Ziziphi izifo ezibangela abantu ukuba badinga i-dialysis okanye ukufakelwa kwe-transplantation
Uninzi lwabantu luyamangaliswa ukuva ukuba ukungaphumeleli kweengtso akuqhelekanga ngesifo sezintso, kodwa empeleni ngokuqhelekileyo kusekondari kwezinye izifo zesistim ezifana nesifo sikashukela okanye uxinzelelo lwegazi. Nangona izifo zesifo seengtso ezibangelwa ukungaphumeleli kwezintso zikhona, igalelo labo kulo lonke inani lezigulana ezenza ukuhluleka kwezintso zincinci.
IIMBONO NEZINTLOKO
Ngokucacileyo, nantso zizathu ezine eziphezulu zokuphelelwa kweentso, ezibhekiselwe kwi-stal-stal disease-renal disease (ESRD):
- Iswekile yemellitus
- U xinzelelo
- Glomerulonephritis
- Izifo zesifo seengqondo
Isifo sesifo sesifo sesifo sesifo sesifo sesifo sesifo sesifo sesifo sesifo sesifo sesifo sesifo sesifo sikashukela sisona sihlandlo esibangela ukuhluleka kwezintso, kunye nezigulane eziqhubekayo ukuya kwisigaba sesi-5 sifo esisifo esingasigxina (CKD) esifuna i-dialysis. Kuze kube sekupheleni kweminyaka yama-1980, isifo sikashukela kunye nomfutho wegazi ophezulu zisetyenziselwa ukunikela ngokulinganayo kwiimeko zesifo sokuphelelwa yintliziyo (isifo sokugqibela se-renal disease). Nangona kunjalo, ukususela ngoko esi siganeko saqala ukunyuka ngokukhawuleza kwisifo sesifo sesifo sikashukela. Ngomhla we-2013 we-United States iDalal Data System (USRDS) Ingxelo, isifo sikashukela ngoku sino-single-handedly esinoxanduva kubantu abangaphezu kwama-50,000 abaphuhlisa isifo sezintso eziphambili (ezidinga i-dialysis okanye i-kidney transplantation) minyaka yonke ! Inani elifanayo lexinzelelo legazi li malunga ne-30,000.
Njengepesenti yezigulane ezipheleleyo ezineentsholongwane zentsholongwane okanye kwi-dialysis minyaka yonke, isifo sikashukela sinama - 44%, ngelixa uxinzelelo lwexinzelelo lujongene no-28% .Umfanekiso ngale nqaku ubonisa indlela izifo ezibangelwa ukungaphumeleli kwezintso zitshintshile ngaphezu kweminye eminyaka.
Indlela eyenza isifo sikashukela kunye nokunyuswa kwengcinezelo yegazi kubangela ukuba ukungaphumeleli kwezintso kungaphaya kweli nqaku, kodwa ndibachaphazele ngokufutshane kwezinye iindawo zam ezinye izithuba .
Isiganeko sokubangela sisenzo esibizwa ngokuthi "ukulungelelanisa ukuxhamla", into endiyichazile kwipostile yam.
I-Glomerulonephritis ithetha ukuvuvukala kwe-glomerulus ne-nephron. Ukucaciswa okulula kwezi zakhiwo kuya kuba kukuba yinkqubo yokucoca kunye neenkqubo zokuhambisa amanzi. Ukuvuvukala apha kunokuvela kwizinto ezininzi, kodwa ngokubanzi izizathu zingaba iziyobisi, izifo ezizimelayo njenge-lupus, i-cancer, kunye nezifo. Umsebenzi wezintso kwezinye iindidi ze-glomerulonephritis ingancipha ngokukhawuleza, ngamanye amaxesha kwisithuba seentsuku ukuya kwiiveki. Ngokungafani nezinye izifo ezikhankanywe kweli nqaku, igazi kumchamo luphawu oluqhelekileyo.
Ekugqibeleni, izintso ze-cystic , ngamanye amaxesha zibizwa ngokuba yiPolycystic Kidney Disease (PKD) sisifo esizuze njengefa seentso ezingabangela ukuhluleka kwezintso. Ihamba kwiintsapho, idluliselwa kwizityalo ezivela kumzali kubantwana. Ngokuqhelekileyo, imbali yentsapho yokuhluleka kwezintso iya kubonisa oku. Nangona kunjalo, ngamanye amaxesha isifo asibonakali kude kube sekupheleni kwe-70s kuba ubudala bentetho buchongwa ngohlobo lokuguqula izityalo. Ngoko kuyacatshulwa ukuba umzali ochaphazelekayo unokufa ngexesha elide ngaphambi kokuba i-diagnostic isenziwe.
Kule meko, izigulane ziya kukhanyela ukuba kukho imbali yentsapho. Esi sifo sivame ukufunyanwa kwisifundo sokucinga, njenge-ultrasound, kwaye ingaba "ukufumaniseka" okufumanisayo. Izigulane zinama-cysts amaninzi kwiintso eziphakamisa ngexesha kwaye ngokukhawuleza ziphazamise ukunikezelwa kwegazi ngaphandle kweethambo ezikhoyo. Ndiza kuthetha nge-glomerulonephritis kunye ne-PKD ngolwazi olungakumbi kwizithuba zam ezilandelayo.
I-US Renal Data System, i-USRDS ka-2013 Ingxelo Yonyaka Yedatha: I-Atlas yeSifo esiSigxina esingasigxina kunye neSigxina seSigxina seNtsholongwane eMelika, amaZiko eZwelonke wezeMpilo, iZiko leSizwe leSifo sikashukela kunye neeNtsholongwane zeNtsholongwane kunye neNtsholongwane, i-Bethesda, 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.