Munyori: John Stephens
Zuva Rekusika: 1 Ndira 2021
Gadziridza Zuva: 3 Mbudzi 2024
Anonim
Prerenal acute kidney injury (acute renal failure) - causes, symptoms & pathology
Vhidhiyo: Prerenal acute kidney injury (acute renal failure) - causes, symptoms & pathology

Zvemukati

Mhedziso

Azotemia chiitiko chinoitika kana itsvo dzako dzakakuvara nechirwere kana kukuvara. Iwe unozviwana apo itsvo dzako dzisisakwanise kubvisa yakakwana senitrogen marara.

Azotemia inowanzo kuongororwa nekushandisa weti uye kuongororwa kweropa. Iyi bvunzo ichaongorora yako ropa urea nitrogen (BUN) uye creatinine mazinga.

Mhando

Kune matatu marudzi eazotemia:

  • prerenal
  • zvemukati
  • postrenal

Kufanirwa

Prerenal azotemia inoitika kana mvura isiri kuyerera zvakakwana kuburikidza neitsvo. Uku kuyerera kwakadzika kwemvura kunogadzira yakakwira-nhanho kuwanda kweserum creatinine uye urea. Mhando iyi yeazotemia ndiyo yakajairika uye inogona kudzoserwa.

Zvemukati

Intrinsic azotemia inowanzoitika kubva kuhutachiona, sepsis, kana chirwere. Chikonzero chakajairika cheiyo yemukati azotemia ndeyeacute tubular necrosis.

Postrenal

Kuvharidzira kweurinary kunokonzera postrenal azotemia. Postrenal azotemia inogona zvakare kuitika ne prerenal azotemia.


Aya marudzi eazotemia anogona kunge aine akasiyana marapirwo, zvikonzero, uye mhedzisiro. Nekudaro, ivo vese vanogona kukonzeresa kukuvara kwetsvo kwakakomba uye kutadza kana ikasiiwa isina kurapwa kana kana ikasawanikwa kare.

Zviratidzo

Azotemia uye uremia mhando mbiri dzakasiyana dzeitsvo mamiriro.

Azotemia ndipo pane nitrogen muropa rako. Uremia inoitika kana paine urea muropa rako. Zvisinei, ivo vaviri vane hukama nechirwere cheitsvo kana kukuvara.

Kazhinji, hauzoone chero zviratidzo zvechimwe chinhu chiri kutadza neitsvo dzako, kusanganisira azotemia, kusvika padanho rekupedzisira. Iyi yekupedzisira nhanho kazhinji kana itsvo kutadza kwatanga.

Zviratidzo zveazotemia zvinogona kusanganisira:

  • kukundikana kwakanyanya kweiyo renal (kana azotemia ichiramba ichienderera mberi nekufamba kwenguva kana maawa kana mazuva)
  • kukuvadza kwetsvo kwakanyanya
  • kupera simba
  • kusada kutora chikamu mune zvako zvakajairika zviitiko
  • kurasikirwa nenzara
  • kuchengetwa kwemvura
  • kusvotwa uye kurutsa

Kushungurudza uye kurutsa chiratidzo chekuti chirwere chawedzera.


Zvinokonzera

Icho chinonyanya kukonzera azotemia kurasikirwa kweitsvo basa. Nekudaro, iwo akasiyana marudzi eazotemia, ayo anogona kubuda kubva kana kuve chikamu chekukundikana kwetsvo, ane zvikonzero zvakasiyana:

  • apo kuyerera kunoyerera kuburikidza neitsvo hakuna kukwana kubvisa iyo nitrogen (prerenal azotemia)
  • apo urineti inodzivirirwa nechimwe chinhu kana nekuputika (postrenal azotemia)
  • hutachiona kana chirwere (chemukati azotemia)
  • kutadza kwemoyo
  • matambudziko eshuga
  • imwe mishonga, kunyanya nephrotoxic zvinodhaka uye yakakwira madosi eSteroids
  • kukwegura
  • nhoroondo yezvinetso zveitsvo
  • kupisa kupisa
  • kutsva kwakanyanya
  • kupera mvura mumuviri
  • yakadzikisa huwandu hweropa
  • kumwe kuvhiya
  • kukuvara kuitsvo

Kenza kurapwa kunogonawo dzimwe nguva kukonzera azotemia. Chemotherapy zvinodhaka zvine simba uye zvinogona kukuvadza itsvo dzako. Izvo zvinogona zvakare kukonzera huwandu hwakakura hwe nitrogen-iine zvigadzirwa kuti zviburitswe nemaseru anofa ekenza.


Wako oncologist anoongorora itsvo dzako uye ammonia mwero pamwe neyakajairwa bvunzo. Kana zvichidikanwa, chiremba wako anogona kukwanisa kugadzirisa kana kuyedza akasiyana chemotherapy mishonga kana itsvo dzako dzakakanganiswa.

Inorapwa sei?

Kurapa kweazotemia kunoenderana nerudzi, chikonzero, uye danho rekupfuurira riri mukati. Uchifunga izvi, mamwe marapirwo anogona kusanganisira:

  • dialysis (yekunonoka-nhanho kufambira mberi, uye inogona kungova yenguva pfupi)
  • kusununguka kwemwana kana aine pamuviri
  • kurapwa kwekutanga kwepostrenal azotemia
  • kurapwa kwechimiro chepasi kana chirwere
  • mvura inopinza
  • mishonga
  • kuchinja kumadyiro ako

Matambudziko uye nguva yekuona chiremba

Avo vane chirwere cheitsvo kana zvimwe zveitsvo vanogona kukudziridza prerenal azotemia. Zvimwe zvinonetsa zvinogona kusanganisira:

  • acute tubular necrosis (apo nhengo yemuviri inotanga kufa)
  • zvakakomba itsvo kutadza
  • kurasikirwa nepamuviri
  • zvinogona kufa

Prerenal azotemia mukuzvitakura kunogona kukonzera kukuvara kwetsvo kwakakomba uye kuisa pangozi hutano hwemwana naamai.

Kana iwe uri nepamuviri uye uine nhoroondo yehosha yeitsvo, iwe unofanirwa kuzivisa chiremba wako. Iwe uchazoda kuti basa rako reitsvo riongororwe nguva nenguva panguva yako yepamuviri.

Kana iwe uine chero zviratidzo zvehosha yeitsvo kana kukuvara, iwe unofanirwa kuona chiremba wezvechiremba nekukurumidza kana kufonera 911.

Izvo zvakakosha kuti iwe uronge nguva dzose kugadzwa nachiremba wako. Munguva yekuongorora uku, chiremba wako anotora nguva dzose kuongororwa ropa nerini. Iyi bvunzo ichavabatsira kuti vawane chero nyaya neitsvo dzako kare, zvisati zvaonekwa zviratidzo zvekunze.

Outlook

Kana ikabatwa nguva diki, marudzi mazhinji eazotemia anorapika uye anogona kurapika. Nekudaro, mamwe mamiriro ehutano uye nhumbu zvinogona kuita kuti kurapwa kuome.

Vanhu vazhinji vane azotemia vane fungidziro yakanaka.

Zvinetso, zvimwe zvehutano, uye hosha yeitsvo kana kukuvara kunowanikwa munguva dzekupedzisira kunogona kuita dialysis yenguva dzose inodiwa. Izvo zvakakosha kuti uzive kuti azotemia inosara isina kurapwa kana ine matambudziko inogona kukonzera kufa. Neichi chikonzero, zvakakosha kuti uone chiremba wako nguva dzose.

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