Azotemia - ndichiyani? Kufotokozera, zizindikiro ndi mankhwala

Azotemia - ndichiyani? Kuchuluka kwake mu mwazi wa mankhwala asafe munali, amene anapanga pambuyo processing mapuloteni. Izi zikusonyeza losauka kulephera aimpso.

Zochita za matenda

Azotemia - ndichiyani? matenda mwachindunji ndi impsozo. Iwo yafupika mlingo glomerular kusefera. M'magazi kumaonjezera ndende ya asafe yotsalira, indican, amino zidulo, etc. Kuchuluka kufanana index asafe, creatinine, ndi urea.

Pamene impso akugwira ntchito mu mode wabwinobwino, chiŵerengero cha zinthu izi si upambana mayunitsi 15. mankhwala Nitrogenous ali excreted mu mkodzo. Ngati impso wosweka, akuyamba mapuloteni catabolism yogwira, dongosolo lonse kwalephera.

mitundu ya azotemia

Azotemia - ndichiyani? matenda agawidwa mitundu itatu. Pre-aimpso azotemia lidzayamba pambuyo kuchepa linanena bungwe mtima. Impso simukhala magazi zokwanira. Pre-aimpso azotemia kumachitika chifukwa chakuti mtima, kuchepa madzi m'thupi, yafupika magazi, mantha, ndi zifukwa zina zambiri. Pamene index kuposa mpaka 15, chifukwa lagona pa kulephera kwa kusefera creatinine ndi asafe. GFR amachepetsa chifukwa hypoperfusion. Zimenezi zimabweretsa kuwonjezeka mu seramu creatinine ndi asafe. Pambuyo reabsorption chiwerengero chake mofulumira chimakula.

Mtundu wachiwiri wa azotemia - aimpso. Nthawi zambiri imbaendesa munthu ku uremia. Childs, chikhalidwe ichi kumachitika chifukwa matenda aimpso parenchymal kapena kuwonongeka. Aimpso azotemia zifukwa zotsatirazi:

• glomerulonephritis;
• aimpso kulephera;
• pachimake tubular necrosis, ndi ena.

Mu maonekedwe amenewa, azotemia zochepa index chizindikiro 15. GFR amachepetsa magazi chinawonjezeka mlingo asafe ndi creatinine. Reabsorption kumachitika chifukwa kuwononga kwa tubule proximal. Asafe excreted mu mkodzo.

Mtundu wachitatu wa azotemia - postrenal. Pankhaniyi, chopunthwitsa muyezo mkodzo ndi pansipa impso. Zifukwa angakhale kobadwa nako kudwala:

• Prostatic hyperplasia;
• vesicoureteral Reflux;
• chotupa compressing ndi mkodzo;
• mimba;
• miyala ureter lapansi.

Zimenezi zingadzetse chitukuko cha hydronephrosis chifukwa kulimbikira kwa otaya yachibadwa ya mkodzo. Pankhaniyi index chizindikiro 15. pamwamba ukuwonjezeka nephron kuthamanga, amene amachititsa reabsorption yogwira asafe. Chotero, izo kumawonjezera index.

symptomatology matendawa

Mmodzi wa matenda kawirikawiri zikuchitika - azotemia. Zizindikiro za matenda monga umayenda kuyamba patsogolo. Zizindikiro zazikulu za azotemia ndi:

• wotumbululuka khungu;
• oliguria (utachepa mkodzo linanena bungwe);
• zonse youma pakamwa;
• ludzu;
• Othamanga magazi;
• kutupa;
• uremia;
• tachycardia;
• ambiri kufooka.

Pa matenda zingaoneke:

• kusafuna kudya;
• nseru;
• kusanza;
• youma ndi TACHIMATA lilime;
• dyspepsia;
• magazi m'thupi;
• amoniya fungo kuchokera mkamwa;
• profuse m'mimba;
• chitukuko cha enterocolitis, stomatitis ndi gingivitis;
• ng'ombe omangana;
• maganizo;
• mphwayi lakuthwa, alternating ndi limati nkhawa;
• kusinza;
• kenaka utentha mamba.

Zizindikiro zina za azotemia ndi kuyabwa ndi youma khungu, nthawizina pali kuchepa kwa kumva ndi kugwa kwa view.

diagnostics

Azotemia, zizindikiro, chithandizo anatsimikiza mwa matenda - matenda zovuta. Mankhwala bwino amafunika matenda molondola, komanso kupeza zifukwa zomwe zinatipangitsa azotemia. Matendawa amapangidwa nephrologist (katswiri pochita impso matenda) ndi urologist. Wodwala amapereka magazi ndi mkodzo mayesero. Wodwala chimaonekera mwa zosonyezera asafe ndi creatinine.

chithandizo

Azotemia, yomwe chithandizo chimayamba ndi kukambirana za urologist kapena nephrologist - matenda oopsa ndipo amafuna matenda mosamala. Pambuyo chifukwa mayeso akapatsidwa mankhwala. Ndi yake molondola matenda a matenda amaliona mwamsanga ndi mogwira mtima. Pakuti mochedwa mankhwala odwala kuona mavuto osafunika, ambiri mwa iwo ndi owopsa thanzi.

Pa mankhwala ntchito hemodialysis. Yoikidwa mwa kumatha zizindikiro zosasangalatsa azotemia. Ntchito mankhwala kubwezeretsa yachibadwa magazi ndi kusintha mtima ntchito. Azotemia - ndichiyani? Matendawa amapezeka pa maziko a ntchito impso. Choncho, mwazi amasonkhana kwambiri mankhwala asafe kuti si excreted m'thupi mwa kuchuluka zonse. chithandizocho cholinga kubwezeretsa impso ntchito. Sing'anga zakudya zapadera awerenge. Amafuna pa nthawi ya mankhwala kusiya zolimbitsa kuyenda.

Wawauza kudzimvera medicate. Independent kusankha mankhwala kungapangitse azisiyana - impso kulephera. Choncho, poyamba chizindikiro cha matenda ayenera yomweyo funsani dokotala.

kupewa

Pakuti kupewa azotemia ayenera nthawi zonse kukhala chitetezo cha m'thupi, kuchita olimbitsa thupi ndi kukwera mu mpweya wabwino. Onetsetsani kuti muzipeza nthawi yachisangalalo. M'pofunika kupewa hypothermia ndi nthawi pofuna kuchiza matenda chilichonse chogwirizana ndi impsozo.

kaonedwe

Osauka madokotala ananena zawo mankhwalawa azotemia kokha, pakalibe mankhwalawa yake. Pakuti mochedwa kuwona dotolo amagwira patsogolo matenda, pali mavuto zina, zomwe complicates chithandizo. Ndi mankhwala pa nthawi yake kwa chithandizo dokotala azotemia ali ndi madokotala ananena zawo zabwino. Tikaphatikiza mankhwala relieves zizindikiro ndi normalizes dongosolo mkodzo.