Uremia - kuyini? Uremia: Izimpawu

Uremia yisimo sokugembula okubangelwa ekuqongeleleni imikhiqizo umzimba wamaprotheni egazini. Kumuntu ophile kahle, lezi imikhiqizo umzimba ekuboniswa umchamo. Lesi sifo kubalulekile ngesikhathi esifanele ukuxilonga bese sithatha izinyathelo, ngoba khona-ke bangase babe nemiphumela emibi ngendlela efanayo. Udinga ukwazi ukuthi yini uremia e womuntu nowezilwane futhi nendlela yokuzigwema ukuze zingasivimbi ukuthuthukiswa yalesi sifo. Yebo, zokugula kutholakala hhayi kuphela abantu kodwa futhi phakathi kwabafowethu abasebasha, okudinga ukuhlolwa ngokushesha wezilwane zabo.

symptomatology

Kancane kancane uremia. Izimpawu ekuqaleni ngeke kakhulu liphinyiselwe futhi avele ikhanda elibuhlungu, ukukhathala. Igazi ukuhlaziywa libonisa abaqukethwe creatinine, urea, nitrogen asalile. Nitrogen-oqukethe izidakamizwa kanye urea, okuyinto buthelela egazini, ezigabeni kamuva we kanzima ukuma lesikhumba. Lesi simo kuthiwa i "frost" esikhumbeni noma "uremic powder." It wenza ukuthuthukiswa pericarditis, pleurisy, laryngotracheitis, nesifo, uremic kolwelwesi (ukuhlanza, isicanucanu, sokuzincisha). Ukudakwa kuholela ukuphazamiseka imisebenzi kwesibindi kanye nobuchopho. Futhi siyabhubha ukubona, ukuzwa, thrombocytopenia likhula futhi igazi.

izizathu

Bambalwa abantu abacabanga izizathu lapho uremia. Hlobo luni sizathu, Okwamanje, kubaluleke kakhulu ukwazi. Lesi sifo ngeke lodwa, okwagqugquzelwa nezinye izifo emzimbeni. Phakathi oqondile izimbangela uremia ngokuthi ukwehluleka esingamahlalakhona noma sibi kwezinso.

Izinto ezivamile sokuthuthukiswa uremia abe umdlavuza nesifo sezinso. Ukugula kungaphinde kwenzeke ku isizinda ukuvuvukala izinso zihlukaniswe sokuhlasela kwamasosha omzimba futhi iqhubeka. Ngokuvamile imbangela odokotela isifo shayela izinhlobo ezihlukahlukene zokubusa ngesimiso urolithiasis. Okuyikona kulokhu zikuvumela ukubeka colic kwezinso.

Uremia kungadalwa hhayi nephrological, futhi izifo letindzala. Uremic isimo ekupheleni isifo so-renal kwesifo sikashukela, isifo sofuba noma umfutho wegazi ophakeme. Lesi sifo kungavuka ngemuva kohlelo yamakhemikhali adakwe ubuthi abenobuthi.

izimpawu Azotemicheskoy ka uremia

Iziguli eziningi nakudzingeka ukuxilongwa "azotemicheskaya uremia." Kuyini futhi kanjani ukubhekana nokugula? Lesi sifo kwenzeka ezingamahlalakhona ukwehluleka kwezinso ngenxa self-ubuthi umzimba. Lona isimo esibucayi kakhulu egcina nephrosclerosis. Futhi izimpawu ezivamile isici uremic nesineke ngaso uremia azotemicheskoy avele ezingasho. Ukukhubazeka e izinso isebenze kuholela ukuphazamiseka umzimba ibhalansi acid-base nokumbiwa kwengoma. Ngenxa ekuqongeleleni ukudla esidi eba lactic.

izigaba zesifo

Ukuthuthukiswa azotemicheskoy uremia zingahlukaniswa zibe nezikhathi ezimbili. Eyokuqala ezifihliwe, futhi kulokhu, i-pathology kungatholakala kuphela esebenzisa izifundo ezikhethekile. Esikhathini esiyiminyaka yesibili ivela isithombe kahle echaziwe uremia ezingamahlalakhona. Ngendlela efanele usaqala yokwehluleka kwezinso kungaba azimisele esekelwe ngemiphumela yocwaningo urea, glomerular filtration electrolyte. Ukukhomba isifo esikhathini esicashile kungenzeka ngemva kwesifundo kwezinso excretory umsebenzi.

Kuye isimo filtration glomerular futhi ezingeni azotemia kukhona izigaba ezintathu nesifo esingamahlalakhona kwezinso: kokuqala, esibulalayo futhi wazwakalisa.

Lwasemtholampilo isithombe uremia azotemicheskoy

Emtholampilo, lesi sifo kubonakala ngesimo trophic, zezinzwa neziyaluyalu dyspeptic. Iziguli uhlushwa ukuhlanza njalo, isicanucanu, nomlomo owomile, ukoma, ukuya ukudla, ukungakuthandi ukudla. Isikhumba iba ugodo tint ophuzi, exinwe ukulunywa. Lesi sifo kuthiwa ephelezelwa sohudo, enterocolitis, gingivitis, stomatitis.

iziyaluyalu Neurologic obonakala njengenhlangano ukucobeka, ubuthakathaka, ukunganakwa. Kukhona iziyaluyalu kwegazi. Iziguli ziyancipha kakhulu ukuzwa futhi umbono, bakhathazeka ukulunywa ezibuhlungu. Uremia, okuyinto izimpawu yokugcina isinyathelo phambili ekuthuthukiseni endocarditis esibulalayo, kungaba yingozi.

ukuba nombono ongafani ngeke

Ukuqhubeka kwesifo ezimweni eziningi siholela ekufeni isiguli. Kungaba bakheke ngokushesha noma kancane. On isimo lesiguli kungathinta ukopha, ukuhlinzwa, bebeletha, izifo. umphumela Lethal kwenzeka ngenxa ukutheleleka intercurrent, unhlangothi, ukopha emathunjini, esingamahlalakhona kwegazi, ukudakwa. Ngo esigabeni sokuqala uremia umhlahlo uhlamvu kahle. Ukuphela-esiteji eshiya cishe awekho amathuba okusinda.

Kuphi?

Uremia, izimpawu, ukwelashwa kanye ukuxilongwa okuyinto kuhlobene, akakubekezeleli ukungasigcini isikhathi. I ngaphambili lesi sifo sitholakale ukuqala ukulwa naye, kulapho cishe isiguli ukuba siphindele esimweni esikahle. Ukuze hhayi ukulahlekelwa isikhathi ngeze, kubalulekile ukwazi ukuthi iyiphi udokotela ukuxhumana. Uma umuntu inezimpawu ka uremia ephelezelwa izimpawu ezinso, usizo kule ndaba, can Urologist. Ngeke ukuxilonga futhi zibeka ukwelashwa okufanele futhi ngempumelelo.

Lapho uremia izinso kungase kudingeke imvelaphi oncological, kudingeka isicelo oncologist. izifo letindzala Okungalapheki (isifo sikashukela, isifo sokuqina kwemithambo yegazi) ukunikeza isizathu sokuba abantu baphendukele owelapha ngaphambi uya for babonisana nge Urologist.

ukuxilongwa emitholampilo

Kuthiwani uma umuntu ebhekene nalesi nezimpawu nobuntu izifo ezifana uremia? Kuyingozi kakhulu ekuphileni, kufanele aqondwe kusukela ngomzuzu wokuqala futhi ngokushesha uxhumane ochwepheshe. Esibhedlela, ukuphikisa noma uqinisekise izinsolo ukuqhuba ukuxilongwa oluphelele futhi uhlele ukwelashwa okufanele.

Isinyathelo sokuqala sitholakele uremia wenziwa ukuhlaziywa kwamakhemikhali kwegazi, lapho ufuna kutholakale izinga creatinine kanye urea. Kuyadingeka ukuba kutholakale izinga iphrotheni esegazini. Uma izinsolo kubo kwaqinisekiswa uremia, it is eminye eyenziwa eziningi ukuhlolwa wezinsimbi futhi laboratory ukuze kutholakale imbangela. Kuyinto ngezinye izikhathi kungenzeka ukunquma ukuhlaziya jikelele umchamo. Lapho lolu cwaningo akwanele, sokutholakala ukuthi une-ultrasound, urography excretory, CT.

ukwelashwa

ukwelashwa uremia kusekelwe yokwelapha syndromic hhayi lingaze, ngoba lesi sifo singumbulali syndrome ebandakanya izimpawu ezahlukene. Ukwelashwa kungenziwa kusetshenziswa hardware noma ukwelashwa.

indlela Medical for ekwelapheni uremia kuyinto ngokukhishwa kobuthi egazini kanye therapy rehydration. Kususelwa kobukhulu nesineke, linqume ethile izidakamizwa. Kwezinye izimo ukwelashwa ngemithi - ke uwukuphela kwethemba isiguli. Ikakhulu le ndlela isetshenziswa ezikhathini zokuqala lapho izindlela ezimbi nakakhulu ayikwazi ukusetshenziswa.

isebenzisa umshini wezinso Haematology

Akukhona nje ngosizo imithi luqedwe uremia. Izimpawu, ukuphathwa ziyahlukahluka. Ezimweni lapho isifo singakabi amenable ukuba isenzo izidakamizwa ukwelapha it, usebenzisa zelashwe hematological. He kubhekwa kuqala kakhulu. Kwenziwe hematological zelashwe usebenzisa ama-apharathasi ekhethekile, eyaziwa edume ngokuthi "izinso yokufakelwa". Ingabe badabula ithuluzi igazi lomuntu ngokususa therefrom imikhiqizo sokugembula umzimba. Ukwesaba iziguli ukuqhuba zelashwe Haematology uchaza umbono ejwayelekile mayelana lo mkhuba kuze kube "izinso yokufakelwa". It engakaze ukuqinisekisile, futhi cishe ayinakho nesisekelo esingokwesayensi sokuba kube khona. Ngaphezu kwalokho, kwezinye izimo, ukuze ulondoloze ukuphila komuntu kungenziwa kuphela usebenzisa umshini. Haematology zelashwe okuhloswe ngazo ubuyisela esimweni esejwayelekile e uremia nangemuva eyenziwa ukwelashwa etiological kuqedwe imbangela eyinhloko isifo.

Ukwelashwa nokuvikelwa amakhambi abantu

Ngezinye izikhathi iziguli ungacabangi ngalokho igcwele uremia, ke esisongela ukuphila kwakho. Abalinaki iqiniso ukuthi kungenziwa kuphela baphathwe izikhungo ezikhethekile ngaphansi kweso lwezokwelapha. Ngokuvamile iziguli ziye zanquma ukuba amakhambi ukwelashwa abantu, it is kakhulu Kunconywa zokugula ezinjalo. Ikhanga imithi ehlukile elisusa isikhathi esiyigugu ukuze isiguli futhi kungaholela ezingezinhle kakhulu.

yezinkinga

Uremia ngokwayo akuseyona inkinga ngenxa yezinso, kodwa ngesikhathi esifanayo kuba - hhayi Iphuzu lokugcina ekuthuthukiseni zokugula. Ukuswelakala kokusebenza ngokuhlanganyela ukwelashwa okuvamile inkimbinkimbi isimo lesiguli, nokuthuthukisa uremia ezingamahlalakhona. Sibangelwa ukulimala izakhiwo sezinzwa zobuchopho ubuthi urinary, okuholela ukuthuthukiswa encephalopathy kwezinso. Izimpawu uremia abazihlanganisa kakhudlwana futhi inkumbulo iphelelwa isikhathi, eliqhaqhazelayo kwamalungu omzimba, ubuhlungu bekhanda nakwisyncope yansukuzonke. Iziguli ekugcineni faka isimo ngesivalo, okuyinto kuhambisana retardation ezinzima, ukulahlekelwa emkhathini. Ukubambezeleka kungaholela esibhedlela isiguli noma kwezinso ikhoma uraemic, izimpawu ukudonsa umoya ezinomsindo, nokuquleka zeluliwe, ammonia umoya, constriction balezi zingane. Izimpawu zokuphila isiguli kuyagcinwa kuphela ukuphefumula nokushaya kwenhliziyo ababuthakathaka. ikhoma kwezinso ezimweni eziningi uphela ezibulalayo uma uremic nesineke has a sethubeni elihle ukuba asinde, kodwa ukuze uyothuthukisa ukwehluleka bokusungula.

Lesi sifo e izilwane

Kuyini uremia kumuntu, siye kakade eyakuthola. Kodwa lesi sifo kuvamile phakathi kwezilwane. Akuwona wonke umnikazi ikati noma inja uyaziqaphela izimbangela kanye imithi yesifo, futhi kumane nje kudingekile ukuqinisekisa ukuphepha isilwane sika. Ukuze isilwane, lesi sifo ayinakho ngaphansi usongo than obuntu. Uremia e amakati nezinja ihlobene imiphumela anobuthi imfucumfucu nitrogen lonke umzimba, yiziphi ngenxa ukusebenza engafanele izinso akhishelwa egazini. Lesi sifo uhlukaniswe oyingozi futhi ezingalapheki. Ifomu okukhulu uremia ezilwaneni kubangelwa ukwehluleka oyingozi kwezinso ngenxa elinobuthi, sepsis, ukuntuleka kwamanzi emzimbeni, ukuhlukumezeka, ukusha, iziyaluyalu kwegazi.

Ngo umkhuba ngokuvamile kufanele ubhekane ifomu okungamahlalakhona, okuyinto eba ngenxa izifo kwezinso (izimila, amatshe e izinso, nephritis). Uremia e amakati, ogama izimpawu abasakwazi okuqaphelekayo, liyabonakala by ebukeka ngayo. Umphefumulo isilwane ubalekela, kukhona ukucobeka, isicanucanu, ukuhlanza. Kwamanye ikhava isikhathi yoboya ilahlekelwa ukubukeka zako ezikhangayo bese uthinta iba ekhathazayo, isilwane kunciphisa ngokushesha isisindo, ammonia iphunga esiyitholayo emlonyeni wayo. Akubalulekile ukuba ngokuzimela ukuthatha noma yisiphi izinyathelo ngoba impatho, kungaba kuphela ukwenza okubi. Ngokushesha ufuna ukukhombisa isilwane sakho ukuze Vết.

Ukuxilongwa kanye nokwelashwa of uremia ezilwaneni

Ngokuyinhloko udokotela kufanele ukuqhuba ukuhlolwa igazi ukuthi sizobonisa zonke ngeziphambeko kusukela uthola isimo isilwane. Uma ungenawo aphathe lesi sifo, kungukuphula ezinye kwezitho izinhlelo. Ikakhulukazi, umsebenzi kuyaphazamiseka kwengqondo, isibindi, kwandisa sokuntuleka kwegazi kanye ukopha zenzeka. Okungalapheki ukwehluleka kwezinso cishe awekho amathuba ukuze usinde isilwane.

Lapho sitholakele "uremia" kwakudingeka esiphuthumayo esibhedlela isilwane. Lesi sikhungo wezilwane uzobe njalo waqashwa isimo jikelele isilwane, inhliziyo futhi umgudu wokuphefumula, isimo igazi. Kuzophinde kwenziwe izilinganiso umtholampilo eklanyelwe sizinze ngcono isimo isilwane.

Ukuphulula abanikazi kumele wazi ukuthi uremia inikeza usongo ngqo ngokuphila kwesilwane. Uma isikhathi akusho sinake isimo sokugembula, isilwane angase afe.