Zoyambitsa ndi magawo a CKD

Matenda aimpso kulephera - kuphwanya ntchito impso kwa miyezi 3. Chifukwa chachikulu cha matenda - chiwonongeko cha nephrons ndipo kudzikundikira poizoni, monga urea, creatinine acid uric. Choyamba, tiyeni tione zimene zimayambitsa, ndiyeno CRF.

1. Matenda glomerulonephritis, pyelonephritis.

2. aimpso matenda chifukwa cha matenda a shuga, matenda oopsa, chiwindi B ndi C, gout kapena malungo.

3. Kuyankha mankhwala ndi poizoni.

4. Mavuto ndi chikhodzodzo.

Tsopano tiyeni tiyang'ane pa siteji ya CKD.

Pali classifications angapo matenda, ife kuganizira mmodzi yekha wa iwo, Lopatkin.

Kusiyanitsa magawo zotsatirazi CKD ndi creatinine (yeniyeni, pa wokhutira m'magazi):

1. Gawo 1 amatchedwa zobisika. Creatinine si yokulirapo kuposa ponseponse: 1.6 mg / DL pa mlingo wa 1.2. CRF (Gawo 1) limapezeka popanda zizindikiro. Izi amachepetsa kaphatikizidwe amoniya, mkodzo osmolality. Koma renogrammy, sizisintha kwambiri. Nthawi zambiri nthendayo wapezeka poyamba pa bwino.
2. A 2 gawo amatchedwa poliuricheskoy kapena kulipidwa. Creatinine kale 2,7 mg / DL. Malipiro ndi chifukwa chiwindi ndi ziwalo zina. Pa nthawi imeneyi, pali kale zizindikiro: kufooka, makamaka m'mawa, ludzu ndipo kuchepa pang'ono thupi kutentha. Renogramma pofuna. Kwambiri yafupika glomerular kusefera ndi osmolarity. CRF zotsatirazi ndi ovuta kwambiri kutchulidwa.
3. 2-B siteji ya likukulira otchedwa. magazi Creatinine chawonjezeka kwambiri - 4.5 mg / DL. Izo kumawonjezera chiwerengero cha mkodzo ndi pH ake - zamchere. Koma urea, chinawonjezeka ndi nthawi 2. Iwo amachepetsa chiwerengero cha calcium, potaziyamu. Zizindikiro za nthawi imeneyi ndi monga: kufooka, bongo osauka, pali kukokana kwa minofu ndi kukokana khungu youma, kuchepa magazi kwambiri ndi matenda oopsa. munthu, amene 2-D siteji aakulu aimpso kulephera, nseru, kusanza, iye akudwala anorexia, kudzimbidwa, hiccups ndi bloating.
4. Gawo 3 otchedwa osachiritsika. Iwo amakhala ndi vuto la kugona, chikhalidwe maganizo, khungu wayamba itch, momveka anasonyeza omangana. N'zochititsa chidwi kuchuluka creatinine, urea ndi yotsalira asafe.

Ife kutchulidwa ndi CRF kwa Lopatkin. Monga mukuonera, ndi wina siteji ya chikhalidwe zikuipiraipirabe, choncho m'pofunika dokotala pamene zizindikiro choyamba. Tsopano tiyeni tione zimene kuchita pa chilichonse siteji kulephera aakulu aimpso:

1. Gawo loyamba. Mankhwalawa ndi motere: cropped exacerbation njira yotupa mu impso. Chifukwa insufficiency izi wotsikirapo aimpso.
2. Gawo lachiwiri. Komanso mankhwalawa tafotokozazi, amanena mlingo wa kupitilira kulephera aimpso. Wodwala Kwalamulidwa mankhwala zimagwiritsa chiyambi zomera, kuti kuchepetsa mitengo yake.
3. Mbali yachitatu. Gwiritsani ntchito mankhwala mofanana siteji 2 ndi matenda oopsa zolondola, magazi, ndi mavuto ena. Ndi yofunika mtima Nkhanza kuchita impso kupatsa.

Onse CRF kumasonyeza chiletso chakudya. Ambiri, otsika-mapuloteni zakudya kutumikiridwa kwa wodwala ndi pang'ono nyama mapuloteni, phosphorous ndi sodium wochuluka. Yesani mungawononge thanzi lanu, chifukwa ngati inu dinani nthawi pa CRF, mudzatha mwamsanga achire ndi kumva kwambiri.