Yakakomba itsvo kutadza

Kukundikana kwetsvo kwakanyanya ndiko kukurumidza (kusingasviki mazuva maviri) kurasikirwa kweitsvo dzako kugona kubvisa marara uye kubatsira kuyananisa zvinwiwa nemagetsi mumuviri wako.

Kune akawanda zvikonzero zvinogona kukonzera kukuvara kweitsvo. Zvinosanganisira:

• Acute tubular necrosis (ATN; kukuvara kune maseru ehubhu eitsvo)
• Autoimmune chirwere cheitsvo
• Ropa rinovhara kubva kucholesterol (cholesterol emboli)
• Yakadzikira kuyerera kweropa nekuda kwekudzikira zvakanyanya kweBP, izvo zvinogona kukonzerwa nekutsva, kupera mvura mumuviri, kubuda ropa, kukuvara, septic kuvhunduka, chirwere chakakomba, kana kuvhiyiwa
• Kukanganiswa kunokonzera kugwamba mukati meitsvo reropa
• Zvirwere zvinokuvadza zvakananga itsvo, senge acute pyelonephritis kana septicemia
• Kushushikana kwepamuviri, kusanganisira placenta kuputika kana placenta previa
• Urinary turakiti kuvharika
• Zvinodhaka zvisiri pamutemo zvakadai secocaine uye heroine
• Mishonga inosanganisira isiri-steroidal anti-inflammatory drug (NSAIDs), mamwe maantibhakitiriya uye mishonga yeropa, kupatsanura kwemukati (dhayi), imwe gomarara nemishonga yeHIV.

Zviratidzo zveakanyanya itsvo kutadza zvinogona kusanganisira chero eanotevera:

• Ropa zvigaro
• Kufema kunhuhwirira uye kuravira kwesimbi mumuromo
• Kutuka zviri nyore
• Shanduko mumamiriro epfungwa kana manzwiro
• Kuderedza kudya
• Kupera kwekunzwa, kunyanya mumaoko kana mutsoka
• Kuneta kana kufamba kunononoka
• Flank kurwadziwa (pakati pembabvu nehudyu)
• Kubvunda kwemaoko
• Moyo kugunun'una
• Kuwedzera kweropa
• Nausea kana kurutsa, zvinogona kugara kwemazuva
• Mhino dzemhino
• Kuramba uchiita hiccups
• Kubuda ropa kwenguva refu
• Kufenda
• Kufema kwekufema
• Kuzvimba nekuda kwekuchengetwa kwemuviri mukati memvura (kunogona kuonekwa mumakumbo, makumbo, uye tsoka)
• Weti inoshanduka, senge shoma kana isina weti, weti yakawandisa husiku, kana weti inomira zvachose

Anokuchengetedza hutano achakuongorora.

Kuyedza kutarisa kuti itsvo dzako dziri kushanda zvakadii zvinosanganisira:

• BUN
• Chibvumirano cheCreatinine
• Serum creatinine
• Serum potasium
• Kuongorora urinal

Kumwe kuongororwa kweropa kunogona kuitwa kuti uwane chinonyanya kukonzera itsvo kutadza.

Itsvo kana dumbu ultrasound ndiyo muyedzo wakasarudzika wekutsvaga kuvharika kweturakiti. X-ray, CT scan, kana MRI yedumbu inogona zvakare kutaura kana paine kuvharika.

Kamwe chikonzero chawanikwa, chinangwa chekurapa ndechekubatsira itsvo dzako kushanda zvakare uye kudzivirira fluid uye marara kubva pakuvaka mumuviri wako pavanopora. Kazhinji, uchafanirwa kurara muchipatara kurapwa.

Huwandu hwemvura yaunonwa ichaganhurirwa kune huwandu hweti iwe yaunogona kuburitsa. Iwe unozoudzwa zvaunogona uye zvausingakwanise kudya kuti uwedzere kuwanda kwehupfu hunogona kubviswa neitsvo. Kudya kwako kungangoda kuve kwakazara makabhohaidhiretsi uye kwakaderera mumapuroteni, munyu, uye potasium.

Unogona kuda mishonga inorwisa mabhakitiriya kurapa kana kudzivirira hutachiona. Mapiritsi emvura (diuretics) anogona kushandiswa kubatsira kubvisa mvura kubva mumuviri wako.

Mishonga ichapihwa kuburikidza nemutsinga kuti ubatsire kudzora yako potassium zinga reropa.

Ungangoda dialysis. Uku kurapa kunoita zvinoitwa neitsvo zvine hutano - kubvisa muviri marara anokuvadza, munyu wakawanda, nemvura. Dialysis inogona kuponesa hupenyu hwako kana yako potasiamu mazinga ari nengozi kumusoro. Dialysis ichashandiswa zvakare kana:

• Mamiriro ako epfungwa anochinja
• Unokudziridza pericarditis
• Iwe unochengetedza yakawandisa mvura
• Iwe haugone kubvisa nitrogen marara zvigadzirwa kubva mumuviri wako

Dialysis inowanzo kuve pfupi pfupi. Mune zvimwe zviitiko, kukuvara kweitsvo kwakanyanya zvekuti dialysis inodiwa zvachose.

Fonera mupiki wako kana weti yako ikabuda ikanonoka kana kumira kana uine zvimwe zviratidzo zveakanyanya itsvo kutadza.

Kuchengetedza zvakanyanya itsvo kutadza:

• Matambudziko ehutano senge yakakwira BP kana chirwere cheshuga inofanirwa kudzorwa zvakanaka.
• Dzivisa zvinodhaka uye mishonga inogona kukonzera kukuvara kwetsvo.

Itsvo kutadza; Renal kutadza; Renal kutadza - chenjera; ARF; Itsvo kukuvara - chenjera

• Itsvo anatomi

Molitoris BA. Kukuvara kwetsvo kwakanyanya. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 112.

Ah MS, Briefel G. Kuongororwa kweiyo renal basa, mvura, electrolyte, uye acid-base chiyero. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 14.

Weisbord SD, Palevsky PM. Kudzivirira uye manejimendi yeakanyanya itsvo kukuvara. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 29.