Ukusilela Acute kwezintso

Cause etsolo ukusilela kwezintso engase. Ngaba ngenxa yenkqubo ebukhali, kodwa ubukhulu becala ingathityazwa kwithishyu kwezintso. Kuba sifo iphawulwa ukuhla elibukhali kwi umthamo umchamo yokunqongophala ngokupheleleyo kwayo.

ukusilela kwezintso Acute kwezinye iimeko kunokubangelwa imeko arenalnym (trauma okanye ukususa omnye kidney). Kwakhona ukubangela izifo kunye nezifo ezosulelayo (ukopha kunye Leptospirosis) ukunxila zithe zadala (inani iziyobisi, impovane kunye Ityhefu inyoka enobuhlungu ezisetyenziswa ekhaya okanye uqoqosho). Izizathu uphuhliso sifo nazo zibandakanywe kwaye kakuhle haemodynamics kwezintso (ukuwa, ukothuka, njalo-njalo), etsolo isifo sezintso (pyelonephritis etsolo kunye glomerulonephritis).

Isifo sikhatshwa ukonakala okuphawulekayo kwi imeko yomguli ngokubonakala nokugabha, isicaphucaphu, yehle onombilini.

ukusilela Acute kwezintso. iimpawu

Ngu zokubonisa sifo zibandakanya ukwehla ngokukhawuleza (oliguria) okanye ukungabikho elililo yokukhethwa (anuria) uchama. Xa Ukuhlolisisa isigulane kutyhilwa lomzimba ukudumba. Kwakhona, ukusilela etsolo kwezintso evusa ukwanda umthamo esibindini. Le isigulane wabona ngokubonakala inhibition okanye, icala, yimincili.

Uphuhliso kwezonyango sifo yahlulwe kwizigaba eziliqela

Ngelo inyathelo lokuqala (sokuqala) etsolo ukusilela kwezintso ephelekwa iimpawu ezibangelwa impembelelo ngqo izizathu ezibangele esi sifo. Eli nqanaba unokuthatha iiyure eziliqela okanye iintsuku. I lokuqala sifo luqala ingxelo kobude kwaye kuyaqhubeka de wabonakala kuqala nezintso. Ekuhambeni kungabonakala ukunxila (iintlungu esiswini, isicaphucaphu, pallor).

Inqanaba lesibini nesifo ekuthiwa oligoanuricheskoy. Izinto ezingundoqo obubonakala ziquka anuria ongowona okanye oliguria. Ngaloo ndlela nemeko ngokubanzi isigulana esinzulu, waza waphawula ukuyilwa zokuqokelelwa kobutyebi ngendlela ekhutheleyo urea egazini, kwakunye nezinye izinto isiphelo kuyilwa ngenxa ukutya. Oku kudale self-ubuthi umzimba kwaye esizibonakalisa ngohlobo ukozela, silale, ubuthathaka, urhudo. Kukho kwakhona lwegazi, ukudumba umzimba, tachycardia, igazi. Kufuneka kwakhona kuqatshelwe ukuba enye iimpawu uphawu apho kuthatha uhlobo azotemia okwandayo. Le meko luphawulwa kumanqanaba igazi protein (nitrogen) kunye neemveliso kakhulu ukunxila exchange.

iingcali niwafake yokunciphiswa Isigaba sesithathu. Kwisigaba ekuqaleni ezibonisa lonyango diuresis ibonwa twatse Isigaba sesibini. Xa polyuria isigaba (ukwanda umchamo ukubunjwa) kunye nokunciphisa kweqonga xi ubuchule sezintso waphawula ukuzinza kidney, abuyisele imisebenzi yenkqubo sentliziyo, iinkqubo yokucola ukutya zokuphefumla, inkqubo luvo, inkqubo musculoskeletal. Isigaba sesithathu ithatha malunga neeveki ezimbini.

A sigaba recovery yesine luphawulwa izintso recovery yokwakheka kwaye esebenza ukuya ekuqaleni iparameters. Eli thuba ukuze kuthatha iinyanga ezininzi, iye yalibaziseka kangangonyaka kwezinye iimeko.

ukusilela kwezintso Acute ebantwaneni

Le isimo ihlelwa njengesinye bumandundu. Ukucutheka elibukhali umsebenzi sezintso kubandakanya ukusetyenziswa therapy replacement. State lukhatshwa utshintsho zophendlo lwezifo kwi uninzi lweenkqubo kunye namaziko. Uphethwe elinye sifo kufuna survey enkulu.