Kulephera kwa impso kumatanthauza kuti impso (s) za mphaka sizikugwiranso ntchito bwino ndipo sizithanso kugwira ntchito zake. Ndikofunikira kudziwa kusiyanitsa pachimake aimpso kulephera ndi aakulu aimpso kulephera. Mulimonsemo, ngati muli ndi kukayikira pang'ono za thanzi la mphaka wanu, musazengereze kukaonana ndi veterinarian wanu.

Kuti mumvetsetse chomwe kulephera kwa impso ndikofunika, ndikofunikira kukumbukira momwe impso zimagwirira ntchito. Ntchito yaikulu yomalizayi ndi kusefa magazi a thupi kuti apange mkodzo (womwe uli ndi magazi otaya magazi) koma koposa zonse kusunga magazi okhazikika. Komanso amalola synthesis ena mahomoni. Nephron ndi gawo logwira ntchito la impso. Impso iliyonse ili ndi masauzande angapo ndipo ndizomwe zimatsimikizira ntchito ya kusefera. Kukachitika kuti aimpso yalephera, kusefera sikuchitikanso moyenera chifukwa ma nephron ena amawonongeka. Popeza sizigwira ntchito zonse, kusefera kumakhala kocheperako.

Amphaka, kulephera kwaimpso koopsa (AKI) nthawi zambiri kumakhala kosinthika ndipo kumachitika mwachangu, mosiyana ndi kulephera kwaimpso kwanthawi yayitali (CKD) komwe kumayamba pang'onopang'ono ndipo sikusinthika.

Zifukwa zambiri zimatha kukhala chiyambi cha ARI monga kukha magazi, kumeza zinthu zapoizoni (mwachitsanzo chomera) kapena cholepheretsa kutuluka kwa mkodzo. Titha kuwona kuukira kwadzidzidzi kwa mphaka (kusanza, kutsekula m'mimba, kutaya madzi m'thupi kapena kunjenjemera kutengera zomwe zidayambitsa) kapena ngakhale kuvutikira kukodza.

Ndikofunika kukumbukira kuti ARI ikhoza kuyimira ngozi, choncho muyenera kupita ndi mphaka wanu kwa vet kuti mukalandire chithandizo.

Kulephera kwaimpso kumatanthauza kuti impso zimawonongeka pang'onopang'ono ndikuwonongeka kosasinthika kwa miyezi itatu. 

Zizindikiro zingapo zochenjeza ziyenera kukupangitsani kuganiza zokawonana ndi veterinarian wanu makamaka izi:

• Polyuropolydipsia: mphaka amakodza kwambiri komanso kumwa madzi ambiri. Ndichizindikiro choyamba cha kuyitana kuti mudziwe momwe mungazindikire. Zowonadi, ma nephrons akawonongeka, ntchito inayo iyenera kuwonetsetsa kuti kusefa kwakukulu kumawonjezera kuchuluka kwa mkodzo. Kuphatikiza apo, impso sizingathenso kuyang'ana mkodzo womwe umasungunuka (mkodzo wonyezimira kwambiri). Kubwezera kutayika kwa madzi mumkodzo, mphaka amamwa kwambiri. Komabe, izi ndizovuta kuwona amphaka, makamaka omwe amakhala panja.

Zizindikiro zotsatirazi zimawonekera pakapita nthawi pamene impso zawonongeka kwambiri:

• Kuchepetsa thupi;
• Kutaya njala;
• Chovala chakuda;
• zotheka kusanza;
• Kutaya madzi m'thupi.

matenda

Veterinarian wanu adzafufuza bwinobwino chiweto chanu ndi mayeso owonjezera (kuyezetsa magazi kuti awonedwe, palpation ya impso, kuyesa mkodzo, kujambula, ndi zina zotero) kuti atsimikizire kapena ayi kulephera kwaimpso ndi kudziwa chomwe chimayambitsa. Malingana ndi kuwonongeka kwa impso ndi zotsatira za kuwunika, gulu la IRIS (International Renal Interest Society) linakhazikitsidwa kuti lipereke chithandizo chachipatala kwa mphaka. Zowonadi, kuyezetsa magazi kumathandizira kudziwa momwe kusefera kwa impso kumagwirira ntchito, makamaka chifukwa cha milingo ya creatinine, urea ndi SDMA (Symmetric DiMethyl Arginine, amino acid) yomwe ilipo m'magazi. Zinthuzi ndi zinyalala zomwe zimatuluka mumkodzo. Mwamsanga pamene kusefera sikulinso kolondola, iwo adzaunjikana m'magazi. Kuchulukira kwawo kumapangitsa kuti kusefedwa koipitsitsa kotero kuti kuwononge impso.

Chifukwa chake, amphaka, pali magawo 4 awa a IRIS:

• Gawo 1: mlingo wachibadwa wa creatinine, palibe zizindikiro, mlingo wa SDMA ukhoza kukhala wapamwamba pang'ono;
• Gawo 2: mulingo wa creatinine wabwinobwino kapena wokwera pang'ono kuposa momwe zimakhalira, kupezeka kwazizindikiro zofatsa, kuchuluka pang'ono kwa SDMA;
• Gawo 3: milingo ya creatinine ndi SDMA yapamwamba kuposa yanthawi zonse, kukhalapo kwa zizindikiro za aimpso (polyuropolydipsia) ndi zonse (kusowa kwa njala, kusanza, kuchepa thupi, etc.);
• Gawo 4: kuchuluka kwambiri kwa creatinine ndi SDMA, mphaka ali m'gawo la CRF ndipo amawononga kwambiri thanzi lake.

Ndikofunika kukumbukira kuti pamene siteji yapita patsogolo, matendawa amasauka kwambiri. Kawirikawiri, zizindikiro sizimawonekera mpaka mochedwa, pamene impso imakhala yofooka kwambiri, chifukwa kumayambiriro kwa impso zimatha kubwezera kutayika kwapang'onopang'ono kwa nephrons.

Chithandizo chamankhwala chokhazikitsidwa chidzadalira pa siteji ya mphaka komanso zizindikiro zomwe zimapereka. Pazovuta kwambiri, makamaka pakutha kwa madzi m'thupi, kugona m'chipatala kungakhale kofunikira.

Chithandizo chachikulu ndikusintha kwa zakudya. Choncho ndikofunikira kusinthana ndi zakudya zochiritsira zomwe zimapangidwira amphaka omwe ali ndi vuto la aimpso posintha pang'onopang'ono zakudya. Zoonadi, zakudya zimenezi zidzam’thandiza kusunga impso zake ndi kuonjezera nthawi ya moyo wake. Kuonjezera apo, ndikofunikira nthawi zonse kupatsa mphaka madzi abwino komanso opanda malire. Kuletsedwa kwa madzi kungayambitse kutaya madzi m'thupi.

Ndikofunika kukumbukira kuti zaka za mphaka ndizofunika kuziganizira. Izi zili choncho chifukwa impso za amphaka sizigwira ntchito bwino ndi ukalamba, motero zimakhala zovuta kudwala matenda a impso. Mizere yazakudya tsopano ilipo kuti ithandizire kugwira ntchito kwa impso za amphaka akulu ndikuletsa kulephera kwawo. Musazengereze kukambirana ndi veterinarian wanu.

Mitundu ina imakondanso kudwala matenda a impso, makamaka matenda a polycystic kapena amyloidosis omwe ali m'gulu la zomwe zimayambitsa CRF.

Kuphatikiza apo, kukambirana pafupipafupi kwa amphaka akuluakulu ndi dokotala wanu wanyama kumalimbikitsidwa chaka chilichonse kapena miyezi isanu ndi umodzi iliyonse kuyambira zaka 6/7. Zowonadi, veterinarian wanu adzatha kuyesa kwathunthu kuti aone ngati impso zikugwira ntchito bwino ndikuyika chithandizo ngati chiyambi cha kulephera chadziwika.