqhelo = isampuli kufuneka ibe nezantsi okanye ilingana no-150 mg weprotheni.
Iimvavanyo zeengxaki ezingavamile zikhomba iingxaki zeentso
Nawuphi na umvavanyo ofunyanwe ukuba awukho kwinqanaba eliqhelekileyo libonakaliso zeengxaki zeengxaki zezintso. Wena, kunye noogqirha wakho, kufuneka unqume ukuba omnye wemithi yakho ye- arthritis ibangela ingxaki . Ukuyeka okanye ukuguqula imithi kunokwenzeka ukuba kube yindlela elandelayo efanelekileyo, ukuvumela iingxaki zeengxaki ukuba zilungiswe.
Qaphela: Zonke iindawo eziqhelekileyo zixhomekeke kwibhubhoratri kunye nendlela esetyenziswa ngayo ukuvavanya
Imithombo:
Ukuxilongwa kwezonyango ngeendlela zeLebhubhu, Todd-Sanford, umqulu we-15, 1974.