Zifukwa za Kulephera kwa Impso

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Kulephera kwa Impso: Kodi Kusowa kwa Impso N'kutani?

Kodi Kusowa kwa Impso N'kutani?

Kulephera kwa impso ndi chikhalidwe komwe impso sizikutsinthanso magazi a zonyansa zosafuna magazi. Izi zikhoza kuchitika pa zifukwa zosiyanasiyana, ndipo zimachokera ku vuto laling'ono limene limakonzedwa mosavuta ku sukulu ya moyo wonse yomwe imafuna dialysis kuti ichite ntchito ya impso.

Kulephera Kwambiri kwa Impso

Pali mitundu iwiri yambiri ya impso yolephera, yovuta komanso yambiri.

Kulephera kwa impso kwapadera ndi nthawi yamakono komanso nthawi yomweyo yomwe impso sizigwira ntchito komanso momwe zimakhalira . Nthaŵi zambiri, vuto lalikulu ndi impso zomwe zimachiritsidwa mofulumira nthawi zambiri zimathetsa kapena kuthetsa vuto laling'ono ndi kubwerera ku ntchito yachibadwa. Kwa odwala ena, vuto monga kutaya madzi m'thupi limakhalapo ndipo vuto likhoza kuchitidwa ndi chinthu chophweka ngati kumwa madzi ambiri kapena kulandira madzi.

Mawuwa amatha kutanthauza matenda osachepera miyezi isanu ndi umodzi, pamene matendawa amatanthauza miyezi isanu ndi umodzi kapena kutalika kwake.

Kulephera kwa Impso Kwambiri

Kugwidwa kwa impso kosatha, zomwe zili m'nkhaniyi, zimatchedwanso matenda otchedwa renal disease kapena ESRD. Ndizochitika pamene impso zimataya mphamvu zawo zowonongeka zowonongeka ndi madzi owonjezera kuchokera m'magazi kuti mutembenuzire kukhala mkodzo. Impso zikawonongeka kuti sangawononge magazi okwanira kuti apitirize kukhala ndi moyo, wodwalayo adzafuna dialyse kapena kupatsirana kwa impso kuti akhale ndi moyo.

Pamene impso zikulephera, dialysis - mankhwala omwe magazi amawasankhidwa ndikuyeretsedwa kuti agwire ntchito impso sizingatheke. Ngakhale kuti dialysis ikhoza kugwira ntchito yofunikira ya impso, mankhwalawa ndi okwera mtengo komanso owononga nthawi, osowa mankhwala osachepera atatu pa sabata iliyonse.

Kuchita opaleshoni ya impso ndiyo yokhayo "yothetsera" matenda opatsirana pogwiritsa ntchito impso, monga kupatsirana kwa impso kumathandiza kuchotsa kufunikira kwa dialysis. Kupatsa kumakhala ndi mavuto ake koma kumapangitsa kuti ukhale wathanzi kwambiri pamene opaleshoniyo ikuyenda bwino.

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Matenda a shuga ndi Kulephera kwa Impso

Matenda a shuga ndi Kulephera kwa Impso

Matenda a shuga osagonjetsedwa ndi a # 1 omwe amachititsa matenda a impso ku United States, omwe amachititsa odwala opitirira 30%. Ambiri opatsirana kupatsira impso amakhala mtundu wa 1 kapena mtundu wa shuga 2 .

Pakapita nthawi, kuchuluka kwa shuga m'magazi kumapangitsa impso kukwanitsa kufuta poizoni ndi kutaya magazi. Molekyu wa shuga ndi wamkulu kuposa ma molekyulu amene impso zikuyenera kusokoneza. Njira yowonongeka imawonongeka ngati shuga imakakamizidwa mu mkodzo, ndipo motero impso imatha kutaya mamolekyu ang'onoang'ono. Zowonongeka zimapitirirabe mpaka zowopsa kwambiri kuti zonyansa zimayamba kumanga mu magazi.

Mayesero a magazi adzawonetsera maulendo onse okwezeka a creatinine ndi BUN. Pamene zowonongeka zimayamba kumanga, dialysis kapena kupatsirana kwa impso ndi sitepe yotsatira ya chithandizo.

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Kuthamanga Kwambiri kwa Magazi ndi Kulephera kwa Impso

Kuthamanga Kwambiri kwa Magazi ndi Kulephera kwa Impso

Kuthamanga kwa magazi, kapena kuthamanga kwa magazi , kumayambitsa kupweteka kwa zipsinjo za impso. Pamene kuthamanga kwa magazi kukukwera, impso amayesera kubwezeretsa kuwonjezeka kwazitsulo. Minofu yowopsya imakhala ikupita kwa miyezi ndi zaka mpaka impso 'zokhoza kusokoneza magazi ziri zovuta.

Kutsekeka kosalekeza, kuthamanga kwa magazi kukupangitsani kupweteka mu impso mpaka atalephera ndi dialysis kapena kusintha kwa impso kumafunika.

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Matenda Ovuta a Impso ndi Kulephera kwa Impso

Matenda Ovuta a Impso ndi Kulephera kwa Impso

Matenda a matenda a impso amachititsa kuti zilonda zamphongo zikhale zovuta, zofanana ndi ululu umene umayambitsa matenda a shuga ndi shuga. Ndi matenda aliwonse, kuwonongeka kwawonjezeka, mpaka impso zitatha kuthetsa timadzi tating'ono ting'ono m'magazi.

Matendawa nthawi zambiri komanso oopsa kwambiri, amatha kukhala ndi vuto la impso. Matenda a m'magulu omwe amanyalanyazidwa angapangitse matenda a impso omwe amapitirira kufikira atachizidwa ndi maantibayotiki .

Ngati matenda okwanira ali okwanira, kapena osanyalanyazidwa ndi osatengedwera, zotsatira zake zingakhale zofunikira za dialysis kapena kupatsirana kwa impso.

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Matenda a Polycystic Impso ndi Kulephera kwa Impso

Matenda a Polycystic Impso

Pali mitundu iwiri ya matenda a impso a polycystic (PKD) . Choyamba, Autosomal Wamkulu PKD (ADPKD), ndi matenda obadwa nawo - mwana ali ndi mwayi wokwana 50% kuti adzalandire matendawa ngati makolo ake ali nawo. Mmodzi mwa makanda 500 ali ndi ADPKD, yomwe imayambitsa khungu kukula pa impso ndipo imabweretsa impso kulephera mu 50%.

Vuto la PKD (ARPKD) losavomerezeka silofala koma ndilo vuto lalikulu kwambiri. Makolo onse awiri ayenera kukhala chithandizo cha matendawa, ndipo ana awo ali ndi mwayi wokhala ndi ARPKD 25%. Pafupifupi 1 pa 20,000 anabadwa ali ndi matendawa.

Mu mtundu uwu wa matendawa, mphutsi zimakula mkati mwa impso, zomwe zimapweteka kwambiri zomwe odwala ambiri amafa mwezi woyamba wa moyo.

Kwa anthu opulumuka, gawo limodzi mwa magawo atatu aliwonse amafunika dialyse ali ndi zaka 10. Kuti zinthu zikhale zovuta kwambiri, ana omwe ali ndi ARPKD amadwala matenda a chiwindi omwe angayambitsenso mavuto owopsa.

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Matenda a Impso ndi Kulephera kwa Impso

Matenda a Impso ndi Kulephera kwa Impso

Kukula kwa chifuwa mu impso, kaya khansa kapena bongo, kungayambitse kuwonongeka kwa ziwalo za impso. Impso yachikulire imatha pafupifupi masentimita 10 ndi masentimita asanu, komabe ziphuphu mkati mwa impso zimatha kufika masentimita 10 kapena kuposera wodwala asanamve zotsatira zake pang'ono.

Panthawi imene chotupacho chipezeka, ngakhale sichikhala khansa, impso sizingagwire ntchito. Nthawi zina, kuwonongeka kwakukulu kotero kuti impso zichotsedwe kuti zisawononge ziwalo zina, kuphatikizapo mtima. Ngati impso otsalayo ikugwiranso ntchito bwino, dialysis kapena kusintha kwa impso kungafunike.

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Matenda a Impso Osagwirizana ndi Kulephera kwa Impso

Matenda a Impso Osagwidwa ndi Impso

Kusalongosoka kwa impso kobadwa kumakhala kovuta ndi impso zomwe ziripo pakuberekera. Zosokonekera zimachokera kumalo osalimba, kutsekedwa kwa mkodzo, kuthamanga kwa impso zomwe zimasokoneza ntchito, kapena kubadwa ndi impso imodzi. Ngati vuto liri lokwanira, impso kulephera kungabweretse.

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Miyala ya Impso ndi Kulephera Kwa Impso

Impso miyala ndi Impso Blockages

Matenda a impso, mavuto a ureters (ma tubes omwe amalola kuti mkodzo utuluke mu impso ndi chikhodzodzo), ndi zina zikhoza kuteteza mkodzo kuti usadye mu impso. Kawirikawiri, vuto limayambira mu impso, koma nthawi zina, chikhodzodzo sichitha kutuluka ndipo mkodzo ukhoza kubwerera m'mphuno, kenako nkulowa mu impso.

Mitsempha ikatha, impso imasokonezeka ngati mkodzo ukupangidwanso, koma sangathe kutuluka mu impso. Matendawa akhoza kukhala opweteka kwambiri ndipo amatha kuchitidwa opaleshoni kuti amasule kukonza mkodzo.

Ngati vutoli silinayambe kuchitidwa, impso sizingagwire ntchito ndipo zingatheke kuchotsedwa opaleshoni. Nthawi zambiri, impso zopanda mphamvu zidzatha kulipira; Komabe, ngati impso zina zowonongeka, dialysis kapena kusintha kwa impso zingakhale zofunikira.

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Zinthu Zowopsa Kwa Kulephera kwa Impso

Kulephera kwa Impso: Ndani Ali Pangozi?

Kafukufuku wasonyeza mobwerezabwereza kuti anthu a ku Africa-America ndi omwe amafunikira chithandizo cha impso, akutsatidwa ndi Achimereka Achimwenye, omwe ndi Asiya / Pacific Island. Anthu a ku Caucasus ndi omwe amatha kukhala ndi matenda otchedwa renal disease, omwe amakhala ndi nthendayi mobwerezabwereza kuposa azimayi.

Kusiyanitsa kwa nthendayi kumachitika ndi zinthu zingapo, kuphatikizapo chiwerengero chapamwamba cha shuga m'mitundu ina, kupeza mwayi wa chithandizo chamankhwala, kufunitsitsa kuthetsa matenda monga kuthamanga kwa magazi, komanso kuthandizira mankhwala oyenera.

Amuna amakhala osowa pang'ono kuposa amayi - pafupifupi 55% odwala ali amuna. Mlingo wa matenda ndi wapamwamba kwambiri pakati pa zaka zapakati pa 45 ndi 64, msinkhu umene matenda a shuga ndi matenda ena akhala akuwononga impso.

_Zotsatira:

_{Matenda Amene Amatsogolera Kujambula. Kusamba Zamoyo. 2008. http://www.transplantliving.org/beforetherrplant/diseases/default.aspx}

_{Statistics, United States Renal Data System. 2007. http://www.usrds.org/2007/ref/A_incidence_07.pdf}