Ukwehluleka kwe-renal, okuvame ukuthinta izinja zethu esizithandayo, kubhekwa njengesifo esiyingozi kakhulu, esibi sezinso, esiboniswa ukuhlunga okungasebenzi kahle (umsebenzi oyinhloko wezinso). Ngamanye amagama, zinikezwe zonke izinhlobo zezizathu, izinso azikwazi ukususa egazini lesilwane izinto ezinobuthi eziyingozi emzimbeni waso, ezakhiwa ngesikhathi senqubo yokuphila komzimba. Ngokushesha ngemuva kokuthi izinso ziyeke ukusebenza ngendlela ejwayelekile, ubuthi buba sezinja.
Ukwehluleka kwezinso - esinye sezifo eziyingozi kakhulu, esivame ukuholela ekufeni kwezilwane ezifuywayo. Le nkinga isanda kuthola ithuba elibanzi kangangokuba odokotela bezilwane banesithakazelo esikhulu kuyo.
Ngithanda ukugcizelela ngokushesha ukuthi isifo esinjengokwehluleka kwezinso asikho ngokuvamile ezilwaneni noma kubantu: lokhu kuyizibonakaliso eziningi zangaphandle zezifo eziningi zezinso. Ukwehluleka kwezinso, njengabantu, ezinjeni kubangelwa izizathu ezahlukahlukene, noma kunjalo, izimpawu ezijwayelekile zisekhona - izinso zisebenza kabi kakhulu, futhi ekugcineni, uma zingelashwa, ziyahluleka, inja iyafa.
Izimbangela zalesi sifo
Imbangela yokwehluleka kwezinso:
- Ukutheleleka okungene emzimbeni wenja kusuka ngaphandle.
- Izinto ezinobuthi ezivela emvelweni.
- Ukuhlukumezeka nokugula kwake kwahlupheka yinja.
- Ukudla okungekho esimweni esinosawoti omningi.
- Izinguquko ezihlobene nobudala.
- Ukulutha kwezakhi zofuzo.
Izimpawu zokuhluleka kwezinso
Ezinja, ukwehluleka kwezinso impela ukugula okungathi sínaokuhambisana nokoma okukhulu. Cabanga iqiniso lokuthi inja enempilo (ngekhilogremu yesisindo) isebenzisa amanzi afinyelela kumamililitha ayisihlanu ngosuku. Inja egulayo idla uketshezi oluphindwe kabili. Futhi, umzimba wenja uhlushwa ukoma, ukwehla okushisayo kwezinga lokushisa, isimo esivamile esidangele somzimba wesilwane siyabonakala, iphunga elibi, elimuncu livame ukuphuma emlonyeni, inja ivame ukuhlambalaza nokuhlanza. Ukuhlanza akuzibonakalisi ngokushesha: ekuqaleni, isilwane siqala ukudla kancane, bese sidla ukudla ngokungathandi futhi ngezikhathi ezithile, ngemuva kwalokho siyeke ukudla ngokuphelele, ngoba ngemuva kwesidlo ngasinye kukhona ukuhlanza. Futhi, inja ingaba nokuchama kaningi noma okuphambene nalokho, ngokulibaziseka okude.
Uma ukwehluleka kwezinso enjeni kudlulele esigabeni esibucayi, isilwane ngokuvamile siyayeka ukukhombisa noma yiziphi izimpawu zomsebenzi: asidlali, asigxumi, kepha sidla kancane bese silala kakhulu.
Udokotela wezilwane wenza ukuxilongwa kokuhluleka kwezinso kuphela ngemuva kokwenza lonke ucwaningo oludingekayo. Ngemuva kokuthola imiphumela yokuhlolwa nayo yonke imininingwane yokuthi isilwane sizizwa kanjani, udokotela ubeka ukwelashwa okufanele. Ukuhlolwa komchamo kubaluleke kakhulu kulesi sici. Umchamo wenja onokuhluleka kwezinso uqukethe i-nitrogen equkethe i-carboxylic acid (creatine) ne-phosphorus. Ukuhlolwa komchamo wezinja okungalungile - okuqukethwe kwamaprotheni abalulekile, i-glucose eyeqile. Ngaphezu kokuhlolwa kwe-urinalysis, udokotela wezilwane angangezela futhi i-ultrasound, i-x-ray ne-biopsy.
Izigaba zesifo
Ukwehluleka kwezinso enjeni akunakwenzeka nje. Kungumphumela walezi zizathu ezingenhla futhi wehlukaniswe ngezigaba, ngasinye sazo sibaluleke kakhulu ukungasinaki.
Kunezigaba ezimbili ezejwayelekile zokuhluleka kwezinso futhi zombili ziyingozi kakhulu: isigaba esibucayi: imiphumela enobuthi emzimbeni wezinto ezinobuthi kakhulu ezisetshenziswa yinja; ukushaqeka, ukuthatha amalungiselelo anobuthi, amakhemikhali ekwelapheni ezinye izifo zesilwane. Isigaba esibi sokuhluleka kwezinso ezinjeni asiyona ingozi njenge okungapheli, ngemuva kwakho konke, kungenzeka ukuthi yelaphe ngokuphelele inja esigabeni esibucayi, ngenkathi isisesimweni esingalapheki, lesi sifo "ukwehluleka kwezinso" asiselapheki.
Odokotela bezilwane bahlukanisa uhlobo olubi lokuhluleka kwezinso ezigabeni ezilandelayo:
- Isigaba senxephezelo, esithatha amaphesenti angamashumi ayisishiyagalolunye esikhathi sokukhula kwalesi sifo. Kulesi sigaba, inja ayizibonakalisi nganoma iyiphi indlela, njengenjwayelo, ama-frolics, alale futhi adle kahle. Kepha ... uma umnikazi oqaphelayo enuka iphunga elibi lomchamo, waqaphela, uma ithuba livela, ukungaguquguquki okungajwayelekile nombala womchamo, walinikeza ukuze lihlaziyeke emtholampilo wezilwane, udokotela uzosheshe akhombe lesi sifo.
- Lesi sifo asikazibonakalisi. Izinkinga ezibalulekile ze-morphological and functional zikhula kancane kancane ezicutshini zezinso, yize umuntu kungafanele esabe umphumela odabukisayo. Ngemuva kokunikela umchamo wenja ukuze uhlaziye emtholampilo wezilwane, ungathola ukuthi inja inokwehluleka kwezinso, kepha ngaphandle kokuhlaziywa kwegazi lesilwane, udokotela wezilwane ngeke akwazi ukutshela umnikazi ngesiteji. Ukuhlolwa okwengeziwe kokuxilongwa kwe-ultrasound ngudokotela wezilwane oqeqeshwe kakhulu ngeke kube yinto engadingekile.
- Ukuncipha. Inja isesimweni esibi kakhulu, futhi umnikazi uqobo uyakubona lokhu. Inja isaphuza futhi iyadla, kepha ayisasebenzi futhi iyajabula njengakuqala. Ukuhlolwa komchamo kuyimpoqo.
- Itheminali (eyingozi kakhulu) isigaba. Izinso ziyahluleka, nosuku alukude lapho sekuvele kungenzeka ukuvalelisa inja, njengoba yehlulwa yikhoma lezinso.
Ngifisa ukuqaphela ukuthi udokotela wezilwane angenza ukuthi kungabikho zinkinga ukuxilongwa kokuhluleka kwezinso okukhulu uma umtholampilo wakhe usufake imishini yokuhlolela yesimanje, ethuthukisiwe. Uma usithanda isilwane sakho, ungalokothi ucabange ngemali nangesikhathi lapho ubuka umngani wakho wesilwane engaziphathi kahle izinsuku ezimbalwa. Muse kudokotela wezilwane futhi enze ukuxilongwa okufika ngesikhathi nokuhlaziya ukusindisa impilo yakhe.
Ukwelashwa kwalesi sifo
Ukwelashwa kokuhluleka kwezinso ezinjeni kufaka phakathi:
- ukwelashwa okunamandla kokumnika nge-sorbilact, izixazululo ezikhethekile, i-reosobilact, ngosizo lukaRinger-Locke - uketshezi olususelwa ku-plasma olusebenzisa usawoti;
- ukusetshenziswa kwe-dopamine, i-lespenephril, i-mannitol ne-lasix;
- ukwelashwa kwe-enterosorption. Inja kufanele inikezwe izidakamizwa iKanefron, iBelosorb-P neHeptral;
- ukudla okuphansi kwamaprotheni;
- Ukwelashwa kwe-homeopathic: nikeza iSolidago compositum C
Ukuvimbela ukwehluleka kwezinso
Ukuvimbela lesi sifo kusekelwe ikakhulu ekunikezeni isilwane umsoco ofanele. Uma inja isenesifiso esihle sokudla futhi idla kahle, sincoma ukuthi ingeze ekudleni kwayo ngokudla kokudla nangokudla kwamaprotheni.
Ikhambi lesimanje elihle kakhulu lokwelapha ukwehluleka kwezinso ezilwaneni, ukudla kwezinso kuyisisekelo sokwelashwa okuthuthukile kwezilwane ezifuywayo kunoma yisiphi isigaba sesifo. Lokhu kudla kwezinso kusiza ukuvimbela noma kwehlise kakhulu i-uremia esigabeni esibi, kubuyise ibhalansi ye-electrolyte, futhi kuvimbele ifomu elingapheli ukuthi likhule ngokushesha. Ezifundweni zakamuva, kutholakale ukuthi ukudla (izin) kwezinso okunezelwa ekudleni kwansuku zonke kwezinja kuvimbela kakhulu ubungozi besifo sezinso ezinjeni.