Ua thiab theem ntawm CKD

Mob raum tsis ua hauj lwm - ib tug ua txhaum ntawm lub raum muaj nuj nqi tsawg kawg yog 3 lub hlis. Lub ntsiab ua ntawm tus kab mob - kev puas tsuaj ntawm nephrons thiab tsub zuj zuj ntawm toxins, xws li urea, creatinine thiab uric acid. Chiv qhia rau peb tsom xam cov ua, thiab ces tus CRF.

1. mob glomerulonephritis, pyelonephritis.

2. raum tus kab mob tshwm sim los ntawm cov ntshav qab zib, tawg, kab mob siab B thiab C, gout los yog kis tau malaria.

3. Cov lus teb rau cov tshuaj thiab tej yam tshuaj lom.

4. Cov teeb meem uas lub zais zis.

Tam sim no cia saib nyob rau theem ntawm CKD.

Muaj ntau ntau classifications ntawm tus kab mob, peb kuj xav tsuas yog ib qho ntawm lawv, Lopatkin.

Paub qhov txawv cov nram qab no theem ntawm CKD los ntawm creatinine (ntau precisely, nyob rau nws cov ntsiab lus nyob rau hauv cov ntshav):

1. Theem 1 yog hu ua latent. Creatinine yog tsis ntau tshaj cov kev cai: 1.6 mg / dl ntawm tus nqi ntawm 1.2. CRF (Kauj ruam 1) tshwm sim tsis muaj cov tsos mob. Qhov no thiaj li lub ammonia synthesis, zis osmolality. Raws li rau renogrammy, nws tsis hloov ho. Feem ntau cov feem ntau cov kab mob no yog kuaj incidentally thaum lub sij hawm soj ntsuam.
2. A 2-theem no yog hu ua poliuricheskoy los yog compensated. Creatinine yog twb 2.7 mg / dl. Payment yog vim lub siab thiab lwm yam kabmob. Rau ntawm no theem, muaj cov twb tshwm sim: tsis muaj zog, tshwj xeeb tshaj yog nyob rau hauv thaum sawv ntxov, nqhis dej thiab ib tug me ntsis txo nyob rau hauv lub cev kub. Renogramma dag ntxias. Significantly txo glomerular filtration thiab osmolarity. CRF nram qab no cov kauj ruam yog qhov nyuab thiab ntau pronounced.
3. 2-B theem ntawm sib quas ntus hu ua. Creatinine ntshav nce considerably - 4.5 mg / dl. Nws tsub kom tus nqi ntawm cov zis thiab nws cov pH - alkaline. Raws li rau urea, nws tau nce los ntawm 2 lub sij hawm. Nws txo tus nqi ntawm cov calcium, poov tshuaj. Cov tsos mob ntawm no theem muaj xws li: tsis muaj zog, cov neeg pluag reflexes, muaj nqaij laim thiab tu-sauv, qhuav daim tawv nqaij, muaj ntshav liab txaus thiab tawg. neeg kuj, uas 2-B theem ntawm mob raum tsis ua hauj lwm, xeev siab, tej zaum ntuav, nws yog kev txom nyem los ntawm anorexia, cem quav, nros thiab tsam plab.
4. Theem 3 hu ua davhlau ya nyob twg. Nws yog yus muaj los ntawm ib tug teeb meem tsaug zog, ib tug puas siab puas ntsws mob, daim tawv nqaij pib khaus, kom meej meej qhia tu-sauv. Ho nce creatinine, urea thiab residual nitrogen.

Peb tau teev tseg rau hauv lub CRF rau Lopatkin. Raws li koj tau pom, nrog txhua theem ntawm cov mob heev npaum li cas, vim li ntawd nws yog tsim nyog los tham ib tug kws kho mob thaum thawj cov tsos mob. Tam sim no xav txog yuav ua li cas nyob rau txhua theem ntawm mob raum tsis ua hauj lwm:

1. Tus thawj theem. Cov kev kho mob yog raws li nram no: cropped mob o nyob rau hauv lub ob lub raum. Vim li no cov txo lub raum insufficiency.
2. Qhov thib ob theem. Nyob rau hauv tas li ntawd mus rau lub kev kho mob piav saum toj no, laij cov nqi rau tus nqi ntawm kev vam meej ntawm lub raum tsis ua hauj lwm. Tus neeg mob yog tshuaj no mas ntawm tsob nroj keeb kwm, nyob rau hauv thiaj li yuav txo nws cov nqi.
3. Qhov thib peb theem. Siv tib lub kho mob li hais tias ntawm lub 2nd theem thiab yog tawg, anemia, thiab lwm yam teeb meem. Nrog tseem ceeb tus neeg mob Abuse ua raum hloov.

Tag nrho CRF hais ib txwv nyob rau hauv cov zaub mov. Nyob rau hauv kev, uas tsis muaj-protein noj cov zaub mov los siv rau cov neeg mob nrog ib tug me me npaum li cas ntawm cov tsiaj protein, phosphorus thiab sodium. Sim kom khiav ntawm koj kev kho mob, vim hais tias yog koj coj mus rhaub lub sij hawm ntawm CRF, koj yuav tsum tau sai sai rov qab thiab xav tias zoo kawg thiab.