Haasi munhu wose anoziva izvo nyanzvi yezvephrophyist inoratidzira, ichimupa kukwanisa kunzwisisa zvinetso zveurolo. Iko kunyanya kwechiremba uyu kwakanyanya - iye anongoda kudzidza mubasa retsvo. Unyanzvi hwahwo hunosanganisira kudzivirira uye kupedza kukanganisa.
Nehrology - chii ichocho?
Chikamu chekurapa chakagadzirirwa kudzidza basa reitsvo uye zvirwere zvinogona kuitika. Kuti udzidze pamusoro pezvinodikanwa nephrology, zvinorevei izvi zvinorevei, zvave zvichangoitika. Izvi zvinotsanangurwa nevechidiki chechikamu chechiremba - haasi anopfuura makore zana nemakore. Nhasi anoita kuongororwa, kubudirira nekuvandudzirwa kwehutano.
MuNephrologist - chii chaanochiporesa?
Munharaunda yezvido zvechiremba zvirwere zvezvisikwa zvakasiyana, izvo zvakaonekwa nekuda kwehutachiona, chepfuyi uye kuputika. MuNephrologist anoita zvinetso zvinotevera:
- amyloidosis - kushamwaridzana kweproteine uye makhabhohydrates yakakundikana;
- pathological changes under the influence of long medications;
- kidney stones;
- pyelonephritis - kukundwa kwebhakitiriya chimiro;
- hemolytic anemia ;
- Zvinetso zvinotapukira zvehutano;
- glomerulonephritis .
Chii chinonzi nephrologist inobata vanhu vakuru?
Matambudziko anosarudzwa kwete chete nea causative agent, makore evanhu anova chinhu chinokosha. Mumwe mukuru wezvine nyanzvi anotarisana:
- kuumbwa kwamabwe;
- nephrogenic chirwere cheshuga chakasiyana-siyana;
- zvipembenene zvakakura zvevascular;
- pielitom;
- gouty kidyo;
- polycystic;
- nephrogenic anemia;
- itsvo tuberculosis.
Zvimwe zvezvinetso izvi zvinoda maonero eimwe chiremba nekuda kwekusakosha kwekurapa kurapa. Kana chirwere chacho chisina kukodzera kune izvo nyanzvi yezvechipatara inorapa, ipapo danho rinotevera richakurudzirwa kupindira kwekuvhiya. Nokuda kwechikonzero ichi, haufaniri kunonoka nekuzivikanwa kwezvinetso zvinoratidzira kushaya simba kwepabonde, kuziva kwavo kwekutanga kunogona kudzivirira kudiwa kwekuvhiyiwa.
Nephrologist - chii chinobata vana?
Kukanganisa mubasa rechirongwa ichi mumwana kunonyanya kuipa nekuda kwekusagadzikana kwemuviri. Nokuda kwechikonzero ichi, kutarisirwa kunodiwa kune chero zviratidzo zvinotaura nezvekusagadzikana kwehutano. Mukana wevana vezvematongerwo enyika vanofanira kuongorora kuongorora kana ropa richionekwa mumurini, nokuti izvi zvinogona kuratidza kusangana kweiyo mafungiro kukanganisa. Hezvino izvo zvinoshandiswa nephrologist kuvana vaduku:
- tubulopathy;
- pyelonephritis;
- nephropathy;
- vasculitis;
- dysplasia;
- kusagadzikana kwemashoko emuguta;
- nephritis
Ndeipi nguva yokutaura nephrologist?
Ichokwadi kuti muviri haubatanidzi nemabasa ayo, unogona kutaura zvinotevera:
- kusava nemuviri;
- lumbar pain - symmetrical kana kune rumwe rutivi;
- kunyanya kudhonza;
- renal colic;
- proteine kana ropa mumuguta;
- kuputika kunobata muviri.
Mune zvimwe zviitiko, urologist-nephrologist anofanirwa kuongorora, kana pasina kujekesa kweizvi, asi pane zvirwere zvinokonzera. Kazhinji inowanzova kuwedzera kwehutano. Inogona kuumbwa kunopesana nekunze kwezvinhu zvakavanzika zvinowanikwa muitsvo. Nokuda kwechikonzero ichi, kana kuwedzera kukumanikidza kuwedzerwa kunoonekwa, chiremba anofanira kuongororwa kuti arege kuita zvakashata zvechirongwa.
Mwana wacho anofanira kuratidzwa kunyanzvi mune zviitiko zvinotevera:
- kuvapo kweropa kana kukonzera mumuguta;
- kuchema paunenge uchichira;
- manyawi, kunyange kana kuri kungoita maziso;
- ruvara, kujeka kana kunhuwa kwemuti wakashanduka;
- kusunungurwa kwemuyero kwakaderera kusvika kune chetatu chemagetsi anowanzoitwa;
- kunyura usiku pavana vakwegura kupfuura makore mana;
- nguva dzose dzvuku dzenhengo dzekunze.
Kugamuchirwa kwewephrologist
Diagnostics yakakamurwa kuva:
- kukurukurirana;
- kuongorora;
- inotsanangura;
- shandura kuongorora.
Kubvumirwa kwewephrologist kunopedzerwa nekugadzwa kwerapa, iyo inogona kuwira mune rimwe remapoka maviri:
- nephroprotective - kudzorera mafungiro epiyo pasina kutarisa kune rudzi rwechirwere;
- zvakananga - kubvisa chimwe chinetso.
Iko kuongorora kunobva kune nephrologist?
Kutanga chiremba anoita sarudzo, saka magwaro ekuongorora uye maedzo anogona kugoverwa. Hezvino izvo zvinonzi nephrologist panguva yekukurukurirana:
- Heredity - kuvapo kwezvirwere zvegadziriro ino muhama dzepedyo.
- Kunwa doro ndiko nzvimbo uye maitiro emabasa.
- Lifestyle.
- Kurema panguva yekuzvarwa uye nguva - masero emagetsi anogadzirwa mumwedzi yekupedzisira yekuita gumbo.
Ndezvipi zviedzo zvinonzi nephrologists?
Mushure mekuongorora kwekunze nekukurukurirana nemurwere, chiremba achapa kupa ropa kuti awane zviratidzo zvakawanda. Inotsvakurudza kubva kune anonzi nephrologist anoongorora:
- phosphates;
- C-reactive protein;
- creatinine;
- urea;
- sedimentation rate ye erythrocytes;
- calcium;
- electrolytic urongwa hwemuti neropa.
Kubvunzurudzwa kwewephrologist
Mushure mokugamuchira migumisiro yechipimo, chirwere chekuongorora chinogadzirwa uye chirongwa chekurapa chinogadzirirwa. Kana iyo yakagamuchirwa ruzivo isingakwanisi, ipapo kubvunzurudza nephrologist kunogona kupfuurira nekugadzwa kweongororo dzakawedzerwa.
- Ultrasound. Rinoratidza mumvuri weimpso matombo.
- CT. Zvinoda kugadzirisa zvipembenene zvehupenyu.
- Biopsy. Inotorwa nokuda kwekuongorora kwake.
- Angiography (X-ray). Inotarisa zvipembenene zvemasimba emarara uye mitsipa yeropa.
- Kugadzirisa (kuiswa kwevhesi duku remhepo inodhaka). Kubudirira kwekuonekwa kwezvikamu zvekutanga zvekweplasm.
- Selective arteriography. Izvo zvakakosha pakuenzanisa kwemaitiro emidziyo.
Usati waita zvirwere zvekuongorora, mitemo inotevera inofanira kuonekwa.
- Rega kusvuta uye kunwa doro 12 maawa asati ashanya.
- Panguva imwe chete iwe unoda kurega kudya.
- Kwezuva iwe unoda kuderedza kushandiswa kwemvura kusvika paudiki.
- Zvinokurudzirwa kurega kushandisa zvinodhaka kana zvisingakoshi. Kana iwe usingakwanisi kumira mumusangano, unoda kuzivisa chiremba pamusoro pazvo kuitira kuti afungisise kushanda kwemishonga pamugumisiro wekudzidza.
Mazano ewephrologist
Mukuvapo kwezvirwere zvakadaro zvakakosha kutevera mazano ewephrologist kuti arege kufambira mberi kwavo kana kuti awane chirwere chakakwana. Hazvibviri kutora izvi zvishoma, nokuti chimiro chekugadziriswa chakaoma, uye dialysis inzvimbo inokonzera kukwaniswa kwakawanda. Zviri nani kusada ruzivo, runoshandiswa nenyanzvi nephrologist, asi kuita izvi hazvisi nyore. Zvakakosha kuomerera kune mararamiro anobatsira kuderedza kusanganiswa kweuric acid, kuparadzwa kwaro uye kubviswa.
Zvirongwa zvinosanganisira zvinotevera:
- Kuramba kwezvokudya zvakabikwa, zvishandiso, sipi, hove dzakabikwa, zvingwa zvinonaka, mabhuti pamapfupa uye nyama nyama. Pane kudaro, zvinorongedzerwa kuti idye yakasimwa gorosi zviyo, michero mitsva nemiriwo, uye zvinwiwa zvinonwiwa.
- Kushandiswa kwemishonga yemasango, mavhenekeri, zvinenge 1.5-2 maita emvura yakachena pazuva.
- Kudzidzira mashoma, kufamba mumhepo itsva.
- Kana pane zvinetso nekunaya kwemvura, edema inokurudzirwa kuderedza kudyiwa kwemunyu, iyo inobatsira kuchengetedza mvura. Hazvibviri kukanganwa zvachose, kukanganisa kwakasimba kwehutano hwe electrolytic kunotungamirira kumatambudziko makuru.
- Kuderedza kushandiswa kwewaini kana kukaramba zvachose.
- Kusagadzikana kwechirweremia, kunyanya nzvimbo yechiparadzi.