Uremia - a ... uremia: zvinokonzera, zviratidzo uye kurapwa

Uremia - chii ichi? Kana usingazivi mhinduro yomubvunzo uyu, vakaisawo nyaya iri chinangwa chete newe.

Kuwedzera dzokuwana kubuda uremia - ndizvo zvazviri, isu vachakuudza pamusoro chero zviratidzo panguva ainzi chirwere, chii ayo chinokonzera uye kurapwa nhungamiro. Uyewo imi uwane zvokudya vanhu ivavo zvichakurukurwa, vaicherechedza akati chirwere.

General ruzivo pamusoro cheitsvo

Uremia - rudzi car-kudhaka chirwere, iro kushingaira kukura renal kukundikana. Izvi zvinowanzoda kunoitika pamusana kunonoka kana zvimwe zvine chepfu, kusanganisira nitrogenous metabolites ari mumuviri womunhu.

"Uremia" - shoko akapinda mushonga kubva mutauro wechiGiriki (uraemia), iro rakakamurwa muzvikamu: uron, kuti ndiye "weti" uye haima, kureva "ropa". Rakafanana nerokuti rokuti rinoshanda "mochekrovie".

Uremia: hunokonzera chirwere

Pane zvikonzero zvakawanda kuti chirwere ichi. Izvi zvingava renal kukundikana (chenjera), izvo unovapo kubva kuvhunduka, kusagadzikana kweropa ezvinhu, uyewo kukuvara, frostbite, kwazvo kutsva kana chepfu. Uyewo uremia kunoitika nokuda kusagadzikana asidhi-nechigadziko, mvura uye munyu uye osmotic homeostasis, zvichiteverwa hormone yechipiri uye metabolic zvinetso, dysfunction pamusoro hurongwa zvose, nhengo uye nyama zvachose dystrophy.

Kazhinji, chenjera renal kukundikana kuri reversible. Kakawanda zvinoitika payakakurudzirwa. In chirwere ichi pamwe kamwe anuria kana oliguria, umo dundira anozadza pamwe weti zvishoma kana kwete zvachose anopinda mariri.

The inonyanya kukonzera uremia kuzvipira Kusvibisa Muviri nitrogenous yeimwe zvakadai uric acid, urea, creatinine, uye indican. Mukuwedzera, chirwere anogona kuitika nokuda rokuchinja acidosis uye electrolyte mwero ari mumuviri womunhu.

Ndezvipi marudzi uremia?

Zvirwere itsvo uye Urinary turakiti munogona chisingaperi uye rikwanise siyana. Chirwere uremia, mukusiyana kune unopinza, kukura zvishoma nezvishoma. Kazhinji ndiwo mugumisiro kwemasayendisiti (kusingarapiki) kutsakatika kushanda parenchymal renal munyama.

Zvinofanira kucherechedzwa kuti nephrosclerosis irimo kukura echirwere renal kukundikana, kazhinji zvinhu sezvo chinokonzera uremia. Mukuwedzera, chirwere angatanga uye plugging mamiriro renal vascular, chisingaperi nephritis uye mhingaidzo nezvezvimwe zvinetso zvedundira turakiti, izvo bindepinde kuwedzera bundu kana ibwe.

cheitsvo kunotungamirira chisingaperi renal kutadza

By zvirwere itsvo, izvo chikonzero zvinowanzovapo chisingaperi renal kukundikana, dzinowanzova:

• pyelonephritis;
• glomerulonephritis;
• vachiberekwa nephritis;
• wezvamatongerwe muzvizhinji kuti cysts mu itsvo;
• nephrolithiasis.

Chinokonzera uremia anogona kuva chirwere cheshuga kana yeprostate adenoma.

Itsvo Disease: Zviratidzo neMarapirwo

Zviratidzo uremia zvingaitika zvishoma nezvishoma uye kuti pamwe nokuwedzera kudhaka yacho muviri. Zviratidzo kwakadaro zvakaoma kuziva, kana usina kurapwa ruzivo zvinokosha.

Saka chii vari zviratidzo cheitsvo vakadzi, varume uye vana zvinoratidzei kutyorwa zvavo mabasa? Izvi ichakurukurwa zvino.

Huru Zviratidzo chirwere

Kazhinji, zvirwere anogumbura itsvo dziri pamwe nokubudiswa weti vhoriyamu iri rinenge chena. Kana weti iyi ine pasi chaicho uremu. Zvinofanira kucherechedzwa kuti diuresis guru kunowanzoguma ari kunonoka kuti urea uye chlorides dzinounzwa riri shoma.

Nokufamba chirwere zvingaderedzwa weti vhoriyamu, uye nitrogenous zvibereko muviri - uchingounganidza mumuviri, kuwedzera wevasungwa kwavo muropa.

Kwevhiki dzinoverengeka, murwere zvinowanzochengetwa prekomatosnoe mamiriro. Zvadaro, zvinogona kukonzera nyore uremic pakoma. harbingers yake yokutanga kuita kutyorwa kuri zvomudumbu turakiti. Saka, murwere ipfupi kudya, uye gare gare zvaakaita uye anoramba chikafu uye zvokunwa. In nemate ane kuunganidza urea. Izvi zvakananga kunokanganisa chitarisiko inovava pamuromo. Naizvozvo rinotsemuka urea nemumuromo utachiona, apo amoniya asunungurwa. Ndiye anoita munhuwe.

Sei kuziva chirwere?

Sezvataurwa pamusoro apa, renal chirwere (Zviratidzo uye kurapwa vanorondedzerwa zvizere munyaya) inogona nyore kutsunga kubva nezvinetso nemudumbu. Kuunganidza ari gastric muto, urea kunokonzera uremic colitis uye gastritis. Saka, zviratidzo chirwere vari kubatana kurutsa pashure pokudya, kuda kurutsa, manyoka zvakasanganiswa neropa.

Uyezve, cheitsvo nevanhu, vakadzi uye navana, uye vari achiperekedzwa kusagadzikana epfungwa. Murwere vanogona simba uye kusakendenga, kuneta nokukurumidza. Murwere kazhinji anonzwa mitsipa ari kufamba vake nguva dzose hope uye musoro wake sokuti kusimba rinorema.

Nokufamba hosha anotanga kuda kurara pamwe hope. Against ichi nechekumashure, panenyongano, twitching ziso nezvimwe tsandanyama.

Zviratidzo uremic chaanoziva

chinzvimbo ichi vanogona kuzivikanwa nedzimwe mapato kufema. Saka, murwere anotanga kufema ruzha chaizvo, dzimwe nguva kumbotura befu uye ipapo navanofemereka pfupi.

Pashure kutanga ari chinouraya chokutambudzika afemeruke vanogona kunyangarika zvachose. Izvi imhaka kuti vasanyanye excitability pamusoro kufema centre.

The muviri tembiricha varwere dambudziko iri rinenge kumbobvira hunopfuura madhigirii 35. Uyewo uremia zviratidzo kazhinji anozviratidza paganda. Akamira kunze kuburikidza machira, urea nezvimwe zvinokachidza chikonzero kuvaviwa, kuzvimba, kuoma, maronda uye akasiya chena firimu.

The Kurapa kwacho

Chero cheitsvo muvana uye vakuru vanofanira kubatwa pakarepo. Zvechokwadi, mune ramangwana, vanogona kutungamirira yematambudziko uye kunyange rufu.

Kuti anunure kurapa panguva uremia zvinosanganisira zviyero zvainanga kudzivisa tevera kudhaka. Saka kubva muura uye mudumbu akabviswa nitrogenous zvinokachidza kuburikidza Washing yavo munyu zvinogadzirisa, yaunodya pamusoro laxatives, enemas nokugadza t. D.

How kudya?

Kudya zvinovaka muviri cheitsvo kunokosha. Izvi imhaka yokuti, pamwe nezvokudya muimba muviri womunhu kuwana unneeded zvinhu kuti yekudyidzana anogona achiipa mamiriro murwere saka zvakaoma.

Saka chii chinofanira kuva zvokudya cheitsvo? Apo chirwere kubva ati hosha, vanachiremba vanofanira kugadza rinokosha kudya varwere vake. Kazhinji, ndiko kuti kuderedza kudyiwa mapuroteni zvokudya. Zvinokurudzirwa kuti kubvisa kubva kudya kwenyu nyama nezvinogadzirwa nomukaka. Kunyange zvazvo dzimwe nyanzvi dzichiri zano kuchengeta vamwe vavo, sezvakanga mapuroteni kuti muviri womunhu (kunyanya kukura) anokosha chaizvo.

Nzira Mabatirwo uremia

Zvino kuti munoziva zvinofanira dzinofambiswa pamwe chirwere cheitsvo. Zvisinei, zvishoma kuwana zvokudya zvakanaka kuderedza ezvinhu omurwere uye dzinyaradzwe chambotaurwa nezvacho chirwere. Ndokusaka vanachiremba varayire dzokuwedzera uye zvakakodzera mishonga. Saka, varwere uremia kazhinji raitongwa nomutsinga 50 Rine mamiririta 40% shuga. To kuderedza wevasungwa kuti zvine chepfu muropa uye kuderedza BP pakurapa vakati chirwere kazhinji akaita phlebotomy (kusvika anenge 400 ml ropa).

Kuti adzikunure uwandu kuiisa chlorine uye nezvimwe zvicherwa izvo zvinobviswa muviri womunhu pamwe vomitus uye unzenza zvituru, avo vakadzorerwa nokuda intravenous jekiseni yavaibvisa chloride (20 ml ane 10% mhinduro). Uyezve, zvokudya murwere anogona anowedzera kuwedzera hwandaiva tafura munyu.

Kana mikuru zviratidzo itsvo (uremia) zvirwere uye anobatana nokutsauka sezvo mwoyo kukundikana, murwere "Strofantin" mhinduro kugadzirira iri basa pasina kukundikana. Pruritus, izvo tinoberekwa chirwere wakapiwa, uchishandisa bvisa yavaibvisa bromide. Panyaya tsandanyama chinyamunhari chinorwadza uye kurwadza kwacho, kwava kubvisa kwavari karusiyamu chloride inoshandiswa.

Kana murwere nezvechinhu chimwe uremic pakoma, kurapwa kwayo kunofanira kuitwa chete muchipatara. Kuti aite izvi, murwere zvinofanira muchipatara pakarepo pakutanga chiratidzo.

Kudzivirira chirwere

The kudzivirira zvirwere waimiririra inokosha zvikuru ndiyo nyaya kudzivirira renal dysplasia. Saka, unoda kuti kusika zvakafanira zvose ezvinhu ari panguva havana hanya, kudzivirira embryo fetus kubva chero teratogenic nemigumisiro.

Zvinokosha uye kunotsvaka heterozygous vatakuri chirwere zvezvinangwa. Uyewo, zvaida antenatal zvokuongorora pakati malformations ari urogenital turakiti.