Kulephera Kwambiri Kwa Impso Pachimake: Zizindikiro ndi Chithandizo

Zamkati

• Zizindikiro za impso kulephera
• Zizindikiro za pachimake aimpso kulephera:
• Zizindikiro za kulephera kwa impso:
• Zoyambitsa zazikulu
• Momwe mankhwalawa amachitikira

Impso kulephera ndi impso kulephera kusefa magazi, kuchotsa zinthu zoyipa, monga urea kapena creatinine, mwachitsanzo, zomwe zimatha kudziunjikira mthupi impso zikapanda kugwira bwino ntchito.

Kulephera kwaimpso kumatha kukhala kovuta kapena kwanthawi yayitali, komwe kumakhala kovuta chifukwa cha kuchepa kwa ntchito ya impso, pomwe koyambirira kumakhala kuchepa kwa impso, komwe kumachitika chifukwa cha kuchepa kwa madzi m'thupi, matenda amkodzo, kuthamanga kwa magazi kapena mkodzo, Mwachitsanzo.

Nthawi zambiri, kulephera kwa impso kwakukulu kumachiritsika, koma kulephera kwa impso nthawi zonse sikungachiritsidwe ndipo chithandizo chamankhwala chimachitika kudzera mu hemodialysis kapena kupatsirana kwa impso kuti mukhale ndi moyo wodwalayo komanso kuti mukhale ndi thanzi labwino. Onani momwe zimachitikira komanso kuchira kwa kusintha kwa impso.

Zizindikiro za impso kulephera

Kulephera kwaimpso kumatha kudziwonetsa kudzera pazizindikiro zingapo, kutengera ngati ndizovuta kapena zopitilira muyeso, monga:

Zizindikiro za pachimake aimpso kulephera:

• Mkodzo pang'ono, wachikaso chakuda komanso fungo lamphamvu;
• Kutopa kosavuta komanso kupuma movutikira;
• Kupweteka kumunsi kumbuyo;
• Kutupa kwa miyendo ndi mapazi;
• Kutopa kosavuta ndi mpweya wochepa;
• Kuthamanga;
• Kutentha kwakukulu kuposa 39ºC;
• Kutsokomola magazi;
• Kusowa kwa njala komanso kupezeka kwa nseru ndi kusanza;
• Ziphuphu zing'onozing'ono pakhungu.

Kuphatikiza apo, mayesero am'magazi ndi mkodzo amatha kuwoneka, ndipo kupezeka kwa mapuloteni mumkodzo kumatha kudziwika, komanso kusintha kwa urea, creatinine, sodium ndi potaziyamu m'magazi. Phunzirani momwe mungazindikire kusokonezeka kwa impso.

Zizindikiro za kulephera kwa impso:

• Kufunitsitsa kukodza pafupipafupi, makamaka usiku, kudzuka kuti ukodze;
• Mkodzo wamphamvu ndi thovu;
• Kuthamanga kwambiri kwa magazi komwe kumatha kubweretsa sitiroko kapena mtima kulephera;
• Kumva kulemera kwambiri;
• Kugwedezeka, makamaka m'manja;
• Kutopa kwambiri;
• Minofu yofooka;
• Pafupipafupi kukokana;
• Kuyika manja ndi mapazi;
• Kutaya chidwi;
• Kupweteka;
• Khungu lachikasu;
• Nseru ndi kusanza;
• Kukula kansalu koyera pakhungu, kofanana ndi ufa, monga urea imawonekera thukuta.

Mukamawona izi, ndibwino kuti mufunsane ndi nephrologist kuti mayesero athe kulamula kuti azindikire kulephera kwa impso ndikuwonetsa chithandizo choyenera.

Matendawa amatha kupangidwa kutengera zisonyezo ndi mayesero monga ultrasound, magnetic resonance, computed tomography, kuphatikiza mkodzo ndi kuyesa magazi, monga kusanthula potaziyamu, urea ndi creatinine. Onani momwe creatinine yamagazi imayesedwera komanso malingaliro ake.

Zoyambitsa zazikulu

Kulephera kwamphamvu kwa impso kumatha kuchitika chifukwa cha:

• Kuchepetsa magazi mu impso, chifukwa cha kuchepa kwa madzi m'thupi, vuto la impso kapena kuthamanga kwa magazi;
• Kuvulala kwa impso, chifukwa cha miyala ya impso kapena mankhwala owopsa ngati mankhwala;
• Zododometsa pa ndime ya mkodzo, amayamba chifukwa cha kukula kwa prostate kapena kupezeka kwa chotupa.
• Sepsis, momwe mabakiteriya amafikira impso ndi ziwalo zina za thupi, zomwe zitha kuwononga chiwalo;
• Matenda a impso a Polycystic, yomwe imadziwika ndi kupezeka kwa ma cysts angapo mu impso, zomwe zingasokoneze magwiridwe ake;
• Kugwiritsa ntchito kwambiri mankhwala ndi zowonjezera mavitamini, chifukwa zitha kuwononga limba kapena kusokoneza imodzi mwamagwiridwe ake;
• Matenda a Hemolytic-uremic, omwe ndi matenda obwera chifukwa cha poizoni wopangidwa ndi mabakiteriya ena ndipo amadzetsa kuwonongeka kwa mitsempha yamagazi, kuchepa kwa magazi m'thupi komanso kuchepa kwa impso

Anthu omwe atha kudwala impso ndi omwe ali ndi matenda ashuga kapena omwe ali ndi matenda oopsa omwe satsatira chithandizo choyenera chomwe dokotala akuwawonetsa. Kuphatikiza apo, mbiri yabanja yamavuto a impso kapena anthu omwe adafalitsidwira kale kapena azaka zopitilira 60 nawonso atha kutenga matendawa. Onani zina zomwe zimayambitsa impso kulephera.

Momwe mankhwalawa amachitikira

Chithandizo cha kulephera kwa impso chiyenera kutsogozedwa ndi nephrologist komanso katswiri wazakudya, ndipo amatha kuchitira kunyumba kapena kuchipatala, kutengera kukula kwa matendawa. Kuphunzira kukhala ndi matenda osachiritsika monga impso kulephera ndichinthu chovuta komanso chodya nthawi chomwe chimafuna kudzipereka komanso khama.

Nthawi zambiri, chithandizochi chimachitika pogwiritsa ntchito mankhwala osokoneza bongo monga antihypertensive ndi diuretics, monga Furosemide, mwachitsanzo. Kuphatikiza apo, zakudya zomwe zili ndi chakudya chambiri komanso zomanga thupi zochepa, mchere ndi potaziyamu ziyenera kusungidwa, zomwe ziyenera kuwonetsedwa ndi katswiri wazakudya. Dziwani zambiri za chithandizo cha impso kulephera.

Milandu yovuta kwambiri, monga kulephera kwa impso kosatha, pangafunike kupanga impso kapena kuchita hemodialysis, yomwe ndi njira yomwe cholinga chake ndi kusefa magazi, kuchotsa zonyansa zonse zomwe impso sizingathe kusefa. Onani momwe hemodialysis imachitikira.

Phunzirani zidule kuti mudye bwino powonera: