Azotemia - chii? Description, zviratidzo zvacho uye kurapwa

Azotemia - chii? Kuvapo yakawedzera ropa senitrogen tubhokisi zvigadzirwa, zviri yakaumbwa mushure mapuroteni kugadzira. Izvi zvinoratidza munhu kukura renal kukundikana.

Zvinoitwa chirwere

Azotemia - chii? chirwere ichi ndiyo akarondedzera itsvo zvakananga. Ivo akaderedza ari glomerular filtration unodiwa. In ropa zvinowedzera wevasungwa pamusoro residual senitrogen, indican, amino acids, etc. Vakawedzera zvikuru indekisi senitrogen, creatinine, uye urea.

Kana itsvo dziri kushanda kwagara rudzi, nhamba zvinhu izvi hazvirevi pfuura 15 dzakabatana. Nitrogenous zvigadzirwa vari yabudiswa muna weti. Kana netsvo kuputswa, anotanga mapuroteni catabolism kushingaira, rose hurongwa rotsva.

mhando azotemia

Azotemia - chii? The chirwere rakakamurwa kuva zvitatu marudzi. Pre-renal azotemia rinotanga pashure vasanyanye cardiac goho. Itsvo musawana ropa zvakakwana. Pre-renal azotemia kunoitika nokuda mwoyo kutadza, kupera muviri, akaderedza kweropa, nehana, uye nokuda kwezvimwe zvikonzero zvakawanda. Kana indekisi akapfuudza pfungwa 15, chikonzero iri kukundikana filtration creatinine uye senitrogen. GFR zvinoderedza nokuda hypoperfusion. Izvi zvinotungamirira kuwedzera serum creatinine uye senitrogen. Pashure reabsorption nhamba yake nokukurumidza inokura.

The mhando chechipiri azotemia - Renal. Kazhinji inotungamirira uremia. Kazhinji, izvi chirwere kunoitika nokuda renal parenchymal chirwere kana kukuvara. Renal azotemia zvinotevera:

• glomerulonephritis;
• renal kukundikana;
• chenjera tubular necrosis, uye vamwe.

In chimiro chakadaro, azotemia zvishoma indekisi chiratidzo 15. GFR zvinoderedza muropa yakawedzera senitrogen sandara, uye creatinine. Reabsorption kunoitika nokuda kuparadza kune proximal tubule. Nitrogen yabudiswa muna weti.

The mhando wechitatu azotemia - postrenal. Panyaya iyi, kuti chipingamupinyi mwero weti iri pazasi neitsvo. Zvikonzero aigona kuva vachiberekwa zvokurwara:

• prostatic hyperplasia isiri yekenza;
• vesicoureteral reflux;
• bundu, compressing ari urethra;
• pamuviri;
• matombo ari ureter.

Izvi zvinogona kuguma kukura hydronephrosis nokuda kurwisa zviri chakaipa chokubuda weti. Panyaya iyi indekisi chiratidzo 15. Mugore pamusoro nephron kufurirwa kunowedzera, iro rinoita basa reabsorption kuti senitrogen. Saka, zvinoita inowedzera indekisi.

symptomatology chirwere

Mumwe Kashoma yokuvamba zvirwere - azotemia. Zviratidzo chirwere sezvo inoyerera kutanga mberi. The chikuru zviratidzo azotemia vari:

• ganda rakachenuruka;
• oliguria (ungaderedza weti goho);
• Kugara muromo yakaoma;
• nyota;
• Kumhanya kweropa;
• bundu;
• uremia;
• tachycardia;
• mukuru muutera.

Panguva chirwere chinogona kuchengetwa:

• kushaya havi;
• svoto;
• kurutsa;
• yakaoma uye zvemapuranga rurimi;
• dyspepsia;
• kupererwa neropa;
• amoniya munhuhwi kubva pamuromo;
• kunonyengedza manyoka;
• Kugadzirwa enterocolitis, stomatitis uye gingivitis;
• mhuru chinyamunhari chinorwadza;
• kuora mwoyo;
• nokusakendenga unopinza, rakatumbuka mwoyo inoti;
• hope;
• chakamira pakunodengenyeka zvine.

Zvimwe zviratidzo azotemia vari kufadzwa uye yakaoma ganda, dzimwe nguva pane kuderera nokunzwa nokuwa maonero.

Diagnostics

Azotemia, zviratidzo, kurapwa akatsunga pachishandiswa nechirwere - kunzwisisa chirwere. For vakabudirira kurapwa inoda kuongororwa zvakarurama, uyewo kuwana zvikonzero kuti akaita azotemia. Chirwere chinoitwa nephrologist (nyanzvi pakubata itsvo zvirwere) uye chiremba wezvedundira. Murwere anopa ropa uye weti nemiedzo. Murwere kunoonekwa Indekisi senitrogen uye creatinine.

mabatiro

Azotemia, iyo kurapa inotanga zano iri chiremba wezvedundira kana nephrologist - chirwere chakakomba uye kunoda kungwarira kuongorora chirwere. Pashure bvunzo mugumisiro iri basa kurapa. With nenguva uye yakarurama chirwere chirwere ikarapwa nokukurumidza uye zvinobudirira. Varwere mushakabvu-kurapwa tinganetseka zvisingadiwi matambudziko, zvakawanda izvo ngozi kuutano.

Panguva mushonga kushandisa hemodialysis. Kugadzwa pachishandiswa anobvisa zvisingafadzi zviratidzo azotemia. Aishandisa zvinodhaka kuti kudzosa zvinoitika BP uye kuvandudza mwoyo ushande. Azotemia - chii? The chirwere kunoitika pamusoro pakanyorwa itsvo mabasa. Saka, ropa rinoungana zvakawanda senitrogen yeimwe dzisina yabudiswa kubva muviri chakazara mari. The kurapa ndehwokuti kudzorera itsvo ushande. Physician Kudya chaiyo zvinogona kupiwa. Inodiwa panguva kurapwa mapfumo rinonetesa muviri.

Zvakasimba akakurudzira kuzvinzwira medicate. Independent kusarudza zvinodhaka kunogumawo vanetsane - itsvo kukundikana. Naizvozvo, panguva chiratidzo chirwere wokutanga hwobva kutaura chiremba.

dziviriro

Nokuti kudzivirira azotemia vanofanira kuramba tiine zvirwere, itai jimunasitikisi, maekisesaizi uye nokufamba yakachena mhepo. Iva nechokwadi kuti vawane nguva kutandara. Zvakakosha kudzivisa hypothermia uye nguva kurapa chero chirwere chokuita neitsvo.

mataridzikiro

fungidziro Poor pakurapa azotemia chete kuisa pasina zvakakodzera uye nenguva kurapwa. Kuti mukupera kuona chiremba ari kushingaira kushanda chirwere, pane mamwe matambudziko, izvo zvinoomesa kurapwa. With nenguva kurapwa kuti chiremba azotemia kurapwa ane zvakanaka fungidziro. Combined kurapa Unotsigira zviratidzo uye normalizes Urinary hurongwa.