Ukuhluleka Kwempilo Yezinkalazi: Izimpawu, Izimbangela, Nokwelashwa

Ukuhluleka kwempilo yezinkalazi kwenzeka lapho izinkalazi zakho zingasakwazi ukuhlunga udoti noketshezi okungaphezulu egazini lakho ngokuphumelelayo. Cabanga ngezinkalazi zakho njengabahlanzi bomzimba wakho - uma zingasebenzi kahle, izinto eziyingozi noketshezi kuqoqana, okungakwenza uzizwe ungaphili kahle.

Lesi simo siqeda izigidi zabantu emhlabeni jikelele, kodwa ngokunakekelwa komtholampilo okufanele nokulungiswa kwesitayela sokuphila, abantu abaningi baphila impilo egcwele, esebenzayo. Ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza uzizwe ulawula kangcono futhi usebenze kangcono neqembu lakho lokunakekelwa kwempilo.

Ukuhluleka kwempilo yezinkalazi kungenxa yini?

Ukuhluleka kwempilo yezinkalazi kwenzeka lapho izinkalazi zakho zilahlekelwa yikghono lazo lokwenza umsebenzi wazo oyisisekelo wokuhlola igazi. Izinkalazi zakho ngokuvamile zicubungula amagaloni angaba ngu-50 egazi nsuku zonke, zisuse imikhiqizo yokuqothula namanzi engeziwe ukwenza umchamo.

Uma umsebenzi wezinkalazi uwa kakhulu, imikhiqizo yokuqothula namanzi kuqoqana emzimbeni wakho. Lokhu kuqoqana kungathinta inhliziyo yakho, amaphaphu, amathambo, namanye amalungu. Igama lezokwelapha lalesi simo yi- "renal failure," kodwa ukuhluleka kwempilo yezinkalazi yiyona gama elisetshenziswa kakhulu.

Kunezinhlobo ezimbili eziyinhloko: ukuhluleka kwempilo yezinkalazi okusheshayo, okuvela ngokuzumayo ngamahora noma izinsuku, nokuhluleka kwempilo yezinkalazi okuqhubekayo, okuqhubeka kancane kancane ngezinyanga noma iminyaka. Zombili zidinga ukunakekelwa komtholampilo, yize zithuthuka ngokuhlukile futhi zinezinqubo zokwelapha ezihlukile.

Ziyini izimpawu zokuhluleka kwempilo yezinkalazi?

Izimpawu zokuqala zokuhluleka kwempilo yezinkalazi zingaba zimuncu futhi kulula ukuzinaka. Umzimba wakho ukhulu ekulungiseni izinguquko, ngakho izimpawu zingase zingabonakali kuze kube yilapho umsebenzi wezinkalazi uwa kakhulu.

Izimpawu ezivamile ongaziqaphela zihlanganisa:

• Ukukhathala nobuthakathaka obungaphuli ngokuphumula
• Ukukhula ezinyaweni, ezinkulwini, ezandleni, noma ebusweni
• Ukushintsha ekukhishweni komchamo - kuvame kakhulu, kancane, noma umbala ohlukile
• Ukuphefumula okufushane, ikakhulukazi uma ulele phansi
• Ukuphefumula noma ukugabha
• Ukulahlekelwa ukudla
• Ubunzima bokuqonda noma ukuzizwa udida
• Ukukhathazeka kwemisipha noma ukukhahlela
• Ukukhahlela okuqhubekayo
• Ukubona ukunambitheka okufana nethusi emlonyeni wakho

Izimpawu ezingavamile kodwa ezingathi sína zingafaka ubuhlungu esifubeni, ukuhlushwa, noma ubunzima bokuhlala uphapheme. Lezi zimpawu zenzeka lapho ukuhluleka kwempilo yezinkalazi kuqala kakhulu futhi kuthinta amanye amalungu emzimbeni wakho.

Kubalulekile ukukhumbula ukuthi ukuba nezinye zalezi zimpawu akusho ukuthi unekuhluleka kwempilo yezinkalazi - izimo eziningi zingabangela izinkinga ezifanayo. Noma kunjalo, uma uhlushwa yizimpawu eziningi zalezi ndawonye, kufanele uxoxe nodokotela wakho.

Ziyini izinhlobo zokuhluleka kwempilo yezinkalazi?

Ukuhluleka kwempilo yezinkalazi kuwela ezinhlotsheni ezimbili eziyinhloko kuye ngokuthi kuthuthuka kanjani ngokushesha. Ukuqonda ukuthi yiluphi uhlobo ongalunayo kusiza ekuqondiseni izinqumo zokwelapha nokuthi yini okulindelekile kuqhubeke.

Ukuhluleka kwempilo yezinkalazi okusheshayo (okubizwa nangokuthi ukulimala kwempilo yezinkalazi okusheshayo) kwenzeka ngokuzumayo, ngokuvamile ngamahora noma izinsuku. Izinkalazi zakho zazisebenza ngokujwayelekile, bese kuba khona okuthile okubangela ukuba ziyeke ukusebenza kahle. Izindaba ezinhle ukuthi ukuhluleka kwempilo yezinkalazi okusheshayo ngezinye izikhathi kungabuyekezwa uma imbangela eyingozi itholakala futhi iwelashwe ngokushesha.

Ukuhluleka kwempilo yezinkalazi okuqhubekayo kuthuthuka kancane kancane ngezinyanga noma iminyaka. Umsebenzi wezinkalazi zakho uwa kancane kancane, futhi ukonakala kuvame ukuba okuhlala njalo. Noma kunjalo, ukwelashwa kunganciphisa intuthuko futhi kukusize ugcine ikhwalithi yempilo yakho iminyaka eminingi.

Phakathi kokwehluleka kwempilo yezinkalazi okuqhubekayo, odokotela basebenzisa izigaba (1 kuya ku-5) ukuchaza ukuthi kungakanani umsebenzi wezinkalazi osele ukhona. Isigaba 5, esibizwa nangokuthi isifo sezinkalazi esiphelile, sisho ukuthi izinkalazi zakho zisebenza ngaphansi kuka-10% komthamo wazo ovamile.

Yini ebangela ukuhluleka kwempilo yezinkalazi?

Izimo eziningi zempilo ezihlukene zingabangela ukuhluleka kwempilo yezinkalazi, futhi ngezinye izikhathi izici eziningi zisebenza ndawonye ukwonakalisa izinkalazi zakho ngokuhamba kwesikhathi. Ukuqonda imbangela kusiza udokotela wakho ukuba enze uhlelo lokwelapha oluhle kakhulu lesimo sakho esithile.

Izimbangela ezivamile zihlanganisa:

• I-Diabetes - ushukela egazini ophezulu ukonakalisa imithambo emincane yegazi ezinkalazini zakho
• Uxinzelelo lwegazi oluphezulu - lubekela uxinzelelo olukhulu emithambe yegazi yezinkalazi
• Isifo sezinkalazi eziningi - isimo esidluliselwa ezizukulwaneni esibangela ama-cyst ezinkalazini
• I-Glomerulonephritis - ukuvuvukala kwama-filter ezinkalazi
• Izifo ze-autoimmune njenge-lupus
• Ukutheleleka okukhulu okuthinta izinkalazi
• Imithi ethile ethathwe isikhathi eside
• Amatshe ezinkalazi abangela ukuvimba
• I-prostate enkulu evikela ukugeleza komchamo

Izimbangela ezingavamile zihlanganisa izifo ze-genetic, ezinye izinhlobo zomdlavuza, ukuphelelwa amanzi okukhulu, noma ukubonisana nezinto eziyingozi. Ngezinye izikhathi, naphezu kokuhlolwa okuhle, odokotela abakwazi ukuthola imbangela ethile - lokhu kubizwa ngokuthi ukuhluleka kwempilo yezinkalazi okuqhakazile.

Ngokuhluleka kwempilo yezinkalazi okusheshayo, izimbangela zivame ukufaka isifo esikhulu, ukuhlinzwa okukhulu, imithi ethile, noma ukulahlekelwa igazi ngokuzumayo. Lezi zimo zingabangela izinkalazi zakho ukuba zivale okwesikhashana, kodwa umsebenzi ungabuya uma inkinga eyingozi ixazululwe.

Nini okufanele ubheke udokotela ngokuhluleka kwempilo yezinkalazi?

Kufanele uxhumane nodokotela wakho uma uqaphela izinguquko eziqhubekayo emaphethini akho okukhishwa komchamo, ukukhula okungachazeki, noma ukukhathala okungaphuli ngokuphumula. Lezi zimpawu zokuqala zixwayisa zifanele ziqaphele, ngisho noma zibonakala zingenamsebenzi.

Funani ukunakekelwa komtholampilo ngokushesha uma uhlushwa yizimpawu ezinkulu njengobunzima bokuphumula, ubuhlungu esifubeni, ukuphefumula nokugabha okukhulu, noma ukudida. Lezi zimpawu zibonisa ukuthi ukuhluleka kwempilo yezinkalazi kungase kuthinte amanye amalungu futhi kudinge ukwelashwa okusheshayo.

Uma une-diabetes, uxinzelelo lwegazi oluphezulu, noma umlando womndeni wesifo sezinkalazi, ukuhlolwa okuvamile kubalulekile kakhulu. Udokotela wakho angalandelela umsebenzi wezinkalazi zakho ngezivivinyo ezilula zegazi nomchamo ngaphambi kokuba izimpawu zivele.

Ungalindi kuze kube yilapho izimpawu ziqala ukuba zimbi - ukonakala kwezinkalazi kuvame ukwenzeka ngokuthula. Ukutholakala kwangaphambi kwesikhathi nokwelashwa kunganciphisa kakhulu intuthuko yesifo sezinkalazi futhi kukusize ugcine impilo engcono isikhathi eside.

Ziyini izici ezingozi zokuhluleka kwempilo yezinkalazi?

Izici ezithile zingandisa amathuba akho okuthuthukisa ukuhluleka kwempilo yezinkalazi, yize ukuba nezici ezingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile lesi simo. Ukuqaphela lezi zici kusiza wena nodokotela wakho ukuba nithathe izinyathelo zokuvikela.

Izici eziyinhloko ezingozi zihlanganisa:

• I-Diabetes, ikakhulukazi uma ushukela egazini ungalawulwa kahle
• Uxinzelelo lwegazi oluphezulu
• Umbalando womndeni wesifo sezinkalazi
• Iminyaka engaphezu kuka-60
• Isifo senhliziyo
• Ukukhuluphala
• Ukubhema
• Ukusetshenziswa okuvamile kwemithi yokunciphisa ubuhlungu njenge-NSAIDs
• Izizwe ezithile (ama-African American, ama-Hispanic, ama-Native American)

Izici ezengeziwe ezingozi zihlanganisa izifo ze-autoimmune, ukutheleleka kwezinkalazi okuphindaphindayo, amatshe ezinkalazi, nokusetshenziswa isikhathi eside kwemithi ethile. Abanye abantu bazalwa benenkalazi eyodwa kuphela noma ukungapheleli kwezinkalazi okwandisa ingozi yabo.

Izindaba ezimnandi ukuthi izici eziningi ezingozi zingalawulwa ngokwenza izinguquko zesitayela sokuphila nokwelashwa komtholampilo. Ukusebenza neqembu lakho lokunakekelwa kwempilo ukulawula i-diabetes, uxinzelelo lwegazi, nezinye izimo kunganciphisa kakhulu ingozi yakho.

Ziyini izinhlanganisela ezingase zenzeke zokuhluleka kwempilo yezinkalazi?

Uma izinkalazi zakho zingasebenzi kahle, imiphumela ingasakazeka kulo lonke umzimba wakho. Ukuqonda izinhlanganisela ezingase zenzeke kusiza uqaphele izimpawu zokuqala futhi usebenze neqembu lakho lezokwelapha ukuze uzivimbele noma uzilawule.

Izinhlanganisela ezivamile zihlanganisa:

• Ukubunjwa koketshezi okubangela ukukhula noxinzelelo lwegazi oluphezulu
• Ukungahlangani kahle kwama-electrolyte okuthinta izinga lenhliziyo
• I-Anemia ebangela ukukhathala nobuthakathaka
• Isifo samathambo ngenxa yokungahlangani kahle kwe-calcium ne-phosphorus
• Isifo senhliziyo nesifo sobuchopho
• I-immune system ebuthakathaka
• Ukonakala kwama-nerve (neuropathy)
• Ubunzima bokuqonda nezinkinga zokukhumbula

Izinhlanganisela ezinkulu zingafaka ukuhlushwa, i-coma, noma ukubunjwa koketshezi okubulalayo eduze kwenhliziyo noma amaphaphu. Lezi zivame ukwenzeka ekuhlulekeni kwempilo yezinkalazi okuqhubekayo futhi zidinga ukunakekelwa komtholampilo ngokushesha.

Izindaba ezinhle ukuthi izinhlanganisela eziningi zingavikelwa noma zilawulwe ngokwelashwa okufanele. Ukulandelela okuvamile nokulandela uhlelo lokwelapha lakho kungakusiza ugweme lezi zinkinga futhi ugcine impilo engcono ngokujwayelekile.

Ukuhluleka kwempilo yezinkalazi kungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izinhlobo zokuhluleka kwempilo yezinkalazi, ikakhulukazi lezo ezingcoliswe izici ze-genetic, izimo eziningi zingavikelwa noma zilimele ngokwenza izinqumo ezempilo zesitayela sokuphila nokuphathwa okuhle kwezimo ezingaphansi.

Izindlela zokuvikela ezisebenza kakhulu zigxile ekulawuleni izici eziyinhloko ezingozi. Gcina amazinga akho eshukela egazini aqinile uma une-diabetes, gcina uxinzelelo lwegazi oluphilile, futhi ulandele izeluleko zokwelapha zedokotela wakho.

Izingozi zesitayela sokuphila ezivikela izinkalazi zakho zihlanganisa ukuhlala unamanzi, ukudla ukudla okuqondile okune-sodium encane nokudla okuqediwe, ukuzivocavoca njalo, ukugcina isisindo esiphilile, nokungabemi. Khawukhawule ukusetshenziswa kotshwala futhi ugweme ukusetshenziswa okukhulu kwemithi yokunciphisa ubuhlungu.

Ukuhlolwa okuvamile kwempilo kubalulekile, ikakhulukazi uma unezici ezingozi. Izivivinyo ezilula zegazi nomchamo zingatholala izinkinga zezinkalazi kusenesikhathi, lapho ukwelashwa kusebenza kakhulu ekuthuthukiseni intuthuko.

Ukuhluleka kwempilo yezinkalazi kunqunywa kanjani?

Ukuqonda ukuhluleka kwempilo yezinkalazi kuhilela izivivinyo eziningi ezisiza udokotela wakho ukuthi aqonde ukuthi izinkalazi zakho zisebenza kahle kangakanani nokuthi yini engase ibe yimbangela yale nkinga. Inqubo ivame ukuba lula futhi ihilela izivivinyo ozijwayele.

Izivivinyo zegazi zilinganisa imikhiqizo yokuqothula njenge-creatinine ne-urea okumele izinkalazi zakho zihlule. Udokotela wakho uzobala izinga lakho elikalwe lokuhlunga kwe-glomerular (eGFR), elibonisa ukuthi yikuphi ikhulu lomsebenzi wezinkalazi ovamile onayo.

Izivivinyo zomchamo zibukeza i-protein, igazi, noma ezinye izinto ezingafanele zibe khona. Udokotela wakho angacela ukuqoqwa komchamo wehora le-24 ukuze uthole isithombe esiphelele somsebenzi wezinkalazi zakho.

Izivivinyo zokubonisa njenge-ultrasounds, i-CT scans, noma i-MRIs zingabonisa usayizi nesakhiwo sezinkalazi zakho. Ngezinye izikhathi ukuxilongwa kwezinkalazi kuyadingeka, lapho isibonelo esincane sethishu yezinkalazi sihlolwa ngaphansi kwesikrini ukuze kutholakale imbangela eqondile yokonakala kwezinkalazi.

Ukuphathwa kokuhluleka kwempilo yezinkalazi kungenxa yini?

Ukuphathwa kokuhluleka kwempilo yezinkalazi kuncike ohlotsheni, imbangela, nesigaba sesimo sakho. Izinjongo eziyinhloko ukuthuthukisa ukonakala kwezinkalazi, ulawule izimpawu, futhi uvimbele izinhlanganisela.

Ngokuhluleka kwempilo yezinkalazi okuqhubekayo, ukwelashwa kugxile ekulawuleni izimo ezingaphansi njenge-diabetes noxinzelelo lwegazi oluphezulu. Imithi ingasiza ekulawuleni lezi zimo futhi inciphisa umsebenzi ezinkalazini zakho. Udokotela wakho angase anikeze i-ACE inhibitors noma i-ARBs ukuze avikele umsebenzi wezinkalazi.

Njengoba ukuhluleka kwempilo yezinkalazi kuqhubeka, ungase udinga ukwelashwa ukuze ubeke esikhundleni kweminye imisebenzi yezinkalazi. Lokhu kuhlanganisa i-dialysis, esebenzisa umshini noma uketshezi oluhlukile ukuze ihlunge udoti egazini lakho, noma ukuhlinzwa kwezinkalazi, lapho inkalazi enempilo evela kumnikelo ibeke esikhundleni senkalazi yakho ehlulekile.

Izingozi zokudla zidlalela indima ebalulekile ekwelapheni. Ungase udinga ukulinganisela i-protein, i-phosphorus, i-potassium, noma i-sodium ekudleni kwakho. Umqeqeshi wokudla obhalisiwe angakusiza ukuba wenze izinhlelo zokudla ezinambitheka kahle ngenkathi usekela impilo yezinkalazi zakho.

Ngokuhluleka kwempilo yezinkalazi okusheshayo, ukwelashwa kugxile ekuqondeni imbangela eyingozi. Lokhu kungafaka ukuyeka imithi ethile, ukwelapha ukutheleleka, noma ukulawula ukulingana koketshezi. Abantu abaningi abane kuhluleka kwempilo yezinkalazi okusheshayo babuyisela umsebenzi wezinkalazi eziningi ngokwelashwa okufanele.

Indlela yokuphatha ukuhluleka kwempilo yezinkalazi ekhaya?

Ukuphatha ukuhluleka kwempilo yezinkalazi ekhaya kuhilela ukwenza izinguquko zesitayela sokuphila ezisekela impilo yakho ngokujwayelekile futhi usebenze ndawonye nokuphathwa kwakho komtholampilo. Izinqumo ezincane zansuku zonke zingenza umehluko omkhulu endleleni ozizwa ngayo nokuthi ukwelashwa kwakho kusebenza kahle kangakanani.

Landela ukudla kwakho okunqunywe ngokucophelela, okungase kuhlanganise ukulinganisela usawoti, i-protein, i-potassium, ne-phosphorus. Phuza inani lamanzi udokotela wakho akuncoma lona - lokhu kungase kube ngaphezulu noma ngaphansi kwalokho ojwayele kukho. Landelela isisindo sakho nsuku zonke, njengoba izinguquko ezizumayo zingabonisa ukugcinwa koketshezi.

Thatha imithi ngokuqondile njengoba kunqunywe, ngisho noma uzizwa uphilile. Lungisa umhleli we-pill noma sebenzisa izikhumbuzo zefoni ukuze ukwazi ukuhlala uqondile. Landelela uxinzelelo lwakho lwegazi ekhaya uma udokotela wakho ekuncoma.

Hlala usebenza ngangokusebenza kwamandla akho. Ukuzivocavoca okulula njengokuhamba kungasiza ekugcineni amandla akho nengqondo yakho. Thola ukulala okwanele futhi ulawule ukucindezeleka ngezindlela zokupumula noma imisebenzi oyithandayo.

Gcina yonke imiqhudelwano yokwelapha nezivivinyo ze-lab, ngisho noma uzizwa uphilile. Lezi zivivinyo zisiza iqembu lakho lokunakekelwa kwempilo ukuba lilungise ukwelashwa kwakho futhi liqaphele noma yiziphi izinguquko kusenesikhathi.

Kufanele ulungiselele kanjani umhlangano wakho nodokotela?

Ukulungiselela umhlangano wakho kusiza ukuba wenze okuningi ngesikhathi sakho neqembu lakho lokunakekelwa kwempilo futhi kuqinisekise ukuthi uthola izimpendulo zemibuzo yakho ebaluleke kakhulu. Ukulungiselela kancane kungenza lezi zivivinyo zivelise kakhulu futhi zingabi nzima.

Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezizenza zibe ngcono noma zimbi. Gcina uhlu lwemithi yonke, izongezelelo, nemithi yokuthengwa ngaphandle kwesikripthi oyithathayo, kufaka phakathi izilinganiso nokuthi uyayithatha kangaki.

Lungisa uhlu lwemibuzo ofuna ukuyibuza. Lezi zingase zihlanganise imibuzo mayelana nemiphumela yakho yokuhlola, izinketho zokwelapha, ukulinganiselwa kokudla, noma ukuthi yini okulindelekile njengoba isimo sakho siqhubeka. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu - iqembu lakho lokunakekelwa kwempilo lifuna ukukusiza uqonde isimo sakho.

Letha ilungu lomndeni noma umngani uma kungenzeka, ikakhulukazi emihlanganweni ebalulekile. Bangakusiza ukuba ukhumbule ulwazi futhi banikeze ukwesekwa ngokomzwelo. Cabanga ngokuletha incwadi yokubhala ukuze ubhale ulwazi olukhulu ngesikhathi sokuvakasha kwakho.

Iyini into ebalulekile mayelana nokuhluleka kwempilo yezinkalazi?

Ukuhluleka kwempilo yezinkalazi kuyisimo esingathi sína, kodwa akuyona isigwebo sokufa. Ngokunakekelwa komtholampilo okufanele, ukulungiswa kwesitayela sokuphila, nokusekelwa yiqembu lakho lokunakekelwa kwempilo, abantu abaningi abane kuhluleka kwempilo yezinkalazi baphila impilo egcwele, enenjongo iminyaka eminingi.

Ukutholakala kwangaphambi kwesikhathi nokwelashwa kwenza umehluko omkhulu emiphumeleni. Uma unezici ezingozi njenge-diabetes noma uxinzelelo lwegazi oluphezulu, ukuhlolwa okuvamile kungabamba izinkinga zezinkalazi ngaphambi kokuba zibe zimbi. Ngisho noma usuvele unekuhluleka kwempilo yezinkalazi, ukwelashwa kunganciphisa intuthuko yalo futhi kukusize uzizwe kangcono.

Khumbula ukuthi awuwedwa kule ndlela. Iqembu lakho lokunakekelwa kwempilo, kufaka phakathi odokotela, abahlengikazi, abaqeqeshwe ukudla, nabasebenzi bezenhlalo, bakhona ukukusekela. Unganqikazi ukubuza imibuzo, ubonise ukukhathazeka, noma ucele usizo uma ukudinga.

Gxilisa ingqondo kulokho ongalulawula - ukuthatha imithi njengoba kunqunywe, ukulandela izeluleko zokudla, ukuhlala usebenza, nokugcina umbono omuhle. Lezi zenzo zingathinta kakhulu impilo yakho nekhalithi yempilo.

Imibuzo evamile ebuzwa mayelana nokuhluleka kwempilo yezinkalazi

Ukuhluleka kwempilo yezinkalazi kungaphiliswa?

Ukuhluleka kwempilo yezinkalazi okusheshayo ngezinye izikhathi kungabuyekezwa uma kubanjwe kusenesikhathi futhi imbangela eyingozi iwelashwe. Noma kunjalo, ukuhluleka kwempilo yezinkalazi okuqhubekayo kuvame ukubandakanya ukonakala okuhlala njalo okungenakuphikiswa. Ukwelashwa kugxile ekuthuthukiseni intuthuko nasekulawuleni izimpawu. Ukuhlinzwa kwezinkalazi kungabuyisela umsebenzi wezinkalazi ocishe ube ovamile kubantu abaningi abane kuhluleka kwempilo yezinkalazi okuphelile.

Ungahlala isikhathi esingakanani unekuhluleka kwempilo yezinkalazi?

Isikhathi sokuphila sihluka kakhulu kuye ngempilo yakho ngokujwayelekile, iminyaka, imbangela yokuhluleka kwempilo yezinkalazi, nokuthi uphendula kanjani ekwelapheni. Abantu abaningi baphila amashumi eminyaka besenesifo sezinkalazi esiqhubekayo, ikakhulukazi uma kubanjwe kusenesikhathi. Ngisho nalapho unekuhluleka kwempilo yezinkalazi okuphelile, i-dialysis nokuhlinzwa kungasiza abantu ukuba baphile iminyaka eminingi.

I-dialysis iyabulala?

Abantu abaningi bathola i-dialysis ipholile uma besijwayele. Ungase uzizwe ukhathele ngemuva kokwelashwa, futhi abanye abantu bahlushwa ukukhathazeka kwemisipha noma uxinzelelo lwegazi oluphansi. Ukufakwa kwe-needle kungase kube nzima, kodwa abantu abaningi bathi kufana nokuthathwa igazi. Iqembu lakho lokunakekelwa kwempilo lingasiza ekulawuleni noma yiluphi ubunzima obuhlushwa yilo.

Ngingasasebenza yini ngokuhluleka kwempilo yezinkalazi?

Abantu abaningi abane kuhluleka kwempilo yezinkalazi baqhubeka besebenza, ikakhulukazi ezigabeni zokuqala. Ungase udinga ukwenza izinguquko ezithile, njengokuhlela i-dialysis ngesikhathi somsebenzi noma ukuthatha ama-break ngemihlangano yokwelapha. Amazinga akho wamandla kanye nezidingo zomzimba zomsebenzi wakho kuzothinta ukuthi yini engenzeka. Xoxa nodokotela wakho nomqashi wakho mayelana nokuhlala kahle okungasiza.

Yikuphi ukudla okufanele ngikugweme ngokuhluleka kwempilo yezinkalazi?

Ukulinganiselwa kokudla kuncike esigabeni sakho sokuhluleka kwempilo yezinkalazi nezidingo zomuntu ngamunye. Ungase udinga ukulinganisela ukudla okuphezulu kwe-potassium (njenge-bananas nama-oranges), i-phosphorus (njenge-dairy nama-nuts), ne-sodium (njengokudla okuqediwe). Noma kunjalo, izidingo zokudla zihlukahluka kumuntu ngamunye, ngakho-ke sebenza nomqeqeshi wokudla obhalisiwe ukuba wenze uhlelo lokudla olufanele kuwe.