Zvese zvaunofanirwa Kuziva Nezve Stage 2 Yeitsvo Hosha

Zvemukati

• Kuongorora chirwere chisingaperi cheitsvo chechipiri
• Stage 2 itsvo chirwere zviratidzo
• Zvinokonzera chikamu chechipiri cheitsvo chirwere
• Nguva yekuona chiremba ane stage 2 itsvo chirwere
• Kurapa kwechikamu chechipiri cheitsvo chirwere
• Stage 2 itsvo chirwere chikafu
• Mishonga yekumba
• Kurapwa
• Kugara nedanho rechipiri chirwere cheitsvo
• Chirwere chechipiri cheitsvo chinogona kudzoserwa?
• Stage 2 chirwere cheitsvo tarisiro yeupenyu
• Tora woenda nazvo

Chirwere chetsvo chisingaperi, chinonziwo CKD, rudzi rwekukuvara kwenguva refu kune itsvo. Inoonekwa nekukuvara kusingaperi kunoenderera pachiyero chematanho mashanu.

Stage 1 zvinoreva kuti une huwandu hushoma hwekukuvara kweitsvo, nepo nhanho yechishanu (yekupedzisira nhanho) zvinoreva kuti wapinda itsvo kutadza. Kuongororwa kwechikamu chechipiri CKD zvinoreva kuti une kukuvara kudiki.

Chinangwa chekuongororwa uye kurapwa kweCKD kumisa kufambira mberi kwekumwe kukuvara kweitsvo. Kunyangwe iwe usingakwanise kudzosera kukanganisa panguva ipi neipi, kuva nechero 2 CKD zvinoreva kuti uchine mukana wekumisa kuti uwedzere kuwedzera.

Verenga zvimwe nezve hunhu hweiyi nhanho yechirwere cheitsvo, pamwe nematanho aunotora izvozvi kubatsira kudzivirira mamiriro ako kubva kupfuura danho rechipiri.

Kuongorora chirwere chisingaperi cheitsvo chechipiri

Kuti aongorore chirwere cheitsvo, chiremba achatora bvunzo yeropa inonzi inofungidzirwa glomerular filtration rate (eGFR). Izvi zvinoyera huwandu hwekusika, amino acid, muropa rako, iyo inogona kuudza kana itsvo dzako dzichisefa marara.

Chiyero chisina kujairika che creatinine zvinoreva kuti itsvo dzako hadzisi kushanda padanho rakaringana.

EGFR kuverenga uko makumi mapfumbamwe kana kukwira kunoitika padanho rekutanga CKD, uko kune kukuvara kwakanyanya kweitsvo. Itsvo kutadza kunoonekwa mukuverengwa kwe15 kana pazasi. Ine nhanho yechipiri, kuverenga kwako kweGFR kunodonha pakati pe60 ne89.

Hazvina mhosva kuti chirwere chako cheitsvo chakaiswa padanho ripi, chinangwa ndechekuvandudza kushanda kwese kwetsvo uye kudzivirira kumwe kukuvara.

Nguva dzose eGFR kuongorora kunogona kuva chiratidzo chekuti chirongwa chako chekurapa chiri kushanda here. Kana iwe ukafambira mberi kusvika padanho rechitatu, kuverenga kwako kweGFR kwaizoyera pakati pe30 kusvika 59.

Stage 2 itsvo chirwere zviratidzo

EGFR kuverengwa padanho rechipiri zvichiri kutariswa mukati me "zvakajairika" itsvo inoshanda renji, saka zvinogona kunetsa kuongorora iyi fomu yechirwere chetsvo chisingaperi.

Kana iwe wakakwidziridza eGFR mazinga, iwe unogona zvakare kuve neakakwira creatinine mazinga mune yako weti kana iwe uine kukuvara kweitsvo.

Stage 2 CKD inonyanya kuratidzika, nezviratidzo zvinoonekwa zvisingaonekwe kusvikira mamiriro ako afambira mberi kusvika padanho rechitatu.

Zviratidzo zvinogona kuitika zvinosanganisira:

• yakasviba weti iyo inogona kutenderera muvara pakati yeyero, tsvuku, uye orenji
• kuwedzera kana kuderera kuita weti
• kuneta zvakanyanya
• BP
• kuchengetwa kwemvura (edema)
• kurwadziwa muzasi musana
• tsandanyama krisimasi husiku
• kushaya hope
• ganda rakaoma kana rinonhuwa

Zvinokonzera chikamu chechipiri cheitsvo chirwere

Hosha yeitsvo pachayo inokonzerwa nezvinhu zvinoderedza kushanda kweitsvo, zvichikonzera kukuvadza kune itsvo. Kana nhengo dzakakosha idzi dzikasashanda nemazvo, hadzigone kubvisa marara kubva muropa uye kuburitsa chakakodzera weti.

CKD haiwanzo kuongororwa padanho rekutanga nekuti pane kukuvara kudiki zvekuti hapana zviratidzo zvakakwana zvinoitika kuti zvionekwe. Stage 1 inogona kuchinja kuenda padanho repiri kana paine kuderera kwekuita kana kukuvara kwemuviri kunogona kuitika.

Zvinonyanya kukonzera chirwere cheitsvo zvinosanganisira:

• BP
• chirwere cheshuga
• yakadzokororazve hutachiona
• nhoroondo yematombo eitsvo
• mamota kana cysts muitsvo nenzvimbo dzakatenderedza
• lupus

Iyo yakareba iyo mamiriro ari pamusoro akasiyiwa asina kurapwa, zvakanyanya kukuvadza itsvo dzako dzinogona kutsigira.

Nguva yekuona chiremba ane stage 2 itsvo chirwere

Sezvo hosha yeitsvo ine hunyoro isina akawanda anoonekwa zviratidzo sematanho epamberi, unogona kusaziva kuti une nhanho 2 CKD kusvika panyama yako yegore.

Meseji yakakosha apa ndeyekuti vanhu vakuru vanofanirwa kuve nehukama huripo nachiremba wekutanga. Kuwedzera kune ako enguva dzose ongororo, iwe unofanirwa zvakare kuona chiremba wako kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge.

Chiremba anogona zvakare kuongorora hutano hwako hwetsvo kana uine chero njodzi kana nhoroondo yemhuri yeitsvo chirwere.

Pamusoro pekuedzwa kweropa uye neweti, chiremba anogona kuita bvunzo dzekufungidzira, senge renal ultrasound. Iyi bvunzo ichabatsira kupa kutarisa zviri nani kuitsvo dzako kuti uone kukura kwekukuvara kupi.

Kurapa kwechikamu chechipiri cheitsvo chirwere

Kamwe kukuvara kweitsvo kukaitika, haugone kuzvidzosera. Zvisinei, iwe unokwanisa kudzivirira kumwe kufambira mberi. Izvi zvinosanganisira musanganiswa wekushanduka kwemararamiro uye mishonga yekubatsira kurapa izvo zvinokonzeresa zvechikamu chechipiri CKD.

Stage 2 itsvo chirwere chikafu

Kunyangwe pasina chikafu chimwe chete chiripo chinogona "kurapa" nhanho 2 CKD, kutarisa pazvikafu chaizvo uye kudzivirira vamwe kunogona kubatsira kuwedzera kushanda kwetsvo.

Zvimwe zvekudya zvakaipisisa zveitsvo dzako zvinosanganisira:

• zvakagadziriswa, zvakaiswa mubhokisi, uye zvekukurumidza kudya
• chikafu chine huwandu hwakawanda hwe sodium
• mafuta akazara
• dhiza nyama

Chiremba anogona zvakare kukurudzira kuti iwe uteme pasi zvese zviri zviviri mhuka- uye kudyara-kwakavakirwa sosi yeprotein kana iwe uri kudya yakawandisa huwandu. Yakawandisa mapuroteni akaoma pane itsvo.

Padanho rechipiri CKD, iwe ungangodaro usingade kuteedzera zvimwe zvezvirambidzo zvinokurudzirwa kune chakanyanya chirwere cheitsvo, sekudzivirira potasium.

Panzvimbo iyoyo, yako yekutarisa inofanirwa kuve yekuchengetedza chikafu chetsva, chikafu chizere kubva kune anotevera masosi.

• tsanga dzose
• bhinzi uye nyemba
• huku yakaonda
• hove
• miriwo nemichero
• chirimwa-chakavakirwa mafuta

Mishonga yekumba

Iyi inotevera mishonga yemumba inogona kutsigira kudya kune hutano kwechitsauko 2 CKD manejimendi:

• kutora masimbi ekuwedzera kurapa kushomeka uye kugadzirisa kuneta
• kunwa mvura yakawanda
• kudya zvidiki zuva rese
• kudzidzira kushushikana manejimendi
• kuwana kurovedza muviri zuva nezuva

Kurapwa

Chinangwa chemishonga yechikamu chechipiri CKD ndechekurapa mamiriro ezvinhu angave ari kukonzera kukuvara kweitsvo.

Kana iwe uine chirwere cheshuga, iwe uchafanirwa kuongorora glucose yako nokungwarira.

Angiotensin II receptor blockers (ARBs) kana angiotensin inoshandura enzyme (ACE) inhibitors inogona kubata kukwirisa kweropa kuri kukonzera CKD.

Kugara nedanho rechipiri chirwere cheitsvo

Kudzivirira kuenderera mberi kwechirwere cheitsvo kunogona kunzwa sebasa rinotyisa. Izvo zvakakosha kuti uzive kuti sarudzo diki dzaunoita zuva rega rega dzinogona kukanganisa mufananidzo mukuru wehutano hwako hwese hweitsvo. Unogona kutanga na:

• kurega kuputa (izvo zvinowanzo kunetsa, asi chiremba anogona kugadzira chirongwa chekurega icho chakanakira iwe)
• Kucheka doro (chiremba anogona kubatsira neizvi zvakare)
• kudzidzira kushushikana manejimendi maitiro, akadai seyoga uye kufungisisa
• kurovedza muviri ingangoita maminetsi makumi matatu zuva rega rega
• kugara uine hydrated

Chirwere chechipiri cheitsvo chinogona kudzoserwa?

Dzimwe nguva, hosha yeitsvo inogona kuwanikwa ichikonzerwa nechimwe chinetso chenguva pfupi, senge mhedzisiro yemushonga kana kuvhara. Kana chikonzero chikazivikanwa, zvinokwanisika kuti basa reitsvo rinogona kuvandudza nekurapwa.

Iko hakuna kurapwa kwechirwere cheitsvo icho chakakonzeresa kukuvara zvachose, kusanganisira zvinyoro nyoro zvakaonekwa sedanho 2. Zvisinei, iwe unogona kutora matanho izvozvi kuti udzivise kufambira mberi. Izvo zvinokwanisika kuve nechero 2 CKD uye wozvidzivirira kubva kufambira mberi kusvika padanho rechitatu.

Stage 2 chirwere cheitsvo tarisiro yeupenyu

Vanhu vari padanho rechipiri chirwere cheitsvo vachiri kungofungidzirwa kuve nehutano hwakakwana hweitsvo. Nekudaro kufungidzira kuri nani kwazvo zvichienzaniswa nezvikamu zvemberi zveCKD.

Chinangwa ipapo ndechekudzivirira kuenderera mberi. Sezvo CKD iri kuwedzera kuipa, inogona kukonzeresa kutyisidzira hupenyu, senge chirwere chemoyo.

Tora woenda nazvo

Chikamu chechipiri CKD inoonekwa sechinyoro chirwere cheitsvo, uye ungangotadza kuona chero zviratidzo zvachose. Asi izvi zvinogona zvakare kuita kuti danho iri riome kuongorora uye kurapa.

Semutemo wechigumwe, iwe uchazoda kuve nechokwadi kuti unogara uchiongororwa ropa uye weti kana uine chero mamiriro ezvinhu kana nhoroondo yemhuri inowedzera njodzi yako yeCKD.

Paunenge uchinge waonekwa uine CKD, kumisa kuenderera mberi kwekukuvara kweitsvo kunoenderana nekuchinja kwehupenyu. Taura nachiremba wako nezvekuti ungatanga sei nekudya uye kudzidzira mamiriro ako.