Kushona kwepyiyo kana chisingararamiri renal kusakwana

Sezvo chirwere chetachiona mumakumbo evanhu chichifambira mberi , kushanduka kusingachinji kunoitika mumuviri uyu kunoonekwa, mabasa ayo anoderedza kana kuti anonyangarika zvachose, izvo zvinotungamirira kurufu rwezvinyama zvekunyora uye kushanduka kwetsvo. Muchiitiko ichi, kuumbwa kwezvose zvinoshandiswa mumvura yomunhu zvinoputswa, pamwe chete nekugadziriswa kweropa. Nokudaro, kukundikana kwechirwere chisingaperi (CRF) kunogona kukonzera kukanganisa kwemuviri wemukati uye kukonzera kutanga kwekufa.

Ichi chirwere chinokura zvishoma nezvishoma, nhamba yevanhu vane chirwere chakadai ichiri kukura.

Vanachiremba vanoongorora chirwere cheRFF munyaya yacho kana mumwedzi mitatu itsvo dzisingashandisi zvizere. Pakupera kwemazuva, nhengo dzemuviri dzinonzi atrophies uye kuberekwa kwayo hakugoneki. Iropi masero arikufa zvishoma nezvishoma, uye izvo zvakasara zviri pasi pechiviri, saka pakupedzisira vanofa, mumuviri womunhu, anenge mazana maviri zvinhu zvinounganidza, saka urea uye creatinine vane mitero yakakwirira uye vanoona danho rekugadzirwa kwepfungwa kusakona.

Nokudaro, kukanganisa kusingaperi kwechirwere kune zvikamu zvakasiyana zvekufambira mberi:

1. Latent period. Panguva ino, munhu anotanga kunzwa kunzwa kuneta uye kuoma muromo, murini wake une protein.
2. Rudzikinuro. Zviratidzo zvakangofanana nechekutanga, asi zvinowedzera, ropa uye urinhi inogadzirisa zvimwe.
3. Nguva yapakati. Basa reinso rinopera simba, chiyero che creatinine mumuginho inowedzera. Munhu ari munharaunda ino anonzwa muromo wakaoma, nyota nguva dzose, kuora mwoyo, kune kuneta kwakakurumidza, kune zvimwe zvigadzirwa mucheka, kushaya simba kwemasimba, kunoderedza kusagadzikana.
4. The terminal or terminal terminal of incomplete renal failure. Panzvimbo yekupedzisira yekuvandudzwa kwechirwere ichi, kuchinja mumararamiro evanhu kunoonekwa, kushandiswa kwaro kwakadziviswa zvimwe nekuda kwekuvhiringidza kurara, dystrophy inowanzoonekwa. Ganda revanhu rinova ruvara, chiso chake uye mimba zvinobhururuka, uye stomatitis inowanikwa. Mukuwedzera, kurutsa uye kurambana kunoita. Munguva iyi, itsvo dzinorasikirwa nebasa rekutsvina, pane uremia, kureva, kuvapo kwemuti muropa. Zvose izvi zvinotungamirira kukuti dzimwe nhengo dzomukati dzinobatawo. Chinhu chinonyanya kukuvadza ndechokuti izvi hazvibvumiri. Kazhinji, izvi zvose zvinotungamirira kune chokwadi chokuti munhu anofa, kana kuti anoda chirwere chepfungwa.

Muchikamu chekutanga chekusagadzikana kwechirwere chisingaperi, renal basa haibatsiri, zvichiita kuti kuumbwa kwe polyuria, edema, hypokalemia, dyspnea uye kushungurudzika, pamwe nekuderera kwemvura kwehupenyu hwose. Nokufamba kwenguva, ammonia, acetone, amino acids yakasiyana-siyana, uric acid uye zvimwe zvinhu zvakawanda zvinowedzera mumuguta, izvo zvinotungamirira kudhakwa kwehupenyu hwose.

Nezvemishonga inosimbiswa kuti nhamba yevanhu vane chirwere chisingaperi chisingabatsiri chetanga rekutanga pane zvakawanda kupfuura avo vari mukupedzisira kwekuvandudzwa kwechirwere ichi.

Kurapa kwekusagadzikana kwekushaya kwekugara kwenguva refu kunofanira kuitika pamatanho ekutanga ekusimbiswa, zvisinei kuti chipo chezvipo chichadiwa. Pamatanho aya, chirwere chinoparadzirwa pasina upiyona uye chinangwa chekutonga homeostasis. Mukuwedzera, kudya nekusingaperi kusagadzikana kwechirwere kunokosha, iyo inofanira kunge yakanyatsocherechedzwa, zvisinei kuti itsvo dzingangowedzera. Uyezve, zvinokurudzirwa kuderedza kushanda kwepanyama, kubvisa kuonekwa kwekutambudzika, kutora yakawanda yemvura. Uyewo mune kurapwa, kurapwa kunoshandiswa kuumba yakarurama metabolism ye phosphorus uye calcium, seyakaita kana masabolism ezvinhu izvi akavhiringidzwa, mafupa anochinja anoonekwa. Nechiremera chakaoma chekukura kwechirwere chakadai sekusagadzikana kwechirwere chechirwere, varwere vanorayirwa kutsiva remishonga pamwe nekuputika kwepvo.