Insufficiency sezintso - Iimpawu kunye neentlobo sifo

Iyonke kidney intlama% 0.5 kuphela ubunzima bomzimba. Ngamnye kubo inobunzima obumalunga 20 grams, ifikelela malunga 12 cm ubude kwaye imilo iimbotyi. Ibekwe kwisisu zabryushnoy, badlala indima ebaluleke kakhulu ngococo igazi ayahamba kwemithambo sezintso ekususweni ityhefu, ukuphuhliswa iihomoni ezifana renin (olawula uxinzelelo lwegazi), erythropoietin (onoxanduva kwimveliso esebenzayo vitamin D3 kwaye kuyanceda ukuba silondoloze ukulinganisela oluchanekileyo neeminerali) . Ukusebenza kwalo umzimba kakhulu kangangokuba xa umntu kwizintso omnye kuphela, omnye uyakwazi ukuhlangabezana neemfuno yonke kwegazi kunye ngokugqibeleleyo enze yonke imisebenzi yayo.

Kodwa ke, ngelishwa, zezintso oluluqilima. A eziliqela, ngaphakathi nangaphandle, kunganeziphumo kuchaphazela imeko yabo, yaye ekugqibeleni bungabangela izifo ezifana ukusilela kwezintso. It ezehlisa kuphela umsebenzi womchamo, kodwa kubangela ukuba ukungalingani ejikeleza igazi lonke eziphilayo.

Ukuhluleka kuphula umsebenzi kidney kwezintso, ukuze nkqu iindlela imbuyekezo komzimba akukho elide ngenkxaso yabo. Iimpawu asenokubonisa ukusilela kwezintso, into eninzi. Anorexia, umkhuhlane, urhudo, nokudumba, wopha impumlo, ukudinwa yaye ubuthathaka, ukopha zesisu, lwegazi, amahlaba kwezihlunu, ukugabha, ukuxhuzula, pericarditis - ezi mpawu, ukusilela kwezintso, kuba leyo ayikho ngaphandle. Esi sifo Iifom yondele kunye ezigulo ezondeleyo.

Acute ukusilela kwezintso - yimeko eyenzeka ngequbuliso ngokukhawuleza, kwaye ebangela ukuphazamiseka ebonakalayo emzimbeni, kuquka abe isoyikiso kubomi babantu. Nokuhlangula kweli tyala dialysis, nto leyo ethintela ezinokosulela umzimba izinto eziyityhefu, kukukhupha umchamo eqhelekileyo. Izizathu olu hlobo sifo kukungabikho yokumpompoza kwegazi, isifo glomerular kunye parenchyma kwezintso, ubuthi, izinto eziyityhefu okanye outflow okungaqhelekanga womchamo.

ukusilela Chronic kwezintso kunokuba ngokucotha eguqukayo, maxa wambi siyathandaza sisigulane. Olu hlobo lwesifo kudla ngenxa yezifo zangaphambili kwezintso, izifo ezingapheliyo okanye ubukho kweli candelo amatye.

Ukuzimisela yamanqanaba igazi creatinine kunye urea luvavanyo enkulu nokuhlola umsebenzi kwezintso. Creatinine, imveliso ngeenguqu ezenzekayo apha esihlunwini ezimbaxa idubule ngokupheleleyo izintso kwi yokuchama. Kwimeko ukusilela kwezintso, eyavela siyandiswa, kwaye ngaxeshanye kunciphisa ekuthiwa- ukucoca creatinine (GFR), nto leyo parameter iphambili ibonisa ngesidanga intswelo. Kuxhomekeka ubungqongqo sifo, ukusilela kwezintso, ngohlobo hronichechkoy kudlula ixesha eziliqela iimpawu isici. Ixesha lokuqala ukuncitshiswa abaqeqeshiweyo kwezinga glomerular ukuhluza of ml-60 ngomzuzu, okwesibini - ukususela ml-30 ukuya kuma-50 ngomzuzu, eyesithathu - ukusuka ml-30 ukuya ku-5 / min, kunye neyesine - ml-5 / min.

Kufuneka kuqatshelwe ukuba amandla ukusilela kwezintso kukusetyenziswa iimveliso eziqulathe isixa ubuncinane protini. Iingcebiso kwi uhlobo ekudleni kunye umlinganiselo wokubanzi zinokutshintsha ukugula. Umgaqo olusisiseko loo ukutya ephantsi-iproteni kukunciphisa ukusetyenziswa iimveliso zobisi, inyama, intlanzi, imifuno kunye nee- mbotyi, ngenxa yokuba imithombo iphambili protini. Izinga ngemihla leeprothini izigulane une ukusilela kwezintso kufuneka bungabi ngaphantsi kwe-20 grams, kungenjalo oko kunokubangela yokunqongophala kwamanani. Kodwa inani eliphezulu luxhomekeke kwinqanaba creatinine kwi plasma yegazi. Kuba izigulane kucetyiswa ukuba usebenzise yemifuno oli (canola okanye flaxseed), 2-3 amacephe ngosuku kunye neentlanzi zolwandle.