Creatinine: Kuyesedwa kwa magazi, kuchuluka kwake, ndi momwe mungachepetsere milingo

Maphunziro a Zaumoyo

Muli pamtunda wamasana awiri, kapena mukuyendetsa gawo lachitatu pa benchi, kapena mukukwera njinga kukwera tsiku lililonse. Mukupuma mofulumira, ndipo minofu yanu yayaka. Thukuta likungotuluka pachibwano chako. Kutentha kumatulutsa masaya anu. Ndipo mukamaliza, palibe chomwe chimamveka bwino kuposa kusamba kofunda, madzi ozizira, ndi mpando pakama.

Monga anthu ambiri, mukudziwa bwino momwe masewera olimbitsa thupi amapangira thupi lanu kumva- kupuma, thukuta, ndi kutentha. Mutha kutukuka chifukwa cha izi. Koma pali zambiri zomwe zikuchitika pansi pano. Minofu yanu ikawonongeka panthawi yochita masewera olimbitsa thupi, imakhazikika pang'onopang'ono, imachulukitsa minofu, koma njirayi imatulutsanso zonyansa m'magazi anu, makamaka creatinine.

Ngakhale kuti chitha kukhala chinthu chomaliza chomwe mumaganizira mukamayendetsa ma mile anu kapena kumenya max-rep max, milingo yanu yama creatinine yamagazi ikhoza kukhala chisonyezero chofunikira cha thanzi lanu la impso ndi impso.

Kodi creatinine ndi chiyani?

Aliyense ali ndi milingo ina ya seramu m'magazi awo. Creatinine ndi chinthu chachilengedwe chogwiritsa ntchito minofu, chifukwa cha kuwonongeka kwa mankhwala otchedwa creatine. Creatinine palokha ilibe gawo linalake lakuthupi-ndikungowononga chabe. Imangokhala m'mwazi mpaka kufikira impso, komwe imasefedwa ndikuchotsedwa kudzera pokodza.

Chifukwa chake, thupi lanu limapanga bwanji creatinine? Zimayamba ndi chilengedwe, chomwe chimapangidwa mu impso, kapamba, ndi chiwindi, kenako chimanyamula kudzera m'magazi ndikusungidwa m'minyewa yanu. Mukamachita khama, minofu yanu imasandutsa chilengedwe kukhala mphamvu, zomwe zimathandizira kupindika kwa minofu. Pambuyo pokwaniritsa cholinga chake, cholengedwa chimakhala creatinine ndikulowanso m'magazi opita ku impso.

Ngakhale creatinine samapindula (kapena kuvulaza) thupi lanu, kuchuluka kwa creatinine m'magazi anu kumatha kuyezedwa kuti muwone thanzi lanu la impso. Pachifukwa ichi, madokotala nthawi zambiri amagwiritsa ntchito mayeso a creatinine - limodzi ndi mayeso ena a labu, monga kuyesa magazi a urea nitrogen (BUN) - kuwunika ngati ali ndi matenda a impso (CKD) kapena kulephera kwa impso.

Kodi mulingo wabwino wa creatinine ndi uti?

Nthawi zambiri, kuchuluka kwa serum creatinine (komwe kumapezeka m'magazi) kwa munthu amene ali ndi impso zathanzi ndiko 0.9 mpaka 1.3 mg pa deciliter ya amuna akulu akulu ndi 0.6 mpaka 1.1 mg pa desilita imodzi ya akazi achikulire .

Komabe, pali zosintha zambiri zikafika pamlingo wa creatinine. Chizolowezi chimakhala chodalira. Kuwonongeka kwa minofu kumayambitsa creatinine, kotero kuti minofu yanu ndi kuchuluka kwa magwiridwe antchito kumatha kukopa kuchuluka kwamagazi anu. Kuti muyese molondola milingo ya magazi, dotolo ayenera ayese kaye zinthu izi kuti akhazikitse maziko, malinga ndi a Taylor Graber, MD, anesthesiologist komanso woyambitsa ASAP IVs . Kuyesa kwa mulingo wa Creatinine kumayamba ndikapeza chiwerengero cha anthu kuti muwone momwe 'mulingo woyenera' uyenera kukhalira, Dr. Graber akutero. Izi zimadalira zaka, mtundu, jenda, ndi kukula kwa thupi. Mikhalidweyi ikakhala yokhazikika, kusintha kuchokera pamtunduwu kungatanthauze zovuta za impso.

Opereka chithandizo chamankhwala amakonda kuyang'anira milingo ya creatinine pazifukwa zosiyanasiyana. Ngati muli ndi matenda a impso kapena a impso, kuwonongeka kwa impso, matenda ashuga, kapena matenda ena omwe amakhudza impso zanu, kapena mukumwa mankhwala omwe angakhudze impso zanu, wothandizira zaumoyo wanu akhoza kuyitanitsa muyeso wokhazikika wa creatinine kuti muwone momwe mukugwirira ntchito. Njira zofala kwambiri zoyesera ndimagazi ndi mkodzo.

Kuyesa magazi

Creatinine yomwe imachokera m'magazi anu amatchedwa serum creatinine, ndipo imatha kuyeza poyesa kuyezetsa magazi pafupipafupi. Ntchito ya impso ikasokonekera, creatinine yocheperako imatha kutsukidwa, zomwe zimapangitsa mulingo wambiri wa creatinine m'magazi, Dr. Graber akufotokoza. Ngakhale kuyesaku sikukuwuzani mwachindunji momwe impso zimagwirira ntchito, zimatha kutsatiridwa pakapita nthawi kuti zisinthe. Othandizira azaumoyo atha kugwiritsa ntchito izi creatinine kuyesa magazi (kuphatikiza zinthu monga zaka, kugonana, mtundu, ndi zina zambiri) kuti muwerenge kuchuluka kwanu kwamafuta (GFR), komwe ndikofunikira pakuzindikira impso kulephera kapena matenda a impso.

Mayeso amkodzo

Njira yodziwika kwambiri yoyesera milingo ya creatinine ndi kudzera mu Kutola mkodzo kwa maola 24 . Chifukwa chiyani maola 24? Kuchita masewera olimbitsa thupi, kudya, komanso kutenthetsa madzi kumatha kukhudza creatinine, kuti magulu anu azitha kusintha tsiku lonse. Chifukwa chake, wothandizira zaumoyo wanu adzafunika zitsanzo zingapo za mkodzo kuti onaninso chilolezo chanu cha creatinine moyenera . Monga momwe mungaganizire, mayesowa akuphatikizapo kusonkhanitsa mkodzo wanu wonse kwa maola 24, kenako ndikupereka kwa omwe amakuthandizani. Kutengera ndi zomwe zapezedwa, wothandizira zaumoyo wanu amatha kudziwa momwe impso zanu zikusankhira creatinine mgawo la kwamikodzo.

Othandizira azaumoyo adzaitanitsa mayesero onsewa kuti awone bwino ntchito ya impso poyerekeza GFR (eGFR) yanu ndi kuchuluka kwa mkodzo creatinine pano. Ngati dokotala akukayikira matenda a impso kapena kuwonongeka, amathanso kuyitanitsa mayeso a magazi a urea nitrogen (BUN) kuti atsimikizire kuti apezeka. Kuyesaku kumayeza kuchuluka kwa urea nayitrogeni-mtundu wina wa zinyalala zosefedwa ndi impso-mwa magazi.

Kodi milingo yachilendo ya creatinine imatanthauza chiyani?

Chifukwa chake, mudapita kwa dokotala, munamuyesa, ndipo zotsatira zake ndi izi: Muli ndi milingo yambiri ya creatinine. Tsopano chiani? Gawo loyamba-musachite mantha. Mlengi wokwezeka sikutanthauza kuti impso zanu zili pansi. Chilichonse chopanda mulingo wabwinobwino (0.9 mpaka 1.3 mg pa desilita imodzi yamwamuna wamkulu ndi 0.6 mpaka 1.1 mg pa desilita imodzi ya akazi achikulire) chingapangitse wothandizira zaumoyo kuti afufuze mopitilira, koma sikuti nthawi zonse amatchula ngozi.Zinthu zambiri zimatha kuyambitsa zotsatira za mayeso anu. Nawa ochepa chabe:

• Kuchulukitsa masewera olimbitsa thupi: Kodi mwakhalapo ndi masewera olimbitsa thupi? Kuchita masewera olimbitsa thupi tsiku lililonse? Kukula uku kwakusokonekera kwa minofu kumakulitsa kupanga kwa creatinine.
• Kuchuluka kwa mapuloteni: Nyama zophika zimakhala ndi creatinine, chifukwa chake ngati mumadya nyama yankhuku usiku ndi usiku, mumatha kuwona milingo yayitali.
• Kutseka kwamikodzo: Ngati simungathe kukodza, thupi lanu silingathe kutulutsa creatinine, chifukwa chake miyala ya impso ndi zina zosokoneza mkodzo zimalola kuti zizikhala m'magazi anu.
• Mankhwala ena: Nthawi zina, mankhwala osokoneza bongo amatha kukhala omwe amayambitsa. Mankhwala a trimethoprim (pezani ma coupons a trimethoprim | zambiri za trimethoprim) ndiCimetidine (pezani ma coupon a Cimetidine | zambiri za Cimetidine), zilonda zam'mimba ndi mankhwala a kutentha pa chifuwa, ikhoza kulepheretsa kutsekemera kwa creatinine . Nthawi zina, mankhwala osagwiritsa ntchito anti-inflammatory (NSAIDs), monga ibuprofen, amathanso kukhala chifukwa.
• Kuthamanga kwa magazi: Kafukufuku adawonetsanso kuti kuthamanga kwa magazi, kulephera kwa mtima, ndi zina pamtima zimatha kuyambitsa milingo ya creatinine.

Momwemonso, creatinine wotsika sikuti nthawi zonse amakhala owopsa. Zitha kukhala zotsatira za kuchepa kwa minofu (kapena matenda am'mimba ngati kupindika kwa minofu), kutenga pakati, zakudya zopanda mapuloteni, kapena ziwindi zina.

Kodi milingo ya creatinine ingasinthe mwachangu?

Magawo a Creatinine amatha kusintha mwachangu, ngakhale tsiku lonse, ndichifukwa chake othandizira azaumoyo amawayang'anira kwakanthawi. Kuyezetsa magazi kumodzi komwe kumabweretsanso creatinine wambiri m'magazi kumatha kukhala kopweteka. Komabe, mayesero angapo motsatira omwe akuwonetsa milingo yokwera amatha kuwonetsa matenda amisempha. Kutuluka mwadzidzidzi m'magulu a creatinine kungakhale chizindikiro chochenjeza kuwonongeka kwa impso kapena zinthu zina, kutengera zizindikilo.

Kodi pali kulumikizana kotani pakati pa milingo ya khansa ndi creatinine?

Mulingo wosazolowereka wa creatinine amathanso kuwonetsa impso kapena khansa ya prostate. Ngakhale, creatinine wokwera kapena wotsika pakokha sizitanthauza kuti muli ndi khansa.

Momwe mungachepetsere milingo ya creatinine

Momwe wothandizira zaumoyo wanu amathandizira makulidwe anu achilengedwe amadalira kwathunthu pazomwe zimayambitsa. Kusintha kwa moyo ndi zakudya kungakhale mankhwala osavuta komanso othandiza pazinthu zazing'ono. Koma matenda a impso, kuwonongeka kwa impso, kapena kulephera kwa impso zimafunikira njira zowonjezereka. Mankhwala oletsa zizindikilo, dialysis, kapena nthawi zovuta kwambiri, kumuika impso kungakhale kofunikira. Nazi njira zingapo zomwe zingachepetse milingo ya creatinine:

Zoyenera kuchita

• Khalani hydrated
• Kuchepetsa kudya kwa mapuloteni
• Kuchepetsa ntchito zolimba (koma osaduliratu zolimbitsa thupi!)
• Pezani zowonjezera zambiri pazakudya zanu (makamaka zipatso ndi ndiwo zamasamba)

Zomwe muyenera kupewa

• Kulenga zowonjezera kapena zina zowonjezera zolimbitsa thupi
• Zakudya zopangidwa kwambiri ndi sodium
• Kusuta
• Kumwa mowa kwambiri

Mankhwala achilengedwe

• Chitosan zowonjezera awonetsa zabwino pa thanzi la impso
• Salvia ndi mankhwala achikhalidwe achi China matenda a impso
• Tiyi wobiriwira kapena tiyi wazitsamba-makamaka mbola za nettle, chamomile, ginseng, ndi muzu wa dandelion
• Sinamoni

Mankhwala

Palibe mankhwala omwe amachepetsa makamaka kuchuluka kwa creatinine m'magazi anu. Ngati dokotala atazindikira kuti matenda a impso akuyambitsa milinine yachilendo, amatha kupereka mankhwala kuti achepetse matenda. Mankhwala osokoneza bongo ndi awa:

• Angiotensin otembenuza enzyme (ACE) zoletsa monga Lotensin (benazepril) ndi Capoten ( kapita ) kuti kutsika kuthamanga kwa magazi .
• Angiotensin II Olandira Ma blockers (ARBs) mongaEdarbi(azilsartan) ndi Teveten (eprosartan) imathandizanso kuthamanga kwa magazi ndipo imatha kuchepetsa kuchuluka kwa mapuloteni mumkodzo wanu.
• Othandizira olimbikitsa ma Erythropoiesis (ESAs) Kuthandiza kuwonjezera kuchuluka kwanu kwama cell ofiira.
• Mankhwala a phosphate kapena potaziyamu kuthandiza kuchotsa phosphate yowonjezera ndi potaziyamu zomwe impso zanu sizingathe kusefa.

ZOKHUDZA : Zambiri za Lotensin | Zambiri za Captopril

Yesani khadi ya kuchotsera ya SingleCare

Mapeto ake, upangiri wabwino kwambiri wazachipatala wothandizira kuti ntchito ya impso ikhale yokhazikika ndikukhala moyo wathanzi nthawi zonse. Dr.Graber akuti: Kuchepetsa zakudya zopanda thanzi zomwe zimakonzedwa bwino, kuwonjezera zipatso ndi ndiwo zamasamba, kuchita masewera olimbitsa thupi (mphindi 150 zolimbitsa thupi kapena mphindi 75 zolimbitsa thupi mwamphamvu sabata iliyonse), kukhala ndi madzi osungunuka, komanso kuchepetsa thupi mtundu wathanzi (index ya thupi ya 20 mpaka 25) ndi zinthu zofunika kuziganizira pakapita nthawi kuti muwonetsetse kuti mukupatsa thupi zida zomwe likufunika kuti lizichita bwino.