Chii Chaunofanira Kuziva Nezve Stage 4 Yeitsvo Hosha

Zvemukati

• Chii chinonzi danho rechina reitsvo chirwere?
• Ndeapi zviratidzo zvechikamu chechina cheitsvo chirwere?
• Ndeapi matambudziko kubva padanho rechina reitsvo chirwere?
• Ndedzipi nzira dzekurapa dzechikamu chechina cheitsvo chirwere?
• Kuongorora nekutarisira
• Kunonoka kufambira mberi
• Kufunga nhanho dzinotevera
• Chikamu 4 chirwere cheitsvo kudya
• Stage 4 chirwere cheitsvo mararamiro achinja
• Ndechipi chirevo chechikamu chechina cheitsvo chirwere?
• Makiyi ekutora

Pane zvikamu zvishanu zvechirwere cheitsvo chisingaperi. Muchikamu chechina, une kukuvara kwakakomba, kusingachinjiki kune itsvo. Nekudaro, pane matanho aunotora ikozvino kudzora kana kudzivirira kufambira mberi kune itsvo kutadza.

Ramba uchiverenga patinoongorora:

• danho 4 chirwere cheitsvo
• mabatirwo ayo
• zvaunogona kuita kuti utarisire hutano hwako

Chii chinonzi danho rechina reitsvo chirwere?

Stage 1 uye danho rechipiri rinotarisirwa sekutanga-danho risingaperi chirwere cheitsvo. Itsvo hadzisi kushanda pa100 muzana, asi dzichiri kushanda zvakaringana zvekuti ungasave nezviratidzo.

Nhanho yechitatu, warasikirwa nehafu yenguva yeitsvo, izvo zvinogona kukonzeresa kumatambudziko akakomba

Kana iwe uine chikamu chechina chirwere cheitsvo, zvinoreva kuti itsvo dzako dzakaona kukuvara kwakanyanya. Iwe une glomerular filtration rate, kana GFR, ye15-29 ml / min. Ndihwo huwandu hweropa itsvo dzako dzinogona kusefa paminiti.

GFR inotsanangurwa nekuyera huwandu hwe creatinine, chigadzirwa chemarara, muropa rako. Iyo fomula inotorawo zera, bonde, dzinza, uye saizi yemuviri mukutarisa. Itsvo dziri kushanda pa15-29 muzana yezvakajairwa.

GFR inogona kunge isiri yechokwadi mune mamwe mamiriro, sekunge iwe:

• vane pamuviri
• vakanyanya kufuta
• vane mhasuru
• kuva nedambudziko rekudya

Mimwe miedzo inobatsira kuona danho ndeiyi:

• kuongororwa kweropa kutsvaga zvimwe zvigadzirwa zvemarara
• ropa reropa
• weti bvunzo kutarisa kuvapo kweropa kana protein
• BP
• imaging bvunzo kutarisa chimiro cheitsvo

Chikamu chechina idanho rekupedzisira itsvo isati yakundikana, kana danho rechishanu itsvo chirwere.

Ndeapi zviratidzo zvechikamu chechina cheitsvo chirwere?

Muchikamu chechina, zviratidzo zvinogona kusanganisira:

• kuchengetwa kwemvura
• kuneta
• kurwadziwa kwepashure
• matambudziko ekurara
• kuwedzera mukuita weti uye weti inoita kunge yakatsvuka kana kusviba

Ndeapi matambudziko kubva padanho rechina reitsvo chirwere?

Zvinetso kubva mukuchengetedza kwemvura zvinogona kusanganisira:

• kuzvimba kwemaoko nemakumbo (edema)
• kukwirira kweropa (hypertension)
• mvura mumapapu (pulmonary edema)

Kana yako potasium mazinga akakwira zvakanyanya (hyperkalemia), zvinogona kukanganisa kugona kwemoyo wako kushanda.

Zvimwe zvinogona kuitika zvinosanganisira:

• moyo neropa mudziyo (matambudziko emwoyo)
• kuzvimba kweiyo membrane yakakomberedza moyo wako (pericardium)
• cholesterol yakawanda
• yakaderera tsvuku masero eropa kuverenga (kupererwa neropa)
• kushaya zvokudya zvinovaka muviri
• mapfupa asina simba
• erectile kudzvinyirira, kuderedzwa kubereka, kudzika pabonde drive
• kunetseka kuisa pfungwa, kubatwa, uye hunhu hunochinjika nekuda kwekukuvara kwenzvimbo yepamusoro sisitimu
• kukanganisika kutapukirwa nekuda kwekushaya simba kwekudzivirira immune

Kana iwe uine pamuviri, chirwere cheitsvo chinogona kuwedzera njodzi kwauri nekumwana wako.

Ndedzipi nzira dzekurapa dzechikamu chechina cheitsvo chirwere?

Kuongorora nekutarisira

Muchikamu chechina chirwere cheitsvo, iwe uchaona nyanzvi yeitsvo (nephrologist) kazhinji, kazhinji kamwe chete pamwedzi mitatu yekutarisa mamiriro ako. Kuti utarise kushanda kwetsvo, ropa rako rinozoyerwa pamatanho e:

• bicarbonate
• calcium
• creatinine
• hemoglobin
• phosphorus
• potasium

Mimwe miedzo yenguva dzose inosanganisira:

• protein mumuti
• BP
• chimiro chemvura

Chiremba wako anoongorora yako:

• njodzi yemoyo njodzi
• chinzvimbo chekudzivirira
• mishonga yazvino

Kunonoka kufambira mberi

Iko hakuna mushonga, asi pane matanho anogona kunonoka kufambira mberi. Izvi zvinoreva kuongorora uye kugadzirisa mamiriro akadai se:

• kupererwa neropa
• chirwere chepfupa
• chirwere cheshuga
• edema
• cholesterol yakawanda
• neBP

Zvakakosha kutora mishonga yako yese sekurairwa kubatsira kudzivirira itsvo kutadza uye chirwere chemwoyo.

Kufunga nhanho dzinotevera

Nekuti danho rechina ndiro danho rekupedzisira itsvo isati yakundikana, mupi wako wezvehutano anozotaura newe nezve mukana iwoyo. Ino ndiyo nguva yekutora pamatanho anotevera kana izvozvo zvikaitika.

Kukundikana kweitsvo kunorapwa ne:

• dialysis
• kuisirwa itsvo
• inotsigira (palliative) kuchengetedza

National Kidney Foundation inokurudzira kutanga dialysis apo itsvo inoshanda iri pa15 muzana kana pasi. Kamwe kushanda kuri pasi pegumi neshanu muzana, iwe uri muchikamu chechishanu cheitsvo.

Chikamu 4 chirwere cheitsvo kudya

Kudya kwechirwere cheitsvo kunoenderana nemimwe mamiriro, akadai seshuga. Taura nemupi wako wezvehutano nezve kudya kana kukumbira kutumira kune chiremba wezvekudya.

Muzhinji, chikafu chehosha yeitsvo chinofanira:

• sarudza chikafu chitsva pamusoro pezvakagadzirwa
• vane zvidimbu zvidiki zve nyama, huku, uye hove
• zvinosanganisira zvine mwero kusvika pasinganwi doro
• kudzora cholesterol, mafuta akazara, uye shuga yakanatswa
• nzvenga munyu

Nhamba dzePhosphorus dzinogona kuve dzakanyanya kukwirira kana kudzikira, saka zvakakosha kuti uende neropa rako razvino. Zvikafu zvakakwirira mu phosphorus zvinosanganisira:

• zvigadzirwa zvemukaka
• nzungu
• nzungu ruomba
• bhinzi dzakaomeswa, pizi, uye nyemba
• cocoa, doro, uye cola yakasviba
• bran

Kana potasiamu mazinga akanyanya kukwirira, cheka pasi pa:

• mabhanana, mavise, maranjisi, nemichero yakaomeswa
• mbatatisi, matomatisi, uye maavocado
• yakasviba mashizha miriwo
• shavi uye mupunga wemusango
• zvekudya zvemukaka
• bhinzi, pizi nenzungu
• bran cereal, chingwa chegorosi chakazara, uye pasta
• munyu zvinotsiva
• nyama, huku, nyama yenguruve, nehove

Ive neshuwa yekukurukura kudya kwako panguva yega yega musangano neako wekuchengeta hutano. Unogona kufanira kugadzirisa mushure mekuongorora bvunzo dzako dzichangoburwa.

Taura nemupi wako wezvehutano nezve izvo, kana zviripo, zvekuwedzera zvekudya zvaunofanira kutora uye kana kana kwete kana iwe uchifanira kushandura kudya kwemvura.

Stage 4 chirwere cheitsvo mararamiro achinja

Kune mamwe marongero ehupenyu kubatsira kudzivirira kumwe kukuvara kuitsvo dzako. Izvi zvinosanganisira:

• Kusasvuta, kana uchisvuta. Kusvuta kunokuvadza tsinga dzeropa netsinga. Inowedzera njodzi yekugwamba, chirwere chemwoyo, uye sitiroko. Kana uchinetseka kurega, taura nemupi wako wezvehutano nezve mapurogiramu ekurega kuputa.
• Rovedza muviri. Chinangwa chekudzidzira maminitsi makumi matatu pazuva, kana mazuva mashanu pavhiki.
• Tora mishonga yese yakatemerwa sekurairwa. Mukuwedzera pakutora mishonga yose yakatarwa, bvunza wako mupi wezvehutano usati wawedzera pamusoro-pe-the-counter (OTC) mishonga kana zvinowedzera.
• Ona wako mupi wezvehutano nguva dzose. Ive neshuwa yekumhan'ara nekukurukura chero nyowani uye inowedzera zviratidzo nezvako mupi wehutano.

Ndechipi chirevo chechikamu chechina cheitsvo chirwere?

Iko hakuna mushonga wechikamu che4 chisingaperi chirwere cheitsvo. Chinangwa chekurapa ndechekudzivirira itsvo kutadza uye kuchengetedza hupenyu hwakanaka.

Muna 2012, vaongorori vakaona kuti varume nevakadzi vane itsvo yakaderera inoshanda, kunyanya isingasvike makumi matatu muzana, vakadzora zvakanyanya tarisiro yeupenyu.

Vakacherekedza kuti vakadzi vanowanzo kuve nehupenyu hurefu kwenguva mumatanho ese echirwere cheitsvo kunze kwedanho rechina, uko kunongova nemusiyano mudiki nehunhu. Kufungidzira kunowanzo kuve murombo nezera.

• Pamakore makumi mana ekuberekwa, tarisiro yeupenyu ingangoita makore gumi nemana evarume uye makore 9.1 evakadzi.
• Pamakore makumi matanhatu ekuberekwa, tarisiro yeupenyu ingangoita makore 5.6 evarume uye makore 6.2 evakadzi.
• Pazera remakore makumi masere, tarisiro yeupenyu ingangoita makore 2,5 kuvarume uye makore 3.1 kuvakadzi.

Kufungidzira kwako pachako kunoenderana nemamiriro ezvinhu aripo uye marapirwo aunowana. Anopa hutano hwako anogona kukupa iwe zvirinani zano rezvaunotarisira.

Makiyi ekutora

Chikamu chechina chirwere cheitsvo chakakomba mamiriro. Kuchenjerera kutarisa uye kurapwa kunogona kubatsira kunonoka kufambira mberi uye kunogona kudzivirira itsvo kutadza.

Panguva imwecheteyo, zvakakosha kuti ugadzirire dialysis kana kuisirwa itsvo kana paitika kutadza kweitsvo.

Kurapa kunosanganisira kugadzirisa mamiriro ehutano aripo pamwe nekutarisirwa kwekutsigira. Zvakakosha kuti uone nyanzvi yeitsvo yako nguva nenguva kuti utarise mamiriro ako uye kunonoka kufambira mberi kwechirwere.