Kuchazwe: Ukuthi isifo sezinso esingamahlalakhona seqa kanjani ngokuthula umgoqo weminyaka phakathi kweziguli

I-New Delhi: Lapho abantu abaningi becabanga ngesifo sezinso, bafanekisela umuntu osekhulile osebenzisa i-dialysis noma othile osephile nesifo sikashukela noma umfutho wegazi ophakeme amashumi eminyaka. Kodwa kule minyaka embalwa edlule, odokotela bebebona ushintsho olukhathazayo—isifo sezinso esingalapheki (CKD) sivela buthule kubantu abaneminyaka engu-30 nangaphansi. Iziguli kufanele zikhumbule ukuthi izinso azizona nje “izihlungi.” Alawula umfutho wegazi, alinganise ama-electrolyte, asuse ubuthi, futhi abe nomthelela ngisho nempilo yamathambo nenhliziyo. Lapho becindezelekile, umzimba unikeza izixwayiso ezicashile, futhi ngesikhathi izimpawu zibonakala, umonakalo omkhulu ungase wenzeke kakade. Yingakho ukuqaphela—ikakhulukazi kubantu abadala abasebasha—kubalulekile.

UDkt. Ratan Jha, uMqondisi Wezempilo kanye Nomeluleki Omkhulu, I-Nephrologist & Transplant Physician, Izibhedlela ze-CARE, i-Banjara Hills, i-Hyderabad, uchaze ukuthi ingozi yezifo zezinso iphezulu kangakanani phakathi kwabantu abadala abasebasha. Kwake kwaba nokukhathazeka kubantu abadala asebekhulile, manje sekuthinta nabantu abasha.

Kungani Abantu Abadala Abancane Besengozini?

Kukhona abashayeli ababalulekile abambalwa ngemuva kwalolu shintsho:

Imikhuba yokudla: Ukudla kwesimanje kwasemadolobheni kulayishwe ukudla okugayiwe, usawoti oweqile, nokudla okunoshukela omningi. Ukudla ukudla okulula okupakishiwe, iziphuzo ezinikeza amandla nokudla okusheshayo kubeka umthwalo oqhubekayo ezinso. Ukugcina usawoti kuholela kumfutho wegazi ophakeme, kuyilapho amaprotheni amaningi noma ushukela kuphakamisa ingozi yokulimala kwezinso.

Ukuphelelwa amanzi emzimbeni: Abaningi be-30-somethings, ikakhulukazi ochwepheshe abasebenza, bavuma ukuphuza amanzi amancane kakhulu usuku lonke. Amahora amade, ukuphuza kakhulu i-caffeine, notshwala ngezimpela-sonto kwandisa inkinga. Ukuphelelwa amanzi emzimbeni okungapheli kwenza umchamo ugxile kakhulu, okwandisa ingozi yamatshe ezinso kanye nezifo, kokubili okungalimaza izicubu zezinso uma kuphindaphindiwe.

Isifo sikashukela kanye nesandulela ngculazi: I-India manje isibizwa ngokuthi “inhloko-dolobha kashukela emhlabeni wonke,” futhi okuthusayo iminyaka ehlasela ngayo. Isifo sikashukela sohlobo 2, esake saba yisifo esidala, manje sitholakala kubantu abaneminyaka engu-20 no-30. Ushukela ophezulu wegazi ulimaza imithambo yegazi emihle ezinso, inqubo evame ukuqala buthule eminyakeni eminingi ngaphambi kokuxilongwa kwe-CKD.

Ukusetshenziswa ngokweqile kwamaphilisi ezinhlungu: Ukusetshenziswa ngokunganakiwe kwemithi yezinhlungu nezithasiselo kungafaka ubunzima obuningi ezinso. Amaphilisi ezinhlungu amaningi, izithasiselo zokuqina komzimba, ngisho nemikhiqizo ethile yemithi isuswa ngezinso, futhi ukuyithatha njalo ngaphandle kweseluleko sezokwelapha kungase kukulimaze kancane kancane.

Isimo Esithule Sezifo Zezinso

Esinye sezici ezinzima kakhulu ze-CKD ukuthi ayivamisile ukuzimemezela kusenesikhathi. Ukukhathala, ukuvuvukala kwamaqakala, noma izinguquko ekuphumeni komchamo ngokuvamile kuvela ngemva komonakalo omkhulu. Yingakho ukuhlolwa kwezempilo okuvamile kubalulekile kubantu abasengozini—ngisho noma bezizwa bephilile. Ukuhlola okulula njenge-serum creatinine, ukuhlaziywa komchamo, kanye ne-ultrasound kungathola izinguquko zakuqala. Kulabo abanesifo sikashukela noma umfutho wegazi ophakeme, ukuhlolwa kokusebenza kwezinso kufanele kube yingxenye yokuhlolwa kwaminyaka yonke.

Yini Ongayenza Ukuze Uvikele Izinso Zakho?

Hlala u-hydrated: Isiqondiso esijwayelekile singamalitha angu-2-2.5 amanzi ngosuku, alungiselwe isimo sezulu kanye nezinga lomsebenzi. Iziphuzo ezibandayo neziphuzo ezinikeza amandla azifaki esikhundleni samanzi angenalutho.

Qaphela indlela odla ngayo: Yehlisa ukudla okugayiwe nosawoti, futhi udle izithelo eziningi, imifino, nokusanhlamvu okunamaprotheni aphakathi nendawo ukuze uvikele izinso zakho.

Gada ushukela wakho wegazi: Gcina ushukela nomfutho wegazi ngaphansi kolawulo. Ukuqapha njalo, ngisho naseminyakeni yama-30, kubalulekile uma unomlando womndeni wesifo sikashukela noma umfutho wegazi ophakeme. Izilinganiso zendlela yokuphila—ukuzivocavoca umzimba, ukulawula ukucindezeleka, nesisindo esinempilo—zihamba ibanga elide.

Qaphela ngemithi: Ungawaphuzi amaphilisi ezinhlungu isikhathi eside ngaphandle kokuqondiswa udokotela. Okufanayo kusebenza ezithasiselweni zokuzivocavoca noma emikhiqizweni yemithi. Njalo hlola nodokotela wakho mayelana nemiphumela emibi yezinso engase ibe khona.

Kufanele Ufune Nini Usizo Lwezokwelapha

Ukuvuvukala ezinyaweni, umchamo onamagwebu, ukuncipha komchamo, noma ukukhathala njalo kungase kube izimpawu zokuqala zenkinga yezinso futhi akufanele kushaywe indiva. Ngisho nalapho izimpawu zingekho, labo abasengozini—njengesifo sikashukela, umfutho wegazi ophakeme, ukukhuluphala ngokweqile, noma umlando oqinile womkhaya—kufanele bahlolwe njalo.

Umbono wokuthi isifo sezinso ngesabadala kuphela usuphelelwe yisikhathi. Namuhla, imikhuba yokuphila, ubunzima bemvelo, kanye nomthwalo okhulayo wesifo sikashukela kucindezela i-CKD empilweni yabantu abadala. Izindaba ezinhle ukuthi ukutholwa kusenesikhathi nokunakekelwa kokuvikela kungabambezela noma kumise ukuqhubeka kwakho. Ukuvikela izinso zakho eminyakeni engu-30 kungenye yezimali ezinhle kakhulu ongazenzela impilo yakho emashumini eminyaka ezayo.

Isixhumanisi Esiyisethenjwa

https://www.tv9english.com/lifestyle/explained-how-chronic-kidney-disease-quietly-crossed-the-age-barrier-among-patients-article-10872845.html