
Ukuqonda Izindleko Zokwelapha Izifo ZezinsoLe ndatshana ihlinzeka ngemininingwane ebanzi yezindleko ezihlobene nokwelapha isifo sezinso, ehlanganisa izindlela zokwelapha ezihlukahlukene, izici ezithonya izindleko, nezinsiza zokusiza ngezezimali. Ihlose ukuhlomisa abafundi ngolwazi oludingekayo ukuze bazulazule ezinkingeni zezezimali zokunakekelwa kwezinso.
Isifo sezinso, esihlanganisa uchungechunge lwezimo kusukela kusifo sezinso esingamahlalakhona (CKD) kuya ekuhlulekeni kwezinso, sidinga ukungenelela okubalulekile kwezokwelapha. Izindleko zokwelashwa kwesifo sezinso ziyahlukahluka kuye ngezici eziningana, okuhlanganisa isigaba sesifo, ukwelashwa okuqondile okudingekayo, kanye nezimo zomuntu ngamunye. Lo mhlahlandlela uhlukanisa izindleko ezihlukahlukene, unikeza ukucaca kanye nokuqonda kulo mkhakha wezezimali oyinkimbinkimbi.
Izindleko zokuphatha isifo sezinso azifani. Kunezici ezimbalwa ezibalulekile ezinomthelela kuzo zonke izindleko:
Izigaba zakuqala ze-CKD zivame ukubandakanya ukuphatha izimo eziyisisekelo kanye nokuguqulwa kwendlela yokuphila, okuholela ezindlekweni eziphansi uma kuqhathaniswa nezigaba zakamuva ezidinga ukukhishwa kwe-dialysis noma ukufakelwa kabusha. Njengoba lesi sifo siqhubeka, izindleko zikhuphuka kakhulu.
Ukukhethwa kokwelashwa kuba nomthelela omkhulu ezindlekweni. I-Dialysis, noma i-hemodialysis noma i-peritoneal dialysis, inqubo eqhubekayo, ebizayo. Ukufakelwa kwezinso, kuyilapho kungase kunikeze ikhambi lesikhathi eside, kunezindleko ezinkulu zangaphambili ezihlobene nokuhlinzwa, ukulaliswa esibhedlela, kanye nemithi yokuzivikela komzimba. Izindleko ezihambisana nalokhu ngakunye kuxoxwa ngazo kabanzi ngezansi.
Ubukhulu bomshwalense wezempilo budlala indima ebalulekile. Nakuba izinhlelo eziningi zomshuwalense zihlanganisa ingxenye yokwelashwa kwesifo sezinso, izindleko eziphuma ephaketheni zisengaba nkulu. Ukuqonda ukuthinta kwakho okuthile kubalulekile ekusabelweni kwesabelomali sokwelashwa.
Izindleko zokunakekelwa kwezempilo ziyahlukahluka ngokwendawo. Ukwelashwa ezindaweni ezinezindleko zokunakekelwa kwezempilo eziphakeme ngokwemvelo kuzoholela ezindlekweni zizonke. Izindleko zokuphila zingathinta nawo wonke umthwalo wezezimali.
Imithi eminingi ibalulekile ekulawuleni isifo sezinso, okuhlanganisa naleyo yokulawula umfutho wegazi, i-anemia, nempilo yamathambo. Lokhu kungangeza ezindlekweni ezibalulekile ngokuhamba kwesikhathi. Izinketho ezijwayelekile zinganciphisa ezinye izindleko.
Ake sihlole izindleko zokwelapha izifo zezinso ezihlukahlukene ngokuningiliziwe. Khumbula ukuthi lezi izilinganiso futhi zingahluka ngokusekelwe ezicini ezishiwo ngenhla.
I-Dialysis, ukwelashwa okusekela ukuphila kokwehluleka kwezinso, inezindleko eziqhubekayo eziqhubekayo. I-hemodialysis, eyenziwa emtholampilo, ngokuvamile ihilela izikhathi ezimbalwa ngesonto futhi inezindleko ezinkulu zanyanga zonke. I-peritoneal dialysis, eyenziwa ekhaya, ingase ibe nezindleko eziphansi zanyanga zonke kodwa idinga imishini ekhethekile nokuqeqeshwa. Izindleko ezimaphakathi zonyaka zokudaya e-United States zingasukela ku-$70,000 ziye ku-$100,000 noma ngaphezulu.
Ukufakelwa kwezinso kunikeza enye indlela engase iguqule impilo ku-dialysis, kodwa izindleko zangaphambili zinkulu. Lezi zindleko zihlanganisa ukuhlinzwa, ukulaliswa esibhedlela, imithi yokuvimbela amasosha omzimba (izindleko zesikhathi eside), nokunakekelwa ngemva kokuhlinzwa. Izindleko eziphelele zingadlula kalula u-$100,000, kuye ngezimo.
Izindleko eziphakeme zokwelashwa kwesifo sezinso zingaba nzima, kodwa izinsiza eziningi zingasiza ekwehliseni umthwalo wezezimali. Lokhu kufaka phakathi izinhlelo zokusiza zikahulumeni, izinhlangano ezisiza abantulayo, namaqembu amelela iziguli. Ezinye izibhedlela nemitholampilo nazo zihlinzeka ngezinhlelo zokusiza ngezezimali, kubalulekile ukuphenya ngazo zonke izindlela ezikhona.
Ukuphatha ngempumelelo izici zezezimali zesifo sezinso kudinga ukuhlela okujulile kanye nokuqonda okuphelele kwezinsiza ezikhona. Ukubonisana nabahlinzeki bezempilo, abeluleki bezezimali, namaqembu amelela isiguli kungasiza abantu ngabanye kanye nemindeni ukuba bakhe amasu asebenzayo okubhekana nezindleko ezihlobene nalesi simo esiyinkimbinkimbi. Ukuhlela kusenesikhathi kanye nokuhlolwa kwezinketho zosizo lwezezimali kubalulekile ekuqinisekiseni ukutholakala kokwelashwa okudingekayo. Ukuze uthole ulwazi olwengeziwe mayelana nokunakekelwa kwezinso okuphelele, cabangela ukuhlola izinsiza ezivela ezikhungweni ezihlonishwayo, njenge-National Kidney Foundation. I-National Kidney Foundation
Khumbula, ukubhekana nezindleko zokwelapha isifo sezinso kuyinqubo eyinkimbinkimbi. Ukufuna isiqondiso sochwepheshe kunconywa kakhulu ukuze uqinisekise ukuthi uthola ukunakekelwa okungcono kakhulu kuyilapho ulawula izindleko zakho ngempumelelo.
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