Rashin koda yana nufin cewa koda (s) na kyanwar ba ta aiki yadda ya kamata kuma ba sa iya yin ayyukansu. Yana da mahimmanci a san yadda za a rarrabe babban gazawar koda daga gazawar koda. A kowane hali, idan kuna da ɗan shakku game da lafiyar kyanwa, kada ku yi shakka ku tuntuɓi likitan dabbobi.

Don fahimtar menene gazawar koda, yana da mahimmanci a tuna yadda koda yake aiki. Babban aikin na ƙarshen shine tace jinin jiki don samar da fitsari (wanda ya ƙunshi sharar jini) amma sama da duka don kula da daidaiton jinin. Hakanan yana ba da izinin kira na wasu hormones. Nephron shine sashin aikin koda. Kowane koda yana da dubban daruruwan su kuma waɗannan sune ke tabbatar da rawar tacewa. Idan aka sami gazawar koda, ba a sake yin tace daidai saboda wasu nephrons sun lalace. Kamar yadda ba dukkansu suke aiki ba, tacewa ta fi talauci.

A cikin kuliyoyi, babban gazawar koda (AKI) galibi ana jujjuya shi kuma yana faruwa da sauri, sabanin gazawar koda (CKD) wanda ke farawa a hankali kuma baya juyawa.

Dalilai da yawa na iya kasancewa daga asalin ARI kamar zub da jini, shigar da wani abu mai guba (misali shuka) ko cikas ga kwararar fitsari. Daga nan zamu iya lura da farmakin kwatsam akan yanayin cat (amai, gudawa, bushewar ruwa ko ma yanayin girgiza dangane da dalilin) ​​ko ma wahalar yin fitsari.

Yana da mahimmanci a tuna cewa ARI na iya wakiltar gaggawa, don haka dole ne ku ɗauki cat ɗinku da sauri zuwa likitan dabbobi don neman magani.

Rashin gazawar koda na yau da kullun yana nufin cewa kodan sannu a hankali sun lalace kuma sun lalace sosai aƙalla watanni 3. 

Alamun gargaɗi da yawa yakamata su sa ku yi tunani game da yin shawarwari tare da likitan dabbobi kuma musamman wannan:

• Polyuro-polydipsia: cat yana yin fitsari da yawa kuma yana shan ruwa da yawa. Shine alamar farko ta kira don sanin yadda ake ganewa. Lallai, lokacin da nephrons suka lalace, ɗayan aikin dole ne ya tabbatar da babban nauyin tacewa yana ƙara ƙarar fitsari. Bugu da kari, koda ba zai iya maida hankali kan fitsarin ba wanda a haka ake narkar da shi (fitsari mai haske sosai). Don rama wannan asarar ruwa a cikin fitsari, kyanwa za ta sha ƙarin. Koyaya, wannan yana da wahalar gani a cikin kuliyoyi, musamman waɗanda ke zaune a waje.

Alamomin asibiti masu zuwa suna bayyana a matakai masu ci gaba lokacin da koda ya lalace sosai:

• Rage nauyi;
• Rashin ci;
• Gashi mai duhu;
• Mai yiwuwa amai;
• Rashin ruwa.

bincike

Likitan likitan ku zai gudanar da cikakken binciken dabbar ku tare da ƙarin gwaje -gwaje (gwajin jini don bincike, bugun kodan, nazarin fitsari, hoto, da sauransu) don tabbatarwa ko a'a gazawar koda da sanin dalilin. Dangane da lalacewar koda da sakamakon nazarin, an kafa IRIS (International Renal Interest Society) domin a sanya wa kyanwa matakin asibiti. Tabbas, gwajin jini zai ba da damar tantance yadda tace kodar ke aiki, musamman godiya ga matakan creatinine, urea da SDMA (Symmetric DiMethyl Arginine, amino acid) da ke cikin jini. Waɗannan abubuwan sune abubuwan da aka saba fitarwa daga fitsari. Da zaran tacewar ba ta yi daidai ba, za su tara cikin jini. Mafi girman adadin su, mafi muni tacewa sabili da haka yana lalata koda.

Don haka, a cikin kuliyoyi, akwai matakai 4 na IRIS masu zuwa:

• Mataki na 1: matakin creatinine na al'ada, babu alamun cutar, matakin SDMA na iya zama dan kadan mafi girma;
• Mataki na 2: matakin creatinine na al'ada ko dan kadan sama da na yau da kullun, yuwuwar kasancewar alamun m, ƙaramin matakin SDMA;
• Mataki na 3: matakan creatinine da SDMA sama da yadda aka saba, kasancewar alamun koda (polyuropolydipsia) da gaba ɗaya (asarar ci, amai, asarar nauyi, da sauransu);
• Mataki na 4: ƙimar creatinine mai girma da matakan SDMA, kyanwar tana cikin ƙarshen tashar CRF kuma tana da mummunan rauni ga yanayin lafiyarta.

Yana da mahimmanci a tuna cewa mafi girman matakin, mafi talauci hasashe. Yawancin lokaci, alamun ba sa bayyana har zuwa ƙarshen, lokacin da koda yayi rauni sosai, saboda a farkon matakan kodan suna iya rama asarar ci gaban nephrons.

Magungunan maganin da aka aiwatar zai dogara ne akan matakin kyan da alamun da yake nunawa. A cikin mawuyacin hali, musamman a yanayin rashin ruwa, asibiti na iya zama dole.

Babban magani shine canjin abinci. Don haka ya zama dole a canza zuwa abincin warkewa wanda aka tsara musamman don kuliyoyi tare da gazawar koda ta hanyar yin canjin abinci a hankali. Lallai, wannan abincin zai ba shi damar adana kodansa da haɓaka tsawon rayuwarsa. Bugu da ƙari, yana da mahimmanci a koyaushe a ba wa cat ruwa mai daɗi da mara iyaka. Ƙuntataccen ruwa na iya haifar da bushewar ruwa.

Yana da mahimmanci a tuna cewa shekarun kyanwa shine ma'auni don la'akari. Wannan saboda kodan kyanwa ba sa aiki sosai da tsufa, don haka suna iya kamuwa da cutar koda ta kullum. Layin abinci yanzu yana samuwa don tallafawa aikin koda na manyan kuliyoyi da hana gazawarsu. Kada ku yi jinkirin tattauna shi tare da likitan dabbobi.

Wasu nau'ikan kuma suna da niyyar haɓaka wasu cututtukan koda, musamman cutar polycystic ko ma amyloidosis waɗanda ke cikin yuwuwar sanadin CRF.

Bugu da ƙari, ana ba da shawarar yin shawarwari na yau da kullun ga manyan kuliyoyi tare da likitan dabbobi a kowace shekara ko ma kowane watanni 6 daga shekaru 7/8. Tabbas, likitan likitan ku zai iya yin cikakken kimantawa musamman don bincika koda yana aiki yadda yakamata kuma ya sanya magani a wurin idan an gano farkon gazawa.