Ukufakelwa kwezinso yiyona ndlela yokwelashwa engcono kakhulu yeziguli ezinehluleki lokulimala kwe-end-phase. Ngemuva kokufakelwa kwezinso, isikhathi sokuphila sikhuphuka kakhulu uma siqhathaniswa nokwelashwa kokufakwa esikhundleni se-dialysis. Lokhu kusebenza kuzo zombili iziguli ezinesifo sikashukela futhi ngaphandle kwaso.
Ngasikhathi sinye, emazweni akhuluma isiRussia nakwamanye amazwe kunokwanda komehluko phakathi kwesibalo sokuhlinzwa kwezinso okwenziwe nesibalo seziguli ezilindele ukufakelwa.
I-Prognosis yeziguli ezinesifo sikashukela ngemuva kokufakelwa kwezinso
Ukusinda kweziguli ezinesifo sikashukela ngemuva kokufakelwa kwezinso kubi kakhulu kuneziguli ezine-glucose metabolism ejwayelekile. Ithebula elilandelayo lisuselwa ekuhlaziyweni kweSikhungo Sokuphefumula saseMoscow, kanye neSikhungo Sokucwaninga Sokudlulisa kanye nezitho zokwenziwa zesikhathi sika-1995-2005.
Thayipha ukusinda kwesifo sikashukela esi-1 ngemuva kokufakelwa kwezinso
| Unyaka emva transplantation | Ukusinda kwesiguli,% | |
|---|---|---|
| Thayipha isifo sikashukela esingu-1 (iqembu labantu abangu-108) | I-nephropathy engenasifo sikashukela (iqembu labantu abangama-416) | |
| 1 | 94,1 | 97,0 |
| 3 | 88,0 | 93,4 |
| 5 | 80,1 | 90,9 |
| 7 | 70,3 | 83,3 |
| 9 | 51,3 | 72,5 |
| 10 | 34,2 | 66,5 |
Izici zobungozi zokusinda okuphansi kweziguli ezinesifo sikashukela sohlobo 1 ngemuva kokufakelwa kwezinso:
- isikhathi sesifo sikashukela ngaphambi kokuqala kokwehluleka ukubulala izinso singaphezu kweminyaka engama-25;
- ubude besikhathi sokuhlinzwa ngaphambi kokuhlinzwa kokufakwa kwezinso kungaphezu kweminyaka emi-3;
- iminyaka ngesikhathi sokuhlinzwa kokufakwa kwezinso ingaphezu kweminyaka engama-45;
- ngemuva kokuhlinzwa, i-anemia iyaqhubeka (hemoglobin <11.0 g ngelitha).
Phakathi kwezimbangela zokushona kweziguli ngemuva kokufakelwa kwezinso, indawo yokuqala enomugqa obanzi ihlalwa yi-peloology. Imvamisa yayo iphakeme kakhulu kunomdlavuza nezifo ezithathelanayo. Lokhu kusebenza kuzo zombili iziguli ezinesifo sikashukela sohlobo 1 futhi ngaphandle kwazo.
Isimo sokushona kweziguli ezinesifo sikashukela sohlobo lokuqala ne-nephropathy esingeshukela
| Imbangela yokufa | I-nephropathy engenayo isifo sikashukela (amacala angama-44) | Thayipha isifo sikashukela esingu-1 (amacala angama-26) |
|---|---|---|
| Isifo senhliziyo (kufaka phakathi i-gangrene yamaphethelo aphansi) | 17 (38,7%) | 12 (46,2%) |
| 0 | 4 (15%) | |
| Ukutheleleka | 7 (5,9%) | 9 (34,6%) |
| Izifo ze-Oncological | 4 (9,1%) | 0 |
| Ukwehluleka kwesibindi, njll. | 10 (22,7%) | 1 (3,8%) |
| Akwaziwa | 6 (13,6%) | 4 (15,4%) |
Naphezu kwazo zonke izingqinamba ezingaba khona, ukuhlinzwa ngezinso kwesiguli esinesifo sikashukela esisezingeni lokwehluleka kwinso kuyindlela yangempela yokwelula impilo futhi sithuthukise ikhwalithi yaso.
Umthombo wokwaziswa kwalesi sihloko yincwadi ethi “Isifo Sikashukela. Izinkinga ezinzima kanye ezingamahlalakhona ”ed. I-II.Dedova kanye noM.V. Shestakova, M., 2011.
