Lub raum tsis ua haujlwm hauv miv

Lub raum tsis ua haujlwm yog dab tsi

Cov kab mob raum ntev (CKD (lub npe qub - mob raum tsis ua haujlwm, CRF) yog ib qho kab mob qeeb zuj zus, nrog rau cov txheej txheem thiab / lossis kev ua haujlwm tsis zoo hauv lub raum.

Nws pom feem ntau hauv miv thaum muaj hnub nyoog 5-15 xyoo, tsis muaj kev yug los yog poj niam txiv neej predisposition.

Ua rau

Predisposing yam rau txoj kev loj hlob ntawm CKD yog:

• Yav dhau los mob raum raug mob (tshuaj lom, mob urinary tuav, thiab lwm yam)
• Congenital pathologies ntawm lub raum
• Kev puas tsuaj rau lub raum
• Lwm yam kab mob ntawm cov urinary system (cystitis, urolithiasis, kab mob)
• Genetic pathologies, piv txwv li, polycystic raum kab mob ntawm Persian, kab txawv, Abyssinian miv thiab lawv cov mestizos
• Cov kab mob oncological
• Cov kab mob sib kis, xws li kab mob leukemia thiab kev tiv thaiv kab mob
• Mob lom. Piv txwv li, tsis tu ncua noj tshuaj lom houseplants
• Kev siv cov tshuaj nephrotoxic mus ntev
• rog
• Mob ntshav qab zib
• Kev noj zaub mov tsis zoo, noj zaub mov tsis zoo lossis zaub mov tsis zoo, pub zaub mov los ntawm koj lub rooj
• Kev siv dej tsawg 
• Muaj hnub nyoog tshaj 7 xyoo

Cov tsos mob thiab teeb meem

Cov tsos mob ntawm lub raum tsis ua haujlwm, tshwj xeeb tshaj yog nyob rau theem pib tsis meej, tuaj yeem ua kom zoo. Lwm yam kab mob kuj tuaj yeem tshwm sim nrog daim duab kho mob zoo sib xws. Lub raum tsis ua haujlwm tsis yog ib qho txheej txheem ib hnub; Cov tsos mob tshwm sim ntawm malaise tuaj yeem tshwm sim thaum ntau dua 75% ntawm lub raum cov ntaub so ntswg twb puas lawm. Tias yog vim li cas tus tswv yuav tsum ua tib zoo saib xyuas kev noj qab haus huv ntawm nws tus miv thiab sab laj nrog kws kho mob raws sijhawm.

Cov cim qhia ntawm lub raum tsis ua haujlwm hauv miv muaj xws li:

• Cov qab los noj mov tsis zoo, uas tuaj yeem ua yuam kev rau cov kab mob plab lossis kev noj zaub mov
• Kev siv dej ntau ntxiv
• Kev tso zis ntau zaus thiab qee zaum tsis zoo
• Cov zis yuav luag tsis muaj xim, ntshiab, pos huab, los yog ntshav.
• ntuav, tsis zoo, qaub ncaug lossis khoom noj, ob peb zaug hauv ib hnub
• Wool deterioration, frizziness, greasy los yog dryness
• Edema
• Kev nyuaj siab lub xeev, tsis muaj zog tshuaj tiv thaiv rau stimuli
• Poob poob, qaug zog
• Tsis kaj siab tsw los ntawm lub qhov ncauj, feem ntau ammonia
• Cov kab mob nyob rau hauv lub qhov ncauj kab noj hniav, stomatitis, qhuav mucous daim nyias nyias
• cem quav

Los ntawm qhov xwm txheej, lub raum tsis ua haujlwm yog mob (ARF) thiab mob ntev (CRF). 

• Daim ntawv mob loj hlob sai, tag nrho cov cim tshwm sim nyob rau hauv ib lub sij hawm luv luv.
• Daim ntawv mob ntev zuj zus thiab nws qhov kev phom sij yog nyob rau hauv qhov tseeb tias thaum ntxov, thaum tus tsiaj tseem tuaj yeem pab tau, tsis muaj cov tsos mob ntawm tus kab mob. Lawv tshwm sim tsuas yog thaum ntau tshaj 2/3 ntawm lub raum puas lawm.

diagnostics

Nws tsis tuaj yeem ua qhov kev kuaj mob raws li ib qho kev kuaj mob lossis ntau yam tsos mob. Yog li ntawd, koj yuav tsum tau npaj los ua ntau txoj kev tshawb fawb:

• Biochemical thiab kev kuaj ntshav dav dav. Qhov tseem ceeb tshaj plaws yog cov txiaj ntsig ntawm urea, creatinine, phosphorus, qe ntshav liab, hemoglobin thiab hematocrit.
• Panoramic ultrasound ntawm lub plab kab noj hniav. Nws ua rau pom kev pom tsuas yog zais zis thiab ob lub raum nkaus xwb nyob rau hauv dynamics. Thaum kuaj thawj zaug, nws yog ib qho tsim nyog los txheeb xyuas cov kev hloov pauv hauv txhua lub cev, vim tias tus miv yuav muaj cov kab mob sib xyaw ua ke.
• Kev kuaj zis dav dav tso cai rau koj los ntsuas seb qhov kev lim dej ntawm lub raum ua haujlwm zoo npaum li cas, seb puas muaj cov tsos mob ntawm o, urolithiasis.
• Protein / creatinine piv pab txhawm rau txheeb xyuas lub raum tsis ua haujlwm thaum ntxov
• Kev ntsuas siab. Lub raum tsis ua haujlwm ntev mus ua ke nrog arterial hypertension. Yog hais tias lub siab yog siab, ces nws yuav tsum tau txo nws nrog tshuaj nyob rau hauv tas li ntawd. Rau txoj kev tshawb no, veterinary tonometer rau tsiaj yog siv.

Kev kuaj mob ntawm CKD tsis tuaj yeem ua rau qhov nce ntawm qhov ntsuas tsuas yog ib qho, tag nrho cov duab raug ntsuas tag nrho. Tus kab mob muaj 4 theem. Lawv raug faib raws li kev cai, raws li qib ntawm creatinine hauv cov ntshav:

Qib 1 - creatinine tsawg dua 140 μmol / l

Qib 2 - creatinine 140-250 μmol / l

Qib 3 - creatinine 251-440 μmol / l

Qib 4 - creatinine ntau dua 440 μmol / l

Kev kho mob 

Nws yog tsim nyog sau cia tias nws tsis tuaj yeem kho tus miv ntawm lub raum tsis ua haujlwm tag nrho. Nws tsuas yog ua tau kom ncua lossis qeeb ntawm cov txheej txheem. Nyob rau theem 1-2, qhov kev cia siab yog qhov zoo, ntawm 3 - ceev faj, theem 4 yog qhov kawg, lub cev tsuas tuaj yeem txhawb nqa.

Lub tswv yim ntawm kev kho mob yog nyob ntawm daim duab kho mob, tus mob ntawm tus miv, thiab muaj cov kab mob sib kis.

Tus kws kho tsiaj tuaj yeem sau ntawv:

• Kev noj zaub mov zoo yog qhov tseem ceeb heev. Nws yog tsis yooj yim sua kom pub tsuas yog nqaij los yog khoom noj khoom haus hauv chav kawm. Kev noj zaub mov tshwj xeeb uas tsis muaj phosphorus thiab protein yog xav tau. Kev noj zaub mov rau cov kab mob raum muaj nyob ntawm ntau lub tuam txhab khoom noj tsiaj, thiab koj tuaj yeem nrhiav tau ob qho tib si qhuav thiab ntub cov khoom noj uas sau rau lub raum uas koj tus kws kho tsiaj yuav sau ntawv. 
• Tshuaj tua kab mob
• Absorbents rau tshem tawm intoxication (piv txwv li, Enterosgel)
• Tshuaj kom txo cov ntshav siab
• Cov tshuaj uas muaj cov poov tshuaj 
• Txhawm rau txo qis phosphorus thiab urea, cov khoom noj khoom haus tau siv, piv txwv li Ipakitine.
• Txhawm rau rov ua kom cov dej sib npaug, ib chav kawm ntawm cov tee dej tau raug sau tseg, thiab yav tom ntej nws yog qhov tsim nyog los tswj tus miv cov dej kom tsawg.

Kev ua tau zoo ntawm kev kho mob thiab kev kwv yees tuaj yeem ntsuas tau los ntawm kev sim rov ua dua thiab kev tshawb fawb, nrog rau raws li qhov xwm txheej ntawm tus miv.

Yog tias tus tsiaj yog 4, ESRD thiab tsis txhim kho nyob rau hauv ib lub lim tiam ntawm kev pib kho mob hnyav, ces tib neeg euthanasia yuav tsum xav txog.

Kev tiv thaiv

Kev tiv thaiv lub raum tsis ua haujlwm hauv miv feem ntau yog kev noj zaub mov zoo, sib npaug. Xyuas kom koj tus tsiaj nkag mus rau cov dej tshiab. Yog tias tus miv tsis haus dej ntau, ces ib feem ntawm cov khoom noj yuav tsum yog nyob rau hauv daim ntawv ntawm cov khoom noj ntub dej.

Nws yog ib qho tsim nyog los tiv thaiv kev raug mob thiab tshuaj lom: tsis txhob cia tus tsiaj mus rau nws tus kheej, khaws cov tshuaj hauv tsev, tshuaj lom, tshuaj thiab cov nroj tsuag hauv tsev txaus ntshai tawm ntawm qhov ncav cuag ntawm tus miv.

Tsis tas li, tus tswv yuav tsum tsis tu ncua kev kuaj mob ntawm tus miv ntawm nruab nrab thiab laus dua thiab saib xyuas qhov hnyav ntawm tus miv.