Izimbangela Nezingozi izigaba CKD

Okungalapheki ukwehluleka kwezinso - ukuhlukumeza umsebenzi izinso izinyanga okungenani 3. Imbangela enkulu yalesi sifo - ukubhujiswa nephrons kanye ukunqwabelana ubuthi, ezifana urea, creatinine futhi uric acid. Okokuqala, ake uchaze izimbangela, bese CRF.

1. glomerulonephritis Ezingalapheki, pyelonephritis.

2. isifo so-renal kubangelwa isifo sikashukela, umfutho wegazi ophakeme, isifo sokusha kwesibindi kohlobo B no-C, sifo noma umalaleveva.

3. Ukuphendula izidakamizwa namakhemikhali ayingozi.

4. Izinkinga esinyeni.

Manje ake sibheke esiteji CKD.

Kunezinhlobo eziningana lesi sifo, siphinde sicabangele kuphela omunye wabo, Lopatkin.

Hlukanisa izigaba ezilandelayo CKD ngu creatinine (ngokunembile, ngokwalokho ekuqukethe egazini):

1. Isigaba 1 libizwa esicashile. Creatinine akuyona inkulu kakhulu kunangendlela kuyinsakavukela: 1.6 mg / dl ngesilinganiso 1.2. CRF (Isinyathelo 1) kwenzeka kungekho zimpawu zokugula. Lokhu kunciphisa zamagama ammonia, umchamo osmolality. Kepha renogrammy, akashintshi kakhulu. Ngokuvamile lesi sifo itholwa ngenhlanhla ngesikhathi luhlolo.
2. A 2-esiteji libizwa poliuricheskoy noma inzuzo. Creatinine isivele 2.7 mg / dl. Inkokhelo kungenxa isibindi kanye nezinye izitho. Kulesi sigaba, zikhona kakade izimpawu: ubuthakathaka, ikakhulukazi ekuseni, ukoma futhi ukwehla okuncane nje kwamazinga okushisa umzimba. Renogramma duda. Kakhulu ziyancipha filtration glomerular futhi osmolarity. CRF izinyathelo ezilandelayo ziyinkimbinkimbi futhi evelele.
3. 2-B esigabeni ka ngakanye ngokuthi. igazi Creatinine liye landa kakhulu - 4.5 mg / dl. It kwandisa umthamo umchamo kanye pH layo - ane-alikhali. Kepha urea, ke kukhuphuke ngo izikhathi 2. It kunciphisa inani calcium, potassium. Izimpawu zalesi sigaba zifaka: ubuthakathaka, ikhaliphe abampofu, kukhona imisipha ukudikiza futhi amajaqamba, isikhumba esomile, igazi kakhulu kanye nomfutho wegazi ophezulu. indoda futhi, okuyinto 2-D esiteji ezingamahlalakhona ukwehluleka kwezinso, isicanucanu, ngezinye izikhathi ukuhlanza, ehlupheka kusukela sokuzincisha ukudla, ukuqunjelwa, hiccups futhi ukuvuvukala.
4. Isigaba 3 ngokuthi ukuphela. It libhekene inkinga yokulala, isimo sengqondo, isikhumba iqala ukuba ukuluma, amajaqamba eshiwo ngokucacile. Okuphawulekayo anda creatinine, urea nitrogen asalile.

Siye ohlwini CRF ngoba Lopatkin. Njengoba ubona, nge esigabeni ngasinye isimo sibi kakhulu, ngakho-ke kuyadingeka ukubonana nodokotela asikisele lapho izimpawu zokuqala. Manje cabanga ngalokho ukwenza esigabeni ngasinye ezingamahlalakhona ukwehluleka kwezinso:

1. Isigaba sokuqala. Ukwelapha simiswe ngalendlela lelandzelako: ukunqampunwa exacerbation izinqubo ukuvuvukala kule nezinso. Ngenxa yalesi esingamahlalakhona enciphile kwezinso.
2. Eyesibili esiteji. Ngaphezu ukwelashwa echazwe ngenhla, ukulinganisa izinga Ukulandelana ukwehluleka kwezinso. Isiguli ezinqunyiwe imithi ikakhulukazi Lokudabuka isitshalo, ukuze kuncishiswe amazinga ayo.
3. Isigaba sesithathu. Sebenzisa umuthi ofanayo ukuthi kwesiteji 2nd kanye nomfutho wegazi ophezulu lesifanele, ukuntuleka kwegazi emzimbeni, kanye nezinye izinkinga. Nge abalulekile Ukuhlukumeza nesineke ukwenza izinso Ukufakelwa.

Zonke CRF isho kwezithibelo ukudla. Ngokuvamile, ongaphakeme-amaprotheni yokudla zaphathwa isiguli esincane amaprotheni isilwane, phosphorus kanye sodium. Zama ukugcina umkhondo impilo yakho, ngoba uma wena badonsa isikhathi CRF, uzokwazi ukuba alulame ngokushesha futhi uzizwe ungumqemane.