Ndani ayenera kuyezetsa matenda a impso?
N'chiyani chingayambitse impso zabwino kuti ayambe kugwira ntchito mosavuta? Ndi matenda ati omwe amachititsa impso zanu kuthetsa poizoni pangozi? Izi ndizofunsanso mafunso omwe odwala anga ali nawo ndikawauza za matenda awo a matenda a impso (CKD).
Tiye tikambirane za matenda omwe amachititsa kuti mukhale ndi matenda a impso.
Izi ndi matenda omwe akuyenera kuti iwe ndi dokotala wanu muyang'ane ntchito yanu impso nthawi zonse, ndipo muyipereke moyenera.
Zizindikiro zomwe zimayambitsa matenda a impso nthawi zambiri zimakhala ngati matenda a shuga osati matenda a impso. Izi zatsimikiziridwa ndi umboni wovomerezeka womwe tingathe kukunkha kuchokera ku data ya United States Renal Data System (USRDS).
Kodi Matenda a Impso Amakhala Otani?
Pofotokozedwa ndi GFR <60 mu 2005-2010, 6.3 peresenti ya anthu a ku United States anakumana ndi matenda a impso, kapena CKD (poyerekeza ndi 9.3 ndi 8.5 peresenti ya shuga ndi mtima wa mtima, motero). Ngati, komabe, tifunika kuphatikizapo njira zina zomwe CKD ingatanthauzira (monga kuchuluka kwa mapuloteni excretion mu mkodzo, kapena albumin excretion pa 30 mg / tsiku), kuchuluka kwa CKD kukukwera kufika 9.2 peresenti. Mwa kuyankhula kwina, pafupifupi mmodzi pa anthu khumi adzakhala ndi CKD.
Zifukwa za Matenda Ovuta a Impso
Matenda a shuga ndi chiwerengero choopsa cha CKD, ndipo pafupifupi 40 peresenti ya odwala akufotokoza za matendawa, kuyambira 1988 mpaka 1994, ndi 2005-2010. Chopereka cha matenda oopsa kwambiri monga chifukwa chowoneka chikuwonekera kuchokera pansi mpaka pakati pa 20 peresenti.
Zikuoneka kuti kunenepa kwambiri kwapitirirabe chifukwa chachikulu, koma zopereka kuchokera ku matenda a mtima zikuoneka kuti zadutsa kuchokera pakati pa zaka 20 mpaka 40 peresenti. Izi zingachititse kuti matendawa asamveke ngati chinthu choopsa. Kuwonjezeka kumeneku kungafananenso ndi matenda akuluakulu a mtima chifukwa cha kufalikira kwachidziwitso komanso kuleza mtima kwa odwala.
Mutha kuona kuti matenda ambiri omwe tatchulidwa pamwambawa sali otsika kuchokera ku impso. Ndipotu, impso kawirikawiri zimanyamula matendawa. Matendawa amakhudza impso zimagwira ntchito kudzera mu njira zosiyana siyana zomwe zili pambaliyi. Kungokupatsani lingaliro, ngakhale njirazi zingaphatikizepo kuwonjezeka kwa kuthamanga kwa magazi mkati mwa fyuluta yam'msolo (glomerulus), zomwe zimayambitsa kuchuluka kwa fyulti. Izi zimatchedwa "adaptive hyperfiltration." Mufupikitsa, izi ndi zomwe zimapangitsa kuti mukhale ndi matenda a impso kuyambira pamene zotsatira za kuyesa magazi zimayang'ana bwino. M'kupita kwa nthaŵi, izi ndi chifukwa chake impso zimayambira "kutentha" ndikukhala ndi minofu yofiira. Tangoganizani galimoto yomwe imayendetsedwa mosalekeza pamakilomita 200 / ora.
Galimoto imeneyo idzawonongeka posachedwa, chabwino? Izi ndizochitika pamene shuga imakhudza impso zanu.
Nanga bwanji ndikuwongolera owerenga pazifukwa za CKD? Cholinga changa ndikuyendetsa malo omwe mukuyenera kukhala nawo, muyenera kudziyesa kuti ndinu munthu pachiopsezo chachikulu cha matenda a impso ndikuonetsetsa kuti mukuyesedwa. Malinga ndi siteji yanu, mungafunikire kutumizidwa kwa katswiri wa sayansi yazodzi komanso kampani ina. Apanso kufotokoza mwachidule, izi ndi izi:
- Matenda a shuga
- Kuthamanga kwa magazi
- Matenda a mtima (izi zingaphatikize anthu omwe ali ndi matenda a mtima, isokonezo la mtima, zikwapu, matenda opatsirana ndi mitsempha, zithunzithunzi, etc.)
- Kunenepa kwambiri
- Zizolowezi zamtundu ndi ziopsezo monga ma impso a polycystic
- Zosiyanasiyana zimayambitsa monga NSAID (painkiller) yayitali, kugwiritsa ntchito, kutengapo nthawi yayitali, ndi zina zotero.
> Chitsime:
> US Renal Data System, USRDS 2013 Annual Report Report: Atlas of Chronic Chronic Disease and End-Stage Diseases in United States, National Institutes of Health, National Institute of Diabetes ndi Digestive and Kidney Diseases, 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.