Pachimake impso kulephera

Kulephera kwa impso ndiko kufulumira (kosakwana masiku awiri) kutha kwa impso zanu kuchotsa zinyalala ndikuthandizira kuchepetsa madzi ndi ma electrolyte mthupi lanu.

Pali zifukwa zambiri zomwe zingayambitse impso. Zikuphatikizapo:

• Acute tubular necrosis (ATN; kuwonongeka kwa ma cell a tubule a impso)
• Sungani matenda a impso
• Kuundana kwamagazi kuchokera ku cholesterol (cholesterol emboli)
• Kuchepa kwa magazi chifukwa chotsika kwambiri magazi, komwe kumatha kubwera chifukwa chakuwotcha, kuchepa madzi m'thupi, kutaya magazi, kuvulala, mantha, matenda akulu, kapena opaleshoni
• Zovuta zomwe zimayambitsa kutsekemera mkati mwa mitsempha yamagazi ya impso
• Matenda omwe amavulaza impso, monga pachimake pyelonephritis kapena septicemia
• Mavuto okhudzana ndi mimba, kuphatikizapo kuphulika kwa placenta kapena placenta previa
• Kutsekeka kwa kwamikodzo
• Mankhwala osokoneza bongo monga cocaine ndi heroine
• Mankhwala kuphatikiza non-steroidal anti-inflammatory drugs (NSAIDs), maantibayotiki ena ndi mankhwala a kuthamanga kwa magazi, intravenous (dye), khansa ina ndi mankhwala a HIV

Zizindikiro zakulephera kwa impso zitha kuphatikizira izi:

• Zojambula zamagazi
• Fungo la mpweya ndi kukoma kwazitsulo pakamwa
• Kulalata mosavuta
• Kusintha kwa malingaliro kapena malingaliro
• Kuchepetsa chilakolako
• Kuchepetsa kuchepa, makamaka m'manja kapena m'mapazi
• Kutopa kapena kuyenda pang'onopang'ono
• Kupweteka kwapakati (pakati pa nthiti ndi chiuno)
• Kugwedeza kwamanja
• Kung'ung'uza mtima
• Kuthamanga kwa magazi
• Nsautso kapena kusanza, zimatha masiku ambiri
• Kutulutsa magazi m'mphuno
• Ma hiccups osalekeza
• Kutaya magazi nthawi yayitali
• Kugwidwa
• Kupuma pang'ono
• Kutupa chifukwa thupi limakhala lamadzimadzi (limawoneka m'miyendo, akakolo, ndi mapazi)
• Kukodza kumasintha, monga mkodzo wochepa kapena wopanda, kukodza kwambiri usiku, kapena kukodza komwe kumasiya kwathunthu

Wothandizira zaumoyo adzakufunsani.

Kuyesedwa kuti muwone momwe impso zanu zikugwirira ntchito ndi monga:

• BUNI
• Chilolezo cha Creatinine
• Seramu wopanga
• Seramu potaziyamu
• Kupenda kwamadzi

Mayeso ena amwazi angapangidwe kuti apeze chomwe chimayambitsa impso kulephera.

Impso kapena ultrasound ya m'mimba ndiyeso yoyeserera yodziwira kutsekeka kwamitsempha yamikodzo. X-ray, CT scan, kapena MRI yamimba imadziwikanso ngati pali chotchinga.

Choyambitsacho chikapezeka, cholinga cha chithandizo ndikuthandizira impso zanu kugwiranso ntchito ndikupewa madzi ndi zinyalala kuti zisamange m'thupi lanu zikamachira. Nthawi zambiri, mumayenera kugona mchipatala kuti mulandire chithandizo.

Kuchuluka kwa madzi omwe mumamwa kumangokhala kuchuluka kwa mkodzo womwe mungatuluke. Mudzauzidwa zomwe mungadye komanso zomwe musadye kuti muchepetse kuchuluka kwa poizoni yemwe impso zimachotsa. Zakudya zanu zimafunika kukhala ndi chakudya chambiri komanso mapuloteni ochepa, mchere, komanso potaziyamu.

Mungafunike maantibayotiki kuti muthe kapena kupewa matenda. Mapiritsi amadzi (diuretics) atha kugwiritsidwa ntchito kuthandizira kuchotsa madzi m'thupi lanu.

Mankhwala adzaperekedwa kudzera mu mtsempha kuti muthane ndi potaziyamu wamagazi.

Mungafunike dialysis. Awa ndi chithandizo chomwe chimachita zomwe impso zathanzi zimachita - kuchotsa zinyalala zoyipa mthupi, mchere wowonjezera, ndi madzi. Dialysis ikhoza kupulumutsa moyo wanu ngati potaziyamu wanu ali okwera kwambiri. Dialysis idzagwiritsidwanso ntchito ngati:

• Maganizo anu amasintha
• Mumakhala ndi pericarditis
• Mumasunga madzi ambiri
• Simungathe kuchotsa zinyalala za nayitrogeni mthupi lanu

Dialysis nthawi zambiri imakhala yaifupi. Nthawi zina, kuwonongeka kwa impso kumakhala kwakukulu kwambiri kotero kuti dialysis imafunikira mpaka kalekale.

Itanani omwe akukuthandizani ngati mkodzo wanu utha kuchepa kapena kuyima kapena muli ndi zizindikiro zina za impso zolephera.

Kupewa kulephera kwa impso:

• Mavuto azaumoyo monga kuthamanga kwa magazi kapena matenda a shuga ayenera kuyang'aniridwa bwino.
• Pewani mankhwala ndi mankhwala omwe angayambitse impso.

Impso kulephera; Aimpso kulephera; Aimpso kulephera - pachimake; ARF; Impso kuvulala - pachimake

• Matenda a impso

Molitoris BA. Kuvulala kwakukulu kwa impso. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 112.

Oh MS, Briefel G. Kuwunika kwa ntchito yaimpso, madzi, ma electrolyte, ndi acid-base balance. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 14.

Weisbord SD, PM Palevsky. Kupewa ndi kuyang'anira kuvulala koopsa kwa impso. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 29.