Rashin gazawar koda na yau da kullun a cikin kuliyoyi

Menene gazawar koda na kullum

Ciwon koda na yau da kullun (CKD (tsohon suna - gazawar renal na yau da kullun, CRF) cuta ce mai ci gaba a hankali, tare da rikicewar tsari da / ko aiki a cikin kodan.

Ana samun shi sau da yawa a cikin kuliyoyi a cikin shekaru 5-15, babu nau'in jinsi ko tsinkayen jinsi.

Sanadin

Abubuwan da za a iya tantancewa don haɓakar CKD sune:

• Raunin koda da ya gabata (guba, riƙewar fitsari mai tsanani, da sauransu)
• Kwayoyin cututtuka na kodan
• Lalacewar injina ga koda
• Sauran cututtuka na tsarin urinary (cystitis, urolithiasis, cututtuka).
• Kwayoyin Halittar Halittu, alal misali, cututtukan koda polycystic na Farisa, m, kuliyoyi na Abyssiniya da mestizos.
• Oncological cututtuka
• Cututtuka na yau da kullun, irin su cutar sankarar bargo da ƙarancin rigakafi
• Guba na yau da kullun. Misali, a kai a kai cin tsire-tsire masu guba
• Yin amfani da magungunan nephrotoxic na dogon lokaci
• kiba
• ciwon
• Abincin da ba daidai ba, ciyar da abinci mara kyau ko abinci mara kyau na halitta, ciyar da abinci daga teburin ku
• Ƙananan amfani da ruwa 
• Shekaru sama da 7

Alamu da rikitarwa

Alamu a cikin gazawar koda na yau da kullun, musamman a matakin farko ba takamaiman ba, ana iya yin sumul. Sauran cututtuka kuma na iya faruwa tare da irin wannan hoton asibiti. Rashin gazawar koda na yau da kullun ba tsari bane na kwana ɗaya; alamun rashin lafiya na iya bayyana lokacin da fiye da kashi 75% na naman koda ya riga ya lalace. Shi ya sa maigidan ya bukaci ya kula da lafiyar cat a hankali kuma ya tuntubi likita a kan kari.

Alamomin gazawar koda a cikin kuraye sun hada da:

• Rashin cin abinci mara kyau, wanda za'a iya kuskure don cututtukan gastrointestinal ko pickiness
• Ƙara yawan amfani da ruwa
• Yawan fitsari akai-akai da kuma wani lokacin rashin tasiri
• Fitsari na iya zama kusan mara launi, bayyananne, gauraye, ko jini.
• Amai, rashin tasiri, miya ko abinci, sau da yawa a rana
• Lalacewar ulu, juzu'i, maiko ko bushewa
• Edema
• Halin tawayar, rashin ƙarfi ga abubuwan motsa jiki
• Rage nauyi, gajiya
• Wari mara dadi daga baki, sau da yawa ammonia
• Ulcers a cikin kogon baka, stomatitis, busassun mucous membranes
• maƙarƙashiya

Ta hanyar yanayin kwas, gazawar koda yana da girma (ARF) da na yau da kullun (CRF). 

• Siffar m yana tasowa da sauri, duk alamun suna bayyana a cikin ɗan gajeren lokaci.
• Tsarin na yau da kullun yana haɓaka tsayi kuma haɗarinsa yana cikin gaskiyar cewa a farkon matakin, lokacin da har yanzu ana iya taimakon dabbar, kusan babu alamun cutar. Suna bayyana ne kawai lokacin da fiye da 2/3 na kodan sun lalace.

kanikancin

Ba zai yiwu a yi ganewar asali ba bisa ga gwaji ɗaya ko alamu da yawa. Don haka, kuna buƙatar zama cikin shiri don gudanar da bincike da yawa:

• Biochemical da gwajin jini na asibiti gabaɗaya. Musamman mahimmanci shine darajar urea, creatinine, phosphorus, jan jini, haemoglobin da hematocrit.
• Panoramic duban dan tayi na kogon ciki. Yana da ma'ana don ganin kawai mafitsara da kodan kawai a cikin kuzari. A lokacin jarrabawar farko, ya zama dole don gano canje-canjen tsarin a cikin dukkanin gabobin, tun da cat na iya haɗawa da pathologies.
• Gwajin fitsari na gabaɗaya yana ba ku damar tantance yadda ƙarfin tacewa na kodan ke aiki, ko akwai alamun kumburi, urolithiasis.
• Protein/creatinine rabo yana taimakawa wajen gano gazawar koda a farkon mataki
• Auna matsi. Rashin gazawar koda na yau da kullun yana tafiya tare da hauhawar jini na jijiya. Idan an ɗaga matsa lamba, to ana buƙatar rage shi tare da magani akai-akai. Don binciken, ana amfani da tonometer na dabbobi don dabbobi.

Ba za a iya yin ganewar asali na CKD akan haɓakar mai nuna alama ɗaya kawai ba, ana kimanta dukkan hoton gaba ɗaya. Cutar tana da matakai 4. An raba su cikin yanayin, dangane da matakin creatinine a cikin jini:

Mataki na 1 – creatinine kasa da 140 μmol/l

Mataki na 2 - creatinine 140-250 μmol / l

Mataki na 3 - creatinine 251-440 μmol / l

Mataki na 4 - creatinine fiye da 440 μmol / l

Jiyya 

Ya kamata a lura da cewa ba shi yiwuwa a gaba daya warke cat na kullum renal gazawar. Yana yiwuwa kawai a dakata ko rage aikin. A matakai 1-2, tsinkaya yana da kyau, a 3 - mai hankali, mataki na 4 shine m, jiki kawai za'a iya tallafawa.

Dabarun jiyya sun dogara da hoton asibiti, yanayin gaba ɗaya na cat, da kasancewar cututtukan cututtuka masu haɗuwa.

Likitan dabbobi na iya rubutawa:

• Maganin cin abinci yana da mahimmanci. Ba shi yiwuwa a ciyar da nama kawai ko abinci irin na tattalin arziki. Ana buƙatar abinci na musamman mai ƙarancin phosphorus da furotin. Ana samun abinci don cututtukan koda daga masana'antun abinci na dabbobi daban-daban, kuma zaku iya samun busassun abinci da jikakken abincin abinci mai lakabin Renal wanda likitan ku zai rubuta. 
• Kwayoyi masu kare cututtuka
• Absorbents don cire maye (alal misali, Enterosgel)
• Magunguna don rage hawan jini
• Magunguna masu dauke da potassium 
• Don rage matakin phosphorus da urea, ana amfani da kayan abinci mai gina jiki, misali Ipakitine
• Don mayar da ma'auni na ruwa, an ba da izinin hanya na droppers, kuma a nan gaba ya zama dole don sarrafa ruwa na cat.

Ana iya kimanta tasirin jiyya da tsinkaye ta hanyar gudanar da gwaje-gwaje da gwaje-gwaje akai-akai, da kuma dangane da yanayin gaba ɗaya na cat.

Idan dabbar ta kasance 4, ESRD kuma baya inganta a cikin mako guda na fara magani mai tsanani, to ya kamata a yi la'akari da euthanasia na mutum.

rigakafin

Rigakafin gazawar koda a cikin kuliyoyi ya haɗa da inganci, daidaitaccen abinci. Tabbatar cewa dabbar ku ta sami damar samun ruwa mai kyau. Idan cat ba ya sha da yawa, to, wani ɓangare na abincin ya kamata ya kasance a cikin nau'i na abinci mai laushi.

Wajibi ne don hana raunuka da guba: kada ku bar dabba ta tafi da kanta, kiyaye sinadarai na gida, guba, magunguna da tsire-tsire na gida masu haɗari daga isa ga cat.

Har ila yau, mai shi ya kamata ya gudanar da bincike na likita a kai a kai na cat na matsakaici da tsufa da kuma kula da nauyin cat.