Yiziphi izifo ezenza abantu badinge i-dialysis noma ukufakelwa kabusha
Abantu abaningi bayamangala lapho bezwa ukuthi ukwehluleka kwezinso ngokuvamile akuqali ngesifo sezinso, kodwa empeleni kaningi kakhulu kunezinye izifo zesimiso ezifana nesifo sikashukela noma umfutho wegazi ophezulu. Nakuba izifo zezinso ezibangelwa yizinso ezibangelwa ukuhluleka kwezinso, igalelo labo kulo lonke inani leziguli ezithuthuka izinso zezinso lincane.
IZINQUBO NEZIFUNDO
Ngokweqile, nansi izimbangela ezine eziphezulu zokuhluleka kwezinso, okubizwa nangokuthi isifo sokuqeda isiteleka sokuphela (isigaba se-RRS):
- Isifo sikashukela
- I-hypertension
- I-Glomerulonephritis
- Isifo sezinso ze-cystic
Isifo sezinso zesifo sikashukela , esaziwa nangokuthi i-nephropathy yesifo sikashukela iyimbangela ebangela ukuhluleka kwezinso, kanye neziguli eziqhubekela esiteji sesi-5 esingenasifo sesifo sezinso (CKD) esidinga i-dialysis. Kuze kube sekupheleni kweminyaka yama-1980, isifo sikashukela nesifo somfutho wegazi ophezulu sisebenzise ukulingana ngokulinganayo nokukhubazeka kwezinso (isifo sokuqeda isisindo sokuphela). Kodwa-ke, kusukela ngaleso sikhathi lesi sigameko saqala ukwanda ngokushesha kakhulu ngesifo sikashukela sezinso. Njengombiko we-United States we-Renal Data System (USRDS) we-2013, isifo sikashukela manje sinomthwalo wabantu abangaphezu kuka-50,000 abathuthukisa isifo sezinso esiphambili (esidinga i-dialysis noma ukufakelwa kwezinso) minyaka yonke ! Inombolo efanayo ye- hypertension ingaba ngu-30,000.
Njengephesenti yeziguli eziphelele zokufakelwa kwezinso noma ku-dialysis minyaka yonke, i-akhawunti yesifo sikashukela ibalelwa ku-44%, kanti ukucindezela komfutho kunomthwalo wemali engaba ngu-28% .Isifanekiso salesi sihloko sibonisa ukuthi izifo ezibangelwa ukuhluleka kwezinso kushintshile ngaphezu kwezimbalwa zokugcina amashumi eminyaka.
Indlela yokwelashwa kwesifo sikashukela kanye nokucindezeleka kwegazi okubangelwa ukuhluleka kwezinso akuphelelanga nalesi sihloko, kodwa ngibathinte ngokufishane kwezinye izikhala zami.
Umcimbi wokugqugquzela uyisimo esibizwa ngokuthi "ukuguqula ukuguquguquka", yilokho engikuchazile kokunye okuthunyelwe.
I-Glomerulonephritis kusho ukuvuvukala kwe-glomerulus ne-nephron. Incazelo elula yalezi zakhiwo kuyoba ukuthi yakha izinhlelo zezinso zokuhlunga nezindawo zokugeleza. Ukuvuvukala lapha kungabangela izimbangela eziningi, kodwa ngokubanzi izizathu zingaba izidakamizwa, izifo ezizimele njenge-lupus, kansela, kanye nezifo. Umsebenzi wezinso kwezinye izinhlobo ze-glomerulonephritis ingancipha ngokushesha, ngezinye izikhathi phezu kwezinsuku zamasonto. Ngokungafani nezinye izinhlangano zezifo okukhulunywa ngazo kulesi sihloko, igazi emcimbini uphawu oluvamile.
Okokugcina, izinso ze-cystic , futhi ngezinye izikhathi ezibizwa ngokuthi yiPolycystic Kidney Disease (PKD) yisifo esizuze njengefa ezinsweni ezingabangela ukwehluleka kwezinso. Isebenza emindenini, idluliselwa ngokwezakhi zomzimba kusuka kumzali kuya ezinganeni. Ngokuvamile, umlando womndeni wokuhluleka kwezinso kuzokwenza lokhu kubonakale. Kodwa-ke, ngesinye isikhathi lesi sifo asibonisi kuze kube sekupheleni kweminyaka engu-70 ngoba iminyaka yesethulo inqunywa uhlobo lokuguqula izakhi zofuzo. Ngakho-ke kungenzeka ukuthi umzali othintekile kungenzeka ukuthi ushonele eminyakeni engakafiki ngaphambi kokutholakala kwesifo.
Kulezi zimo, iziguli ziphika ukuthi kukhona umlando womndeni. Lesi sifo sivame ukuqoqwa ekucwaningweni kwe-imaging, njenge-ultrasound, futhi kungaba "ukutholakala" okungahle kwenzeke. Iziguli zinama-cysts amaningi ezintsheni ezikhuphuka ngesikhathi futhi zivimbela ngokwegazi ukuhlinzeka ngegazi ngaphandle kwezicubu ezisebenzayo. Ngizokhuluma nge-glomerulonephritis ne-PKD ngokuningiliziwe kokuthunyelwe kwami okulandelayo.
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 Nezifo Zesifo Sezinyosi kanye Nezinso, 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.