Chisingaperi renal kukundikana mumakati

Chii chinonzi chronic renal failure

Chirwere cheitsvo chisingaperi (CKD (zita rekare - chisingaperi renal kukundikana, CRF) chirwere chinokura zvishoma nezvishoma, chinoperekedzwa nemaitiro uye / kana kushanda kusagadzikana muitsvo.

Inowanikwa kakawanda mumakati pazera remakore 5-15, hapana rudzi kana kuti zvepabonde.

Zvinokonzera

Zvinhu zvinofanotungamira zvekuvandudzwa kweCKD ndezvi:

• Yakapfuura acute itsvo kukuvara (chepfu, acute urinary retention, nezvimwewo)
• Congenital pathologies yeitsvo
• Mechanical kukanganisa kuitsvo
• Zvimwe zvirwere zveurinary system (cystitis, urolithiasis, zvirwere)
• Genetic pathologies, semuenzaniso, polycystic itsvo chirwere chePersian, exotic, Abyssinian katsi uye mestizos avo.
• Oncological zvirwere
• Zvirwere zvisingaperi zvinotapukira, senge viral leukemia uye immunodeficiency
• Chirwere chepfu. Semuenzaniso, kugara uchidya zvirimwa zvemumba zvine chepfu
• Kushandiswa kwenguva refu kwemishonga nephrotoxic
• kufutisa
• chirwere cheshuga
• Chikafu chisina kuenzana, kudyisa chikafu chisina kunaka kana chikafu chisina kukodzera chechisikigo, kudyisa chikafu kubva patafura yako
• Kushandiswa kwemvura kwakaderera 
• Zera pamusoro pe7

Zviratidzo uye matambudziko

Zviratidzo zvekusingaperi renal kutadza, kunyanya padanho rekutanga hazvina kujeka, zvinogona kugadziriswa. Zvimwe zvirwere zvinogonawo kuitika nemufananidzo wekiriniki wakafanana. Kusashanda zvakanaka kwetsvo hakusi kwezuva rimwe chete; zviratidzo zvakajeka zvemalaise zvinogona kuoneka apo inopfuura 75% yeitsvo tishu yakatokuvadzwa. Ndicho chikonzero muridzi wacho achida kunyatsocherechedza hutano hwekati yake uye kubvunza chiremba munguva yakakodzera.

Zviratidzo zvekutadza kweitsvo mumakati zvinosanganisira:

• Kusada kudya, izvo zvinogona kukanganisa nezvirwere zvemudumbu kana pickiness
• Kuwedzera kushandiswa kwemvura
• Kakawanda uye dzimwe nguva kutadza kuita weti
• Weti inogona kunge isina ruvara, yakajeka, ine makore, kana kubuda ropa.
• Kurutsa, kusashanda, mate kana chikafu, kakawanda pazuva
• Kuora kwemvere, kufinyamisa, kukora kana kuoma
• Edema
• Kuora mwoyo mamiriro, maitiro asina simba kune zvinokurudzira
• Kuonda, kupera simba
• Kunhuhwirira kusingafadzi kubva mumuromo, kazhinji ammonia
• Zvironda mumuromo mhango, stomatitis, yakaoma mucous membranes
• Constipation

Nechimiro chekosi, kutadza kwerenal kwakaoma (ARF) uye kusingaperi (CRF). 

• Iyo acute fomu inokura nekukurumidza, zviratidzo zvese zvinoonekwa munguva pfupi.
• Chimiro chisingaperi chinokura kwenguva refu uye njodzi yaro iri pakuti padanho rekutanga, apo chipfuyo chichiri kubatsirwa, hapana kana zviratidzo zvechirwere. Zvinoonekwa chete kana kupfuura 2/3 yeitsvo dzakuvadzwa.

Diagnostics

Hazvibviri kuita chirwere pamusana pekuongororwa kumwe chete kana zviratidzo zvakawanda. Naizvozvo, iwe unofanirwa kuve wakagadzirira kuitisa akati wandei zvidzidzo:

• Biochemical uye general kiriniki yeropa kuongororwa. Kunyanya kukosha ndeye urea, creatinine, phosphorus, masero matsvuku eropa, hemoglobin uye hematocrit.
• Panoramic ultrasound yedumbu remudumbu. Zvine musoro kuona chete dundira neitsvo chete mumasimba. Panguva yekuongororwa kwekutanga, zvakakosha kuona shanduko yezvimiro munhengo dzese, nekuti katsi inogona kunge yakabatanidza pathologies.
• Yese weti bvunzo inobvumidza iwe kuti uongorore kuti kugona kusefa kweitsvo kuri kuita sei, kana paine zviratidzo zvekuzvimba, urolithiasis.
• Protein/creatinine ratio inobatsira kuona kutadza kweitsvo padanho rekutanga
• Chiyero chekumanikidza. Kusashanda zvakanaka kwetsvo kunofambidzana nearterial hypertension. Kana kudzvinyirirwa kwakakwirira, zvino kunoda kuderedzwa nemishonga nguva dzose. Pachidzidzo chacho, tonometer yemhuka yemhuka inoshandiswa.

Kuongororwa kweCKD hakugone kuitwa pakuwedzera kwechiratidzo chimwe chete, mufananidzo wose unoongororwa sese. Chirwere chine 4 nhanho. Izvo zvakakamurwa zvine mamiriro, zvichibva pachiyero che creatinine muropa:

Danho 1 - creatinine isingasviki 140 μmol/l

Danho rechipiri - creatinine 2-140 μmol / l

Danho rechipiri - creatinine 3-251 μmol / l

Danho rechina - creatinine inopfuura 4 μmol / l

mabatiro 

Zvakakosha kuziva kuti hazvibviri kuporesa zvachose kati yekusingaperi renal kukundikana. Zvinokwanisika chete kumbomira kana kuderedza maitiro. Pamatanho 1-2, kufungidzira kwakanaka, pa3 - kungwarira, nhanho yechina ndiyo yekupedzisira, muviri unogona kutsigirwa chete.

Nzira dzekurapa dzinoenderana nemufananidzo wekiriniki, mamiriro ezvinhu ekati, uye kuvapo kwezvinokonzera pathologies.

Veterinarian anogona kuraira:

• Kurapa kwekudya kwakakosha zvikuru. Hazvibviri kudyisa nyama chete kana hupfumi hwekirasi chikafu. Kudya kwakakosha kwakaderera mu phosphorus uye mapuroteni kunodiwa. Zvokudya zvechirwere cheitsvo zvinowanikwa kubva kune vakasiyana-siyana vanogadzira chikafu chemhuka, uye iwe unogona kuwana zvese zvakawoma uye zvakanyorova zvekudya zvekudya zvakanzi Renal izvo zvichanyorerwa nachiremba wemhuka. 
• Antibiotics
• Absorbents yekubvisa kudhakwa (semuenzaniso, Enterosgel)
• Mishonga yekudzikisa BP
• Potassium-ine mishonga 
• Kuti uderedze mwero we phosphorus uye urea, zvinovaka muviri zvinoshandiswa, semuenzaniso Ipakitine
• Kuti udzorere kuenzana kwemvura, nzira yekudonha inorayirwa, uye mune ramangwana zvakakosha kudzora kunwa kwemvura yekati.

Kubudirira kwekurapa uye kufungidzira kunogona kuongororwa nekuitisa miedzo yakadzokororwa uye zvidzidzo, uyewo zvichienderana nemamiriro ezvinhu ekati.

Kana mhuka iri 4, ESRD uye isinganatsiri mukati mevhiki yekutanga kurapwa kwakasimba, saka euthanasia yevanhu inofanira kufungwa.

dziviriro

Kudzivirirwa kwetsvo kukundikana mumakati kunonyanya kusanganisira hutano, kudya kwakakwana. Ita shuwa kuti chipfuyo chako chinokwanisa kuwana mvura yakachena. Kana kati isinganwi zvakanyanya, ipapo chikamu chekudya chinofanira kunge chiri mumhando yezvokudya zvakanyorova.

Izvo zvinodiwa kudzivirira kukuvadzwa uye chepfu: usarega mhuka ichienda yega, chengetedza makemikari emumba, chepfu, mishonga uye zvirimwa zvine njodzi zvemumba kunze kwekusvika kwekati.

Zvakare, muridzi wacho anofanirwa kugara achiongorora katsi yepakati nezera uye kutarisa huremu hwekati.