Ndeapi rudzi rwechirwere iyo tsika yekupa?
Zvichienderana nemichina yekufambisa, vanachiremba vanowanzoteerera kune zvinotevera zvinonzi nephrosclerosis:
- Primary - inokurudzirwa nekuda kwekuvhiringidzika kwehutano hwekupa ropa kuhvo (inoonekwa zvikurukuru nehutachiona, atherosclerosis).
- Sekondari - inofambidzana nechirwere chinonzi kidney (nephritis, congenital anomaly of kidney development, etc.).
Ko nephrosclerosis inoratidzwa sei?
Dambudziko rekudzidzira panguva yakakodzera yekurapa kwekuputsa uku kunosanganisira, kutanga, zvose zvisingagoneki, uye dzimwe nguva zvisingakwanisi, kuongororwa kwechirwere chechirwere.
Sezvo mutemo, varwere vanodzidza nezvekuvapo kwechirwere mushure mekuongorora. Kuchinja kwekutanga kunowanikwa mumurini ( nocturia, protein, erythrocytes, kuderera muhuwandu hwemuti, nezvimwewo). Zviratidzo zvechipatara zvechirwere zvinoratidzwa chete nenguva: kurira kwechiso, maoko, tsoka, kuputsa kwekutsvaira.
Ko renal nephrosclerosis inobatwa sei?
Kurapa kwezviyero zvekupopotedzana uku hakusi kuitirwa nguva dzose muchipatara. Sezvo mutemo, chirwere chinotarisirwa chinotarisirwa mumatambudziko akaoma, pamwe nekuvandudzika kwekushaya simba kana kuumbwa kwechirwere chakaipa.
Chikonzero chekurapa i hypotensive uye diuretic zvinodhaka, izvo zvakagadzirirwa kusunungura itsvo. Varwere vanorayirwa kuti vateerere kudya kwakakosha, kusanganisira kuregererwa kwemunyu uye mapuroteni muzvokudya. Nguva dzose kuongororwa kwetsvo mumasimba (zuva nezuva diuresis inoongororwa, nguva nenguva inoita ultrasound).
Ndeipi migumisiro yechirwere ichi?
Kazhinji chirwere chacho chinotungamirira kubhadharo yakakonzerwa nehutano hwepamusoro, zvichiguma neizvi:
- kurohwa;
- kuvhiringidzwa kwemaodzanyemba kwemhepo yemwoyo;
- Atrophy ye optic nerve (dzimwe nguva kupofumadza kwakakwana), retinal detachment.
Nekusavapo kwenguva refu kwechirwere, kusagadzikana kwechirwere chisingaperi, chinoda hemodialysis , chinokura .