Lub raum tsis ua haujlwm yog lub raum tsis ua haujlwm tsawg kawg 3 lub hlis. Qhov laj thawj tseem ceeb ntawm tus kab mob no yog kev tuag ntawm nephrons thiab tsub zuj zuj ntawm co toxins xws li urea, creatinine thiab uric acid. Ua ntej, cia saib qhov ua rau, thiab tom qab ntawd cov theem ntawm CRF.
1. Chronic glomerulonephritis, pyelonephritis. Y
2. Lub raum puas los ntawm ntshav qab zib, ntshav siab, kab mob siab B thiab C, gout, lossis malaria.
3. Cov tshuaj tiv thaiv thiab tshuaj lom.
4. Teeb meem zais zis.
Tam sim no cia peb saib cov theem ntawm CRF.
Muaj ntau qhov kev faib tawm ntawm tus kab mob no, tab sis peb yuav txiav txim siab tsuas yog ib qho ntawm lawv, raws li Lopatkin.
Cov theem hauv qab no ntawm lub raum tsis ua haujlwm yog qhov txawv ntawm creatinine (ntau dua, los ntawm nws cov ntsiab lus hauv cov ntshav):
- 1 theem hu ua latent. Creatinine tsis ntau tshaj li ib txwm: 1.6 mg / dl ntawm tus nqi ntawm 1.2. CRF (theem 1) ua tiav yam tsis muaj tsos mob. Qhov no txo cov synthesis ntawm ammonia, lub osmolarity ntawm cov zis. Raws li rau lub renogram, nws hloov insignificantly. Feem ntau, kuaj pom tus kab mob los ntawm lub caij nyoog thaum kuaj.
- 2-Ib theem yog hu ua polyuric lossistau nyiaj pab. Creatinine yog 2.7 mg / dL. Kev them nyiaj yug tshwm sim vim lub siab thiab lwm yam kabmob. Nyob rau theem no, cov tsos mob twb tshwm sim: tsis muaj zog, tshwj xeeb tshaj yog thaum sawv ntxov, nqhis dej thiab me ntsis hauv lub cev kub. Lub renogram yog tiaj.
- 2-B theem hu ua intermittent. Ntshav creatinine twb tau nce ntxiv - 4.5 mg / dL. Cov zis nce ntxiv thiab nws cov pH yog alkaline. Raws li rau urea, nws nce 2 zaug. Cov calcium thiab potassium txo qis. Cov tsos mob ntawm cov theem no yog raws li nram no: qaug zog, impaired reflexes, nqaij twitches thiab convulsions tshwm sim, qhuav ntawm daim tawv nqaij, loj anemia thiab arterial hypertension. Tsis tas li, tus neeg uas muaj theem 2-B CRF hnov mob, qee zaum txawm ntuav, nws raug mob anorexia, cem quav, hiccups thiab tsam plab.
- 3 theem hu ua terminal. Nws yog tus cwj pwm los ntawm kev pw tsaug zog cuam tshuam, lub siab lub ntsws, daim tawv nqaij pib khaus, convulsions yog qhia meej. Ntxiv creatinine, urea thiab residual nitrogen ntau ntxiv.
txo qis glomerular pom thiab osmolarity. Cov theem tom ntej ntawm CRF yog qhov nyuaj thiab tshaj tawm.
Peb tau teev cov theem ntawm CRF raws li Lopatkin. Raws li koj tuaj yeem pom, nrog rau txhua theem, qhov mob hnyav zuj zus, yog li koj yuav tsum mus ntsib kws kho mob thawj zaug. Tam sim no cia saib dab tsi yuav tsum tau ua ntawm txhua theem ntawm CRF:
- Thawj theem. Kev kho mob yog raws li nram no: lawv nres lub exacerbation ntawm inflammatory dab nyob rau hauv lub raum. Li nolub raum tsis ua hauj lwm txo.
- theem thib ob. Ntxiv nrog rau kev kho mob tau piav qhia saum toj no, tus nqi ntawm kev mob raum tsis ua haujlwm raug ntsuas. Tus neeg mob tau sau cov tshuaj feem ntau ntawm cov hauv paus chiv keeb kom qeeb tus nqi.
- Thib peb. Siv tib txoj kev kho mob raws li nyob rau hauv theem 2, thiab kuj kho arterial hypertension, anemia thiab lwm yam teeb meem. Nrog kev ua txhaum loj loj, tus neeg mob tau hloov lub raum.
Txhua theem ntawm CRF suav nrog kev txwv zaub mov. Yeej, tus neeg mob tau txais kev noj zaub mov tsis muaj protein ntau nrog cov tsiaj protein tsawg, phosphorus thiab sodium. Sim saib xyuas koj txoj kev noj qab haus huv, vim tias yog tias koj kuaj pom CRF nyob rau lub sijhawm, koj yuav tuaj yeem rov qab los nyob rau lub sijhawm luv thiab hnov zoo.
