Zvese zvaunofanirwa Kuziva Nezve Stage 3 Yeitsvo Hosha

Zvemukati

• Chirwere chetsvo chisingaperi nhanho 3
• Stage 3 itsvo chirwere zviratidzo
• Nguva yekuona chiremba aine nhanho 3 CKD
• Stage 3 itsvo kurapwa kurapwa
• Stage 3 itsvo chirwere chikafu
• Kurapwa
• Kugara nedanho 3 chirwere cheitsvo
• Chirwere chechitatu cheitsvo chinogona kudzoserwa?
• Stage 3 chirwere cheitsvo tarisiro yeupenyu
• Kutora

Chirwere chetsvo chisingaperi (CKD) chinoreva kukuvara zvachose kuitsvo dzinoitika zvishoma nezvishoma nekufamba kwenguva. Kuenderera mberi mberi kunogona kudzivirirwa zvichienderana nedanho rayo.

CKD inosanganisirwa muzvikamu zvishanu zvakasiyana, nedanho rekutanga richiratidza basa rakanakisa, uye danho rechishanu richiratidza kutadza kweitsvo.

Stage 3 chirwere cheitsvo chinowira pakati chaipo penzvimbo. Panguva ino, itsvo dzine hunyoro kusvika pakati nepakati kukuvara.

Stage 3 chirwere cheitsvo chinoonekwa nachiremba zvichibva nezviratidzo zvako pamwe nezvakabuda murabhor. Kunyangwe iwe usingakwanise kudzosera kukuvara kweitsvo, unogona kubatsira kudzivirira kukuvara kubva pakuwedzera padanho rino.

Verenga pamusoro kuti uone kuti vanachiremba vanoona sei CKD nhanho, ndezvipi zvinhu zvinokanganisa mhedzisiro, uye nezvimwe.

Chirwere chetsvo chisingaperi nhanho 3

Chikamu chechitatu cheCKD chinowanikwa zvichibva pane inofungidzirwa kuverenga glomerular filtration rate (eGFR) kuverenga. Uku ndiko kuongororwa kweropa kunoyera masero ezvisikwa. IGFR inoshandiswa kuona kuti itsvo dzako dziri kushanda zvakadii mukusefa marara.

Iyo yakakwana eGFR iri pamusoro pe90, nepo nhanho yechishanu CKD ichizviratidza mune eGFR isingasviki gumi neshanu. Saka iyo yakakwira eGFR yako, zvirinani basa rako rinofungidzirwa reitsvo.

Stage 3 CKD ine ma subtypes maviri akavakirwa pane eGFR kuverenga. Unogona kuongororwa uine nhanho 3a kana eGFR yako iri pakati pe45 ne 59. Chikamu 3b zvinoreva kuti eGFR yako iri pakati pe30 ne44.

Icho chinangwa chine nhanho 3 CKD ndeyekudzivirira kuenderera mberi kweitsvo kurasikirwa kwekuita. Mumakiriniki, izvi zvinogona kureva kudzivirira eGFR iri pakati pe29 ne15, inoratidza danho rechina CKD.

Stage 3 itsvo chirwere zviratidzo

Unogona kusacherekedza zviratidzo zvechirwere cheitsvo chisingaperi mumatanho 1 ne2, asi zviratidzo zvinotanga kuoneka muchikamu chechitatu.

Zvimwe zvezviratidzo zveCKD nhanho 3 zvinogona kusanganisira:

• yakasviba yero, orenji, kana tsvuku weti
• kuita weti kakawanda kana kushoma pane zvakajairwa
• edema (kuchengetwa kwemvura)
• kuneta kusingatsanangurike
• kushaya simba uye zvimwe zviratidzo zvekushaya ropa
• kushaya hope nedzimwe nyaya dzekurara
• kurwadziwa kwepashure
• kuwedzerwa kweropa

Nguva yekuona chiremba aine nhanho 3 CKD

Zvakakosha kuti uone chiremba pakarepo kana iwe ukasangana nechimwe chezviratidzo zviri pamusoro apa. Kunyange zvimwe zviratidzo zvisiri zveCKD chete, kuve nemubatanidzwa wezviratidzo izvi kuri maererano.

Iwe unofanirwa kutevera nachiremba wako kana iwe wakamboonekwa uine danho 1 kana nhanho 2 CKD.

Zvakadaro, zvinokwanisika kusave neyakamboitika nhoroondo yeCKD usati waonekwa uine nhanho 3. Izvi zvinogona kunge zvichikonzerwa nenyaya yekuti nhanho 1 ne2 hazviwanzo kukonzera chero zviratidzo zvinoonekwa.

Kuti uongorore CKD nhanho yechitatu, chiremba achaitisa bvunzo idzi:

• kuwedzera kweropa kuverenga
• weti bvunzo
• eGFR bvunzo (yaitwa mazuva ese makumi mapfumbamwe mushure mekutanga kuongororwa)
• imaging bvunzo kutonga kunze kwepamberi CKD

Stage 3 itsvo kurapwa kurapwa

Chirwere cheitsvo hachigone kurapwa, asi nhanho yechitatu zvinoreva kuti uchine mukana wekudzivirira kuenderera mberi kweitsvo kutadza. Kurapa uye shanduko yemararamiro akakosha padanho rino. Chiremba wako achataura newe nezve kushandisa musanganiswa weanotevera matanho ekurapa.

Stage 3 itsvo chirwere chikafu

Zvikafu zvakagadziriswa zvakaoma zvakanyanya pamuviri. Sezvo itsvo dzako dzakanangana nekubvisa marara uye kuenzanisa magetsi, kudya zvakawandisa zvekudya zvisirizvo kunogona kuzadza itsvo dzako.

Zvakakosha kudya chikafu chizere chakadai sechigadzirwa uye zviyo, uye kudya zvishoma zvakagadziriswa uye zvishoma zvemafuta akazara anowanikwa mune zvigadzirwa zvemhuka.

Chiremba anogona kukurudzira kudzikisa kudya kwako kweprotein. Kana yako potasium mazinga akanyanya kukwirira kubva kuCKD, vanogona zvakare kukurudzira kuti iwe udzivise zvimwe zvine high-potassium chikafu sebhanana, mbatatisi, uye matomatisi.

Iwo iwo iwo musimboti une chekuita nesodium. Iwe ungangoda kudzora pane zvine munyu chikafu kana yako sodium mazinga akanyanya kukwirira.

Kurera huremu kunowanzoitika muzvikamu zvemberi zveCKD nekuda kwekuda kudya. Izvi zvinogona zvakare kukuisa panjodzi yekushomeka.

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 uchinge uchinge uchirasika.

Kurapwa

Stage 3 CKD haidi dialysis kana itsvo kuisazve. Panzvimbo iyoyo, iwe unozonyorerwa mimwe mishonga yekurapa pasi pezvehutano izvo zvinogona kunge zvichikonzera kukuvara kwetsvo.

Izvi zvinosanganisira angiotensin inoshandura enzyme (ACE) inhibitors uye angiotensin II receptor blockers (ARBs) ekuwedzera kweropa, pamwe nekudzora glucose kwechirwere cheshuga.

Chiremba wako anogona zvakare kupa mishonga kuti ubatsire kudzikisira mhedzisiro yeCKD, senge:

• iron inowedzera yeanemia
• calcium / vhitamini D zvinowedzera kudzivirira kutsemuka kwemapfupa
• cholesterol-kudzikisa zvinodhaka
• diuretics kurapa edema

Kugara nedanho 3 chirwere cheitsvo

Kunze kwekutora yako yakatemwa mishonga uye kudya chikafu chine hutano, kutora mamwe mararamire shanduko kunogona kubatsira iwe kubata CKD nhanho 3. Taura nachiremba wako nezve zvinotevera:

• Rovedza muviri. Vavarira kwemaminetsi makumi matatu emabasa epakati nepakati pazuva pamazuva mazhinji evhiki. Chiremba anogona kukubatsira iwe kutanga chirongwa chekurovedza muviri zvakachengeteka.
• Ropa rekumanikidza manejimendi. Kuwedzera kweropa kunogona kuve pamberi peCKD, uye kunogona kuita kuti mamiriro ako anyanye. Chinangwa chekumanikidza kweropa kwe140 / 90 uye pazasi.

• Chirwere chechitatu cheitsvo chinogona kudzoserwa?

  Chinangwa cheCKD nhanho 3 kurapwa ndechekudzivirira kuenderera mberi. Iko hakuna kurapwa kwechero danho reCKD, uye iwe haugone kudzosera kukuvara kweitsvo.

  Zvisinei, kumwe kukuvara kunogona kutapudzwa kana uri padanho re3. Zvakanyanya kuomarara kudzivirira kufambira mberi mumatanho 4 ne5.

  Stage 3 chirwere cheitsvo tarisiro yeupenyu

  Kana uchionekwa nekukwanisa kutanga, nhanho 3 CKD ine hupenyu hwakareba kupfuura matanho epamberi echirwere cheitsvo. Kufungidzira kunogona kusiyana zvichienderana nezera uye mararamiro.

  Kumwe kufungidzira kwakadaro kunoti avhareji yemakore ekurarama makore makumi maviri nemana muvarume vane makumi mana, uye makumi maviri nemasere mumadzimai ezera rimwe chete.

  Kunze kwehutarisiro hwehupenyu hwese, zvakakosha kuti utarise njodzi yako yekuwedzera kwechirwere. Yechikamu chechitatu varwere veCKD vakaona kuti inenge hafu yakafambira mberi kusvika kumatanho epamusoro ehurwere hweitsvo.

  Izvo zvakare zvinokwanisika kusangana nematambudziko kubva kuCKD, senge chirwere chemoyo, chinogona kukanganisa hupenyu hwako hwese.

  Kutora

  Chikamu chechitatu CKD chinowanzoonekwa kana munhu atanga kuona zviratidzo zveichi chiitiko.

  Nepo nhanho 3 CKD isingarapike, kuongororwa kwekutanga kunogona kureva kumira kuenderera mberi mberi. Izvo zvinogona zvakare kureva kudzikira kwenjodzi yezvinetso, senge chirwere chemoyo, kupererwa neropa, uye kutyoka kwepfupa.

  Kuva nechikamu chechitatu CKD hazvireve kuti mamiriro ako anozoenderera kumberi kusvika kukundikana kwetsvo. Nekushanda nachiremba uye nekugara pamusoro pekuchinja kwehupenyu, zvinokwanisika kudzivirira chirwere cheitsvo kubva pakuwedzera.