umfanekiso
Iqela lethu leeNgcali – IiNephrologists eziphezulu eIndiya
Iqela lethu elikumgangatho wehlabathi liquka iingcali ezinezakhono eziphezulu eziquka:
- IiNephrologists
Nephrology
Iminyaka eli-16 nangaphezulu, i-MBBS, i-DNB (iMedicine Jikelele), i-DNB (iNephrology)
Nephrology
Iminyaka engama-33 nangaphezulu, i-MBBS, i-MD (iMed.), i-DM (iNephro)
Nephrology
Ukutshintshwa
Ukutshintshwa
Iminyaka eli-17 nangaphezulu, i-MBBS, MD (i-Internal Medicine), i-DNB (i-Nephrology), iNgcali yezeMpilo yoxinzelelo lwegazi (i-ASH), i-Fellow Renal Transplant (AST), i-Fellow Home Dialysis (i-Ottawa)
Nephrology
Iminyaka engama-46 nangaphezulu, i-MBBS, i-MD (Gen.Med), i-DM, i-DNB (i-Nephrology), i-FISN, i-FRCP (eLondon)
Common Iimeko zezintso
- Ukwenzakala okuqatha kwezintso
- Isifo Esinganyangekiyo Sezintso (CKD)
- Iintsimbi zeeNtliziyo
- Glomerulonephritis
- iPolycystic Kidney Disease (PKD)
- Ukosuleleka kwi-Urinary Tract Infection (UTI)
- Umhlaza woMhlaza wezintso
Ukwenzakala okuqatha kwezintso
Ukungaphumeleli kwezintso okuqatha, okwakwaziwa ngokuba yi-acute kidney injury (AKI), kukuhla ngesiquphe kokusebenza kwezintso okwenzeka kwisithuba seveki. Kwenzeka xa izintso zingasakwazi ukuhluza inkunkuma ephuma egazini, okanye ukulinganisa ulwelo kunye ne-electrolytes.
Oonobangela ziquka ukugula kakhulu, utyando olukhulu, okanye amayeza athile.
I-AKI ibangela ukonakala kwezintso okanye ukusilela ngexesha elifutshane. U-AKI usenokwenzakalisa namanye amalungu, njengentliziyo, imiphunga nengqondo. Kwiimeko ezinzima, i-dialysis yesikhashana ingafuneka. I-AKI inokubuyiselwa umva ukuba ibanjwe kwangoko kodwa inokukhokelela kwisifo sezintso esingapheliyo ukuba ayilungiswanga ngokukhawuleza.Iimpawu:
- Ukunciphisa ukukhutshwa komchamo
- Ukugcinwa kolwelo kubangela ukudumba emilenzeni, emaqatheni, okanye ezinyaweni
- Ukuqhawukelwa ngumphefumlo
- Ukukhathala
- Ukudideka
- I sizathu
- Intlungu yesifuba okanye uxinzelelo
- Ukuxhuzula kwiimeko ezinzima
Iindlela zokuxilonga:
- Uvavanyo lwegazi lokulinganisa i-creatinine kunye ne-blood urea nitrogen (BUN)
- Ukujongwa kwemveliso yomchamo
- Uhlalutyo lokuchama ukujonga igazi okanye iiseli ezingaqhelekanga
- Izifundo zokucinga ezifana ne-ultrasound ukujonga isithintelo
- I-Kidney biopsy kwezinye iimeko
Iinketho zonyango:
- Ukunyanga unobangela (umzekelo, i-sepsis, ukuphelelwa ngamanzi emzimbeni)
- Ukuyeka amayeza anokuthi enze umonakalo kwizintso
- Ulwelo lwe-intravenous ukugcina amanzi afanelekileyo
- Amayeza okulawula amanqanaba e-potassium yegazi
- I-Dialysis kwiimeko ezinzima
Ukhathalelo lokulandela:
- Ukubeka iliso rhoqo ekusebenzeni kwezintso ngovavanyo lwegazi
- Ukulandelela kunye ne-nephrologist, ngakumbi ukuba ukusebenza kwezintso akuchachi ngokupheleleyo
- Ukubeka iliso kuphuhliso lwesifo sezintso ezingapheliyo
- Ukuphepha amayeza anephrotoxic
- Imfundo yokugcina impilo yezintso
Unyango lwe-AKI luxhomekeke kwisizathu kwaye lujolise ekubuyiseleni ukusebenza kwezintso okuqhelekileyo. Unyango luquka ukunciphisa ulwelo kunye nokutya, amayeza, okanye i-dialysis.
Isifo Esinganyangekiyo Sezintso (CKD)
Isifo Sezintso eziNgapheliyo yimeko eqhubekayo ebonakala ngokuphulukana kancinci nokusebenza kwezintso ngokuhamba kwexesha. Ihlala ibangelwa sisifo seswekile okanye uxinzelelo lwegazi oluphezulu, i-CKD inokukhokelela kwiingxaki ezifana ne-anemia kunye neengxaki zentliziyo. Amanqanaba okuqala e-CKD asenokungabi nazimpawu okanye iimpawu ezithambileyo, kodwa njengoko imeko iya isiba mandundu, iimpawu zinokuba mbi kakhulu.
Izizathu zesifo sezintso esinganyangekiyo
Ukuphulukana kancinci nokusebenza kwezintso kubangelwa ziimeko zexesha elide, ezinje:
- Diabetes
- Igazi elonyukayo
- Ukudumba kwizintso
- Isifo sezintso sePolycystic
- Izifo ezizenzekelayo
- Iziphene ezikhoyo ekuzalweni
- Ukusetyenziswa kwexesha elide lamayeza athile, njenge-NSAIDs
- Ukuba sesichengeni kwiityhefu, ezifana netyhefu yelothe
Iimpawu:
- Ukukhathala
- Ukudumba imilenze namaqatha
- Utshintsho kwiipateni zokuchama
- Igazi elonyukayo
- IAnemia
- Ukutya okubi
- I sizathu
- Ingxaki ijolise
- Ukuba ndindisholo ezandleni okanye ezinyaweni
Iindlela zokuxilonga:
- Uvavanyo lwegazi lokulinganisa i-urea, i-creatinine kunye nokubala uqikelelo lwe-glomerular filtration rate (eGFR)
- Iimvavanyo zomchamo ukujonga iprotheni (albumin) kunye nokubala umchamo we-albumin-to-creatinine ratio (UACR)
- Iimvavanyo zokulinganisa ezifana ne-ultrasound okanye i-CT scan ukuvavanya ukwakheka kwezintso
- I-Kidney biopsy kwezinye iimeko
Iinketho zonyango:
- Amayeza okulawula iimeko ezisisiseko ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu
- I-ACE inhibitors okanye i-ARBs ukukhusela ukusebenza kwezintso
- Utshintsho lokutya ukunciphisa i-sodium, i-potassium, kunye ne-phosphorus
- Unyango lwe-anemia, ukuba lukhona
- Kwinqanaba eliphezulu, i-dialysis okanye ukutshintshwa kwezintso
Ukhathalelo lokulandela:
- Ukubeka iliso rhoqo ekusebenzeni kwezintso ngegazi kunye nokuhlolwa komchamo
- Ukujongwa koxinzelelo lwegazi
- Ukulungelelaniswa kwamayeza njengoko kufuneka
- Ukudluliselwa kwi-nephrologist
- Imfundo ngokuguqulwa kwendlela yokuphila kunye nokutya
Iintsimbi zeeNtliziyo
Amatye ezintso ziidipozithi ezinzima zeeminerali kunye neetyuwa ngaphakathi kwezintso. Ziyakwazi ukusuka kwiinkozo ezincinci ukuya kumatye amakhulu. Amatye ezintso adla ngokuphuma emzimbeni ngexesha lokuchama. Ukudlula amatye ezintso kunokuba buhlungu kakhulu, kodwa akafane abangele iingxaki ezibalulekileyo.
Iimpawu:
- Iintlungu ezibuhlungu kwicala, umva, isisu esisezantsi, okanye i-groin
- Iintlungu eziza ngamaza kwaye ziguquguquka ngamandla
- Umchamo opinki, obomvu, okanye omdaka
- Kunamafu okanye umchamo onukayo
- Isihlunu kunye nokuhlanza
- Ukuvuthwa rhoqo
- Ukuchama imali encinci
Iindlela zokuxilonga:
- Ukuhlaziywa komchamo ukujonga igazi kunye neekristale
- Uvavanyo lwegazi lokuhlola ukusebenza kwezintso kunye nokukhangela amanqanaba aphezulu e-calcium okanye i-uric acid
- Izifundo zokucinga ezifana ne-CT scan, i-ultrasound, okanye i-X-ray ukujonga amatye
Iinketho zonyango:
- Ukulawulwa kweentlungu ngamayeza amiselweyo
- Ukunyuswa kokuthatha ulwelo ukunceda ukudlula amatye amancinci
- Unyango lokugxothwa kwezonyango usebenzisa i-alpha-blockers
- Extracorporeal shock wave lithotripsy (ESWL) ukuqhekeza amatye amakhulu
- Ureteroscopy ukususa okanye ukuqhekeza amatye
- I-Percutaneous nephrolithotomy yamatye amakhulu
Ukhathalelo lokulandela:
- Ukulandelela umfanekiso ukuqinisekisa ukuba onke amatye adlulile
- Ukuqokelela umchamo weeyure ezingama-24 ukuchonga izinto ezinobungozi bokubunjwa kwamatye
- Ukuguqulwa kokutya okusekelwe ekubunjweni kwamatye
- Ukunyuka kokungena kwamanzi ukukhusela ukuphindaphinda
- Amayeza okuthintela ukubunjwa kwamatye kubantu abasengozini enkulu
Glomerulonephritis
IGlomerulonephritis kukudumba kweeyunithi zokuhluza zezintso (glomeruli). Iglomeruli ziiyunithi ezincinci zokuhluza ngaphakathi kwezintso ezihluza igazi. IGlomerulonephritis inokubangelwa lusulelo, iziyobisi, okanye iziphazamiso ezenzeka ngexesha okanye kamsinya nje emva kokuzalwa (okungaqhelekanga kokuzalwa). Ihlala ibangcono ngokwayo. Ezinye iifom zisabela kakuhle kunyango, ngelixa ezinye zinokuqhubela phambili kwisifo sezintso esingapheliyo. Ukubeka iliso rhoqo kubalulekile ekulawuleni imeko ngokufanelekileyo.
Iimpawu:
- Igazi kumchamo (hematuria)
- Umchamo onegwebu ngenxa yeprotein engaphezulu (proteinuria)
- Igazi elonyukayo
- Ukugcinwa kolwelo kubangela ukudumba (edema)
- Ukukhathala
- Ukunciphisa ukukhutshwa komchamo kwiimeko ezinzima
Iindlela zokuxilonga:
- Ukuhlaziywa komchamo ukujonga igazi kunye neprotheni
- Uvavanyo lwegazi ukuvavanya ukusebenza kwezintso kunye nokujonga iimpawu zokudumba
- Izifundo zokucinga ezifana ne-ultrasound yokuvavanya ubungakanani bezintso kunye nokwakheka
- I-Kidney biopsy ukufumanisa uhlobo oluthile lwe-glomerulonephritis
Iinketho zonyango:
- Corticosteroids ukunciphisa ukuvuvukala
- Amayeza e-immunosuppressive kwezinye iimeko
- Amayeza oxinzelelo lwegazi, ngakumbi i-ACE inhibitors okanye ii-ARBs
- I-Diuretics ukunciphisa ukugcinwa kwamanzi
- Unyango lweemeko eziphantsi (umzekelo, usulelo, izifo ezizimelayo)
Ukhathalelo lokulandela:
- Ukujongwa rhoqo komsebenzi wezintso kunye namanqanaba eprotheni yomchamo
- Ulawulo loxinzelelo lwegazi
- Ukulungelelaniswa kwamayeza njengoko kufuneka
- Ukubeka iliso kwiziphumo ebezingalindelekanga zamayeza e-immunosuppressive
- Ukuguqulwa kokutya, njengokunciphisa ukutya kwetyuwa
iPolycystic Kidney Disease (PKD)
Isifo sezintso iPolycystic sisifo semfuza esibangela ukuba amaqhakuva amaninzi (iingxowa ezincinci zolwelo) akhule ezintso. Ezi cysts zinokuphazamisana nokusebenza kwezintso kwaye zibangele ukusilela kwezintso. Ingakhokelela kwizintso ezandisiweyo kunye nokungasebenzi kakuhle ngokuhamba kwexesha. Kubalulekile ukuqaphela ukuba i-cysts nganye ye-cysts ixhaphake kwaye iphantse ingabi nabungozi. Isifo sezintso ze-Polycystic yimeko eyahlukileyo eyahlukileyo. Njengoko isifo siqhubela phambili, i-dialysis okanye ukutshintshwa kwezintso kunokuba yimfuneko.
Iimpawu:
- Igazi elonyukayo
- Intlungu yomqolo okanye ecaleni
- Igazi kwi-urine
- Amatye eentso
- Isisu esandisiweyo
- Intloko
- Izifo zogqirha
Iindlela zokuxilonga:
- Izifundo zokucinga ezifana ne-ultrasound, i-CT scan, okanye i-MRI ukujonga i-cysts yezintso
- Uvavanyo lwe-Genetic ukuqinisekisa ukuxilongwa kunye nokumisela uhlobo lwe-PKD
- Uvavanyo lwegazi ukuvavanya ukusebenza kwezintso
- Ukuhlaziywa komchamo ukujonga igazi okanye iprotheni kumchamo
Iinketho zonyango:
- Ukulawula uxinzelelo lwegazi kunye ne-ACE inhibitors okanye ii-ARBs
- ulawulo Pain
- Unyango lwezifo ze-urinary tract
- I-Tolvaptan ukunciphisa ukukhula kwe-cyst kwezinye izigulana
- I-dialysis okanye ukutshintshwa kwezintso kwizigaba eziphambili
Ukhathalelo lokulandela:
- Ukujongwa rhoqo komsebenzi wezintso kunye nokukhula kwe-cyst
- Ulawulo loxinzelelo lwegazi
- Ukuhlolwa kweengxaki ezifana ne-aneurysms
- Ingcebiso ngemfuzo kumalungu osapho
- Ukuguqulwa kwendlela yokuphila, kubandakanywa ukutya okunetyuwa encinci kunye ne-hydration eyaneleyo
Ukosuleleka kwi-Urinary Tract Infection (UTI)
Usulelo lwezintso, olukwabizwa ngokuba yi-pyelonephritis, luhlobo losulelo lomgudu womchamo (UTI) olwenzeka xa iintsholongwane, kwaye ngamanye amaxesha umngundo okanye iintsholongwane, zosulela enye okanye zombini izintso. Le meko inokuba yingozi kwaye isenokufuna unyango olukhawulezileyo, ngakumbi ukuba isasazeka kwigazi.
Izizathu:
Usulelo: Idla ngokubangelwa yiEscherichia coli (E. coli), eqala kumzila wesisu ize inyuke ngomgudu womchamo.
Ukusasazeka ukusuka kwi-UTIs esezantsi: Ihlala iqala njengosulelo lwesinyi (cystitis) kwaye iqhubela phambili ukuya kwizintso.
Ukuvaleka okanye ukuthintelwa: Amatye ezintso, idlala lengqula elandiswayo, okanye ezinye izithintelo kumzila womchamo zinokwandisa umngcipheko.
I-Catheters okanye i-Medical Devices: Yandisa amathuba osulelo.
I-Immune System ebuthathaka: Iimeko ezifana nesifo seswekile, okanye ukusetyenziswa kweziyobisi ze-immunosuppressive, kunokunyusa ukuchaphazeleka.
Iimpawu:
Umkhuhlane ophezulu kunye neengqele.
Intlungu ngasemva, ecaleni (icala), okanye isisu esisezantsi.
Ukuchama rhoqo okanye okubuhlungu (dysuria).
Umchamo onamafu, onuka kakubi, okanye onegazi.
Isihlunu okanye ukugabha.
Ukudinwa okanye ukugula.
Abantu abadala banokuvela ngokubhideka okanye isimo sengqondo esitshintshileyo endaweni yeempawu eziqhelekileyo.
Abasetyhini baxhaphake kakhulu njengoko bane-urethra emfutshane, okwenza kube lula ukuba ibhaktheriya ifikelele kwi-bladder kunye nezintso.Ukukhulelwa kubangela utshintsho lwe-hormonal kunye ne-anatomical okwandisa ubungozi.Izithintelo ezifana naMatye, i-tumors, okanye i-anatomical abnormalities ikhokelela ekwandeni komngcipheko.Ulawulo olubi lwe-glycemic kwi-diabetics lunokubangela ukukhula kwebhaktheriya.
Iingxaki:
I-Sepsis: Imeko ebeka ubomi esichengeni ukuba usulelo lunwenwela egazini.
Ithumba lezintso: Iipokotho zobubovu zinokubumba ngaphakathi okanye kufutshane nezintso.
Izifo Ezingapheliyo Zezintso (CKD): Usulelo oluhlala ixesha elide okanye oluphindaphindiweyo lunokukhokelela kwinxeba kunye nomonakalo wexesha elide.
Iingxaki zokukhulelwa: Ingakhokelela ekubelekeni kwangaphambi kwexesha okanye kubunzima bokuzalwa obuphantsi ukuba ayiphathwa.
Iindlela zokuxilonga:
- Ukuhlaziywa komchamo ukujonga iibhaktheriya kunye neeseli ezimhlophe zegazi
- Inkcubeko yomchamo ukuchonga ibhaktheriya ethile ebangela usulelo
- Izifundo zokucinga ezifana ne-CT okanye i-ultrasound ukuba usulelo oluphindaphindiweyo lwenzeka
Iinketho zonyango:
- Ii-Antibiotics ezenzelwe iibhaktheriya ezithile
- Izithomalalisi zeentlungu zokungakhululeki
- Ukonyuka kokuthatha ulwelo ukunceda ukugungxula iintsholongwane
- Kwiimeko eziphindaphindiweyo, i-antibiotics yedosi ephantsi yokuthintela
Ukhathalelo lokulandela:
- Ukugqitywa kwekhosi emiselweyo yamayeza okubulala iintsholongwane
- Ukulandelela uvavanyo lomchamo ukuqinisekisa ukuba usulelo luphelile
- Ukutshintsha kwendlela yokuphila ukuthintela ukuphindaphinda (umzekelo, ucoceko olufanelekileyo, ukuhlala u-hydrated)
- Uphando lwezizathu ezisisiseko kwiimeko eziqhubekayo
Umhlaza woMhlaza wezintso
Umhlaza wezintso kukukhula okungaqhelekanga kweeseli kwizintso. Kwenzeka xa iiseli ezikwizintso zikhula ngaphandle kolawulo, zenza ithumba. Ixhaphake kakhulu kubantu abangaphezulu kweminyaka engama-65 kwaye ichaphazeleka ngokuphindwe kabini kunabasetyhini.
Iimpawu:
- Igazi kumchamo (hematuria)
- Iintlungu eziqhubekayo kwicala okanye ngasezantsi
- Ukulahleka kwesisindo esingachazwanga
- Ukukhathala
- Umkhuhlane awubangelwa sisifo
- Uxinzelelo lwegazi oluphezulu ekunzima ukululawula
Iindlela zokuxilonga:
- Uvavanyo lomzimba kunye nokuhlaziywa kwembali yonyango
- Uvavanyo lwegazi kunye nomchamo ukujonga ukusebenza kwezintso
- Izifundo zokucinga ezifana ne-CT scans, i-MRI, okanye i-ultrasound
- I-Kidney biopsy kwezinye iimeko ukuqinisekisa ukuxilongwa
Iinketho zonyango:
- Utyando (i-nephrectomy engaphelelanga okanye enzulu)
- Unyango lokukhupha amathumba amancinci
- Unyango lweziyobisi ekujoliswe kulo
- immunotherapy
- Unyango lweradiation kwiimeko ezithile
Ukhathalelo lokulandela:
- Ukujonga umfanekiso oqhelekileyo ukujonga ukuphindaphinda
- Uvavanyo lwegazi ukujonga ukusebenza kwezintso
- Ulawulo lweziphumo ebezingalindelekanga kunyango
- Ukuguqulwa kwendlela yokuphila ukunciphisa izinto ezinobungozi
Uxilongo kunye tests
I-Apollo Institute of Nephrology ibonelela ngoluhlu olubanzi lweemvavanyo zokuxilonga kunye neenkqubo zokuvavanya ukusebenza kwezintso kunye nokufumanisa ukuphazamiseka okuhlukeneyo kwezintso. Nantsi isishwankathelo esineenkcukacha zoxilongo kunye novavanyo olukhoyo:
Unyango
- INephrology yeklinikhi
- Unyango lokuTshintshwa kwezintso
- Ukutshintshwa kweentso
- Iinkqubo zongenelelo
- I-Critical Care Nephrology
- I-Nephro-Urology yabantwana
- I-Nephropathy
- HLA ukuchwetheza
- Immunohistochemistry
- Ukujongwa kwinqanaba leziyobisi
INephrology yeklinikhi
I-Apollo Institute of Nephrology ibonelela ngeenkonzo ze-nephrology zeklinikhi ezibanzi, ibonelela ngokhathalelo lobuchwephesha kwizigulana ezineemeko ezahlukeneyo ezinxulumene nezintso.
1. Ulawulo lwazo zonke iziphene zezintso
Iqela le-nephrology yezonyango e-Apollo ligxile ekuxilongeni nasekunyangeni uluhlu olubanzi lweengxaki zezintso, kubandakanywa:
- Ukwenzakala okuqatha kwezintso
- Isifo sezintso esingapheliyo (CKD)
- Glomerulonephritis
- Isifo seswekile nephropathy
- Isifo sezintso eziphezulu
- Isifo sezintso sePolycystic
- Lupus nephritis
- Amatye eentso
Iqela lisebenzisa iindlela ezininzi, lisebenzisa izixhobo zokuxilonga eziphambili ezifana ne-biopsies yezintso kunye nobuchule obukhethekileyo bokucinga ukuxilonga ngokuchanekileyo kunye nesigaba sezifo zezintso. Izicwangciso zonyango zilungelelaniswe ngokwemeko ethile yesigulana ngasinye kwaye zinokubandakanya ulawulo lwamayeza, uhlengahlengiso kwindlela yokutya, kwaye xa kuyimfuneko, unyango oluthatha indawo yezintso.
inzuzo:
- Ukufunyaniswa kwangoko kunye nokungenelela ukucothisa ukukhula kwesifo
- Izicwangciso zonyango zobuqu ezisekelwe kwiimfuno zesigulana ngasinye
- Ukufikelela kunyango oluphambili kunye nezilingo zonyango
- Ukhathalelo olubanzi oluvela kwiqela leengcaphephe
2. Iingcebiso kwiZifo zezintso
I-Apollo Institute of Nephrology igxininisa kakhulu kwimfundo yesigulana kunye neengcebiso. Abacebisi abazinikeleyo basebenza ngokusondeleyo nezigulana kunye neentsapho zabo ukubonelela:
- Ulwazi oluthe vetshe malunga nezifo zezintso kunye nolawulo lwazo
- Isikhokelo malunga nokuguqulwa kwendlela yokuphila ukuxhasa impilo yezintso
- Inkxaso yeemvakalelo kunye nezicwangciso zokumelana
- Imfundo malunga neendlela zonyango kunye neziphumo zazo
inzuzo:
- Ukuphuculwa kokuqonda isigulane kunye nokuthotyelwa kwezicwangciso zonyango
- Ukuphucula umgangatho wobomi ngolawulo olungcono lwezifo
- Ukunciphisa ixhala kunye nokuphucula impilo yengqondo
- Ukuxhotyiswa kwezigulane ukuba zithathe inxaxheba ngokubonakalayo kukhathalelo lwazo
3. Unyango lweeMeko eziDityanisiweyo
Izifo zezintso zihlala zihlala kunye okanye zikhokelela kwezinye iingxaki zempilo. Iqela le-nephrology yeklinikhi e-Apollo libonelela ngokhathalelo olubanzi kwezi meko ezinxulumeneyo, kubandakanya:
- Ulawulo loxinzelelo lwegazi
- Ukunyamekelwa kwesifo seswekile kunye nothintelo lwe-nephropathy yesifo sikashukela
- Unyango lwe-anemia
- Ukuphazamiseka kwamathambo kunye neeminerali
- Iingxaki zentliziyo
- Ukungalingani kwe-Electrolyte
inzuzo:
- Ukhathalelo olubanzi olujongene nayo yonke imiba yempilo enxulumene nezintso
- Ukunciphisa umngcipheko weengxaki ngolawulo olusebenzayo
- Ukuphucula impilo kunye nomgangatho wobomi
- Ukhathalelo olulungelelanisiweyo kuzo zonke iintlobo ezininzi zeemeko ezinzima
Unyango lokuTshintshwa kwezintso
I-Apollo Institute of Nephrology inikezela ngoNyango olubanzi lweRenal Replacement (RRT) kwizigulana ezinesigaba sokugqibela sesifo sezintso (ESRD) okanye ukonzakala okuqatha kwezintso. Olu nyango luphucukileyo luyilelwe ukuba luthabathe indawo yesiqhelo sokuhluza igazi kwizintso xa zingasenakusebenza ngokwaneleyo. Iziko libonelela ngoluhlu lweenketho ze-RRT ukuze zihambelane neemfuno zesigulane ngasinye, ukuqinisekisa ukhathalelo oluphezulu kunye nokuphuculwa komgangatho wobomi kwabo banesifo sezintso.
1. Iyunithi ye-Dialysis yeeyure ezingama-24
IYunithi ye-Apollo yeeyure ezingama-24 ye-Dialysis yiziko lanamhlanje elibonelela ngeenkonzo zokucofa igazi ubusuku nemini kwizigulana ezinokungaphumeleli kwezintso eziqatha nezingapheliyo. Le yunithi ixhotyiswe ngoomatshini banamhlanje be-dialysis kwaye inabasebenzi be-nephrologists abanamava, amagcisa e-dialysis, kunye nabongikazi.
Ezona mpawu:
- Ubukho obuqhubekayo kwiimfuno ze-dialysis ezingxamisekileyo
- Ukucwangcisa okuguquguqukayo ukulungiselela iindlela zokuphila zesigulana
- Iiprothokholi ezingqongqo zolawulo losulelo
- Ukubeka iliso rhoqo kunye nohlengahlengiso lwezicwangciso zonyango
inzuzo:
- Ufikelelo olukhawulezileyo kunyango olusindisa ubomi kumonzakalo wezintso
- Ukunciphisa amaxabiso esibhedlele kwizigulana ze-dialysis ezingapheliyo
- Ukuphuculwa kwentuthuzelo yesigulane kunye nokulula
- Ukuphucula amandla okulawula iingxaki ezinxulumene ne-dialysis ngokukhawuleza
Iintlobo ze-dialysis
1. Uhlalutyo lweHemodialysis
I-Hemodialysis yindlela eqhelekileyo ye-RRT apho igazi lihluzwa ngaphandle komzimba kusetyenziswa umatshini we-dialysis. Inkonzo ye-hemodialysis ka-Apollo isebenzisa itekhnoloji ephezulu ukunika unyango olusebenzayo nolutofotofo.
inkqubo:
- Igazi litsalwa kwisigulane ngendawo yokufikelela kwi-vascular
- Igazi lidlula kwi-dialyzer (izintso ezenziweyo) ezisusa inkunkuma kunye nolwelo olugqithisileyo
- Igazi elicociweyo libuyiselwa kumzimba womguli
Iimbonakalo:
- I-high-flux dialyzers yokuphucula ukususwa kwe-toxin
- Iinkqubo zamanzi ze-Ultrapure dialysis
- Imiyalelo ye-dialysis yomntu ngamnye
- Ukunakekelwa rhoqo kunye nokubeka iliso kwi-vascular access
inzuzo:
- Ukususwa okusebenzayo kweemveliso zenkunkuma kunye nolwelo olugqithisileyo
- Ulawulo olungcono loxinzelelo lwegazi kunye ne-anemia
- Ukuphucula impilo kunye nomgangatho wobomi
- Ukunciphisa umngcipheko weengxaki ezinxulumene ne-dialysis
I-Peritoneal Dialysis (PD) lukhetho lwe-dialysis olusekelwe ekhaya olusebenzisa i-peritoneum yesigulana njengesihluzo sendalo. UApollo ubonelela ngoqeqesho olubanzi kunye nenkxaso kwizigulana ezikhetha iPD.
Iintlobo ezibonelelweyo:
- I-Ambulatory Peritoneal Dialysis (CAPD) eqhubekayo
- I-Automated Peritoneal Dialysis (APD)
Amalungu aphambili:
- Umyalelo kunye nokubeka iliso kwiPD
- Iinkqubo zoqeqesho lwezigulane kunye nabanonopheli
- Ukutyelelwa rhoqo ekhaya ngabongikazi bePD
- Inkxaso ye-24/7 kwimiba enxulumene nePD
inzuzo:
- Ukuzimela okukhulu kunye nokuguquguquka kubomi bemihla ngemihla
- Ukugcinwa kokusebenza kwezintso okushiyekileyo
- Ukunciphisa ukutya kunye nezithintelo zolwelo xa kuthelekiswa ne-hemodialysis
- Umngcipheko ophantsi wosulelo lwegazi
3. I-Hemodiafiltration
I-Hemodiafiltration (HDF) luhlobo oluphambili lwe-hemodialysis edibanisa ukusasazwa kunye nemigaqo yokuhambisa ukususwa kwenkunkuma okuphuculweyo. I-Apollo inikeza i-HDF ye-intanethi, apho ukutshintshwa okusetyenziswe kwinkqubo kuveliswa ngexesha langempela ngexesha leseshoni ye-dialysis.
inkqubo:
- Udibanisa i-hemodialysis eqhelekileyo kunye ne-hemofiltration
- Isebenzisa ii-membrane eziguquguqukayo eziphezulu kunye nokutshintshana kolwelo okwandisiweyo
- Isusa zombini iityhefu ezincinci nezinkulu ezinobunzima bemolekyuli
Iimbonakalo:
- Ukuveliswa kwexesha lokwenyani lolwelo lokutshintshwa kwe-ultrapure
- Umthamo ophezulu we-HDF ukuze usebenze ngokugqibeleleyo
- Iisistim zokubeka iliso ezikwinqanaba eliphezulu ukulungiselela ukulungiswa konyango
inzuzo:
- Ukususwa okuphezulu kwe-toxins ephakathi kunye nenkulu ye-molecular weight
- Ukuphucula ukuzinza kwe-cardiovascular ngexesha lonyango
- Ulawulo olungcono lwephosphate kunye neemfuno ezincitshisiweyo zamayeza
- Ukubanakho ukuphuculwa kwamazinga okuphila kwexesha elide xa kuthelekiswa nomgangatho we-hemodialysis
Ukutshintshwa kweentso
Utyando lwezintso kwi-Apollo Institute of Nephrology lumele unyango olusemgangathweni lwegolide lwe-end-stage renal disease (ESRD). Le nkqubo yotyando ibandakanya ukutshintshwa kwezintso ezisempilweni ukusuka kumnikeli ukuya kwisigulane esinezintso. Inkqubo yokufakelwa kwe-Apollo idume ngokugqwesa kwayo, idibanisa ubuchule botyando kunye nokhathalelo olubanzi lwangaphambi nasemva kokutshintshwa ukuze kuqinisekiswe iziphumo ezigqwesileyo kwizigulana.
1. UTshintsho loMnikeli ophilayo
Ufakelo lomnikeli ophilayo lubandakanya ukutshintshwa kwezintso ukusuka kumnikeli ophilayo, ngokuqhelekileyo isihlobo esisondeleyo okanye ivolontiya elihambelanayo, kummkeli.
Imiba ephambili:
- Uvavanyo olubanzi lwabaxhasi ukuqinisekisa ukufaneleka kunye nokhuseleko
- Ukuchwetheza kwezicubu ezikwinqanaba eliphezulu kunye nokuthelekisa ukuhambelana okugqibeleleyo komxhasi-umamkeli
- Ubuncinci be-laparoscopic donor nephrectomy xa kunokwenzeka
- Iinkqubo zemfundo ebanzi yabaxhasi kunye nabamkeli
- Ukhathalelo lwexesha elide lokulandela umnikezeli kunye nommkeli
inzuzo:
- Amaxesha amafutshane okulinda xa kuthelekiswa ne-cadaveric transplantation
- Amazinga angcono okusinda kwi-graft yexesha elide
- Ukukwazi ukucwangcisa utyando lokufakelwa kwangaphambili
- Ithuba lofakelo lwangaphambili ngaphambi kokuba i-dialysis ibe yimfuneko
- Ukusebenza kakuhle kwezintso ngokukhawuleza emva kokutshintshwa kwiimeko ezininzi
2. Ukutshintshwa kweCadaveric
I-Cadaveric transplantation, eyaziwa ngokuba yi-transplantation yomnikeli ongasekhoyo, ibandakanya ukufakela intso ukusuka kumnikeli osandul' ukusweleka ukuya kumamkeli kuluhlu lokulinda.
Ezona mpawu:
- Intsebenziswano neekomiti zikarhulumente kunye nothungelwano lolwabiwo olusebenzayo
- Ukufumaneka kweqela le-24/7 lokufunyanwa kwelungu kunye nokutshintshwa
- Iiprothokholi zovavanyo lomgangatho wamalungu angqongqo
- Ubuchule bokugcina obuphezulu bokugcina ukusebenza kwamalungu
- Uvandlakanyo olubanzi lwabamkeli kunye nolungiselelo
inzuzo:
- Inika ithemba kwizigulane ezingenamnikezeli ophilayo ofanelekileyo
- Ivumela iphuli enkulu yabaxhasi abanokubakho
- Ithuba lezigulane ezineentlobo zeethishu ezinqabileyo zokufumana umdlalo
- Inegalelo kwi-ecosystem yomnikelo wamalungu ngokubanzi
- Ingakhokelela kwiziphumo eziyimpumelelo ezithelekiseka nofakelo lwabaxhasi abaphilayo ngolawulo olululo
Ukhathalelo emva kokutshintshwa eApollo lubandakanya:
- Iirejimeni ezilungelelanisiweyo ze-immunosuppression
- Ukuqeshwa kwarhoqo nokubeka iliso
- Imfundo ebanzi yezigulana ngokubambelela kunyango kunye nohlengahlengiso kwindlela yokuphila
- Ulawulo olukhawulezileyo lwazo naziphi na iingxaki okanye iziqendu zokwaliwa
Iinkqubo zongenelelo
I-Apollo Institute of Nephrology ibonelela ngoluhlu lweenkqubo zongenelelo eziphambili zokuxilonga kunye nokunyanga iimeko ezahlukeneyo zezintso. Ezi ndlela zincinci zivumela uxilongo oluchanekileyo, iziphumo zonyango eziphuculweyo, kunye nokunciphisa amaxesha okubuyisela xa kuthelekiswa notyando oluvulekileyo lwemveli.
I-Kidney biopsies ziinkqubo zokuxilonga ezisetyenziselwa ukufumana iisampulu ezincinci zezicubu zezintso kuvavanyo lwe-microscopic. Le nkqubo ibalulekile kuxilongo oluchanekileyo kunye nokucwangciswa konyango lwezifo ezahlukeneyo zezintso.
Funda ngakumbi malunga neBiopsies yezintso
2. Ufikelelo lweVascular lwexesha elide
Ukuseka nokugcina ukufikelela kwi-vascular ixesha elide kubalulekile kwizigulane ezifuna i-hemodialysis rhoqo. Iqela le-nephrology ye-Apollo ye-interventional nephrology likhethekileyo ekudaleni nasekulawuleni iintlobo ezahlukeneyo zokufikelela kwi-vascular.
Iintlobo zofikelelo:
- I-Arteriovenous (AV) fistulas
- AV uxhulumaniso
- Iicatheters ezinesifo esiphakathi
Iinkqubo ezinikezelwayo:
Ukufikelela kwiVascular
Ukufikelela kwi-Vascular kubhekisa ekudaleni unxibelelwano phakathi kwemithambo yegazi ye-hemodialysis okanye olunye unyango lwezonyango. Zimbini iintlobo eziqhelekileyo zofikelelo lwemithambo zikhankanyiwe:
1.IArteriovenous (AV) Grafts:
Ityhubhu eyenziwe ngotyando ifakwa ukudibanisa umthambo kunye nomthambo. Isetyenziswe xa i-veins yesigulane ayifanelekanga kwi-arteriovenous fistula (AV fistula) .Inika ukufikelela okuthembekileyo kwi-dialysis.
2.I-Catheters yeVenus esembindini:
I-catheter yethutyana okanye i-semi-permanent efakwe kwi-vein enkulu (umzekelo, intamo, isifuba, okanye i-groin). Isetyenziselwa ukufikelela ngokukhawuleza okanye kwexesha elifutshane xa ezinye iindlela zingekho.
Iinkqubo ezibonelelweyo:
1.Fistula okanye uTyando lokuDala iGraft:
I-AV Fistula: Idibanisa ngokuthe ngqo i-artery kunye ne-vein, inikezela ukufikelela kwexesha elide kwi-hemodialysis.
I-AV Graft: Isebenzisa ityhubhu yokwenziwa ukwenza uxhulumaniso lwezigulane ezinemithambo engafanelekanga.
2.IAngioplasty yestenosis:
Inkqubo engenelelayo kancinane yokwandisa imithambo yegazi emxinwa. Ibuyisela ukuhamba kwegazi kwi-AV fistula emxinwa okanye igrafti.
3.I-Thrombectomy yoFikelelo oluCityiweyo:
Ukususwa kwee-blood clots ezithintela iindawo zokufikelela kwi-vascular. Iqinisekisa ukusetyenziswa okuqhubekayo kofikelelo lwe-dialysis.
4.Ukubekwa kweStent kwi-Recurrent Stenosis:
I-stent (ityhubhu encinane enemesh) ifakwa kumthambo wegazi ukuze uhlale uvulekile. Isetyenziselwa iimeko apho ukuncipha (i-stenosis) iphinda ibuyele nangona i-angioplasty.
3. I-Renal Angioplasty kunye ne-Stenting
I-Renal angioplasty kunye ne-stenting ziinkqubo ezihlasela kancinci ezisetyenziselwa ukunyanga i-renal artery stenosis, imeko apho imithambo ehambisa igazi kwizintso icutheka.
4. Ukufakwa kwePermaath
Ukufakwa kwe-Permaath kubandakanya ukufakwa kwe-catheter ye-venous ye-tunnel ye-tunnel yexesha elide lokufikelela kwi-hemodialysis, ngakumbi kwizigulane ezilindele ukuvuthwa kwe-fistula okanye ezo zingafanelekanga kwezinye iintlobo zokufikelela.
I-Critical Care Nephrology
I-Critical Care Nephrology kwi-Apollo Institute of Nephrology ibonelela ngokhathalelo olukhethekileyo kwizigulana ezinomonzakalo obukhali kwizintso kunye neengxaki ezinxulumene noko kwiisetingi zokhathalelo olunzulu. Isebe lidibanisa ubuchule kwi-nephrology kunye neyeza lokhathalelo olubalulekileyo ukulawula iimeko ezinzima zezintso kwizigulane ezigula kakhulu.
1. Ulawulo lokungaphumeleli kwezintso kwi-ICU
Oku kubandakanya ukuhlolwa okukhawulezayo kunye nokungenelela kwingozi enzima yezintso kwizigulane ezigula kakhulu. Isebenzisa ubuchule obuphezulu bokubeka iliso kunye nonyango lokubuyisela izintso njengoko kufuneka. Igxininisa ekugcineni ukusebenza kwezintso ezishiyekileyo kunye nokuthintela umonakalo ongakumbi. Ulungisa unyango ngokwezizathu ezisisiseko ngelixa ulawula iingxaki ezinxulumene nazo.
Funda ngakumbi malunga noLawulo lokuFaila kwezintso
2. Unyango lokuphazamiseka kwevolumu
Ulawulo oluchanekileyo lokulinganisela kwamanzi kwizigulana ezigula kakhulu ezinokungasebenzi kakuhle kwezintso. Isebenzisa ujongo oluphezulu lwe-hemodynamic ukukhokela unyango lwe-fluid kunye nokusetyenziswa kwe-diuretic. Isebenzisa iindlela zokucoca nge-ultrafiltration xa kuyimfuneko ukulawula ukugcwala kwamanzi. Ijolise ekuphuculeni i-organ perfusion ngelixa ikhusela i-pulmonary edema kunye nezinye iingxaki.
3. Ukulawulwa kweengxaki ze-electrolyte kunye ne-acid-base
Indlela ebanzi yokulungisa ukungalingani kwe-electrolyte kunye nokuphazamiseka kwe-acid-base. Isebenzisa uhlolo oluqhubekayo kunye novavanyo lwarhoqo lwaselabhoratri ukukhokela unyango. Iphumeza ungenelelo olujoliswe kuyo, kubandakanywa ukutshintshwa kwe-electrolyte kunye nonyango lwe-buffer. Iidilesi ezisisiseko ngelixa ukhusela i-arrhythmias kunye nezinye iingxaki ezinxulumene nazo.
4. Unyango oluqhubekayo lweRenal Replacement (CRRT)
Unyango oluqhubekayo lweRenal Replacement (CRRT) luhlobo lonyango lwe-dialysis olusetyenziswa ikakhulu kwizigulane ezigula kakhulu ezinokulimala kwezintso ezibukhali (AKI), ngakumbi xa zine-hemodynamically engazinzile (umzekelo, uxinzelelo lwegazi oluphantsi). Ngokungafaniyo ne-dialysis yesiqhelo, i-CRRT yenziwa ngokuqhubekayo kwiiyure ze-24 ukubonelela ngenkqubo ecothayo, ethambileyo yokukhutshwa kwamanzi kunye nokususwa kwenkunkuma, okwenza kube yinto efanelekileyo kwizigulane ezingazinzanga kwiindawo zokhathalelo olunzulu.
Isebenza njani i-CRRT: I-CRRT isebenzisa i-extracorporeal (ngaphandle komzimba) isiphaluka ukuze isuse igazi, ihluze nge-dialysis okanye i-hemofiltration membrane, kwaye ibuyisele igazi elicocekileyo kwisigulane.
Inceda ukulawula:
- Ukugcwala kolwelo
- Ukungalingani kwe-Electrolyte (umzekelo, i-hyperkalemia)
- Acidosis
- Ukususwa kwetyhefu
Iintlobo zeCRRT:
Kukho iintlobo ezine eziphambili ze-CRRT, kuxhomekeke kwindlela ulwelo kunye ne-solutes zisuswa ngayo:
I-Continuous Veno-Venous Hemofiltration (CVVH):Isusa i-solutes ngokusebenzisa i-convection (i-solvent drag) kwaye ijolise ngokukodwa kwii-toxins ezinobunzima obuphakathi kunye ne-molecular-weight. Ifuna ukongezwa kolwelo olutshintshiweyo ukugcina ibhalansi.
I-Continuous Veno-Venous Hemodialysis (CVVHD):Isusa izinyibilikisi ngokusasazwa (i-concentration gradient) ukucoca iimolekyuli ezincinci ezifana ne-urea kunye ne-creatinine. Ulwelo lwe-Dialysate luqukuqela ngokuchasana negazi ukuze lucocwe ngempumelelo.
Ukucoca iVeno-Venous Hemodiafiltration (CVVHDF):Idibanisa ukusasazwa kunye nokuhambisa ukunyusa ukususwa kwezinyibilikisi ezincinci, eziphakathi kunye nezinkulu. Ibandakanya zombini ulwelo olutshintshiweyo kunye ne-dialysate.
I-Slow Continuous Ultrafiltration (SCUF): Ijolisa ekususeni ulwelo ngaphandle kokukhutshwa okubalulekileyo kwe-solute. Iluncedo ekulawuleni ukugcwala kolwelo kwizigulana ngaphandle kokuqokelelwa kwenkunkuma emandla.
5. IHemaabsorption
Ubuchwephesha obukhethekileyo bokucoca igazi ukususa i-toxins ethile okanye abalamli abavuthayo. Isebenzisa izixhobo ze-adsorbent ukususa izinto eziyingozi egazini. Ngokukodwa luncedo ekulawuleni i-sepsis, i-overdoses yeziyobisi, kunye neemeko ezithile ze-autoimmune. Inokudityaniswa nolunye unyango lwe-extracorporeal ukuze kusebenze ukusebenza kakuhle.
6. I-Plasmapheresis
Inkqubo yonyango eyahlula kwaye isuse i-plasma egazini. Isetyenziselwa ukunyanga ukuphazamiseka kwe-autoimmune, i-thrombotic microangiopathies, kunye nokuxiliswa okuthile. Isusa ii-antibodies eziyingozi, i-immune complexes, kunye nezinye izinto ze-pathogenic ukusuka kumjikelezo. Inokwenziwa ngokubambisana ne-plasma yotshintshiselwano ukuze ithathe indawo ye-plasma esusiweyo kunye ne-donor plasma okanye i-albumin.
7. Iindlela zonyango ezongezelelekileyo (kubandakanywa ne-MARS)
Izindlela eziphuculweyo zokuhlanjululwa kwegazi zokulawula ukungaphumeleli kwesibindi kunye neengxaki ezinxulumene nazo. I-Molecular Adsorbent Recirculating System (MARS) inikezela ngenkxaso yesibindi ngokususa i-albumin-bound toxins. Olunye unyango lubandakanya utshintshiselwano lwe-plasma kunye ne-albumin dialysis yezibonakaliso ezahlukeneyo. Ijolise ekudibaniseni izigulane ukutshintshwa kwesibindi okanye ukubuyiswa kwesibindi somthonyama.
I-Nephro-Urology yabantwana
IApollo Institute of Nephrology ibonelela ngokhathalelo olukhethekileyo kubantwana abanezintso kunye nokuphazamiseka kwendlela yomchamo. Eli qela lezinto ezininzi lidibanisa ubuchule kwi-nephrology yabantwana kunye ne-urology ukunika ukuxilongwa okupheleleyo, unyango, kunye nolawulo lwexesha elide lokuzalwa kunye neemeko ezifunyenweyo zezintso kwiintsana, abantwana kunye nabafikisayo.
I-Nephropathy
Ilabhoratri ekhethekileyo yovavanyo lwemicroscope yeesampulu zezicubu zezintso. Isebenzisa iindlela eziphambili zokuxilongwa ngokuchanekileyo kwezifo zezintso kunye nokwaliwa kokutshintshwa. Ibonelela ngohlalutyo oluneenkcukacha lwe-biopsies yezintso ukukhokela izigqibo zonyango. Uqeshe iingcali zezifo ngoqeqesho oluthile kwizifo zezintso.
HLA ukuchwetheza
Uvavanyo oluphezulu lwemfuza ukumisela iiprofayili zabantu ze-leukocyte antigen (HLA) zabaxhasi kunye nabamkeli. Isebenzisa ubuchule bemolekyuli ukuchwetheza nge-HLA enesisombululo esiphezulu ukukhulisa ungqamaniso lomxhasi. Ibalulekile ekuvavanyeni ukuhambelana kokutshintshwa kunye nokuqikelela ukusinda kwegrafti. Ixhasa zombini iinkqubo zofakelo lomnikeli ophilayo kunye nongasekhoyo.
Immunohistochemistry
Ubuchwephesha obukhethekileyo bokufumana iiproteni ezithile kwiisampulu zeethishu zezintso. I-Aids ekuxilongweni ngokuchanekileyo kwezifo zezintso ezahlukeneyo kunye nokulahlwa kokutshintshwa. Ivumela ukubonwa kwe-immune cell infiltrates kunye neempawu ezithile zesifo. Ukuphucula ukuchaneka koxilongo kwaye unceda ukukhokela unyango olujoliswe kuyo.
Ukujongwa kwinqanaba leziyobisi
Umlinganiselo ochanekileyo we-immunosuppressive drug concentrations kwiisampuli zegazi zesigulana. Iqinisekisa idosi efanelekileyo ukuthintela ukwaliwa ngelixa unciphisa iziphumo ebezingalindelekanga. Isebenzisa iindlela zokuhlalutya ezikumgangatho ophezulu ukufumana iziphumo ezichanekileyo kunye nexesha elifanelekileyo. Ixhasa iirejimeni zokhuselo lomzimba olulolwakho kubantu abafumana uqhaqho-fakelo.
Technology
- IiTekhnoloji zokuSebenza kunye noDiagnostic
- Iindlela zeBiopsy
- Inkqubo yeDiagnostic
- Ii-Biomarkers eziPhezulu kunye noVavanyo lweGenomic
- Intelligence yoBuchule (AI) kunye nokuFunda koomatshini
- Uvavanyo lweNdawo yokuKhathalela (POCT):
- I-Dialysis kunye noNyango lweRenal Replacement
IiTekhnoloji zokuSebenza kunye noDiagnostic
Ukwenza umfanekiso kubalulekile xa kuvavanywa ubume kunye nokusebenza kwezintso:
a) I-Ultrasound (i-Renal Sonography) :
Injongo:
• Imifanekiso engangeneleliyo, yodidi lokuqala yokuvavanya ubungakanani bezintso, imilo, kunye nokungaqhelekanga.
• Ufumanisa amaqhakuva, amatye, imiqobo, kunye namathumba.
Funda ngakumbi malunga ne-Ultrasound (i-Renal Sonography)
• Ukuvavanya ukuhamba kwegazi ukuya nokubuya ezintso.
Funda ngakumbi malunga neDoppler Ultrasound
b) I-Computed Tomography (CT) :
• CT KUB (Izintso, Ureters, Isinyi):
Uchonga amatye ezintso, amathumba, kunye nokungahambi kakuhle kwesakhiwo.
• I-CT Angiography:
Uvavanya imithambo yegazi kwiimeko ezikrokrelekayo ze-renal artery stenosis okanye i-vascular abnormalities.
Funda ngakumbi malunga neComputed Tomography (CT)
c) Umfanekiso weMagnetic Resonance (MRI):
Injongo:
• Inika umfanekiso oneenkcukacha ngaphandle kwemitha.
• Isetyenziselwa ukuvavanya ii-cysts ezintsonkothileyo, amathumba, kunye nemiba yemithambo.
• UMR Angiography (MRA):
• Imifanekiso engangeneleliyo yemithambo yezintso.
Funda ngakumbi malunga neMagnetic Resonance imaging (MRI)
d) Iiskeni zamayeza eNyukliya :
• I-Renal Scintigraphy:
Ilinganisa ukufakwa kwezintso kunye nokuhluzwa.
• Ukuskena kwe-DMSA:
Uvavanya ukusebenza kwezintso kunye namanxeba, rhoqo kwiimeko zabantwana
Iindlela zeBiopsy
I-Renal Biopsy:
Injongo: Isampulu yethishu encinci evela kwizintso ihlalutywa phantsi kwe-microscope.
Izimpawu:
• Ukuxilongwa kweglomerulonephritis, lupus nephritis, okanye nephrotic syndrome.
• Vavanya ukusilela kwezintso okungachazwanga.
Iindlela eziKhokelwayo:
• Yenziwe phantsi kwe-ultrasound okanye isikhokelo se-CT sokuchaneka kunye nokhuseleko.
Inkqubo yeDiagnostic
a) Ukubeka esweni uxinzelelo lwegazi :
• Ukubekwa kweliso okuthe gqolo ukufumanisa uxinzelelo lwegazi, unobangela ophambili kunye nesiphumo sesifo sezintso.
• Ukujongwa koxinzelelo lwegazi kwi-Ambulatory Blood Pressure (ABPM):
Ukulandelela uxinzelelo lwegazi ngaphezulu kweeyure ezingama-24 ukufumanisa i-hypertension efihliweyo okanye yasebusuku.
Funda ngakumbi malunga nokuHlolwa koxinzelelo lwegazi
b) I-Renal Angiography:
• Ubuchule bokucinga obungenelelayo kusetyenziswa idayi yokuchasana nokuvavanya imithambo yezintso xa kukho ukuqaqanjelwa yimithambo okanye ukungahambi kakuhle kwemithambo.
• Ukuvavanya ukusebenza kwesinyi kwizigulane ezinokuphazamiseka komchamo ezinxulumene nokusebenza kwezintso.
Funda ngakumbi malunga noVavanyo lwe-Urodynamic
d) I-Cystoscopy :
• Uphonononga isinyi kunye nomphantsi womchamo ukuba kukho imiqobo okanye izinto ezingaqhelekanga.
Ii-Biomarkers eziPhezulu kunye noVavanyo lweGenomic
a) Ii-Biomarkers eziphambili:
• NGAL (Neutrophil Gelatinase-Associated Lipocalin):
Ukufunyaniswa kwangethuba kokwenzakala okuqatha kwizintso (AKI).
• KIM-1 (I-Kidney Injury Molecule-1):
Isiphawuli sokwenzakala kwitubula kwi-AKI.
• I-Fibroblast Growth Factor 23 (FGF23):
Uvavanya i-metabolism yamaminerali kwizifo ezingapheliyo zezintso (CKD).
b) Uvavanyo lweMfuzo :
• Ichonge iimeko zofuzo ezifana nesifo sezintso ezinepolycystic (PKD) okanye i-Alport syndrome.
Intelligence yoBuchule (AI) kunye nokuFunda koomatshini
a) Ii-Biomarkers eziphambili:
• NGAL (Neutrophil Gelatinase-Associated Lipocalin):
Ukufunyaniswa kwangethuba kokwenzakala okuqatha kwizintso (AKI).
• KIM-1 (I-Kidney Injury Molecule-1):
Isiphawuli sokwenzakala kwitubula kwi-AKI.
• I-Fibroblast Growth Factor 23 (FGF23):
Uvavanya i-metabolism yamaminerali kwizifo ezingapheliyo zezintso (CKD).
b) Uvavanyo lweMfuzo :
• Ichonge iimeko zofuzo ezifana nesifo sezintso ezinepolycystic (PKD) okanye i-Alport syndrome.
Uvavanyo lweNdawo yokuKhathalela (POCT):
• Izixhobo eziphathwayo zokuvavanya ngokukhawuleza ukusebenza kwezintso kwiimeko ezingxamisekileyo.
• Imizekelo ibandakanya iimitha ze-creatinine okanye i-electrolyte analyzers.
I-Dialysis kunye noNyango lweRenal Replacement
1. Iiyunithi ze-dialysis eziphezulu ze-hemodialysis eqhelekileyo
Iiyunithi ezikwinqanaba eliphezulu le-dialysis kwi-Apollo Institute of Nephrology zibonelela ngonyango lwangoku lwe-hemodialysis kwizigulana ezinokusilela kwezintso. Ezi yunithi zibonisa ii-dialyzers ezisebenza kakuhle kakhulu, iinkqubo ezichanekileyo zokulawula ulwelo kunye ne-electrolyte, kunye nobuchule obuphezulu bokubeka iliso. Banikezela ngokukhethwa kwe-high-flux kunye ne-low-flux dialysis, elungiselelwe iimfuno zesigulane ngasinye. Iiyunithi zixhotyiswe ngeenkqubo zamanzi ze-ultrapure zokunciphisa umngcipheko wokungcola kunye nokuvuvukala.
2. Iinkqubo eziqhubekayo zeRenal Replacement Therapy (CRRT).
Iinkqubo ze-CRRT zibonelela ngokuqhubekayo, ngokucokisekileyo i-dialysis kwizigulana ezigula kakhulu ezinokulimala kwezintso okanye ukugcwala kwamanzi. Ezi nkqubo zisebenza 24/7, ngokucothayo zisusa inkunkuma kunye nolwelo olugqithisileyo egazini. Banikezela ngeendlela ezahlukeneyo ezifana ne-continuous venovenous hemofiltration (CVVH), hemodialysis (CVVHD), kunye ne-hemodiafiltration (CVVHDF). I-CRRT iluncedo kakhulu kwizigulana ezingazinzanga kwi-hemodynamically ezingakwaziyo ukunyamezela i-hemodialysis eqhelekileyo.
3. Izixhobo ezizinzisiweyo zokuSebenza okuphantsi kweDaily Dialysis (SLEDD).
I-SLEDD lunyango lwe-renal oluxubileyo oludibanisa iimpawu ze-hemodialysis engapheliyo kunye ne-CRRT. Inika iiseshini ezongeziweyo ze-dialysis (ngokuqhelekileyo ii-6-12 iiyure) kwigazi eliphantsi kunye namazinga okuhamba kwe-dialysate xa kuthelekiswa ne-hemodialysis eqhelekileyo. Izixhobo ze-SLEDD e-Apollo zivumela ixesha lonyango olulungelelaniswayo kunye nokuqina, okwenza ukuba lulungele uluhlu olubanzi lwezigulane, kubandakanywa nalabo abanokungazinzi kwe-hemodynamic.
4. I-Molecular Adsorbent Recirculating System (MARS) yokudityaniswa kwezintso kunye nesibindi
I-MARS yinkqubo yokuxhasa isibindi engaphezulu kwe-extracorporeal eyenzelwe izigulana ezinokusilela kwesibindi ngokuqatha okanye ukusilela kwesibindi, okuhlala kukhatshwa kukungasebenzi kakuhle kwezintso. Idibanisa i-hemodialysis kunye ne-albumin dialysis ukususa zombini i-toxins yamanzi kunye ne-albumin. Inkqubo isebenzisa i-albumin equlethe i-dialysate ekhethekileyo ehlaziywa ngokutsha ngeekholamu ezininzi ze-adsorbent, ezivumela ukususwa ngokufanelekileyo kwee-toxins zesibindi.
Uphando & case Studies
I-Apollo Institute of Nephrology izinikele ekuqhubeleni phambili ukhathalelo lwezintso ngophando olutsha kunye nophononongo olubanzi. UPhando lwethu lweNephrology kunye neCase Studies lugxile ekuphuculeni iiprothokholi zonyango, ukomeleza iziphumo zesigulana, kunye negalelo kumzimba wehlabathi wolwazi kwimpilo yezintso.
Zama ngamandla onke -
Yiba yiProHealth!
Yakha isicwangciso sakho seProHealth ngoku
Inkqubo yeProHealth ibonelela ngesicwangciso sempilo esenzelwe wena esinohlalutyo lomngcipheko, iiphakheji ezenzelwe wena, ukuxilongwa okuphambili, kunye nesikhokelo seengcali ukuphucula impilo-ntle yakho.
Apollo ProHealth
₹5000/-
Umzimba oPheleleyo
Qonda imeko yakho yempilo epheleleyo kuquka impilo yezitho zentliziyo, imiphunga, izintso, isibindi, i-metabolic, ukomelela komzimba kunye nemisebenzi yokulala
Umda wobudala
18 +
Gender
indoda Ibhinqa
Indawo
Izibhedlele zeApollo Greams Road Chennai
Umzimba oPheleleyo
Inkqubo yezempilo elungiselelweyo esekelwe kwimbali yakho yonyango kunye nemeko yempilo yangoku yoxilongo olufanelekileyo kunye nokubonisana nogqirha
Umda wobudala
31 +
Gender
indoda Ibhinqa
Indawo
Izibhedlele zeApollo Greams Road Chennai
Apollo ProHealth
₹6100/-
ihlobo
Inkqubo yokunceda abantu balungele ihlobo ngokukhusela impilo
Ii-Electrolytes zeSerum, iCalcium, Uvavanyo lweMisebenzi yePulmonary, iVithamin D, iMagnesium, iVithamin B12, iUltrasound KUB
Umda wobudala
18 +
Gender
indoda Ibhinqa
Indawo
Izibhedlele zeApollo Greams Road Chennai
₹13800/-
Intliziyo / Intliziyo
Inkqubo yezempilo eyenzelwe wena yokuvavanya impilo yentliziyo yakho
Uvavanyo lwe-2D Echo+TMT+Pulmonary Function+Pap Smear (yabasetyhini)
Umda wobudala
18 +
Gender
indoda Ibhinqa
Indawo
Izibhedlele zeApollo Greams Road Chennai
Umonde Uhambo
Kwi-Apollo Institute of Nephrology, sixhasa izigulana ngenyathelo ngalinye lohambo lwabo lokhathalelo lwezintso, sibonelela ngesikhokelo ukusuka kudliwano-ndlebe lokuqala ukuya ekuchacheni kwexesha elide. Indlela yethu iqinisekisa amava agudileyo kwaye aqinisekisayo, kunye nengqwalasela yomntu kwinqanaba ngalinye.
I-inshurensi kunye nezeMali ulwazi
Kwi-Apollo Institute of Nephrology, siyaqonda ukuba ukulawula impilo yezintso kubalulekile, kwaye sizimisele ukunceda izigulana zifumane ukhathalelo lwezintso olukumgangatho ophezulu ngaphandle kwamaxhala emali. Yiyo loo nto sisebenza nababoneleli beinshorensi abaphambili ukwenza iinkonzo zethu ze-nephrology zifikeleleke kwaye zifikeleleke.I-Inshurensi ye-Inshurensi yoKhathalelo lwezintso
I-Apollo Institute of Nephrology isebenzisana neenkampani ezininzi zeinshurensi ukuba zibonelele ngoluhlu olubanzi lonyango lwezintso kunye neenkqubo. Oku kubandakanya ukufikelela kumaziko ethu akumgangatho ophezulu, uvavanyo oluphezulu, kunye nokhathalelo lwe-nephrology yeengcali. Nazi ezinye zeenkampani zeinshorensi esisebenza nazo: Jonga zonke ii-inshurensi
I-Apollo Institute of Nephrology isebenzisana neenkampani ezininzi zeinshurensi ukuba zibonelele ngoluhlu olubanzi lonyango lwezintso kunye neenkqubo. Oku kubandakanya ukufikelela kumaziko ethu akumgangatho ophezulu, uvavanyo oluphezulu, kunye nokhathalelo lwe-nephrology yeengcali. Nazi ezinye zeenkampani zeinshorensi esisebenza nazo: Jonga zonke ii-inshurensi
Isigulana samazwe ngamazwe iinkonzo
Inkxaso eBanzi kwiZigulana zehlabathi
I-Apollo Institute of Nephrology ibonelela ngoluhlu olupheleleyo lweenkonzo zezigulane zamazwe ngamazwe ezifuna ukhathalelo lwezintso, isenza onke amanyathelo agudileyo kwaye angabinaxinzelelo-ukusuka ekucwangciseni unyango lwakho ukuya kuhambo lwakho lokubuyisela. Nantsi indlela esikuxhasa ngayo:
I-Apollo Institute of Nephrology ibonelela ngoluhlu olupheleleyo lweenkonzo zezigulane zamazwe ngamazwe ezifuna ukhathalelo lwezintso, isenza onke amanyathelo agudileyo kwaye angabinaxinzelelo-ukusuka ekucwangciseni unyango lwakho ukuya kuhambo lwakho lokubuyisela. Nantsi indlela esikuxhasa ngayo:
- Inkxaso yokufika kwangaphambili
- Ngexesha lokuhlala kwakho
- Ukhathalelo lwasemva koNyango
Inkxaso yokufika kwangaphambili
Ngaphambi kokuba ufike, siyakunceda ucwangcise kwaye ulungiselele utyelelo lwakho:
- Uphononongo lwamaxwebhu ezonyango: Iqela lethu liphonononga iirekhodi zakho zonyango ukuqonda iimfuno zakho kunye nokwenza isicwangciso sonyango.
- Isicwangciso soNyango: Siyila isicwangciso sokhathalelo somntu esilungiselelwe imeko yezintso zakho.
- Uqikelelo lweendleko: Sinikezela ngoqikelelo lweendleko ezicacileyo ukuze sikuncede wenze isicwangciso semali.
Uncedo lweVisa: Sikunceda ngeemfuno zeVisa kwaye sikubonelela ngamaxwebhu okuxhasa uhambo lwakho lwezonyango.
Ngexesha lokuhlala kwakho
Ngelixa useApollo Institute of Nephrology, siyaqinisekisa ukuba wena nosapho lwakho niziva nixhaswa ngokupheleleyo:
- Abaququzeleli abazinikeleyo: Uya kuba nomnxibelelanisi wokhathalelo lomntu oza kukukhokela kwinyathelo ngalinye lokuhlala kwakho.
- Inkxaso yeLwimi: Iitoliki eziqeqeshiweyo ziyafumaneka ukuze zikuncede unxibelelane ngokucacileyo neqela lakho lezempilo ngolwimi olukhethayo.
- Iingqwalasela zeNkcubeko: Siyazihlonipha iimfuno zenkcubeko kwaye sinikezela ngeenkonzo ezihambelana nezinto ozikhethayo.
- Indawo yokuhlala yoSapho: Sinceda ekufumaneni iinketho zokuhlala ezitofotofo kusapho lwakho.
Uhlaziyo oluQhelekileyo: Iqela lethu libonelela ngohlaziyo malunga nonyango lwakho kunye nokuchacha kwakho ukuze wena nosapho lwakho nihlale ninolwazi.
Ukhathalelo lwasemva koNyango
Emva konyango lwakho, siyaqhubeka ukukuxhasa ukuqinisekisa ukuchacha okuyimpumelelo:
- Isicwangciso sokulandela: Silungiselela ukuqeshwa okulandelwayo kunye nothethwano ukujonga ukuchacha kwakho.
- Ukhetho lweTelemedicine: Ungahlala unxibelelene neenephrologists zethu ngokubonisana okubonakalayo.
- Ulungelelaniso nooGqirha belizwe laseKhaya: Sisebenzisana nogqirha wakho wasekhaya ukuqinisekisa ukuba ufumana ukhathalelo olungaguqukiyo.
Iirekhodi zezeMpilo zeDijithali: Fikelela kwiirekhodi zakho zonyango kwi-intanethi ukuze kube lula ukwabelana ngazo kunye neemfuno zokhathalelo lwexesha elizayo.
Fumana amava ohambo olukhuthazayo lwezigulane ezifumene ithemba, ukuphiliswa, kunye nokhathalelo kwiZibhedlele zaseApollo.
Xa ndandineminyaka engama-50 ngo-2010, ugqirha wam otyandayo uGqr. Paul Ramesh wandixelela ukuba ukuba ndikhetha uncedo lwezonyango luya kuba lolwexesha elifutshane kodwa ukukhetha utyando lwe-bypass kuya kuba lonyango olungcono. Umgca omnye ongalibalekiyo owandenza ndagqiba ekubeni ndityande...
Funda ngokugqithisileyo
R. Natarajan., eChennai
Enkosi kakhulu kuGqr. Manish Samson ngokusikhokela nokusichazela yonke inkqubo ye-BTKR xa sasifika kuqala ukuze sidibane. UGqr. Manish wacetyiswa kuthi lusapho lwethu ngaphakathi. Indlela yakhe enobuhlobo kunye neengcebiso zakhe ezinyanisekileyo ...
Funda ngokugqithisileyo
Mnu. Chintamani Khanvilkar,
"Ndothuka kakhulu kukwazi ukuba ubunzima bam buyi-348 kg xa ndandizilinganisa xa ndifika kwisibhedlele sase-Apollo kwaye ndandinesifo sokuphefumula kakubi xa ndilele, isifo samathambo kunye nokutya ngokugqithisileyo. Ndalahlwa njengomntu ofanelekileyo ukuba ndibe nesifo ...
Funda ngokugqithisileyo
UMnu Sanjey Dey, uGuwahati
"Njengompheki, bendisoloko ndingumntu othanda ukutya kakhulu kule minyaka ilishumi idlulileyo kwaye ndinyuke malunga ne-60 kgs ukusukela ngoko. Ndafumana isifo seswekile kwasebuntwaneni kwaye kwiminyaka emibini edlulileyo ndisebenzisa amayeza ngenxa ye-BP yam ephezulu. Utyando lweBariatric c ...
Funda ngokugqithisileyo
UMnu. Satheesh Krishnan, eHyderabad
Iziganeko ezibalulekileyo kunye impumelelo
Oovulindlela Kwinkonzo Yezintso
Hlala unolwazi ngeeblogi zempilo ezibhalwe ziingcali ezigubungela uthintelo, unyango, iingcebiso zendlela yokuphila, kunye nophuhliso lwezonyango.
Februwari 18, 2025
5 Amayeza eNdalo aseKhaya aMatye ezintso
Ilitye lezintso yinto eqinileyo, ekristale eyenziwe ngaphakathi kwezintso okanye kwindlela yomchamo. Indlela yomchamo iquka izintso, ii-ureters, isinyi, kunye ne-urethra. Ilitye lezintso likwaziwa ngokuba yi-renal calculus okanye i-nephrolith ngokwezonyango. Amatye ezintso aziwa ngokuba yenye yezona meko zibuhlungu kakhulu.
Amatye ezintso adla ngokuhluzwa ngezintso aze aphume emzimbeni wethu ngomchamo. Ngamanye amaxesha, ngenxa yokuphelelwa ngamanzi emzimbeni, iityuwa azinyibiliki kwaye kwenzeka i-crystallization. Ezi kristali zikhula ngokwaneleyo ukuba zivale imibhobho yezintso okanye zibambeke kwi-ureter, nto leyo ebangela iintlungu ezibukhali neziqatha kwindlela yomchamo.
Zininzi izizathu zokwakheka kwamatye ezintso. Ukuphelelwa ngamanzi emzimbeni yeyona nto ixhaphakileyo. Ukusela ubuncinane iiglasi ezisi-8 ukuya kwezili-10 zamanzi yonke imihla kukugcina umanzi emzimbeni kwaye kunciphisa umngcipheko wokwakheka kwamatye ezintso. Ukutya kunye nezinto ezibangela ilifa nazo zinxulumene nokwakheka kwamatye. Intlungu ebangelwa ngamatye inokuba nkulu kakhulu kwaye idla ngokuza ngamaza ahlala imizuzu engama-20 ukuya kwengama-60.
Ngokulandela amayeza alula endalo, unokunceda ukuthomalalisa ukungonwabi kwamatye ezintso kunye nokukhawulezisa inkqubo yokuphilisa yendalo yomzimba.
Amagqabi eBasil Amagqabi eBasil (iTulsi) ngokubanzi alungile kwimpilo yezintso iyonke. Xuba ithisipuni enye yejusi evela kumagqabi e-basil kunye nethisipuni enye yobusi uze uyisele yonke imihla kusasa. Ukuhlafuna amagqabi e-basil amabini ukuya kwamathathu kunceda ekunciphiseni intlungu yelitye lezintso.
Ivatala Amanzi kunye nomthamo we-potassium kwivatala zizinto ezibalulekileyo kwimpilo yezintso. I-watermelon inceda ekulawuleni nasekugcineni inqanaba le-asidi ekhoyo kumchamo. Ukutya ivatala okanye ukusela ijusi yayo yonke imihla kuya kunceda ekunyibilikeni kwendalo kwamatye ezintso.
Ijusi yetumato Sela iglasi yejusi yetumato enetyuwa encinci kunye nepepile rhoqo kusasa. Oku kunceda ekunyibilikiseni iityuwa zeminerali ezikwizintso kwaye kuthintele ukuba iityuwa zingabi namatye angakumbi.
Iimbotyi zeKidney Iimbotyi zeKidney (Rajma) sisisombululo esisebenzayo sasekhaya kwiingxaki ezinxulumene nezintso. Susa imbewu kwiimbotyi uze ubilise iimbotyi emanzini ashushu acocekileyo kangangeyure. Hlunga ulwelo uze ulushiye lude luphole. Sela olu lwelo izihlandlo ezininzi imini yonke ukuze unciphise iintlungu zamatye ezintso.
Ijusi yelamuni Ijusi yelamuni ityebile kwi-citric acid enceda ekuqhekekeni kwamatye ezintso asekelwe kwi-calcium. Ukusela iiglasi ezimbini ukuya kwezintathu zejusi yelamuni yonke imihla kuya kwandisa umthamo wokuchama kunye nokususwa kwamatye ngendlela yendalo ngomchamo.
Amayeza adweliswe apha ngasentla awenzelwanga ukuba athathe indawo yonyango ngokupheleleyo. Zenzelwe ukunciphisa intlungu. Ukuba uziva iintlungu eziqatha, qhagamshelana nogqirha wezifo zengqondo ngokukhawuleza.
Bhukisha idinga kunye neeNerphrologist zethu: https://www.askapollo.com/diseases/kidney-stones https://www.apollohospitals.com/patient-care/health-and-lifestyle/understanding-investigations/kidney-function-tests/https://www.youtube.com/watch?v=p4S8LCrGzBQhttps://www.apollohospitals.com/departments/transplantation/organ-specific-transplant-care/kidney/kidney-transplantation-facts/
Februwari 18, 2025
Unjani umgangatho wobomi emva kofakelo lwezintso?
Unjani umgangatho wobomi emva kokufakelwa izintso? Yinto eyaziwayo ukuba izinga lokunikezelwa kwezitho eIndiya lelinye lawona aphantsi kakhulu emhlabeni kubantu abaphilayo nabanikela ngezidumbu. Esinye sezizathu eziphambili zezi zinto ziyintsomi ezinxulumene nenkqubo. Nangona kunjalo, kubalulekile ukuba siqonde ukuba abanikeli abaphilayo banokuphila ubomi obuqhelekileyo emva kotyando baze badlule kwinkqubo yokukhetha ebanzi eqinisekisa impilo yabo emva kokufakelwa. Umntu onikelayo uvavanywa ngononophelo ngovavanyo lwelabhoratri, uvavanyo lomzimba, kunye novavanyo lwengqondo-ntlalo ukuqinisekisa ukuba uphilile kwaye unikela, kwaye wenza isigqibo esinolwazi. Ngenxa yoko, umngcipheko wesifo sezintso esikwinqanaba lokugqibela (ESRD) phakathi kwabanikeli uphantsi. Nangona kunjalo, kunokubakho ukwanda okuncinci komngcipheko we-preeclampsia, uxinzelelo lwegazi, kunye nezifo ze-metabolic ezifana ne-gout. Uninzi loogqirha botyando ngokubanzi bacebisa abafazi ukuba bagqibezele ukuzala okucwangcisiweyo ngaphambi kokunikela ngezintso. Kuye kwaphawulwa ukuba ukunikela ngezintso eziphilayo kunokunyusa umngcipheko we-hypertension yokukhulelwa kunye ne-preeclampsia kwabanye abanikeli, xa kuthelekiswa nabanye abafazi abasempilweni efanayo. Ngokubanzi, abanikeli babonisa umgangatho wobomi olungileyo kwaye banezinga eliphantsi lokuzisola okunxulumene neminikelo.
Februwari 18, 2025
Zeziphi iindlela ezahlukeneyo zokususa amatye ezintso?
Ilitye lezintso yinto encinci, eqinileyo efana nelitye eyenzeka eludongeni lwezintso. Yimeko eqhelekileyo edla ngokuba yeyokwexeshana. Ngethamsanqa, yimeko enokunyangeka kwaye ayishiyi monakalo ungunaphakade.
Yintoni ilitye lezintso?
Amatye ezintso, aziwa ngokuba yi-Urolithiasis, ziintsalela ezincinci, eziqinileyo ezenziwe ngeeminerali ezifana ne-calcium kunye neetyuwa. Xa ezi minerali kunye neetyuwa zakhela eludongeni lwezintso zakho ngokuhamba kwexesha, ziba ngamatye ahlala ezintsoni okanye adlula ngomchamo. Ukugqitha la matye kunokuba buhlungu kakhulu.
Zeziphi iintlobo zamatye ezintso?
Kukho iintlobo ezine zamatye ezintso: Amatye eCalcium. Uninzi lwamatye ezintso luwela kolu didi. Amatye e-calcium enziwe nge-calcium oxalate. Izinto ezibangela ukutya, iintlobo ezithile zeengxaki, kunye notyando lokungena emathunjini kunokunyusa uxinano lwe-calcium kunye ne-oxalate kumchamo wakho. Ngamanye amaxesha, amatye e-calcium anokuba yi-calcium phosphate. Oku kudla ngokubangelwa ziingxaki zemetabolism kunye namayeza athile. Amatye eStruvite. Amatye eStruvite adla ngokubangelwa lusulelo lomchamo. La matye anokukhula ngokukhawuleza, ngesiqhelo ngaphandle kwezilumkiso. Amatye e-cystine. Abantu abanesifo esidluliselwa kwilifa esibizwa ngokuba yi-cystinuria basengozini yokuhlaselwa lolu hlobo lwamatye ezintso. I-Cystinuria yimeko apho izintso zikhupha ubungakanani obugqithisileyo be-amino acid ethile. Amatye e-uric acid. Abantu abaneengxaki zemetabolism, isifo seswekile, kunye nezinto ezibangela ufuzo, abo batya ukutya okunefayibha eninzi, kunye nabo balahlekelwa lulwelo oluninzi ngenxa yemeko ethile basengozini yokuhlaselwa yi-uric acid stones.
Zithini iimpawu zamatye ezintso?
Amatye ezintso, ingakumbi amancinci, adla ngokungabonwa de ajikeleze kwizintso zakho okanye adlulele kwi-ureters zakho. Ukuba zihlala kwi-ureters, oku kunokubangela ukuba i-ureter yakho iqine kwaye izintso zakho zidumbe. Emva kwezi ziganeko, unokuzibona ezi mpawu: Intlungu ebukhali neqatha ecaleni lakho nasemqoloIntlungu ephuma iye esiswini sakho nasemqoloIntlungu phantsi kweembambo zakhoIntlungu eza ngamazaIntlungu etshintshatshintshayo ngamandlaIntlungu okanye ukutsha xa uchamaUmchamo opinki, omdaka, okanye obomvuIgazi kumchamo wakhoIgazi elifumileyoUmchamo onuka kakubiUmnqweno oqhubekayo wokuchamaUkudlula umchamo omncinciUsulelo lomchamoIsicaphucaphuUmkhuhlane kunye nokubandaNdingaya nini kugqirha?
Ukuba ubona iimpawu zamatye ezintso, qhagamshelana nogqirha ngokukhawuleza ukuze uphephe ukuqhubeka kwesifo. Lumka ngakumbi kwezi mpawu zilandelayo: Igazi eliphuma emzimbeniUbunzima bokuhamba okanye ukuhlala phantsiUbunzima bokuchamaIsicaphucaphu nokuhlanza okuhambisana nentlungu.
Bhukisha I-Appointment Fowunela ku-1860-500-1066 ukuze ubhukishe i-appointment Yintoni isifo esibangelwa ngamatye ezintso?
Uvavanyo lokuxilonga amatye ezintso zezi: Ukuthatha imifanekiso. Amatye ezintso kwindlela yakho yokuchama anokufunyanwa ngovavanyo lwemifanekiso. Ii-CT scans ezisebenzisa isantya esiphezulu okanye ezisebenzisa amandla amabini zinokutyhila namatye amancinci. I-X-ray yesisu ayisetyenziswa rhoqo kuba inokuphosa amatye amancinci. I-Ultrasound, elula ukuyenza, lolunye uvavanyo lomfanekiso olunokusetyenziswa ukuxilonga amatye ezintso. Uvavanyo lwegazi. Uvavanyo lwegazi lunokubonisa ukuba kukho i-calcium eninzi kunye/okanye i-uric acid egazini lakho. Ukongeza, banokujonga impilo yezintso zakho, nto leyo enokubangela ukuba ugqirha wakho ahlole ezinye iimeko. Uvavanyo lomchamo. Uvavanyo lomchamo lunokubonisa ukuba kukho izinto ezininzi kakhulu ezenza amatye okanye kukho izinto ezimbalwa kakhulu ezithintela amatye kumchamo wakho. Kolu vavanyo, kungafuneka unike iisampulu zomchamo ezimbini kwiintsuku ezimbini ezilandelelanayo. Uhlalutyo lwamatye adlulisiweyo. Kolu vavanyo, kuya kufuneka uchame ngesixhobo sokuhluza ukuze uqokelele amatye owakhuphayo. Uhlalutyo lwale mizekelo luya kutyhila indlela ezenziwe ngayo amatye akho. Olu lwazi lungasetyenziselwa ukufumanisa unobangela wamatye ezintso zakho.
Aphathwa njani amatye ezintso?
Unyango olunikwa amatye ezintso luyahluka ngokuxhomekeke kubukhulu bamatye.
Amatye amancinci. La matye akadingi unyango olungena ngaphakathi. Zingasonjululwa ngoku: Ukusela amanzi. Qinisekisa ukuba usela phakathi kwe-1.8-3 ilitha zamanzi yonke imihla. Oku kunokunceda ekunciphiseni umchamo wakho kwaye kuthintele ukwakheka kwamatye kwizintso zakho. Ukusela amayeza okunciphisa iintlungu. Ukukhupha ilitye, nokuba lincinci, kunokuba buhlungu kakhulu. Ukuze unciphise le ntlungu, thatha amayeza okubulala iintlungu achazwe ngugqirha afana ne-ibuprofen okanye i-naproxen sodium. Unyango lwezonyango. Ii-Alpha-blockers ezifana ne-tamsulosin kunye nokudibanisa i-dutasteride kunye ne-tamsulosin zinokunceda ukuphumza izihlunu kwi-ureter kwaye zinciphise iintlungu xa kuphuma ilitye lezintso. Amatye amakhulu. La matye abangela ukuvaleka, usulelo, ukopha, kunye nentlungu. Kufuneka zisuswe ngeendlela ezihlaselayo ezifana namaza esandi. I-Extracorporeal shock wave lithotripsy, ebizwa ngokuba yi-ESWL, yinkqubo esetyenziselwa ukuqhekeza amatye athile ezintso kusetyenziswa amaza esandi. I-ESWL isebenzisa la maza ukusasaza amaza othusayo aqhekeza amatye abe ngamasuntswana amancinci kakhulu anokudluliselwa ngomchamo. Le nkqubo ithatha malunga nemizuzu engama-45 ukuya kwengama-60 kwaye inokuba buhlungu kancinci. Ngoko ke, uza kuba phantsi kwe-anesthesia elula. I-ESWL inokubangela i-hematuria, ukopha kwizintso nakwamanye amalungu akufutshane, ukudumba emqolo okanye esiswini, kunye nokungakhululeki njengoko amasuntswana aphukileyo ephuma. Utyando. I-Percutaneous nephrolithotomy ibandakanya ukususwa kwelitye lezintso ngotyando. Iiteleskopu ezincinci kunye nezixhobo ziya kufakwa emzimbeni wakho ngokusikwa emqolo wakho. Uza kufumana i-anesthesia eqhelekileyo ngexesha lenkqubo. Kusenokufuneka uhlale esibhedlele iintsuku ezimbini njengoko uphila. Le nkqubo idla ngokucetyiswa kuphela ukuba i-ESWL ayiphumelelanga. Sebenzisa i-scope ukususa amatye. Ukuze kususwe ilitye elincinci, i-ureteroscope (ityhubhu encinci exhotyiswe ngomthombo wokukhanya kunye nekhamera) iya kudluliselwa kwi-urethra yakho iye kwi-ureter yakho. Emva kokuba ilitye lifunyenwe, kusetyenziswa izixhobo ezikhethekileyo ukuliqhekeza libe ngamasuntswana amancinci aza kuphuma ngomchamo wakho. Emva kwale nkqubo, kuza kufakwa umbhobho omncinci kwi-ureter yakho ukuze kuphuculwe ukuphiliswa. Ukunyanga i-hyperparathyroidism. I-hormone eninzi ye-parathyroid ekhutshwa zii-parathyroid glands ezisebenza kakhulu inokubangela ukuba amanqanaba e-calcium anyuke kakhulu, kwaye amatye ezintso anokuvela njengesiphumo. Ukunyanga le meko kunokuthintela ukwakheka kwamatye ezintso.
Ndingawathintela njani amatye ezintso?
Amatye ezintso angathintelwa ngokuthi: Ukusela amanzi amaninzi Ukugcina ukutya okunempilo kunye nendlela yokuphila enempilo. Ukungatyi ityuwa eninzi Isiphelo Amatye ezintso anokuba mancinci okanye abe mandundu, kuxhomekeke kubukhulu bawo kunye nophuhliso lwawo. Ukufumana unyango kwangethuba kunokuthintela iintlungu ezininzi kunye neengxaki ezinkulu kwixesha elizayo.
Imibuzo Ebuzwa Rhoqo (Ii-FAQ) Zithini iingxaki zonyango lwamatye ezintso?
Emva kokunyangwa kwamatye amakhulu ezintso, iingxaki ezithile zinokuvela. Zizo: iSepsis. I-Sepsis yimeko esongela ubomi ebangelwa lusulelo. I-ureter evalekileyoIsifo somchamoUkophaUkwenzakala kwenkqubo yakho yomchamo.Zithini izinto ezinokubangela amatye ezintso?
Izinto ezibangela umngcipheko wamatye ezintso zezi: Imbali yokuba namatye ezintsoUfuzoUkutyebaUkutya okutyebileyo kwityuwa, icalcium, kunye nokutya okunefayibha ephezuluUkuphelelwa ngamanzi emzimbeniIzifo kunye nosulelo kwinkqubo yokugaya ukutya kunye/okanye yomchamo.Amayeza athile.Zithini izizathu zamatye ezintso?
Akukho sizathu sithile sokuba kubekho amatye ezintso. Zinokukhula ngenxa yezinto ezininzi. Oku kwenzeka rhoqo xa iiminerali kunye neetyuwa ziqina eludongeni lwezintso. Kamva, zikhula zibe ngamatye amancinci, aqinileyo. Isenokubangelwa nangamayeza athile kunye nezifo.
Februwari 18, 2025
Yintoni Elungileyo kuMsebenzi Wezintso?
Imisebenzi ephambili yezintso Kweli nqaku, siza kuxoxa ngomsebenzi wezintso kwaye isebenza njani? Izintso zizitho ezimbini ezimile okwembotyi esiswini sethu esisezantsi. Zidlulisa inkunkuma yomzimba ngomchamo kwaye zihluze igazi ukuze lihlale licocekile. Imisebenzi ephambili yezintso ibandakanya: Ukugcina ulungelelwaniso lolwelo lomzimba ngokubanzi Ukujikeleza nokucoca inkunkuma egazini Ukucoca inkunkuma ekutyeni nakwizinto ezinobungozi emzimbeni wethu Inceda ekuveliseni iiseli ezibomvu zegazi Ukukhupha i-hormone elawula uxinzelelo lwegazi Ukuqalisa iVithamin D ukugcina amathambo asempilweni Ukugcina ibhalansi yeeminerali egazini Intso nganye iqulethe malunga ne-1 yezigidi zee-nephrons, ezinoxanduva lomsebenzi wezintso zasekunene nezasekhohlo. Zithatha imithambo yegazi, zihluze kwaye zincede ekudluliseni inkunkuma ngomchamo kwaye zibuyisele igazi entliziyweni. Izinto Eziphambili Ezibangela Umngcipheko Wezifo Zezintso Zezi: Isifo Seswekile Uxinzelelo Lwegazi Oluphezulu Imbali Yemfuza/Imbali Yosapho Yesifo Sezintso Isifo Sentliziyo Nazi ezinye izinto ezimbalwa ezinokubangela umngcipheko: Ubudala beminyaka engama-60 nangaphezulu Ukutyeba Ubunzima obuphantsi bokuzalwa Ukusela amayeza okudambisa iintlungu okanye amayeza angengowe-steroidal okulwa nokuvuvukala ixesha elide Amaqhuma okanye izifo zokuzikhusela komzimba Usulelo olungapheliyo lwendlela yomchamo Amatye Ezintso Izintso zenza imisebenzi eyahlukeneyo ebalulekileyo ukuze imizimba yethu ihlale iphilile, kodwa ngenxa yeetyhefu kunye nenkunkuma ezidibana nazo, izintso zinokosulelwa ziingxaki ezahlukeneyo. Ezinye zazo zezi: Isifo sezintso esingapheliyo Ukungaphumeleli kwezintso Amatye Ezintso Usulelo lwendlela yomchamo I-Uremia Iitshisi Zezintso I-Nephrotic syndrome I-Glomerulonephritis Isifo sezintso se-Polycystic Njengoko izintso zidibana ngqo neetyhefu kunye nenkunkuma ukuze zichaphazeleke, nantsi indlela esinokuqonda ngayo ukuba izintso zinengxaki. Kubalulekile ukutya ukutya okunesondlo kunye nokuhlala unamanzi aneleyo ukuze kukhuthazwe ukusebenza kwezintso kunye nokugcina impilo iyonke. Iimpawu eziqhelekileyo zezifo zezintso okanye iimpawu ezilumkisayo zezi: Ukudinwa Igazi emchameni Umchamo onegwebu Ukudumba eqatheni nasezinyaweni Ulusu olomileyo okanye olurhawuzelelayo Ukuqaqamba kwemisipha Ukudumba okujikeleze amehlo Umchamo owandileyo okanye onciphileyo Ukungakwazi ukugxila Ukungatyi ukutya Ingxaki yokulala Ezi ziimpawu ezimbalwa eziqhelekileyo ezirhanela ukuba umntu unengxaki yezintso. Ukuba ubona naziphi na iimpawu, nxibelelana nengcali yezintso okanye ingcali yomchamo. Ngokuxhomekeke kwimeko yakho, ugqirha unokwenza uvavanyo lokusebenza kwezintso ukuze afumane isifo. Izintso zingamalungu abalulekileyo achaphazela amalungu amaninzi omzimba ngokuthe ngqo kuquka intliziyo ngoko ke ukuzigcina zisempilweni ngomnye wemisebenzi ebalulekileyo ekufuneka yenziwe.
Februwari 18, 2025
I-Kidney Biopsy
Yintoni i-Kidney Biopsy? I-kidney biopsy, eyaziwa ngokuba yi-renal biopsy, yinkqubo yezonyango apho kususwa isampuli encinci yezicubu zezintso ize ihlolwe phantsi kwe-microscope. Le nkqubo idla ngokwenziwa ukuze kuchongwe okanye kujongwe iimeko zezintso, okuvumela oogqirha ukuba bafumanise unobangela weengxaki zezintso, bavavanye ubukhali besifo, kwaye bakhokele izigqibo zonyango. Kutheni Kwenziwa? I-biopsy yezintso yenziwa ukuze kuchongwe kwaye kujongwe iimeko zezintso. Iingxaki zezintso ezingachazwanga: Xa unobangela wokungasebenzi kakuhle kwezintso ungacacanga, i-biopsy inokunceda ekufumaneni ingxaki esisiseko. Igazi okanye iProteni kumchamo: Igazi elihlala lihleli (hematuria) okanye iproteni (proteinuria) kumchamo linokubonisa isifo sezintso. Ukulimala kwezintso okubukhali: Ukuchonga unobangela wokulahlekelwa ngequbuliso komsebenzi wezintso. Isifo sezintso esingapheliyo: Ukuvavanya ubukhali kunye nokuqhubela phambili kwesifo sezintso. Ukubeka iliso kwi-transplant: Ukuvavanya impilo yezintso ezifakelweyo kunye nokufumanisa iimpawu zokungafunwa. Ii-Tumors zezintso ezirhanelekayo: Ukufumanisa okanye ukususa umhlaza wezintso. Yenziwa njani i-Kidney Biopsy?1. Ukulungiselela: Isigulana silala ngesisu saso, kwaye kufakwa i-anesthetic yendawo ukuze kuthintelwe indawo apho inaliti ye-biopsy iza kufakwa khona. Kwezinye iimeko, kunokunikwa isithomalalisi esincinci ukunceda isigulana siphumle.2. Isikhokelo Somfanekiso: I-Ultrasound okanye i-CT scan isetyenziselwa ukufumana izintso kunye nokukhokela inaliti ye-biopsy kwindawo echanekileyo yokuthathwa kweesampuli zezicubu.3. Ukufakwa kwenaliti: Inaliti ekhethekileyo ye-biopsy ifakwa ngesikhumba iye kwizintso. Emva koko ugqirha ususa isampuli encinci yezicubu zezintso esebenzisa le naliti. Isigulana sinokucelwa ukuba sibambe umphefumlo waso imizuzwana embalwa ngexesha lokufakwa kwenaliti ukuqinisekisa ukuba izintso azishukumi.4. Ukuqokelelwa kweeSampuli: Isampuli enye okanye ezingaphezulu zezicubu zezintso ziyaqokelelwa zize zithunyelwe kwilebhu ukuze zihlolwe.5. Ukhathalelo Emva Kwenkqubo: Emva kwe-biopsy, uxinzelelo lufakwa kwindawo ye-biopsy ukuze kumiswe nakuphi na ukopha. Emva koko indawo iyabotshwa, kwaye isigulane sijongwa iiyure ezimbalwa. I-biopsy yezintso ayiva buhlungu ngenxa yokusetyenziswa kwe-anesthesia yendawo, ethintela indawo apho inaliti ifakwe khona. Nangona kunjalo, izigulana zinokuziva zixinezelekile okanye zingakhululeki xa inaliti ifakwa kwizintso. Iingozi kunye neengxaki zeBiopsy yezintsoUkopha: Eyona ngxaki ixhaphakileyo, enokwenzeka kwindawo yebiopsy okanye ngaphakathi. Ukuphuma kwegazi okuninzi kuncinci, kodwa kwiimeko ezingaqhelekanga, utofelo-gazi okanye iinkqubo ezongezelelweyo zinokufuneka. Usulelo: Nangona lunqabile, kukho umngcipheko wosulelo kwindawo ye-biopsy okanye ngaphakathi kwezintso. Intlungu: Abanye abaguli bafumana iintlungu okanye ukungakhululeki kwindawo ye-biopsy, edla ngokuphela kwiintsuku ezimbalwa. Umonakalo kwiZakhiwo ezikufutshane: Inaliti ingonakalisa amalungu okanye imithambo yegazi ekufutshane, nangona oku kungaqhelekanga. Ukuchacha Emva kwe-Biopsy yezintso Phumla: Phumla ubuncinane iiyure ezingama-24 emva kwe-biopsy, uphephe imisebenzi enzima kunye nokuphakamisa ubunzima malunga neveki. Jonga iingxaki: Jonga iimpawu zeengxaki, ezinje ngentlungu enzima, ukopha kakhulu, ubunzima bokuchama, okanye iimpawu zosulelo olufana nomkhuhlane okanye ukubanda. Ukhathalelo lokulandelela: Yiya kwi-aphoyintimenti yokulandelela ukuze uxoxe ngeziphumo ze-biopsy kunye naluphi na unyango olufunekayo. I-biopsy yezintso sisixhobo esibalulekileyo sokuxilonga esinika ulwazi olubalulekileyo kwimpilo yezintso. Nangona le nkqubo ibandakanya iingozi ezithile, ngokubanzi ikhuselekile kwaye inceda ekukhokeleni izicwangciso zonyango ezisebenzayo. Ukuba ugqirha wakho ucebisa ukuba kwenziwe i-kidney biopsy, kubalulekile ukuqonda inkqubo, injongo yayo, kunye noko ukulindeleyo ngexesha lokuchacha.
Februwari 18, 2025
Iimpawu ezisi-7 zoMhlaza wezintso oMawuzazi
Izintso yenye yezona zitho zibalulekileyo ezisebenzayo emzimbeni wakho. Yinto efana nenqindi efana nembotyi ehluza igazi elaneleyo ukuze lizalise ibhafu enkulu. Bagxeka kakhulu. Nangona kunjalo, inyani emangalisayo ngezintso kukuba – nokuba enye yonakele, ungaphila kwenye.
Izintso zakho zisengozini yezifo ezininzi kunye neemeko ezahlukeneyo, kwaye enye yezona ngxaki ziphambili kwizintso zakho yi-Renal Cell Adenocarcinoma, eyaziwa ngokuba ngumhlaza wezintso. Ukufunyanwa kwangoko kunokuba luncedo kakhulu ekunyangeni le meko. Ngoko ke, kubaluleke kakhulu ukuba uqaphele iimpawu. Nangona kungekho sizathu siqinisekisiweyo somhlaza wezintso, izinto ezininzi, kuquka ukutshaya, ukutyeba kakhulu, kunye nokutya kakubi, zinokunyusa umngcipheko wakho.
Ukuba ucinga ukuba usenokuba sengozini yokuba nomhlaza wezintso, tyelela izibhedlele zaseApollo, eKarnataka, kwaye udibane noogqirha bezintso abaphambili kunye neengcali zomhlaza. Baza kukunika ulwazi oluyimfuneko ngemeko yakho yezonyango, kunye neendlela ezininzi zonyango ukuba kuyimfuneko.
Iimpawu ezi-7 zomhlaza wezintso Nazi iimpawu ezisixhenxe eziphambili zomhlaza wezintso – I-Hematuria (Igazi elikwi-Urine) Nokuba lincinci igazi eliphuma kumchamo wakho luphawu oluqinisekileyo lwesifo sezintso – ukuba asingomhlaza, isenokuba lusulelo. Ngoko ke, kufuneka udibane nogqirha ngoko nangoko uze uhlolwe.
Iintlungu ezingaphantsi komqolo Iintlungu ezingaqhelekanga zihlala ziyinxalenye eqhelekileyo yokukhula, kodwa ngamanye amaxesha zinokubonisa iimpawu zesilumkiso zomhlaza wezintso. Iimpawu zomhlaza wezintso xa sele zihambile zingabandakanya iintlungu zomqolo ongezantsi okanye ecaleni. Ukwazi ukuba uhlobo lwentlungu lwahlukile kwintlungu eqhelekileyo yemisipha - kufana nokuhlaba okubukhali okunokuhlala iintsuku ezininzi njengoko intlungu ebuhlungu inokuba luncedo.
Ukudumba kweScrotum I-Varicocele, eyaziwa ngokuba yimithambo evuvukileyo kwi-scrotum, inokuvela ngequbuliso kumadoda. Ukunikezelwa kwegazi kwi-scrotum kunokuphazamiseka ngenxa yomhlaza wezintso.
Ukudinwa Injongo yezintso kukufundisa umzimba ukuba wenze iiseli ezibomvu zegazi. Olu lwazi aludluliselwa ukuba kukho ithumba kwinkqubo yezintso okanye yomchamo, nto leyo ebangela ukwehla kwemveliso ye-RBC kwaye inokubangela i-anemia. Oku kunokukwenza uzive udiniwe, kodwa khumbula ukuba ukudinwa ngumhlaza kwahlukile ekudinweni rhoqo. Ngoko ke, nokuba ulele kamnandi ebusuku, kukwenza uzive ubuthathaka kakhulu kwaye kukuthintela ekwenzeni imisebenzi elula ngaphandle kokuphelelwa ngamandla. Xa uziva oku kudinwa okungaqhelekanga, qhagamshelana neengcali zomhlaza ezinamava kunye nezinye iingcali zonyango ezichaphazelekayo kwiZibhedlele zaseApollo, eKarnataka.
Umkhuhlane ongapheliyo Kufuneka uhlolwe umkhuhlane wakho ukuba uyaqhubeka kangangeeveki ezimbalwa ngaphandle kokuba uhambisane neempawu ezifana nomkhuhlane.
Ukwehla Kobunzima Ngesiquphe Uphawu olubonisa ukuba umhlaza uyaqhubeka kukutya ngequbuliso okanye ukwehla kobunzima ngequbuliso. Olu phawu kwimeko ye-kidney carcinoma lunokuba luphawu lokuba isifo sidlulele nakwamanye amalungu omzimba.
Amaqhuma Esiswini Olunye uphawu oluqhelekileyo, olu, luvakala ngathi kukuvela okuqinileyo nokuxineneyo phantsi kolusu kwaye lunokwenzeka ngaphambili/ngasemva kwesisu. Nangona luphawu oluqhelekileyo, alubonakali kwizigaba zokuqala.
Ufunyaniswa njani uMhlaza Wezintso?
Oogqirha badla ngokucebisa ukuba kwenziwe olu vavanyo lulandelayo – Uvavanyo lomchamo Igazi lijongwa kwisampulu yomchamo wakho. Ukuvavanya iisampulu zomchamo kunokubonisa nokuba zincinci kangakanani na iincindi zegazi ezingabonakaliyo emehlweni.
Uvavanyo lweGazi Olu vavanyo lujonga ii-electrolytes ezahlukeneyo emzimbeni wakho kunye nobungakanani bohlobo ngalunye lweseli yegazi. Uvavanyo lwegazi lunokubonisa i-anemia (iiseli ezibomvu zegazi ezimbalwa kakhulu) okanye ukungasebenzi kakuhle kwezintso (ngokujonga inqanaba le-creatinine).
I-Ultrasound Olu vavanyo luvelisa imifanekiso kwisikrini kusetyenziswa amaza esandi ahamba rhoqo ukuze adlule kwizicwili zomzimba. Ngenxa yokuba iithumba zahlukile ngobuninzi kwiithishu eziphilileyo, olu vavanyo luluncedo ekufumaneni zona.
I-CT Scan Le X-ray isebenzisa ikhompyutha ukuvelisa imifanekiso okanye iziqwenga ezahlukeneyo zangaphakathi lomzimba wakho. Iidayi zihlala zifakwa ngemithambo yegazi ngeli xesha le nkqubo. Ukunikwa idayi ukuze kuvavanywe kusenokungabi lolona khetho kwabo bangasebenzi kakuhle kwezintso.
I-MRI (Umfanekiso weMagnetic Resonance) Olu vavanyo lusebenzisa imagnethi enamandla, amaza erediyo, kunye nekhompyutha ukwenza imifanekiso yangaphakathi lomzimba wakho.
I-Renal Mass Biopsy Kule nkqubo, kuthathwa isampuli encinci yezicubu zakho (i-biopsy) ize ifakwe kwi-tumor kusetyenziswa inaliti encinci. Ingcali yezifo iza kuhlola izicwili eziqokelelweyo phantsi kwemakroskopu ukuze ifumanise ukuba izicwili zineeseli zomhlaza na. Ugqirha wakho usenokucebisa okanye angacebisi olu vavanyo ngenxa yokungathembeki kwee-biopsy zomhlaza wezintso.
Unyangwa Njani Umhlaza Wezintso?
Indlela yonyango lomhlaza wezintso ixhomekeke kubukhulu kunye nenqanaba lesimila, kunye nobudala bakho kunye nempilo yakho ngokubanzi. Iqela leengcali zonyango ezinamava kakhulu neziqinisekisiweyo yibhodi ezivela kwiinkalo ezahlukeneyo kwiZibhedlele zaseApollo, eKarnataka, lilungiselela ikhosi yonyango eyenzelwe umntu ngamnye. Ingabandakanya utyando, ukususwa kwezicubu zomzimba, unyango ngemitha, unyango ngamayeza athile, unyango lwe-immunotherapy, kwaye ngamanye amaxesha nezinye iindlela ze-chemotherapy.
Kwizibhedlele zaseApollo, sibonelela ngoxilongo oluchanekileyo kunye neendlela zonyango ezisebenzayo kakhulu kwizigulane zethu, sifumana iziphumo zonyango ezifunekayo kunye namazinga aphezulu empumelelo. Kubalulekile ukuba wenze uhlolo lwakho lwempilo minyaka le uze utsalele umnxeba ugqirha wakho xa ubona naziphi na iimpawu ezingaqhelekanga.
yethu Izibhedlele
Imibuzo Ebuzwa Rhoqo kwiNephrology inshorensi
1
Ngaba i-inshurensi ihlawula iindleko ezipheleleyo ze-dialysis?
Izicwangciso ezininzi ze-inshorensi zibandakanya inxalenye enkulu yeendleko ze-dialysis, kodwa ukhuseleko lunokwahluka. Ezinye izicwangciso zinokufuna ukuhlawulwa ngokubambisana okanye zibe nemida yonyaka. Sinokukunceda uqonde ukhuselo lwakho oluthile kwaye uphonononge iinketho ukuba kukho izikhewu.
2
Yakhiwe njani indlela yokufakelwa kwezintso?
Ukufakelwa kwezintso ngokuqhelekileyo kubandakanya inkqubo yovavanyo, utyando ngokwalo, ukhathalelo lwasemva kotyando, kunye namayeza okuchasa. Nangona kunjalo, ubude be-inshorensi yamayeza emva kokutshintshwa kunokwahluka. Sincoma ukuphonononga ipolisi yakho ngononophelo kwaye sixoxe ngayo nayiphi na inkxalabo kunye nabacebisi bethu bezezimali.
3
Ngaba amalingo onyango ahlawulwa yi-inshurensi?
Ukhuseleko lwezilingo zonyango lunokwahluka. Ezinye izicwangciso zihlawulela iindleko zokhathalelo lwesiqhelo ezinxulumene nolingo lwezonyango, ngelixa umxhasi wolingo ehlala ehlawula iindleko zonyango lophando. Singakunika iinkcukacha ezithe vetshe malunga nokhuseleko lwezilingo ezithile onokuba nomdla kuzo.
4
Kuthekani ukuba andinayo i-inshurensi okanye i-inshurensi yam ayizihlawuli zonke iindleko zam zonyango?
Sinikezela ngeenketho ezahlukeneyo kwizigulana ezingenayo i-inshurensi okanye ezinokhuselo olulinganiselweyo. Oku kunokubandakanya izicwangciso zentlawulo, iintlawulo zesikali esisekwe kwingeniso, kunye noncedo lokufaka isicelo seenkqubo zoncedo lukarhulumente. Injongo yethu kukuqinisekisa ukuba iinkxalabo zemali azikuthinteli ekufumaneni ukhathalelo oluyimfuneko.
5
Ndingaziqikelela njani iindleko zam eziphuma epokothweni zokhathalelo lwezintso?
Abacebisi bethu bezemali banokubonelela ngoqikelelo olusekwe kwi-inshorensi yakho kunye nekhosi elindelekileyo yonyango. Sikholelwa ekuhleni kwaye siya kusebenza nawe ukuqonda iindleko ezinokubakho phambi kokuba uqalise unyango.
Imboniselo Bonke
