Matenda otani omwe amachititsa anthu kudwala dialyse kapena kuika
Anthu ambiri amadabwa kuona kuti kawirikawiri matenda a impso sangayambe ndi matenda a impso, komabe makamaka kawiri kawiri ndi matenda ena a shuga monga shuga kapena kuthamanga kwa magazi. Ngakhale matenda opatsirana a impso omwe amachititsa kuti impso zilephereke, phindu lawo ku chiwerengero cha odwala omwe akusowa malingaliro a impso ndi ochepa.
ZOONA NDI ZIGANIZO
Mwachidule, apa pali zifukwa zinayi zomwe zimayambitsa impso kulephereka, zomwe zimatchulidwanso ngati mapeto a nthendayi (ESRD):
- Matenda a shuga
- Kuthamanga kwa magazi
- Glomerulonephritis
- Matenda a matenda a impso
Matenda a matenda a shuga , omwe amadziwikanso kuti matenda a shuga ndi omwe amachititsa kuti impso zilephereke, komanso odwala omwe akudwala matenda a impso (CKD) omwe amafunikira dialysis. Mpaka kumapeto kwa zaka za m'ma 1980, matenda a shuga ndi kuthamanga kwa magazi zimagwiranso ntchito mofanana ndi matenda a impso. Komabe, kuyambira nthawi imeneyi chiwerengerochi chinayamba kuwonjezeka mofulumira kwambiri kwa matenda a shuga. Malinga ndi Lipoti la United States la Renal Data System (USRDS) la 2013, matenda a shuga tsopano ndi omwe amachititsa anthu oposa 50,000 kukhala ndi matenda opatsirana a impso (omwe amafunika dialysis kapena kusintha kwa impso) chaka chilichonse ! Nambala yofanana ya matenda oopsa kwambiri ndi pafupifupi 30,000.
Monga chiwerengero cha odwala onse opatsirana ndi impso kapena pa dialysis pachaka, matenda a shuga amakhala 44%, pamene matenda oopsa kwambiri ali ndi udindo wa pafupifupi 28%. Chithunzi chomwe chili ndi nkhaniyi chikusonyeza momwe matenda amene amachititsira impso kusinthika zaka makumi ambiri.
Njira yomwe matenda a shuga ndi kuthamanga kwa magazi amachititsa kuti impso kusagwirizana ndi nkhaniyi, koma ndawakhudza mwachidule m'zinthu zina zanga.
Chochititsa chidwi ndicho chodabwitsa chomwe chimatchedwa "adaptive hyperfiltration", chomwe ndi chimene ndachifotokozera mndandanda wanga.
Glomerulonephritis amatanthauza kutupa kwa glomerulus ndi nephrons. Kulongosola kosavuta kwa malowa kungakhale kuti iwo amapanga mafayidwe a impso ndi madzi. Kutupa apa kungachitike kuchokera ku zifukwa zambiri, koma zifukwa zambiri zingakhale mankhwala, matenda omwe amadzimadzimadzi okha monga lupus, khansa, ndi matenda. Ntchito ya impso mu mitundu ina ya glomerulonephritis ikhoza kuchepa mofulumira, nthawi zina pamasiku angapo mpaka masabata. Mosiyana ndi zipatala zina zotchulidwa m'nkhani ino, magazi mu mkodzo ndi chizindikiro chofala.
Pomaliza, impso zotchedwa cystic , nthawi zina zimatchedwa Polycystic Impso Disease (PKD) ndi matenda omwe anabadwa nawo a impso zomwe zingayambitse impso kulephera. Zimayendetsedwa m'mabanja, kupitilira ma genetiki kuchokera kwa kholo kupita kwa ana. Kawirikawiri, mbiri ya banja ya impso kulepheretsa izi ziwonekere. Komabe, nthawizina matendawa sakhala nawo mpaka zaka makumi asanu ndi awiri zapitazo chifukwa zaka za kuwonetsera zimatsimikiziridwa ndi mtundu wa genetic mutation. Choncho zikhoza kuganiza kuti kholo lokhudzidwa lidafa ali ndi zaka zisanafike.
Pazochitikazi, odwala amakana kukhalapo kwa mbiri ya banja. Matendawa amatengedwa pa phunziro la kujambula, ngati ultrasound, ndipo akhoza kukhala "mwangozi" kupeza. Odwala ali ndi makoswe angapo mu impso omwe amakula ndi nthawi ndipo amathyola magazi m'magazi otsala. Ndidzakambirana za glomerulonephritis ndi PKD mwatsatanetsatane mndandanda wanga.
US Renal Data System, USRDS 2013 Annual Report Report: Atlas of Chronic Kidney Disease and End-Stage Disease Disease ku United States, National Institutes of Health, National Institute of Diabetes ndi Matenda a Digestive ndi Impso, Bethesda, MD, 2013
Deta yomwe yafotokozedwa pano yaperekedwa ndi United States Renal Data System (USRDS). Kutanthauzira ndi kulengeza za deta iyi ndi udindo wa olemba ndipo palibe njira iliyonse yomwe iyenera kuwonedwa ngati ndondomeko ya boma kapena kutanthauzira kwa boma la US.