Oliguria - nayo ... Inokonzera, zviratidzo uye mabatiro oliguria

Oliguria - chimiro umo akaderedza weti kurimwa mumuviri. Pane zvimwe zvikonzero kuti chiitiko ichi, kusanganisira kuzvimba itsvo, utachiona, mushonga, rwakakwana mvura yaunodya, adrenal estrés uye nevamwe. Nyaya ino inokurukura nyaya dzakadai zvinokonzera chirwere "oliguria", zviratidzo, pakurapa chirwere, nzira nechirwere. Akapawo vamwe pevairwara mishonga kurapwa chirwere ichi.

Chii oliguria

The nyonganyonga kunoitika apo muviri zvikuru akaderedza uwandu weti anobudiswa. Ndozvakajairwa nokuti renal vaiona weti Vhoriyamu 1,5 fő pazuva. Apo chirwere mufananidzo uyu airarama 300-500 Rine mamiririta zvichidzika. Vanachiremba regai kubata oliguria somunhu rakasiyana chirwere, zvine divi rehurumende semhinduro zvimwe zvinetso zvoutano. Izvo zvingaita kuti kukura chirwere? Verenga nezvazvo pamusoro.

Oliguria: Zvinokonzera

Huru zvinokonzera zvirwere. Oliguria - mamiriro umo muviri unobereka zvishoma weti. mugumisiro Izvi zvingava kusava Urume yaunodya, kukuvara itsvo, izvo kutadza kushanda zvakanaka uye kubereka weti. Zvikuru zvakasiyana-siyana kuti chirwise kukura chirwere "oliguria". Zvikonzero zvingava kupera muviri, mwoyo chirwere (mwoyo kukundikana, kuparara zvemwoyo ezvinhu, aizivikanwawo hypovolemic kuvhunduka). Low kwevari uwandu hwemvura kunotungamirira chokuti iri itsvo rapera, uwandu weti kunodzima.

Chirwere, glomerulonephritis

Oliguria - a zvokurwara, iro rinogona kukonzerwa nevamwe zvinokonzerwa noutachiona rwarisa, zvakadai sekorera, zvichitungamirira kupera mvura mumuviri nokuda kukurasikirwa Urume uye electrolytes, kukura simba, hypotension, nyota kwazvo, tsandanyama chinyamunhari chinorwadza, chenjera mvura manyoka, kurutsa uye tachycardia. Kana korera asiyiwa untreated, munhu anogona kufa mumaawa mashomanana.

Chenjera glomerulonephritis - chimwe chinhu chaigona kutsamwisa kwaita chirwere "oliguria". Zviratidzo muchiitiko ichi zvinosanganisira kuneta, fivha yakaderera-sosaiti, BP uye kuzvimba, kuda kurutsa, kurutsa, kutemwa uye kuzara mumapapu uye abdominal kurwadziwa.

mwoyo kutadza

In mwoyo kutadza anogonawo panguva kuva oliguria, inova migumisiro kuderedza ejection ropa mwoyo uye kuwedzera renal perfusion. Muzviitiko zvakadaro, munhu anogona kuona kuneta uye simba, kuzvimba pamutsipa mutsinga, tachycardia, dyspnea, uye peripheral edema, uye yakaoma chikosoro.

hypovolemia

Hypovolemia ndechimwe kukonzera chirwere "oliguria". Zviratidzo, mishonga yezvirwere kwakavakirwa nokukurira chikuru chirwere zviratidzo zvinosanganisira kuneta, lethargy, tsandanyama simba, kudya kuda kurutsa, dzungu, hypotension. Oliguria pakuva zviratidzo akanyengera hypovolemia ndiko kuoma kwakaita mucous membranes uye mungarava eyeballs.

zvimwewo

Other zvikonzero zvinosanganisira zvirwere zvakadai chisingaperi renal akundikana, kunyanya mukunopera kwayo, rikwanise pyelonephritis, renal tsinga occlusion, preeclampsia panguva yepamuviri. Kune vamwe varwere vave oliguria pashure pokuvhiyiwa, uye iyi, chirwere ndiwo muviri achipindura zvinhu zvinoverengeka - kupera muviri, kurasikirwa yakawanda ropa, zvikuru noutachiona, zvichiita kuti chepfu kuvhunduka, Urinary mhingaidzo anokonzerwa yakawedzerwa yeprostate. Zvinogonekawo pavakanzwa post-kushanda mishonga Somuenzaniso, musi diuretics, mishonga "Methotrexate" uye zvinodhaka anticholinergic.

Diagnostics

Nokuti chirwere "oliguria" kurapwa iri ushandiswe pashure nechirwere uye kuziva chaiwo zvinokonzera zvokurwara. Chiremba anoongorora murwere, kudzidza nhoroondo yake zvokurapa, kuitisa kukurukura umo mashoko anokosha ari uwandu Urume kuparadzwa pazuva, nhamba uye ruvara weti. Pfungwa iri inobhadharwa pakuvapo chero sembura zvinhu uye muchiridzira zviratidzo - fivha, kuda kurutsa, manyoka, kurutsa, nyota yakawandisa, zvichangobva makuvaro, mishonga, nezvimwe zvinhu.

Uyewo, nemiedzo chirwere inodiwa kuzosimbisa zvinokonzera oliguria. Chiremba ibasa imwe weti bvunzo kuti aone kuti kuzvimba kana chirwere ari itsvo. X-ray kuongorora pamwe musiyano jekiseni kunobatsira kuziva itsvo matombo uye namamota, uye Ultrasound chirwere zvakafanira kutarisa chikofu.

Other chirwere nzira anosanganisa computed tomography pakati mudumbu uye chiuno, tsitoskopiya panguva iyo kusanduka teresikopu iri chakaunzwa ari urethra. Blood bvunzo rinoratidza kuvapo kupererwa, renal kukundikana uye Urinary turakiti zvirwere zvinobvira.

Zviratidzo uye zviratidzo

Oliguria ari Classified pachishandiswa zvinhu kuti anokonzera chirwere. Somuenzaniso, pre-renal oliguria kukura somugumisiro renal hypoperfusion uye kuderedza Urume yaunodya, kupera muviri kunoitika somugumisiro, manyoka, kubuda ropa uye sepsis. Renal zvauya kubva zvaipesana itsvo basa anokonzerwa kushandisa zvinodhaka, hypoperfusion, kureva, achidzikisa kwavo mupise okufunga. Postrenal oliguria kunoitika apo aibuda weti zvakaoma nokuda prostate nedumbu, namamota, hematomas.

The chirwere Akatsunga kwakavakirwa uwandu weti. Somuenzaniso, zvinonzi akaonekwa mune vacheche kana weti Vhoriyamu asingasviki 1 ML por kilogram kurema muviri paawa, kuvana vakura - asingasviki 0.5 Rine mamiririta por kilogram kurema muviri paawa, mune vakuru - ml asingasviki 400 pazuva. Kana munhu anoona vachiwana kuderera uwandu weti anogadzirwa, ndiko chikonzero chokunetseka uye anogona zviratidzo pamberi chirwere, "oliguria". In vana, mazuva 3 oupenyu kukwana yakawanda weti anogadzirwa rokutanga anonzi vasingambooni chakaipa nazvo. Ichi chiri kushanda itsvo panguva iyi. rinonzi "kupfuura oliguria".

In vakuru, chirwere kazhinji inoratidza zvakadai zvakafanana zviratidzo sezvo dzungu, palpitations, manyoka, dzimwe nguva nefivha, uye kurutsa. Kana pane zvishoma nezvishoma kuderera weti goho mukati mavhiki maviri, chaikonzera angava chirwere chakasimba renal tubular necrosis. Zvingaratidza zvinosanganisirawo arrhythmias oliguria, tsandanyama simba, lethargy, kuvhiringidzika, pruritus, berevere, mwoyo kukundikana. Nokuumbwa matombo ari ureter, urethra neitsvo uyewo kazhinji kunotungamirira oliguria. Zviratidzo izvi zvinosanganisira: kurwadziwa ari muhudyu, pubic nzvimbo uye munharaunda yacho chokunze nhengo dzokubereka nadzo, kuda kurutsa, bloating, kurutsa, nefivha uye chills.

Oliguria, uye nephrotic urwere muvana

Sezvo itsvo vane basa kugadzirwa weti mumuviri, kunyanya diuresis inogona aionekwa kupangidza mamiriro mitumbi izvi. Nephrotic chirwere idambudziko zvinowanzovapo itsvo muvana uye kazhinji kunotungamirira chitange renal kukundikana. Mumamiriro itsvo utano, ropa ichipfuura uye anopa zvakawandisa fluid tsvina uye creatinine kuumbika weti. Nokuti vana nephrotic urwere, ungaderedza weti goho kunoratidza kuti itsvo havakwanisi zvakanaka dzinobvisa ropa. The maduku ari weti yakabereka pazuva, zvikuru kwazvo mamiriro itsvo. Oliguria muvana vane nephrotic chirwere chiratidzo ngozi, sezvo zvinoratidza kuti ukama itsvo rinenge haagoni akapora. Mumamiriro ezvinhu akadaro, pakarepo kurapwa uye kurapwa ndiyo chete nzira kudzivisa kudiwa dialysis uye itsvo transplantation.

Kurarama nephrotic urwere zvinogona kushandisa mushonga, asi zvakawanda zvakaoma kuti adzikunure kwakakanganisa itsvo tishu.

kurapwa chirwere

Oliguria - chirwere, anobudirira kurapwa iyo predusmatirivaet anotevedzana muzvikamu zvitatu:

• kubvisa pathological zvinokonzera, chikuru chirwere;
• kudzorerwa homeostasis of muviri;
• Mabatirwo yematambudziko.

kurapwa chirwere nguva dzose zvinobva mhaka kwayo, uye kakawanda, diuresis zvinokwanisika kuti adzorere uye normalize kwokufara muviri. Imwe nzira kurapwa nhasi ndiyo okutanga ari anobudisa mushonga zvishoma nezvishoma vachipinda urethra kuitira kubvisa ayo mhingaidzo uye kuunganidza weti goho. Kana paine njodzi itsvo kukundikana, itsvo, pane kushandisa rakagadzirwa nevanhu Sefa unokubvumira kudzorera chakaipa nokubviswa tsvina kubva muropa.

Mune zvimwe zviitiko, muchipatara zvakakodzera, muchipatara murwere anopiwa intravenous zvinwiwa, kana kupera mvura mumuviri kunoitika. It kunoratidzwawo kurega kunwa mushonga upi kuti angava hunokachidza zvainoita neitsvo. Zvakakosha kudzorera chakaipa renal perfusion, zvinoda nokururamiswa hypotension uye vasodilator zvinodhaka mishonga.

Polyuria, anuria, oliguria

Nezvinetso kukura uye kubviswa weti angava yakasiyana hunhu. Panewo siyana diuresis kutyorwa, kunze kukundikana ichi, sezvo oliguria. Anuria - mumwe zvokurwara, umo yakaturikwa chokubuda weti iri dundira. Zvakakosha kwete kuvhiringidza anuria pamwe chakasimba Urinary chengetedzo, kana anopinda sefuro, asi haana kubviswa ipapo. Chimwe kutyora - ndiko polyuria, umo weti, kusiyana, akaumba mumwe mujenya. Kuwedzera weti inotungamirwa kungava nokuda zvirwere itsvo pachavo, hormone uye zvimwe zvirwere zviri mumuviri. Polyuria, oliguria, anuria zvinoda kurapwa, iyo yakavakirwa, pakutanga kwezvose, kubviswa zvinokonzera.

Home mishonga nokuti pakurapa

Kune akawanda dzinongoitika uye njodzi nokuda pakurapa oliguria, pangozi nemishonga yavo kushandiswa iri shoma. Vamwe yakakurumbira Recipes dzakakurumbira chaizvo uye kubvira kare kuti normalization pakati diuresis. Somuenzaniso, anobatsira chaizvo michero yomurara, izvo kubatsira kubvisa tsvina kubva muviri, uye kukurudzira itsvo rwatata.

Very inoshanda vasanganise Zvinhu Zvisina Basa dzekorianderi uye buttermilk (skimmed byproduct pakugadzirira ruomba). Inwa chokunwa kwakadaro panguva wadya. Mashizha nemidzi Anemarrhenae chaizvo kubatsira pakurapa oliguria. All zvaunofanira kuita - ndiko kudira spoon nezvakavhenganiswa akaomeswa zvinomera vane 300 ml kufashaira mvura uye regai kumira kuti vaviri maawa. Kuti uvandudze drink magirazi maviri aizomupa ichi zuva kusvikira weti goho rinodzokera dzose.

Very nyanzvi pakurapa chirwere vanonzi mbeu plantain uye gentian mudzi. Kugashira decoction kuti chirimwa kwakadaro kunoita uropoiesis zvinoreva uyezve akazoita mumatenhere prostate. varapi vakawanda zano kunwa mvura, vanonzi mhangura. Dururirai yakachena mvura usiku mumudziyo wemhangura, uye zuva rakatevera kunwa mvura iyi ions emhangura. Kuwedzera weti kuyerera nokushandisa cardamom upfu rakasanganiswa mu inodziya mukaka. Inwa drink ichi ose zuva kuti mugumisiro.

Saka, zvatakurukura nyaya dzakadai oliguria, zviratidzo, pakurapa chirwere. Kana chero chirwere pakarepo kutaura chiremba. Uyezve, zvinokurudzirwa kuti vadzivise mafuta uye wakawanda zvokudya, mudye nepakati kuti zvinyorwe zvaunodya yakachena zvibereko zvakawanda uye miriwo sezvinobvira. Urinate rekukwazisa ipapo uchida urinate. Inwa mvura yakawanda, kudzivirira muviri kubva kupera mvura mumuviri.