Ubuthakathaka Bokudala Kwesisu? Izimpawu, Izimbangela, Nokwelashwa

Ubuthakathaka bokudala kwesisu (CKD) yisimo lapho izinkulungwane zakho zilahlekela kancane kancane ikhono lazo lokucwecwa udoti noketshezi okweqile egazini lakho ezinyangeni noma eminyakeni eminingi. Cabanga ngezinkulungwane zakho njengesistimu yakho yemvelo yokucwecwa komzimba - uma zingasebenzi kahle, izinto eziyingozi noketshezi zingakha, zithinte impilo yakho yonke.

Lesi simo sithinta izigidi zabantu emhlabeni jikelele, futhi izindaba ezimnandi ukuthi ngokunakekelwa okuqondile nokushintsha kwendlela yokuphila, uhlale ukhona ukunciphisa ukuqhubeka kwalo futhi ugcine ikhwalithi enhle yokuphila. Ukuqonda ukuthi kwenzekani emzimbeni wakho yisinyathelo sokuqala sokuthatha ulawulo lwempilo yakho.

Ubuthakathaka Bokudala Kwesisu Yini?

Ubuthakathaka bokudala kwesisu kusho ukuthi izinkulungwane zakho zilimele futhi azikwazi ukuhlunga igazi njengoba kufanele. Ngokungafani nezinkinga zezinkulungwane eziqala ngokuzumayo, i-CKD ithuthuka kancane ngokuhamba kwesikhathi, ngokuvamile ngaphandle kwezimpawu ezicacile ezigabeni zokuqala.

Izinkulungwane zakho zenza okungaphezu nje kokwenza umchamo. Zisusa imikhiqizo yokuqothula, ziqondanise amakhemikhali egazini lakho, zisize ulawule ukucindezeleka kwegazi, futhi zenze ama-hormone agcina amathambo akho eqinile futhi asize umzimba wakho ukukhiqiza amaseli abomvu egazi. Uma i-CKD iqhubeka, yonke le misebenzi ebalulekile ingathinteka.

Lesi simo singalinganiswa ezigabeni ezinhlanu, kusukela ekubulaleni okuncane kwezinkulungwane (isigaba 1) kuya ekwehlulekeni okuphelele kwezinkulungwane (isigaba 5). Abantu abaningi abanesigaba sokuqala se-CKD bangaphila impilo evamile, esebenzayo ngokunakekelwa okufanele kwezokwelapha nokukhetha okunempilo kwendlela yokuphila.

Ziyini Izimpawu Zokudala Kwesisu?

Ubuthakathaka bokudala kwesisu ngokuvamile abunawo nhlobo izimpawu, yingakho ngezinye izikhathi kubizwa ngokuthi “isimo esithule.” Izinkulungwane zakho ziyaziqondisa kakhulu ekubuyiseleni umonakalo, ngakho ungase ungaphawuli lutho olungalungile kuze kube yilapho umsebenzi omkhulu ulahlekile.

Njengoba i-CKD iqhubeka, ungase uhlangabezane nalezi zimpawu ezivamile:

• Ukuzizwa ukhathele kakhulu kunokujwayelekile noma ukuba namandla amancane
• Ubunzima bokuqonda noma ukucabanga ngokucacile
• Ubunzima bokuphumula noma ukuhlala ulele
• Ukuqina kwemisipha, ikakhulukazi ebusuku
• Ukukhula ezinyaweni nasezinzwini
• Ukukhula emehlweni, ikakhulukazi ekuseni
• Ukukhahlela, isikhumba esomile esingathuthuki ngokufaka umswakama
• Ukudinga ukuya emathisini njalo, ikakhulukazi ebusuku
• Ukulahlekelwa ukudla noma ukudla kunambitheka ngokuhlukile
• Ukuphefumula noma ukugabha

Ezigabeni eziphambili, ungase uqaphele izimpawu ezengeziwe njengokuphefumula okunzima, ubuhlungu esifubeni, noma ukucindezeleka kwegazi okuphezulu okunzima ukulawula. Abanye abantu nabo bahlangabezana nokunambitheka kwethusi emlonyeni wabo noma baqaphele ukuthi umchamo wabo unyakaza noma umnyama kunokujwayelekile.

Kubalulekile ukukhumbula ukuthi lezi zimpawu zingaba nezimbangela eziningi, futhi ukuba nesisodwa noma ngaphezulu akusho ukuthi une-CKD. Noma kunjalo, uma uhlangabezana nezinye zalezi zimpawu, ikakhulukazi uma unezingozi njengesihlalo noma ukucindezeleka kwegazi okuphezulu, kufanele uxoxe nodokotela wakho.

Ziyini Izimbangela Zokudala Kwesisu?

Ubuthakathaka bokudala kwesisu buthuthuka lapho kukhona okulimaza izinkulungwane zakho futhi kunciphise umsebenzi wazo ngokuhamba kwesikhathi. Izimbangela ezivamile yizimo ezibeka ukucindezeleka okwengeziwe kulezi zitho ezibalulekile noma elimaza ngqo inyama yesisu.

Nazi izimbangela eziyinhloko ze-CKD:

• Isihlalo (sohlobo 1 nohlobo 2) - amazinga aphezulu eshukela egazini alimaza imithambo yegazi ezinkulungwaneni
• Ukucindezeleka kwegazi okuphezulu - kuphoqa izinkulungwane zakho ukuba zisebenze kanzima futhi kungalimaza ama-unit okuhlunga
• Ubuthakathaka besisu be-polycystic - isimo esidluliselwa ezizukulwaneni lapho ama-cyst ekhula khona ezinkulungwaneni
• I-Glomerulonephritis - ukuvuvukala kwama-unit okuhlunga kwesisu
• Izifo ze-autoimmune njengolupus ezingalimaza inyama yesisu
• Izinkinga zendlela yomchamo ezikhona kusukela ekuzalweni
• Amatshe esisu noma iziphunga ezivala ukugeleza komchamo
• Ukutheleleka okubuyela njalo kwendlela yomchamo

Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa imithi ethile ethathwe isikhathi eside (ikakhulukazi ezinye izilondolozi zobuhlungu), izifo ezivela ezifundweni, nokulimala kwangaphambili kwesisu. Ngezinye izikhathi, imbangela eqondile ihlala ingaziwa, kodwa lokhu akushintshi ukuthi isimo singaphathwa kangcono kanjani.

Izindaba ezinhle ukuthi ukuqonda imbangela yakho ethile kungasiza iqembu lakho lokunakekelwa kwezokwelapha ukwakha uhlelo lokwelapha oluphumelelayo kuwe. Eziningi zalezi zimo eziyisisekelo zingalawulwa kahle ngokunakekelwa okufanele kwezokwelapha.

Nini Okufanele Ubone Udokotela Ngobuthakathaka Bokudala Kwesisu?

Kufanele ubheke umhlinzeki wezempilo uma uhlangabezana nezimpawu ezingase zibonise izinkinga zesisu, ikakhulukazi uma ziqhubeka noma zibe zimbi ngokuhamba kwesikhathi. Ukutholwa kwangaphambi kwesikhathi nokuphathwa kunganciphisa kakhulu ukuqhubeka kwe-CKD futhi kusize ukuvimbela izinkinga.

Hlela i-aphoyintimenti uma uqaphela ukukhathala okuqhubekayo, ukushintsha emaphethini okuya emathisini, ukukhula okungachazeki, noma uma unezingozi njengesihlalo noma ukucindezeleka kwegazi okuphezulu okungakabi kuhlolwe.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinkulu njengobunzima bokuphumula, ubuhlungu esifubeni, ukuphefumula nokuhlanza okukhulu, noma ukudideka. Lokhu kungase kubonise ukuthi umsebenzi wesisu wakho uyancipha kakhulu futhi udinga ukunakekelwa okusheshayo.

Uma unesihlobo, ukucindezeleka kwegazi okuphezulu, noma umlando womndeni wesisu, ukuhlolwa okujwayelekile ngezivivinyo zomsebenzi wesisu kubalulekile ngisho noma uzizwa kahle. Abaninzi abahlinzeki bezempilo bancoma ukuhlolwa minyaka yonke kubantu abanezingozi ezinjalo.

Ziyini Izingozi Zokudala Kwesisu?

Ukuqonda izingozi zakho kungakusiza ukuba uthathe izinyathelo eziqaphayo zokuvikela impilo yesisu yakho. Ezinye izingozi awukwazi ukuzishintsha, kanti ezinye ungazithonya ngokukhetha indlela yokuphila nokuphathwa kwezokwelapha.

Nazi izingozi eziyinhloko zokuthuthukisa i-CKD:

• Isihlalo - imbangela ehamba phambili ye-CKD emazweni amaningi
• Ukucindezeleka kwegazi okuphezulu - imbangela yesibili evamile
• Umlando womndeni wesisu
• Iminyaka engaphezu kweminyaka engama-60
• Isifo senhliziyo noma umlando wesifo sokuqhaqhazela
• Ukukhuluphala noma ukukhuluphala kakhulu
• Ukubhema noma ukusetshenziswa kotshwala
• Izizwe ezithile (umAfrika-Mnyama, iHispanic, iNative American, noma i-Asia)
• Ukusetshenziswa isikhathi eside kwemithi ethile, ikakhulukazi i-NSAIDs

Ukuba nesisodwa noma ngaphezulu kwezingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile i-CKD, kodwa kusho ukuthi kufanele uqaphele ngempilo yesisu. Ukuqapha okujwayelekile nokukhetha okunempilo kwendlela yokuphila kunganciphisa kakhulu ingozi yakho, ngisho noma unezinto ongenakuzilawula njengobudala noma umlando womndeni.

Izindaba ezimnandi ukuthi eziningi zezingozi ezinkulu - njengesihlalo, ukucindezeleka kwegazi okuphezulu, nokukhuluphala - zingalawulwa kahle ngokunakekelwa okufanele kwezokwelapha nokuguqulwa kwendlela yokuphila.

Ziyini Izinkinga Ezingase Zivele Ngobuthakathaka Bokudala Kwesisu?

Njengoba ubuthakathaka bokudala kwesisu buqhubeka, bungathinta amanye amalungu omzimba wakho ngoba izinkulungwane zakho zidlala indima ebalulekile ekugcineni impilo yakho yonke. Ukuqonda lezi zinkinga ezingase zivele kusiza wena neqembu lakho lokunakekelwa kwezokwelapha ukuba niqaphele izinkinga.

Izinkinga ezivamile zihlanganisa:

• Ukucindezeleka kwegazi okuphezulu okuba nzima ukulawula
• I-Anemia (ukuncane kwamaseli abomvu egazi) okubangela ukukhathala nobuthakathaka
• Isifo samathambo nokukhuluphala kwingozi yokuqhekeka
• Isifo senhliziyo nengozi enkulu yesifo sokuqhaqhazela
• Ukugcinwa koketshezi okubangela ukukhula nokuphefumula okunzima
• Ukungaqondani kwama-electrolyte okuthinta izinga lenhliziyo nomsebenzi wemisipha
• Ukuncipha komsebenzi wokulwa nezifo okwenza ukutheleleka kube lula
• Izinkinga zokukhulelwa uma uhlela ukuba nezingane

Izinkinga ezingathi sína zingase zithuthuke ezigabeni eziphambili, kuhlanganise isifo samathambo esinzima, izinkinga zenhliziyo, nesidingo sokudlala noma ukuhlinzwa kwesisu. Noma kunjalo, ngokunakekelwa okufanele kwezokwelapha nokuphathwa kwendlela yokuphila, abantu abaningi abane-CKD abayi kuqhubeka nalezi zigaba eziphambili.

Ukuqondana nokusebenzisana eduze neqembu lakho lokunakekelwa kwezokwelapha ukuqapha isimo sakho nokubhekana nezingozi kwangaphambi kwesikhathi. Eziningi zalezi zinkinga zingavikeleka noma ziphathwe kahle uma zitholakala ngesikhathi.

Ubuthakathaka Bokudala Kwesisu Bungavikeleka Kanjani?

Nakuba ungakwazi ukuvimbela zonke izimo zokudala kwesisu, ikakhulukazi lezo ezivela ezintweni zezifundo, kunezinyathelo eziningi ezinamandla ongazithatha ukuvikela impilo yesisu yakho nokunciphisa ingozi yakho kakhulu.

Izindlela ezinhle kakhulu zokuvimbela zigxile ekulawuleni izimo ezivame ukubangela i-CKD:

• Lawula isihlalo ngokucophelela ngokugcina amazinga eshukela egazini ezingeni eliqondile
• Lawula ukucindezeleka kwegazi okuphezulu ngemithi nokushintsha kwendlela yokuphila
• Gcina isisindo esinempilo ngokudla okulinganiselayo nokuzivocavoca okujwayelekile
• Ungabhemi, noma uyeke uma ubhema njengamanje
• Khawukhawule ukusetshenziswa kotshwala emazingeni aphansi
• Hlala uqinisile kodwa ungagcini kakhulu
• Sebenzisa imithi yokwelapha ubuhlungu ngokulinganisela futhi njengoba kuqondiswe
• Thola ukuhlolwa okujwayelekile uma unezingozi

Uma usuvele une-CKD yesigaba sokuqala, lezi zindlela ezifanayo zingasiza ekuthuthukiseni ukuqhubeka nokunciphisa izinkinga. Umhlinzeki wakho wezempilo angase futhi ancome ukushintsha okukhethekile kokudla noma imithi ukuvikela umsebenzi wesisu wakho osaleyo.

Khumbula, ukushintsha okuncane kungenza umehluko omkhulu ngokuhamba kwesikhathi. Ngisho nokuthuthukiswa okuncane ekulawuleni ukucindezeleka kwegazi noma ukuphathwa kweshukela egazini kungathinta kakhulu impilo yesisu yakho esikhathini eside.

Ubuthakathaka Bokudala Kwesisu Butholakala Kanjani?

Ukuthola ubuthakathaka bokudala kwesisu ngokuvamile kuhilela ukuhlolwa okulula kwegazi nomchamo okulengisa ukuthi izinkulungwane zakho zisebenza kangcono kangakanani. Umhlinzeki wakho wezempilo cishe uzoyala lezi zihloko uma unezimpawu noma izingozi zesifo sesisu.

Izivivinyo eziyinhloko zokuxilonga zihlanganisa ukuhlolwa kwegazi ukuze kulengiswe i-creatinine (umkhiqizo wokuqothula izinkulungwane ezempilo eziwucwecwayo) futhi kubalwe izinga lakho elikalwe lokuhlunga kwe-glomerular (eGFR), okubonisa ukuthi izinkulungwane zakho zihlunga kangcono kangakanani. Ukuhlolwa komchamo kuhlola iprotheni, igazi, noma ezinye izinto ezingavamile ezingase zibonise ukulimala kwesisu.

Udokotela wakho angase futhi ayale izivivinyo zezithombe njengoba i-ultrasound ibuke usayizi nokwakheka kwezinkulungwane zakho. Kwezinye izimo, ikakhulukazi uma imbangela ingacacile, ukuhlolwa kwesisu kungase kunconywe ukuhlola inyama yesisu ngaphansi komkhiqizo.

Ukutholakala kuqinisekiswa lapho izivivinyo zibonisa umsebenzi wesisu ophansi noma izimpawu zokulimala kwesisu ziqhubeka izinyanga ezingaphezu kwezintathu. Umhlinzeki wakho wezempilo uzosebenzisa le miphumela ukuze aqonde isigaba se-CKD yakho futhi wakhe uhlelo lokwelapha olufanele.

Yini Ukwelashwa Kwe-CKD?

Ukuphathwa kokuqala kwesisu kugxile ekuthuthukiseni ukuqhubeka kwesifo, ekulawuleni izimpawu, nasekuvimbeleni izinkinga. Indlela ethile ixhomeke embangelweni eyiyisisekelo, isigaba se-CKD yakho, nempilo yakho yonke.

Uhlelo lokwelapha lwakho lungase luhlanganise:

• Imithi yokulawula ukucindezeleka kwegazi nokuvikela umsebenzi wesisu
• Ukuphathwa kwesihlalo ukugcina amazinga eshukela egazini aqinile
• Ukushintsha kokudla ukunciphisa ukucindezeleka ezinkulungwaneni zakho
• Imithi yokwelapha izinkinga njenge-anemia noma isifo samathambo
• Ukuqapha okujwayelekile ukuqapha umsebenzi wesisu nokulungisa ukwelashwa
• Ukulungiselela ukudlala noma ukuhlinzwa uma kudingeka ezigabeni eziphambili

Abantu abaningi abane-CKD yokuqala kuya ephakathi bangagcina umsebenzi wesisu omuhle iminyaka eminingi ngokwelashwa okuqondile. Ikhona ukusebenzisana eduze neqembu lakho lokunakekelwa kwezokwelapha, okungase kuhlanganise udokotela wakho oyinhloko, i-nephrologist (isazi sesisu), kanye nezinye izazi uma kudingeka.

Ukuphathwa kuyahlukahluka ngoba isimo sabo bonke sihlukile. Okusebenza kangcono kuwe kuzoxhomeka ohlotsheni lwakho oluthile lesifo sesisu, ezinye izimo zempilo, kanye nezintandokazi zomuntu siqu.

Indlela Yokuthatha Ukwelashwa Ekhaya Ngesikhathi Sokudala Kwesisu?

Ukuphatha ubuthakathaka bokudala kwesisu ekhaya kuhilela ukwenza izinqumo zokuphila ezisekela impilo yesisu yakho nempilo yakho yonke. Lezi zindlela zokunakekela zihambisana nokuphathwa kwakho kwezokwelapha ukuze zisize ekuthuthukiseni ukuqhubeka kwesifo.

Nazi izindlela eziyinhloko zokuphatha ekhaya:

• Landela ukudla okunempilo kwesisu, ngokuvamile ukulinganisela i-sodium, i-phosphorus, kanye ngezinye izikhathi iprotheni
• Thatha yonke imithi ngokuqondile njengoba kuqondiswe, ngisho noma uzizwa kahle
• Qapha ukucindezeleka kwegazi kwakho njalo uma une-monitor ekhaya
• Hlala usebenza ngokomzimba ngemisebenzi efanele izinga lakho lokufaneleka
• Gcina isisindo esinempilo ngokudla okulinganiselayo nokuzivocavoca
• Hlala uqinisile kodwa landela noma yikuphi ukulinganiselwa koketshezi udokotela wakho akuncomayo
• Gwema ukubhema futhi ukhawule ukusetshenziswa kotshwala
• Thola ubuthongo obunempilo futhi ulawule ukucindezeleka ngokuphumelelayo

Gcina ulandelela noma yiziphi izimpawu noma ukushintsha endleleni ozizwa ngayo, futhi ungangabazi ukuthintana neqembu lakho lokunakekelwa kwezokwelapha ngemibuzo noma ukukhathazeka. Abantu abaningi bathola usizo ekuqopha idayari elula yezimpawu, ukufundwa kokucindezeleka kwegazi, noma ukushintsha kwesisindo.

Khumbula ukuthi ukuphatha i-CKD kuyimisebenzi yeqembu phakathi kwakho nabahlinzeki bakho bezempilo. Izinqumo zakho zansuku zonke nemizamo yokunakekela ngokwakho idlala indima ebalulekile ekugcineni impilo yesisu yakho nekhwalithi yokuphila.

Kufanele Uzilungiselele Kanjani I-Aphoyintimenti Yakho Nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela kungakusiza ukuba wenze okuningi ngesikhathi sakho ndawonye futhi kuqinisekise ukuthi uthola ulwazi nokukhathalelwa okudingayo. Ukulungiselela okuhle futhi kusiza umhlinzeki wakho wezempilo ukuba akunikeze ukunakekelwa okuhle kakhulu.

Ngaphambi kwe-aphoyintimenti yakho, bhala phansi zonke izimpawu zakho, kuhlanganise nokuthi zaqala nini nokuthi zikuthinta kanjani impilo yakho yansuku zonke. Bala yonke imithi oyithathayo, kuhlanganise nemithi yokwelapha ubuhlungu kanye nezinye izinto, njengoba ezinye zingathinta umsebenzi wesisu.

Letha uhlu lwemibuzo ofuna ukuyibuza, njengoba isigaba se-CKD onaso, okubangele, ukuthi singaqhubeka ngokushesha kangakanani, kanye nezinketho zokwelapha ezitholakalayo. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu - iqembu lakho lokunakekelwa kwezokwelapha lifuna ukukusiza ukuqonda isimo sakho.

Uma kungenzeka, letha ilungu lomndeni noma umngani ongakusiza ukukhumbula ulwazi oluxoxwe ngesikhathi se-aphoyintimenti. Cabanga ukubacela ukuba bathathe amanothi ngenkathi ugxila engxoxweni nodokotela wakho.

Iyini I-Takeaway Key Ngobuthakathaka Bokudala Kwesisu?

Into ebaluleke kakhulu okumele uyiqonde ngobuthakathaka bokudala kwesisu ukuthi yisimo esilawuleka, ikakhulukazi uma sitholakala kwangaphambi kwesikhathi. Nakuba ukutholakala kungase kuzwakale kukhulu ekuqaleni, abantu abaningi abane-CKD baphila impilo egcwele, esebenzayo ngokunakekelwa okufanele kwezokwelapha nokuphathwa kwendlela yokuphila.

Ukutholwa kwangaphambi kwesikhathi nokuphathwa kunganciphisa kakhulu ukuqhubeka kwe-CKD futhi kusize ukuvimbela izinkinga ezinkulu. Lokhu kusho ukuthi ukulawula izingozi njengesihlalo nokucindezeleka kwegazi okuphezulu, ukulandela uhlelo lwakho lokwelapha, nokuxhumana neqembu lakho lokunakekelwa kwezokwelapha kungenza umehluko omkhulu empilweni yakho yesikhathi eside.

Khumbula ukuthi awuwedwa kule ndlela. Iqembu lakho lokunakekelwa kwezokwelapha likhona ukukusekela, futhi kunezinto eziningi ezitholakalayo ezokusiza uqonde futhi ulawule isimo sakho. Ngenhlanhla efanele, ungagcina ikhwalithi enhle yokuphila ngenkathi uvikela umsebenzi wesisu wakho osaleyo.

Imibuzo Evamile Ngobuthakathaka Bokudala Kwesisu

Ingabe ubuthakathaka bokudala kwesisu bungaphiliswa?

Okwamanje, ayikho impilo yokuqala kwesisu, kodwa ingaphathwa kahle futhi ukuqhubeka kwayo kuvame ukunciphisa kakhulu. Ngokwelashwa okuqondile, abantu abaningi abane-CKD bagcina umsebenzi wesisu ozinzile iminyaka eminingi. Ezimweni zesigaba sokugcina, ukudlala noma ukuhlinzwa kwesisu kungase kubeka umsebenzi wesisu, kuvumela abantu ukuba baphile impilo egcwele.

Ubude kangakanani ongaphila ngaso ubuthakathaka bokudala kwesisu?

Isikhathi sokuphila nge-CKD sihluka kakhulu kuye ngesigaba sokutholakala, izimbangela eziyisisekelo, nokuthi isimo silawulwa kangcono kangakanani. Abantu abaningi abane-CKD yesigaba sokuqala banesikhathi sokuphila esivamile noma esiseduze nesivamile. Ngisho nalabo abane-CKD ephambili bangaphila iminyaka eminingi ngokunakekelwa okufanele kwezokwelapha, futhi abanye abayi kuqhubeka ekwehlulekeni kwesisu.

Ingabe ubuthakathaka bokudala kwesisu buyafa?

Ezinye izimo zokudala kwesisu ziyafa, njengoba i-polycystic kidney disease kanye nezinye izifo zezifundo. Noma kunjalo, izimbangela ezivamile njengesihlalo nokucindezeleka kwegazi okuphezulu azidluliselwa ngqo, nakuba kungase kube nezinto zezifundo ezikhuphula ingozi yakho. Ukuba nomlando womndeni wesisu kuyingozi, kodwa akusho ukuthi uzokuthuthukisa isimo.

Unganikela ngesisu uma une-CKD?

Abantu abane-CKD ngokuvamile abanakunikela ngezinkulungwane, njengoba ukunikela kudinga umsebenzi omuhle wesisu nempilo yonke. Noma kunjalo, isimo ngasinye sihlolwa ngabanye, futhi i-CKD yesigaba sokuqala kakhulu ingase ingavimbeli umuntu ekunikeleni. Iqembu lokuhlinzwa lizohlola ngokuphelele umsebenzi wesisu nayo yonke impilo yomniki.

Ingabe ubuthakathaka bokudala kwesisu luhlale luholela ekudlaleni?

Cha, ubuthakathaka bokudala kwesisu abuluhlale luqhubeka ngokuthi ukudlala kudingeka. Abantu abaningi abane-CKD, ikakhulukazi labo abatholwe ezigabeni zokuqala, abadingi ukudlala. Ngokuphathwa okuqondile kwezimo eziyisisekelo njengesihlalo nokucindezeleka kwegazi okuphezulu, kanye nokuguqulwa kwendlela yokuphila, ukuqhubeka kwe-CKD kuvame ukunciphisa noma ukuyeka.