Glomerular filtration chiyero

Glomerular filtration rate (GFR) bvunzo inoshandiswa kuongorora kuti itsvo dziri kushanda sei. Kunyanya, inofungidzira kuti ingani ropa inopfuura nepakati peglomeruli miniti imwe neimwe. Glomeruli ndiwo mafirita madiki muitsvo ayo anonatsa tsvina kubva muropa.

Muenzaniso weropa unodiwa.

Muenzaniso weropa unoendeswa kubazi. Ikoko, iro creatinine mwero muropa sampuro inoedzwa. Creatinine ikemikari tsvina chigadzirwa che creatine. Zvisikwa ikemikari inogadzirwa nemuviri kupa simba, kunyanya kumhasuru.

Nyanzvi yebazi inosanganisa yako yeropa creatinine chiyero nezvimwe zvakati wandei zvekufungidzira yako GFR. Nzira dzakasiyana dzinoshandiswa kune vakuru nevana. Iyo fomula inosanganisira zvimwe kana zvese zvinotevera:

• Zera
• Kuyera ropa creatinine
• Dzinza
• Zvepabonde
• Kureba
• Kurema

Iyo creatinine clearance test, iyo inosanganisira maawa makumi maviri nemana ekuunganidza weti, inogona zvakare kupa fungidziro yeitsvo basa.

Anokupa hutano anogona kukukumbira kuti umbomisa chero mishonga inogona kukanganisa mhedzisiro yekuedzwa. Izvi zvinosanganisira mishonga inorwisa mabhakitiriya uye mishonga yemudumbu asidi.

Ive neshuwa yekuudza mupi wako nezveese mishonga yaunotora. Usarega kutora chero mushonga usati wataura nachiremba wako.

Udza chiremba wako kana iwe uri nepamuviri kana kufunga iwe unogona kuva. GFR inobatwa nepamuviri.

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Iyo GFR bvunzo inoyera kuti itsvo dzako dziri kusefa sei ropa. Chiremba wako anogona kuraira bvunzo iyi kana paine zviratidzo zvekuti itsvo dzako hadzisi kushanda mushe. Izvo zvinogona zvakare kuitwa kuti uone kuti kurei chirwere cheitsvo chafambira mberi.

Iyo GFR bvunzo inokurudzirwa kune vanhu vane chirwere chisingaperi cheitsvo. Inokurudzirwawo kune vanhu vanogona kuita chirwere cheitsvo nekuda kwe:

• Chirwere cheshuga
• Nhoroondo yemhuri yechirwere cheitsvo
• Kazhinji urinary turakiti hutachiona
• Chirwere chemoyo
• Kuwedzera kweropa
• Urinary kuvhara

Zvinoenderana neNational Kidney Foundation, zvabuda zvakajairika zvinotangira pamakumi mapfumbamwe kusvika zana nemakumi matanhatu emamir / min / 1.73 m². Vakwegura vanozove nezvakaderera pane zvakajairwa GFR mazinga, nekuti GFR inoderera nezera.

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nachiremba wako nezve zvinorehwa nemimwe miedzo yako.

Matanho pazasi 60 mL / min / 1.73 m² kwemwedzi mitatu kana kudarika chiratidzo chechirwere chetsvo chisingaperi. GFR yakaderera pane gumi nemashanu mL / min / 1.73 m² chiratidzo chekukundikana kwetsvo uye inoda kurapwa nekukurumidza.

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Kufenda kana kunzwa kushaya musoro
• Akawanda punctures ekutsvaga mutsinga
• Hematoma (ropa rinoungana pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

GFR; Inofungidzirwa GFR; eGFR

• Creatinine bvunzo

Krishnan A, Levin A. Laboratory kuongororwa kwechirwere cheitsvo: glomerular filtration rate, urinalysis, uye proteinuria. 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: chits. 23.

Landry DW, Bazari H. Kusvika kumurwere ane chirwere chetsvo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 106.