Akpata na nkebi nke CKD

Adịghị ala ala gbasara akụrụ odida - a mebiri nke akụrụ ọrụ maka dịkarịa ala ọnwa 3. Isi kpatara nke a na ọrịa - mbibi nke nephrons na ìgwè toxins, dị ka urea, creatinine na uric acid. Na mbụ, ka anyị na-akọwa ndị na-akpata, na mgbe ahụ CRF.

1. Ala ala glomerulonephritis, pyelonephritis.

2. gbasara akụrụ ọrịa mere site ọrịa shuga, ọbara mgbali elu, ịba ọcha n'anya nke B na C, gout ma ọ bụ ịba.

3. The omume ọgwụ ọjọọ na-egbu egbu bekee.

4. Nsogbu na eriri afo.

Ugbu a, ka anyị lee anya na ogbo nke CKD.

E nwere ọtụtụ classifications nke ọrịa, anyị na-atụle naanị otu onye n'ime ha, Lopatkin.

Ịmata ihe dị iche ndị na-esonụ nkebi nke CKD site creatinine (ihe kpomkwem, na ya ọdịnaya na ọbara):

1. Ogbo 1 na-akpọ latent. Creatinine bụghị ọtụtụ ibu karịa ndị norm: 1.6 mg / DL na a ọnụego nke 1.2. CRF (Nzọụkwụ 1) emee n'enweghị ihe mgbaàmà. Nke a na-ebelata ihe amonia njikọ, mmamịrị osmolality. Ma renogrammy, ọ dịghị agbanwe agbanwe budata. Ọtụtụ mgbe ọrịa achọpụtara na mberede n'oge ule.
2. A 2-ogbo a na-akpọ poliuricheskoy ma ọ bụ ụgwọ atụrụ. Creatinine bụ ugbua 2.7 mg / DL. Ịkwụ Ụgwọ bụ n'ihi na imeju na-na ndị ọzọ na akụkụ. Mgbe a na ogbo, e nwere ugbua ịrịba ama: adịghị ike, karịsịa ke usenubọk, akpịrị ịkpọ nkụ na a nta ọnụ ke okpomọkụ nke ahụ. Renogramma ito eto. Budata belata glomerular filtration na osmolarity. CRF esonụ bụ mgbagwoju anya na ndị ọzọ akpọ.
3. 2-B ogbo nke intermittent akpọ. Creatinine ọbara amụbawo nke ukwu - 4.5 mg / DL. Ọ enwekwu ego nke mmamịrị na ya onye Onyenwe anyị + - alkaline. Ma urea, ọ mụbara site 2 ugboro. Ọ mbelata ego nke calcium, potassium. Mgbaàmà nke a na ogbo na-agụnye: adịghị ike, ndị ogbenye na-aghọ nkọ, e nwere muscle twitching na cramps, akọrọ anụ ahụ, oké ụkọ ọbara na ọbara mgbali. Nwoke ahụ, nke 2-D ogbo ala ala gbasara akụrụ odida, ọgbụgbọ, mgbe ụfọdụ, vomiting, ọ na-ata ahụhụ site na anorexia, afọ ntachi, hiccups na bloating.
4. Ogbo 3 akpọ ọnụ. Ọ e ji a ihi ụra, a echiche ọnọdụ, ikpa amalite oko, o doro anya na owụt cramps. Budata ụba creatinine, urea na mmapụta nitrogen.

Anyị depụtara na CRF maka Lopatkin. Dị ka ị pụrụ ịhụ, na onye ọ bụla na ogbo nke ọnọdụ ọtụtụ ihe ka njọ, n'ihi ya, ọ dị mkpa iji hụ dọkịta mgbe mbụ mgbaàmà. Ugbu a, tụlee ihe na-eme na onye ọ bụla na ogbo nke ala ala gbasara akụrụ odida:

1. The akpa ogbo. The ọgwụgwọ bụ dị ka ndị a: cropped exacerbation nke mkpali Filiks na akụrụ ya. N'ihi na nke a belatara gbasara akụrụ insufficiency.
2. Agba nke abụọ. Na mgbakwunye na ọgwụgwọ akọwara n'elu, na-eme atụmatụ na ọnụego nke progression nke gbasara akụrụ odida. Onye ọrịa na-kenyere ọgwụ bụ tumadi osisi si malite, iji belata ya udu.
3. Agba nke atọ. Jiri otu ọgwụgwọ dị ka nke 2nd ogbo na ezi na ọbara mgbali elu, anaemia, na ndị ọzọ na nsogbu. Na ịrịba ndidi Abuse ime akụrụ transplants.

All CRF gosiri a mmachi nri. Ke ofụri ofụri, ala-protein nri ndinọ onye ọrịa na a obere ego nke anụmanụ protein, site na sodium. Gbalịa na-esochi gị ahụ ike, n'ihi na ọ bụrụ na ị na-enweta oge na CRF, ị ga-enwe ike ngwa ngwa naghachi ma na-eche oké.