Chithandizo cha kulephera kwa impso
Zamkati
- 1. Kuchepetsa kuthamanga kwa magazi ndi matenda ashuga
- 2. Kusamalira chakudya
- 3. Kugwiritsa ntchito mankhwala
- 4. Kukhala ndi moyo wathanzi
- Chithandizo cha matenda opita patsogolo a impso
Chithandizo cha matenda a impso sichidalira pomwe pamakhala matendawa, ndipo amachitidwa ndi cholinga chokonza zolakwika zomwe zawonongeka chifukwa cha impso, kuti ichedwetse kukulira.
Chifukwa chake, chithandizocho chimatsogozedwa ndi nephrologist, ndipo chimaphatikizapo chisamaliro ndi zakudya, kuwongolera kuthamanga kwa magazi ndi kuchuluka kwa shuga wamagazi, kuyang'anira kuchuluka kwa mkodzo wopangidwa ndikugwiritsa ntchito mankhwala monga okodzetsa, mwachitsanzo. Pazovuta kwambiri, dialysis kapena kupatsirana kwa impso zitha kuwonetsedwa.
Matenda a impso, omwe amatchedwanso kulephera kwa impso, amabwera impso zikalephera kugwira ntchito momwe ziyenera kukhalira, zomwe zimayambitsa zovuta monga kusintha kwa poizoni, ma electrolyte, madzi ndi magazi pH. Mvetsetsani tanthauzo la impso ndi zizindikilo zake zazikulu.
Kulephera kwa impso kulibe mankhwala, ndipo palibe mankhwala omwe okhawo angathandize impso kugwira ntchito, komabe, pali chithandizo, chomwe chikuwonetsedwa ndi nephrologist. Malangizo akulu ndi awa:
1. Kuchepetsa kuthamanga kwa magazi ndi matenda ashuga
Kuthamanga kwa magazi ndi matenda ashuga ndizomwe zimayambitsa matenda a impso, chifukwa chake ndikofunikira kuti matendawa azisamaliridwa bwino kuti atetezeke.
Chifukwa chake, nephrologist nthawi zonse amayenda ndi mayeso omwe amayang'anira matendawa, ndipo ngati kuli kofunikira, sinthani mankhwalawa kuti kukakamiza kukhale pansi pa 130x80 mmHg ndipo milingo yama glucose amwazi imayang'aniridwa. Kuphatikiza apo, ndikofunikanso kusamala ndi cholesterol komanso triglyceride level.
2. Kusamalira chakudya
Pazakudya za kulephera kwa impso, m'pofunika kukhala ndi chiwongolero chapadera cha zakudya monga mchere, phosphorous, potaziyamu ndi mapuloteni, ndipo pakavuta kwambiri kungafunikirenso kuwongolera kumwa madzi ambiri, monga ngati madzi ndi timadziti.
Chifukwa chake, tikulimbikitsidwa kuti munthu yemwe ali ndi matenda a impso osachiritsika ayeneranso kutsagana ndi katswiri wazakudya, yemwe azitha kupereka upangiri wowonjezera pamlingo woyenera wa munthu aliyense, malinga ndi ntchito ya impso ndi zizindikilo zomwe zidawonetsedwa.
Onani vidiyo ili pansipa kuti mupeze malangizo ochokera kwa katswiri wathu wazakudya:
3. Kugwiritsa ntchito mankhwala
Kuphatikiza pa mankhwala ochepetsa kuthamanga kwa magazi, matenda ashuga komanso cholesterol, ngati dokotala akuwuzani, mankhwala ena angafunikire kuthana ndi zovuta zina za impso, monga:
- Okodzetsa, monga Furosemide: akuwonetsa kukweza mkodzo ndikuchepetsa kutupa;
- Mpweya wambiri: ndi mahomoni opangidwa ndi impso, omwe amatha kuchepetsedwa mu impso kulephera, komwe kumatha kuyambitsa kuchepa kwa magazi. Chifukwa chake, hormone iyi iyenera kusinthidwa, ngati ichepetsedwa ndipo imayambitsa kuchepa kwa magazi.
- Zowonjezera zakudya: calcium ndi vitamini D zowonjezerapo zitha kukhala zofunikira popewa chiopsezo chovulala, kufooka komanso kupweteka kwa mafupa, komwe kumafala kwambiri kwa odwala omwe ali ndi matenda a impso. Iron, folic acid ndi vitamini B12 zowonjezera zowonjezera zitha kufunikanso pakakhala kuchepa kwa magazi;
- Zithandizo zowongolera phosphate: kusokonekera kwa milingo ya phosphate kumatha kubwera chifukwa cha kulephera kwa impso ndikusintha kagayidwe ka mafupa, chifukwa chake, kugwiritsa ntchito mankhwala omwe amalamulira malingaliro awo, monga Calcium Carbonate, Aluminium Hydroxide kapena Sevelamer, atha kuwonetsedwa.
Mankhwalawa amawonetsedwa ndi nephrologist, ndipo nthawi zambiri amafunikira pakakhala kuwonongeka pang'ono kwa magwiridwe antchito a impso.
Dokotala amayeneranso kulangiza mankhwala omwe ayenera kupewa, chifukwa ndi owopsa ku impso, monga maantibayotiki ndi mankhwala oletsa kutupa, mwachitsanzo.
4. Kukhala ndi moyo wathanzi
Kuchita masewera olimbitsa thupi, osasuta fodya, kupewa zakumwa zoledzeretsa, kuchepetsa kulemera kwanu komanso kupewa kupsinjika ndi ena mwa malangizo abwinobwino omwe amathandizira kukonza kagayidwe kake ka thupi, kuthamanga kwa magazi kugwira ntchito komanso kuteteza thanzi la impso, kuthandizira kukhala ndi vuto la impso.
Chithandizo cha matenda opita patsogolo a impso
Pofuna kuthandizira kulephera kwa impso, komwe impso sizigwiranso ntchito kapena sizigwira ntchito pang'ono, pamafunika dialysis, yomwe imaphatikizapo kugwiritsa ntchito makina m'malo mwa impso ndi kuchotsa madzi ndi poizoni m'magazi. Dialysis itha kuchitika kudzera mu magawo a hemodialysis kapena peritoneal dialysis. Mvetsetsani kuti hemodialysis ndi chiyani komanso momwe imagwirira ntchito.
Kuthekera kwina ndikubzala impso, komabe, sizotheka nthawi zonse kupeza wothandizirana naye ndipo munthuyo samakhala ndi chizindikiritso chamankhwala nthawi zonse kuti achite opaleshoni. Dziwani zambiri pa Kuika Impso: momwe zimachitikira komanso momwe akuchira.