Izinso zisusa izinto ezingcolile egazini, zilondoloze ukulinganisela okuphelele kwamanzi-amaminerali emzimbeni. Kodwa-ke, uma bengawenzi umsebenzi wabo, impilo nenempilo yenja yakho isengozini enkulu. Mayelana nokuthi ukwehluleka kwezinso kuyini, kuqhubeka ngamuphi uhlobo nokuthi kwenziwa kanjani ukwelashwa, bheka okunye.

Funda le ndatshana

Kwenzenjani?

Ukwehluleka kwe-Renal (PN) yisimo se-pathological yomzimba lapho ukusebenza kwezinso kugcwale khona noma kukhubazeka ngokuphelele. Lokhu kuholela ezinkingeni ngohlelo lwe-excretory, ibhalansi kasawoti wamanzi, ukuhamba kwegazi nomfutho wegazi, kanye nezitho zangaphakathi.

Iqembu lengozi lifaka phakathi kwezilwane ezifuywayo ezindala kuneminyaka emi-5 (uma kungekho zinto ezicasulayo zisencane kakhulu). Kulokhu, kufanele uqaphele ikakhulukazi uma inja yakho ingeyokunye kokulandelayo:

• Shih Tzu
• Izinja ezihlanyisiwe
• english cocker spaniels
• Abelusi baseJalimane
• terriers
• ukubuyisa igolide.

Amaseli omzimba nezicubu azibuyiswa, ngakho-ke, ukuxilongwa kanye nokwelashwa kwalesi sifo kufanele kusondele ngokucophelela ngangokunokwenzeka, kunikezwe lo msebenzi kochwepheshe abanolwazi lwezilwane.

Izimbangela

Ezimweni ezingama-20%, imbangela yokwehluleka kwezinso ezinjeni ayinakucaciswa. Lokhu kungenxa yokuthi abanikazi abazi ngezizathu ezingavusa amandla, futhi lesi sifo sitholakele esisezigabeni zokugcina zentuthuko.

Phakathi kwezimbangela ezivame kakhulu:

• Izifo ezenzekile

I-Amyloidosis ne-polycystosis kuholela emsebenzini wezinso ongasebenzi kahle ezinjeni ezincane. Lokhu kuholela ekuqongeleleni kwezakhiwo ezimhlophe ezingejwayelekile nokuqanjwa kwama-cysts amaningi agcwele uketshezi.

I-Leptospirosis, isifo seCarre, i-viritis enteritis, noma i-hepatitis imane nje iyingxenye yezifo ezithathelanayo eziyingozi ezingadala ukukhula kokuhluleka kwezinso. Lokhu kungenxa yokuthi i-pathogenic microorganisms ingena ezicutshini ze-renal, iphazamise ukusebenza kwezinso.

• Ukulimazeka okusebenzayo

Izifo ezithile zingadala ukulimala kwezinso nezinguquko zazo ze-pathological, okuvusa ukukhula kokuhluleka kwezinso. Phakathi kwazo: glomerulonephritis (glomerular nephritis), pyelonephritis, nephritis, nephrosis, njll.

• Ukutheleleka nge-parasitic

I-Pyroplasmosis ne-hemobartenosis iyabhubhisa futhi ivimbe nomsebenzi wamangqamuzana egazi abomvu, abe nomphumela onobuthi kuwo wonke umzimba. Njengomphumela wokukhishwa kobuthi, izinso zihamba kancane kancane ukusebenza kwazo, ngakho-ke umsebenzi wazo uyaphazamiseka.

• Ukudakwa komzimba

Ubuthi obukhulu buyimbangela ejwayelekile yokuhluleka kwezinso phakathi kwezinja zeminyaka ehlukene nezinhlobo. Imvamisa, kwenzeka lapho kudliwa izibulala-zinambuzane zasendlini, imithi, usawoti wezinsimbi ezisindayo, njll.

• Izifo zesistimu ye-Urinary

Isifo esivame kakhulu sohlelo lokuchama, i-urolithiasis (ICD), singavusa ukuthuthuka kokuhluleka kwesibindi ezinjeni, ngoba kuhambisana nokucindezelwa noma ukuvimbela okuphelele komgudu wokuchama.

• Ezinye izizathu

Ezinye izinto kungaholela ekwehlulekeni kwe-renal: isimila esibuhlungu nesilimazayo, ama-cysts, ukopha okuthe xaxa ngokwehla okuxakile komfutho wegazi, ukuthuthuka kabusha kwezitho zomzimba, njll.

Ukwehluleka kwezinso kwenzeka kanjani ezinjeni?

Ukuthola izimpawu zokwehluleka kwezinso ezinjeni ezigabeni zokuqala kuyinkinga. Imvamisa, izimpawu zokuqala ziyavela lapho cishe u-65-70% wezicubu zezinso zingasebenzi. Konke okunye abakwazi ukubhekana nokwabiwa nokuhlanzwa kwegazi, okubandakanya ukuphazamiseka okuhlukahlukene emzimbeni.

Izimpawu zokuhluleka kwezinso ezinjeni:

• Minaisiteji (i-latent)

Isikhathi eside kunazo zonke sokukhula kokwehluleka kwezinso. Umsebenzi, ukuhamba kanye nokudla kwesilwane kuyinto evamile. Akukho okungahambi kahle noma izimpawu zesifo. Kuzokwazi ukuthola lesi sifo kuphela ngokudlula izivivinyo, ngoba izinga le-creatinine esegazini lizobe lingabi ngaphezu kuka-125 mmol / l.

• IIisigaba (isinxephezelo)

Izimpawu eziphambili ukoma okungapheli nokuchama kaningi. Ekupheleni kwesigaba sokunxephezela, cishe ama-50% ezinhlaka ezihlelekile nezisebenzayo zezinso (nephrons) ziyafa. Izinga le-creatinine egazini lisuka ku-125 liye ku-180 mmol / L.

• I-IIIisiteji (ukubola)

Ezinye izimpawu zengezwa ezinkingeni zokuchama: ukulahlekelwa yinhliziyo, ukuncipha kwesisindo okungazelelwe, ubuthakathaka obungapheli kanye nokubabaza, izinkinga ngepheshana lesisu. Ekupheleni kwalesi sigaba, akukho ngaphezu kwe-20% yezinsimbi ezisebenzayo. Izinga le-creatinine egazini lisuka ku-180 liye ku-440 mmol / l.

• IVisiteji (ukuphela)

Isikhathi esinzima kunazo zonke zezifo ezihambisana nokudakwa okunzima komzimba wonke, ukungalingani kwe-electrolytic, impilo engeyinhle. Alikho ngaphezu kwe-15% lama-nephrons aqhubeka "nomsebenzi", kuyilapho izinga le-creatinine egazini lidlula i-440 mmol / l.

Izinhlobo zokwehluleka kwezinso: obukhulu futhi obungamahlalakhona

Uhlobo lokubonakaliswa kwezimpawu zokuhluleka kwe-renal esilwaneni sakho lincike ngqo kwifomu lenkambo yalesi sifo - esibi noma esingamahlalakhona. Zonke izimpawu zihlukile ekukhazeni kokugeleza kanye nezinga lokuvela.

Ukwehluleka kwezinso okungamahlalakhona (CRF) kuvame ukwenzeka ezinjeni ezindala. Ikhula kancane, kepha njalo. Ngaphambi kokuqala kwezimpawu zobuntu, izinso zingalahlekelwa yimisebenzi yazo ngo-3/4. Isimpawu esikhulu ukoma okukhulu, phakathi kwezinye izimpawu:

• iphunga le-amonia elivela emgodini womlomo,
• ukomisa,
• ulwelwesi olomile,
• ukuthamba kwengubo,
• amathe okubonakalayo
• Ukwehla kwezinga lokushisa lomzimba kuye kuma-37 ° C,
• ukudumba okukhulu
• bradycardia
• ukuntuleka kwesifiso sokudla.

Qaphela!Ama-nephrons amaningi ayashona, kulapho izimpawu zokuhluleka kwezinso ezinjeni zikhula futhi zibonakala.

Ukwehluleka kwezinso okwenzekile (i-ARF) kuboniswa ekuqaleni kwezimpawu. Kubonakala ngokucacile futhi kuyinkimbinkimbi, ngakho-ke umnikazi ubona ngokushesha ukuthi isimo senja sesisibi kakhulu. Phakathi kwezimpawu eziphambili:

• ukonakala okubucayi kwesimo esejwayelekile,
• ubuthakathaka bemisipha
• ukwephulwa kokuchama
• ukushaya okukhulu
• ukuvuvukala
• blanching / redness of the membrane mucous,
• ukwakheka kwezilonda emgodini womlomo,
• ukwenqatshwa ngokuphelele kokudla.

Ngabe inja yakho inaso isithombe esifana nesakho? Yenza isikhathi sokudibana nodokotela wakho wezilwane ngokushesha. Ngokushesha lapho uthola usizo lokunakekelwa kwezilwane, ngokushesha isilwane sakho esithandekayo sizophinda sithande isifiso saso sokuhamba, ukuhamba nomoya omuhle!

Ukwelashwa okusebenzayo

Ukwelashwa kokuhluleka nokulimala kwezinso okuyingozi ezinjeni kwenziwa ngezindlela eziningi. Akunandaba nesigaba salesi sifo, i-infusion therapy (i-droppers) inikezwa ngemithi esekela umsebenzi obalulekile womzimba wesilwane sakho.

Qaphela!Imithi kanye nemithamo yazo kungachazwa kuphela ngudokotela wezilwane ngemuva kokuxilongwa okuyikho.

• Izixazululo ze-infusion (100-400 ml). Zibuyisela ibhalansi kasawoti, ama-alkali kanye ne-asidi. Banokuphamba, i-anti-shock kanye nomphumela we-alkalizing. Zilawulwa ngokuhlinzwa, kepha ukuphathwa kokuzenzakalelayo kuvunyelwe emidlwane,
• Ama-diuretics. Ngokuya ngomuthi othize, isilinganiso sokuqothula uketshezi emzimbeni silawulwa ngokwanda / ukuncipha kokuhlushwa kweNa. Kusetshenziswe ngemisipha, ngokuthinta noma ngokudonsa,
• Izidakamizwa ze-antiemetic. Zidambisa ipheshana esiswini ngokunciphisa isicanucanu futhi zivimbele nokuhlanza. Sula ngokushesha izimpawu zokuhlanza. Kusetshenziswa ngendlela yezixazululo noma amaphilisi,
• Phosphorus binders. Zisetshenziselwa ukuthuthukisa isisu sezinja, zibe nomphumela obuhlungu. Izidakamizwa ezithile zinomphumela wokudambisa amandla,
• Amalungiselelo wokushintshwa okujwayelekile komsebenzi wezinhliziyo. Zisetshenziswa uma, ngenxa yokwehluleka kwezinso, ukusebenza kohlelo lwethambo lenhliziyo kuphazamisekile. Le mishanguzo ivuselela isistimu yezinzwa ephakathi, ibe nomphumela we-antiarrhythmic futhi iphakamise umsebenzi wenhliziyo.

Ungazami ukunquma ukwelashwa kwezilwane ekhaya. Kusemtholampilo wezilwane kuphela ongakwazi ukubuyisa ukusebenza kwezinso futhi uvikele ukuthuthuka okwengeziwe kokwehluleka kwezinso okulimazayo noma okungamahlalakhona!

Ama-nuances wokudla kokuhluleka kwe-renal

Ukudla okunempilo kwenja ngokwehluleka kwe-renal kuvimbela ukonakala kwesifo nokuqhubeka kwesifo. Kunconywa ukuthi ungafaki ama-oyela yemifino ekudleni, kuyilapho amafutha ezilwane engaphulwa. Imifino akufanele inikezwe iluhlaza: kufanele ibiliswe kuqala bese ihlanganiswa.

Kuyadingeka ukukhipha konke ukudla okune-phosphorus:

Ukwehluleka kwenja inja yisifo esibi esihlala cishe i-asymptomatic isikhathi eside. Ukuvimbela imiphumela eyingozi, kunconywa ukuthi wenze ukuhlolwa ngezikhathi ezithile nodokotela wezilwane futhi wenze i-ultrasound yezitho zangaphakathi.

Ukwelashwa ngesikhathi esifanele kokuhluleka kwezinso kuzosindisa impilo yesilwane sakho futhi kunikeze ukusekelwa okuthembekile kokusebenza kwezinso!

Izimpawu zesifo

Ezinye izinkomba ezikhombisa ukuthi inja ekhula ukwehluleka kwezinso ingahle ifane nezinye izimo. Lokhu kufaka phakathi:

• ubuvuvu, ukunganaki,
• ukuntuleka kwesifiso sokudla.

Kepha kunezinye izimpawu ezibonisa ngokuqondile ukwahluleka kwezinso:

• ukoma okukhulu
• ukuchama njalo
• iphunga le-acetone ephuma emlonyeni.

Ngaphezu kwalokho, inhlanganisela yezimpawu ezimbili - ukoma kanye nokuchama okuvamisile - yizimpawu ezikhona kulesi sifo.

Ukwehluleka kwezinso okwenzekile kungaba nezimpawu ezilandelayo:

Esigabeni sokugcina, lapho umzimba unoshevu kakhulu ezintweni ezilimazayo, kuvela izimpawu zokudakwa:

• isilonda se-mucosal,
• thuthumela,
• iminyakazo.

Uma ubona izimpawu ezifanayo esilwaneni sakho, sincoma ukuxhumana ngokuphuthumayo nodokotela wezilwane ukuhlola inja futhi uthole izizathu zalesi simo. Ukutholwa kusenesikhathi kwezezinso kuyisihluthulelo sokwelashwa okuphumelelayo nokwelula impilo yesilwane.

Izimpawu zokuhluleka kwezinso ezinjeni

Ingozi eyinhloko yezinguquko zomzimba emzimbeni ngokumelene nesizinda sokwehluleka kwe-renal inkambo ecishe ibe ye-asymptomatic. Ukubonakaliswa kwezimpawu zangaphandle kwenzeka lapho kungasakwazi ukubuyisa ngokuphelele ukusebenza kwezakhi zezintso.

Ngomzimba wesilwane oqinile, ukwehluleka kwezinso kungenzeka kuphela lapho esinye sezitho ezihlanganisiwe sesivele sehlulekile, kuthi ingxenye yesibili nengxenye yesithathu ilimele. Ngokuya esigabeni kanye nangesifo salesi sifo (esibuhlungu noma esingamahlalakhona), lesi sifo sizoba nezimpawu zokubonisa.

Okujwayelekile kuzo zombili izindlela zokusondelana kwemithi ukwenqaba kwesilwane umsebenzi, ukudana nokukhathala okwandayo. Inani lengxenye yomchamo owabiwe liqala ukwanda kakhulu, elihambisana nokungakwazi komzimba ukumunca nokugcina uketshezi oludingekayo. Isilwane esifuywayo siqala ukuya endlini yangasese kuze kube kasishiyagalombili ngosuku. Ngokuphikisana nesizinda sokulahleka okuthe xaxa koketshezi ngumzimba, ukuphuma komzimba kwenzeka, okuhambisana nokuncipha okukhulu kwenani lomchamo.

Ukuntuleka kwesifiso sokudla kuholela ekunciphiseni kwesisindo somzimba wesilwane esifuywayo, kanye nokukhula kokuphazamiseka kwengqondo e-dyspeptic (ukuqhuma kokuqukethwe esiswini, isifo sohudo). Izilonda ezibunjiwe ze-mucous ziba i-anemic, izinga lokushaya kwenhliziyo liyanda, i-edema iyenzeka emaphethelweni.

Akuvamile ukuthi, ezilwaneni ezihluleka yizinso, izinqubo zokuvuvukala emgodleni womlomo zingavela ngokuqhaqhaqhaqeka kwemisipha kanye nemisipha.

Uhlobo olubi lokwehluleka kwezinso, olutholakala ezigabeni zokuqala, luphendula kahle ekwelashweni ngokubuyiselwa kokusebenza okugcwele noma okuyingxenye. Uhlobo olubi lwe-pathology lukhula ngokushesha futhi lunezimpawu ezilandelayo zomlingiswa:

• ukuvimbela isimo esivamile sesilwane esifuywayo,
• ukuchama okwengeziwe (ukukhuphula umchamo),
• ubuthakathaka bemisipha
• ukwenqaba ukudla
• isilinganiso senhliziyo
• izehlakalo ezimangazayo zozungu,
• ukukhuphuka noma ukwehla okukhulu kokushisa komzimba,

Uhlobo olungapheli lokwehluleka kwezinso luboniswa yinkambo yamuva, evela nezinye izifo eziyingozi. Esikhathini eside, isimo sesilwane asiguquki, kepha uma sehluleka ukwenzeka kwesinye sezitho ezihlanganisiwe noma ukunqanyulwa okuyingxenye kokusebenza, kuboniswa lezi zimpawu ezilandelayo:

• ubuthakathaka bezilwane ezifuywayo kanye nokubulala,
• ukuchama njalo ngaphandle komchamo,
• ukoma okuqinile (isilwane sihlala siphuza amanzi),
• ukoma kwezicubu zomzimba ezibonakalayo,
• iphunga elishubile le-ammonia elivela emlonyeni,
• ukwehla kwezinga lokushisa lomzimba kufika kuma-37 degrees,
• i-bradycardia (ukwehla kwenhliziyo),
• ukubonakala kokuhlanza,
• ukwenzeka kwe-edema.

Kubalulekile ukucabanga ukuthi ukwehluleka kwezinso kuhlala kufaka ukulimala hhayi izinso ngokwazo, kepha nezindlala ze-adrenal, okuholela ekukhuleni kwezinye izimpawu. Okusemqoka ukwanda okucindezela kwengcindezi emithanjeni, okubonakaliswa yizihudo esikhwameni, kunciphe umbono.

Esimweni sokuxilongwa okungaziwa kanye nokuqokwa kokwelashwa okwenele, lesi silwane singafa ngenxa yokuxiliswa umzimba nomzimba ngokuqina kobuchopho. Ukuvela kwesinye salezi zimpawu ezingenhla kuyisizathu esibi sokungahlehlisi ukuvakasha kudokotela wezilwane. Ukusizwa ngesikhathi kungasindisa impilo yesilwane esifuywayo.

Ukuxilongwa kwalesi sifo kubandakanya ukuhlolwa okuphelele kusetshenziswa amasu waselebhu kanye nawensimbi. Ukuvakashela udokotela wezilwane kusho ukuqoqa ama-anamnesis ngesimo sesifuyo nendlela yokuphila yaso (ukondleka, ukugula okungenzeka, ukugula okungalapheki, ukuzivocavoca). Okulandelayo, kuyahlolwa ukuhlolwa kwelabhoratri, kufaka phakathi:

• isampula yegazi yokuhlaziywa okujwayelekile,
• chemistry yegazi,
• Ukuhlaziywa komchamo.

Ukuxilongwa kwethuluzi kufaka ukusetshenziswa kwe-ultrasound ne-radiography. Lapho uthola ukuhlonza okuqondile kokuhluleka kwe-renal, ukuguquguquka kwesilinganiso somchamo owenziwe kumchamo owodwa kuyabhekwa. Kubalulekile futhi ekuxilongeni ukwanda kwamapharamitha egazi anjenge-creatinine, urea ne-phosphorus. Ekuhlaziyweni komchamo, ubukhona be-protein ne-glucose kuyabonakala.

Ukuxilongwa kwe-Ultrasound kuzosiza ekuboneni usayizi wezinso nezinguquko zazo ngokumelene nesizinda se-pathology. Ngakho-ke, ngesimo esibi sesifo, izinso empeleni aziguquki ngosayizi noma kwesinye isikhathi ziyandiswa. Ukwehluleka kwezinso okungapheli kubonakaliswa ukwehla okukhulu (ukomisa) kwesitho maqondana nobukhulu obujwayelekile bokuphila.

Thola ngesifo sezinso esivamile >>>

Izimpawu zesifo sezinso ezinjeni

Isifo esibi ngokwanele ukwehluleka kwezinso. Izinso azisusi ngokuphelele emzimbeni wesilwane lezo zinto ezinobuthi. I-phosphorus, i-calcium, i-Vitamin D3 ayimunwa kahle kanti ibhalansi ye-acid-base iyaphazamiseka emzimbeni wonke.

Izifo eziningi kanye nezinto ezinobuthi zibangela isifo sezinso. Lesi sifo siqala ngenxa yezifo zangaphambilini, zonke izinhlobo zokulimala, futhi noma kungenxa yemikhiqizo esezingeni eliphansi. Lesi sifo singadluliselwa ngofuzo. Izinguquko ezihlobene nobudala nazo zingadala ukwehluleka kwezinso. Umqondo ngokwawo usho isifo hhayi wezinso ngokwazo, kodwa futhi nezindlala ze-adrenal.

Izimpawu ezithile zibonisa ukuthi isilwane sakho sihlushwa ukwehluleka kwezinso.Kufanele unake uma

• Inja ihlala iphuza futhi ihlushwa ukoma okungapheli. Emini, isilwane, sinezinso ezinempilo, siphuza kuze kufike kumamililitha angama-50 koketshezi usuku lonke. Lokhu kusekelwe ku-kilogram eyodwa yesisindo. Ngokuhluleka kwezinso, umthamo wamanzi aqediwe ukhuphuka ufike kumamililitha ayikhulu.
• Umchamo okhishwa yinja, unesifo sokuhluleka kwe-renal, ukhuphuka kakhulu ngobuningi. Inja ingasebenzisa indlu yangasese amahlandla ayisithupha kuya kwayisishiyagalombili ngosuku. Ngokuhamba kwesikhathi, izinso azisenakuveza inani elifanele lomchamo. Ngenxa yalokhu, ayiveli nhlobo.
• Isifiso esinciphile - kungenzeka singabi okungahleliwe. Lesi ngesinye sezimpawu ezinzima zalesi sifo. Ekuqaleni, isilwane siqala ukuhlunga ukudla. Ngemuva kwalokho akayidli enikelwe yona. Ukwehlisa umzimba ngokweqile. Ngenxa yalokho, inja ngokuvamile yenqaba ukudla.
• Umngani wakho uyekile ukufriza. Akanendaba. Waba yisifo esibulalayo, walala kakhulu noma wamanga nje. Lesi simo sesilwane singakhombisa ukuthi inja isiqala ukwehluleka kwe-renal.
• Ukuqunjelwa futhi kungenye yezimpawu zalesi sifo. Ukuqunjelwa akuvamile ekuqaleni kwesifo. Kepha ngokuhamba kwesikhathi, baba kaningi. Isimo esinjalo singenzeka ngemuva kokudla ngakunye noma nje ukuphuza amanzi. Ukushayeka kuyashesha.
• Ukuvuvukala kuyavela.
• Umlomo uyavutha, bese kuvela izilonda.
• Umbono wehla kakhulu.
• Ukuqunjelwa kanye nokunye ukuqunjelwa kungenye indlela.

Ukwehluleka kwezinso okwenzeka kakhulu ezinjeni

Uhlobo olubi lwalesi sifo lunesici esehlukile: lukhula ngokushesha okukhulu. Kuyadingeka ukubonana nochwepheshe ngesikhathi ukuze akwazi ukuxilonga okufanele. Ngaphansi kwalesi simo, lesi sifo singalapheka ngangokunokwenzeka esimweni ngasinye, yize kuzothatha isikhathi esanele. Ubunzima buhlala eqinisweni lokuthi ifomu elinamandla liqabukela. Kunezici ezimbalwa eziholela ekuqaleni kwalesi sifo.

• Ngakho-ke i-nephrosis noma i-nephritis ifaka ukubhujiswa okuphelele kwezicubu zezinso.
• Izikelemu nobuthi obutholwe kubo kuholela ezifweni zezinso. Izinhlobo ezahlukahlukene zezifo ezithathelwanayo ezinjeni zivame ukufaka ukuhluleka kwe-renal acute.
• Kunezinhlobo zezifo ezithile zokuzalwa lapho izinso zingakwazi ukubhekana nemithwalo yazo yemfanelo ngokushesha.
• Kungenzeka ukuthi ubuthi buye baba imbangela yalesi sifo.
• I-cyst inja iphazamisa ukusebenza kwezinso. Kepha ngemuva kokususwa kwayo, isitho sibuyiselwa ngokuphelele.
• Isimila singadala isifo.
• Enye yezinto ezingaba yisihlabathi noma itshe ezinso.

Izinso ziqala ukusebenza kahle uma

• izinhlobo ezahlukene zobuthi zenzeka,
• ukuba khona kwamagciwane emzimbeni,
• ukuntuleka koketshezi emzimbeni,
• amagciwane angena egazini
• ukwethuka isimo.

I-ARF ihlukaniswe ngamaqembu alandelayo:

1. I-Prerenal.

Kulokhu, ingcindezi yehla kakhulu. Lokhu kungenzeka uma kungekho manzi owanele emzimbeni noma ngesikhathi sokushiswa ukushisa.

1. I-Renal.

Ezinso, kulimala izicubu nokulimala kweseli. Lokhu kungabangelwa yi-pyelonephritis, ubuthi bezidakamizwa.

1. Postrenal.

Kulokhu, i-ureter icindezelwe, futhi kungenzeka ivinjiwe. Lokhu kusho ukuba khona kwamatshe ezinso nasezinhlungwini. I-ARF, uma isivele ingeyesibili, iba nzima ukwelashwa.

Ukwelashwa Kwezinja Kwehluleki Kwezinja

Ukwelashwa kokuhluleka kwezinso ezinjeni, noma ngabe unjani uhlobo lwalesi sifo, kunephethini elifanayo. Umehluko ulele eqinisweni lokuthi ngendlela ebukhali yokwehluleka kwe-renal, kuyadingeka ukuqondisa amabutho ukuthi aqede isisusa esidabukisayo, futhi esimweni inkambo engapheli ye-pathology, ukusetshenziswa kokulashwa kokulondeka kuyimpoqo.

Ukuqokwa kokwelashwa kufanele kwenziwe kuphela ngudokotela wezilwane ofanele futhi azenzele yena kuleli cala akunconywa.

Uma imbangela yokwehluleka kwezinso bekuyisifo sesimo sofuzo, khona-ke akunakwenzeka ukubuyisela ngokuphelele ukusebenza kwezinso, ngakho-ke i-prognosis iyaqapha. Ukwelashwa okubonakalayo kufaka phakathi:

1. amaconsi phansi ukuze kubuyiselwe ibhalansi yama-electrolyte ne-acid-base (ama-droppers akhulisa ukususwa okusebenzayo kwezinto ezinobuthi emzimbeni ezingakhishwa yizinso, nakwizilwane ezinokwehla kwezinga lokushisa lomzimba, izixazululo zenziwa zifudumele),
2. faka izidakamizwa ezikhulula imisipha ebushelelezi, unciphise isifiso sokuqhuma okuqukethwe esiswini,
3. kubalulekile ukwethula izidakamizwa ezenza kube nemingcele yegazi ene-biochemical, ukunciphisa amathuba okuba ne-anemia,
4. Ukwelashwa kokuhluleka kokuqina kwezinso okubangelwa yi-pathogenic bacterial microflora kufaka phakathi inkambo yokwelashwa ngemithi elwa namagciwane (ubude besikhathi sokwelashwa kanye nomthamo wezidakamizwa kunqunywa kucatshangelwa izici zomzimba wesilwane kanye nezinga lokulimala kwezinso),
5. ukuqokwa kwezidakamizwa ze-diuretic kungathuthukisa ukugudluza umchamo futhi kuvimbele ukugcwala kwe-bladder.

Ezimweni ezimbi kakhulu, ukungenelela okuhlinza kudingekile ngokwethulwa okulandelayo kwe-catheter. Lokhu kukuvumela ukuthi wehlise umthwalo esinyeni. Ukubuyisela ibhalansi yama-electrolyte kufaka phakathi ukusetshenziswa kwezidakamizwa ze-glucocorticosteroid ezivimbela ukusabela kwamasosha omzimba nge-autoimmune hlobo glomerulonephritis.

Uma kunesidingo, udokotela wezilwane ubeka izidakamizwa ezinciphisa umfutho wegazi emithanjeni futhi zenze ukugeleza kwegazi kube okujwayelekile ezinhlaka zezinso.

Izidakamizwa ezisetshenziswa ekwelapheni ukwehluleka kwezinso:

• ukuphinda uvuselele futhi unciphise izixazululo - Reosorbilact, Nelit, saline, solution Ringer-Locke,
• izidakamizwa ze-diuretic - I-Furosemide, Mannitol, Lespenfril,
• Imithi ukuvikela ulwelwesi lwe-mucous lohlelo lokugaya ukudla - i-Omez, iRanitidine,
• izindlela zokuvimbela ukugabha - i-Papaverine, i-Serena, i-Tserukal,
• Imithi yokunciphisa umfutho wegazi - enalapril, vazosan,
• amalungiselelo okulungiswa kwezinqubo zokwenziwa kwegazi okujwayelekile - amavithamini e-B, i-Recormon, i-Ursoferan, iHemobalans,
• Vikela umsebenzi wezinso - Kanefron,
• izidakamizwa ze-antitoxic - I-Lactusan, i-Entrosgel, i-Sirepar,
• Imithi yenhliziyo - Cocarboxylase, Sulfcamfocaine, Riboxin,
• imishanguzo - i-Enroloxacin,
• glucocorticosteroids - Metipred, Dexamethasone,
• heestatic - IVikasol, eDitsinon.

Indawo ekhethekile ekwelapheni ukwehluleka kwezinso idlalwa ngokudla okufanele. Ukondliwa okufanele kusiza ukunciphisa umthwalo ezinso, kuzisize zilulame ngokushesha. Ukudla kwezinja ezinokwehluleka kwezinso kufanele kususelwe emithethweni eminingana:

• okuqukethwe okuphakathi kwezingxenye zamaprotheni ezinokuqukethwe okuncane phosphorus (amaqanda, inyama entsha),
• ukungafakwa kokudla okunokuqukethwe okuphezulu kwento enjenge phosphorus (inhlanzi enamathambo, inhlama, ushizi),
• inani elanele lamafutha (inyama enamafutha, ibhotela, izikhupha zamaqanda),
• okuqukethwe okuphezulu kwama-carbohydrate ayinkimbinkimbi (okusanhlamvu nemifino ethosiwe kufanele ibe khona ekudleni kwesilwane esigulayo).

Uma isilwane sidla ukudla okwomile, khona-ke udokotela wezilwane uzokusiza ukuthi ukhethe izinja ngokuhluleka kwezinso, okuqukethe zonke izinto ezidingekayo ukusekela umsebenzi wezinhlaka ezithintekile. Ukuphakelwa kwe-granular kuqukethe inani elincishisiwe lezakhi zamaprotheni, phosphorus nesodium.

Ukwehluleka kwezinso okungapheli enjeni

Kukhona ukwehluleka nokuqina okungapheli kwezinso enjeni. Uhlobo olunamandla lokwehluleka kwezinso lushesha kakhulu ekukhuleni kwalo. Futhi uma isikhathi sokufuna usizo kuchwepheshe ozosheshe asheshe asihlole isifo, ungasiza isilwane sakho. Uhlobo olungapheli lokwehluleka kwezinso luzibonakala ezinjeni,

• Eziphile iminyaka eyisithupha noma ngaphezulu. Kepha hhayi iminyaka kuphela ebanga ukuqala kwesifo.
• Kungaba ifa lofuzo.
• Kanye nomuntu obosayo, wakheka ngaphambili kakhulu.

Inkinga ukuthi ukuqala kokwehluleka kwezinso enjeni akubonwa ngumnikazi wezinja ngesizathu esilula sokuthi lesi sifo asinazo izimpawu. Futhi, ngakho-ke, akekho umuntu okhathazeke kakhulu. Izimpawu zokuqala zokwehluleka kwezinso ezingalapheki yilezi:

• Isifiso sokudla
• Ubuthakathaka.
• Imiphumela yokuhlolwa nokuhlolwa okuthile kukhombisa ukuba khona kwalesi sifo.
• Khulisa ukoma.

Esigabeni sokuqala sesi sifo, inja ihlala isebenza, iyadlala. Izinso zisabhekana nemisebenzi yazo futhi ziyakwazi ukuhlanza igazi. Inani elikhulu lomchamo liyasiza kulokhu. Ngaphezu kwalokho, izinso ngeke zisakwazi ukubhekana nemisebenzi yazo futhi lokhu kufaka ukuwohloka kwempilo yesilwane. Kubonakala ngokucacile:

• Ukwehla kwesisindo,
• IStina.
• Umsebenzi wesilwane ulahlekile.
• Inja iphuza kakhulu.
• Ukukhishwa komchamo kuya kuncipha ngaso sonke isikhathi. Futhi kuvela izifiso ezingamanga.
• Ijazi liba buthuntu.
• ISaliva iyabonakala. Umzimba ukhubazekile.
• Izinga lokushisa lehla laya kuma-degree angamashumi amathathu nesikhombisa.
• IBradycardia iyavela. Izinga lokushaya kwenhliziyo lingaphansi kwamatshumi ayisithupha ngomzuzu.
• Iphunga le-amonia livela emlonyeni wenja.
• Izikhathi ezithile, ukuhlanza noma ukugabha kwenzeka. Ngasikhathi sinye ukudla okungathathelwanga kuyabonakala.
• Ukuvuvukala kwemikhawulo kuvame kakhulu. Yize lokhu kungenzeki njalo.
• Izinso ziya ngokuya ziwohloka ekwehlulekeni kweziinso okungapheli.

Ngalezo zimpawu, umnikazi womngane onezinyawo ezine umane nje kufanele aye kochwepheshe. Ngemuva kwalokho, isilwane sidinga usizo ngokuphuthumayo.

Ukuxilonga

Njengoba sesiphawulile, isigaba sokuqala salesi sifo asinazimpawu eziveziwe, futhi kunzima ukusinquma ngokuhlolwa kwelebhu, ngoba izinso zisawenza kahle umsebenzi wazo, naphezu kwezinguquko eziqale kuzo.

Ekuqaleni kwesigaba somtholampilo, ukuhlolwa kwegazi kwe-urea ne-creatinine kuveza ukwanda kwalezi zinkomba, futhi lokhu kwenza ukuthi uqonde ukuthi inja inezinso ezigulayo.

Uma unokusola okungenani okuncane kokuthi isilwane sakho sinezinkinga zezinso, khona-ke kuyadingeka ukuthi ngezikhathi ezithile senze izivivinyo ukuthola inani le-urea ne-creatinine futhi, lapho zisondela emkhawulweni ophakeme wesimo, xoxa nodokotela wezilwane umbuzo wezenzo ezengeziwe.

Ukuvimbela ukwehluleka kwangempela

Izindlela zokuvimbela ziqukethe ekudleni okwenziwe kahle isilwane. Lapho uhlanganisa ukudla, kubalulekile ukuthi ubheke ukunemba kokuqukethwe kwazo zonke izinto eziwusizo nezinempilo. Uma isilwane sikondli yemvelo, kubalulekile ukubonisana nodokotela wezilwane mayelana nokufakwa kwezithako ezinovithamini namaminerali ekudleni.

Indima ebalulekile ekuvinjezeni ukwehluleka kwezinso ezinjeni idlalwa ngokuxilongwa okufika ngesikhathi nokwelashwa kwezifo ezahlukahlukene ezibangela ukuvuvukala ezakhiweni zezinso. Imvamisa imbangela yokwehluleka kwezinso okulimazayo yilezifo ezithathelwanayo ezingalashwa ezenzeka kakhulu futhi zinikeze izinkinga ezinkulu.

Isimo sengqondo sokunaka isilwane sakho nokuhambela kokuxilonga kokuya kuthambo kudokotela wezilwane kunciphisa ubungozi bokwakha i-pathology eyingozi ezinjeni.

Ufuna ukubuza umbuzo ku-athikili noma ukucacisa okuthile? Shayela ku +79774692712, sizokweluleka.

Ukwelashwa Kwezifo Zinja

Ukwehluleka kwangempela ezinjeni izinja zisencane kunzima ukunquma ngoba izinso ziyisitho esibhanqiwe. Uma enye yezinso igula, khona-ke izinso ezinempilo zithatha umsebenzi wazo isikhathi esithile. Futhi umzimba uyaqhubeka nokusebenza, kubonakala ngaphandle kokuphambuka.

Ngakho-ke, ngaphambi kokuqhubeka nokwelashwa kokuhluleka kwezinja izinja, udokotela kufanele anikeze inani lokuhlolwa kanye nokuhlolwa. Kulokhu, udokotela wezilwane uzobuza umniniyo ngezimo zezinja, ngokuziphatha kwayo okujwayelekile. Futhi ukucacisa ukuthi yini eguqukile ekuziphatheni kwesilwane eminyakeni yamuva nje. Ukuhlolwa, ama-x-ray, kanye ne-ultrasound kungasiveza ngokuphelele isithombe sesifo sezilwane ezifuywayo. Ngokusekelwe kulokhu, udokotela wenza isikhathi sokuqokwa.

Ukuxilongwa okunjalo kudinga ukwelashwa okungalashwa. Ekwelashweni okwelapha ngokuhluleka ngokweqile kwe-renal kanye nokwehluleka kwe-renal okungapheli, kusetshenziswa izidakamizwa ezifanayo. Ekwelapheni ukwehluleka okukhulu kwe-renal renal, imbangela eholele kulokhu kuhlaselwa iyaqedwa. Futhi ngokuhluleka okungapheli kwezinso, inhloso ukugcina amandla wesilwane esifuywayo. Ngesifo esinjalo, isilwane siphuza kakhulu. Okokuqala, kumele kuqedwe.

• Ukwakheka kwe-buffer, ushukela, kanye nesixazululo somzimba ngendlela yama-droppers kuphathwa ngesandla esilwaneni.
• Ngaphezu kwalokho, isibindi nenhliziyo kusekelwa izidakamizwa ezithile.
• Ukumpompela igazi, uma kunesidingo, nakho kwesinye isikhathi kungasekela umsebenzi obalulekile wesilwane.
• Ukusetshenziswa kwe- "izinso zokwenziwa" kungenzeka. Kepha lokhu kuzodinga izindleko eziphezulu kakhulu.
• Ukuze uthuthukise isimo esivamile sesilwane futhi uqalise ukugaya, kuyadingeka ukuthatha amavithamini kanye nama-probiotic.
• Ngaphezu kwalokho, udokotela unikeza izidakamizwa isiguli se-caudate esinganciphisa umfutho wegazi, futhi amaphilisi noma imijovo ethulisa uhlelo lwezinzwa nayo iyadingeka.
• Ukugcina ukudla okunempilo kwezinja ngokwehluleka kwezinso kubaluleke kakhulu.

Kumele kuqashelwe ukuthi isikhathi sokuphila kwesilwane kuya ngesigaba salesi sifo, uhlobo lwaso, kanye nezimo lapho isilwane sitholakala khona.

Ungayondla kanjani inja ngokwehluleka okunjalo

Enye yezimo zokwelashwa kwezehlakalo ezibuthakathaka zokulimala kwe-renal kanye nokwehluleka kwe-renal okungamahlalakhona, kanye nesifiso sakho sokukhulisa impilo yezilwane ezifuywayo, wukudla okunempilo. Ukukhethwa kahle kwemikhiqizo ekhethwe kahle nokulinganiselayo kuzonika amandla umngane onemilenze emine ukuba aphile impilo ephelele futhi ejabulisayo. Lokhu, futhi, kuyadingeka ukulalela umbono nezeluleko zikachwepheshe. Ngaso leso sikhathi, ungalungisa izitsha zesifuya sakho ngokwakho. Futhi ungasebenzisa okuphakelayo okhethekile ngale njongo, ukuyithenga ezitolo ezikhethekile noma kumakhemisi wezilwane.

Lapho ukhetha ukudla kwezinja ezinokwehluleka kwezinso, kufanele uhambisane nezidingo ezithile. Kepha isidingo esibaluleke kakhulu ekuphekeni kungukuvinjelwa okuqinile kokudla usawoti. Usawoti oyisitha esikhulu kulabo abahlushwa ukuwohloka kwezintso. Futhi uma isilwane sithandwa kumnikazi, khona-ke uyonamathela ngokucophelela kulo mthetho.

Kepha amafutha ekudleni kufanele abe ngamanani anele. Ziyadingeka ukuze ubuyisele ubungqabavu besilwane sakho esifuywayo. Ukudla kwenja kufanele kufake amaqanda, ibhotela, iyogathi, enamaphesenti amakhulu wokuqukethwe kwamafutha. Kepha ungasebenzisi amafutha emifino ukupheka. Lapho ulungiselela ukudla ekhaya, umuntu kufanele akhumbule ukuthi amafutha kufanele ethule kancane kancane nangengxenye ezincane ukuze angaphazamisi umsebenzi wesisu namathumbu.

Ukudla kwamaprotheni akunakukhishwa ngokuphelele ekudleni. Kepha kusamele usilinganisele. Unganikeza isilwane sakho amaprotheni amabili ne-yolk eyodwa kuphela. Ama-Eggshell angafakwa ekudleni. Kuphela ngaphambi kokuyikhonza kumele inqunywe kahle. Ukusetshenziswa okunjalo kwegobolondo kuzovumela i-phosphorus ukuthi idonswe. Engxenyeni yekhilogremu yanoma yikuphi ukudla okuphekiwe, udinga kuphela igremu eyodwa yamagobolondo amaqanda aqhobozekile.

Ukudla inja enezinkinga ezinso

Njengamanje, cishe wonke umugqa wokudla ukhethekile ukondla izinja ezinso ezinesifo. Ngakho-ke, ungakukhetha kalula ukudla okulungile nokunempilo kokudla kwesilwane sakho.

Kepha uma inja yakho ijwayele ukudla imikhiqizo yemvelo, uma usondla, khumbula izincomo ezizosiza inja ilondoloze impilo futhi imise ukuqhubeka kwokwehluleka kwezinso:

1. Amafutha anika inja amandla adingekayo empilweni, futhi igaywe kalula emzimbeni, kepha akufanele ibe yimbi kakhulu ekudleni kwesilwane. Kwenja ehlushwa ukuwohloka okungapheli kwe-renal, kuzoba wusizo ukufaka amaqanda, inyama enamafutha nebhotela ekudleni, kepha uwoyela we-sunflower kanye namafutha enhlanzi kungenza ingozi enkulu kuphela.
2. I-Egg protein ingasetjenziswa njengomthombo wamaprotheni, kodwana angeqi ngaphezulu kwelilodwa ngelanga, futhi unganikela nenja yakho yenkukhu ebomvu, unogwaja kanye no-offal. Inani lamaprotheni adliwe yinja lincike ebangeni le-CRF: elikhudlwana izinga, iprotheni elincane inja okufanele yenziwe.
3. Unganikeli amathambo enyama, ushizi nenhlanzi ngamathambo, ngoba aqukethe i-phosphorus eningi, okuyingozi kwizinja ezinezinso ezinesifo.
4. Kufanele sizame ukunciphisa inani lama-carbohydrate asetshenzisiwe, i.e. akukho-oatmeal obisini, amakhukhi, ama rolls, njll. Ama-carbohydrate ekunakekelweni yinja egulayo kumele abe yinkimbinkimbi futhi aphansi ku-phosphorus, okungukuthi ilayisi inezakhiwo ezinjalo.
5. Okunye okubalulekile okuqinisekisa inhlala-kahle yenja kungukuvinjelwa ekudleni kwayo kasawoti, okumele kungafakwa. Kuyafaneleka ukubheka ukuthi ikhona futhi emikhiqizweni eqediwe, ngokwesibonelo, ushizi we-cottage shizi, izimpahla ezikheniwe, njll.
6. Inja kufanele ihlale inamanzi amasha okuphuza endaweni evulekile.
7. Njengoba iphango lenja egulayo lingase lingabi lihle kakhulu, udinga ukunika inja ukudla okuthanda kakhulu.

Ukudla ngokudla akuyona nje indlela yokwelashwa, kepha futhi nokuvimbela izinkinga zezinso. Uma isilwane sakho sisatholakala sokwehluleka kwezinso, khona-ke ungakhathazeki, ngoba isiphetho sempilo yezinja ezinesifo esinjalo ezitholakala ezigabeni zokuqala sihle kakhulu. Ngokudla okufanele, ukwelashwa nokunakekelwa, inja yakho izoba nempilo ende phambili.

Siyethemba ukuthi i-athikili yethu izoba wumthombo wolwazi kuphela kuwe futhi ngeke futhi usebenzise izincomo zayo empilweni yangempela!

Imikhiqizo yobisi

Ngokuqapha okuthile futhi ngamanani amancane, kuyadingeka ukwethula ubisi nemikhiqizo equkethe ubisi, amathambo. Inani lemikhiqizo equkethe i-phosphorus ngqo ixhomeke ekujuleni kwesifo. Izinga lesifo eliyinkimbinkimbi ngokwengeziwe, i-phosphorus engatheni kufanele ibe ekudleni kwesilwane.

Ama-carbohydrate anesilinganiso esiphansi se-phosphorus kufanele futhi asetshenziswe lapho wondla inja ehlushwa ukwehluleka kwezinso. Ungapheka usebenzisa i-semolina nelayisi, kanye namazambane amhlophe.

Enye into ebaluleke kakhulu ekudleni kwamanzi. Amanzi ompompi awakwazi ukusetshenziselwa ukupheka, ikakhulukazi isilwane esihlushwa ukwehluleka kwezintso. Ngakho-ke, amanzi athathwa ngemikhiqizo ye-Culinary kanye nokuphuza kuphela, kuhlunga kuphela.

Uma isilwane sakho singafuni ukudla, kungcono ukuthi umphekele izitsha azithandayo. Gxilisa isilwane sakho ngama-tidbits. Lapho inja ilulama, izakudla konke ezinikezwa yona.

Kukhona ukudla okhethekile okwenzelwe izinja (ngaphezulu) okuhlushwa yisifo sezinso. Futhi okunezinhlobonhlobo zazo kuhluke kakhulu. Kepha ngaphambi kokuthenga ukudla okunjalo, kufanele uqiniseke ukuthi ingabe kufanelekile isilwane sakho.

Kuhle ukwazi ukuthi ukudluliswa kwenja kokudla okujwayelekile kungenzeka kuphela ngemuva kokwelashwa kanye nokuhlaziywa okuthile, ngemvume kadokotela. Lokhu kungenzeka uma umngani wakho onemilenze emine kutholakala ukuthi wehlulekile ukuqina wezinso. Ekwehlulekeni kwezinso okungamahlalakhona, ukudla kuyabhekwa njalo futhi akunakuchithwa. Uma ezinsukwini zakudala izinja zokuguga zihlupheka ngokwehluleka kwezinso enjeni, manje iPN isencane. Futhi iningi labadadewethu bobudala obuncane bahlushwa yilesi sifo. Nakekela futhi uthande izilwane zakho ezifuywayo.

Izinja izinja ezimiselwe ukuba yi-renal pathologies

• Izinja ezihlanyisiwe
• Abelusi baseJalimane
• sharpei
• terriers
• Shih Tzu
• english cocker spaniels
• ukubuyisa igolide.

Ekwehlulekeni kwezinso, ukubhujiswa kwezicubu zezinso kuvame ukwenzeka, kuthi umthwalo omningi emsebenzini we-excretory ubekwa kumaseli asele. Amangqamuzana omzimba nezicubu azibuyiswa, ngakho-ke ukulahleka kokusebenza kwalesi sitho kusobala. Ngokuhlolwa kwegazi nokuchama okujwayelekile, udinga ukunaka kakhulu imikhawulo ephezulu yezinkomba ezijwayelekile - lokhu kungaba wuphawu lokuthi kunokuphambuka kokuhluleka kwezinso. Kungani ukuhlaziya kubalulekile? Ngoba yangaphandle, lokhu kudalwa kwemizwa kuqala ukuvela ngisho nalapho kuthinteka ama-50-70% ezinso. Kulesi simo, ukwelashwa akunakwenzeka, ungahlela ukwelashwa okwenziwa ngezikhathi ezithile noma okujwayelekile.

I-Pathology iqhubeka ngezindlela ezimbili:

Izimpawu nezimpawu zesifo

Kuyinkinga impela ukuthola izimpawu zokwehluleka kwezinso enjeni isikhathi eside (ngaphandle kwezimo ezinzima).

Izimpawu zokuqala zingavela lapho ngaphezu kwengxenye yezicubu zezitho kungasasebenzi.

Konke okunye akuhambelani nomsebenzi wokuhlukaniswa nokuhlanzwa, okwakha izimo zokulungisa isithombe sangaphandle salesi sifo.

Izimpawu zincike esigabeni sokukhula kwenkinga. Kunezinyathelo ezimbalwa eziphambili:

1. I-Latent. Isikhathi eside kunazo zonke. Isilwane esifuywayo ngalesi sikhathi siyasebenza, siyasebenza, asikhombisi izimpawu zokugula. Kodwa-ke, kungenzeka ukuthola ukuphambuka lapho uphasa izivivinyo. I-Creatinine iyi akukho ngaphezu kwe-125 mmol / l.
2. Isinxephezelo. Izimpawu zokuqala zokukhula kwenkinga ziqala ukuvela. Umunyu nokuchama kaningi kuyabonakala. Ekupheleni kwalesi sigaba, cishe ingxenye yesine yezingane, iyafa 125-180 mmol / lurea - cishe ama-20 mmol / lamandla athile omchamo angaba ngaphansi kuka-1,030. Abanikazi baphendukela kudokotela wezilwane kaningi ngalesi sikhathi.
3. Ukubuyiselwa. Izimpawu zesimo se-pathological kunzima ukuzikhumbula. Izinkinga zokuchama zengeziwe ukungabaza ukudla, ukunciphisa umzimba, ukunganaki, ukungabi namandla, ubunzima bepheshana lesisu. Ekupheleni kwesigaba, akukho ngaphezu kwama-20% amangqamuzana ezinso asebenza. I-Creatinine Index - 181-440 mmol / lamazinga e-urea nawo ayanda, i-azotemia ikhona.
4. Isikhumulo. Isikhathi esinzima kunazo zonke, esibonakaliswa ukwehla okubukhali enhlalakahleni, ukudakwa kakhulu, nokungalingani kwe-electrolyte. Izisebenzi ziyaqhubeka akukho ngaphezu kwe-15% amaseli wezinso, izinga le-creatinine Dlula 440 mmol / l.

Ukubonakaliswa kwezimpawu kuncike kwifomu lenkambo yalesi sifo - esibi noma esingamahlalakhona. Izimpawu ziyehluka ngokukhanya nangejubane lokuvela.

Ifomu elingamahlalakhona (CRF)

Ifomu elingamahlalakhona livame ukuvela ezinjeni zobudala, linwetshwa ngesikhathi, izimpawu zihlelwa kancane kancane, zivame ukuhlala zinganakekelwa, zingahlanganiswa nezinkomba zezinye izinkinga zempilo. Phakathi kokubonakaliswa okumangazayo kakhulu, umuntu angabona ukoma okukhulu, kanye nokuvama, kuze kube izikhathi ezingama-6-8 ngosukuuchama. Ezinye izinkomba zifaka:

• Ubuthakathaka,
• Umoya we-Amonia
• Ukwehla emzimbeni, okuzibonakalisa kulwelwesi lwe-mucous olomile, izinwele ezi-brittle kanye nezithambile, amathe abonakalayo,
• Ukushisa kwehla ku 37 degrees,
• Isicanucanu, ukuhlanza, ngokuvamile izinhlayiya zokudla ezingaphazamiseki,
• U-Edema (kusuka endaweni engezansi yama-paws, ngokushintshela esifubeni, esiswini),
• I-Bradycardia (akusekho Imivimbo engu-60 ngomzuzu),
• Ukuntuleka kwezifiso zokudla.

Ubunzima bezimpawu bukhula kancane kancane, njengoba izifa ziyafa. Ukuchama okuvamisile, okweqile kuthathelwa indawo okuncane, bese kuthi ukunxenxa ngaphandle kokuphuma uketshezi.

Inja ikhombisa izimpawu ze-anemia, i-creatinine ne-urea ekhuphuka, umchamo oqondile wehla, amaprotheni noshukela avele kuwo, kepha akukho okuphambili okubonakalayo.

Ifomu elingamahlalakhona livame ukwenzeka ngokungemuva kwezifo eziyisisekelo zezinso, isiphetho se-genetics, kanye nokwehluleka okubi kakhulu kwaphambilini. Lesi sifo sinwetshwa ngokuhamba kwesikhathi, ngakho umnikazi kanye nodokotela bezilwane banesikhathi esithe xaxa sokuthola le nkinga nokusiza inja ngesikhathi.

Ungayondla kanjani inja ngokwehluleka kwezinso

Ukudla inja ngokwehluleka kwezinso kunezimpawu zayo. Ukudla ngendlela efanele kusiza ukugcina indawo intofontofo ekusebenzeni kwezinso futhi kuvimbele ukonakala.

Phakathi kwalezo zinto ezisetshenziswayo ezinganconywa ngokuphelele ngabadokotela bezilwane, usawoti nayo yonke imikhiqizo equkethe i-phosphorus (ngokwesibonelo, imikhiqizo yobisi, amathambo, ushizi wekhokho, inhlanzi).

Kwenqatshelwe ukusebenzisa izithasiselo eziyinkimbinkimbi zamavithamini, njengoba zingaqukatha le nto yamakhemikhali.

Kuyadingeka futhi ukunciphisa okuqukethwe ngamaprotheni, ama-carbohydrate, uwoyela wemifino. Ekudleni, kunconywa ukwandisa izinga lamafutha, engeza uwoyela wemifino, izikhupha, inyama efanelekile, umhluzi. Kodwa-ke, ukuhlushwa kufanele kwandiswe kancane, ngaphandle kwalokho umnikazi wengozi onakalisa umgudu wokugaya wesilwane.

Ama-carbohydrate anganikezwa kuphela ngenkomba ephansi ye-glycemic (i-digestible slowly). Ukukhetha okuhle kungaba okusanhlamvu (isibonelo, ilayisi), imifino. Kuvunyelwe ukucebisa ukudla ngamafutha we-salmon, amavithamini B, C. E (lonke iqembu u-D wenqatshelwe). Kufanele ngaso sonke isikhathi kube namanzi angahlanzekile ahlanzekile, angaqukethe ukungcola namaminerali.

Izimpawu, izimpawu

Kufanele kuphindwe ukuthi ukusebenza kwezinso okunganele kuyindlela yokukhohlisa eqala ukuvela ngaphandle lapho isimo sokuqala sezinso singasakwazi ukubuyiselwa. Ngokunikezwa impilo yemvelo ephelele ezinjeni, ukwehluleka kwezinso kungaqala ukuzibonakalisa ngokwelashwa ngokwehluleka ngokuphelele kwezinso elilodwa nokwesithathu konakaliswe omunye. Izimpawu zingavela, zombili ngasikhathi sinye, kanti ezinye ngokwehlukana. Udinga ukunaka isimo sesilwane esifuywayo.

Yiziphi izimpawu eziphambili zokuhluleka kwezinso ezinjeni? Okokuqala, inja iyayeka ukusebenza, ilele ngokwengeziwe, ibukeka ikhathele futhi icindezelekile. Inani lemichamo ekhishwe ngaphandle lingakhuphuka kakhulu ngenxa yokulahleka kwekhono lomzimba lokugcina nokukhipha uketshezi. Kulokhu, isifiso sokuya endlini yangasese sikhuphuka size sifike ku-6,5. Izimpawu ezinjalo nakanjani ziholela ukomisa futhi ukoma okungapheli. Ngemuva kwalokhu, inani lomchamo lehla kakhulu futhi linyamalale ngokuphelele.

Isisindo sezinja sincishisiwe ngenxa yokuntuleka kwesifiso sokudla, ukuhlanza ngezikhathi ezithile nesifo sohudo. Izinduna ze-mucous ziba nsundu, ukushaya kwenhliziyo kungakhula (imvamisa yezinhliziyo zenhliziyo ezingama-70-120) bese kuthi i-edema iqale, kusukela phansi phansi kwamawele. Ezimweni ezimbi kakhulu, ukuthuthumela kwemisipha nokuvuvukala emlonyeni kufakwa, kuze kuvele izilonda.

Singacabanga ukuthi inja iyagula kakhulu lapho kuqubuka imvuthuluka ejwayelekile, i-ulcerative stomatitis ebanzi, ukugabha kokudla okungaphazamisiwe kanye nokungakhathaleli okuphelele kuvela. Imvamisa kakhulu ngemuva kwalokhu, inja ifa isikhashana ngefushane.

Ifomu le-Acute (ARF)

Le ndlela yalesi sifo ibonakala ngesilinganiso esisheshayo sokuthuthuka kanye nokubonakaliswa kwezimpawu zomtholampilo. Inja, ukwehluleka kwe-renal acute kuyindlela yokwelapha ebilapheka, uma ngabe kuphela ukuxilongwa okwenziwe ngendlela esifike ngesikhathi. Ukwelapha okunciphisanayo kungaletha izinso esimweni sokusebenza kakhulu, ngangokunokwenzeka kuleli cala elithile. Isimo sivame ukuhlanganiswa yinkimbinkimbi yokuthi inkambo yokuqala eyindida ayivelakancane, ikakhulukazi iwukukhulisa kwenkambo engapheli, okubangela ukulimala okuyinhloko esimweni sezinso. Yi-ARF yesibili ethathwa njengengelapheki.

Ukudla kwenja ngokwehluleka kwezinso

Ukuze ugweme ubunzima ngokwakhiwa kokudla okwamukelekayo, ungasebenzisa imigqa yokwelapha yokuphaka ochwepheshe. Ukwakheka okulinganiselwe futhi okuseqophelweni eliphezulu, ukuba khona kwezithasiselo ezamukelekayo zamavithamini kanye nokulula ukusetshenziswa kuzenza inketho enhle yokubuyisela ukudla kwemvelo. Phakathi kwemikhiqizo edumile enconywe odokotela bezilwane kubandakanya:

1. EbukhosiniCaninI-RenalRF14 (16),Khethekile – angasetshenziswa uma kwenzeka Ukwehluleka kwezinso okungamahlalakhona. Inkambo yokuqala - Izinyanga ezi-6. Kwenqatshelwe ukunikeza izinja nge-pancreatitis, hyperlipidemia, kanye nabesifazane abakhulelwe.
2. EukanubaI-Renal- ilungele izinja nganoma yiluphi uhlobo lwesifo (kunethuba lokukhetha inketho yesigaba ngasinye). Akunconyelwe izilwane ezikhulayo nezincelisayo.
3. IHill Preservation Diet Canine k / dfuthiu / d - ngoba zonke izinhlobo izifo.
4. Ukudla Kwezilwane Zokudla Kwe-Purina Veterinary NF Kid - Kunconyelwe Ukwehluleka kwezinso okungamahlalakhona, ezinye izinkinga emsebenzini wezinso.
5. Impilo ye-Farmina vet canine renal- Ukudla kwenja nge Arrester noma Ukwehluleka kwezinso okungamahlalakhona.

Uma kwenzeka ungondleki kahle, ukondleka kuyadingeka kuze kuqedwe izimpawu; kwizilwane ezigula kakhulu, kudingeka ukudla okuvamile.

Izimbangela eziphambili zokulimala kwezifo ezinonya zihlanganisa

• izinhlobo ezahlukahlukene zobuthi ezinobuthi ezinobuthi (isibonelo, i-ethylene glycol noma izinsimbi ezisindayo),
• izinambuzane (pyroplasmosis) kanye nezifo (leptospirosis),
• ukuphelelwa ngamandla komzimba, noma ngabe bekuzimbangela,
• i-sepsis (ukutheleleka ngegciwane kwegazi),
• izimo zokushaqeka (ngokwesibonelo, ngokulahlekelwa okukhulu kakhulu kwegazi),
• ukuvaleka kwemishini kwemicu yokuchama, ngenxa yalokho ukuphuma komchamo okuvamile kuphazamiseka.

Ngokuya ngezimbangela eziphambili zokuhluleka kwe-renal acute, i-pathology ihlukaniswe izinhlobo ezintathu eziyinhloko:

1. I-prerenal (noma i-prerenal). Lolu hlobo luvela ngenxa yokwehla okubukhali kwengcindezi yegazi ezinso, okubangela ukuphuma kwegazi kwe-renal (ukuphuma kwegazi, ukuphuma komzimba, ukuhlaselwa ukushisa, njll.).
2. I-renal (noma i-renal) . Lesi simo sikhula ngomonakalo oqondile wezicubu namaseli ezinso ezinama-glomerulonephritis, i-pyelonephritis, ubuthi bezidakamizwa, ukuvezwa kobuhlungu benyoka, ukubola okusheshayo kwamangqamuzana egazi abomvu nokuqhekeka kwama-tubules ane-hemoglobin, njll.
3. I-Postrenal (noma i-postrenal) . Iqhaza eliyinhloko kulolu hlobo lwe-pathology lidlalwa ngumphumela wethrafikhi ephepheni lomchamo - unciphisa i-lumen kusuka ekunciphiseni noma ekuvinjweni okuphelele, ngokwesibonelo, ngamatshe we-urin. Kungaba okuphikisana nesizinda sezinqubo zesimila, i-urolithiasis, noma ukunwetshwa kwendlala yesibindi kwabesilisa.

Isibikezeli sesilwane esigulayo

Ukuqashelwa kwenkambo yesifo kuncike kwifomu yayo, isikhathi sokutholwa. Endabeni yokwehluleka kakhulu kwe-renal renal, uma umnikazi eletha lesi silwane emtholampilo ngesikhathi, futhi udokotela wezilwane washeshe wasithola futhi waqala ukwelashwa, kungenzeka abe nomphumela omuhle.

Kodwa-ke, lokhu akusebenzi ngokuhlukahluka kokwehluleka okubabayo okuvela ekuhambeni kwenkambo engapheli. Kulesi simo, ukubonakaliswa okubukhali kwezimpawu kungumphumela wesinye sezigaba zokugcina zalesi sifo nokufa kwenqwaba yamaseli. Ama-nephrons asele awakwazi ukwenza imisebenzi yawo. I-prognosis ayimnandi, kuvame ukunconywa i-euthanasia.

I-CRF etholakele ezigabeni zokuqala, ngokutholakala kosizo oluphelele, ivumela isilwane ukuba siphile impilo ende. Ukusetshenziswa kwezidakamizwa kanye nokuphakelwa okukhethekile kudala indawo yokusekelwa ekusebenzeni okujwayelekile kwezitho.

Ukwehluleka kwe-renal yisifo esibi esingaba i-asymptomatic isikhathi eside. Kubalulekile ukwenza ngezikhathi ezithile ukuhlolwa nodokotela wezilwane, ukuthatha igazi nokuhlolwa komchamo, kanye ne-ultrasound yezitho. Ukuqalwa ngesikhathi ukwelashwa kuzosindisa impilo yesilwane futhi kuqhubeke nokusebenza kwezinso isikhathi eside.

Yiziphi izimpawu ezibonakala ngaphandle?

Ekhweni elinamandla, kuhlala kunomtholampilo, ohlukaniswa nokucaca kokubonakaliswa. Izimpawu zingaba ziningi futhi zisobala ngasikhathi sinye, noma mhlawumbe kube kanye noma okubili nokufiphala:

• ukucindezelwa yinja inja - isilwane esidlakadlaka ekuseni "singaphuma" kusihlwa,
• ukuchama kuba kaningi kanye nenani lomchamo ovuthiwe (ongabe wehla ngokuhamba kwesifo),
• ubuthakathaka bemisipha - inja izama ukusukuma ihambe, kepha ikwenza ngobunzima obukhulu emilenzeni eyanyakazayo,
• iphango liyanyamalala, inja ingahle ingaphenduli nakuphatha okuthandayo,
• ishayela livuselela, ulwelwesi lwe-mucous lungashintsha lube mnyama, noma zingaphenduka zibomvu kakhulu,
• ukuvela kwemilenze kuyavela, okungaya esifubeni nasendaweni ethambile yesisu,
• ngokuya ngezimbangela ze-pathology, izinga lokushisa lomzimba lingakhuphuka noma liwe,
• Kuvela izilonda emlonyeni, ikakhulukazi emaphethelweni olimi,
• Izimpawu zingakhula masinyane, zilethe isilwane ekhefini (ngaphandle kube sengathi inja ifile, kepha umsebenzi wokuphefumula owonakele uzoqashelwa futhi i-rigor mortis ngeke yenzeke).

Okubonwa kulokho kuhlaziya

• amazinga kashukela, i-phosphorus, i-creatinine ne-urea ngokuqinisekile azokhuphuka,
• Amaprotheni noshukela emchameni uzohamba endle, amandla awo adonsayo azokwehla, ama-erythrocyte, amaseli amhlophe egazi namaseli we-epithelium we-renal azotholwa.

Kufanele uthathe inja ngokushesha uyise kudokotela wezilwane ukuze athole usizo, njengoba isilwane singafa.

Izimbangela zokwehluleka okungapheli ezinjeni ezincane ziyacatshangelwa

• umboshwa owakhiwa ngaphambilini,
• isakhi sofuzo kuma-pathologies ezinso,
• Noma yisiphi isifo sezinso esingelapheki.

Ngokufa kancane kancane kwama-nephrons (amangqamuzana ezinso), amaseli awo angathinteki athatha imisebenzi yawo ngempumelelo. Kungakho ukwehluleka okungamahlalakhona kwezinso, izimpawu zangaphandle ziqala ukubonakala kancane futhi lapho iningi lezinso lithintekile futhi lingakwazi ukubuyiselwa.

Okubonakalayo

• inja iba buthakathaka futhi ibulale,
• lapho uchama, kunomchamo omncane kakhulu noma kusale izifiso kuphela,
• ukoma kakhulu - isilwane siphuza cishe njalo (imvamisa inja idinga amanzi ngosuku ngesilinganiso esingu-50 ml / kg sesisindo bukhoma),
• Izimpawu zokuphelelwa amandla ziyabonakala - izinwele ezifiphele, ulwelwesi olomile, umathe obonakalayo,
• Kuzwakala iphunga elibukhali le-amoni lisuka emlonyeni,
• izinga lokushisa lomzimba lehla ngaphansi kokujwayelekile - kufinyelela ku-37 ° C, futhi kunciphisa nenani lokuqunjelwa kwenhliziyo (i-bradycardia, imvamisa engaphansi kwama-60 beats / min),
• ukuhlanza noma ukugabha kokudla okungaphanjwanga kungenzeka
• ukudumba kungenzeka (yize kungenasidingo).

Ukuvimbela Isifo Sokujaha Kwezinja

Akunakwenzeka ukuthi i-100% ivimbele ukuthuthukiswa kwe-renal pathologies ezinjeni, ngoba, ngokungafani namakati, inani elikhulu kakhulu lezizathu lidala lesi simo. Ukugcizelelwa okuyinhloko ekuhlolweni kwaminyaka yonke kwezokwelashwa (ukuhlolwa kokuvinjwa ngudokotela wezilwane) zezinja ezincane njalo ezinyangeni eziyisithupha - ubudala. Kulokhu, kuyadingeka ukuthatha ukuhlolwa kwegazi nomchamo, kanye nokwenza i-ultrasound yezitho zesisu. Ngale ndlela, kungenzeka ukuthi ungagcini nje ngokuqala kwesiqalo sokwehluleka kwezinso, esisakwazi ukwelashwa, kodwa futhi unqume kusengaphambili lokho.

Isinyathelo esibalulekile sokuthintela izinja ukugoma okufika ngesikhathi kanye nokwelashwa kwe-antiparasite, njengoba kulolu hlobo lwesilwane, ama-renal pathologies angacasulwa hhayi ngezifo kuphela, kodwa futhi nangezigciwane.

Kufanele futhi uqiniseke ukuthi isilwane asifiki kunoma yiziphi izinto ezinobuthi noma ezinobuthi, kufaka phakathi amakhemikhali wasendlini.

Izibonelo zokudla kwenja endala enesisindo esingu-20 kg (ngakunye):

• I-200 g ye-semolina porridge ene-2 ​​tbsp. ukhilimu onamafutha no-1 tbsp. l Ghee,
  • I-200 g yenyama yenkukhu (ebomvu, ngoba ine-phosphorus encane),
  • + 50 g amanoni enkomo nesikhumba senkukhu esimisiwe,
  • + 70 g kwanoma yikuphi ukulekelelwa kwamavithamini namaminerali avunyelwe.
• I-200 g yemifino noma izilimo ezinciphile
  • + 200 g yanoma iyiphi inyama ebomvu enamafutha,
  • + 1 iqanda elimhlophe + 1 iqanda lonke ne-yolk,
  • + 30 g yanoma yikuphi ukweswela (izinso, isibindi, isibazi),
  • + 70 g zezithasiselo ezisizayo: igobolondo lomhlabathi, uwoyela we-salmon, i-coenzyme Q10, amavithamini avunyelwe.
• Izinhlamvu ezingama-200 ezivela elayisi elinamathelayo elisetshenziselwe i-sushi nge-1 isipuni ibhotela
  • + 1 iqanda elimhlophe
  • + 100 g wengxube yama-mutton enamafutha namazambane abilisiwe (owaziwa nangokuthi "amazambane amnandi"),
  • + 75 g yanoma yikuphi ukulekelelwa kwamaminerali okuvunyelwe kanye namavithamini.

Okubalulekile: inja ingadluliselwa ekudleni okujwayelekile kuphela ngokuhluleka kwe-renal acute kanye nokuhlolwa kwegazi nomchamo kuphela. Ngokuhluleka okungapheli kwe-renal, ukudla okhethekile kuzokuphelezela kuze kube sekupheleni kwempilo yakho!

Uma kungenzeki ukupheka ukudla okukhethekile kwezokwelapha inja, ungaphendukela ekusebenziseni ukudla okukhethekile okulungiselelwe ngokulinganayo kuzo zonke izakhamzimba ezidingekayo futhi wenzelwe izinja ngokukhethekile ukwehluleka kwezinso.

• I-Renal RF14 (RF16) i-TM Royal Canin (≈1200 ruble / 2 kg yokudla okomile, ama-ruble angama-4000/14 kg) - izinja ezine-pathology engapheli yezinhlungu. Ukuvunyelwa ukusetshenziswa kwempilo yonke Musa ukondla abesifazane abakhulelwe ngezinkinga kuma-pancreas futhi uma kwenzeka kufaka amandla emzimbeni we-metabolism.
• I-Renal Special Тambala Royal Canin (≈200 rub. / 410 g yokudla okumanzi) - kwizinja ezinokwehluleka kwe-renal acute kanye nokwehluleka kwezinso okungamahlalakhona. Ukudla kungokwesigaba sokwelapha. Ukufaka isicelo emavikini ama-2-4 enkambeni yesifo esibuhlungu nokufika ezinyangeni ezi-6 ezingalapheki. Isivumelwano sangaphambili nodokotela wezilwane siyadingeka. Azinikezwa imidlwane lapho kukhona i-pancreatitis kanye nokulimala kwama-metabolism.
• I-Hills Presource Diet Canine k / d (≈275 rub. / 370 g in can of wet wet, 1400 rub. / 2 kg of dry) - ukudla okwelapha nokuvimbela izinja nganoma yiluphi uhlobo lokwehluleka kwezinso.
• I-Hills Presication Diet Canine u / d (≈250 rub. / 370 g in can “wet” food, 1250 rub. / 2 kg of dry) - a feed okwelashwa okusetshenziswa ngezindlela ezinzima zomsebenzi we-impoired, kodwa futhi ngaphezu kwalokho ususa emzimbeni izinto ezinobuthi izinso ezingakwazi ukubhekana nazo.
• I-Purina Veterinary Diets NF Kidney Function® Canine formula (≈150 rub. / 400 g yokudla okumanzi, ama-1250 rub. / 2 kg owomile) ukudla okukhethekile okwelapha izinja ezinanoma iyiphi i-renal pathology.
• I-Eukanuba Renal (≈5000 rub. / 12 kg yokudla okuomile) – Ukudla okuphathelene nokudla okusetshenziselwa ukondla izinja nganoma yiluphi uhlobo lokwehluleka kwezinso. Musa ukusebenzisa ezincwabeni ngesikhathi sokukhula okusebenzayo, kanye nakuma-bitches ngesikhathi sokukhulelwa nokudlisa imidlwane.
• Happy Inja Ukudla Izinso (≈950 ama-ruble / ama-2,5 kg wokudla owomile noma ama-ruble angama-2400 / 7.5 kg) ukudla okuyinkimbinkimbi yezinja ezine-pathologies yezinso, inhliziyo nesibindi.
• I-Farmina Vet Life Canine Renal (≈1400 rub. / 2,5 kg noma i-4900 rub. / 12 kg yokudla eyomile) ukudla okulinganiselayo kwezinja ezinokwehluleka kakhulu kwe-renal noma ukwehluleka okungapheli kwe-renal. Ukudla kwezokwelapha, kwenzelwe inkambo yokusetshenziswa okulinganiselwe: Amaviki angama-2-4 ngokuhluleka kwe-renal acute kanye nezinyanga ezi-6. ngokuhluleka okungapheli kwezinso.