Oṣuwọn Fọọmu Glomerular (GFR)

Akoonu

• Kini idanwo ase agbaye (GFR)?
• Kini o ti lo fun?
• Kini idi ti Mo nilo idanwo GFR?
• Kini yoo ṣẹlẹ lakoko idanwo GFR?
• Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?
• Ṣe eyikeyi awọn eewu si idanwo naa?
• Kini awọn abajade tumọ si?
• Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo GFR kan?
• Awọn itọkasi

Kini idanwo ase agbaye (GFR)?

Oṣuwọn ase glomerular (GFR) jẹ idanwo ẹjẹ kan ti o ṣayẹwo bi awọn kidinrin rẹ ṣe n ṣiṣẹ daradara. Awọn kidinrin rẹ ni awọn asẹ kekere ti a pe ni glomeruli. Awọn asẹ wọnyi ṣe iranlọwọ yọ egbin ati omi pupọ kuro ninu ẹjẹ. Idanwo GFR kan ṣe iṣiro iye ẹjẹ ti o kọja nipasẹ awọn asẹ wọnyi ni iṣẹju kọọkan.

A le wọn GFR taara, ṣugbọn o jẹ idanwo idiju, nilo awọn olupese pataki. Nitorinaa GFR jẹ iṣiro nigbagbogbo nipasẹ lilo idanwo ti a pe ni GFR tabi eGFR. Lati gba iṣiro kan, olupese rẹ yoo lo ọna ti a mọ si oniṣiro GFR. Ẹrọ iṣiro GFR jẹ iru agbekalẹ mathimatiki kan ti o ṣe iṣiro iye oṣuwọn ase nipa lilo diẹ ninu tabi gbogbo alaye ti nbọ nipa rẹ:

• Awọn abajade idanwo ẹjẹ ti o ṣe iwọn creatinine, ọja egbin ti awọn kidinrin ṣe ayẹwo
• Ọjọ ori
• Iwuwo
• Iga
• Iwa
• Ije

EGFR jẹ idanwo ti o rọrun ti o le pese awọn esi to peye pupọ.

Awọn orukọ miiran: ifoju GFR, eGFR, iṣiro sisẹ glomerular iṣiro, cGFR

Kini o ti lo fun?

A lo idanwo GFR lati ṣe iranlọwọ iwadii aisan aisan ni ipele ibẹrẹ, nigbati o jẹ itọju to dara julọ. GFR le tun ṣee lo lati ṣe atẹle awọn eniyan ti o ni arun akọnjẹ onibaje (CKD) tabi awọn ipo miiran ti o fa ibajẹ kidinrin. Iwọnyi pẹlu àtọgbẹ ati titẹ ẹjẹ giga.

Kini idi ti Mo nilo idanwo GFR?

Ni ibẹrẹ ipele arun kidinrin kii ṣe igbagbogbo fa awọn aami aisan. Ṣugbọn o le nilo idanwo GFR ti o ba wa ni eewu ti o ga julọ lati ni arun aisan. Awọn ifosiwewe eewu pẹlu:

• Àtọgbẹ
• Iwọn ẹjẹ giga
• Itan ẹbi ti ikuna kidinrin

Nigbamii arun aisan ni o fa awọn aami aisan. Nitorina o le nilo idanwo GFR ti o ba ni eyikeyi ninu awọn aami aisan wọnyi:

• Urinating diẹ sii tabi kere si nigbagbogbo ju deede
• Nyún
• Rirẹ
• Wiwu ninu awọn apa, ese, tabi ẹsẹ rẹ
• Isan iṣan
• Ríru ati eebi
• Isonu ti yanilenu

Kini yoo ṣẹlẹ lakoko idanwo GFR?

Onimọṣẹ ilera kan yoo mu ayẹwo ẹjẹ lati iṣọn kan ni apa rẹ, ni lilo abẹrẹ kekere kan. Lẹhin ti a fi sii abẹrẹ, iye ẹjẹ kekere yoo gba sinu tube idanwo tabi igo kan. O le ni irọra diẹ nigbati abẹrẹ ba wọ inu tabi jade. Eyi maa n gba to iṣẹju marun.

Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?

O le nilo lati yara (maṣe jẹ tabi mu) tabi yago fun awọn ounjẹ kan fun awọn wakati pupọ ṣaaju idanwo naa. Olupese ilera rẹ yoo jẹ ki o mọ boya awọn itọnisọna pataki eyikeyi wa lati tẹle.

Ṣe eyikeyi awọn eewu si idanwo naa?

Ewu pupọ wa si nini idanwo ẹjẹ. O le ni irora diẹ tabi ọgbẹ ni aaye ibiti a ti fi abẹrẹ sii, ṣugbọn ọpọlọpọ awọn aami aisan lọ ni kiakia.

Kini awọn abajade tumọ si?

Awọn abajade GFR rẹ le fihan ọkan ninu atẹle:

• Deede-o ṣee ṣe ko ni arun akọn
• Ni isalẹ deede-o le ni arun akọn
• Jina si isalẹ deede-o le ni ikuna kidinrin

Ti o ba ni awọn ibeere nipa awọn abajade rẹ, sọrọ si olupese iṣẹ ilera rẹ.

Kọ ẹkọ diẹ sii nipa awọn idanwo yàrá, awọn sakani itọkasi, ati oye awọn abajade.

Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo GFR kan?

Biotilẹjẹpe ibajẹ si awọn kidinrin nigbagbogbo jẹ igbagbogbo, o le ṣe awọn igbesẹ lati yago fun ibajẹ siwaju. Awọn igbesẹ le ni:

• Awọn oogun titẹ ẹjẹ
• Awọn oogun lati ṣakoso suga ẹjẹ ti o ba ni àtọgbẹ
• Awọn ayipada igbesi aye bii gbigba idaraya diẹ sii ati mimu iwuwo ilera
• Idiwọn oti
• Olodun siga

Ti o ba tọju arun aisan ni kutukutu, o le ni anfani lati ṣe idiwọ ikuna kidirin. Awọn aṣayan itọju nikan fun ikuna ọmọ inu ni itu ẹjẹ tabi asopo kidirin.

Awọn itọkasi

1. Fund Kidney Amerika [Intanẹẹti]. Rockville (MD): Owo-ori Kidirin Amerika, Inc.; c2019. Arun Kidirin Onibaje (CKD) [toka si 2019 Apr 10]; [nipa iboju 2], Wa lati: http://www.kidneyfund.org/kidney-disease/chronic-kidney-disease-ckd
2. Johns Hopkins Oogun [Intanẹẹti]. Baltimore: Ile-ẹkọ giga Johns Hopkins; c2019. Arun Kidirin Onibaje [toka 2019 Apr 10]; [nipa iboju 3]. Wa lati: https://www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-kidney-disease
3. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington D.C.; Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2019. Ifoju Oṣuwọn Aṣa Glomerular (eGFR) [imudojuiwọn 2018 Oṣu kejila 19; toka si 2019 Apr 10]; [nipa iboju 2]. Wa lati: https://labtestsonline.org/tests/estimated-glomerular-filtration-rate-egfr
4. Okan Orilẹ-ede, Ẹdọfóró, ati Ẹjẹ Ẹjẹ [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Awọn idanwo ẹjẹ [ti a tọka 2019 Apr 10]; [nipa iboju 3]. Wa lati: https://www.nhlbi.nih.gov/health-topics/blood-tests
5. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Awọn Idanwo Arun Kidirin Alaisan ati Imọye; 2016 Oṣu Kẹwa [toka 2019 Apr 10]; [nipa iboju 4]. Wa lati: https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/tests-diagnosis
6. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Ibeere Nigbagbogbo: eGFR [toka 2019 Apr 10]; [nipa iboju 5]. Wa lati: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/frequently-asked-questions
7. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Oṣuwọn Filtration Glomerular (GFR) Awọn iṣiro [ti a tọka 2019 Apr 10]; [nipa iboju 5]. Wa lati: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/glomerular-filtration-rate-calculators
8. National Kidney Foundation [Intanẹẹti]. Niu Yoki: National Kidney Foundation Inc., c2019. Itọsọna Ilera A si Z: Nipa Arun Kidirin Onibaje [ti a tọka si 2019 Apr 10]; [nipa iboju 3]. Wa lati: https://www.kidney.org/atoz/content/about-chronic-kidney-disease
9. National Kidney Foundation [Intanẹẹti]. Niu Yoki: National Kidney Foundation Inc., c2019. A si Z Itọsọna Ilera: Ifoju Oṣuwọn Aṣoju Glomerular (eGFR) [toka si 2019 Apr 10]; [nipa iboju 3]. Wa lati: https://www.kidney.org/atoz/content/gfr
10. Ilera UF: Ile-ẹkọ Yunifasiti ti Ilera ti Florida [Intanẹẹti]. Gainesville (FL): Yunifasiti ti Florida; c2019. Oṣuwọn iyọ Glomerular: Akopọ [imudojuiwọn 2019 Apr 10; toka si 2019 Apr 10]; [nipa iboju 2]. Wa lati: https://ufhealth.org/glomerular-filtration-rate
11. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2019. Encyclopedia Health: Oṣuwọn Filtration Glomerular [ti a tọka si 2019 Oṣu Kẹwa 10]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=glomerular_filtration_rate
12. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2018. Alaye Ilera: Oṣuwọn Fọọmu Glomerular (GFR): Akopọ Koko-ọrọ [imudojuiwọn 2018 Mar 15; toka si 2019 Apr 10]; [nipa iboju 2]. Wa lati: https://www.uwhealth.org/health/topic/special/glomerular-filtration-rate/aa154102.html

Alaye lori aaye yii ko yẹ ki o lo bi aropo fun itọju iṣoogun ọjọgbọn tabi imọran. Kan si olupese ilera kan ti o ba ni awọn ibeere nipa ilera rẹ.