Zizindikiro Zapamwamba za Creatinine

Zamkati

• Kodi creatinine ndi chiyani?
• Mitundu yabwinobwino komanso yayitali
• Mayeso a creatinine wamagazi
• Mayeso a creatineine
• Zomwe zotsatira zanu zingatanthauze
• Zizindikiro zomwe zimatha kutsagana ndi creatinine wapamwamba
• Mankhwala owopsa a mankhwala osokoneza bongo (nephrotoxicity)
• Matenda a impso (pyelonephritis)
• Glomerulonephritis
• Matenda a shuga
• Kuthamanga kwa magazi
• Matenda a mtima
• Kutseka kwamikodzo
• Impso kulephera
• Nthawi yoti muwonane ndi dokotala
• Kodi malingaliro a creatinine wapamwamba ndi otani?

Kodi creatinine ndi chiyani?

Creatinine ndichotaya chomwe chimapangidwa ndi minofu yanu. Impso zanu zimagwiritsa ntchito zosefera creatinine komanso zinyalala zina m'magazi anu. Zosefedwa, zotsalazo zimachotsedwa mthupi lanu mumkodzo.

Kuyeza milingo ya creatinine kumatha kukupatsani chidziwitso chofunikira cha impso zanu. Dokotala wanu amatha kuyeza milingo ya creatinine m'magazi anu komanso mumkodzo wanu.

Magawo a Creatinine omwe ali pamwambapa kapena ochepera masanjidwe angasonyeze kupezeka kwa thanzi. Tiyeni tiwone bwino za creatinine wapamwamba, zizindikilo zomwe zimayenda nawo, komanso nthawi yokaonana ndi dokotala.

Mitundu yabwinobwino komanso yayitali

Magawo a Creatinine amatha kutsimikizika pogwiritsa ntchito kuyesa magazi kapena kuyesa mkodzo.

Mayeso a creatinine wamagazi

Muthanso kuwona kuyesaku kotchedwa mayeso a serum creatinine. Pakuyesa uku, magazi amatengedwa kuchokera mumtsuko wammanja mwanu kenako amatumizidwa ku labu kuti akaunikenso.

Malinga ndi Mayo Clinic, milingo ya creatinine (wamkulu) m'magazi nthawi zambiri imakhala:

• Mayunitsi a U.S. 0.84 mpaka 1.21 mamiligalamu pa desilita imodzi (mg / dL)
• Mayunitsi aku Europe: Ma micromoles 74.3 mpaka 107 pa lita (umol / L)

Magawo a Creatinine pamwamba pamiyeso yabwinobwino atha kuonedwa kuti ndi okwera. Dokotala wanu angafune kutsimikizira izi pogwiritsa ntchito kuyesa mkodzo kapena kubwereza kuyesa magazi.

Mayeso a creatineine

Dokotala wanu amatha kusonkhanitsa mayeso a mkodzo mwachisawawa (osakwatira), koma atha kufunsa maola 24. Kuyesa mkodzo kwa maola 24 kumaphatikizapo kusonkhanitsa mkodzo wanu kwa maola 24.

Malinga ndi Mayo Clinic Laboratories, milingo ya mkodzo yodziwika bwino mumayendedwe a maola 24 ndi awa:

• Mayunitsi a U.S. 955 mpaka 2,936 mamiligalamu pa maola 24 (mg / tsiku) a amuna; 601 mpaka 1,689 mg / 24 maola azimayi
• Mayunitsi aku Europe: 8.4 mpaka 25.9 millimoles pa maola 24 (mmol / tsiku) kwa amuna; 5.3 mpaka 14.9 mmol / tsiku la akazi

Magulu am'mitsinje yam'mitsinje pamwambapa amawerengedwa kuti ndi okwera, ndipo kuyesanso kowonjezera kapena kubwereza kuyesa kungafunike.

Kuchuluka kwa creatinine mumkodzo kungagwiritsidwenso ntchito limodzi ndi zotsatira za serum creatinine kuti muwerenge chilolezo chanu cha creatinine, chomwe chimafotokoza momwe impso zanu zikuwonetsera magazi anu.

Magawo a Creatinine amatha kusiyanasiyana chifukwa cha msinkhu, kugonana, mtundu, hydration, kapena thupi. Kuphatikiza apo, magawo ofananirana amasiyana amatha kuchokera ku lab mpaka lab.

Ndikofunika kuti musayese kutanthauzira zotsatira zanu panokha. Dokotala wanu adzagwira nanu ntchito kuti awunikire ndikumasulira zotsatira zanu ndi tanthauzo lake.

Zomwe zotsatira zanu zingatanthauze

Ndiye zikutanthauza chiyani ngati muli ndi milingo yayikulu ya creatinine?

Nthawi zambiri, milingo yayikulu ya creatinine imatha kuwonetsa kuti impso zanu sizikugwira ntchito bwino.

Pali zifukwa zambiri zomwe zimayambitsa mkulu wa creatinine, zomwe mwina zimangochitika kamodzi. Zitsanzo zimatha kuphatikizira zinthu monga kuchepa kwa madzi m'thupi kapena kumwa mapuloteni ochulukirapo kapena cholembera chowonjezera. Zonsezi zitha kukhala zolimba kwa impso zanu kwakanthawi.

Komabe, zifukwa zina za creatinine wapamwamba zimatha kunena zaumoyo. Zambiri mwazimenezi zimatha kuwononga kapena matenda omwe amakhudza impso. Zitha kuphatikiza:

• kawopsedwe ka mankhwala (nephrotoxicity)
• matenda a impso (pyelonephritis)
• glomerulonephritis
• matenda ashuga
• kuthamanga kwa magazi
• matenda amtima, monga atherosclerosis kapena congestive mtima kulephera
• kutsekeka kwa thirakiti
• impso kulephera, zonse zovuta komanso zopweteka

Zizindikiro zomwe zimatha kutsagana ndi creatinine wapamwamba

Zizindikiro za creatinine wapamwamba zimatha kudalira zomwe zikuyambitsa.

Mankhwala owopsa a mankhwala osokoneza bongo (nephrotoxicity)

Mankhwala ena amatha kuwononga impso ndikuwononga kuthekera kwawo kugwira ntchito. Zitsanzo za mankhwalawa ndi awa:

• maantibayotiki, monga aminoglycosides, rifampin, ndi vancomycin
• mankhwala amtima, monga ACE inhibitors ndi ma statins
• mankhwala a chemotherapy
• okodzetsa
• lifiyamu
• proton pump pump inhibitors

Zizindikiro zomwe zimayenda ndi creatinine wamkulu ndipo zimatha kukula mwachangu zitha kuphatikizira izi:

• kusungira madzimadzi, makamaka m'thupi lanu
• kudutsa mkodzo wochepa
• kudzimva ofooka kapena otopa
• chisokonezo
• nseru
• kupuma movutikira
• kugunda kwamtima kosasinthasintha
• kupweteka pachifuwa

Matenda a impso (pyelonephritis)

Matenda a impso ndi mtundu wa matenda amkodzo (UTI). Zitha kuchitika mabakiteriya kapena ma virus atapatsira mbali zina zamakina anu musanapite mu impso.

Ngati simukulandira, matenda a impso amatha kuwononga impso zanu komanso ngakhale kulephera kwa impso. Zizindikiro zina za matenda a impso zomwe muyenera kuyang'ana ndi izi:

• malungo
• ululu wofikira msana, mbali, kapena kubuula kwanu
• kukodza komwe kumachitika kawirikawiri kapena kowawa
• mkodzo womwe umawoneka wakuda, mitambo, kapena wamagazi
• mkodzo wonunkha
• kuzizira
• nseru kapena kusanza

Glomerulonephritis

Glomerulonephritis imachitika pamene ziwalo za impso zanu zomwe zimasefa magazi anu zimayaka. Zina mwazomwe zingayambitse matendawa ndi monga matenda opatsirana pogonana monga lupus ndi Goodpasture syndrome.

Glomerulonephritis itha kubweretsa impso ndi kuwonongeka komanso impso kulephera. Zizindikiro za vutoli ndi monga:

• kuthamanga kwa magazi
• magazi mkodzo, zomwe zitha kuwoneka ngati zapinki kapena zofiirira
• mkodzo womwe umawoneka ngati thovu chifukwa cha kuchuluka kwa mapuloteni
• kusungira madzimadzi kumaso, manja, ndi mapazi

Matenda a shuga

Matenda ashuga ndi omwe shuga wamagazi anu amakhala okwera kwambiri.Kuchuluka kwa shuga m'magazi kumatha kubweretsa zovuta zosiyanasiyana, chimodzi mwazo ndi matenda a impso.

Pali mitundu iwiri ya matenda ashuga - mtundu 1 ndi mtundu 2. Zizindikiro zamtundu wa 1 zimatha kukula msanga pomwe zizindikilo za mtundu wachiwiri zimayamba pang'onopang'ono. Zizindikiro za matenda ashuga ndi izi:

• kumva ludzu kwambiri
• kukodza pafupipafupi
• kuchuluka kwa njala
• kumva kutopa
• kusawona bwino
• kumva kufooka kapena kumva kulira m'manja ndi m'mapazi
• kupola pang'onopang'ono kwa bala

Kuthamanga kwa magazi

Kuthamanga kwa magazi kumachitika pamene mphamvu yamagazi ikukankhira pamakoma amitsempha yanu ndiyokwera kwambiri. Izi zitha kuwononga kapena kufooketsa mitsempha yamagazi yozungulira impso, zomwe zimakhudza kugwira kwa impso ndikupangitsa kuti mukhale ndi creatinine wokwera.

Popeza kuthamanga kwa magazi nthawi zambiri sikumakhala ndi zisonyezo, anthu ambiri sadziwa kuti ali nawo. Kawirikawiri amapezeka panthawi yowunika zaumoyo.

Matenda a mtima

Zinthu zomwe zimakhudza mtima ndi mitsempha yamagazi, monga atherosclerosis ndi congestive mtima kulephera, zitha kukhudzanso impso. Izi zimatha kukhudza kuthamanga kwa magazi kudzera mu impso, zomwe zimawononga kapena kuwonongeka kwa ntchito.

Zizindikiro za atherosclerosis sizimachitika mpaka mtsempha wamagazi utachepa kwambiri kapena kutsekeka kwathunthu. Angathenso kutengera mtundu wamitsempha yomwe yakhudzidwa. Zizindikiro zina monga:

• kupweteka pachifuwa (angina)
• kupuma movutikira
• kugunda kwamtima (arrhythmia)
• kumva kutopa kapena kufooka
• zizindikiro zofananira, monga ziwalo kapena zovuta kuyankhula

Zizindikiro zakusokonekera kwa mtima kungaphatikizepo:

• kuvuta kupuma kapena kupuma movutikira
• kumverera kutopa kapena kutopa
• kutupa pamimba, miyendo, kapena mapazi

Kutseka kwamikodzo

Thirakiti yanu imatha kutsekedwa chifukwa cha zinthu zosiyanasiyana, monga miyala ya impso, prostate wokulitsa, kapena zotupa. Izi zikachitika, mkodzo umatha kudziunjikira mu impso, zomwe zimadzetsa matenda otchedwa hydronephrosis.

Zizindikiro za kutsekeka kwamkodzo kumatha kuyamba mwachangu kapena pang'onopang'ono pakapita nthawi kutengera chifukwa. Zizindikiro zina zofunika kuziwona kuphatikiza mulingo wapamwamba wa creatinine ndi monga:

• kupweteka kumbuyo kwanu kapena mbali
• kukodza pafupipafupi kapena kupweteka
• magazi mkodzo wanu
• kudutsa mkodzo pang'ono kapena kukhala ndi mkodzo wofooka
• kumverera kutopa kapena kutopa

Impso kulephera

Kulephera kwa impso kumatanthauza kuchepa kwa ntchito ya impso ndipo chimodzi mwazinthu zomwe zimayambitsa kuchuluka kwa creatinine. Itha kukhala yovuta kapena yayitali. Zizindikiro zakulephera kwa impso zitha kubwera mwachangu pomwe zoperewera za impso zimakula pakapita nthawi.

Zizindikiro zina za impso kulephera kuyang'anira ndi monga:

• kusungira madzimadzi, makamaka m'thupi lanu
• kudutsa mkodzo wochepa
• kudzimva ofooka kapena otopa
• mutu
• chisokonezo
• nseru
• kuvuta kugona
• kuphwanya minofu
• kumva kuyabwa
• kupuma movutikira
• kupweteka pachifuwa

Nthawi yoti muwonane ndi dokotala

Muyenera kuyimbira dokotala nthawi zonse ngati mukukumana ndi zatsopano, zosafotokozedwa, kapena zowonekera, makamaka ngati zikugwirizana ndi matenda monga impso, matenda ashuga, kapena matenda amtima.

Dokotala wanu azigwira nanu ntchito kuti awunikire zizindikiro zanu ndikuzindikira mankhwala omwe akuyenera.

Ndikofunika kukumbukira kuti kupweteka pachifuwa komanso kulephera kwa impso nthawi zonse ziyenera kutengedwa mozama. Muyenera kutsimikiza kuti mupita kuchipatala ngati mukukumana ndi izi.

Kodi malingaliro a creatinine wapamwamba ndi otani?

Pali zifukwa zambiri zomwe zingayambitse milingo yayikulu ya creatinine. Kuphatikiza apo, zizindikilo za creatinine wapamwamba zimatha kusiyanasiyana kutengera choyambitsa.

Nthawi zambiri, mankhwala amatha kuthandiza kuthetsa milingo yayikulu ya creatinine pochiza zomwe zikuwonjezera. Zitsanzo zina zimaphatikizapo maantibayotiki a matenda a impso kapena mankhwala omwe amathandiza kuchepetsa kuthamanga kwa magazi.

Pakakhala kulephera kwa impso, dialysis ingafunike kuphatikiza mankhwala omwe amathandiza kusefa poizoni ndi zinthu zotaya magazi anu. Pazovuta kwambiri kapena kumapeto, munthu angafunike kumuika impso.