Oonobangela kunye zokukhula CKD

Chronic ukusilela kwezintso - ephula umsebenzi kwezintso kangangeenyanga ezi-3 ubuncinane. Eyona unobangela woku izifo - ukutshatyalaliswa nephrons kunye nokwanda ityhefu, ezifana urea, creatinine kunye uric acid. Okokuqala, makhe achaze izizathu, kwaye ke yeCRF.

1. glomerulonephritis Chronic, pyelonephritis.

2. isifo sezintso ezibangelwa seswekile, lwegazi, ihepatitis B no-C, sifo okanye seengcongconi.

3. Ukuphendula iziyobisi izinto eziyityhefu.

4. Iingxaki lwesinye.

Ngoku makhe sikhangele ukuba ibakala CKD.

Kukho ukuhlelwa eziliqela zesi sifo, siza kuqwalasela kwakhona omnye kuphela kubo, Lopatkin.

Ukwahlula ezi zigaba zilandelayo CKD ngu creatinine (ngakumbi ngqo, kwisiqulatho layo egazini):

1. Isigaba 1 kuthiwa angasebenzi. Creatinine mkhulu kakhulu norm: 1.6 mg / DL ngesantya 1.2. CRF (Inyathelo 1) yenzeka ngaphandle iimpawu. Oku kunciphisa njini ammonia, umchamo osmolality. Yona renogrammy, akunamsebenzi kutshintsha kakhulu. Isikakhulu sifo ibhaqe ngokuzenzekelayo ngexesha loviwo.
2. A-2-nqanaba libizwa ngokuba poliuricheskoy okanye babuyekezwe. Creatinine sele 2.7 mg / DL. Intlawulo kungenxa isibindi kunye namanye amaziko. Okwangoku, kukho sele iimpawu: ubuthathaka, ingakumbi kusasa, unxano kunye nokwehla kancinane lobushushu emzimbeni. Renogramma duda. Ngokuphawulekayo kunciphise product glomerular kunye osmolarity. CRF manyathelo alandelayo enzima ucaca ngakumbi.
3. 2 B-ibakala ngakanye ebizwa. igazi Creatinine liye landa kakhulu - 4.5 mg / DL. It kwandisa isixa umchamo kunye pH yayo - obrak. Yona urea, eli nani lenyuswa laya ngu 2 umphinda-. Oku kunciphisa isixa ikhalsiyam, potassium. Iimpawu kweli nqanaba ziquka: ubuthathaka, ikhaliphe amahlwempu, kukho twitching kwezihlunu kunye amahlaba, isikhumba owomileyo, igazi kakhulu kunye noxinzelelo lwegazi. umntu, apho 2-D kwisigaba ezingapheliyo ukusilela kwezintso, isicaphucaphu, maxa wambi ukugabha, ehlupheka anorexia, ukuqhina, hiccups kunye ukuqunjelwa.
4. Isigaba 3 ebizwa terminal. Lubonakala bubuthongo disorder, imeko yengqondo, isikhumba eqalisa nangenjinana, amahlaba ichazwe ngokucacileyo. Ngokuphawulekayo ukwandisa creatinine, urea kunye nitrogen eyintsalela.

Siye kuluhlu yeCRF for Lopatkin. Njengoko ubona, abanenqanaba ngalinye zikwimeko embi kakhulu, ngoko kuyimfuneko ukuba udibane nogqirha xa iimpawu kuqala. Ngoku cinga ukuba yintoni ezakwenziwe kwisigaba ngasinye ukusilela ezigulo ezondeleyo kwezintso:

1. Isigaba sokuqala. Unyango na ngolu hlobo lulandelayo: isikiwe exacerbation kweenkqubo ukudumba kwi nezintso. Ngenxa kule insufficiency kuyehla sezintso.
2. Isigaba sesibini. Ukongeza kule unyango echazwe apha ngasentla, ukuqikelela izinga yokuqhubela phambili ukusilela kwezintso. Le isigulane emiselweyo amayeza ikakhulu imvelaphi yezityalo, ukuze sinciphise amazinga yayo.
3. Isigaba sesithathu. Sebenzisa impatho efanayo naleyo kweqonga 2 kunye noxinzelelo lwegazi echanekileyo, igazi, kunye nezinye iingxaki. Nge Abuse ebalulekileyo nomonde ukwenza nokufakelwa zezintso.

Zonke CRF kubonisa isithintelo ekutyeni. Ngokubanzi, libya-protein ukudla elawulwa ukuba umguli kunye imali encinci protein izilwanyana, iphosphate kunye sodium. Zama ukugcina umkhondo impilo yakho, kuba ukuba uthe ucofe ixesha kwi-CRF, uya kuba nako ukuzifumana ngokukhawuleza kwaye uzive enkulu.