Pachimake ndi aakulu aimpso kulephera amphaka

impso wathanzi kuchotsa zoipa zinthu kudziunjikira mu thupi mphakayu. Koma nthawi zina impso musati kupirira ntchito yawo. Amodzi mwa matenda aakulu kwambiri a impso - kulephera impso, limene pang'ono (ndi zina kwathunthu) mphamvu atayika mapangidwe ndi excretion wa mkodzo. Izi nayenso amachititsa chisokonezo asidi-m'munsi, madzi ndi mchere, osmotic homeostasis. Chifukwa, kuwonongeka kwa machitidwe onse thupi.

Pachimake aimpso kulephera (ARF hereinafter) limapezeka mwadzidzidzi. chifukwa lagona mu pachimake zimakhala chotupa impso (kapena impso), nthawi zambiri kusintha. Zowoneka noticeable monga kuchepa lakuthwa mu buku la mkodzo, mpaka anuria (pakalibe mkodzo).

Pachimake aimpso kulephera mu amphaka lagawidwa magawo anayi. Choyamba ndi kuchepetsa kuchuluka kwa mkodzo ndi magazi dontho. Lachiwiri siteji mpweya kuchuluka kwa mkodzo kwambiri yafupika kapena ikutha kudzipatula ake onse. Mankhwalawa zotheka achinyengo kuwonjezeka (ndipo ngakhale choposa ponseponse), koma mchere ndi madzi m'thupi ndi. Ngati panopa ndi yabwino, ndi chithandizo ndi zolondola, ndiye kubwezeretsa adzatenga pafupifupi miyezi iwiri.

Matenda aimpso kulephera mu amphaka (a CRI) Nthaŵi zambiri, zimene ndi zaka ndipo amapezeka mmodzi mwa atatu amphaka achikulire. Kudziwa CKD ndipo amafuna khama matenda ndi achire, monga matenda angayambe ndi mwachinsinsi. Laboratory maphunziro asonyeza yaitali (masabata awiri kapena kuposa) kuwonjezeka urea magazi ndi creatinine (azotemia).

Matenda kulephera aimpso amakhala ndi kulephera pachimake aimpso. Pachimake, monga ife tikudziwira, zonse kumayamba mwadzidzidzi, akufotokozera aakulu nthawi yaitali (zaka zingapo) ndipo limapezeka pa maziko a matenda ena aimpso. Pali mawu akuti "kulipidwa kulephera aimpso mu amphaka" imene ntchito aimpso, ngakhale matenda aakulu ntchito mogwira mtima.

matenda molondola anapanga okha ndi dokotala (pamaziko a anayendera, anaziika (zachipatala Kupenda chofunika), ndi kafukufuku). Ngati zizindikiro anafotokoza Musataye maola ofunika awo ya kusinkhasinkha, - Bweretsani Pet ku chipatala. matenda amaliona. Ngakhale kwa nthawi yaitali. Koma mwayi kuchira ndi yaikulu. Pa matenda nthawi. Komanso, kwa amphaka akuluakulu zabwino chaka ndi chaka podziteteza (ngakhale palibe kupatuka).

Kudziwa magawo koyamba CKD n'zovuta: zizindikiro loyamba "Auca" pamene kuonongeka kulandilidwa ndi mphambu ziwili za impso ndi nthawi anataya. Koma ngakhale mu nkhani iyi, mankhwala ndi zotheka, ngakhale kudzakhala kovuta ndi yaitali. Aimpso kulephera amphaka amafuna chithandizo chachikulu.

Pamaso pa ulendo ku chipatala kusonkhanitsa mkodzo ngati n'kotheka (chonde kubweretsa), izo adzapulumutsa nthawi. Mu chipatala, osalephera inu kupemphedwa kuti atenge x-ray ndi ultrasound (ayenera kukusalani chotupa ndi mwala mu impso). Musataye. Ndi zofunika. Mwina mphaka aitane kusiyana utoto. Usachite mantha. Njira imeneyi ndi kuchita kwa bwino "chithunzi" cha nyumba mkati impso. Zingatenge ndi biopsy (a nyemba minofu impso atachotsedwa singano woonda pansi ochititsa dzanzi).

Mankhwala, kumene, zimadalira matenda. miyala amachotsedwa pogwiritsa zakudya (a wapadera zachipatala) kapena opaleshoni. Komabe, ambiri amphaka akuluakulu vuto si miyala, ndipo alibe wa minofu aimpso. Ndipo apa, mwatsoka, kuchira bwino sangakhale. Chithandizo imatsogoleredwa kale mu ndondomeko ya liwiro ndiponso kuchiritsa chikhalidwe.

Zoneneratu yaitali ndi matenda a impso sali makamaka duwa, ngati nthendayo wapezeka langoyamba ndipo sanatenge yoyenera kanthu yake. Ngati inate- yekha wachitatu, undamaged, ena a impso, chiyembekezo ndi lofooka. Koma wothandiza chithandizo ndiponso kudya pang'ono angathe kupereka kwa mwini ndi mphaka akadali zaka 2-3 kulankhulana.