Koj Puas Paub Txog Nephritis, Raum Insufficiency, Raum Failure, Thiab Uremia
Jul 07, 2022
Yog xav paub ntxiv. tiv taujtina.xiang@wecistanche.com
Lub sij hawm ntawm discovery ntawmmob raumfeem ntau txiav txim siab qhov kawg ntawm lub raum cov phooj ywg. Qee tus neeg tsuas yog kuaj tau yooj yim nephritis, qee cov neeg muaj mob melub raum puasthaum lawv kuaj tau, thiab qee cov neeg nyob ze heevuremia, tab sis rau txhua tus phooj ywg lub raum, txawm tias thaum twg kuaj tau, yuav ua li cas yog txhawm rau txhawm rau ua uremia ntau li ntau tau thiab ncua sij hawm nkag mus rau uremia.
Tom qab kuaj pom muaj kab mob raum, cov phooj ywg lub raum yuav tsum ua li cas los tiv thaiv lawv ob lub raum? Kuv tus mob hnyav npaum li cas thiab nws nyob deb npaum li cas los ntawm uremia? Kuv tuaj yeem tau txais kev kho mob zoo li cas?
Nyem qhov no kom paub seb cistanche siv rau dab tsi
1. Lub raum tsis txaus
Thawj kauj ruam rau uremia yog seb nws puas yuav dhau los ua uremia thiab seb puas yuav tsum tau lim ntshav, muaj qhov ntsuas nruj los txiav txim siab txog qib ntawm lub raum puas.
Lub raum yog lub hauv paus tseem ceeb rau kev tshem tawm cov khib nyiab hauv tib neeg lub cev. Thaum lub luag haujlwm ntawm lub raum (hu ua GFR hauv qab no) txo qis thiab cov khoom pov tseg tsis tuaj yeem tso tawm kom zoo, kev lim ntshav lossis hloov lub raum yog qhov tsim nyog los tswj qhov qub.lub raum ua haujlwm. Yog li ntawd, qhov txo qis hauv GFR yog thawj kauj ruam ntawm uremia, thiab nws yog qhov qhia tau tias cov phooj ywg hauv lub raum yuav tsum tau them nyiaj ntau rau cov ntshav creatinine.
GFR ntawm cov neeg noj qab haus huv yog kwv yees li 100ml / min / 1.73m² (cov chav nyob hauv qab no raug tshem tawm), thiab muaj kev hloov pauv me ntsis hauv ntau pawg. Tus nqi qis dua, qhov phem dualub raum ua haujlwm.
GFR Ntau dua lossis sib npaug rau 90, CKD theem 1: Hauv theem no, lub raum ua haujlwm tsis zoo, thiab tsis muaj cov tsos mob ntawmlub raum tsis ua haujlwm.
GFR 60-89, CKD theem 2: Lub raum ua haujlwm qis me ntsis, lub cev pov tseg tseem tuaj yeem tso tawm ib txwm, thiab cov tsos mob me xws li daim tawv muag edema tuaj yeem tshwm sim.
GFR 30-59, CKD theem 3: Lub raum ua haujlwm qis qis, cov khoom pov tseg tsis tuaj yeem ua kom tiav thiab ua haujlwm zoo, cov creatinine, ntshav urea nitrogen, uric acid, thiab lwm yam kev ntsuas nce, thiab cov tsos mob ntawm nocturia, yooj yim qaug zog , edema, thiab kub siab yuav tshwm sim.
GFR 15-29, CKD theem 4: Lub raum tsis ua haujlwm hnyav, nce ntshav hauv cov poov tshuaj thiab phosphorus qib, creatinine, ntshav urea nitrogen thiab lwm yam ntsuas tau nce ntxiv, thiab cov tsos mob xws li ntshav ntshav, khaus, thiab xeev siab.
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2. Cov mob raum sib txawv, kev tsom ntawm cov phooj ywg raum yuav tsum sib txawv
Cov phooj ywg hauv lub raum yuav tsum hloov txoj kev kho mob thiab kev npaj noj zaub mov raws sijhawm raws li lawv lub raum mob kom tsis txhob muaj kab mob ntxiv.
Yooj yim nephritis yam tsis muaj lub raum tsis zoo
Xws li nephropathy suav nrog ntau yam mob hnyav thiab mob ntev, membranous proliferative nephritis, mesangial proliferative nephritis, purpura nephritis, lupus erythematosus nephritis, IgA nephropathy, membranous nephropathy, tsawg heev hloov nephropathy, focal segmental glomeruclosis, thiab lwm yam.
Thaum tsis muaj lub raum tsis ua haujlwm, cov phooj ywg lub raum yuav tsum tsom mus rau "tsis txhob rov ua dua". Ua tib zoo saib xyuas cov khoom noj protein uas tsim nyog thiab kev tawm dag zog aerobic tsis tu ncua los tsim cov teeb meem ntawm albumin qis, tiv thaiv kab mob tsis zoo, edema, thiab noj tsis txaus los ntawm cov proteinuria loj.
CKD theem 1-2, mob raum tsis zoo
Rau raum cov phooj ywg nyob rau theem 1-2, ob lub raum tseem nyob zoo. Nws yog qhov zoo rau kev koom tes nrog tus kws kho mob kev kho mob, ua haujlwm thiab so tsis tu ncua, thiab ua raws li lub hauv paus ntsiab lus ntawm lub teeb, muaj txiaj ntsig zoo, noj zaub mov tsis muaj protein ntau. Tsis tas yuav txwv kev noj zaub mov ntau dhau, thiab tseem yuav tsum tsis txhob muaj kev ntxhov siab ntau dhau, thiab lub raum kev ua haujlwm tseem poob qis vim qhov muag tsis pom "tonifying lub raum".
CKD theem 3-4, nruab nrab mus rau lub raum tsis zoo
Nyob rau theem 3-4 cov neeg mob raum, edema, ntshav siab, kiv taub hau, qaug zog, thiab lwm yam tsis xis nyob tshwm sim, cov piam thaj hauv ntshav, phosphorus, thiab uric acid yog qhov txawv txav, thiab kev noj zaub mov tsis zoo nce ntxiv.
Kev noj zaub mov tsis muaj protein ntau, kev ua haujlwm tsis tu ncua thiab so, thiab kev tawm dag zog yuav tsum tau siv los ua pab, thiab cov teeb meem xws li ntshav qab zib thiab hyperparathyroidism yuav tsum raug kho kom tsis txhob muaj tus kab mob mus rau uremia.
CKD theem 5, uremia theem
Nyob rau theem pib ntawm uremia, txhua yam ntawm kev noj haus, kev ua haujlwm thiab so, kev kho mob, kev tawm dag zog, thiab kev ua haujlwm yuav tsum tau kho kom nruj, thiab kev xav yuav tsum tau npaj kom ncua qhov tshwm sim ntawm cov teeb meem xws li ntuav, edema, plawv tsis ua hauj lwm, siab phosphorus. , thiab siab poov tshuaj ntau li ntau tau. Thaum kev lim ntshav yog tsim nyog, kev npaj rau kev lim ntshav yuav tsum tau ua, piv txwv li, kev npaj ntawm kev phais hauv fistula, nws yog ib qho tseem ceeb heev uas yuav tsum tau txais kev lim ntshav hauv lub hlwb. Qhov tseeb, lub neej zoo tom qab kev lim ntshav yuav raug txhim kho.
Raws li peb txhua tus paub, uremia yog kab mob raum loj heev, thiab nws kuj yog kab mob kawg ntawm ntau yam kab mob raum. Dialysis yog siv sijhawm ntev thiab siv zog ntau. Tus nqi ntawm kev lim ntshav peb zaug hauv ib lub lim tiam tsis muaj nqis rau cov tsev neeg zoo tib yam, tsis hais tias ib zaug cov neeg mob ntshav lim ntshav pib Dialysis, txawm tias yog vim li cas lub cev lossis lwm yam laj thawj, nws nyuaj rau kev khwv nyiaj tau los; Yog li ntawd, nws yog ib qho tseem ceeb tshwj xeeb kom ua tiav kev tiv thaiv ntxov, kev tshawb pom ntxov thiab kev kho mob ntxov ntawm uremia;
Hauv qab no kuv yuav qhia koj txog ob peb yam cim ntxov ntawm uremia;
1. Cov tsos mob ntawm daim tawv nqaij
Vim tias muaj ntau cov co toxins hauv lub cev thiab txawm nyob rau ntawm daim tawv nqaij, cov tawv nqaij ntawm cov neeg mob uremia yuav tshwm sim heev, qhuav, thiab lub cev qhuav dej, thiab dandruff yuav nce ntau. Tsawg zog, feem ntau nrog cov tsos mob ntawm khaus thiab o.
2. mob ntsws thiab ua pa
Vim tsis muaj kev ua haujlwm, lub ntsws tshwm sim edema, uas ua rau ua tsis taus pa thiab ua tsis taus pa, thiab uremia yuav tshwm sim los ntawm qhov tshwm sim ntawm acidosis hauv lub cev, thiab nws tseem yuav ua rau muaj cov tsos mob xws li ua pa qeeb. tus nqi thiab ua pa tob.
3. Teeb meem plab hnyuv
Cov neeg mob uas muaj uremia yuav muaj xeev siab, ntuav, thiab raws plab. Nrog rau qhov nce ntawm uric acid nyob rau hauv lub cev, ntau ammonia yuav tso tawm nyob rau hauv lub plab zom mov, uas yuav ua rau ua pa phem thiab ulcers, thiab o nyob rau hauv lub qhov ncauj thiab plab.
4. Cov teeb meem pob txha
Cov neeg mob uremia feem ntau muaj cov tsos mob xws li pob txha pob txha, osteomalacia, thiab cov pob txha tsis zoo. Nyob rau lub sijhawm no, calcium thiab vitamins yuav tsum tau ntxiv kom muaj calcium nqus thiab tiv thaiv kev puas tsuaj thiab lwm yam tsos mob.
5. Cov teeb meem ntawm endocrine system
Uremia yog tshwm sim los ntawm kab mob raum, thiab teeb meem rau lub raum tuaj yeem ua rau muaj teeb meem endocrine.
6. Cov teeb meem hauv paj hlwb
Nrog rau tsub zuj zuj ntawm co toxins hauv lub cev, tib neeg lub paj hlwb yuav cuam tshuam;
Cov tsos mob tshwm sim yog loog ntawm cov ntiv tes thiab ntiv taw, zoo li hnav hnab looj tes, tsis hnov tsw tsawg dua li ua ntej, tsaug zog ntau dua li cov neeg zoo tib yam, muaj kev chim siab ntau dua, qee zaum hais lus rau tus kheej, thiab tsis nco qab cov leeg tshee tshee, kiv taub hau, mob taub hau, thiab tsis nco qab yog vim kev ntxhov siab. kab mob yog lom, thiab nyob rau hauv mob hnyav, convulsions thiab coma yuav tshwm sim vim muaj zog intracranial siab.
Ua ntej, uremia yog ntau yam kab mob raum. Yog tias nws tsis tau them nyiaj rau, nws yuav dhau los ua uremia. Yog li ntawd, cov tsos mob loj tshaj plaws ntawm cov neeg mob uremia yog kab mob raum. Lub sijhawm no, lawv yuav tsum koom tes nrog cov kws kho mob kom kho lawv kom tsis txhob hloov mus rau uremia.
Tsuav nws kho tau zoo thiab tswj tau zoo, feem ntau cov kab mob hauv lub raum yuav raug tswj thiab yuav tsis dhau los ua uremia. Yog li ntawd, txhua tus neeg yuav tsum tau xyuam xim rau kev saib xyuas ntawm lub raum.
