Azotemia

Zoo Siab

• Txheej txheem cej luam
• Cov hom
• Prerenal
• Intrinsic
• Mob ntsws
• Cov tsos mob
• Ua rau
• Yuav kho nws li cas?
• Teeb meem thiab thaum yuav tau mus ntsib kws kho mob
• Outlook

Txheej txheem cej luam

Azotemia yog ib qho mob uas tshwm sim thaum koj ob lub raum tau mob los ntawm kab mob lossis raug mob. Koj tau txais nws thaum koj ob lub raum tsis tuaj yeem tshem tawm cov nitrogen tsis txaus.

Azotemia feem ntau yog kuaj tau los ntawm kev siv zis thiab kuaj ntshav. Cov kev kuaj no yuav kuaj koj cov ntshav urea nitrogen (BUN) thiab qib creatinine.

Cov hom

Muaj peb hom mob azotemia:

• prerenal
• intrinsic
• ntshav siab

Prerenal

Prerenal azotemia tshwm sim thaum kua tsis ntws txaus los ntawm ob lub raum. Qhov dej ntws tsawg no ua rau muaj kev xav ntau ntawm cov ntshav creatinine thiab urea. Qhov mob azotemia no muaj ntau tshaj plaws thiab feem ntau tuaj yeem hloov rov qab.

Intrinsic

Intrinsic azotemia feem ntau tshwm sim los ntawm kev kis mob, sepsis, lossis kab mob. Qhov ua rau muaj mob ntshav qab zib ntau yog mob leeg ntshav neular necrosis.

Mob ntsws

Mob txeeb zig ua rau mob txeeb zig postrenal azotemia. Postrenal azotemia tuaj yeem tshwm sim nrog prerenal azotemia.

Cov hom mob azotemia no yuav muaj qee qhov kev kho mob sib txawv, ua rau, thiab ua kom tshwm sim. Txawm li cas los xij, lawv txhua tus tuaj yeem ua rau mob raum raug mob thiab tsis ua haujlwm yog tias nws tseem tsis kho lossis yog tias nws tsis pom ntxov.

Cov tsos mob

Azotemia thiab uremia yog ob qho kev sib txawv ntawm lub raum mob.

Azotemia yog thaum muaj nitrogen nyob rau hauv koj cov ntshav. Uremia tshwm sim thaum twg muaj urea hauv koj cov ntshav. Txawm li cas los xij, lawv muaj ob qho cuam tshuam rau lub raum mob lossis raug mob.

Ntau lub sijhawm, koj yuav tsis pom ib qho tsos mob ntawm qee yam tsis zoo nrog rau koj lub raum, suav nrog azotemia, mus txog theem lig. Qeb no qeeb feem ntau yog thaum lub raum tsis ua haujlwm tau pib.

Cov tsos mob ntawm azotemia yuav muaj:

• mob raum tsis ua hauj lwm (yog azotemia tseem muaj kev vam meej dhau ncua sij hawm lossis ntau hnub)
• mob raum
• poob ntawm lub zog
• tsis xav koom nrog koj cov haujlwm li ib txwm
• tsis qab los noj mov
• kua ceev rov qab muaj
• xeev siab thiab ntuav

Xeev siab thiab ntuav yog lub cim qhia tias tus kab mob tau mob loj zuj zus.

Ua rau

Thawj qhov ua rau ntawm azotemia yog qhov poob ntawm lub raum ua haujlwm. Txawm li cas los xij, ntau hom azotemia, uas tuaj yeem tshwm sim los ntawm lossis yog ib feem ntawm lub raum tsis ua haujlwm, muaj ntau qhov ua rau:

• thaum cov kua dej ntws tawm hauv lub raum tsis txaus kom tshem cov nitrogen (prerenal azotemia)
• thaum lub qhov zis tso zis txhaws los ntawm ib yam dab tsi lossis los ntawm kev txhaws (postrenal azotemia)
• kis mob los yog kab mob (intrinsic azotemia)
• lub plawv tsis ua hauj lwm
• mob ntshav qab zib
• qee cov tshuaj noj, tshwj xeeb yog tshuaj nephrotoxic thiab muaj koob tshuaj steroids ntau heev
• hnub nyoog siab heev
• keeb kwm ntawm lub raum nyuaj
• raug tshav kub
• kub nyhiab heev
• lub cev qhuav dej
• txo qis ntshav ntim
• qee cov kev phais
• ib qho kev raug mob rau lub raum

Kev kho mob qog ntshav kuj tseem tuaj yeem ua rau azotemia. Kev siv tshuaj kho mob muaj zog heev thiab tuaj yeem ua rau koj ob lub raum. Lawv kuj tseem tuaj yeem ua kom muaj ntau ntawm cov khoom noj khoom haus nitrogen los ntawm cov khoom tsim tawm los tso tawm los ntawm cov qog nqaij hlav cancer tuag.

Koj tus kws kho mob yuav soj ntsuam koj lub raum thiab ammonia qib nrog kev soj ntsuam tas li. Yog tias xav tau, koj tus kws kho mob tuaj yeem hloov kho lossis sim siv tshuaj sib txawv yog tias koj lub raum cuam tshuam.

Yuav kho nws li cas?

Kev kho mob ntawm azotemia nyob ntawm yam, ua rau, thiab dab tsi theem ntawm nws muaj. Nrog rau qhov no hauv siab, qee qhov kev kho mob tuaj yeem suav nrog:

• lim ntshav (rau cov theem qeeb, thiab tej zaum tsuas yog ib ntus)
• kev yug menyuam hauv rooj plaub thaum cev xeeb tub
• kev kho thaum ntxov ntawm postrenal azotemia
• kho mob ntawm lub qab mob lossis kab mob
• Tso dej ua kua
• tshuaj noj
• hloov pauv koj txoj kev noj

Teeb meem thiab thaum yuav tau mus ntsib kws kho mob

Cov muaj mob raum lossis lwm yam mob raum tuaj yeem txhim kho prerenal azotemia. Lwm yam teeb meem yuav muaj xws li:

• mob tubular necrosis mob (Thaum cov nqaij hauv lub cev pib tuag)
• mob raum tsis ua hauj lwm
• poob cev xeeb tub
• tau tuag

Prerenal azotemia hauv cev xeeb tub tuaj yeem ua rau mob raum mob thiab cuam tshuam rau kev noj qab haus huv ntawm tus menyuam thiab leej niam.

Yog tias koj cev xeeb tub thiab muaj keeb kwm mob raum, koj yuav tsum qhia koj tus kws kho mob paub. Koj yuav xav kuaj koj ob lub raum ua haujlwm tsis tu ncua thoob plaws thaum koj lub cev xeeb tub.

Yog tias koj muaj cov tsos mob ntawm lub raum lossis raug mob, koj yuav tsum mus ntsib kws kho mob tam sim ntawd lossis hu rau 911.

Nws yog ib qho tseem ceeb uas koj teem caij mus ntsib nrog koj tus kws kho mob. Thaum mus kuaj mob no, koj tus kws kho mob yuav kuaj ntshav thiab tso zis kuaj ntshav tsis tu ncua. Cov kev kuaj no yuav pab lawv nrhiav teeb meem rau koj ob lub raum thaum ntxov, ua ntej muaj cov tsos mob sab nraud pom.

Outlook

Yog tias pom thaum ntxov, muaj ntau yam azotemia tuaj yeem kho tau thiab tswj tau. Txawm li cas los xij, lwm yam kev mob thiab cev xeeb tub tuaj yeem ua rau kev kho mob nyuaj.

Ntau tus neeg mob azotemia muaj qhov tshwm sim zoo.

Lwm yam mob, lwm yam mob, thiab mob raum lossis raug mob rau cov qib yuav ua rau lim ntshav tsis tu ncua. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias azotemia uas tsis tau kho lossis muaj qhov teebmeem hnyav tuaj yeem ua rau tuag tau. Vim li no, nws tseem ceeb kom mus ntsib koj tus kws kho mob tsis tu ncua.