Yuav Ua Li Cas Ntxiv GFR (nrog Duab)

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Yuav Ua Li Cas Ntxiv GFR (nrog Duab)
Yuav Ua Li Cas Ntxiv GFR (nrog Duab)

Video: Yuav Ua Li Cas Ntxiv GFR (nrog Duab)

Video: Yuav Ua Li Cas Ntxiv GFR (nrog Duab)
Video: Tsis Paub Yuav Ua Li Cas - maim lis 2024, Lub peb hlis ntuj
Anonim

Koj qhov glomerular filtration rate (GFR) yog ntsuas ntsuas ntshav ntau npaum li cas hla koj ob lub raum txhua feeb. Yog tias koj GFR qis dhau, nws txhais tau tias koj ob lub raum tsis ua haujlwm zoo thiab koj lub cev khaws cov co toxins. Nyob ntawm qhov xwm txheej, koj feem ntau tuaj yeem nce GFR los ntawm kev hloov pauv koj li kev noj zaub mov thiab kev ua neej nyob; txawm li cas los xij, tshuaj noj tshuaj thiab lwm yam kev kho mob kev kho mob yuav tsim nyog rau qee tus neeg uas muaj GFR qis heev.

Cov kauj ruam

Ntu 1 ntawm 3: Ua ntej Koj Pib: Nrhiav Koj Li GFR

Ua kom GFR Kauj Ruam 1
Ua kom GFR Kauj Ruam 1

Kauj Ruam 1. Kuaj

Koj tus kws kho mob tuaj yeem sim koj li GFR los ntawm kev ntsuas ntshav creatinine. Creatinine yog cov khoom pov tseg hauv koj cov ntshav. Yog tias tus nqi creatinine muaj nyob hauv tus qauv siab dhau, koj lub raum lub peev xwm lim dej (GFR) zoo li yuav qis heev.

Ib qho ntxiv, koj tus kws kho mob yuav tswj hwm qhov kev sim tshuaj tshem tawm creatinine, uas ntsuas tus nqi ntawm creatinine hauv koj cov ntshav thiab cov zis

Ua kom GFR Kauj Ruam 2
Ua kom GFR Kauj Ruam 2

Kauj Ruam 2. Nkag siab koj cov lej

Koj qhov txiaj ntsig ntsuas tsuas yog ib qho cuam tshuam hauv kev suav koj li GFR. Cov kws kho mob tseem xav txog koj lub hnub nyoog, haiv neeg, lub cev me me, thiab poj niam txiv neej thaum txiav txim siab tus nqi GFR tiag.

  • Yog tias koj li GFR yog 90 mls/min/1.73m2 lossis ntau dua, koj ob lub raum raug suav tias yog kev noj qab nyob zoo.
  • GFR ntawm 60 thiab 89 mls/min/1.73m2 tso koj mus rau theem ob tus kab mob raum (CKD). Tus nqi nruab nrab ntawm 30 thiab 59 mls/min/1.73m2 tso koj mus rau theem peb CKD, thiab tus nqi nruab nrab ntawm 15 thiab 29 mls/min/1.73m2 raug suav tias yog theem plaub CKD.
  • Thaum koj GFR nqis qis dua 15 mls/min/1.73m2, koj nyob rau theem tsib CKD, uas txhais tau tias koj ob lub raum tsis ua haujlwm.
Ua kom GFR Kauj Ruam 3
Ua kom GFR Kauj Ruam 3

Kauj Ruam 3. Tham nrog koj tus kws kho mob

Koj tus kws kho mob tuaj yeem muab cov ncauj lus qhia ntxaws ntxiv txog koj li GFR cov qhab nia thiab nws cuam tshuam rau koj lub neej li cas. Yog tias koj tus lej qis dua qhov lawv yuav tsum tau, koj tus kws kho mob yuav pom zoo qee yam kev kho mob, tab sis qhov tshwj xeeb yuav txawv ntawm tus neeg mob mus rau tus neeg mob.

  • Koj yuav tsum tau hloov pauv qee yam rau koj kev noj haus thiab kev ua neej nyob tag nrho tsis hais txog theem twg ntawm CKD koj tau nkag mus. Thaum lub sijhawm pib, txawm li cas los xij, cov kev hloov pauv no yuav txaus los txhim kho koj li GFR. Qhov no yog qhov tseeb tshwj xeeb yog tias koj tsis muaj keeb kwm yav dhau los ntawm teeb meem ntawm lub raum.
  • Nyob rau theem tom ntej ntawm CKD, koj tus kws kho mob yuav yuav sau qee hom tshuaj los pab txhim kho koj lub raum ua haujlwm. Cov tshuaj no yuav tsum tau siv ua ke nrog kev hloov pauv hauv lub neej thiab yuav tsum tsis txhob xav tias yog kev kho mob hloov pauv.
  • Hauv theem kawg ntawm CKD, koj tus kws kho mob yuav luag ib txwm tso koj rau lim ntshav lossis qhia kom hloov pauv lub raum.

Ntu 2 ntawm 3: Kev noj zaub mov thiab kev hloov pauv lub neej

Ua kom GFR Kauj Ruam 4
Ua kom GFR Kauj Ruam 4

Kauj Ruam 1. Noj zaub ntau thiab nqaij tsawg

Nce creatinine thiab GFR qis mus tes-hauv-tes; ib qho teeb meem feem ntau yuav tsis muaj tam sim no yam tsis muaj. Cov khoom tsiaj muaj cov creatine thiab creatinine, yog li koj yuav xav tau txwv cov tsiaj protein raws li koj noj.

Los ntawm cov khoom noj cog, ntawm qhov tod tes, tsis muaj creatine lossis creatinine. Kev noj zaub mov tsis noj zaub ntau tuaj yeem pab txo lwm yam kev pheej hmoo ntawm CKD, suav nrog ntshav qab zib thiab ntshav siab

Ua kom GFR Kauj Ruam 5
Ua kom GFR Kauj Ruam 5

Kauj Ruam 2. Txiav luam yeeb

Ntxiv rau lwm yam teeb meem kev noj qab haus huv, kev haus luam yeeb kuj tseem tuaj yeem ua rau mob ntshav siab ntau ntxiv. Ntshav siab tau txuas rau CKD, yog li tswj ntshav siab tuaj yeem txhim kho koj li GFR ntxiv.

Ua kom nce GFR Kauj Ruam 6
Ua kom nce GFR Kauj Ruam 6

Kauj Ruam 3. Sim noj ntsev tsawg

Lub raum puas muaj teeb meem tso sodium, yog li cov zaub mov muaj ntsev ntau tuaj yeem ua rau kub siab, ua rau koj mob hnyav thiab ua rau koj GFR zuj zus.

  • Tshem tawm cov khoom noj qab ntsev los ntawm koj cov zaub mov noj thiab xaiv rau qis-sodium xaiv thaum muab. Sim ua seasoning koj cov zaub mov nrog lwm cov txuj lom thiab tshuaj ntsuab es tsis txhob siv ntsev nruj me ntsis.
  • Koj tseem yuav tsum tau noj zaub mov hauv tsev ntau dua los ntawm kos thiab tsawg dua cov thawv noj hmo. Cov pluas noj ua los ntawm kos feem ntau muaj cov sodium tsawg dua vim tias ntau lub thawv ntim khoom noj tau siv ntsev rau nws cov khoom khaws cia.
Ua kom GFR Kauj Ruam 7
Ua kom GFR Kauj Ruam 7

Kauj Ruam 4. Siv cov poov tshuaj thiab phosphorus tsawg

Ob qho phosphorus thiab potassium yog ob lwm yam zaub mov koj lub raum yuav muaj teeb meem lim, tshwj xeeb tshaj yog thaum lawv twb tsis muaj zog lossis puas lawm. Nyob deb ntawm cov zaub mov uas muaj cov zaub mov zoo thiab tsis txhob noj ib qho ntxiv uas muaj cov ntxhia.

  • Cov khoom noj muaj poov tshuaj muaj xws li lub caij ntuj no squash, qos yaj ywm, qos, taum dawb, yogurt, halibut, kua txiv kab ntxwv, zaub paj, cantaloupe, txiv tsawb, nqaij npuas, lentils, mis, salmon, pistachios, raisins, nqaij qaib, thiab tuna.
  • Phosphorus-nplua nuj cov zaub mov suav nrog cov zaub mov nrawm, mis, yogurt, cheese nyuaj, tsev cheese, mis nyuj khov, qhob cij sai, ua cov nqaij, chocolate lossis caramel, colas, thiab dej qab.
Ua kom GFR Kauj Ruam 8
Ua kom GFR Kauj Ruam 8

Kauj Ruam 5. Haus cov tshuaj yej nplooj nettle

Haus ib mus rau ob 8 ooj (250 ml) khob ntawm nettle nplooj tshuaj yej txhua hnub tuaj yeem pab txo qis qib creatinine hauv lub cev, thiab vim li ntawd, nws kuj tseem tuaj yeem pab txhawb koj li GFR.

  • Ntsib nrog koj tus kws kho mob txhawm rau txheeb xyuas tias cov nplooj nplooj nettle muaj kev nyab xeeb raws li koj keeb kwm kev kho mob tshwj xeeb.
  • Txhawm rau npaj nettle nplooj tshuaj yej, ntxhab ob nplooj nettle tshiab tsawg kawg 8 oz (250 ml) ntawm cov dej simmer rau 10 txog 20 feeb. Lim thiab pov tseg cov nplooj, tom qab ntawd haus cov tshuaj yej thaum nws tseem kub.
Ua kom GFR Kauj Ruam 9
Ua kom GFR Kauj Ruam 9

Kauj Ruam 6. Ua haujlwm tas li

Kev tawm dag zog tuaj yeem txhim kho kev tswj ntshav qab zib, ua kom ntshav huv, thiab txo cov ntshav siab thiab cov cholesterol.

  • Nco tseg tias kev tawm dag zog lub cev tuaj yeem ua rau kev tawg ntawm creatine rau hauv creatinine, txawm li cas los xij, uas tuaj yeem ua rau lub nra hnyav rau koj ob lub raum thiab ua rau koj GFR poob qis ntxiv.
  • Koj qhov kev xaiv zoo tshaj plaws yog koom nrog kev tawm dag zog ib txwm muaj. Piv txwv li, koj yuav txiav txim siab caij tsheb kauj vab lossis taug kev nrawm nrawm li 30 feeb hauv ib hnub, peb txog tsib hnub hauv ib lub lis piam.
Ua kom nce GFR Kauj Ruam 10
Ua kom nce GFR Kauj Ruam 10

Kauj Ruam 7. Tswj koj qhov hnyav

Feem ntau, kev tswj qhov hnyav yuav yog qhov tshwm sim ntawm kev noj zaub mov zoo thiab kev tawm dag zog ib txwm muaj. Koj yuav tsum zam kev noj zaub mov zoo lossis noj zaub mov tshwj tsis yog lawv tau qhia tshwj xeeb los ntawm kws kho mob lossis kws kho lub raum.

Ua kom lub cev hnyav hnyav ua rau nws yooj yim rau cov ntshav hla koj lub cev thiab tuaj yeem pab tswj koj cov ntshav siab raws li qhov tshwm sim. Thaum cov ntshav tuaj yeem hla koj lub cev kom yooj yim dua, nws yuav muaj peev xwm yaug tau cov co toxins thiab kua ntau dhau los ntawm koj ob lub raum, thiab koj yuav tsum pom kev txhim kho hauv koj li GFR

Ntu 3 ntawm 3: Kev Kho Mob

Ua kom nce GFR Kauj Ruam 11
Ua kom nce GFR Kauj Ruam 11

Kauj Ruam 1. Tham nrog tus kws kho lub raum

Thaum lub sijhawm tom qab muaj kab mob hauv lub raum, koj tus kws kho mob yuav hais qhia koj rau tus kws tshaj lij uas muaj peev xwm tsim cov zaub mov zoo tshaj plaws rau koj tus mob. Cov kws tshwj xeeb no hu ua "kws kho lub raum lub cev."

  • Koj tus kws kho mob lub raum yuav ua haujlwm nrog koj txhawm rau txo kev ntxhov siab ntawm koj ob lub raum thaum tswj kev sib npaug ntawm cov kua thiab cov zaub mov hauv koj lub cev.
  • Kev noj zaub mov tshwj xeeb feem ntau yuav suav nrog cov ntsiab lus zoo ib yam li tau piav qhia hauv kab lus no. Piv txwv li, tej zaum koj yuav raug qhia kom txo koj kev noj cov sodium, potassium, phosphorus, thiab protein.
Ua kom nce GFR Kauj Ruam 12
Ua kom nce GFR Kauj Ruam 12

Kauj Ruam 2. Txheeb xyuas ib qho laj thawj twg

Feem ntau CKD thiab GFR tus nqi qis yog tshwm sim lossis cuam tshuam los ntawm lwm qhov xwm txheej. Hauv cov xwm txheej zoo li no, koj yuav tsum tau txais lwm yam kev mob nkeeg no ua ntej koj tuaj yeem nce koj li GFR.

  • Ntshav siab thiab ntshav qab zib yog ob qho ua rau muaj feem ntau.
  • Thaum qhov ua rau muaj kab mob hauv lub raum tsis tuaj yeem txheeb xyuas tau yooj yim, koj tus kws kho mob tuaj yeem tswj hwm kev tshuaj ntsuam ntxiv txhawm rau txheeb xyuas qhov teeb meem. Cov no suav nrog kuaj zis, kuaj ultrasound, thiab kuaj CT. Hauv qee kis, koj tus kws kho mob yuav pom zoo kom kuaj lub cev kom tshem tawm thiab ntsuas me me piv txwv ntawm cov ntaub so ntswg.
Ua kom nce GFR Kauj Ruam 13
Ua kom nce GFR Kauj Ruam 13

Kauj Ruam 3. Noj tshuaj raws lub raum

Thaum lwm tus mob ua rau mob raum, lossis thaum mob raum ua rau muaj teeb meem cuam tshuam, koj tus kws kho mob yuav sau ntawv qee yam tshuaj los pab kho koj tus mob tag nrho.

  • Ntshav siab feem ntau txuas rau GFR qis, yog li koj yuav xav tau qee yam tshuaj ntshav siab. Cov kev xaiv suav nrog angiotensin-hloov pauv enzyme inhibitors (captopril, enalapril, thiab lwm tus) lossis angiotensin receptor blockers (losartan, valsartan, thiab lwm tus). Cov tshuaj no tuaj yeem tswj ntshav siab thaum tseem txo qis cov qib protein hauv koj cov zis, tso cai rau koj ob lub raum ua haujlwm tsawg dua li qhov tshwm sim.
  • Thaum lub sijhawm mob raum lig dhau, koj lub raum yuav tsis tuaj yeem tsim cov tshuaj tseem ceeb hu ua "erythropoietin," yog li koj tus kws kho mob yuav xav tau sau ntawv tshuaj uas tuaj yeem pab daws qhov teeb meem.
  • Koj kuj tseem xav tau cov tshuaj vitamin D lossis lwm yam tshuaj los pab tswj qib phosphorus txij li koj lub raum yuav muaj teeb meem lim cov phosphorus hauv lub cev.
Ua kom nce GFR Kauj Ruam 14
Ua kom nce GFR Kauj Ruam 14

Kauj Ruam 4. Tham lwm yam tshuaj nrog koj tus kws kho mob

Txhua yam tshuaj raug lim los ntawm ob lub raum, yog li koj yuav tsum tham txog cov tshuaj uas koj npaj yuav siv nrog koj tus kws kho mob thaum koj qib GFR qis. Qhov no suav nrog ob daim ntawv yuav tshuaj thiab tsis yog tshuaj yuav tshuaj.

  • Tej zaum koj yuav tsum zam tag nrho cov tshuaj NSAID thiab COX-II inhibitor. Cov tshuaj NSAID feem ntau suav nrog ibuprofen thiab naproxen. Ib qho nquag COX-II inhibitor yog celecoxib. Ob chav kawm tshuaj tau txuas rau qhov tshwm sim ntawm kev mob raum.
  • Tham nrog koj tus kws kho mob ua ntej sim siv tshuaj ntsuab los yog lwm txoj kev kho, ib yam. Kev kho "Ntuj" tsis tas yuav zoo rau koj, thiab yog tias koj tsis xyuam xim, koj tuaj yeem siv qee yam uas yuav ua rau koj qib GFR poob qis dua.
Ua kom nce GFR Kauj Ruam 15
Ua kom nce GFR Kauj Ruam 15

Kauj Ruam 5. Txheeb xyuas koj li GFR ib ntus

Txawm hais tias koj ua tiav nce koj li GFR, koj yuav tsum txuas ntxiv mus xyuas koj li GFR thoob plaws koj lub neej. Qhov no yog qhov tseeb tshwj xeeb yog tias koj puas tau qis dua tus nqi nruab nrab lossis yog tias koj ntsib kev pheej hmoo ntawm kev mob raum.

GFR thiab lub raum ua haujlwm ib txwm poob nrog lub hnub nyoog, yog li koj tus kws kho mob yuav pom zoo txuas ntxiv kev tshuaj xyuas txhawm rau pab saib xyuas tus nqi poob. Nws lossis nws yuav xav tau kho koj cov tshuaj lossis kev qhia zaub mov noj raws li kev hloov pauv rau koj li GFR

Ua kom nce GFR Kauj Ruam 16
Ua kom nce GFR Kauj Ruam 16

Kauj Ruam 6. Mus rau kev lim ntshav

Yog tias koj GFR qis heev thiab koj tau nkag mus rau lub raum tsis ua haujlwm, koj yuav tsum mus rau kev lim ntshav kom lim cov khoom pov tseg thiab cov kua ntau dhau los ntawm koj lub cev.

  • Hemodialysis cuam tshuam nrog kev siv lub tshuab raum dag nrog lub tshuab lim.
  • Peritoneal dialysis siv lub plab hauv plab los pab lim thiab ntxuav cov khoom pov tseg los ntawm koj cov ntshav.
Ua kom nce GFR Kauj Ruam 17
Ua kom nce GFR Kauj Ruam 17

Kauj Ruam 7. Tos kom hloov lub raum

Hloov cov raum yog lwm txoj hauv kev rau cov neeg uas muaj kab mob hauv lub raum ntau thiab tshwj xeeb GFR. Koj yuav tsum tau sib phim nrog tus pub dawb ua ntej kev hloov pauv tuaj yeem ua tau. Ntau zaus tus neeg pub khoom yog tus txheeb ze, tab sis ntau zaus, nws kuj tseem yog neeg txawv.

  • Tsis yog txhua tus neeg uas muaj kab mob hauv lub raum tsim nyog ua tus neeg sib tw hloov pauv, txawm li cas los xij. Hnub nyoog thiab keeb kwm kev kho mob tuaj yeem txiav tawm qhov kev kho mob no.
  • Tom qab tau txais kev hloov pauv, koj tseem yuav tsum tau ua tib zoo saib xyuas koj cov zaub mov thiab kev noj qab haus huv tag nrho lub raum kom tiv thaiv koj li GFR tus nqi los ntawm kev poob qis dua.

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