Cov zis ntim tuaj yeem qhia rau koj yog tias lub raum ua haujlwm puas
Jul 07, 2022
Cov neeg mob raum txhawj xeeb txog seb lawv puas yuav muaj uremia, feem ntau vim tias lawv tsis muaj ntau lub tswv yim ntawm lawv tus kheej cov kab mob.
Qhov hnyav ntawm lub raum puas yog dab tsi?
Nws puas yuav siv kaum xyoo lossis kaum xyoo kom tau txais uremia?
Puas muaj chaw rau kev thim rov qab? Puas muaj peev xwm tswj tau lub neej ruaj khov?
Peb feem ntau tsis muaj lus teb meej rau cov lus nug no, yog li peb kuj ua ib kauj ruam zuj zus thaum lub sijhawm kho. Qhov no tsis haum rau covmus ntev stabilityntawm tus kab mob, thiab nyob rau tib lub sij hawm, nws yog nquag mus rau rov tshwm sim.
Yuav tswj cov qib ntawm lub raum ua haujlwm li cas kev loj hlob? Feem ntau, cov neeg feem coob yuav saib ob qhov ntsuas ntawmcov zis proteinthiabntshav creatinine.
Yog xav paub ntxiv txog Cistanche Renal Damage Treatment
Cov protein ntau hauv cov zis, lub raum ua haujlwm puas loj dua? Tsis heev.
Cov tsos mob ntawm cov zis feem ntau tshwm sim nyob rau theem pib ntawm nephritis thiab lub raum syndrome, thaum lub raum inflammatory dab nyob rau hauv lub raum active, thiab glomerular qab daus daim nyias nyias yog heev puas, feem ntau yog pathological kev puas tsuaj, tab sis tsis tas yuav nrog rau tag nrho lub raum kev puas tsuaj.
Creatinine tuaj yeem cuam tshuam tag nrho kev puas tsuaj ntawm lub raum kev ua haujlwm thiab ntau dua ntawm cov ntshav endotoxin qib. Txawm li cas los xij, qhov nce thaum ntxov yuav tsum tau ua ke nrog covglomerular pom tus nqi, thiab tus nqi creatinine ib leeg tsis yog qhov tseeb heev.
Ntxiv nrog rau ob qhov ntsuas no, uas lwm cov ntsuas tuaj yeem cuam tshuam zoo dua qhov hnyav ntawmraum ua haujlwm puas tsuaj, seb nws puas tuaj yeem ua haujlwm ntxiv, lossis nws yuav raug tawm tsam, lossis muaj chaw rau kev thim rov qab?
Qhov ntsuas zis no qhia txog lub raum kev ua haujlwm tseem ceeb dua li cov zis protein!
Nws yog cov zis ntim, thiab cov zis tso zis yuav txawv heev nyob rau hauv ntau theem ntawm kev loj hlob ntawm lub raum kab mob.
Tsis muaj kev hloov pauv tseem ceeb hauv cov zis tso zis - thaum ntxov ntawm lub raum kab mob
Primary nephropathy thiab Secondary nephropathy muaj ntau yam ua rau, sib txawv pathogenesis, thiab sib txawv ntawm cov zis tso zis. Txawm li cas los xij, nyob rau theem pib ntawm kev txhim kho tus kab mob, tsis muaj qhov pom tseeb hloov pauv ntawm cov zis tso zis.
Nyob rau theem pib ntawm tus kab mob thawj zaug, nws yog ntau dua ntawm cov tshuaj tiv thaiv kab mob, uas yuav ua rau muaj kev puas tsuaj rau glomerular hauv qab daim nyias nyias, poob ntawm cov protein nyob rau hauv cov zis, thiab ua rau lub raum edema vim dej thiab sodium retention. mob, tab sis feem ntau yog teeb meem raum pom, tsis yog teeb meem raug mob.
Tom qab cov tshuaj tiv thaiv kab mob, cov protein poob qis zuj zus, edema tau txhim kho, thiab tso zis rov qab mus rau qhov qub.
Nyob rau theem pib ntawm theem nrab nephropathy, nws yog qhov teeb meem ntawm kev tiv thaiv kab mob thiab cov ntshav ncig. Piv txwv li, lupus nephritis yog ib qho teeb meem ntawm kev tiv thaiv kab mob, thiab ntshav qab zib nephropathy yog ib qho teeb meem ntawm cov ntshav ntws. Nws kuj tuaj yeem ua rau cov urinary protein edema, tab sis cov zis tso zis feem ntau yog qhov qub.
Tsawg tsawg ntawm cov zis tso zis - nruab nrab theem ntawm lub raum kab mob
Thaum tus kab mob raum nkag mus rau theem 3, ntau tus neeg tsis muaj cov zis tso zis tsawg lossis qis me ntsis ntawm cov zis tso zis. Nyob rau theem no, glomerular filtration rate poob mus rau 60. Lub sijhawm no, kev ua haujlwm ntawm glomerular filtration thiab lub raum tubules yuav raug puas tsuaj. Tus neeg mob cov zis tso zis poob ntawm 1500 ml rau 1000-1500 ml.
Txawm li cas los xij, qee tus neeg mob feem ntau txwv dej lossis haus dej tsawg. Tsuav nws tsis tsawg dua 1000 ml, nws tsis yog ib qho teeb meem loj, thiab lawv yuav tsis xyuam xim rau qhov txo qis hauv cov zis tso zis.
Txawm li cas los xij, yog tias nws tsawg dua 1500 ml, yuav tsum tau them nyiaj rau qhov teeb meem ntawm lub raum pom kev ua haujlwm thiab kev ua kom detoxification poob qis, thiab kev kho mob los tiv thaiv lub raum thiab txhim kho cov ntshav ncig yuav tsum tau ua raws sijhawm.
Oliguria - theem ntawm lub raum tsis ua haujlwm
Qhov teeb meem ntawm kev hloov txoj haujlwm ntawm cov lus "oliguria thiab oliguria" yog qhov phem dua. Thaum oliguria tshwm sim, cov zis protein feem ntau tsawg dua 400 ml hauv 24 teev, qhia tias glomerulus puas lawm ntau thiab tsis tuaj yeem thim rov qab. Qhov xwm txheej no feem ntau tshwm sim nyob rau theem ntawm lub raum tsis ua haujlwm los ntawm kev puas tsuaj glomerular.
Oliguria yog nrog los ntawm cov ntshav endotoxin ntau dua thiab siab dua, ua rau muaj zog creatinine, uric acid thiab lwm yam ntsuas, thiab qhov sib npaug ntawm cov kua qaub-puag thiab electrolyte metabolism kuj tseem cuam tshuam.
Thaum qhov teeb meem no tshwm sim, raum cov phooj ywg yuav tsum tau ceeb toom rau qhov tsis zoo ntawm tus mob, thiab kev pheej hmoo ntawm uremia yog siab heev. Nyob rau lub sijhawm no, nws yog ib qho tsim nyog yuav tsum txhim kho thiab kho lub raum puas hlwb, ncua kev loj hlob ntawm uremia, thiab tsis txhob nkag mus rau kev lim ntshav.
Ua tiav anuria - theem uremic
Feem ntau, ib qho 24- teev tso zis ntau dua 100 ml yog suav tias yog anuria. Ua tiav anuria txhais tau hais tias nws tsis tuaj yeem raug tshem tawm tag nrho. Lub sijhawm no, cov ntshav endotoxins nce mus txog qib siab tshaj plaws. Ntxiv nrog rau qhov kev pheej hmoo ntawm uremia, muaj kev pheej hmoo ntawm ntau yam teeb meem xws li lub plawv tsis ua haujlwm. Lub sijhawm no, detoxification yog ib qho tseem ceeb. Yog tias lub sijhawm lim ntshav txuas ntxiv, kev sib xyaw ua ke ntawm cov tshuaj suav tshuaj suav thiab Western tuaj yeem siv tau, thiab kev ua haujlwm qeeb tuaj yeem ua tiav ib kauj ruam los ua kom lub sijhawm txhim kho ntawm uremia.
