Isifo Sokuphelelwa Yizintso Esigabeni Sokugcina

Isifo sokugcina sezinso, esibizwa nangokuthi isifo sokugcina sezinso noma ukuhluleka kwezinso, kwenzeka lapho isifo esiqhubekayo sezinso—ukulahleka kancane kancane komsebenzi wezinso—sifika esimweni esiphambili. Esifo sokugcina sezinso, izinso zakho azisebenzi njengoba kufanele ukuze zihlasele izidingo zomzimba wakho. Izinso zakho zihlanza udoti nezinye izinto ezingaphezulu egazini lakho, bese zikhishwa emanzini akho. Uma izinso zakho zilahlekelwa amandla azo okuhlanza, amazinga ayingozi oketshezi, ama-electrolytes kanye nokuhlanza angakwazi ukuqongelela emzimbeni wakho. Ngosifo sokugcina sezinso, udinga ukuhlanzwa kwegazi noma ukutshalwa kwezinso ukuze uqhubeke uphila. Kodwa ungakhetha futhi ukukhetha ukunakekelwa okuqondisiwe ukuze uphathe izimpawu zakho—ufuna ukuphila okuhle kakhulu ngesikhathi sakho esisele.

Ekuqaleni kwe-Chronic Kidney Disease (CKD), ungase ungabi nazimpawu noma izimpawu. Njengoba i-Chronic Kidney Disease (CKD) iqhubela phambili iye e-End-Stage Renal Disease (ESRD), izimpawu kanye nezimpawu zingafaka: Ukupukeka; Ukugabha; Ukwehluleka kokudla; Ukukhathala nobuthakathaka; Ukushintsha kokuthi ungaphuthuma kangakanani; Ubuhlungu esifubeni, uma i-fluid iqongeleka eduze kwesikhumba senhliziyo; Ukuphefumula kanzima, uma i-fluid iqongeleka emaphashini; Ukukhula kwezinyawo nezinsolo; I-High blood pressure (Hypertension) enzima ukuyilawula; Izinhlungu zikhanda; Ukukhuluphala ubuthongo; Ukunciphisa ubuhlakani; Ukukhahlela kwemisipha nezinhlungu; Ukukhahlela okuqhubekayo; Ukubanda okunjengethusi. Izimpawu nezimpawu ze-Kidney Disease zivame ukungachazeki, okusho ukuthi zingabangelwa ezinye izifo. Ngenxa yokuthi izinkulungwane zakho zingakwazi ukubuyisela umsebenzi olahlekile, izimpawu nezimpawu zingase zingabonakali kuze kube yilapho ukulimala okungapheli sekwenzeke. Yenza i-appointment nodokotela wakho uma unezimpawu noma izimpawu ze-Kidney Disease. Uma unezimo zezokwelapha ezandisa ingozi yakho ye-Kidney Disease, umhlinzeki wakho wokunakekelwa cishe uzolandelela umsebenzi wezinkulungwane zakho ngezivivinyo ze-urine ne-blood kanye ne-blood pressure yakho ngesikhathi sokuvakasha ehhovisi. Buza umhlinzeki wakho uma lezi zihloko zidingeka kuwe.

Ubuhlungu bekhinkini buvela uma isifo noma isimo siphazamisa umsebenzi wekhinkini, kubangele ukulimala kwekhinkini ukuba kube kubi izinyanga eziningi noma iminyaka. Kwabanye abantu, ukulimala kwekhinkini kungaqhubeka nokukhula ngisho noma isimo esingaphansi siqediwe. Izifo neemeko ezingabangela ubuhlungu bekhinkini zihlanganisa: Ukuqina kweswekile uhlobo 1 noma uhlobo 2 Ukuphindaphindeka kwegazi eliphakeme Glomerulonephritis (gloe-mer-u-low-nuh-FRY-tis) — ukuvuvukala kwamaqembu okuhlunga ekhinkini (glomeruli) Interstitial nephritis (in-tur-STISH-ul nuh-FRY-tis), ukuvuvukala kwama-tubules ekhinkini nezinto ezizungezile Isifo sekhinkini esiningi noma ezinye izifo zekhinkini eziwusifa Ukuvinjelwa isikhathi eside kwesondlo lwe-urinary, kusuka ezimweni ezinjengokukhula kwe-prostate, amatshe ekhinkini namanye amakhanda Vesicoureteral (ves-ih-koe-yoo-REE-tur-ul) reflux, isimo esibangela ukuba umchamo ubuyele emakhinkini akho Ukutheleleka okuphindaphindayo kwekhinkini, okuthiwa futhi yi-pyelonephritis (pie-uh-low-nuh-FRY-tis)

Izici ezithile zikhuphula ingozi yokuthi isifo sikashukela esiqhubekayo singaqhubeka ngokushesha ukuya esifweni sokugcina sezinso, okuhlanganisa:

• Usiziwashi olunemazinga aphezulu kashukela egazini • Isifo sezinso esithinta ama-glomeruli, izakhiwo ezinso ezisusa udoti egazini • Isifo sezinso esiningi • Ukuphindaphindeka kwegazi eliphakeme • Ukusebenzisa utshaba • Ifa eliluhlaza, iHispanic, i-Asia, iPacific Islander noma i-American Indian • Umlando womndeni wokwehluleka kwezinso • Ubudala obukhulu • Ukusetshenziswa okuvamile kwemithi engalimaza izinso

Ukulimala kwinkimbinkimbi, uma kwenzeka, akunakulungiswa. Izinhlungu ezingase zenzeke zingathinta cishe yonke ingxenye yomzimba wakho futhi zihlanganisa: Ukugcinwa kwamanzi, okungabangela ukukhula kwamagxolo ezandleni nasemiileni yakho, ukucindezeleka kwegazi, noma amanzi emaphashini akho (pulmonary edema) Ukukhuphuka okungazelelwe kwamaleveli e-potassium egazini lakho (hyperkalemia), okungonakalisa ikhono lenhliziyo yakho lokusebenza futhi kungaba yingozi eyingozi yokuphila Isifo senhliziyo Amathambo abuthakathaka kanye nengozi eyenyuke yokuqhekeka kwama-bone Anemia Ukunciphisa isifiso sobulili, ukungasebenzi kahle kokuma kwesilwane noma ukunciphisa ukukhulelwa Ukulimala ohlelweni lwakho oluphakathi lwemisipha, okungabangela ubunzima bokuqonda, ukuguquka komuntu noma ukuhlukunyezwa Ukunciphisa impendulo yomzimba, okukwenza ube sengozini yokutheleleka Pericarditis, ukuvuvukala kwe-saclike membrane ehlanganisa inhliziyo yakho (pericardium) Izinkinga zokukhulelwa eziyizingozi kunina kanye ne-fetus elikhulayo Ukuphila okungalungile Ukulimala okungapheli emithanjeni yakho (ukugula kwesigaba sokugcina sokugula kwesigaba sokugcina), ekugcineni kudinga ukwelashwa noma ukufakelwa kwesibindi ukuze usinde

Uma unayo i-kidney disease, ungase ukwazi ukuyenza ihambe kancane ngokwenza izinqumo zokuphila ezempilo: Finyelela futhi ugcine isisindo esinempilo Hlala usebenza izinsuku eziningi Khawukhawulelise i-protein futhi udle ukudla okulinganiselayo okunomsoco, okune-sodium ephansi Lawula umfutho wakho wegazi Thatha imithi yakho njengoba kulotshiwe Amake izinga lakho le-cholesterol lihlolwe unyaka ngamunye Lawula amazinga akho e-shuga egazini Ungabhemi noma usebenzisi imikhiqizo yotshwala Thola ukuhlolwa okuvamile

Ukuhlolwa kwe-biopsy yezinso Khulisa isithombe Valela Ukuhlolwa kwe-biopsy yezinso Ukuhlolwa kwe-biopsy yezinso Phakathi nokwenziwa kwe-biopsy yezinso, udokotela wakho usebenzisa unhlanzi ukususa isampula encane yethishu yezinso ukuze ihlolwe elabhoratri. Unhlanzi we-biopsy ufakwa ngesikhumba sakho futhi ngokuvamile uqondiswa ngokuqondiswa kwesixhobo sokubonisa izithombe, njengoba yi-ultrasound. Ukuze uthola isifo sezinso esiphelile, umhlinzeki wakho wezempilo angase akucele ngomlando wakho womndeni nowempilo yakho. Ungase futhi ube nokuhlolwa komzimba nokwezinzwa, kanye nezinye izivivinyo ezinjengalezi: Izivivinyo zegazi, ukulinganisa inani lemikhiqizo yokulimala, njenge-creatinine ne-urea, egazini lakho Izivivinyo zomchamo, ukuhlola amazinga e-albumin yeprotheni emchameni wakho Izivivinyo zobumfanekiso, njenge-ultrasound, i-MRI noma i-CT scan, ukuhlola izinso zakho nokubheka izindawo ezingavamile Ukususa isampula yethishu yezinso (i-biopsy), ukuhlola ngaphansi komkhiqizo ukuze ufunde ukuthi yiluphi uhlobo lwesifo sezinso olukhona nokuthi kunokulimalala kangakanani Izivivinyo ezithile zingase ziphindwe ngokuhamba kwesikhathi ukusiza umhlinzeki wakho ukulandelela intuthuko yesifo sakho sezinso. Izigaba zesifo sezinso Kunezinyathelo ezinhlanu zesifo sezinso. Ukuze uthola ukuthi yiliphi isigaba onalo, umhlinzeki wakho wezempilo uqhuba ukuhlolwa kwegazi ukuze ahlole izinga lakho lokucwengwa kwe-glomerular (GFR). I-GFR ilinganisa ukuthi izinso zicwengela igazi elingakanani ngomzuzwana, elibhalwe njenge-milliliters ngomzuzwana (mL/min). Njengoba i-GFR iyancipha, umsebenzi wezinso zakho uyancipha. Uma izinso zakho zingasasebenzi ngezinga elidingekayo ukukugcina uphila, une-end-stage renal disease. Isifo sezinso esiphelile ngokuvamile senzeka uma umsebenzi wezinso ungaphansi kuka-15% womsebenzi ojwayelekile wezinso. Njengengxenye yokubekwa isigaba sesifo sezinso, umhlinzeki wakho angase futhi ahlole ukuthi uneprotheni emchameni wakho. Isigaba sesifo sezinso I-GFR, mL/min Umsebenzi wezinso Umthombo: I-National Kidney Foundation Isigaba 1 90 noma ngaphezulu Umsebenzi wezinso ophilile Isigaba 2 60 kuya ku-89 Ukwehluleka okuncane komsebenzi wezinso Isigaba 3a 45 kuya ku-59 Ukwehluleka okuncane kuya kokuphakathi komsebenzi wezinso Isigaba 3b 30 kuya ku-44 Ukwehluleka okuphakathi kuya kokukhulu komsebenzi wezinso Isigaba 4 15 kuya ku-29 Ukwehluleka okukhulu komsebenzi wezinso Isigaba 5 Ngaphansi kuka-15 Ukwehluleka kwezinso Ukunakekelwa eMayo Clinic Iqembu lethu lochwepheshe abakhathalelayo baseMayo Clinic lingakusiza ngezinkinga zakho zempilo ezihlobene nesifo sezinso esiphelile Qala Lapha

Qala Ukuhlolwa Kwakho Njengomniki Wokunikeza Qala njengomniki wokunikeza inkophe noma isibindi esiphilayo ngokugcwalisa le ncwadi yomlando wezempilo. Ukwelashwa kwesifo sokwehluleka kwesibindi esiphelile kufaka phakathi: Ukuhlinzwa kwesibindi I-Dialysis Ukukhathalela okusekayo Ukuhlinzwa kwesibindi Ukuhlinzwa kwesibindi Khulisa isithombe Vala Ukuhlinzwa kwesibindi Ukuhlinzwa kwesibindi Ngesikhathi sokuhlinzwa kwesibindi, inkophe yomniki ibekwa esiswini sakho esingezansi. Imithambo yegazi yenkophe entsha ixhunyaniswe nemithambo yegazi engxenyeni engezansi yesisu sakho, nje ngaphezu kwenye yezinyawo zakho. Umphako wesisu wenkophe entsha (ureter) uxhunyaniswe ne-bladder yakho. Ngaphandle kokuthi zibangela izinkinga, izinkophe zakho ziyashiywa endaweni. Ukuhlinzwa kwesibindi yinqubo yokwelapha ukuze kubekwe inkophe enempilo evela kumniki ophilayo noma ofile kumuntu izinkophe zakhe ezingasasebenzi kahle. Ukuhlinzwa kwesibindi kuvame ukuba yindlela yokwelapha ekhethwayo yesifo sokwehluleka kwesibindi esiphelile, uma kuqathaniswa nokuphila konke kwi-dialysis. Inqubo yokwelashwa kwesibindi ithatha isikhathi. Ihilela ukuthola umniki, ophilayo noma ofile, onenkophe efanayo neyakho. Khona-ke uba nokuhlinzwa ukuze ubeke inkophe entsha esiswini sakho esingezansi bese uxhuma imithambo yegazi ne-ureter-umphako oxhuma inkophe ne-bladder-ezizovumela inkophe entsha ukuba isebenze. Ungase udinga ukuchitha izinsuku ezimbalwa kuya kwesonto esibhedlela. Ngemva kokushiya isibhedlela, ungalindela ukuhlolwa njalo ukuqapha intuthuko yakho njengoba impilo yakho iqhubeka. Ungase uthathe imithi eminingi ukuze usize ukuvimbela i-immune system yakho ukuba ingayenqaba inkophe yakho entsha nokunciphisa ingozi yezinkinga ngemva kokuhlinzwa, njengokutheleleka. Ngemva kokwelashwa kwesibindi okuphumelelayo, inkophe yakho entsha ihlanza igazi lakho, futhi awusadingi i-dialysis. I-Dialysis I-Dialysis yenza ingxenye yomsebenzi wezinkophe zakho uma izinkophe zakho zingakwazi ukwenza ngokwazo. Lokhu kufaka phakathi ukususa amanzi engeziwe nemikhiqizo yokulimala egazini lakho, ukubuyisela amazinga e-electrolyte, nokusiza ukulawula ukucindezeleka kwegazi lakho. Izinketho ze-dialysis zifaka i-peritoneal dialysis ne-hemodialysis. I-Peritoneal dialysis Ngesikhathi se-peritoneal dialysis, imithambo yegazi ekuqokobeni kwesisu sakho (peritoneum) igcwalisa izinkophe zakho ngosizo lwengxube-vutha egeza ngaphakathi nangaphandle kwendawo ye-peritoneal. I-Peritoneal dialysis yenziwa ekhaya lakho. Dlala Dlala Buyela kuvidiyo 00:00 Dlala Sesha amasekhondi angu-10 ngemuva Sesha amasekhondi angu-10 phambili 00:00 / 00:00 Thulisa Izilungiselelo Isithombe esincane Isikrini esigcwele Bonisa umbhalo wevidiyo I-Peritoneal dialysis Leli gama libhekisela ekuqokobeni okuzungezile izitho esiswini sakho. Leli qokobo libizwa nge-peritoneal membrane. Yakha indawo engagcina ingxube-vutha. Ngoku-peritoneal dialysis, i-catheter ehlala njalo ifakwa ngokuqokobeni endaweni ezungezile izitho zakho. Ingxube-vutha ye-dialysis ikhipha nge-catheter kule ndawo. Ukuqokobeni kwe-peritoneal kunomithambo eminingi yegazi. Ingxube-vutha idonsa amanzi engeziwe, amakhemikhali, nokulimala kule mithambo yegazi futhi ngokuqokobeni. Ukuqokobeni kusebenza njengesihlungi. Ingxube-vutha ishiywa endaweni isikhathi eside ngenkathi i-dialysis iqhubeka. Khona-ke ivunyelwe ukuba ikhiphe nge-catheter. Ingxube-vutha entsha, ehlanzekile, ikhipha ngokushesha, igcwalisa indawo futhi. Le nqubo yokushintshanisa ingxube-vutha endala ngentsha ibizwa ngokuthi ukushintshana. I-Hemodialysis Ngesikhathi se-hemodialysis, umshini wenza ingxenye yomsebenzi wezinkophe ngokusihlunga imfucuza eyingozi, ama-salt namanzi egazini lakho. I-Hemodialysis ingenziwa esikhungweni noma ekhaya lakho. Dlala Dlala Buyela kuvidiyo 00:00 Dlala Sesha amasekhondi angu-10 ngemuva Sesha amasekhondi angu-10 phambili 00:00 / 00:00 Thulisa Izilungiselelo Isithombe esincane Isikrini esigcwele Bonisa umbhalo wevidiyo I-Hemodialysis Igazi lakho liqhutyelwa esivivinyweni esisebenza njengenkophe yemvelo. Isihlungi sisusa amanzi engeziwe, amakhemikhali, nokulimala egazini lakho. Igazi elihlanzekile libe seliphonswa emuva emzimbeni wakho. Izimpumputhe ezimbili zifakwa kuyo yonke imithi. Indawo lapho zifakwa khona ibizwa ngokuthi ukufinyelela. Udokotela angaxhuma imithambo emibili yegazi yakho ukuze adale ukufinyelela. Lokhu kubizwa ngokuthi i-fistula. Ukuhlanganisa imithambo kubangela ukuthi i-vein ikhule ibe khulu futhi ibe namandla. Izimpumputhe ze-dialysis zifakwa kule vein. Enye indlela iwukuxhuma umphako opulasitiki phakathi kwemithambo emibili yegazi. Lokhu kubizwa ngokuthi i-graft. Izimpumputhe zifakwa kule vein yemvelo. Ezimweni eziphuthumayo, umphako, obizwa nge-catheter, ungafakwa okwesikhashana kwi-vein enkulu entanyeni yakho. Umphako unamagatsha amabili, omunye wokuthwala igazi ngaphandle komzimba kanye nomunye wokubuyekeza. Udokotela wakho uzokwenza isincomo ngokusekelwe esimweni se-veins zakho nezinye izinto eziqatshelwe. Ukuze i-dialysis iphumelele, ungase udinga ukwenza izinguquko zendlela yokuphila, njengokulandela izincomo ezithile zokudla. Ukukhathalela okuthuthukisayo Uma ukhetha ukungabi nokuhlinzwa kwesibindi noma i-dialysis, ungakhetha ukukhathalela okuthuthukisayo noma okusekayo ukuze kusize ukuphatha izimpawu zakho futhi uzizwe kangcono. Ungabuye uhlanganise ukukhathalela okuthuthukisayo nokuhlinzwa kwesibindi noma i-dialysis. Ngaphandle kwe-dialysis noma ukuhlinzwa, ukwehluleka kwesibindi kuyaqhubeka, ekugcineni kuholele ekufeni. Ukufa kungase kwenzeke ngokushesha noma kuthathe izinyanga noma iminyaka. Ukukhathalela okusekayo kungafaka ukuphathwa kwezimpawu, izinyathelo zokugcina ukhululekile nokuhlela ukuphela kokuphila. Olunye Ulwazi Ukukhathalela isifo sokwehluleka kwesibindi esiphelile eMayo Clinic I-Hemodialysis I-Peritoneal dialysis Cela i-aphoyintimenti

Ukufunda ukuthi unesifo sokwehluleka kwesibindi kungaba yinto emangalisayo, ngisho noma uke wazi ngesifo sakho sezinso isikhathi esithile. Kungaba nzima ukuqondisa isimiso sokwelashwa uma usebenzisa i-dialysis. Ukuze sikusize ubhekane nalokhu, cabanga ukuzama ukwenza lokhu okulandelayo: Xhumana nabanye abantu abanesifo sezinso. Kungakusiza ukukhuluma nabanye abantu abanesifo sezinso esiphelele. Buza udokotela wakho ngamaqembu wokusekela endaweni yakini. Noma xhumana nezinhlangano ezinjenge-American Association of Kidney Patients, i-National Kidney Foundation noma i-American Kidney Fund ngamaqembu endaweni yakini. Gcina isikhathi sakho samasonto onke, uma kungenzeka. Zama ukuqhubeka nokusebenza nokwenza imisebenzi oyithandayo, uma isimo sakho siyakuvumela. Yiba nomsebenzi izinsuku eziningi zeviki. Ngemvume yomhlinzeki wakho, zama okungenani imizuzu engama-30 yomsebenzi womzimba izinsuku eziningi zeviki. Lokhu kungakusiza ngokukhathala nengcindezi. Khuluma nomuntu omethembayo. Kungakusiza ukukhuluma ngemizwa yakho nomngani noma ilungu lomndeni, umholi wenkolo, noma omunye umuntu omethembayo. Umhlinzeki wakho angase akwazi ukukuncoma umsebenzi wokuxhumana nabantu noma umeluleki.