Oliguria - zvinokonzera, zviratidzo, kurapwa muvana nevakuru

Zvinoenderana nebasa rayo, Iyo Edhiyo Bhodhi yeMedTvoiLokony inoedza neparinogona napo kupa yakavimbika zvekurapa zvemukati zvinotsigirwa neruzivo rwazvino rwesainzi. Mureza wekuwedzera "Zvakatariswa Zvemukati" zvinoratidza kuti chinyorwa chakaongororwa kana kunyorwa zvakananga nachiremba. Iyi nhanho-mbiri yekusimbisa: mutori wenhau wezvekurapa uye chiremba anotitendera kuti tipe zvemhando yepamusoro zvemukati zvinoenderana neruzivo rwekurapa rwazvino.

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Oliguria chirwere chinoitika kana munhu mukuru achibvisa 400-100 ml weti pazuva. Kupfuudza huwandu uhu hweweti kazhinji kunoratidza mamiriro ekurapa, akadai sehosha yeitsvo kana kutadza kwemoyo. Panogona kunge paine zvikonzero zvakasiyana zve oliguria.

Chii chinonzi oliguria?

Oliguria mamiriro ane zvikonzero zvakasiyana kwazvo. Varwere vane chirwere ichi vanoita weti mudiki, izvo zvisingasviki 400/500 ml pazuva muvakuru. Huwandu hweweti inoburitswa mumunhu ane hutano hunowanzoita 2,5 litres pazuva. Muvacheche, oliguria inoonekwa kana huwandu hweweti yakaburitswa isingasviki 1 millimeter pakirogiramu uremu hwemuviri paawa. Muvana, oliguria inoitika pavanopfuura hafu yemirita yeweti pakirogiramu yehuremu hwemuviri paawa. Kazhinji, oliguria inoshanduka kuita anuria. Oliguria kazhinji inoratidza chokwadi chekuti muviri wedu uri kuita shanduko dzakakomba dzepathological mune weti turakiti. Kufanana neanuria, chiratidzo chinoda kukurumidza kutsunga kwechikonzero uye kuchipatara.

Kuwanda kweweti yatinoitira weti kunoenderana nekuti tinonwa mvura yakawanda sei mukati mezuva. Zviri pachena kuti kana tikanwa zvishomanana, huwandu hweweti huchava huduku zvikuru. Zvisinei, kana pasinei nehuwandu hwemvura inopedzwa, oliguria inoramba ichiripo, uyezve pane zviratidzo zvakadai sekushaya kudya, kushaya simba kana hematuria - unofanira kuona chiremba pakarepo.

Mhando dze oliguria

Kune marudzi matatu e oliguria mune zvekurapa terminology.

1. Prerenal oliguria - inokonzerwa nekusagadzikana kwekufamba kwerenal, izvo zvinozoita kuti kuve nekuvharidzirwa kwezvishoma zvetiti nemurwere.

2. Renal oliguria - inoitika nekuda kwekukuvadzwa kwechimiro cheitsvo, izvo zvinogona kurega kusefa (iri ndiro basa ravo guru).

3. Oliguria yeasina-renal mavambo - inokonzerwa nekuvharirwa kubuda kweweti kubva muurinary tract.

Zvikonzero zve oliguria

Zvikonzero zve oliguria zvinogona kunge zvakasiyana zvichienderana nechikonzero chemamiriro acho.

Zvikonzero zve renal oliguria:

  1. zvirwere zveitsvo, zvinosanganisira: glomerulonephritis, acute kana kusingaperi renal kukundikana, uremia kana hydronephrosis. Mukuwedzera kune oliguria, chirwere chetsvo chinogonawo kukura zvimwe zviratidzo, zvakadai sokupisa uye kusuruvara paunenge uchitsvaga, ropa mumuguta, kuputika kwemaoko, tsoka kana makumbo; kuzvimba kwakakomberedza maziso kana weti ine makore;
  2. sarcoidosis: ichi chimiro chinoratidzwa nekushayikwa kwechido, kurwadziwa kwemajoini kana kupisa kwakanyanya;
  3. yakaipa arterial hypertension: kuvhiringidzika kwekuona, kushaya simba, high diastolic pressure;
  4. radiological kusiyanisa vamiririri;
  5. zvinhu zvine chepfu;
  6. kutora non-steroidal anti-inflammatory gadziriro kana mishonga yeBP.

Zvikonzero zve prerenal oliguria:

  1. kutadza kwemoyo: kuwedzera kune oliguria, kune kupfupika kwekufema, kurova kwemoyo kusingaite, kusatenderwa kushanda nesimba, kuderedzwa kweropa rinotenderera mumuviri (zvinogona kunge zvichikonzerwa nekubuda ropa kana kutsva);
  2. cardiogenic kana septic shock;
  3. kupera simba kwemvura iyo, kuwedzera kune oliguria, inoratidzwa nefivha, manyoka uye kurutsa.

Zvikonzero zve extrarenal oliguria:

  1. neoplastic tumors: vanoisa kumanikidziro paurinary turakiti, pakutanga kune hematuria inorwadza, zvino pane chido chekuita weti nguva dzose, chishuwo chekugara uye kurwadziwa;
  2. nephrolithiasis: kunze kwe oliguria, kune marwadzo akanyanya munharaunda yelumbar, murwere anonzwa kumanikidzwa padundira, uyezve, kune kurutsa, kushungurudza uye kupisa kwepamusoro;
  3. Neurogenic bladder: Iyi ndiyo mamiriro apo bladder haigoni kuva dura reweti. Nekuda kweizvozvo, weti inochengetwa mudundira uye matambudziko nekubuda kwayo;
  4. kenza yeprostate kana prostate yakakura: varwere vanonyunyuta nezvedambudziko rekuita weti uye nguva refu yekudurura dundira;
  5. hematuria;
  6. postoperative adhesions;
  7. schistosomiasis (chirwere cheparasitic chinokonzerwa neflukes).

Vakadzi vane pamuviri uye oliguria

Oliguria inoonekwa muvakadzi vane pamuviri inogona kuratidza pre-eclampsia (chepfu yemimba)izvo zvinoisa upenyu hwaamai nemwana mungozi. Ichi chirwere chinowanzoonekwa nehutachiona hwakanyanya mushure memavhiki makumi maviri ekuberekwa uye proteinuria, uye oliguria inogona kuonekwa. Mhedzisiro yepre-eclampsia imimba eclampsia, iyo inowanzo tungamira mukusununguka nguva isati yakwana, zera remwana, kuvharika kweiyo placenta, uye kunyange kufa kwemwana. Mukuwedzera, chirwere ichi chinoisa upenyu pangozi kuna amai, avo vanogona kutanga chirwere chemwoyo kana kuti itsvo.

Kurapa uye kuongororwa kwe oliguria

Hazvibviri kurapa oliguria iwe pachako, kuziva chikonzero chayo uye kusarudza kurapa kwakakodzera, unofanira kugara uchibvunza chiremba. Munguva yekushanya kwechiremba, nyanzvi inoita hurukuro nesu, panguva yaanobvunza mibvunzo yakati wandei, semuenzaniso, kubva riini tine zviratidzo zve oliguria, zvakangoerekana zvaitika, zvinoramba zviri padanho rimwe chete kana kuti zvimwe kuwedzera. Tinofanira kuzivisa chiremba nezvehuwandu hwemvura inopedzwa uye weti (zvakakodzera kuita chiyero).

Chiremba anogona kukurudzira kupfuudza huwandu hwekutonga weti, iyo inozoongororwa: ruvara, uric acid uye mapuroteni, kana chero hutachiona hunogona kuitika.

Zvakakosha! Iwe unofanirwawo kuzivisa chiremba wako nezve chero zvimwe zviratidzo kana mishonga yauri kutora (kunyangwe-the-the-counter mishonga, semuenzaniso zvekudya zvinowedzera).

Zvadaro, chiremba anokurudzira kuongororwa kuongororwa kune murwere, izvo zvinosanganisira:

  1. computed tomography,
  2. kuongororwa ropa,
  3. Abdominal Ultrasound.

Ndeupi mushonga uchapihwa zvinoenderana nechikonzero che oliguria. Murwere anogona kudonhedzwa mutsinga kuti adzorere mvura kana kuti angave ari padialysis kusvikira itsvo dzashanda zvakanaka.

Oliguria - kudzivirira

Oliguria haigoni kudzivirirwa kana inokonzerwa nechimwe chirwere chekurapa. Zvisinei, tinogona kudzivisa, semuenzaniso, kupera mvura mumuviri, kunokonzera chirwere ichi, nekugara tichishandisa mvura yakakwana, kunyanya mufivha kana manyoka. Iwe unogona zvakare kutora zvinwiwa zveprophylactic kutsiva yakarasika electrolytes.

Mukurapa uye kudzivirira oliguria, zvakakodzera kunwa herbal infusions ne diuretic uye anti-inflammatory effects. Order Prostata nhasi - musanganiswa wemishonga inowanikwa pamutengo wekusimudzira paMedonet Market.

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