Izingozi, ukuxilongwa kanye nokwelashwa kwezinkinga zezinso ngemuva kokuhlinzwa
Uma uhlela ukuhlinzwa, iningi labantu alibheki ukuthi kungenzeka ukuthi bayoba nenkinga engathà sina noma esongela ukuphila. Ngeshwa, abanye abantu banezinkinga eziphawulekayo ngenkathi belulameka, futhi enye yalezo ukuhluleka kwenkunzi. Izingozi zokuhlinzwa ziyahlukahluka kusuka kwesineke kuya kwesiguli, ngokususelwa eminyakeni yobudala, impilo kanye nesimo sesifo sabo.
Ukuhluleka kwe-Renal yiyona nkulumo yezokwelapha yokuhluleka kwezinso, futhi kusho ukuthi izinso azikwazi ukusebenza kahle ngokwanele ukuhlunga igazi ngokuphumelelayo. Ukuhluleka kwegama lokuqeda igama kuyigama elivame ukusetshenziswa kakhulu ngalesi sikhathi, kodwa ungase uzwe ukuxilongwa kokulimala okwezinso (AKI) okukhombisa izinga eliphansi lokuhluleka kwezinso.
Ukuhluleka Kwezinso Ngemva Kokuhlinzwa
Izinso zisebenza ukukhipha izinto zokudoba ezivela egazini. Bayihlunga igazi emzimbeni womuntu izikhathi ezingamakhulu ngosuku, kususa amanzi okwedlulele kanye ne-waste kusuka egazini bese kuguqula ibe umchamo.
Uma umuntu ebhekene nokuhluleka kwezinso okokuqala, banokuhluleka okukhulu kwezinso, okusho ukuthi kuyinkinga ngokungazelelwe futhi kungenzeka bakwazi ukulungiswa. Ukungaphumeleli kokuguqulwa kwama-renal yigama elisho izinso ezonakaliswa unomphela.
Ukuqina kwezinso zezinso kubalwa ngokuyinhloko ngemiphumela ye-laboratory yephaneli yomsebenzi we- renal efaka i-creinine, kanye neminye imiphumela eminye yebhu ebandakanya imvume ye-BUN, GFR, ne-creinine.
Ukuhluleka kwezinso kutholakala ukuthi izinga le-creinine liphindwe izikhathi eziyi-1.5 ezingeni le-creatinine lesiguli uma izinso zisebenza ngendlela evamile ngesikhathi sokuhlolwa.
Izinga lomdali elingaphansi kuka-1.2 milligrams per deciliter lifisa amadoda, kanti ngaphansi kuka-1.1 inempilo yabesifazane.
Isibonelo, indoda ene-creinine ye-.8 mg / dl ngaphambi kokuhlinzwa ivame ngaphakathi ebangeni elivamile.
Uma enesisindo sika-1.6 emva kokuhlinzwa ngosuku olulandelayo, uzotholakala enesici sokuhluleka kwe-renal. Ukuxilongwa kungenziwa futhi ngokusekelwe emkhatsini we-urine. Ukukhiqizwa kwamanzi okungaphansi kwama-milliliters angu-5,5 emgogodini ngekhilogremu yesisindo somzimba ngehora elihlala amahora ayisithupha noma ngaphezulu kubonisa ukulimala okukhulu kwezinso.
Ngezinye izikhathi le nkinga ixazululwa kalula ngokudla okunezikhukhula ezikhulayo, okuvame ukwandisa ukuphuma komchamo futhi kuvumela izinso ukuthi zisebenze ngokuphumelelayo futhi. Kwabanye, izinso zenze umonakalo futhi zisasasebenzi ngendlela efanele njengoba zenze ngaphambi kokuhlinzwa. Ngenhlanhla kubantu abaningi, izinso ezilimazayo zingase zisebenze kahle ngokwanele ukuze umzimba uhlale uphilile.
Ezimweni ezimbi, izinso azikwazi ukuhlunga igazi nhlobo, futhi azikwazi ukwenza umchamo. Ukuhluleka ukwenza umchamo kuyinkinga enkulu futhi kufanele kutholakale usizo lwezokwelapha ngokushesha uma kwenzeka lapho ululame ekhaya.
Izinkinga ezijwayelekile zezinso emva kokuhlinzwa
I-Dialysis Ngemuva Kokuhlinzwa
I-Dialysis iyenzeka uma izinso zingakwazi ukusebenza kahle ngokwanele ukuze umzimba uphile. Ayikho i-single creatinine level ebonisa ukuthi i-dialysis kufanele yenziwe, imithombo ethile ithi i-creinine ye-8 kufanele iholele ku-dialysis, abanye bathi 10.
Noma kunjalo, abanye bathi izinga le-creinine liyingxenye eyodwa ye-puzzle, futhi izimpawu isiguli esibhekene nazo kufanele ziqondise ukwelashwa ngaphezu kwemiphumela ye-laboratory.
Kuyini Dialysis?
I-Dialysis yindlela yokwelashwa eyenza umsebenzi izinso ezingasakwazi ukuzenza: ukuhlunga kwegazi ukususa ubuthi, i-electrolytes, namanzi amaningi. Phakathi ne-dialysis, i-large IV uhlobo lomugqa ifakwe kwisitsha segazi. Igazi liphuma emzimbeni kusukela kuleso siteshi nge-tube, futhi umshini we-dialysis uhlunga igazi bese ulibuyisela emzimbeni. Le nqubo ithatha amahora amane kuya kwanguyisithupha futhi yenziwa kathathu ngesonto noma ngaphezulu, kuye ngezidingo zomuntu ngamunye.
Udokotela onguchwepheshe wokwelashwa kwezinso, okuthiwa i-nephrologist, unquma amasethingi omshini we-dialysis kufaka ukuthi kungakanani uketshezi oluningi okumelwe lususwe emzimbeni.
Izingozi Zengozi Yokuhluleka Kwezinso Ngemva Kokuhlinzwa
Esinye isingozi esaziwayo sokuhluleka kwezinso ngemuva kokuthi i-dialysis ihlinzekwe ngenhliziyo evulekile noma ukuhlinzeka ngamathambo (inqubo eyenziwa emithanjeni yegazi). Lezi zinhlobo zezinqubo zingandisa kakhulu ingozi yokuba nokulimala kwezinso okunamandla ngokwanele okudinga ukwelashwa kwe-dialysis, kungaba yesikhathi esifushane noma isikhathi eside.
Ukusebenza kwezinso ezincane ngaphambi kokuhlinzwa kunesici esibalulekile sengozi. Labo asebevele benomonakalo wezinso kungenzeka ukuthi banomonakalo owengeziwe ngemva kokuhlinzwa.
Iziguli ezindala zingase ziqhubeke nokulimala kwezinso kunesiguli esincane, njengoba iziguli ezincane zivame ukuba nempilo ngaphambi kwenqubo. Iziguli ezinegazi eliphezulu, isifo senhliziyo nesifo sikashukela zisengozini enkulu.
Ukunciphisa amazinga oksijeni egazini isikhathi eside kungalimaza izinso. Ukulimala okubuhlungu, ukulahlekelwa kwegazi okuphawulekayo, ukucindezeleka kwegazi okwesikhashana isikhathi eside, nokuthuthukisa isifo esinamandla esibizwa ngokuthi septic shock ngaphambi, ngesikhathi noma ngemuva kokuhlinzwa singakwandisa amathuba okuba i-dialysis ngemuva kokuhlinzwa.
Ukuthuthukisa ukutheleleka okukhulu kwe- urinary emva kokuhlinzwa, uma kungalashwa noma ukutheleleka kungaphenduli ekwelapheni, kungabangela ukulimala kwezinso.
Ngokuvamile, ogulayo / okhulile walimala isiguli masinyane ngaphambi kokuhlinzwa futhi ezinsukwini ezilandela inqubo, kuphakama amathuba okulimala kwezinso okutholakala ngazo.
I-Long-Term Versus Dialysis Yesikhashana
Kuzo iziguli eziningi ezihlinzayo ezibhekana nokuhluleka kwezinso, i-dialysis ayidingekile, futhi inkinga ixazulula noma ithuthukisa ngokwanele ukugcina impilo enhle.
Kubantu ababhekana nokuhluleka kwezinso ngemuva kokuhlinzwa futhi badinga i-dialysis, inkinga yinto eyodwa, futhi umsebenzi wezinso uthuthukisa ngokwanele ukuthi i-dialysis akuyona isikhathi eside. Lolu hlobo lokugula lubizwa ngokuthi Ukuhluleka Kokuqeda Amandla, noma i-ARF.
Kwabanye, ukulimala kwezinso kunomphela futhi kunzima ngokwanele ukuthi i-dialysis iyadingeka. Kulabo bantu, inkinga yinto engapheli futhi izodinga i-dialysis ngaphandle kokuthi ithole ukufakelwa kwezinso . Lolu hlobo lokukhishwa lubhekwa ngokuthi yi-End Stage Renal Disease (ESRD) noma ukuhluleka okungenangqondo kwama-renal.
> Umthombo:
> Izinso ezinzima Ukulimala emva kokuhlinzwa okukhulu kwesisu: I-Retrospective Cohort Analysis. Ucwaningo Oluqakathekile Lokucwaninga Nokuzikhandla. http://www.hindawi.com/journals/ccrp/2014/132175