Izinso yizitho ezihlunga izidakamizwa kanye nezidakamizwa eziphuma egazini futhi zihlale zilinganisiwe. Iningi labantu linamazinyo amabili, kodwa abanye abantu basebenza kahle kuphela. Bayizikhulu zesibhakela futhi bahlala isikhala eduze nendawo yangemuva engezansi kwezintambo. Igazi liqhutshwa njalo ngezinso zokuhlunga imfucuza. Bakhiqiza cishe ama-2 quarts of waste kanye namanzi.
Leli ketshezi ngumchamo ofakwa kwisinye. Uma isikhumba sakho sigcwele, uchama, ulahle.
Isifo sikashukela nezinso
Isifo sikashukela siyisifo lapho i-insulin engakhiwa khona (uhlobo 1) noma i-insulin eyenziwa yi-pancreas ayisasebenzi (thayipha 2). I-glucose ingena ekusakazeni kwegazi njengoba ukudla kugawulwa. I-insulini iyi-hormone evumela ukuthi i-glucose ihambe egazini njengoba ihamba futhi ingena amangqamuzana. Uma i-glucose ingena kumaseli, ithela amandla, ngamandla aswele ukugijima umzimba. Uma kungekho insulini, noma uma ingasebenzi njengayo kufanele, i-glucose iqhubeka ijikeleza egazini, ingakwazi ukuhamba.
Izinkinga
Izinkinga zokudla ngokwegazi okwedlule isikhathi eside zingathinta imithwalo encane yegazi emzimbeni wonke, hhayi nje izinso, kodwa nezinzwa kanye nemisipha, amehlo nenhliziyo. I-neuropathy, i-retinopathy, nesifo senhliziyo yizo zonke izinkinga ezithinta lezi zitho.
Ukulawulwa kahle kwamazinga weglucose wegazi kusiza ukunciphisa noma ukuvimbela lezi zinkinga. Ukuhlola ushukela wegazi izikhathi eziningana ngosuku kuyindlela enhle yokufeza lolu hlobo lokulawula.
- Izinkinga Zesikhathi Eside Zesifo Sikashukela
- Amazinga weGlucose wegazi
- Izizathu Ezinhle Zokuhlola Igazi Lakho I-Sugar
Ukulimala kwezinso
Izinso zakhiwa izigidi zezihlungi ezincane okuthiwa i-nephron.
I-nephrons inezitsha ezincane kakhulu ngaphakathi kwazo. Lezi zibhujiswa ngokuhamba kwesikhathi lapho amazinga e-glucose ephakeme kakhulu. Lokhu kuthinta izinso ukuhlunga igazi. Udoti olungahle lubekwe eceleni luhlala egazini elibangela izinkinga ezinkulu. Ngokuvamile, umonakalo uthatha iminyaka ukuthuthukisa.
Ukucindezelwa Kwegazi Eliphakeme
Umfutho wegazi ophezulu ungabonisa ukuthi umsebenzi wezinso uyawohloka. Ngokudabukisayo, umfutho wegazi ophakeme ungasheshe ukulimaza izinso. Imithi yengcindezi yegazi ivame ukushiwo ukuze kugcinwe ukucindezelwa kwegazi ezingeni elimamukelekile futhi kuphuthumise ukuqhubeka komonakalo. Ngokuvamile, inhlanganisela yemithi isetshenziselwa ukugcina ukucindezeleka kwegazi kuvamile. I-ACE (i-angiotensin-converting enzyme) inhibitors nama-ARB (ama-block angiotensin receptor blockers) yizidakamizwa ezivame kakhulu.
- Ukucindezelwa Kwegazi Nesifo Sikashukela
- Ukubaluleka kokulawula ukucindezelwa kwegazi lakho
- ACE Inhibitors kanye nesifo sikashukela
Creatinine
I-Creatinine ngumkhiqizo odoti ovame ukuhlunga kusuka egazini futhi udonswe emcinini. Lapho izinso ziqala ukuhluleka, i-creatinine ikhiqiza egazini. Odokotela balinda amazinga e-creatinine ngokucophelela ukuze banqume ukuthi ziningi kangakanani umsebenzi izinso.
Izinga evamile ngokuvamile liphakathi kuka-0.6 no-1.2 mg / dl. Lokhu kuyahluka kancane. Njengoba inani landa ngaphezu kwe-1.2, libonisa ukuthi umsebenzi wezinso wehla. Amazinga e-Creatinine atholakala ngokuhlolwa kwegazi okulula.
BUN
I-BUN (i-blood urea nitrogen) ingenye uphawu lwezinso zezinso odokotela abheka kuzo. Uma igazi ligeleza emzimbeni, amaprotheni ajikeleza kumaseli. Amaseli asebenzisa iphrotheni futhi alahle imfucuza engayidingi. Le nkunkuma ibizwa ngokuthi i-urea. Ngokuvamile i-urea ihlungwa egazini yizinso. I-Urea iqukethe i-nitrogen. Uma izinso zingasebenzi ngendlela efanele, i-urea ne-nitrogen zihlala egazini.
I-BUN engaphezu kwama-20 mg / dl iyinkomba yokusebenza kwezinso.
Ukuhluleka Kwezinso
Ukuhluleka kwezinso yisigaba sokugcina sesifo sezinso. Uma izinso zingasebenza isikhathi eside, akukho ukukhwabanisa noma imikhiqizo yokudoba ingasuswa emzimbeni. Yonke leyo mikhiqizo edoti iyaqhubeka ijikeleza egazini, okwenza ibe yingozi kakhulu. Lapho izinso zomuntu zihlulekile, kuyaziwa ngokuthi isifo sokuqeda isiteji sokuphela (isigaba se-ESRD). Akekho ongaphila isikhathi eside ne-ESRD ngaphandle kokungenelela. Noma i-dialysis noma ukufakelwa kuyadingeka.
I-Dialysis
I-Hemodialysis yenziwa esikhungweni se-dialysis izikhathi ezintathu ngesonto ngabasebenzi abaqeqeshiwe. Le nqubo ithatha amahora angu-3-4 futhi ngaphezulu kwaleso sikhathi, igazi lesiguli lihanjiswa ngomshini owuhlunga bese ulinika. I-shunt ehlala njalo igxila emgqeni wokufinyelela.
I-dialysis ye-peritoneal ingenziwa ekhaya isiguli. Kudinga izinga eliphakeme lokuzinikela ngoba kufanele lenziwe nsuku zonke. Zombili izinhlobo ze-dialysis zisiza isikhathi eside.
Ukufakelwa
Ngezinye izikhathi, izinso ezinikeziwe zingafakwa endaweni emzimbeni. Izinso ezintsha zingathatha umsebenzi wezinyosi zezinso zombili ezingasebenzi. Izinso ezifakiwe kufanele zifanise uhlobo lomzimba lomuntu othola izinso, ngokuseduze ngangokunokwenzeka. Ngemuva kokufakelwa, izidakamizwa ezingapheliyo kufanele zithathwe ukuze ziphile, zivimbele ukulahlwa kwesigungu.
Ukunciphisa Ingozi
Ngenxa yokuthi isifo sezinso singathatha iminyaka ukukhula, abantu abanesifo sikashukela bangenza izinto eziningi ukunciphisa ingozi. Ukulawulwa okunamandla kwamazinga e-glucose wegazi kungavimbela noma kuncishise umonakalo wesikhathi eside emithanjeni yegazi enesibindi hhayi kuphela ezinsweni kodwa kwenye indawo emzimbeni. Hlola ukucindezeleka kwegazi njalo, bese uzama ukuyigcina noma ngaphansi kuka 130/85. Thatha i-ACE noma i-ARB uma udokotela wakho ebhala. Buka i-cholesterol yakho nesisindo sakho. Yeka ukubhema. Zonke lezi zinto zingahamba phambili ekugcineni izinso zakho zisebenza kahle ngangokunokwenzeka.