Izinkinga zezinso ezihlobene nokukhubazeka komsebenzi wokukhipha kanye nokuhlelwa komchamo ngokuqinisekile kuyisongo ngqo empilweni yabantu nasekuphileni. Enye yalezi zenzakalo ezibizwa ngokuthi i-anuria.
Kuyini i-oliguria ne-anuria?
U-Oliguria yisimo esibonakala ngokunciphisa inani lomchamo okhishwe, kuyilapho i-anuria engelutho ngaphandle kokungabikho ngokuphelele kwesikhumba. Kuye ngezizathu ezenza ukuba kubonakale, i-anuria ihlukaniswa ibe:
- I-Arenal - ivame ukuvela ezinganeni ngokushesha ngemuva kokuzalwa ne-aplasia yezinso.
- I-anriaa ye-Prerenal iqala ngenxa yezizathu ezingezona ngqo ezihlobene nezinso, kodwa ziholela ekupheleleni okunganele noma okuphelele kwegazi labo. Lokhu kungenzeka ngenxa yokuhluleka kwenhliziyo, ukushaqeka, ukuwa, ukucindezeleka kwe-aortic, imivimbo yezinyosi noma imishanguzo, kanye nokulahlekelwa kwegazi okuphawulekayo, isifo sohudo, ukuhlanza.
- Ukuhlaziya i-anuria kungumphumela wokuphazamiseka kwezifo ezinsweni ngokwabo. Njengokuthi, isigaba sokugcina se-glomerulonephritis, i- pyelonephritis engapheli, i-nephroangiosclerosis, umfutho wegazi ophakeme, isifo sezinso ze-polycystic, njll. Futhi, amacala okuqala kwe-anuria e-renal ajwayelekile ngokudakwa ngemuva kokudla ubuthi obunobuthi nemithi ehlukahlukene, ukumpontshelwa igazi elingavumelani, ukushisa okukhulu, ukukhipha isisu nokubeletha. I-prerenal kanye ne-anuria ye-renal yizinhlobo ze-anuria ezivela lapho umsebenzi wezinso wezinso eziphulwa, okungukuthi, ukungakwazi ukukhiqiza umchamo.
- I-postural anuria yiyona uhlobo oluyinkimbinkimbi yesifo. Isizathu saso esivame kakhulu yi-urolithiasis. Iqiniso liwukuthi nge-anriaa umthamo we-postrenal ikhiqizwa, kodwa ngenxa yokuthi kukhona ukuvimbela ukuphuma, akufaki isisindo.
- I-anuria ye-reflex - ihlotshaniswa nomthelela wesistimu yezinzwa eziphakathi kwenqubo yokuchama.
Anuria - ukwelashwa nezimpawu
Izimpawu ze-anuria zihlala zibhekene naso - umuntu uvele nje ayeke ukuhlaziya. Ngenxa yalokho, i-nitrogen slag, i-potassium, i-chloride, i-acids engeyona enezinhlobo eziphilayo iqoqa emzimbeni, ibhalansi yamanzi usawoti iphazamiseka, okuholela ngqo ekudakeni nase-uremia.
Kunomlomo owomile, isicashu, ukuhlanza, isifo sohudo, ikhanda, izinyembezi, ukunyamazeka kokuqonda, iphunga le-ammonia. Izinga le-urea egazini liyakhula kakhulu.
Uma une-anuria yokusola okuncane, udinga ukuthola usizo lwezokwelapha. Ngemuva kokuqhuba ukuhlolwa nokunquma uhlobo lwe-anuria, ukwelashwa okwanele kunqunywe.
Kumele kuqashelwe ukuthi kubaluleke kakhulu ekunqumeni inkambo yokwelapha ukunquma ukuthi yikuphi i-anuria eyinhloko noma eyimfihlo. Ngakho-ke, nge-anuria yangemva kwesikhashana, kuthathwa izinyathelo eziphuthumayo ukubuyisela ukuphuma komchamo - ukuphazamiseka kwezidakamizwa noma i-pyelonephrosstomy.
Ezimweni ezimbi ikakhulukazi, ngaphambi kokuhlinzwa, i-hemodialysis yenziwa - ukuhlanzwa kwegazi okungaphezulu kwamaselula, okukhipha kuwo imikhiqizo emibi emzimbeni, ukubuyiselwa kwamanzi,
Ngezinhlobo zemfihlo - i-prerenal ne-renal anuria - izinyathelo eziqaphayo zivame ukusetshenziswa, futhi i-hemodialysis nayo ingenzeka. Iziguli ezitholakale zine-prerenal anuria, usizo lokuqala luqondiswa ekugcineni umsebenzi we-cardiovascular and normalalizing blood pressure.
Ngokusobala, ukwelashwa kwe-anuria kufanele kulandele ngendlela esifike ngesikhathi, kungenjalo lesi sifo singabangela imiphumela engaphenduki.