Isifo sezinso kushukela singenye yezinkinga zaso futhi sidinga ukwelashwa okukhethekile ngaphansi kokuqondisa udokotela.
Isifo sikashukela siyithinta kanjani izinso?
Izinso ziyisitho esigoqiwe, esinye sezinto ezibaluleke kakhulu ohlelweni lokudalwa komuntu.Njengomhluzi “ophilayo”, ahlanza igazi futhi asuse amakhompiyutha ayingozi wezinto eziphilayo - imikhiqizo ye-metabolic - emzimbeni.
Omunye umsebenzi wabo ukulawula ukulingana nosawoti wamanzi emzimbeni.
Ku-sikashukela, igazi liqukethe ushukela omningi ngokweqile.
Umthwalo wezinso uyakhuphuka, ngoba ushukela usiza ukususa inani elikhulu loketshezi. Ukusuka kulokhu, ezigabeni zokuqala zesifo sikashukela, izinga lokuhlunga liyakhuphuka futhi nengcindezi yezinso ikhuphuka.
Izakhi ze-glomerular zesitho esiyisisekelo esidungekile sizungezwe ulwelwesi olungaphansi. Esikhathini sikashukela, iyaqina, njengoba nezicubu eziseduze, okuholela ekuguqukeni okubhubhisayo kuma-capillaries nezinkinga zokuhlanzwa kwegazi.
Ngenxa yalokhu, umsebenzi wezinso uyaphazamiseka kakhulu kuze kuthi lapho ukwehluleka kwezinso kukhule. Kuyaziveza:
- ukwehla kwezwi elijwayelekile lomzimba;
- ikhanda;
- ukuphazamiseka kwesistimu yokugaya ukudla - ukugabha, isifo sohudo;
- isikhumba esikhanyayo;
- ukuvela kokunambitheka kwensimbi emlonyeni;
- iphunga lomchamo livela emlonyeni;
- ukuphefumula komoya, okuzwakala kusuka ekusebenzeni kanzima ngokomzimba futhi kungadluleli ekuphumuleni;
- imijikelezi kanye namaqhubu emikhawulweni engezansi, kuvame ukwenzeka kusihlwa nasebusuku.
Lezi zimpawu zingaveli ngokushesha, kepha ngemuva kweminyaka engaphezu kwengu-15 kusukela ekuqaleni kwezinqubo ze-pathological ezihambisana nesifo sikashukela. Ngokuhamba kwesikhathi, izinhlanganisela ze-nitrogen ziqongelela egazini, izinso ezingasakwazi ukuzihluza ngokuphelele. Lokhu kudala izinkinga ezintsha.
Izifo zezinso ku-mellitus yesifo sikashukela (ukuthuthukiswa kanye / noma umphumela)
Ukuphazamiseka kohlelo lwe-Urinary kushukela, ukukhula kancane, kungaba ngezindlela ezahlukahlukene. Kulokhu, kuphakama izinkinga ezinkulu ze-metabolic. Ziwuthinta kabi umsebenzi wazo zonke izitho nezinhlelo.
Isifo Sikashukela Sikashukela
Isifo sikashukela nesifo sikashukela sibhekisela ezimeni eziningi ezihlukaniswa njengezinkinga zezinso zesifo sikashukela.
Sikhuluma ngokunqotshwa kwezinhlaka zokuhlunga nemikhumbi ebondlayo.
Lokhu kwephulwa kwempilo kuyingozi ngokwakhiwa kokuhluleka kwe-renal okuqhubekayo, okusongela ukuphela esigabeni esibulalayo - isimo sokwehla ngokwedlulele.
Esimweni esinjalo, ikhambi lingaba yi-dialysis kuphela noma ukufakelwa kwezinso konikelayo.
I-Dialysis - ukuhlanzwa kwegazi okungeziwe ngemishini ekhethekile - kunqunyelwe ama-pathologies ahlukahlukene, kepha phakathi kwalabo abadinga le nqubo, iningi lalabo abahlushwa isifo sikashukela sohlobo II.
Njengoba sekushiwo, ukunqotshwa kombhangqwana wezitho eziphambili zomchamo kubantu abanenkinga "ushukela" kuba minyaka yonke, kungazivezi kakhulu ekuqaleni.
I-renal dysfunction eyenziwe ngezigaba zokuqala, yathuthuka, idlulela esigabeni esijulile, okuyi-nephropathy yesifo sikashukela. Inkambo yayo, ochwepheshe bezokwelapha bahlukaniswe izigaba eziningana:
- ukuthuthukiswa kwezinqubo zehyperfiltration okuholela ekunyukeni kwegazi futhi, ngenxa yalokho, ukwanda kosayizi wezinso;
- ukukhuphuka okuncane kwesamba se-albhamuin kumchamo (i-microalbuminuria);
- ukwanda okuqhubekayo kokuhlushwa kweprotheni ye-albhamuin kumchamo (macroalbuminuria), okwenzeka ngokumelene nesizinda sokucindezela kwegazi;
- ukubonakala kwe-nephrotic syndrome, okubonisa ukuncipha okukhulu kwemisebenzi yokuhlunga kwe-glomerular.
I-Pyelonephritis
I-Pyelonephritis inqubo engacacisanga yokuvuvukala ezinso enomsuka wegciwane, lapho kuthinteka khona ukwakheka kwengxenye yomchamo oyinhloko.
Isimo esifanayo singaba khona njenge-pathology ehlukile, kepha imvamisa kungumphumela wezinye izinkinga zempilo, njengoku:
- urolithiasis;
- izilonda ezithathelwanayo zohlelo lokuzala;
- isifo sikashukela mellitus.
Kepha okokugcina, kubangela i-pyelonephritis kaningi. Kulokhu, ukuvuvukala kwezinso akulapheki.
Ukuqonda izizathu, kubalulekile ukuqonda ukuthi, ngaphandle kwesimo esithathelwanayo se-pathology, ayikho i-pathogen ethize. Imvamisa, ukuvuvukala kwenzeka ngenxa yokuchayeka kuma-microorganisms e-coccal kanye nesikhunta.
Lesi simo sidingida iqiniso lokuthi inkambo yesifo sikashukela ihambisana nokwenza buthaka kwamasosha omzimba.
I-glucose kumchamo yakha indawo ekahle yokuzalanisa yamagciwane.
Izakhi zomzimba ezivikelayo azikwazi ukwenza imisebenzi yazo ngokuphelele, ngakho-ke i-pyelonephritis iyakhula.
Ama-Microorganisms athinta uhlelo lokuhlunga kwezinso, okuholela ekwakhekeni kwamagciwane egazi azungezwe ukungena kwe-leukocyte.
Ukuthuthukiswa kwe-pyelonephritis isikhathi eside kungavilaphaza futhi kuthambe, kepha-ke ukuwohloka kwenhlalo kanye nokuhlala kahle kwenzeka:
- umsebenzi wokuchama uyahlupheka. Inani lansuku zonke lomchamo liyancipha, kuvela izinkinga zokuchama;
- umuntu ukhononda ngobuhlungu obuzwakalayo esifundeni se-lumbar. Zingaba-ohlangothini olulodwa noma ezinhlangothini ezimbili, zivuke kungakhathalekile ukuhamba kwezinto kanye nokusebenza komzimba.
Amatshe ezinso
Ukwakheka kwamatshe ezinso kwenzeka ngezizathu ezahlukahlukene, kepha ngandlela thile kwesinye isikhathi kuhlotshaniswa nokuphazamiseka kwe-metabolic.
Ukwakheka kwama-oxalates kwenziwa ngokuthi kuhlanganiswe i-oxalic acid ne-calcium.
Izakhiwo ezinjalo zihlanganiswa zibe ngamacwecwe aminyene anendawo engalingani engalimaza i-epithelium yomzimba wangaphakathi wezinso.
Amatshe ezinso yizinto ezejwayelekile kubantu abanesifo sikashukela. Sola yonke into - izinqubo ezonakalisayo emzimbeni futhi, ikakhulukazi ezinso. I-Pathology iphazamisa ukuhamba kwegazi, ikwenze kunganele. Ukudla okunempilo kwezicubu kuya ngokuya kukhula. Ngenxa yalokhu, izinso azinawo uketshezi, olusebenza umsebenzi wokumunca. Lokhu kuholela ekwakhekeni kwama-oxalate plaque.
I-aldosterone yehomoni, eyenziwe ezindlekweni ze-adrenal futhi edingekayo ukulawula izinga le-potassium ne-calcium emzimbeni, ayinawo umphumela oyifunayo. Ngenxa yokuncipha kokuthikamezeka kukho, usawoti uqongelela ezinso. Isimo odokotela abayibiza ngokuthi i-urolithiasis siyakhula.
Isifo sikashukela cystitis
I-cystitis, alas, yinto evamile.
Ujwayele kwabaningi njengokuvuvukala kwesinye isimilo esithathelwanayo.
Kodwa-ke, bambalwa abantu abaziyo ukuthi isifo sikashukela siyindlela eyingozi yalesi sifo.
Lesi simo sichazwa ngu:
- izilonda ze-atherosclerotic zemikhumbi emikhulu nemincane;
- ukungasebenzi kahle kwamasosha omzimba, anciphisa kakhulu amandla okuvikela we-mucosa wesinye. Isitho siba sengozini yemiphumela yezimbali ezinama-pathogenic.
Ukubonakala kwe-cystitis akunakwenzeka ukuba uqaphele. Uzenza azizwe:
- Izinkinga ngokuphuma komchamo. Inqubo iba nzima futhi ibe buhlungu;
- Ubuhlungu esiswini engezansi, ukukhumbuza izizukulwane ngezifo. Zibangela ukuhlupheka okukhulu kakhulu lapho kuzanywa ukuchama;
- igazi emchameni;
- Izimpawu zokudakwa, esinye sazo ukwanda kwezinga lokushisa lomzimba ngemuva kwesizinda se-malaise ejwayelekile.
Ukwelashwa
Isici sokwelashwa kokuphazamiseka kohlelo lwe-urinary ku-mellitus yesifo sikashukela ukuthi kufanele kuhlanganiswe neqoqo lezinyathelo ze-pathology eyisisekelo.
Lokhu kusho ukuthi ukukhethwa kwezidakamizwa nemithamo yazo kumele kuvunyelwane nodokotela oholayo.
Ngakho-ke, lapho uthola i-nephropathy, amaqhinga wokulawulwa kwesifo sikashukela ayaguquka. Kunesidingo sokukhansela ezinye izidakamizwa noma ukunciphisa umthamo wazo.
Uma imisebenzi yokuhlunga ibonakala kahle, umthamo we-insulin ulungiswa ubheke phansi. Lokhu kungenxa yokuthi izinso ezibuthakathaka azikwazi ukuzikhipha emzimbeni ngendlela efanele nangesikhathi esifanele.
Ukwelashwa kokuvuvukala kwe-bladder (cystitis) ku-mellitus yesifo sikashukela kufaka phakathi:
- ukuthatha iFuradonin kane ngosuku, njalo emahoreni ayi-6. Ngenye indlela, iTrimethoprim (kabili ngosuku, ngezikhathi ezilinganayo) noma iCotrimoxazole ingabekwa;
- ukuqokwa kwezidakamizwa ze-antibacterial (Doxycycline noma i-Amoxicillin) isikhathi esiyizinsuku ezintathu kuya kweviki elilodwa nengxenye, kuya ngesimo nobunzima be-pathology;
- ukuthatha i-antispasmodics.
Isimo esibalulekile uhlobo lokuphuza olwithuthukisiwe ngesikhathi sokuphuza imithi, kanye nokuqalisa okunamandla kwezindlela zokuhlanzeka komuntu siqu.
Amatshe amancane kwesinye isikhathi angavezwa ngendlela yemvelo, futhi amatshe amakhulu asebenza kangcono. Ngakho-ke odokotela bayeluleka. Lokhu kuyiqiniso ikakhulukazi lapho ucwaningo lwe-ultrasound lukhombisa ukuthi i-oxalate inosayizi obabazekayo futhi ibeka usongo lwangempela empilweni uma ihamba futhi ivala umsele.
Umuthi wanamuhla unezindlela zakamuva zokususa amatshe ezinso.Enye yalezi izindlela ezikuvumela ukuthi ubhubhise ukwakheka ngqo emgodini wesitho esivelayo.
Ukulimala esikhunjeni kuncane, futhi isikhathi sokululama sifushane kakhulu kunokuhlinzwa okujwayelekile.
Ukuhlala esibhedlela kukhawulelwe ezinsukwini ezingama-2-3, futhi isinyathelo esikhulu sokuvikela ukubuyela emuva kuzoba ukuthobela imithetho yezondlamzimba esekwe ngudokotela.
Ngakho-ke, izinkinga ngohlelo lomchamo kushukela, ngeshwa, azinakugwenywa. Kodwa-ke, lokhu akusho ukuthi ngeke balwe. Isimo sengqondo sokuxwaya impilo yomuntu uqobo, ukufinyelela ngesikhathi esifanele kudokotela kanye nokuqaliswa kwezincomo zakhe kuzosiza ukukhulula izimpawu ezingemnandi, kuzinze isimo futhi kugweme izinkinga ezinkulu kakhulu.
