Kodi Mukuyembekeza Chiyani Kumapeto kwa Impso za Impso?
Matenda a impso ndi mapeto a matenda a impso. Pa gawo lotsiriza lino, impso sizilephera kugwira ntchito zokha, zomwe zikutanthauza kuti munthu amafunikira dialyse kapena kusintha kwa impso kuti akhalebe ndi moyo. Ngakhale kupatsa ndi njira yabwino pamene imapereka chithandizo, sikuti aliyense ali woyenera kuchita opaleshoniyi.
Ngakhale zili choncho, ndizofunikira kuzindikira kuti anthu ambiri omwe ali ndi matenda a impso osatha samaliza dialysis.
Izi zili choncho chifukwa, pokhala osamala, munthu akhoza kuchepetsa matendawa.
Ngati inu kapena wokondedwa wanu muli m'magulu omaliza a matenda a impso, kodi mungayang'ane chiyani, ndipo zimakhala zotani kufa kuchokera kulephera kwa chiwindi?
Tanthauzo la Matenda Ovuta a Impso
Impso zanu zimatsuka zonyansa ndi madzi kuchokera m'magazi anu. Pamene ntchito yanu ya impso ikutha, zinyalala zimalowa m'thupi, ndipo zowonjezera zowonongeka zimatha kuwonetsa zizindikiro monga kunyowa kwakukulu ndi kusanza, kusala kudya, ndi kumva odwala ndi ofooka.
Kutayika kwa ntchito yowongoka kwa impso kungabwere mwadzidzidzi (wotchedwa matenda ovuta a impso) kapena kwa miyezi itatu kapena yambiri (yotchedwa matenda a impso). Matenda a impso owopsa akhoza kuthetsa okha. Koma ali ndi matenda aakulu a impso, ntchito ya impso pang'onopang'ono ikufalikira ndi nthawi.
Pali magawo asanu a matenda a impso, ndi gawo lachisanu lomwe likuyimira matenda a impso.
M'mawu ena, popanda kupulumutsa moyo monga dialyse kapena kupatsirana kwa impso, munthu amwalira patangotha sabata imodzi kapena apo.
Ndikofunika kuzindikira kuti ntchito ya impso ya munthu imayamba kuchepa, ngakhale kuti mpweya womwe umagwira ntchito umachepa ndi kusintha kuchokera pa siteji imodzi kupita kutsogolo kumadalira pa zinthu zambiri (mwachitsanzo, matenda omwe amachititsa matenda a impso mu malo oyamba).
Zitha kutenga zaka zambiri kapena zaka makumi asanu ndi makumi awiri kuti zisawonongeke kuti zisafike pamapeto pake.
Zimayambitsa
Pali zifukwa zosiyanasiyana zosiyana siyana za matenda a impso; Ambiri omwe ali ndi shuga ndi kuthamanga kwa magazi.
Zifukwa zina ndizo:
- Lupus (systemic lupus erythematosus)
- Matenda a Nephrotic
- Matenda a impso a Polycystic
- Kubwereza kachilombo koyambitsa matenda
- Kutsekemera kwa nthawi yayitali (mwachitsanzo, kuchokera ku chotupa kapena prostate gland ochuluka mwa amuna)
Ndikofunika kuti dokotala apeze "chifukwa" chakumbuyo kwa matenda a impso chifukwa amatha kuchepetsa matenda anu. Mwachitsanzo, ngati kuthamanga kwa magazi ndi vuto, ndiye kuti dokotala wanu akhoza kukhala woopsa kwambiri poyang'ana kupanikizika kwa magazi ndikusunga moyenera. Mofananamo, kusamalira mosamala magazi anu a shuga ngati muli ndi shuga, kungachepetse kugunda kwa impso zanu.
Kudziwa
Pali mayesero angapo amene dokotala angakhoze kuchita kuti adziwe bwino matenda anu a impso, ndipo mayesero ena (mwachitsanzo, kuyesera magazi) adzabwerezedwa nthawi zambiri, ngakhale kuti mukupita kumapeto.
Zitsanzo za mayesero omwe adokotala anu adzachite kuti azindikire ndikuwunika ntchito yanu ya impso ikuphatikizapo:
- Mayeso a magazi omwe amayesa ntchito yanu impso (mwachitsanzo, BUN ndi levelinine level) ndi magulu a electrolyte (mwachitsanzo, mlingo wanu wa potassium)
- Mayesero a mitsempha
- Impso za ultrasound
- Chiwopsezo cha impso zanu (ndondomeko yomwe mumagwiritsa ntchito tizilombo ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono) ndikuyang'aniridwa ndi microscope)
- CT ya impso zanu
Dokotala wanu adzafunanso kudziwa momwe mungasankhire fomu yanu (GFR). Nambalayi imalola dokotala wanu kumvetsa bwino ntchito yanu ya impso ndikudziwitsanso malo omwe mukudwala matenda anu. GFR ikuwerengedwera mosavuta pogwiritsa ntchito mlingo wa magazi, creatorine, zaka, chikhalidwe, ndi mtundu.
Ngakhale kuti ena mwa mayeserowa amalamulidwa ndi dokotala wa internist kapena wa mankhwala, munthu amene ali ndi matenda a impso amatha kutchulidwa ndi katswiri wa impso wotchedwa nephrologist, makamaka pamene akupita patsogolo.
Ndipotu, kafukufuku apeza kuti awo amene amatumizidwa kwa katswiri wa zachipatala amakhala nthawi yaitali kuposa omwe saona katswiri.
Nthrologist angatsatire ndondomeko yanu ya impso mosamala ndikukambirana za dongosolo la mankhwala ngati impso zanu zikulephera. Angathe kuyang'aniranso mavuto omwe amabwera chifukwa cha matenda a impso, monga matenda a m'thupi kapena matenda a mafupa.
Zizindikiro
Monga momwe matenda a impso amatha kusinthira, momwemonso zimakhala zofanana. Kuwonjezera pamenepo, nthawi yomwe munthu amayamba kuwona zizindikiro za matenda a impso zake sizodulidwa komanso zowuma. Ndipotu, anthu ambiri amamverera bwino mpaka matenda awo apita patsogolo. Ichi ndi chifukwa chimodzi chowonera dokotala wanu nthawi zonse kuti ayese magazi.
Zina mwa zizindikiro zomwe munthu angakhale nazo mu matenda a impso, makamaka pamene zikupita kumapeto, zimaphatikizapo:
Kutaya Mphamvu
Chinthu choyamba chimene mungaone ndikumva kugona kapena kutopa kwambiri kuposa nthawi zonse. Kugona kwanu kungasinthe. Mutha kugona masana kapena kuvutika usiku. Kutopa komwe kumagwirizanitsidwa ndi impso kulephera kuli kosiyana ndi kutopa kwamba. Mwinamwake mumakhala wotopa ngakhale mutagona mokwanira kapena kapu.
Kusintha kwa Maganizo
Mungathe kuona chisokonezo chokhazikika kapena mavuto omwe akuyambira mwamsanga omwe angapite patsogolo kukhumudwa, nkhawa , kukhumudwa, kapena ngakhale kukondweretsa . Munthu akayamba kutaya zowonongeka kuchokera ku impso, amatha kugwidwa ndi kutuluka.
Maganizo Osayembekezereka
Miyendo yopanda phokoso, mapazi oyaka moto, kapena mavuto ena amalingaliro angapangidwe chifukwa cha zowonjezera zowonjezera zowonongeka mu thupi. Ndipotu, izi zikachitika, zikhoza kukhala chizindikiro chakuti dialysis ikufunika mwamsanga.
Kusintha kwa Mitsempha
Monga mchere umangika m'magazi, ukhoza kuwona kuti minofu ikugwedeza kapena kuphulika, makamaka usiku.
Kusintha kwa Khungu
Kukonzekera kwa mankhwala otchedwa urea m'magazi kungachititse kuti khungu lanu lizitha, ndipo mukhoza kukhala ndi ufa wonyezimira pa khungu lanu. Kuwotchera kawirikawiri kumayang'aniridwa ndi zokometsera zam'madzi kapena antihistamines, monga Benadryl (diphenhydramine ) .
Kukhumba ndi Kusintha kwa Kunenepa
Chilakolako chanu chichepa , ndipo mukhoza kuchepetsa thupi. Mwinanso, mukhoza kulemera ngati thupi lanu likusunga madzi owonjezera.
Ngati simukupereka mkodzo koma mukamamwa madzi, mukhoza kuona kuti mapazi anu, miyendo, ndi maikolo amatupa, omwe amatchedwa edema.
Kusadya zakudya m'thupi mwa matenda a impso ndi vuto lalikulu, chifukwa chake nthawi zambiri anthu amadya chakudya chapadera kuti athetse thanzi lawo.
Kusintha kwa Kukonzekera
Mukhoza kudutsa mkodzo pang'ono kapena ayi. Ngati ndi choncho kwa inu, kuchepetsa kuchuluka kwa madzi omwe mumamwa kumapangitsa kuti mukhale otetezeka kwambiri mwa kuchepetsa kuchuluka kwa madzi okwanira m'thupi lanu.
Ena angasinthe kusintha kwawo monga kukodza kwambiri, kutaya mkodzo (kutchedwa kusadziletsa), kapena kupititsa patsogolo matenda ena okhudzana ndi ukodzo.
Kulephera Kugonana
Amayi nthawi zambiri amakhala ndi vuto la kusamba ndi kusabereka mu matenda a impso pamene amuna amayamba kupweteka kwa erectile. Kuphatikiza apo, amayi ambiri omwe amafika ku mapeto a matenda a impso amasiya kukhala ndi nthawi.
Kusintha Kwambiri
Kumanga mavitamini m'magazi kungawononge kusintha kwa kupuma, monga kupuma mofulumira komanso mozama kwambiri, koma kusinthaku sikumakhala kovuta. Komabe, madzi amatha kumanga m'mapapu ndi khoma la chifuwa lopangitsa kupuma ndi kupweteka pachifuwa.
Zosintha Zina
Palinso matenda ena okhudzana ndi matenda a impso osachepera monga kuchepa kwa magazi, mapiritsi otsika (omwe amathandiza kuti magazi anu asamawonongeke komanso amachititsa kuti aphwanyidwe mosavuta), mavuto a mafupa, kusowa kwa zakudya m'thupi, kusintha kwa madzi, ndi zosavomerezeka za electrolyte. Mpweya wa phokoso, kusanza, ndi zovuta zowopsya zimatha kuchitika.
Chithandizo
Kuchiza kwa matenda anu a impso kumadalira kuntchito kwa impso zanu. Mwachitsanzo, munthu amene ali m'munsi mwa matenda a impso amatha kutenga diuretic kuti ayambe kumwa madzi owonjezera. Komabe, munthu amene ali ndi matenda a impso otsirizira omwe samayambitsa mkodzo amafunika dialysis kuchotsa madzi ochulukirapo m'thupi.
Dokotala wanu amathanso kuthana ndi mavuto aliwonse okhudzana ndi matenda a impso. Mwachitsanzo, mungafunikire mankhwala ochepetsa magazi m'thupi kapena mankhwala osokoneza bongo.
Matenda Otsiriza a Matenda a Impso kwa Othandizidwa
Anthu nthawi zina amakhala zaka zambiri mothandizidwa ndi dialysis. Komabe, popanda dialysis, kapena ngati munthu asankha forego dialysis, imfa imachitika mkati mwa milungu ingapo. Monga poizoni amamanga m'magazi (omwe amatchedwa uremia), munthu ayamba kugona nthawi zambiri. Akhoza kuona zinthu zomwe siziripo, kapena kulankhula za kulankhula ndi anthu omwe adamwalira kale. Khungu lake likhoza kukhala lamtundu, ndipo iye sadzasowa njala. Luso la ludzu likhoza kutha, ngakhale kuti impso kulephera kungapangitse ludzu lopweteka kwambiri. Pamene akuyandikira imfa, amatha kukhala wolimba kwambiri ndikuyamba kupuma ( Cheyne-Stokes respiration ). Zizindikiro izi zingakhale zovuta kwambiri kwa okondedwa, koma zimawoneka kuti sizikumveka kwa munthu amene akufa. Pamene akuyandikira imfa, mwinamwake adzalowetsa m'kamwa. Panthawi ino, kungopatula nthawi ndi iye ndikofunika. Taphunzira kuti kumvetsera ndikumveka kutuluka, kotero kulankhula naye kungakhale kotonthoza kwambiri.
Poyerekeza ndi anthu akufa ndi khansara, omwe amafa ndi matenda a impso otsirizira amapezeka kuti ali ndipamwamba kwambiri ya chipatala komanso malangizo omaliza a moyo. Zimaganizidwa kuti anthu omwe ali ndi matenda a impso 5 angapindule ndi chisamaliro chabwino ndi kukonza mapeto a moyo. Ngati wokondedwa wanu akuyang'anizana ndi magawo otsirizawa, lankhulani ndi dokotala wake za chisamalidwe cha kupatsa komanso zosankha monga chipatala.
Mawu Ochokera
Ngati muli ndi matenda a impso, mukhoza kukhala ndi nkhawa poganizira zam'tsogolo. Khalanibe olimba ndikupitiriza kugwira ntchito limodzi ndi dokotala wanu. Kuwunika mosamala ndi kuzindikira koyambirira kwa matenda a impso ndizofunika kwambiri poteteza impso zanu.
Ngati muli ndi matenda a impso otsiriza ndipo muli pa dialysis kapena pafupi kwambiri ndi kuyamba dialysis, chonde onetsetsani kukambirana mafunso anu onse, nkhawa zanu, zomwe mukuyembekeza, ndi zolinga za chisamaliro ndi dokotala wanu.
Kaya mumasankha kukhala ndi dialysis, kapena ayi, kambiranani ndi dokotala wanu za chisamaliro cholera. Kwa anthu omwe ali ndi khansara, nthawi zambiri amamangika ku maulendo a chipatala, ndipo dongosolo lokonzekera limapangidwa. Ngati muli ndi vuto la impso, mungayambe kukambirana kuti mulandire chithandizo chabwino ndikukhala ndi moyo wabwino komanso nthawi yambiri yomwe mwatsala.
> Zotsatira:
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Kodi matenda a Kidney Chronicle ndi otani? Chigwilo
> Raghavan, D., ndi J. Holley. Kusamala kwa Okalamba CKD Odwala: Buku Lophunzitsira. Kupititsa patsogolo pa Matenda Osokoneza Matenda . 2016. 23 (1): 51-6.
> Rosenberg, M. Zambiri za Utsogoleri wa Matenda Ovuta a Impso mwa Akuluakulu. Kupititsa patsogolo . Kusinthidwa 12/06/17.
> Wachterman, M., Lipsitz, S., Lorenz, K., et al. Zochitika Zotsirizira za Okalamba Achikulire Kudya kwa Matenda Otsiriza Mapeto a Matenda: Kuyerekezera ndi Khansa. Journal of Pain and Symptom Management . 2017. 54 (6): 789-797.
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