Impso ndi ziwalo zomwe zimatsuka zonyansa ndi poizoni kuchokera m'magazi ndikuzisunga bwino. Anthu ambiri ali ndi impso ziwiri, koma anthu ena amagwira bwino ntchito imodzi yokha. Ndiwo kukula kwa nkhonya ndikukhala ndi malo pafupi ndi nsana pansi pa nthiti ya nthiti. Magazi amapitirirabe kupyolera mu impso kuti asungunuke zowonongeka. Amapanga pafupifupi 2 makilogalamu a zinyalala ndi madzi.
Madzi amenewo ndi mkodzo umene waikidwa mu chikhodzodzo chanu. Pamene chikhodzodzo chanu chadzaza, mumathamanga, kuchotsa.
Shuga ndi Impso
Matenda a shuga ndi matenda omwe insulin sungapangidwe (mtundu wa 1) kapena insulini yopangidwa ndi mphukira siigwiranso ntchito (mtundu 2). Gulusi imalowa mumtsinje wa magazi ngati chakudya chimakulungidwa. Insulini ndi ma hormone omwe amalola kuti shuga isachoke m'magazi pamene imazungulira ndikulowa maselo. Pamene shuga imalowa m'maselo, imawatsanulira, ndi mphamvu yomwe amafunikira kuti ayendetse thupi. Ngati palibe insulini, kapena ngati ikugwira ntchito monga momwe iyenera kukhalira, shuga imayendayenda m'magazi, osatha kuchoka.
Mavuto
Zovuta za kupitirira kwa magazi m'thupi mwathu nthawi zambiri zimakhudza mitsempha yaing'ono yamagazi thupi lonse, osati impso zokha, komanso mitsempha ndi minofu, maso ndi mtima. Matendawa, matenda obwera m'mimba, ndi matenda a mtima ndizovuta zomwe zimakhudza ziwalo izi.
Kulamulira bwino magazi m'magazi kumathandizira kuchepetsa kapena kupeŵa mavutowa. Kuyesa shuga ya magazi kangapo patsiku ndi njira yabwino yopindulira mtundu umenewu.
- Zovuta Zakale Zokhudza Matenda a Shuga
- Ovomerezedwa Maseŵera a Shuga a Magazi
- Zifukwa Zabwino Zowunika Magazi Anu Shuga
Kuwonongeka kwa Impso
Impso zimapangidwa ndi mamiliyoni ang'onoang'ono ofufuza otchedwa nephrons.
Nephrononi imakhala ndi zingwe zing'onozing'ono mkati mwake. Izi zimawonongeka pa nthawi yomwe mazira a shuga amakhala aakulu kwambiri. Izi zimakhudza impso zomwe zimatha kufalitsa magazi. Kutaya komwe kawirikawiri kumatulutsidwa kumakhalabe m'magazi omwe amabweretsa mavuto aakulu. Kawirikawiri, kuwonongeka kumatenga zaka kuti zikule.
Kupanikizika Kwambiri kwa Magazi
Kuthamanga kwa magazi kungakhale chizindikiro chakuti ntchito ya impso ikukulirakulira. Chodabwitsa n'chakuti, kuthamanga kwa magazi kungathenso kuwonongeka kwa impso. Mankhwala oponderezedwa ndi magazi nthawi zambiri amatumizidwa kuti magazi asamayende bwino komanso kuti achepetse kuwonongeka kwa magazi. Kawirikawiri, mankhwala omwe amagwiritsidwa ntchito amagwiritsidwa ntchito kuti magazi asatengeke. ACE (mavitamini omwe amatembenuza angiotensin) ndi ma ARB (angiotensin receptor blockers) ndi mankhwala omwe amadziwika kwambiri.
- Kupanikizika kwa Magazi ndi Shuga
- Kufunika Kuthana ndi Kupanikizika kwa Magazi Anu
- ACE Inhibitors ndi shuga
Creatinine
Creatinine ndizowonongeka zomwe nthawi zambiri zimasankhidwa kuchokera ku magazi ndipo zimatulutsidwa mu mkodzo. Pamene impso zimayamba kulephera, creatinine imamanga m'magazi. Madokotala amawunika maulendo a creatinine mosamala kuti azindikire kuchuluka kwa ntchito impso.
Kawirika kawiri kawiri ndi pakati pa 0,6 ndi 1.2 mg / dl. Izi zimasiyana mosiyana. Pamene chiwerengero chikuwonjezeka pamwamba pa 1.2, chimasonyeza kuti ntchito ya impso ikucheperachepera. Mitundu ya Creatinine imapezeka ndi mayeso a magazi.
BUN
BUN (magazi urea nitrogen) ndi chigawo china cha ntchito ya impso zomwe madokotala amayang'ana. Pamene magazi akuyenda m'thupi, mapuloteni amazungulira maselo. Maselo amagwiritsira ntchito mapuloteni ndi kutaya zonyansa zomwe sazisowa. Kuwonongeka uku kumatchedwa urea. Kawirikawiri urea amachotsedwa m'magazi ndi impso. Urea imakhalanso nayitrogeni. Ngati impso sizigwira ntchito monga momwe ziyenera kukhalira, urea ndi nayitrojeni amakhala m'magazi.
BUN ya oposa 20 mg / dl ndi chizindikiro cha kugwira ntchito kwa impso.
Kulephera kwa Impso
Kulephera kwa impso ndi sitepe yotsiriza ya matenda a impso. Pamene impso zingakhoze kugwira ntchito, palibe poizoni kapena zonyansa zingathe kuchotsedwa ku thupi. Zotayira zonsezi zikupitirira kufalikira m'magazi, zomwe zimapangitsa kukhala poizoni kwambiri. Pamene impso za munthu zatha, zimadziwika kuti matenda otchedwa renal disease (ESRD). Palibe amene angakhale moyo wautali kwambiri ndi ESRD popanda kuthandizira. Dialysis iliyonse kapena kuperekera kumafunika.
Dialysis
Hemodialysis imachitika ku chipatala cha dialysis katatu pamlungu ndi antchito oyenerera. Ndondomekoyi imatenga maola 3-4 ndi kupitirira pa nthawiyo, magazi a wodwala amatumizidwa kupyolera mu makina omwe amawasinthasintha ndikuwapatsanso. A shunt osatha amaikidwa opaleshoni kuti apeze.
Peritoneal dialysis ikhoza kuchitidwa kunyumba ndi wodwalayo. Zimapanga mlingo wapamwamba wodzipereka chifukwa ziyenera kuchitika tsiku ndi tsiku. Mitundu yonse ya dialysis imathandiza kuti moyo ukhale wambiri.
Kusamba
Nthawi zina, impso zoperekedwa zingapangidwe mu thupi. Impso zatsopano zikanatha kugwira ntchito yamphongo ya impso ziwiri zopanda ntchito. Impso yoberekera iyenera kufanana ndi mtundu wa minofu wa munthu amene akulandira impso, monga momwe angathere. Pambuyo pake, mankhwala osokoneza bongo ayenera kutengedwa kuti akhale ndi moyo, kuteteza kukana liwalo.
Kuchepetsa Ngozi
Chifukwa matenda a impso amatha kutenga zaka, anthu omwe ali ndi shuga amatha kuchita zambiri kuti athetse chiopsezo. Kuwongolera mphamvu za magazi m'magazi kumatha kuchepetsa kapena kuchepetsa kuwonongeka kwa nthawi yaitali mitsempha ya mitsempha yofooketsa osati impso zokha koma kwinakwake m'thupi. Onetsetsani kuthamanga kwa magazi nthawi zambiri, ndipo yesetsani kuisunga kapena pansi pa 130/85. Tengani ACE kapena ARB ngati adokotala akulemba. Yang'anani cholesterol yanu ndi kulemera kwanu. Siyani kusuta. Zonsezi zimatha kuyenda motalikira kuti impso zanu zizigwira ntchito bwino ngati momwe zingathere.