Iltimar Tsabtace Duniya (GFR): menene menene, yadda za'a ƙayyade shi da kuma lokacin da za'a iya canza shi

Wadatacce

• Yadda aka ƙaddara GFR
• Valuesimar GFR ta al'ada

Adadin tacewar duniya, ko kuma kawai GFR, shine ma'aunin dakin gwaje-gwaje wanda ke bawa babban likita da likitan nephrologist damar tantance aikin kodan mutum, wanda shine muhimmin ma'auni don ganowa da tabbatar da matakin cutar koda mai tsanani (CKD) , wanda ke sanya GFR ma mahimmanci don kafa mafi kyawun magani, idan ya cancanta.

Don lissafin yawan tacewar duniya, ya zama dole ayi la’akari da jinsin mutum, nauyinsa da kuma shekarunsa, saboda al'ada ne GFR ya ragu yayin da mutum ya tsufa, ba lallai bane ya nuna lalacewar koda ko canje-canje ba.

Akwai lissafin lissafi da yawa da aka gabatar don tantance yawan tacewar duniya, amma duk da haka wadanda aka fi amfani dasu a aikin asibiti sune wadanda suke la'akari da adadin sinadarin halitta a cikin jini ko adadin cystatin C, wanda shine mafi yawan bincike a yau, tunda Adadin na creatinine na iya wahala tsangwama daga wasu dalilai, gami da abinci, don haka bazai zama alama mai dacewa don ganewar asali da sa ido na CKD ba.

Yadda aka ƙaddara GFR

An ƙayyade adadin tacewar duniya a cikin dakin gwaje-gwaje ta amfani da lissafi wanda yakamata yayi la'akari da yawan shekarun mutum da jinsi, saboda waɗannan abubuwan suna tsoma baki sakamakon. Koyaya, domin a kirga GFR, dole ne a tattara samfurin jini domin auna creatinine ko cystatin C, bisa ga shawarar likitan.

Za'a iya lissafin yawan tacewar duniya duka la'akari da yadda akeyin halittar da kuma cystatin C. Kodayake ana amfani da creatinine sosai, amma ba shine yafi dacewa ba, saboda natsuwarsa na iya fuskantar tsangwama daga wasu abubuwan, kamar abinci, motsa jiki, cututtukan kumburi da yawan ƙwayar tsoka kuma saboda haka ba lallai bane ya wakilci aikin koda.

A gefe guda kuma, cystatin C ana samar da shi ne ta hanyar kwayar halittar dake hada shi kuma ana tace shi a kai a kai a cikin koda, don haka narkar da wannan abu a cikin jini yana da alaka kai tsaye da GFR, saboda haka kasancewa alama ce mafi kyau ta aikin koda.

Valuesimar GFR ta al'ada

Matsakaicin matattarar ruwan duniya da nufin tabbatar da aikin kodan, saboda yana yin la’akari da yawan abubuwan da aka tace a cikin kodan kuma ba su sake zama cikin jini ba, kasancewar da gaske an kawar da su a cikin fitsarin. Dangane da abin da ya shafi halitta, alal misali, wannan furotin ana tatata ta koda da kima kadan kuma a sake sanya shi cikin jini, ta yadda a karkashin yanayi na yau da kullun, za a iya tabbatar da yawan sinadarin creatinine a cikin fitsari wanda ya fi na jini sosai.

Koyaya, idan akwai wasu canje-canje a cikin kodan, ana iya canza aikin tacewa, ta yadda za a samu karancin halittar da ake samu daga kodan, wanda hakan zai haifar da yawan kwayar halitta a cikin jini da kuma rage yawan tacewar ta duniya.

Kamar yadda adadin tacewar duniya zai iya bambanta gwargwadon jinsi da shekarun mutum, ƙimar GFR lokacin da aka yi lissafin tare da creatinine sune:

• Na al'ada: mafi girma ko daidai da 60 mL / min / 1.73m²;
• Rashin ƙarancin koda ƙasa da 60 ml / min / 1.73m²;
• Ciwon koda mai tsanani ko gazawar koda: lokacin da ƙasa da 15 ml / min / 1.73m².

Dangane da shekaru, ƙimar GFR na al'ada yawanci:

• Tsakanin shekaru 20 zuwa 29: 116 ml / min / 1.73m²;
• Tsakanin shekaru 30 zuwa 39: 107 ml / min / 1.73m²;
• Tsakanin shekaru 40 zuwa 49: 99 ml / min / 1.73m²;
• Tsakanin shekaru 50 zuwa 59: 93 mL / min / 1.73m²;
• Tsakanin shekaru 60 zuwa 69: 85 ml / min / 1.73m²;
• Daga shekara 70: 75 mL / min / 1.73m².

Valuesimar na iya bambanta gwargwadon dakin gwaje-gwaje, duk da haka lokacin da GFR ya kasance ƙasa da ƙimar magana ta al'ada don shekaru, ana yin la'akari da yiwuwar cutar koda, ana ba da shawarar ta hanyar yin wasu gwaje-gwajen don kammala ganewar asali. kamar yadda hotunan gwaje-gwaje da biopsy. Bugu da ƙari, dangane da ƙimar da aka samo don GFR, likita na iya tabbatar da matakin cutar kuma, don haka, ya nuna magani mafi dacewa.