Creatinine: Ropa bvunzo, yakajairwa renji, uye maitiro ekuderedza nhanho

Dzidzo yehutano

Iwe uri mamaira maviri emasikati ako kumhanya, kana kupa simba kuburikidza nechetatu seti pabhenji, kana kuchovha bhasikoro kukwira pakufamba kwako kwezuva nezuva. Uri kufema nekukurumidza, uye mhasuru dzako dziri pamoto. Ziya rinodonha kubva pachirebvu chako. Kuchena kunopisa matama ako. Uye kana wapedza, hapana chinonzwa zvirinani pane yekugeza inodziya, girazi remvura rinotonhora, uye chigaro pasofa.

Kufanana nevanhu vazhinji, iwe unonyatso kuziva nezvekuti kurovedza muviri kunoita sei muviri wako inzwa- kufema, ziya, uye kupisa. Iwe unogona kunyange kubudirira pairi. Asi pane zvakawanda zvakawanda zvinoitika pasi pechiso. Kana tsandanyama dzako dzikatyoka panguva yekurovedza muviri, dzinononoka kusimuka, dzichiwedzera mhasuru, asi maitiro aya anoburitsa marara muropa rako, kunyanya creatinine.

Kunyangwe chingave icho chinhu chekupedzisira chaunofunga nezvacho iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Chii chinonzi creatinine?

Wese munhu ane mamwe maseramu creatinine mazinga muropa ravo. Creatinine chinhu chechisikigo chinogadzirwa nekushandisa mhasuru, kunokonzerwa nekuparara kwemakemikari anonzi creatine. Creatinine pachayo haina chairo basa rehupenyu-ingori chigadzirwa chemarara. Iyo inongogara muropa kusvika yasvika kuitsvo, uko inosvinwa uye kubviswa kuburikidza nekuita weti.

Saka, muviri wako unoburitsa sei creatinine? Inotanga neyakagadzirwa, iyo inogadzirwa muitsvo, rwatata, uye chiropa, ndokuzotakurwa kuburikidza neropa kuyerera uye kuchengetwa mumasekete ako emhasuru. Munguva yekushanda nesimba, mhasuru dzako dzinoshandura chinogadzirwa kuita simba, icho chinobatsira mukuchereka kwemhasuru. Mushure mekushandira chinangwa chayo, creatine inova creatinine uye inopindazve muropa munzira inoenda kuitsvo.

Kunyangwe creatinine isingashande kubatsira (kana kukuvadza) muviri wako, huwandu hwe creatinine muropa rako hunogona kuyerwa kuongorora hutano hwako hwetsvo. Nechikonzero ichi, varapi vanowanzo shandisa testin creatinine - pamwe chete nedzimwe bvunzo bvunzo, senge yeropa urea nitrogen (BUN) bvunzo - kuongorora chirwere chetsvo chisingaperi (CKD) kana kutadza kweitsvo.

Ndeipi yakanaka creatinine nhanho?

Muzviitiko zvakawanda, yakajairwa renji yeserum creatinine (inowanikwa muropa) kune mumwe munhu ane itsvo dzine hutano iri 0,9 kusvika ku 1.3 mg pa decilita yevakuru varume uye 0.6 kusvika 1.1 mg pa decilita yevakadzi vakuru .

Nekudaro, pane zvakawanda zvakasiyana kana zvasvika pamatanho e creatinine. Zvakajairika inguva yekuzviisa pasi. Kuputsika kwemhasuru kunogadzira creatinine, saka yako tsandanyama uye huwandu hwezviitiko zvinogona kukanganisa huwandu muropa rako. Kuti anyatsoyera masero eropa creatinine, chiremba anotanga kuongorora zvinhu izvi zvakasiyana kuti atange hwaro, maererano naTaylor Graber, MD, anesthesiologist uye muvambi we ASAP IVs . Creatinine level kuongororwa kunotanga nekuwana huwandu hwevanhu kuti vaongorore kuti ndeapi 'akajairika mazinga' anofanira kunge ari, Dr. Graber anodaro. Izvi zvinoenderana nezera, dzinza, murume, uye saizi yemuviri. Kana aya maitiro achinge akajairwa, shanduko kubva padanho iri inogona kuratidza kusagadzikana kweitsvo.

Vanoona nezvehutano vanofarira kugara vakatarisa mamazinga e creatinine nekuda kwezvikonzero zvakasiyana. Kana iwe uine kana izvozvi uine chirwere cheitsvo, kukuvara kweitsvo, chirwere cheshuga, kana chimwe chirwere chinokanganisa itsvo dzako, kana uri kutora mushonga unogona kukanganisa itsvo dzako, wako mupi wezvehutano anogona kuraira yakajairwa creatinine chiyero chekutarisa rako renal basa. Nzira dzakajairika dzekuyedza ndedze ropa uye weti.

Kuongororwa kweropa

Creatinine iyo inouya kubva muropa rako inonzi serum creatinine, uye inogona kuyerwa nekupa kuongororwa kweropa. Kana itsvo ichinge yatadza kushanda, creatinine shoma inokwanisa kujekeswa, izvo zvinokonzeresa mwero wepamusoro we creatinine muropa, Dr. Graber anotsanangura. Kunyange muyedzo uyu usingatauri zvakananga kuti itsvo iri kushanda sei, inogona kuteverwa nekufamba kwenguva kwekuchinja. Vanopa hutano vanogona kushandisa izvi creatinine kuongorora ropa (pamwe nezvinhu zvakaita sezera, bonde, nhangemutange, nezvimwewo) kuverenga yako glomerular filtration rate (GFR), yakakosha pakuongorora itsvo kutadza kana chirwere cheitsvo chisingaperi.

Weti miedzo

Imwe nzira yakajairika yekuyedza mazinga e creatinine iri kuburikidza ne 24-awa weti kuunganidzwa . Nei maawa makumi maviri nemana? Kurovedza muviri, chikafu, uye hydration zvese zvinogona kukanganisa creatinine, saka nhanho dzako dzinogona kuchinja zuva rese. Naizvozvo, wako mupi wezvehutano anozoda akawanda weti sampuli ku Ongorora chako creatinine clearance zvinobudirira . Sezvaunogona kufungidzira, uyu muedzo unosanganisira kuunganidza weti yako yese pamusoro pemaawa makumi maviri nemana, wozoendesa kune wako wekuchengeta hutano. Zvichienderana nezvakabuda, wako mupi wezvehutano anogona kuona kuti itsvo dzako dziri kusefa sei creatinine muchikamu cheweti.

Vanoona nezvehutano vanozoraira bvunzo dzese kuti uwane kunyatso tarisa pane rako reitsvo nekuenzanisa yako inofungidzirwa GFR (eGFR) pamwe nehuwandu hweuhurine creatinine uripo. Kana chiremba wako achifungidzira chirwere cheitsvo kana kukuvara, iye anogona zvakare kuraira ropa urea nitrogen (BUN) bvunzo yekusimbisa kuongororwa kwavo. Chiyero ichi chinoyera huwandu hweurea nitrogen - imwe mhando yemarara inosvinwa neitsvo - mune yeropa sampuro.

Zvinorevei zvisina kujairika creatinine mazinga anoreva?

Saka, iwe wakaenda kuna chiremba, wakamboita bvunzo, uye mhedzisiro yacho iri mune: Iwe une yakakwira creatinine mazinga. Zvino chii? Nhanho yekutanga-usavhunduke. Yakakwidziridzwa creatinine hazvireve hazvo kuti itsvo dzako dziri mukutenderera kwakadzika. Chero chipi zvacho chiri kunze kweyakajairika renji (0.9 kusvika 1.3 mg pa decilita yevakuru varume uye 0.6 kusvika 1.1 mg pa decilita yevakadzi vakuru) zvinogona kukonzera mupi wezvehutano kuti aongorore mberi, asi hazviwanzo rondedzere njodzi.Zvinhu zvakawanda zvinogona kukanganisa mhedzisiro yako. Heano mashoma chete:

• Kuwedzera kurovedza muviri: Wanga uri pane kukodzera kurova? Mujimu mazuva ese? Iyi spike mukuparara kwemhasuru ichawedzera kugadzirwa kwe creatinine.
• Kuwedzera kweprotein kushandiswa Nyama dzakabikwa dzine creatinine, saka kana uri kudya nyama yehuku uye yekugocha husiku hwega hwega, waigona kuona mazinga epamusoro.
• Urinary turakiti kuvharika: Kana iwe usingakwanise kuita weti, muviri wako haugone kubvisa creatinine, saka mabwe eitsvo uye zvimwe zvinokanganisa weti zvichaitendera kuti igare muropa rako.
• Mimwe mishonga: Dzimwe nguva, zvinodhaka zvinogona kuva mhosva. Iyo inorwisa mabhakitiriya trimethoprim (tsvaga trimethoprim coupons | trimethoprim ruzivo) uyeCimetidine (tsvaga Cimetidine coupons | Cimetidine ruzivo), ulcer yemudumbu nemushonga wekurwadziwa pamoyo, inogona kudzivisa creatinine secretion . Dzimwe nguva, asiri-steroidal anti-anogumbura zvinodhaka (NSAIDs), senge ibuprofen, inogona zvakare kuve chikonzero.
• Kuwedzera kweropa: Zvidzidzo zvakare zvaratidza iyo hypertension, kutadza kwemoyo, uye mamwe mamiriro emwoyo anogona kukonzera kuwanda kwe creatinine.

Saizvozvowo, yakaderera creatinine haina kugara iine njodzi. Iyo inogona kuve mhedzisiro yeakaderera mhasuru mashoma (kana chirwere chetsandanyama senge muscular dystrophy), nhumbu, yakaderera-protein chikafu, kana zvimwe zvimiro zvechiropa.

Nhanho dze creatinine dzinogona kuchinja nekukurumidza?

Zvisikwa zveCreatinine zvinogona kuchinja nekukurumidza, kunyangwe mukati mezuva rese, ndosaka vatapi vezvehutano vachizvitarisa kwenguva yakareba. Imwe bvunzo yeropa iyo inodzosera yakakwira creatinine muropa inogona kunge iri kurwara. Nekudaro, bvunzo dzinoverengeka dzakateedzana dzinoratidza huwandu hwakakwira dzinogona kuratidza chirwere chisingaperi cheitsvo. Kamwe kamwe spike mumazita e creatinine inogona kunge iri chiratidzo cheyambiro yekukuvara kwetsvo kwakanyanya kana mamwe mamiriro, zvinoenderana nezviratidzo.

Ndeupi hukama pakati pegomarara uye creatinine mazinga?

Asina kujairika creatinine mazinga anogona zvakare kuratidza itsvo kana kenza yeprostate. Kunyangwe, yakakwira kana yakaderera creatinine pachayo hazvireve kuti une kenza.

Maitiro ekudzikisa creatinine mazinga

Maitiro emubatsiri wako wezvehutano anobata ako asina kujairika ezvisikwa mazinga zvinoenderana zvachose nechikonzero chinokonzera. Shanduko mumararamiro uye chikafu chingave chiri nyore uye chinoshanda kurapwa kwezviitiko zvidiki. Asi chirwere chisingaperi cheitsvo, kukuvara kweitsvo, kana kukundikana kweitsvo zvinoda maitiro akasimba. Mishonga yekudzora zviratidzo, dialysis, kana mumatambudziko akaipisisa, kuisirwa itsvo kunogona kudikanwa. Heano mashoma maitiro angangoita ekudzikisa mazinga e creatinine:

Zvekuita

• Ramba uine hydrated
• Deredza mapuroteni kudya
• Deredza basa rine simba (asi usateme kurovedza muviri zvachose!)
• Tora imwe fiber mukudya kwako (kunyanya kubva kumichero nemiriwo)

Chii chekudzivisa

• Gadzira zvigadzirwa kana zvimwe kugwinya kunowedzera
• Yakakwirira-sodium inogadzirwa chikafu
• Kusvuta
• Kunwisa doro

Natural mishonga

• Chitosan zvinowedzera vakaratidza hunhu hwakanaka pahutano hwetsvo
• Salvia mushonga wechiChinese yehosha yeitsvo
• Green tii kana herbal tii-yakanyanya kurumwa nettle, chamomile, ginseng, uye dandelion mudzi
• Sinamoni

Mishonga

Iko hakuna mishonga inonyatsoderedza huwandu hwe creatinine muropa rako. Kana chiremba akaona chirwere cheitsvo chiri kukonzeresa mwero we creatinine, iye anogona kupa mishonga yekuderedza zviratidzo. Mishonga yemishonga inosanganisira:

• Angiotensin-inoshandura enzyme (ACE) inhibitors senge Lotensin (benazepril) uye Capoten ( captopril ) ku dzikisa BP .
• Angiotensin II Receptor Blockers (ARBs) sengeEdarbi(azilsartan) uye Teveten (eprosartan) zvakare bata yakakwira BP uye inogona kudzikisira huwandu hwepuroteni mumurini rako.
• Erythropoiesis-inosimudzira vamiririri (ESAs) kubatsira kuwedzera yako tsvuku masero eropa kuverenga.
• Phosphate kana potassium binders kubatsira kubvisa yakawedzera phosphate uye potasium iyo itsvo dzako isingakwanise kusefa.

RELATED : Lotensin ruzivo | Captopril ruzivo

Edza iyo SingleCare dhisikaundi kadhi

Mukupedzisira, zano rakanakisa rekurapa rekugadzirisa itsvo basa kurarama hupenyu hwakagwinya. Dr. Graber vanoti: Kuderedza zvisina hutano chikafu chakakwira muzvigadzirwa zvakagadzirwa, kuwedzera michero uye kudya kwemuriwo, kurovedza muviri nguva dzose (maminetsi zana nemakumi mashanu ekudzikamisa-simba kana maminetsi makumi manomwe neshanu esimba rekusimbisa maekisesaizi pavhiki), kugara uine hydrated, nekuchengetedza huremu hwemuviri hutano hwakanaka (body mass index ye20 kusvika 25) zvinhu zvekutarisa pazviri nekufamba kwenguva kuti uve nechokwadi chekuti urikupa muviri maturusi aanoda kuti ubudirire.