Uremia - ntoni na? Uremia: Iimpawu

Uremia yimeko yezifo ezibangelwa zemali iimveliso pathways weeproteni egazini. Xa umntu esempilweni, ezi mveliso yokucolwa zixhonyiwe yokuchama. Esi sifo Kubalulekile ukufumanisa ngexesha kwaye uthathe inyathelo, kuba ngoko usenokuba nemiphumela emibi kakhulu. Kufuneka wazi ukuba yintoni na uremia kulo umntu nenkomo nendlela ukuthintela ukunwenwa kwesi sifo. Ewe, lo ngezifo ifumaneka kuphela ebantwini kodwa phakathi kwabazalwana bethu abancinane, oko kufuna ukuhlolwa olukhawulezileyo ngugqirha wezilwanyana yabo.

symptomatology

Kancane kancane uremia. Iimpawu ekuqaleni ngeke kugqame kakhulu kwaye kubonakala intloko ebuhlungu, ubuthathaka, ukudinwa. Uhlalutyo Igazi ubonisa ukuba iqulethe creatinine, urea, initrojeni intsalela. Nitrogen-equlethe kweziyobisi kunye urea, leyo yande egazini, kwi zigaba yamva ukuma lesikhumba nzima. Esi simo kuthiwa "njengeqabaka" kwi esikhumbeni okanye "uremic umgubo." Oku kuphakamisa uphuhliso pericarditis, unepleurisy, laryngotracheitis, ukudumba, uremic gastritis (ukugabha, isicaphucaphu, unesifo). Ukunxila kubangela ukuphazamiseka kwemisebenzi wesibindi kwengqondo. Kwakhona kuphazanyiswa umbono, nokuva, ukukhula thrombocytopenia kunye nezinye.

izizathu

Bambalwa abantu abacinga ngayo izizathu apho i uremia. Loluphi uhlobo sizathu, elingumthombo, kubaluleke kakhulu ukwazi. Esi sifo asungule iyodwa, oko esusa nezinye izifo emzimbeni. Phakathi ngqo oonobangela uremia ekuthiwa ukusilela ezinganyangekiyo okanye oyingozi sezintso.

Imiba oluqhelekilyo uphuhliso uremia zibe isifo sezintso ngumhlaza. Isigulo kwakhona esinokubakho imvelaphi ukudumba nezintso, leyo azizahlulo samathambo, iyabhiqiza. Ngokufuthi unobangela oogqirha izifo umnxeba ngeendlela ezahlukeneyo urolithiasis. Uxilongo echanekileyo kulo mzekelo zikuvumela ukuba yokulunywa kwezintso.

Uremia ingabangelwa hayi nephrological, kunye nezifo zenkqubo yezemfundo. Uremic ekupheleni karhulumente isifo sezintso e seswekile, isifo sephepha okanye lwegazi. Esi sifo kwenzeka imvelaphi kwenkqubo chemical ukunxila ubuthi ukudliwa.

Iimpawu Azotemicheskoy of uremia

izigulane ezininzi ezijongene unesifo "azotemicheskaya uremia." Yintoni na nendlela ukujongana nokugula? Isifo livela ukusilela ezingapheliyo kwezintso ngenxa self-ityhefu ephilayo. Lo bunzima ezinzulu uphela nephrosclerosis. Kwakhona Iimpawu eziqhelekileyo iimpawu uremic nomonde kwi uremia azotemicheskoy abonakale ngakumbi nangakumbi. Ukungaqheleki xa sezintso ukusebenza kukhokelela yokuphazamiseka umzimba eseleyo asidi-isiseko nezimbiwa nokwakheka. Ngenxa yoko zokwanda ukutya emuncu iphuhlise-asidi eninzi.

izigaba zesifo

Development azotemicheskoy uremia lungohlulwa lube izihlandlo ezibini. Eyokuqala into efihlakeleyo, kwaye kulo mzekelo, lo ngezifo kungabonwa kuphela ngokusebenzisa izifundo ezizodwa. Kweli xesha lesibini ubonakala umfanekiso kakuhle athile uremia ezigulo ezondeleyo. Ngelo kusekwangoko ukusilela kwezintso nga kumiselwa ngokusekelwe kwiziphumo zophando urea, electrolytes product glomerular. Ukuchongwa kwesi sifo kwixesha abagxothwa emva kwesifundo umsebenzi excretory kwezintso.

Kuxhomekeka karhulumente ukuhluza glomerular kunye azotemia inqanaba amabakala ezintathu insufficiency ezigulo ezondeleyo sezintso: ekuqaleni, terminal waza wavakalisa.

Lo mfanekiso kwe uremia azotemicheskoy

Ngokwezonyango, esi sifo esizibonakalisa ngohlobo trophic, yoluvo kunye nezigulo dyspeptic. Izigulane bayahlupheka ukusuka ukugabha rhoqo, isicaphucaphu, umlomo owomileyo, unxano, Ukwehluleka ukutya, ukungabi namdla. Isikhumba uba libunile ithinti etyheli, bakhathazeka ukurhawuzelela. Esi sifo ihamba sorhudo, enterocolitis, gingivitis, stomatitis.

izifo Neurologic wabonakalaliswa njengoko silale, buthathaka, bengenamdla. Kukho izifo kwegazi. Izigulane ziyancipha kakhulu ukuva kunye nombono, bakhathazeka ukulunywa buhlungu. Uremia, leyo iimpawu inyathelo eliphambili lokugqibela kuphuhliso terminal endocarditis, lunokubulala.

Outlook

Ukuqhubela phambili kwesifo kwiimeko ezininzi ekhokelela ekufeni isigulane. Kunokuba ukuphuhlisa ngokukhawuleza okanye ngokucotha. Kwi imeko yomguli zingachaphazela ukopha, utyando, ekubelekeni, izifo. isiphumo esibi kwenzeka ngenxa yokuba usuleleko intercurrent, stroke, ukopha zesisu, insufficiency yokujikeleza, ukunxila. Xa lokuqala inqanaba uremia uqikelelo ekuthethwa kakuhle ngakumbi. Isiphelo-sigaba amagqabi phantse akukho amathuba okusinda.

ukuya phi?

Uremia, iimpawu, unyango kunye une eziqhagamshelwe ngokusondeleyo, ngaba uluthiyile ukulibala. I ngaphambili esi sifo ibanjiwe kwaye uqale ukulwa naye, kokukhona kusenokwenzeka isigulane ukuze achache. Ukuze ukuba ukuphulukana nexesha lilize, kuyimfuneko ukwazi apho ugqirha kbafownlwa. Ukuba umntu impawu uremia ephelekwa iimpawu amatye kwizintso, uncedo kulo mzekelo, ingabe womchamo. Uya ukuxilonga amisele unyango lufanelekile kwaye luyasebenza.

Xa uremia kwezintso abe imvelaphi oncological, kufuneka isicelo somdlavuza. Izigulo ezondeleyo systemic (diabetes, yamafutha) anike isizathu ukuba babuyele eyingcali phambi kokuba uye ukuba kokubonisana womchamo.

diagnosis clinical

Kuthekani ukuba umntu lujongene iimpawu ukuba uphawu izifo ezifana uremia? Kuyingozi kakhulu ebomini, kufuneka kuqondwe ukusuka ngcaciso yokuqala yaye ngoko nangoko uqhagamshelane iingcali. Esibhedlele, ukuba ukuphikisa okanye ukuqinisekisa ukukrokrelana ukuqhuba imbangela ebanzi kwaye amalungiselelo unyango olufanelekileyo.

Inyathelo lokuqala lokufunyaniswa uremia wenza uhlalutyo zengqo- legazi, ngalo uyakwazi ukuqinisekisa inqanaba creatinine kunye urea. Kuyimfuneko ukuqinisekisa umgangatho iiprothini egazini. Ukuba ukukrokrelana kubo kwaqinisekiswa ukuba uremia, oko ngakumbi wenziwe inani leemvavanyo negalelo kunye elebhu ukukhangela unobangela woko. Ngamanye amaxesha iyenzeka ukumisela uhlalutyo jikelele umchamo. Xa olu phando akwanelanga, kukho isifo ultrasound, urography excretory, CT.

unyango ngamachiza

unyango uremia lusekelwe unyango syndromic kwaye kwangumqondiso, kuba unesifo a syndrome elibandakanya iimpawu ezahlukeneyo. Unyango zingenziwa ngokusebenzisa hardware okanye unyango ngamachiza.

indlela Medical kuba unyango lwe uremia yi ezigulela kunye nonyango emzimbeni. Ngokusekelwe ubungqongqo umguli, amisele isixa esithile iziyobisi. Kwezinye iimeko unyango ngamayeza - oku kuphela kwethemba umguli. Ikakhulu le ndlela isetyenziswa zokuqala lapho akakwazi kusetyenziswa iindlela ezininzi kakhulu.

dialysis Haematology

Hayi nje ngoncedo amayeza lupheliswe uremia. Iimpawu, unyango ziyahluka. Kwiimeko apho sifo ayikho efanele intshukumo amayeza okunyanga, usebenzisa dialysis hematological. Yena ingqalelo njengomba ophambili ephezulu kude. Wenziwe hematological dialysis usebenzisa izixhobo ezikhethekileyo, elidume kakhulu ngokuba "kidney yokwenziwa". Busisiwe ngokusebenzisa isixhobo igazi lomntu ngokususa siso iimveliso zophendlo lwezifo metabolic. Ukoyika izigulane ukuba baqhube dialysis Haematology ucacisa uluvo oluqhelekileyo malunga likhoboka kwi "kidney yokufakelwa". Kuye akukho ozinzisiweyo, yaye phantse akukho isiseko lwenzululwazi yobukho. Ngaphezu koko, kwezinye iimeko, ukusindisa ubomi bomntu ukuba usebenzisa kuphela matshini. Haematology dialysis ejoliswe zokubuyisela imeko eziqhelekileyo uremia post bemka unyango etiological ukuphelisa ngoyena nobangela izifo.

Unyango amayeza intsomi

Ngamanye amaxesha izigulane ucinge yintoni igcwele uremia, oko esisongela ubomi bakho. Ngoyaba isibakala sokuba lunokunyangwa kuphela kumaziko ezizodwa phantsi kweliso zonyango. Kudla izigulane ziye babhenela kumayeza intsomi unyango, kucetyiswa ngamandla zokugula ezinjalo. Isibheno ukuba angakhetha Ususa ixesha esibalulekileyo kumguli kunokuphumela ntle kakhulu.

ukungaphili

Uremia ngokwayo asiyo ingxaki yokusilela kidney, kodwa kwangaxesha nye - hayi kwinqanaba lokugqibela kuphuhliso ngezifo. Ukungabikho konyango oluqhelekileyo nzima imeko yesigulane, nokuphuhlisa uremia ezigulo ezondeleyo. Oku kubangelwa umonakalo izakhiwo luvo lobuchopho ubuthi wokuchama, nto leyo ekhokelela kuphuhliso Encephalopathy kwezintso. Iimpawu uremia bazihlanganisa ngakumbi memory iyaphelelwa, lafa kwamalungu omzimba, yintloko ebuhlungu, syncope nezolo. ekugqibeleni Izigulane ufake imo elo lokumisa, nto leyo sikhatshwa ukukhubazeka kakhulu, ilahleko esithubeni. Ulibaziseko kungabangela esibhedlele kumguli okanye ukuba khokhoma kwezintso uraemic, obubonakala ngokuba kukuphefumla enzulu enengxolo, zingqondweni elide, ammonia ukuphefumla, constriction ngayo abafundi. Of imiqondiso wobomi isigulana kuvandlakanywa uphefumla kuphela ukubetha buthathaka. kwikhoma sezintso kwiimeko ezininzi iphela iyabulala xa uremic isigulane indenzele ithuba elihle ukuze usinde, kodwa phambili kusilela ngokwasengqondweni.

Sifo kwizilwanyana

Yintoni uremia endodeni, sele Ngeningalifumananga. Kodwa esi sifo kuqhelekile kakhulu phakathi izilwanyana. Ayizizo zonke umnini ikati okanye inja uyazi oonobangela kwaye unyango izifo, kwaye nje kuyimfuneko ukuqinisekisa ukhuseleko ezifuywayo ngayo. Kuba isilwanyana, esi sifo ayikho ngaphantsi isisongelo ngaphezu kwabantu. Uremia kwi iikati nezinja kunxulumene yeziphumo ezinetyhefu umphutha nitrogen emzimbeni wonke, nto leyo ngenxa ukusebenza ngokungafanelekanga ezintso secreted egazini. Esi sifo yahlulwe acute kunye ezigulo ezondeleyo. Ifom nokoyika uremia izilwanyana okubangelwa ukusilela etsolo kwezintso ngenxa eziyityhefu, nokudumba, emzimbeni, emphefumlweni, ukutsha, ukuphazamiseka kwegazi.

Xa mkhuba bavame kufuneka ukujongana ifomu ezingapheliyo, nto leyo iqalisa ngenxa yezifo ezingapheliyo kwezintso (nangezilonda, amatye kwi kidney, nephritis). Uremia ziikati, ogama iimpawu kakhulu buqapheleke, liyabonakala by imbonakalo yazo. Ukulamba komxelengi isilwanyana ubalekela, kukho silale, isicaphucaphu, ukugabha. Kwabanye cover ixesha yoboya ulahlekelwa inkangeleko yayo enomtsalane kunye touch lube mnandi, isilwanyana lunciphisa ngokukhawuleza ubunzima, ammonia ivumba ziviwa emlonyeni wayo. Akukho mfuneko yokuba ngokuzimeleyo ukuthatha nawaphi na amanyathelo ngenxa unyango, ukuba angenza umonakalo kuphela. Kwangoko sifuna ukubonisa isilwanyana yakho wempahla.

Uxilongo kunye nonyango lwe uremia izilwanyana

Ubukhulu becala ugqirha kufuneka kuqhuba uvavanyo lwegazi eya kubonisa zonke izinto ezinxaxhileyo kwisiqhelo kwi imeko isilwanyana. Ukuba awunalo igama ukunyanga esi sifo, kuba kukwaphula namanye amalungu kunye neenkqubo. Nangakumbi, lo msebenzi kuphazanyiswa kwengqondo, isibindi, kwandisa anaemia kwegazi zenzeka. ukusilela Chronic kwezintso phantse akukho amathuba ukuze asinde sisilwanyana.

Xa kuyimfuneko lokufunyaniswa "uremia" engxamisekileyo esibhedlele Pet. Indawo yezilwanyana ziza rhoqo esweni imeko jikelele weento ezizitho zine, intliziyo kunye nenkqubo zokuphefumla, ubume igazi. Kuya kwenziwa kwimiqathango ekliniki yenzelwe ukuzinzisa nokuphucula imeko qabane.

Kubanikazi kufuneka bazi ukuba uremia ibonelela ingozi ngqo ukuba ubomi besilwanyana. Ukuba akahlawuli ixesha ingqalelo imeko lwezidumbu, pet afe.