Kuyini ukuhlolwa kwe-Urea?

Imiphumela iyahlukahluka ngokuya ngeminyaka kanye nesimo sempilo esijwayelekile sabantu. Ngokuvamile, inani elijwayelekile liphakathi kuka-6 no-24 mg/dl. 

Amazinga aphezulu abonisa ukungasebenzi kahle kwezinso. Kodwa-ke, amazinga aphezulu angase abangelwe ukuphelelwa amanzi emzimbeni, ukutheleleka komgudu womchamo, ukuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo okuvalekile, njll.

Ukuhlolwa kwe-urea kuhlola ukusebenza nokusebenza kahle kwezinso. Odokotela batusa lokhu kuhlolwa uma kunezifo zezinso ezisolwayo, ikakhulukazi ezimweni ezingamahlalakhona ezifana nesifo sikashukela, umfutho wegazi ophakeme, njll. 

Ukuhlolwa kusiza futhi ekuxilongeni izimpawu ezifana nokutheleleka komgudu womchamo, izinkinga zesisu, izifo zenhliziyo, njll.

Ukuhlolwa kuvame ukuba inqubo ehlaselayo lapho ochwepheshe beqoqa khona amasampula egazi emithanjeni esezingalweni. Badlulisela igazi emapayipini nasemabhodleleni bese bewathumela emalabhorethri aqokiwe ukuze ahlolwe kabanzi. 

Akudingeki wenze noma yikuphi ukulungiselela okuqondile ngaphambi kokuhlolwa. Kodwa-ke, ukuzila ukudla ngaphambi kokuhlolwa kuyalulekwa uma udokotela ekunika ezinye izivivinyo kanye nokuhlolwa kwe-urea.

Izimpawu ezivame kakhulu zokuqukethwe okuphezulu kwe-urea noma i-uremia yilezi ezilandelayo:

• Ukungasebenzi kahle kwengqondo
• Ukulahlekelwa kwesifiso
• Ukuphefumula okwandayo ngenxa yokugcina uketshezi
• I-nausea nokuhlanza
• Ukulahlekelwa kwesisindo esingachaziwe
• Ukukhathala nokulunywa nakho kubalulekile

Ezimweni ezimbi kakhulu, iziguli zingase zizwakale zinephunga elifana nele-uremic fetor (iphunga elifana nelomchamo) emlonyeni noma emlonyeni lapho uzizwa ukunambitheka kwensimbi.

Izinga eliphezulu le-urea egazini noma e-uremia libonisa amathuba okuphazamiseka kwezinso uma kungelashwa. Amacala amakhulu e-uremia angaholela ekulahlekelweni yingqondo, ukwanda kwezingozi zokuhlaselwa yinhliziyo, ukukhathala, njll. Ukufakelwa izinso kungalimaza nezinye izitho futhi ekugcineni kuholele ekuhlulekeni kwesibindi noma kwenhliziyo.

Izinga elijwayelekile le-urea egazini lingu-6 kuya ku-24 mg/dl. Izinga le-creatinine lisukela ku-0.9 kuya ku-1.3 mg/dl kwabesilisa kanye no-0.6 kuya ku-1.1 mg/dl kwabesifazane abaneminyaka ephakathi kuka-18 kuya ku-60 ubudala. Amazinga e-urea noma e-creatinine avame ukwanda ngokweminyaka kanye nesimo sempilo yomuntu ngamunye.

Ukuhlolwa kokuphefumula kwe-urea kuthola Helicobacter pylori amagciwane futhi kunquma ukuba khona kanye nobukhali bokutheleleka ohlelweni. Ibanga elingalingani elingu-≥ 40U/ml lihle (okungukuthi, ukuba khona H. pylori). Kodwa-ke, ububanzi obungu-30.01-39.99 U/ml buchazwa njengobungebuhle, okungukuthi, ukungabikho kwe H. pylori.

Izimpawu ezivelele ezibonisa izinkinga zezinso yilezi ezilandelayo:

• Ukukhathala okukhulu nokukhathala
• Ukulala okuphazamisekile
• Ukwanda kwesifiso sokuchama
• Isikhumba esibuhlungu nesilumayo
• Ukuba khona kwegazi emchameni noma emchameni onegwebu
• Ukuntuleka kwesifiso sokudla kanye nokuqaqamba kwemisipha

Ngaphandle kwezimpawu zomtholampilo ezishiwo ngenhla, isimo sempilo sabantu kanye nezici zabantu ezifana nobudala, ubulili, kanye nendlela yokuphila iyonke nakho kuthinta ukusebenza kwezinso ngezinga elikhulu.

Ukuphuza amanzi kusiza ekususeni imfucuza egazini ngendlela yomchamo. Kuphinde kugcine imithambo yegazi ivulekile futhi ivulekile, kungene ukugeleza kwegazi okukhululekile ezinso. Lesi sici sisiza nasekusabalalisweni kwezakhamzimba ezibalulekile ohlelweni lonke. 

Abesifazane kufanele baphuze izingilazi zamanzi eziyisishiyagalombili ezingama-200 ml ngosuku, kanti amadoda kufanele aphuze amanzi ayi-200 ml ngosuku ukuze izinso zisebenze kahle.