Chii Chinonzi End-Stage Renal Disease? Zviratidzo, Zvinokonzera, & Kurapa

End-stage renal disease (ESRD), kana chirwere cheitsvo chekupedzisira, chimiro chekupedzisira chechirwere cheitsvo chisingaperi apo itsvo dzako dzinogona kushanda pazasi pe10% yekushanda kwadzo kwakajairwa. Panguva ino, itsvo dzako hadzisi kukwanisa kuchenesa tsvina nemvura yakawandisa muropa rako zvakakwana kuti urambe uine hutano pasina rubatsiro rwekurapa.

Chirwere ichi chinotapura vanhu mazana ezviuru, uye kunyangwe zvichinzwa zvakaoma, kune kurapa kwakaratidzwa kunogona kukubatsira kurarama hupenyu hwazere, hunoremekedzwa. Kunzwisisa zviri kuitika mumuviri wako uye kuziva sarudzo dzako kunogona kukubatsira kunzwa wakadzikama panguva ino yakaoma.

Chii Chinonzi End-Stage Renal Disease?

End-stage renal disease zvinoreva kuti itsvo dzako dzakarasikirwa nechikuru chekukwanisa kwadzo kuita basa radzo. Itsvo dzako kazhinji dzinoshanda senge mafiritha akangwara, dzechinjana zvinhu zvisina kunaka nemvura yakawandisa muropa rako uchichengeta zvinhu zvakanaka zvinodiwa nemuviri wako.

Paunosvika pachirimwo chechirwere ichi, itsvo dzako dziri kushanda pazasi pe10% yekushanda kwakajairwa. Funga nezvazvo senge firitha yemvura yakavharwa zvokuti haikwanisi kubvumira mvura yakachena kupfuura. Muviri wako unototungamira zvinhu zvine chepfu nemvura izvo zvaizobviswa nekuya.

Izvi zvinonziwo kutadza kweitsvo kana danho re5 chirwere cheitsvo chisingaperi. Shoko rokuti "end-stage" rinoreva kuitika kwechirwere cheitsvo, kwete tarisiro yehupenyu hwako. Vanhu vazhinji vane ESRD vanorarama kwemakore nekurapa kwakakodzera nekuchengetedza.

Ndeapi Zviratidzo zveEnd-Stage Renal Disease?

Zviratidzo zveESRD zvinoonekwa zvishoma nezvishoma sezvo kushanda kweitsvo kwako kuchiderera, uye zvinogona kukanganisa hupenyu hwako hwezuva nezuva. Muviri wako unotoita zviratidzo zvokuti zvinhu zvisina kunaka nemvura yakawandisa iri kuunganidzwa.

Aya ndiwo zviratidzo zvakajairwa zvaunogona kuona:

• Kuneta kwakanyanya nekushaya simba kunoshaya kugadziriswa nekuzorora
• Kutemwa kwematumbu, makwati, tsoka, kana kumativi emaziso ako
• Kushaya mweya, kunyanya kana uri kurara
• Kutsamwa nekurova kunogona kuipa nekufamba kwenguva
• Kurasikirwa nechido chekudya nekurasikirwa uremu usingadiwi
• Kuchinja mukuya, kusanganisira kuya kushoma kana kushaya kuya zvachose
• Kutsamwa kwenguva refu pamuviri wose
• Marwadzo emhasuru nemaoko asingazorori
• Dambudziko rekutora hope nedambudziko rekutarisa
• Kunaka kwesimbi mumuromo mako kana mweya wakaipa

Vamwe vanhu vanoonawo zviratidzo zvisingawanzoitika asi zvakakomba. Izvi zvinosanganisira kurwadziwa pabvudzi, kuderera kweropa rakaoma kudzora, kuita zvinhu zvisina kunaka, kana kusanzwisisa. Izvi zviratidzo zvinoitika nekuti kuenzana kwemakemikari emuviri wako kunokanganiswa zvakanyanya.

Kukomba uye kusanganiswa kwezviratidzo kunoenderana nemunhu. Vamwe vanhu vanonzwa vakurwara zvikuru, nepo vamwe vangave nezviratidzo zvishoma pakutanga, kunyanya kana vari kugamuchira kurapa kwekutanga.

Chii Chinokonzera End-Stage Renal Disease?

ESRD haiuye kamwe kamwe. Iyo mhedzisiro yechirwere cheitsvo chisingaperi chakafambira mberi kwemavhiki kana makore, zvishoma nezvishoma kukuvadza itsvo dzako kusvika dzisingakwanisi kushanda.

Zvinhu zvakajairwa zvinokonzera ESRD zvinosanganisira:

• Chirwere cheshuga (chirwere cheshuga chemarudzi ese maviri 1 ne2) - chinoita 40% yezviitiko zveESRD
• Kuderera kweropa kunokuvadza midziyero yeropa yeitsvo nekufamba kwenguva
• Polycystic kidney disease, apo cysts inokura muitsvo
• Glomerulonephritis, kuzvimba kwezvikamu zvekuchera zveitsvo
• Zvirwere zvekuzvidzivirira kwemuviri senge lupus zvinorwisa tishu dzeitsvo
• Zvirwere zvemagwenga zvinokanganisa kukura kana kushanda kweitsvo
• Kuwanikwa kwezvirwere zveitsvo kana kuvhara
• Kushandiswa kwenguva refu kwemishonga inogona kukuvadza itsvo

Zvishoma, ESRD inogona kubva pazvirwere zvisingawanzoitika zvemagwenga senge Alport syndrome, iyo inokanganisa mapuroteni mufiritha dzeitsvo. Vamwe vanhu vanowana ESRD kubva pakukuvara kweitsvo kwakakomba kunorasikirwa, kunyangwe izvi zvisingawanzoitika.

Muenzaniso, vanachiremba havawanikwe chikonzero chaicho, icho chinonzi idiopathic ESRD. Chinonyanya kukosha ndechekugamuchira kurapa kwakakodzera kwauri ikozvino, pasinei nezvakakonzera chirwere chako cheitsvo pakutanga.

Rini Unoofanira Kuona Chiremba neEnd-Stage Renal Disease?

Unofanira kutsvaka rubatsiro rwekurapa nekukurumidza kana uri kuona zviratidzo zvakakomba izvo zvingaratidza kuti itsvo dzako dziri kukundikana. Usamirire kana uri kunetseka kufema, kurwadziwa pabvudzi, kana zviratidzo zvekuunganidzwa kwemvura yakawandisa.

Taura nachiremba wako nekukurumidza kana ukaona kutemwa kwakanyanya mumatumbu kana chiso, uri kuya zvishoma pane zvaunowanzoita, kana uri kunzwa wakaneta zvikuru uye uchitsamwa. Izvi zviratidzo zvinogona kuipa nekukurumidza pasina kurapa.

Kana iwe uine chirwere cheitsvo chisingaperi, kuongororwa nguva dzose nachiremba wako weitsvo (nyanzvi yeitsvo) kunokosha. Vachaongorora kushanda kweitsvo dzako kuburikidza nekuyedzwa kweropa uye kukubatsira kugadzirira sarudzo dzekurapa usati wasvika pachirwere chekupedzisira.

Zviitiko zvekukurumidza zvinosanganisira kunetseka kufema, kurwadziwa pabvudzi, kutemwa kwakanyanya, kusanzwisisa, kana kuita zvinhu zvisina kunaka. Izvi zviratidzo zvinoda rubatsiro rwekukurumidza muchipatara sezvo zvingave zvine ngozi yehupenyu.

Ndeapi Zvinhu Zvinowedzera Ngozi yeEnd-Stage Renal Disease?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana ESRD, kunyangwe kuva nezvinhu zvinowedzera ngozi hazvirevi kuti uchawana chirwere ichocho. Kunzwisisa izvi zvinhu zvinogona kukubatsira iwe nechikwata chako chekuchengetedza hutano kutora matanho ekudzivirira kana zvichibvira.

Zvinhu zvikuru zvinowedzera ngozi zvinosanganisira:

• Kuva nechirwere cheshuga, kunyanya kana mazinga eshuga muropa asina kudzorwa zvakanaka
• Kuderera kweropa kunodzorwa zvakanaka nekufamba kwenguva
• Nhoroondo yemhuri yechirwere cheitsvo kana zvirwere zvemagwenga zveitsvo
• Kuva nemakore anopfuura 60, sezvo kushanda kweitsvo kunoderera zvakasikwa nemakore
• Kuva muAfrica America, Hispanic, kana Native American
• Kuva nechirwere chemwoyo kana matambudziko emwoyo
• Kuzama, izvo zvinogona kuipa chirwere cheshuga nekuderera kweropa
• Kusvuta, izvo zvinokuvadza midziyero yeropa kusanganisira iyo iri muitsvo

Zvimwe zvinhu zvinowedzera ngozi zvinosanganisira kuva nezvirwere zvekuzvidzivirira kwemuviri senge lupus, nhoroondo yekukuvara kweitsvo kwakakomba, kana kushandiswa kwenguva refu kwemishonga yekurwadziwa. Vamwe vanhu vane zvirwere zvisingawanzoitika zvemagwenga zvinoita kuti chirwere cheitsvo chiwedzere.

Mashoko akanaka ndeawo kuti zvakawanda zveizvi zvinhu zvinowedzera ngozi zvinogona kudzorwa. Kushanda nechikwata chako chekuchengetedza hutano kudzora chirwere cheshuga, kuderera kweropa, nezvimwe zvirwere zvinogona kunonoka kufambira mberi kwechirwere cheitsvo zvakanyanya.

Ndeapi Matambudziko Anogona Kuitika muEnd-Stage Renal Disease?

ESRD inokanganisa masisitimu mazhinji mumuviri wako nekuti itsvo dzako dzinoita mabasa akawanda akakosha kupfuura kuchenesa tsvina. Kana dzisingakwanisi kushanda zvakanaka, matambudziko akakomba anogona kuitika.

Matambudziko akajairika aunogona kusangana nawo anosanganisira:

• Matambudziko emwoyo, kusanganisira chirwere chemwoyo nekurova kwemwoyo kwasingawanzoitika
• Chirwere chezvibatanidzwa uye kuwedzera kwenjodzi yekuputsika
• Anemia (huwandu hushoma hwemasero matsvuku eropa) inokonzera kuneta kwakanyanya
• Kuderera kweropa kunova kuoma kudzora
• Kuunganidzwa kwemvura mumapapu, zvichiita kuti kufema kuome
• Kusawirirana kwema electrolytes kunokanganisa mwoyo nemabasa emhasuru
• Kuwedzera kwenjodzi yezvirwere nekuda kwekuora kwehurongwa hwekuzvidzivirira
• Matambudziko ekubuda ropa nekuda kwekukanganisa kweropa

Vamwe vanhu vanoona matambudziko asingawanzoitika asi akakomba. Izvi zvinosanganisira kurwadziwa kwakanyanya kwemapfupa, kukuvara kwetsoka kunokonzera kusanzwa kana kuchema, uye matambudziko ekufunga senge dambudziko rekutarisa kana matambudziko ekurangarira.

Matambudziko ehutano hwepfungwawo akajairika, kusanganisira kuora mwoyo nekutya nezvechirwere nekurapa. Izvi zvinonzwisisika uye zvinogona kurapwa nerubatsiro rwakakodzera nekuchengetedza.

Zvizhinji zveizvi matambudziko zvinogona kudzorwa zvakanaka nekurapa kwakakodzera. Chikwata chako chekuchengetedza hutano chichakuongorora zvakanyanya uye kuchinja kurapa kudzivirira kana kuderedza izvi matambudziko.

End-Stage Renal Disease Inoziiwa Sei?

Kuziva ESRD kunosanganisira kuongororwa kweropa kunoyera kuti itsvo dzako dziri kuchenesa sei tsvina kubva muropa rako. Chiremba wako achazvishandise kuverenga kunonzi estimated glomerular filtration rate (eGFR) kuona kushanda kweitsvo dzako.

eGFR iri pasi pe15 milliliters paminitsi inoratidza chirwere cheitsvo chekupedzisira. Kufananidza, kushanda kwakajairwa kweitsvo ndeye eGFR ye90 kana kupfuura. Chiremba wako achaongororawo mazinga ako ecreatinine, anokwira kana itsvo dzisingacheri zvakanaka.

Kuongororwa kwakawedzerwa kunobatsira kuongorora kukanganisa pahutano hwako hwese. Izvi zvinosanganisira kuongorora mazinga ako e hemoglobin yeanemia, kuyera ma electrolytes senge potassium nephosphorus, uye kuongorora hutano hwako hwepfupa kuburikidza nema calcium neparathyroid hormone mazinga.

Chiremba wako anogona kurayirawo bvunzo dzekuona senge ultrasounds kana CT scans kuona chimiro cheitsvo dzako. Dzimwe nguva biopsy yeitsvo inodiwa kunzwisisa chikonzero chaicho chechirwere chako cheitsvo, kunyangwe izvi zvisingawanzodiwa pakuronga kurapa.

Kurapa kweEnd-Stage Renal Disease Ndeapi?

Kurapa kweESRD kunosanganisira kutsiva basa racho itsvo dzako dzisingakwanisi kuita. Kune sarudzo dzakawanda dzinoshanda, uye chikwata chako chekuchengetedza hutano chichakubatsira kusarudza zvakanakira mamiriro ako nehupenyu hwako.

Sarudzo huru dzekurapa dzinosanganisira:

1. Hemodialysis: Muchina unochera ropa rako katatu pavhiki, kazhinji panzvimbo yekurapa. Chikamu chega chega chinotora maawa anenge mana, uye muchina unoita basa rekuchera racho itsvo dzako dzisingakwanisi kuita.
2. Peritoneal dialysis: Inoshandisa lining yemudumbu rako kuchenesa tsvina. Unogona kuita izvi kumba, zuva rese kana usiku uchikurara.
3. Kidney transplant: Inotsiva itsvo dzako dzakakundikana neitsvo ine hutano kubva kumupi. Izvi zvinogona kubva kumupi ari mupenyu kana munhu akafa.

Chiremba wako achapawo mishonga yekudzora matambudziko. Izvi zvinogona kusanganisira mishonga yeanemia, chirwere chezvibatanidzwa, kuderera kweropa, uye kubatsira kudzora mazinga ephosphorus muropa rako.

Vamwe vanhu havana kukodzera dialysis kana kupfudza nekuda kwezvimwe zvirwere. Mumamiriro ezvinhu akadaro, chikwata chako chekuchengetedza hutano chichagara pachikuvadza uye kudzora zviratidzo kuchengetedza hupenyu hwako.

Sarudzo pakati pekurapa inotsamira pazvinhu zvakawanda kusanganisira makore ako, hutano hwese, zvaunoda muhupenyu, uye zvaunotenda. Hapana kurapa kwakanakisa kune munhu wese.

Nzira Yekuzvichengeta Sei Panguva yeEnd-Stage Renal Disease?

Kuzvichengeta iwe pachako neESRD kunosanganisira kurapa kwemishonga nekuchinja mararamiro anogona kukubatsira kunzwa zvakanaka uye kudzivirira matambudziko. Kuchinja duku kunogona kuita musiyano mukuru mukunzwa kwako zuva nezuva.

Kuchinja kudya kazhinji kunodiwa uye kunogona kubatsira kuderedza zviratidzo. Iwe ungada kuderedza mapuroteni, phosphorus, potassium, uye sodium mune zvaunodya. Nyanzvi yekudya inogona kukubatsira kugadzira mapurani ezvokudya ari shamwari yeitsvo uye anofadza.

Kuramba uine simba sezvinobvira mukati memiganho yako kunobatsira kuchengetedza simba remhasuru uye kunatsiridza manzwiro. Kunyange mabasa akareruka senge kufamba kana kutambanudza kunogona kubatsira. Chikwata chako chekuchengetedza hutano chinogona kukupa mazano ekurovedza muviri akachengeteka ezvinhu zvako.

Kudzorwa kwemishonga yako zvakanyanya kukosha. Tora mishonga yose yakanyorwa sezvakarayirwa, uye usambomisa kana kuchinja zvikamu pasina kutaura nachiremba wako kutanga. Chengeta runyorwa rwezvinhu zvako zvese zve mishonga newe.

Rubatsiro rwemanzwiro rinokosha sezvo kuchengetedza muviri. Funga nezvekubatana negroup rekutsigira revanhu vane chirwere cheitsvo, kutaura nemurayiridzi, kana kubatana nevamwe vanonzwisisa zviri kuitika kwauri.

Ungagadzirira Sei Kune Chiremba Wako?

Kugadzirira misangano nemunyanzvi wako weitsvo kunobatsira kuve nechokwadi chekuti unowana zvakawanda kubva pakushanya kwako uye une mibvunzo yako yose yapindurwa. Kuve akarongeka kunogona kubatsira kuderedza kunetseka uye kuita misangano inobatsira zvakanyanya.

Usati wasvika pakusangana kwako, nyora zviratidzo zvako zvese, kunyangwe zvichiita sekunge hazvina chekuita neitsvo dzako. Sanganisira pavakatanga, kukomba kwavo, uye zvinhu zvinoita kuti zvive nani kana kuipa. Ruzivo urwu runobatsira chiremba wako kunzwisisa manzwiro ako.

Uye uunze runyorwa rwakakwana remishonga yese, zvinowedzerwa, uye mavhitamini auri kutora. Sanganisira zvikamu uye kazhinji unotora. Uyewo uunze chero migumisiro yekurapa kana marekodhi kubva kune vamwe vanachiremba wawakaona.

Gadzira runyorwa remibvunzo yaunoda kubvunza. Usanetseka nezvekubvunza mibvunzo yakawanda - chikwata chako chekuchengetedza hutano chinoda kukubatsira kunzwisisa mamiriro ako nesarudzo dzekurapa zvizere.

Funga nezvekukoka nhengo yemhuri kana shamwari kumisangano yakakosha. Vanogona kukubatsira kurangarira ruzivo rwakakurukurwa uye kupa rutsigiro rwemanzwiro panguva yekukurukurirana kwakaoma nezvesarudzo dzekurapa.

Chii Chinonyanya Kukosha NezveEnd-Stage Renal Disease?

End-stage renal disease chirwere chakakomba, asi hachisi chirevo cherufu. Nekurapa kwakakodzera, vanhu vazhinji vanorarama kwemakore uye vanoramba vaine hupenyu hwakanaka. Chinonyanya kukosha ndekushanda pedyo nechikwata chako chekuchengetedza hutano uye kuramba uine hutano sezvinobvira.

Kugadzirira kwekutanga nekuziva nezvesarudzo dzako dzekurapa kunogona kukubatsira kuita sarudzo dzakachenjera dzinoenderana nezvaunotenda nehupenyu hwako. Kunyangwe iwe uchisarudza dialysis, kutsvaga kupfudza, kana kuisa pfungwa pakutarisira kunyaradza, kune nzira dzekudzora chirwere ichi zvakanaka.

Rangarira kuti kuva neESRD hakusi kukutsanangurira. Vanhu vazhinji vanoramba vachishanda, vachifamba, uye vachifarira hukama pavanenge vachidzora chirwere chavo cheitsvo. Kugadzirisa kunotora nguva, asi nerutsigiro nekuchengetedza kwakakodzera, unogona kugadzirisa chitsauko chitsva muhupenyu hwako.

Chikwata chako chekuchengetedza hutano chiripo kukutsigira nhanho imwe neimwe. Usanetseka kubvunza mibvunzo, kuratidza kunetseka, kana kutsvaka rubatsiro kana uchida. Hausiri wega mune rwendo urwu.

Mibvunzo Inobvunzwa Kazhinji NezveEnd-Stage Renal Disease

Mubvunzo 1: Ungararama kwenguva yakareba sei neend-stage renal disease?

Tarisiro yehupenyu neESRD inosiyana zvikuru zvichienderana nemakore ako, hutano hwese, uye sarudzo yekurapa. Vanhu vazhinji vari pa dialysis vanorarama kwemakore 10-20 kana kupfuura, nepo avo vanowana kupfudza kweitsvo kazhinji vanorarama kwenguva yakareba. Chinonyanya kukosha ndekuwana kurapa kwakakodzera uye kuchengetedza hutano hwako hwese. Chiremba wako anogona kukupa maonero akafanira zvichienderana nemamiriro ako chaiwo.

Mubvunzo 2: Cannabis kana zvokudya zvakati zvinorapira end-stage renal disease?

Hapana mushonga wemusikirwo, chikafu, kana zvinowedzerwa zvinogona kurapa ESRD kana kudzoreredza kushanda kweitsvo kana wasvika pachirimwo ichi. Kunyangwe kuchengetedza kudya kwakanaka kuchikosha pahutano hwako hwese, itsvo dzakakuvadzwa hadzigone kuzvivandudza kana kuzora. Kurapa kwemishonga chete senge dialysis kana kupfudza kweitsvo kunogona kutsiva basa reitsvo dzakakundikana. Gara uchikurukura chero zvinowedzerwa kana kurapa kunosiyana nachiremba wako usati wavaedza.

Mubvunzo 3: Dialysis inorwadza here?

Vanhu vazhinji havaoni kurwadziwa kukuru panguva yekurapa kwe dialysis. Unganzwa kusagadzikana kana mashizha achisanganiswa nehemodialysis, zvakafanana nekuve nekuyedzwa kweropa. Vamwe vanhu vanonzwa vakaneta kana kuva nemarwadzo emhasuru panguva kana mushure mekurapa, asi izvi zviratidzo kazhinji zvinovandudzika sezvaunogadzirisa dialysis. Chikwata chako chekuchengetedza hutano chinogona kubatsira kudzora chero kusagadzikana kwaunosangana nacho.

Mubvunzo 4: Unogona kufamba kana uine end-stage renal disease?

Hungu, vanhu vazhinji vane ESRD vanoramba vachifamba, kunyangwe zvichifanira kuronga zvinhu kare. Kana uri pa hemodialysis, iwe uchafanira kuronga kurapa panzvimbo dzekurapa munzvimbo yaunofamba. Peritoneal dialysis inopa mukana wakawanda sezvo iwe unogona kazhinji kutora zvinhu newe. Vanhu vane kupfudza kweitsvo kazhinji vane mukana wakawanda wekufamba kana vachigadzikana pamishonga yavo.

Mubvunzo 5: Ndichakwanisa kushanda here ndine end-stage renal disease?

Vanhu vazhinji vanoramba vachishanda pavanenge vachidzora ESRD, kunyangwe ungada kuita mamwe magadzirirwo. Rudzi rwebasa raunoita, purogiramu yako yekurapa, uye manzwiro ako zvichaita kuti ukwanise kushanda. Vamwe vanhu vanoshanda nguva yakazara, vamwe hafu yenguva, uye vamwe vangada kurega kushanda kwenguva pfupi kana zvachose. Chikwata chako chekuchengetedza hutano chinogona kukubatsira kunzwisisa zviri pachena ezvinhu zvako uye kukubatanidza nezvinhu zvinobatsira kana zvichidiwa.