Chilichonse Chimene Muyenera Kudziwa Zokhudza Gawo 2 Matenda A impso

Zamkati

• Kuzindikira matenda a impso osachiritsika 2
• Gawo 2 zizindikiro za matenda a impso
• Zimayambitsa siteji 2 matenda a impso
• Nthawi yokaonana ndi dokotala yemwe ali ndi matenda a impso a siteji 2
• Chithandizo cha siteji 2 matenda a impso
• Gawo lachiwiri la matenda a impso
• Zithandizo zapakhomo
• Chithandizo chamankhwala
• Kukhala ndi matenda a impso a siteji yachiwiri
• Kodi gawo lachiwiri la impso lingasinthidwe?
• Gawo 2 matenda a impso amayembekezeka kukhala ndi moyo
• Tengera kwina

Matenda a impso, omwe amatchedwanso CKD, ndi mtundu wa kuwonongeka kwa impso kwakanthawi. Amadziwika ndi kuwonongeka kwamuyaya komwe kumachitika pamiyeso isanu.

Gawo 1 limatanthauza kuti muli ndi kuwonongeka kwa impso pang'ono, pomwe gawo 5 (gawo lomaliza) limatanthauza kuti mwalowa impso kulephera. Kuzindikira gawo lachiwiri CKD kumatanthauza kuti simukuwonongeka pang'ono.

Cholinga cha kuzindikira ndi kuchiza CKD ndikuletsa kukula kwa kuwonongeka kwa impso. Ngakhale kuti simungathe kusintha kuwonongeka nthawi iliyonse, kukhala ndi gawo 2 CKD kumatanthauza kuti muli ndi mwayi woti muchepetse kukulirakulira.

Werengani zambiri zamakhalidwe a matendawa a impso, komanso zomwe mungachite pano kuti muthane ndi vuto lanu kupitirira gawo lachiwiri.

Kuzindikira matenda a impso osachiritsika 2

Kuti adziwe matenda a impso, adokotala amayeza magazi omwe amatchedwa glomerular filtration rate (eGFR). Izi zimayeza kuchuluka kwa chilengedwe, amino acid, m'magazi anu, omwe amatha kudziwa ngati impso zanu zikuwononga zinyalala.

Mulingo wapamwamba wa creatinine umatanthauza kuti impso zanu sizikugwira ntchito mulingo woyenera.

Kuwerenga kwa EGFR komwe kuli 90 kapena kupitilira apo kumachitika mu gawo 1 CKD, pomwe pamakhala kuwonongeka kochepa kwambiri kwa impso. Kulephera kwa impso kumawoneka powerenga 15 kapena pansipa. Ndi gawo 2, kuwerenga kwanu kwa eGFR kudzagwa pakati pa 60 ndi 89.

Ziribe kanthu kuti matenda anu a impso amadziwika kuti ndi otani, cholinga ndikukulitsa ntchito yonse ya impso ndikupewa kuwonongeka kwina.

Kuwonetsetsa pafupipafupi ku eGFR kumatha kukhala chisonyezo cha momwe mapulani anu akugwirira ntchito. Mukapitilira gawo lachitatu, kuwerengera kwanu kwa eGFR kumatha kuyeza pakati pa 30 ndi 59.

Gawo 2 zizindikiro za matenda a impso

Kuwerengedwa kwa EGFR pagawo lachiwiri kumaganiziridwabe mkati mwa magwiridwe antchito "abwinobwino", chifukwa chake kumatha kukhala kovuta kupeza mtundu uwu wamatenda a impso.

Ngati mwakweza milingo ya eGFR, mutha kukhalanso ndi milingo yayikulu yam'mitsinje mumkodzo wanu ngati muli ndi vuto la impso.

Gawo 2 CKD imakhala yopanda chizindikiro, ndipo zizindikilo zowoneka bwino sizimawoneka mpaka vuto lanu litakula mpaka gawo lachitatu.

Zizindikiro zina monga:

• mkodzo wakuda womwe umatha kukhala wamtundu wachikaso, wofiira, ndi lalanje
• kuchulukitsa kapena kuchepa pokodza
• kutopa kwambiri
• kuthamanga kwa magazi
• kusungira madzi (edema)
• kupweteka kumunsi kumbuyo
• kukokana minofu usiku
• kusowa tulo
• khungu louma kapena loyabwa

Zimayambitsa siteji 2 matenda a impso

Matenda a impso amayamba chifukwa cha zinthu zomwe zimachepetsa kugwira kwa impso, zomwe zimawononga impso. Ziwalo zofunika izi zikakhala kuti sizigwira bwino ntchito, sizingathe kuchotsa zinyalala m'magazi ndikupanga mkodzo woyenera.

CKD sichipezeka kawirikawiri pa siteji 1 chifukwa pamakhala kuwonongeka kocheperako kotero kuti sizikhala ndi zizindikiro zokwanira kuti ziwonekere. Gawo 1 lingasinthe kupita ku gawo 2 pakakhala kuchepa kwa ntchito kapena kuwonongeka kwakuthupi.

Zomwe zimayambitsa matenda a impso ndi monga:

• kuthamanga kwa magazi
• matenda ashuga
• matenda obwerezabwereza kwamikodzo
• mbiri ya miyala ya impso
• zotupa kapena zotupa mu impso ndi madera ozungulira
• lupus

Zinthu zomwe tatchulazi sizikusamalidwa, impso zanu zimatha kuwonongeka kwambiri.

Nthawi yokaonana ndi dokotala yemwe ali ndi matenda a impso a siteji 2

Popeza matenda ofooka a impso alibe zizindikilo zowoneka ngati magawo apamwamba, mwina simudziwa kuti muli ndi gawo 2 CKD mpaka thupi lanu lapachaka.

Uthenga wofunikira apa ndikuti akulu ayenera kukhala ndiubwenzi wopitilira ndi dokotala woyang'anira. Kuphatikiza pa kuyezetsa kwanu pafupipafupi, muyenera kuonana ndi dokotala mukakumana ndi zina mwazizindikiro zomwe zatchulidwa pamwambapa.

Dokotala amayang'ananso thanzi lanu la impso mosamala ngati muli ndi zoopsa zilizonse kapena mbiri yakubadwa kwa matenda a impso.

Kuphatikiza pa kuyesa magazi ndi mkodzo, dokotala atha kuyesa mayeso ojambula, monga aimpso ultrasound. Mayesowa athandiza kuyang'anitsitsa impso zanu kuti muwone kukula kwa kuwonongeka konse.

Chithandizo cha siteji 2 matenda a impso

Kuwonongeka kwa impso kukachitika, simungathe kuzisintha. Komabe, inu angathe pewani kupita patsogolo kwina. Izi zimaphatikizapo kuphatikiza kusintha kwa moyo ndi mankhwala othandizira kuthana ndi zomwe zimayambitsa siteji yachiwiri ya CKD.

Gawo lachiwiri la matenda a impso

Ngakhale kulibe chakudya chimodzi chomwe chingathe "kuchiritsa" gawo 2 CKD, kuyang'ana pazakudya zoyenera ndikupewa ena kungathandize kukulitsa ntchito ya impso.

Zakudya zoyipa kwambiri za impso zanu ndizo:

• zopangidwa, zokhazikitsidwa m'mabokosi, komanso zakudya zachangu
• zakudya zokhala ndi sodium wochuluka kwambiri
• mafuta odzaza
• chakudya chamadzulo

Dokotala angakulimbikitseninso kuti muchepetse nyama komanso zomanga mapuloteni ngati mukudya mopitirira muyeso. Mapuloteni ochulukirapo ndi ovuta pa impso.

Pa gawo lachiwiri la CKD, mwina simusowa kutsatira zina mwazoletsa zomwe zingalimbikitse matenda a impso, monga kupewa potaziyamu.

M'malo mwake, cholinga chanu chizikhala kukhala ndi zakudya zatsopano, zochokera kuzinthu izi:

• mbewu zonse
• nyemba ndi nyemba
• nkhuku zowonda
• nsomba
• masamba ndi zipatso
• mafuta obzala mbewu

Zithandizo zapakhomo

Njira zochiritsira zotsatirazi zitha kuthandizira pakudya koyenera koyang'anira gawo 2 la CKD:

• kumwa mankhwala azitsulo ochizira kuchepa kwa magazi komanso kutopa
• kumwa madzi ambiri
• kudya zakudya zazing'ono tsiku lonse
• kuchita kusamalira nkhawa
• kuchita masewera olimbitsa thupi tsiku lililonse

Chithandizo chamankhwala

Cholinga cha mankhwala a gawo lachiwiri la CKD ndikuthandizira kuthana ndi zomwe zingayambitse impso.

Ngati muli ndi matenda ashuga, muyenera kuyang'anira shuga wanu mosamala.

Angiotensin II receptor blockers (ARBs) kapena angiotensin otembenuza enzyme (ACE) inhibitors atha kuthana ndi kuthamanga kwa magazi komwe kumayambitsa CKD.

Kukhala ndi matenda a impso a siteji yachiwiri

Kupewa kupitilira kwa matenda a impso kumatha kumva ngati ntchito yovuta. Ndikofunika kudziwa kuti zosankha zazing'ono zomwe mumapanga tsiku ndi tsiku zitha kukhudzanso chithunzi cha thanzi lanu lonse la impso. Mutha kuyamba ndi:

• kusiya kusuta (komwe kumakhala kovuta nthawi zambiri, koma dokotala amatha kupanga njira yosiya kusiya zomwe zili zoyenera kwa inu)
• kudula mowa (dokotala atha kuthandizanso izi)
• kugwiritsa ntchito njira zothanirana ndi nkhawa, monga yoga ndi kusinkhasinkha
• kuchita masewera olimbitsa thupi osachepera mphindi 30 tsiku lililonse
• kukhala wopanda madzi

Kodi gawo lachiwiri la impso lingasinthidwe?

Nthawi zina, matenda a impso amatha kupezeka chifukwa cha vuto linalake kwakanthawi, monga zotsatira zamankhwala kapena kutsekeka. Chifukwa chomwe chimadziwika, ndizotheka kuti ntchito ya impso itha kusintha ndi chithandizo.

Palibe mankhwala a matenda a impso omwe abweretsa kuwonongeka kwamuyaya, kuphatikiza milandu yofatsa yomwe imapezeka kuti ndi gawo la 2. Komabe, mutha kuchitapo kanthu pano kuti mupewe kupita patsogolo kwina. Ndikotheka kukhala ndi gawo 2 CKD ndikuletsa kuti lisapite patsogolo mpaka gawo 3.

Gawo 2 matenda a impso amayembekezeka kukhala ndi moyo

Anthu omwe ali ndi matenda a impso a siteji 2 amawaganizirabe kuti ali ndi thanzi la impso. Chifukwa chake kulosera kwake kuli bwino kwambiri poyerekeza ndi magawo apamwamba kwambiri a CKD.

Cholinga ndiye kuteteza kupitabe patsogolo. CKD ikukula, itha kuchititsanso mavuto omwe angawopsyeze moyo, monga matenda amtima.

Tengera kwina

Gawo 2 CKD imawerengedwa kuti ndi matenda ofooka a impso, ndipo mwina simungazindikire zizindikiro zilizonse. Komabe izi zitha kupangitsanso kuti gawo ili likhale lovuta kuzindikira ndi kuchiza.

Monga lamulo la chala chachikulu, mufunika kuwonetsetsa kuti mumayesedwa magazi ndi mkodzo ngati muli ndi zovuta zina kapena mbiri yakubanja yomwe imawonjezera chiopsezo cha CKD.

Mukapezeka ndi CKD, kuletsa kupitilira kwa kuwonongeka kwa impso kumadalira kusintha kwa moyo. Lankhulani ndi dokotala wanu za momwe mungayambire pakudya ndi kuchita masewera olimbitsa thupi kuti mukhale ndi thanzi lanu.