Kukurukura Imbwa Renal Kukundikana Zvakare

-Complex renal failure-

Mumazuva gumi apfuura kana zvakadaro, imbwa mbiri dzakasangana nekutadza kweitsvo, imwe yaenda, uye mumwe muridzi wemhuka achiri kushanda nesimba kuirapa. Chikonzero nei isu takanyatso kujeka nezve acute itsvo kutadza imhaka yekuti panguva yekutanga biochemical test, chiropa neitsvo zviratidzo zvaive zvine hutano, uye pakanga pasina zviratidzo zvekutadza kweitsvo mumuviri. Mushure memazuva 1-2 ekuongororwa, muviri wakangoerekana wanzwa kusagadzikana, nekuderera kwekuda kudya, kushaya simba kwemuviri, uye kupera kwepfungwa. Zvadaro, pazuva rechitatu rekuenda kuchipatara kunoongororwa, zviratidzo zvetsvo zvakaratidza kukundikana kwetsvo, uye zviratidzo zvechiropa zvakawedzerawo. Nenguva isipi, zvimwe zvirwere zvenhengo dzakakosha senge uremia, kukundikana kwemoyo, uye hepatic encephalopathy yakaonekwa imwe pashure peimwe mumazuva mashoma. Chero chezvirwere izvi zvinogona kukonzera kufa kwembwa… Sei kutadza kweitsvo kuchityisa kudaro? Kuchine tariro here mushure mekutadza kweitsvo?

Chii chinonzi itsvo failure mumbwa? Chekutanga, kutadza kwetsvo hachisi chirwere chimwe chete, asi izwi rekubatana kune dzakawanda mhinduro dzezvirwere zvine chekuita nehutano hweitsvo uye kuderera kwekushanda. Tsvo ine hutano ine basa rekudzora mvura mumuviri, kuburitsa mahormone anodiwa pakugadzira masero matsvuku eropa, kuchenesa metabolic toxin, uye kuchengetedza yakazara electrolyte chiyero. Kana itsvo iine matambudziko, haigone kuita mabasa aya zvinobudirira, saka kutadza kwetsvo kunowanzo kutungamirira kuanemia, kusaenzana kwe electrolyte, acidosis, alkalosis, uye uremia.

Imbwa kutadza kwerenal kunogona kukamurwa kuita acute renal kutadza uye kusingaperi renal kutadza. Chinonyanya kukonzera kutadza kwetsvo kwakanyanya chine chekuita nekupinzwa kwechepfu kana hutachiona, izvo zvinogona kukonzera kuderera kweitsvo kushanda mukati memaawa mashoma kana mazuva. Iyo yakawanda yeacute itsvo kukundikana kwakaoma kuziva chikonzero chechirwere, kunze kwekunge iri mishonga isiriyo inogona kutsanangurwa kuburikidza nemishonga zvinyorwa. Chisingaperi itsvo kutadza kukura kunogara kwemavhiki, mwedzi, kana kunyange makore, nekuramba kuderera mukushanda kweitsvo. MuUnited States, chikamu chikuru chayo chakanangana nekuchembera, uye muChina, kudya kwenguva refu kwekudya kwezvinhu zvinokuvadza kana tsika dzekudya dzisiri dzesainzi dzinobatanawo. Chikonzero chekutadza kwetsvo kusingaperi kunonyanya kuoma kuziva. Chete apo itsvo inorasika inopfuura 75% yebasa rayo pachave nerabhoritari kuratidzwa. Zvinonyanya kuitika kuti mushure mekudya chimwe chikafu kwegore, hapazovi nematambudziko. Nenguva iyo inosvika 1 gore nezuva 1, itsvo inenge yaderera kubva pahuwandu kusvika kune hutano, zvichiita kuti itsvo dzikundikane.

-Inducing zvinhu zvekutadza kwerenal-

Chinhu chipi nechipi chinokanganisa hutano hwetsvo chinogona kutungamirira kukukundikana kwetsvo. Kana yakadzama, zvikonzero zvinogona kukamurwa kuita zvinotevera pfungwa

1: Kuchembera hakungoratidzwi mukuneta kwechiso uye kutsungirira, asi kunotungamirirawo kuderera kwekushanda kwe visceral cell renewal, zvishoma nezvishoma kunetesa kushanda kwenhengo. Ichi ndicho chikonzero chikuru chekusingaperi itsvo kutadza kukonzerwa nezvisiri zvekunze zvinhu. Muzvinyorwa zvakapfuura pamusoro pembwa dzakura, takazivisa kuti hosha dzemwoyo neitsvo ndizvo zvinouraya imbwa dzakura.

2: Congenital developmental kana genetic problems, abnormal itsvo development, itsvo cysts, kana kuva neitsvo imwe chete pakuzvarwa zvinogona kutungamirira kumutoro wakakura paitsvo, zvese izvi zvinogona kukonzera kutadza kwetsvo.

3: Utachiona hwehutachiona, zvirwere zvakawanda zvinotapukira uye mabhakitiriya anogona kupinda muitsvo, zvichikonzera kukanganisa kumasero eitsvo. Zvizhinji zvacho zvinokonzerwa nekushambira mumvura ine tsvina uye ine tsvina, kana kunwa mvura ine tsvina kubva munzvimbo dzemusango kunze. Aya mabhakitiriya kana mavhairasi anowanzo kukonzera kuzvimba kweitsvo uye kukuvara kwesero, zvichiteverwa nekushaya simba kweitsvo, kuwedzera kudzvinyirira, uye pakupedzisira kutadza kweitsvo.

4: Nephrotoxicity ndiyo inonyanya kukonzera kutadza kwetsvo muChina, uye zvinhu zvine muchetura zvinogona kukanganisa maseru eitsvo. Apo imbwa dzinodya zvokudya zvine chepfu, zvakadai se<em>antifreeze nemaruva, zvokudya zvakawanda zvinogona kukonzera kusashanda zvakanaka kweitsvo, uye kunyange kushaya mushonga wokuzvirapa; Mishonga mizhinji inogona kukonzera kusashanda zvakanaka kweitsvo, senge mishonga inotonhora yakawanda uye gentamicin. Inenge hafu yemirairo yemishonga inotaura kuti chirwere cheitsvo chinofanira kurapwa nekuchenjerera kana kuderedzwa dosi inofanira kushandiswa pakusakwana kwetsvo.

5: Nguva pfupi kupera simba kwemvura, manyoka anoramba aripo, kurutsa, kupisa, kubuda ropa kukuru, ascites, zvichingodaro.

-Acute chisingaperi renal kukundikana-

Acute uye kusingaperi itsvo kukundikana zvese zviri zviviri zvakakomba zvirwere zvinogona kutyisidzira hupenyu hwembwa. Acute renal kukundikana kunogona kufa mukati memazuva mashoma, asi chinhu chakanaka ndechekuti nekurapa kwakakodzera, rombo rakanaka rinogona kutungamirira kupora zvachose. Kusakwana kwenguva refu kwerenal kunogona kusaratidza zviratidzo zvakajeka munguva pfupi, asi kukura kwechirwere kunopindirana uye hakugoni kupora zvachose. Inogona chete kuchengetedza itsvo kubva pakurasikirwa zvachose basa uye kuwedzera hupenyu hwehupenyu.

Sekureva kweInternational Renal Association (IRIS), kutadza kweitsvo kusingaperi kunoiswa muzvikamu zvina. Iyo yakakwira nhanho, ndipo panowedzera zviratidzo zvemhuka dzinovaraidza, uye kurapwa kwekutanga, ndiko kurebesa hupenyu hwavo. Zvinoenderana nenhamba dzesangano, nguva yepakati yekupona kwembwa muchikamu chekutanga chekutadza kweitsvo chisingaperi inopfuura mazuva mazana mana, yepakati nguva yekupona muchikamu chechipiri mazuva 200-400, nhanho yechitatu mazuva 100-200, uye kupona. nguva muchikamu chechina mazuva 14-80 chete. Muchokwadi, kutariswa kwekutanga kwezvirwere uye kutarisirwa kwesainzi kwevaridzi vezvipfuyo kunoita basa rakakura muurefu hwehupenyu. Kunze kwedialysis, hapana chaicho chekurapa kweitsvo, saka mhedzisiro yemishonga isingasaruri inogona kukurumidza kukurumidza kukura kwechirwere.

Sezvo kukurumidza kuonekwa kwakakosha, ndedzipi zviratidzo zvekukundikana kwetsvo? Chikonzero nei kusingaperi renal kusakundikana kwakaoma kuona imhaka yekuti zviratidzo zvaro zvekutanga hazviratidzike zvakanyanya, uye kuwanikwa kunowanzo kuperekedzwa nenjodzi zvikonzero, zvakadai sekuwedzera weti mudundira uye kuderera weti kubuda; Semuenzaniso, kushaya simba kwehurongwa uye kupera kwepfungwa kunokonzerwa nekuderera kwehuwandu hwe potassium muropa; Somuenzaniso, kurutsa uye dzimwe nguva manyoka; Sezvo mamiriro acho achiwedzera kuipa, panogona kuva nezvimwe zviratidzo zviri pachena, zvakadai seropa muweti, kukotsira uye kupera simba, kupererwa neropa uye mazamu akacheneruka, maronda emumukanwa anoramba aripo, kurasikirwa kukuru, kuderera kwehuropi hunodzora muviri, kufamba kusina kugadzikana, kuderera kwechido chekudya, zvakanyanya kuwandisa kana kuderera weti;

Mushure mekuona zviratidzo zviri pamusoro, kurumidza kuendesa chipfuyo chako kuchipatara chiri pedyo chakanaka kunoongororwa biochemical. Zvinowanzokurudzirwa kuita biochemical test nezvinhu 16 kana kupfuura, izvo zvinofanirwa kusanganisira zviratidzo zveitsvo zvakadai se creatinine, urea nitrogen, uye phosphorus. Nokuti chiropa neitsvo zvinowanzokura pamwe chete, kutarisa zviratidzo zvechiropa zvakakoshawo. Kubva pamigumisiro yekuongorora, sarudza chimiro chekukundikana kwetsvo, edza kuziva chikonzero chekukundikana kwetsvo zvakanyanya sezvinobvira, uye wozogamuchira kurapwa kwakananga. Zvakanyanya, zvakasimba, uye zvino zvakasimba kudzora hupenyu uye kudya, chete nenzira iyi inogona kunonoka kukura kwechirwere zvakanyanya sezvinobvira uye hupenyu hwehupenyu huwedzere.