Ngubani okufanele ahlolwe isifo sezinso?
Yini engabangela izinso ezinhle kakhulu ukuqala ukusebenza ngokungavamile? Iziphi izifo ezifaka ikhono lakho lezinso ukuhlunga izidakamizwa engozini? Lezi yizinto ezivamile iziguli zami eziba nazo uma ngibatshela ngesifo sabo sezinso ezihlala njalo (CKD).
Masikhulume ngezimo zesifo ezibeka engozini yokukhula kwesifo sezinso.
Lezi yizifo ezifanele ukuthi wena nomhlengikazi wakho nihlale nibheke umsebenzi wezinso zakho njalo, futhi niphathe ngendlela efanele.
Izinhlobo ezijwayelekile ezibangelwa ukulimala kwezinso ngokuvamile zigula izifo ezincane ezifana nesifo sikashukela hhayi izifo zezinso zangaphakathi . Lesi siphetho sisekelwe ebufakazini obunikazi bokuthi singakwazi ukuqoqa idatha ye-United States Renal Data (USRDS).
Yeka Indlela Ejwayelekile Yezifo Zesifo Sezinso Esingajwayelekile?
Uma kuchazwa i- GFR <60 phakathi no-2005-2010, amaphesenti angu-6.3 abantu base-US ahlangana nokuthola isifo sezinso ezingapheli, noma i-CKD (kuqhathaniswa ne-9.3 no-8.5% we-diabetes nesifo senhliziyo, ngokulandelana). Uma kunjalo, kufanele sibe neminye imingcele i-CKD engachazwa ngayo (njengokunyuka kwamaprotheni amaningi emgqeni, noma i-albin exretion ngaphezu kuka-30 mg / ngosuku), isilinganiso sokukhula se-CKD sikhuphukela kuma-9.2%. Ngamanye amazwi, cishe umuntu oyedwa kwabayishumi uzoba ne-CKD.
Izimbangela zeSifo Esisifo Sengculazi
Isifo sikashukela siye saba yinombolo engabonakali yengozi eyodwa yeCKD, enezingxenye ezingamaphesenti angu-40 zeziguli ezibika ukugula, kokubili ngezikhathi 1988-1994, no-2005-2010. Umnikelo we-hypertension njengesizathu esizwakalayo kubonakala sengathi uvukile ukusuka kumaphesenti aphansi kuya kwaphakathi kwamaphesenti angu-20.
Ukukhula ngokweqile kubonakala sengathi sekuyisizathu esiyinhloko, kodwa umnikelo ovela ezinsweni zezinhliziyo kubonakala sengathi uvele kusukela phakathi no-20s kuya kuma-40 amaphesenti. Lokhu kungenza kube sengathi isifo sikashukela siyisici esiyingozi. Lokhu kwanda kungase kuhlotshaniswe nokuxilongwa okukhulu kwezifo zenhliziyo ngenxa yokuhlolwa okubanzi nokuqaphela isiguli.
Ungase uqaphele ukuthi iningi lalezi zifo okukhulunywe ngenhla aziveli ngempela ezinsweni. Eqinisweni, izinso ngokuvamile zibhekene nezifo eziyisibili. Lezi zifo zithinta umsebenzi wezinso ngokusebenzisa izindlela ezahlukene ezingaphezu kwalesi sihloko. Ukuze nje unikeze umbono, lezi zindlela zingabandakanya ukwanda komfutho wegazi ngaphakathi kwesihlungi sezinso (glomerulus), okuholela ekukhuleni izinga lokuhlunga. Lokhu kubizwa ngokuthi "ukuguqula okuguquguqukayo." Ngesikhathi esifushane, yilokho okufakazela ukuthi empeleni ungaba nesifo sezinso kusukela kwenza imiphumela yokuhlolwa kwegazi "ibonakale ijwayelekile." Esikhathini eside, lokhu futhi kungenxa yokuthi kungani izinso ziqala 'ukushisa' nokuthuthukisa izicubu ezibomvu. Cabanga ngemoto eqhutshwa ngokuqhubekayo ngamamayela angu-200 / ihora.
Leyo moto izokwehla ngokushesha maduze, kunjalo? Yilokho okwenzekayo uma isifo sikashukela sithinta izinso zakho.
Pho kungani ngibhalela abafundi ngezimbangela zeCKD? Inhloso yami ukushayela ekhaya iphuzu okufanele ube nalezi zimo ezilandelayo, kufanele uzibheke njengomuntu engozini enkulu yokuthuthukisa isifo sezinso futhi uqiniseke ukuthi uhlolwe. Kuye ngesiteji sakho, kungase kudingeke udluliselwe ku- nephrologist kanye nokuphathwa okwengeziwe. Futhi ukufingqa, lezi zimiso ziyi:
- Isifo sikashukela
- I-hypertension
- Izifo zenhliziyo (lokhu kungahlanganisa abantu abanesifo se-ischemic, ukuhlaselwa yinhliziyo, ukushaywa, isifo se-peripheral vascular, aneurysms, njll)
- Ukukhuluphala
- Ukuthambekela kofuzo kanye nezingozi ezinjengezintambo ze-polycystic
- Izimbangela ezihlukahlukene ezifana nokusetshenziswa kwe- NSAID emide (ukusetshenziswa kwe-painkiller), ukuvezwa okuhola isikhathi eside, njll.
> Umthombo:
> I- US Renal Data System, i-USRDS Umbiko Wezinsuku Zonyaka ka-2013: I-Atlas of Chronic Chronic Disease kanye ne-End-Stage Disease Disease e-United States, Izikhungo Zempilo Zesizwe, Isikhungo Sikazwelonke Sesifo Sikashukela kanye ne-Digestive and Kidney Diseases, i-Bethesda, MD, 2013.
Idatha ebikwe lapha iye yanikezwa yi-United States Renal Data System (USRDS). Ukuchazwa nokubika kwalokhu kwedatha kungumsebenzi wabalobi futhi akufanele kubonwe njengenqubomgomo esemthethweni noma ukuhumusha kohulumeni wase-US.