Take me ngā wāhanga o te CKD

täkihi ma'i - he takahi o tākihi mahi mo te iti rawa 3 marama. Ko te take matua o tenei mate - whakangaromanga o nephron me te haaputuputuraa o tāoke, pērā i te tiomimi, creatinine me mua. Tuatahi, kia tatou te whakamārama i te take, a ka te CRF.

1. glomerulonephritis tonu, pyelonephritis.

2. mate Renal meinga e te mate huka, takawhita, kakā B me C, kauti ranei malaria.

3. Ko te whakautu ki raau taero me matū paitini.

4. Ngā raruraru ki te tōngāmimi.

Na kia titiro a ki te wā o CKD.

He maha ngā whakarōpū o te mate, whakaaro ano tatou tetahi anake o ratou, Lopatkin.

Wehewehe i te wāhanga e whai ake nei o CKD i creatinine (atu ïa, i runga i tona ihirangi i roto i te toto):

1. i huaina Kaupae 1 ko moe. e kore te mea nui nui atu i te täkupu Creatinine: 1.6 mg / dl i te tere o 1.2. CRF (Hipanga 1) puta ki waho tohumate. te whakaiti i tenei te kōtuitui haukini, mimi osmolality. Ka rite ki hoki renogrammy, e kore e tino huri ai. Nuinga maha kitea te mate te ratau i roto i te whakamātautau.
2. huaina te 2-wā te poliuricheskoy ranei utua. Ko kē Creatinine 2.7 mg / dl. Ko e tika ana ki te ate me era atu whēkau Utu. I tenei wā, i reira e kua tohu: ngoikore, rawa i roto i te ata, te matewai me te heke iti i roto i te pāmahana te tinana. Renogramma whakapatipati. Tino heke filtration glomerular me osmolarity. He uaua, me te ake korerotia CRF whai i ēnei.
3. 2-B atamira o tāmutumutu i huaina. Kua nui haere te toto Creatinine tino - 4.5 mg / dl. faarahi te reira i te nui o te mimi me tona pH - kawakore. Ka rite ki hoki Urea, nui haere te reira i te 2 ngā wā. heke te reira i te nui o te konupūmā, pāhare pāporo. Tohu o tenei wā ngā: ngoikore, reflexes rawakore, i reira he uaua aitua, me cramps, kiri maroke, anemia nui me te takawhita. tangata ano, e D-2 atamira ma'i täkihi, whakapairuaki, i ētahi wā ruaki, e te mamae ia i anorexia, kōroke, hiccups me bloating.
4. Kaupae 3 huaina kāpeka. Kei te āhuatanga i te reira e te mate moe, he huru hinengaro, tīmata te kiri ki te waihakihaki, mārama whakahuatia cramps. Tino nui haere creatinine, te tiomimi me te hauota wäriu.

Kua whakarārangitia matou te CRF mo Lopatkin. Ka rite ki a koutou e taea te kite, me ia wāhanga o te huru nui kino, na ko reira e tika ana ki te kōrero i te tākuta, ka te tohu tuatahi. Na whakaaroa aha ki te mahi i ia wā o te mate täkihi ma'i:

1. Ko te wāhanga tuatahi. Ko te maimoatanga he e whai ake: Katohia exacerbation o ngā tukanga inflammatory i roto i te whatukuhu. Nā ki tenei iti hoki tākihi iti.
2. Ko te wāhanga tuarua. I tua atu ki te maimoatanga whakaahuatia ana i runga, whakatau tata i te tere o te ahunga whakamua o te täkihi. whakaritea te manawanui kei te he rongoā te nuinga o te tipu takenga, i roto i te tikanga ki te whakaiti i ona reiti.
3. Ko te atamira tuatoru. Whakamahia te maimoatanga rite taua o te atamira 2 me te takawhita tika, anemia, me ētahi atu pōauautanga. Ki te Abuse manawanui nui te mahi huaranga tākihi.

CRF katoa whakapae he rāhui i roto i te kai. I roto i te whānui, whakahaere iti-pūmua kai ki te manawanui ki te nui iti o te pūmua kararehe, ūkuikui me te konutai. Whakamātauria ki te pupuri i ara o te hauora koutou, no te mea ki te pato koe i te wa i CRF, ka taea ki te hohoro ora me te ite nui koutou.