Imiba yengozi, ukuxilongwa kunye neyeza zokwehluleka kwezintso emva kokuhlinzwa
Xa uceba ukwenza utyando, abaninzi abantu abakucinge ukuba banokuba nobunzima obunzima okanye obunobungozi bokuphila. Ngelishwa, abanye abantu baneengxaki ezibalulekileyo ngexesha lokubuyiselwa kwabo, kwaye enye yezo kukungaphumeleli kwintonga. Ubungozi bokuhlinzwa buhluka ukusuka kwisigulane ukuya kwisigulane, ngokusekelwe kwiminyaka yabo, impilo kunye nesimo sabo sigulo.
Ukuhluleka kwe-Renal yinto yezokwelapha ukuhluleka kweengso, kwaye kuthetha ukuba iintso azikwazi ukusebenza ngokufanelekileyo ukucoca igazi ngokufanelekileyo. Ixesha lokungaphumeleli kwexesha lomzimba ligama eliqhelekileyo elisetyenziswayo ngeli xesha, kodwa unokuva ukuxilongwa kwengozi eyenziwe yintlungu (AKI) ebonisa ngokucacileyo izinga elincinci lokuhluleka kwezintso.
Ukungaphumeleli Kwezintso emva kokuPiliswa
Iinjongo zisebenza ukususa izinto eziphathekayo kwinqwelo egazini. Bawuhluza igazi emzimbeni womntu ngamakhulu amaxesha ngosuku, ukususa amanzi amaninzi kunye nenkunkuma kwigazi nokuguqula umchamo.
Xa umntu efumana ukungaphumeleli kwezintso okokuqala, banesifo esibi sezintso, esichazela ukuba yingxaki engxamisekileyo kwaye unokukwazi ukulungiswa. Ukungaphumeleli kokuguqulwa kwengqondo yimbozi yintetho yeentso ezonakaliswe ngonaphakade.
Ubunzima bokungaphumeleli kwezintso bubalwa ngokukodwa kwiziphumo zebhubhoratri yepaneli yomsebenzi we- renal equka ukudala i-creinine, kunye nezinye iziphumo zebhabhi eziquka i-BUN, GFR, kunye ne-creinine imvume.
Ukungaphumeleli kwezintso kufunyaniswa xa izinga le-creinine liphindwe ngama-1.5 kwisigulana sokuqala somguli xa iintso zisebenza ngokuqhelekileyo ngexesha lokuvavanya.
Izinga lomdali ngaphantsi kwama-milligri nganye nge-deciliter lifuna amadoda, kwaye ngaphantsi kwe-1.1 inempilo yabasetyhini.
Ngokomzekelo, indoda ene-creinine ye-.8 mg / dl ngaphambi kokuba utyando lihle ngaphakathi kwinqanaba eliqhelekileyo.
Ukuba wayenomgangatho we-creatinine we-1.6 emva kokuhlinzwa ngolu suku olulandelayo, uya kufumelwa ukuba wayenokuhluleka kwe-renal acute. Ukuxilongwa kwakhona kunokukwenziwa ngokusekelwe kwimveliso yomchamo. Ukuveliswa kwe-Urine engaphantsi kwe -55 milliliters yomchamo nge kilogram yesisindo somzimba kwiyure ehlala kwiiyure ezithandathu okanye ngaphezulu kubonisa ukulimala kwenhliziyo.
Ngamanye amaxesha le ngxaki ixazululwa ngokulula ngokunyuka kwe-fluid intake, eyona yandisa ukwanda kwe-urine kwaye ivumela iinjongo ukuba zisebenze ngokufanelekileyo. Kwabanye, iintso ziye zonakalisa umonakalo kwaye zisasasebenza ngokufanelekileyo njengoko zenza ngaphambi kokuhlinzwa. Ngenhlanhla ngabantu abaninzi, iinjongo ezinobungozi zihlala zisebenza kakuhle ngokwaneleyo ukugcina umzimba uphilile.
Kwiimeko ezinzima, iintso azikwazi ukucoca igazi kuzo zonke, kwaye azikwazi ukwenza umchamo. Ukungakwazi ukwenza umchamo kuyinkathazo enkulu kwaye kufuneka unyanzelwe unyango ngokukhawuleza ukuba kwenzeka xa ufumana ekhaya.
Iintsholongwane eziqhelekileyo zeeNtliziyo Emva kokuPiliswa
Dialysis Emva kokuPiliswa
I-Dialysis iyenzeka xa iintso zingakwazi ukusebenza kakuhle ngokwaneleyo ukugcina umzimba uphilile. Akukho nqanaba elilodwa lomdali elibonisa ukuba i-dialysis kufuneka yenziwe, imithombo ethile ithi i-creinine ye-8 ifanele iholele kwi-dialysis, abanye bathi 10.
Sekunjalo, abanye bathi inqanaba le-creinine liyingxenye enye ye-puzzle, kwaye iimpawu izigulane ezijongene nazo kufuneka zikhokele unyango ngaphezu kweziphumo zebhoratri.
Yintoni Dialysis?
I-Dialysis yonyango eyenza umsebenzi ongekwazi ukuyenza: i-filtration yegazi ukususa i-toxins, i-electrolytes, kunye namanzi amaninzi. Ngethuba le-dialysis, umqolo omkhulu we-IV ufakwa kwisitya segazi. Igazi liphuma emzimbeni ukusuka kuloo ndawo ye-IV nge-tube, kwaye umatshini we-dialysis uhlunga igazi aze abuyisele emzimbeni. Le nkqubo ithatha iiyure ezine ukuya ezintandathu kwaye iyenziwa kathathu ngeveki okanye ngaphezulu, kuxhomekeke kwiimfuno zomntu ngamnye.
Ugqirha onobuchule bokunyanga kweentso, obizwa ngokuba yi-nephrologist, unquma izicwangciso zomatshini we-dialysis kubandakanya ukuba umbane ogqithiseleyo kufuneka ususwe emzimbeni.
Izinto ezijongene nobungozi bokungaphumeleli kwezintso emva kokuhlinzwa
Enye into eyaziwayo yengozi ye-kidney failure emva kokuba i-dialysis inokuhlinzwa okanye i-vascular surgery (inkqubo eyenziwa kwimithambo yegazi). Ezi ntlobo zenkqubo zinokunyusa ngokukhawuleza umngcipheko wokuba nomonakalo wentliziyo onzima ngokwaneleyo ukufuna unyango lwe-dialysis, mhlawumbi ngexesha elifutshane okanye ixesha elide.
Ukunciphisa intsholongwane ngaphambi kokuba utyando luyingozi enkulu. Abo babesele benomonakalo wezintso banokuthi banomonakalo omkhulu emva kokuhlinzwa.
Izigulane ezindala ziyakwazi ukuqhubeka nokulimala kwengqondo kunesigulane esincinane, njengoko izigulane ezincinci zihlala ziphilile ngaphambi kwenkqubo. Izigulane ezinegazi eliphezulu, isifo senhliziyo kunye nesifo sikashukela sisengozini enkulu.
Amanqanaba athathekayo oksijini egazini ixesha elide liyakonakalisa iintso. Ukulimala okubuhlungu, ukulahleka kwegazi egazini, uxinzelelo lwegazi oluphantsi kwexesha elide, kunye nokuphuhliswa kwesifo esinamandla esibizwa ngokuba yi-septic shock ngaphambi, ngexesha okanye emva kokuhlinzwa singakwandisa amathuba okuba i-dialysis emva kokuhlinzwa.
Ukuphuhlisa usulelo oluphezulu lwe-urinary emva kokuhlinzwa, ukuba ungakhange ufumane unyango okanye usulelo aluphenduli unyango, lunokubangelwa yingozi yomonakalo.
Ngokuqhelekileyo, umntu ogulayo / owonzakele kakhulu isigulane ngokukhawuleza ngaphambi kokuhlinzwa kwaye emva kweentsuku ezilandelayo inkqubo, iphakamileyo inokukhubazeka kweentso zifunyaniswa.
Ixesha elide kunye ne-Dialysis yexesha elifutshane
Ngenxa yezigulane ezininzi zokuhlinzwa ezinokukhubazeka kweengtso, i-dialysis ayimfuneko, kwaye ingxaki ingasombulula okanye iphucule ngokwaneleyo ukugcina impilo enempilo.
Kubantu abafumana ukungaphumeleli kwezintso emva kokuhlinzwa kwaye bafuna i-dialysis, ingxaki yinto enzima, kwaye umsebenzi wezintso uphucula ngokwaneleyo ukuba i-dialysis ayilona ixesha elide. Olu hlobo lwesifo lubizwa ngokuba yi-Acute Renal Failure, okanye i-ARF.
Kwabanye, umonakalo wezintso usisigxina kwaye unzima ngokwaneleyo ukuba i-dialysis iyimfuneko. Kwabo bantu, ingxaki yinto engapheliyo kwaye iya kufuna i-dialysis ngaphandle kokuba ithole ukutshintshwa kwezintso . Olu hlobo lokukhutshwa lubizwa ngokuba yiSiginal Stage Renal Disease (ESRD) okanye ukungaphumeleli kwintshonalanga.
> Umthombo:
> Intsholongwane enobungozi emva kokuPhepha kweMbele enkulu: I-Retrospective Cohort Analysis. Uphando loPhando oluPhambili kunye nokuSebenza. http://www.hindawi.com/journals/ccrp/2014/132175