Izinja nezinso zezinso

Isifo sezinso yisifo esibi sezempilo ezinja ezidinga ukwelashwa. Eminye imigomo evamile yesifo sezinso kuhlanganisa ukungaphumeleli kwe-renal, ukwehluleka kwezinso, nokuntuleka kwengqondo. Njengomnikazi wezinja, kuyokusiza ukuba uqonde izinhlobo ezahlukene zesifo sezinso kanye nezimpawu ezibonisa isifo sezinso. Uma izinso zenja zingasebenzi kahle, zingathinta zonke ezinye izinhlelo emzimbeni.

Umsebenzi Wezinso

Izinso yizitho ezibalulekile ezilwaneni eziphilayo, kuhlanganise nezinja nabantu. Izinso zezinja ziphakathi kwesisu esisemuva ngemuva (okufana kakhulu nendawo yezinso zomuntu). Izinso zixhunywe kwinethiwekhi enkulu yemithwalo yegazi ehlangene nezinye izitho ezibalulekile. Izinso yizitho eziyinkimbinkimbi ezikhonza izinhloso eziningana. Banomthwalo wokugcina i-electrolyte efanele ne-pH ibhalansi egazini. Izinso zihlunga imfucuza egazini futhi zikhiqize umchamo lapho kutholakala khona imfucuza. Izinso nazo zikhiqiza ama-hormone nama-enzyme ezisiza ukulawula imisebenzi ehlukahlukene kulo lonke umzimba. Inhliziyo nezinso zisebenza ndawonye ukugcina umzimba usebenza. Njengabantu, izinja azikwazi ukusinda ngaphandle kwezinso, kodwa zingaphila nezinso ezilodwa kuphela.

Ukwehluleka Kwamahlaya Okunamandla

Uma izinso ngokuzumayo zihluleka inja ephilile, kubhekwa ukuhluleka okukhulu kwe-renal.

Leli fomu lezinso zezinso liqala izinsuku ezimbalwa, okwenza inja ihambe kusukela evamile kuze igule kakhulu ngaleso sikhathi esifushane.

Ukuhluleka okunamandla kokuqeda izinja kubangelwa kakhulu yi- toxin exposure . Izigameko ezivamile zibandakanya i- antifreeze , izitshalo ezinobuthi , ezinye izidakamizwa ezingaphezu kwe-counter-counter-counter, kanye nesifo sobuthi (ifomu eliqukethe i-cholecalciferol yamakhemikhali).

Ukutheleleka kwezinso kungenye imbangela engabangela ukwehluleka okukhulu kwe-renal. Izifo ezincane ze- urinary izifo zingase zikhule zibe yizifo zezinso uma zingashiywanga (ngisho noma lokhu akuyona imbangela kuphela yezinso zezinso).

Ukwehluleka okunamandla okuba nomsoco kungase kwenzeke uma kunciphisa kwegazi noma ukulethwa kwe-oxygen ezinso. Izibonelo zihlanganisa ukuhlukumezeka, ukuphela kwamanzi okushisa okukhulu, nokushaywa kwesibindi . Izimo ezithile zempilo ezitholile noma ezitholakalayo zingaholela ekuhlulekeni komzimba ngokweqile.

Ngokudabukisayo, izinja eziningi ezinokuhluleka kwamapayipi ngeke ziphile isikhathi esingaphezu kwezinsuku ezimbalwa. Kodwa-ke, uma ubanjwa ngokushesha futhi uphathwa kabi, izinja ezinye zingabuyiselwa ngokugcwele. Ukwelashwa ngokuvamile kuhilela ukwelashwa okune-intravenous fluid nemithi yokweseka. Abahlengikazi bezilwane bazozama futhi ukucacisa imbangela eyimbangela yokuhluleka kwenqunu nokuphatha ngendlela efanele.

Izifo Zesifo Sengqondo

Ngezinye izikhathi isifo sezinso ezingapheli sibizwa ngokuthi ukuhluleka kwezinso ezingapheli. Ama-vets amaningi aseqalile ukuyibiza ngokuthi isifo esingenasifo sezinso ngenxa yokuthi kubonakala sengathi iyindlela engcono yokuchaza lesi sifo. I-CKD ingumphumela wezinguquko ezishintshayo ezintsheni ezithinta ikhono layo lokusebenza kahle. I-CKD ivame kakhulu ezinja eziguga futhi ijwayele ukuza kancane kancane. Umsebenzi wezinso uba mabi kakhulu ngokuhamba kwesikhathi, ekugcineni uholela ekufeni.

Ayikho ikhambi lokugula okungenasifo kwezinso ezinja. Kodwa-ke, kunezinketho zokwelashwa ezingakwazi ukuphatha lesi sifo, ukuthuthukisa ikhwalithi yokuphila yenja futhi nokwandisa isikhathi sokuphila kuze kube seminyaka eminingana.

Izimpawu zezifo zezinso kuzinja

Izibonakaliso zokuhluleka komsoco kanye nezifo ezinesifo esingenasifo zifana kahle. Umehluko omkhulu wukuthi ifomu eliyingozi lifika ngokushesha (izinsuku ezimbalwa) ngenkathi ifomu elingapheli likhula kancane kancane isikhathi eside (izinyanga kuya eminyakeni). Izimpawu ezilandelayo ziyizinkomba zokuqala zezinso ezinja:

• Ukoma okwengeziwe
• Ukwandisa ukuchama
• I-Lethargy
• Ukulahlekelwa kwesifiso
• I-nausea
• Ukuvota
• Uhudo
• Ukulahlekelwa isisindo (ikakhulukazi kubonakala kulesifo esingenasifo sezinso)

Njengoba isifo sezinso siphuthuka futhi ubuthi obuningi bakha egazini, lezi zibonakaliso ezingenhla zivame ukonakala.

Ngaphezu kwalokho, inja yakho ingase ikwazi okulandelayo:

• Ukwehla kwamanzi
• Umfutho wegazi ophezulu
• Izilonda zesisu
• Ukunciphisa umkhiqizo we-urine
• Igazi emcimbini
• Ukungakwazi ukulawula ukushisa komzimba
• I-anemia
• Ukuzizwa

Uma izinja zinehluleka ukuhlukumeza ngokweqile, lezi zibonakaliso zingaba zikhukhumezeke ngokushesha ngezinsuku ezithile. Endabeni yesifo esingenasifo sezinso, izimpawu zihamba kancane kancane phakathi nenkathi yezinyanga kuya eminyakeni kuye ngokuthi impendulo yenzani yokwelashwa.

Indlela Izifo Zesifo Ngayo Izinja Zitholwa Ngayo

Kubalulekile ukwazi ukuthi izifo zesifo sezinso ezingapheliyo azibonakali kuze kube yilapho lesi sifo sithuthukile kuya endaweni ethile. Yingakho kubaluleke kakhulu ukuletha inja yakho ku-vet ukuze uhlole izivivinyo futhi ulandele izincomo zakho ze-vet emsebenzini womsebenzi webhulethi. Ukuhlola izinja eziphilile kuvumela ama-vets ukuthi athole izinguquko ezincane eminyakeni edlule. Isifo sezinso singasheshe sitholakale ngomsebenzi womsebenzi webhubhu futhi ukwelashwa kungaqala ngaphambi kokuba inja yakho igule.

Uma ubona izimpawu zesifo sezinso noma ezinye izibonakaliso zokugula, kubalulekile ukuthi uthathe inja yakho kudokotela wezilwane ngokushesha. I-vet izoqala ngokukhuluma nawe ngenja yakho nokwenza ukuhlolwa ngokomzimba . Okulandelayo, i-vet yakho ingase ituse umsebenzi webhu. Ukuhlola okuvame ukuphakanyiswa kwe-laboratory kufaka lokhu okulandelayo:

• Ukugcwalisa inani legazi (i-CBC): Ihlola amangqamuzana abomvu wegazi kanye namaseli amhlophe egazi, efuna ubufakazi bokuphelelwa yisifo segazi, ukutheleleka, nezinye izinto ezingavamile
• Iphaneli yamakhemikhali egazi: Izingxenye zezinyathelo egazini ezibonisa ukuthi izitho zisebenza kanjani kahle; I-blood urea nitrogen (BUN) ne-creatinine yizici zezinso
• I-electrolyte yegazi: Linganisa inani lama electrolyte egazini ukuze lithole ukuthi lilinganiselwe (enye yemisebenzi esemqoka yezinso)
• Ukuhlaziywa komzimba: Ukuhlola okushiya umzimba ngomchamo; ukuhlolwa kwe-urine, ukulinganisa amaprotheni, nokubuka izimpawu zokutheleleka noma ezinye izinkinga)

Imiphumela yalezi zivivinyo ngokuvamile inganika ulwazi lwe-vet yakho ngokwanele ukuze uhlolisise isifo sezinso. Uma isifo sezinso sekhona, i-BUN ne-creatinine izophakanyiswa (lawa makhemikhali akhiwe egazini lapho igazi lingakwazi ukuhlunga igazi kahle).

Amazinga we-phosphorus egazi angase abe phezulu. Umchamo uvame ukuhlunga futhi ungaba nesiprotheni esiphezulu (isibonakaliso sokuthi umzimba ulahlekelwa amaprotheni ngoba izinso azikwazi ukuhlunga kahle). I-anemia ingase ibonwe ku-CBC njengoba lokhu ngezinye izikhathi kubangelwa isifo sezinso.

Uma sekutholakale ukuthi isifo sezinso siphethwe, izivivinyo ezengeziwe zingase ziqinisekiswe ukucacisa ukuthi isifo sezinso siphume kangakanani. Isilinganiso sokucindezelwa kwegazi kuyisivivinyo esibalulekile ngoba isifo somfutho wegazi ovame ukujwayela izinja ezinezinkinga zezinso. I-vet yakho ingabuye iphakamise ama-radiographs wesisu (ama-x-ray) kanye / noma i-ultrasound yesisu.

Ukwelashwa Kwezinso Zezinso zezinja

Uma i-vet yakho inesithombe esiphelele sempilo yenja yakho, uhlelo lwezokwelapha luzothuthukiswa. Ukwelashwa kuncike ebuchosheni besifo futhi kuzoguquka esikhathini sokugula kwenja yakho. Qaphela ukuthi izivivinyo zamalebhu kufanele ziphindwe kaningi ukuze zilingane nezinguquko ekucindezelweni kwesifo sezinso. Izinja eziphathwa ngokuhluleka kwe-renal ezingase zidingeke ukuthi zisebenze ilabhu ukusebenza eyodwa noma ngaphezulu izikhathi ngosuku. Ngezinja ezinezinkinga ezingapheli zinezinkinga ezingapheli, izivivinyo zamalebhu zivame ukuphindaphindiwe njalo ngemva kwamasonto ambalwa kuya ezinyangeni (ngaphezulu noma ngaphansi kuye ngokuthi inja ikwenza kanjani). Ukwelashwa kulungiswa ngokusho kwemiphumela yebhu.

Ukwelashwa kwe-fluid yiyona eyinhloko yezokwelapha zesifo sezinso. I-diuresis e-intravenous (IV) edingekayo ukuze kutholakale ukwehluleka okukhulu kwe-renal. Kungase futhi isetshenziswe uma izinso ezingapheli zitholwa kuqala (kuye ngokuthi imiphumela yebhu kanye nesimo senja). Ama-IV aphethwe yi-catheter IV ngezinga eliphezulu ngokwanele lokususa uhlelo lwezinto ezimbi. Ukunakekelwa kuthathwa ukuze kugweme ukuphakama komthamo okwanele ngokwanele ukuze kuthinte kabi inhliziyo yenja. Izinja ezinesifo sezinso zingadingeka ukuba zibe yi-IV diuresis izinsuku ezimbalwa, lapho kufanele zihlale esibhedlela.

Izinja ezinesifo esingenasifo sezinso zivame ukugcinwa ngamanzi angaphansi kwamanzi anikezwe ngumnikazi ekhaya. Lokhu kuhilela ukubeka inaliti ngaphansi kwesikhumba esikhulelwe phakathi kwamahlombe ehlombe bese ufaka inani elibekiwe lomthombo wamanzi. Lokhu kungadingeka kwenziwe nsuku zonke noma ngezikhathi ezimbalwa ngesonto kuye ngokuthi isiteji sakho sezinso zezinso. Kungase kuzwakale kuyingozi kuwe manje, kodwa empeleni kulula kakhulu ukunikeza izinja zakho "subQ" uketshezi ekhaya. Ihhovisi le-vet lakho lizokukhombisa ukuthi unganikeza futhi unikeze konke okudingayo. Ukunikeza amanzi inja yakho kuyolondoloza amanzi futhi kunganikeza uketshezi oluthe xaxa ukusiza ukusekela izinso.

Ukudla okwelashwa kuvame ukusetshenziselwa ukuphatha isifo esingenasifo sezinso. Kukholelwa ukuthi ukulungisa amazinga ezakhi ezithile ezithile ekudleni kunganciphisa umthwalo ezintsheni. Ukudla kwezinso zezinso ngokuvamile kuvame amaprotheni, i-phosphorus, i-calcium, ne-sodium. I-Palatability yinkinga evamile nalezi zidlo, kodwa izinhlamvu eziningana zezohwebo zitholakala ukuzama.

Imithi kanye ne-supplement isetshenziselwa izizathu ezihlukahlukene. Izibopho ze-phosphate ezithathwe ngokudla zinganciphisa inani le-phosphorus umzimba elithathayo, ukunciphisa umthwalo ezintsheni (okuvame ukuhlunga i-phosphorus ngaphandle kwegazi). Ama-antacids asetshenziselwa ukunciphisa i-asidi engaphezu kokukhiqizwa ngaphakathi kwesisu (lokhu kwenzeka lapho i-pH ingalawulwa kahle izinso). Ama-antiemetrotiki asiza ukukhulula isicashu kanye nokuhlanza ngokuvamile okubangelwa yisifo sezinso, ngezinye izikhathi ukuthuthukisa ukudla. I-ACE inhibitors ingalawula ukulahleka kwamaprotheni ngezinso nokusiza ukulawula ukucindezeleka kwegazi. Iminye imithi yengcindezi yegazi ingadingeka. Amanye amavithamini nama- supplement angase anconywe ngokusekelwe ezidingo zezinja zakho kanye nombono wakho we-vet.

I-Dialysis ayivame ukusetshenziswa kakhulu ngenxa yezindleko zayo nokuntuleka kwayo. Le ukwelashwa kuhilela ukusetshenziswa komshini ohlunga igazi. Ngokuvamile i-Dialysis inikezwa ngezibhedlela ezithile ezikhethekile. Izinja ezinokuhluleka kwe-renal eziyingozi zingase zizuze kakhulu ku-dialysis uma zitholakala.

Ukufakelwa kwezinso akuvamile. Le nqubo ebiza kakhulu, eyingozi kakhulu eyenziwa kuphela odokotela abahlinzayo bezilwane.

Yini Ongayilindela Uma Inja Yakho Inesifo Sezinso

Khumbula ukuthi ukwehluleka okukhulu kwe-renal akukwazi ukuguqulwa ngaso sonke isikhathi, naphezu kwemizamo emihle. Khuluma ne-vet yakho mayelana nezinzuzo nezingozi zelashwa ezithile. Cela imiphumela elindelekile ukuze ukwazi ukulungele ngangokunokwenzeka. Yazi ukuthi i-vet yakho izokwenza konke okusemandleni ukuze ulondoloze inja yakho, kodwa ukwelashwa kungase kungaphumeli.

Nakuba izinja ezinenkinga yesifo esingenasifo zingaphila iminyaka ngokuphathwa ngokucophelela, ezinye zizohlala nje izinyanga ezimbalwa, ngisho nangokwelashwa okungcono kakhulu okukhona. Hlala uxhumane ne-vet yakho mayelana nezimpawu zezinja zakho ekhaya. Qinisekisa ukungena kuzo zonke izibuyekezo zokunconywa. Zivumelanise nezimo futhi zihle, kodwa futhi ziyiqiniso.

Iningi lezinja ekugcineni liyeka ukuphendula ekwelapheni futhi ligula kakhulu. Ngalesi sikhathi, abanikazi abaningi bakhetha ukubulawa kwesifo somuntu ukuze kuqedwe ukuhlupheka.