Teko ea Glomerular Filtration Rate (GFR)

Litaba

• Teko ea glomerular filtration rate (GFR) ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea GFR?
• Ho etsahala'ng nakong ea tlhahlobo ea GFR?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea GFR?
• Litšupiso

Teko ea glomerular filtration rate (GFR) ke eng?

Sekhahla sa filtration ea glomerular (GFR) ke teko ea mali e lekolang hore na liphio tsa hau li sebetsa hantle hakae. Liphio tsa hau li na le li-filters tse nyane tse bitsoang glomeruli. Metlhotlo ena e thusa ho tlosa litšila le mokelikeli o feteletseng maling. Teko ea GFR e hakanya hore na mali a feta hakae metsing ana motsotso ka mong.

GFR e ka lekanyetsoa ka kotloloho, empa ke teko e thata, e hlokang bafani ba ikhethang. Kahoo GFR hangata ho hakanngoa hore ho sebelisoa tlhahlobo e bitsoang GFR kapa eGFR e hakantsoeng. Ho fumana khakanyo, mofani oa hau o tla sebelisa mokhoa o tsejoang e le sebali sa GFR. Calculator ea GFR ke mofuta oa moralo oa lipalo o lekanyetsang sekhahla sa karafo ka ho sebelisa tse ling kapa tlhaiso-leseling e latelang ka uena:

• Liphetho tsa tlhahlobo ea mali e lekanyang creatinine, sehlahisoa se litšila se tlhotliloeng ke liphio
• Lilemo
• Boima ba 'mele
• Bophahamo
• Bong
• Peiso

EGFR ke teko e bonolo e ka fanang ka liphetho tse nepahetseng haholo.

Mabitso a mang: GFR e hakantsoeng, eGFR, sekhahla sa kerafo ea glomerular, cGFR

E sebelisetsoa eng?

Teko ea GFR e sebelisetsoa ho thusa ho fumana lefu la liphio qalong, ha e ka phekoloa haholo. GFR e ka sebelisoa ho lekola batho ba nang le lefu le sa foleng la liphio (CKD) kapa maemo a mang a bakang tšenyo ea liphio. Tsena li kenyelletsa lefu la tsoekere le khatello e phahameng ea mali.

Hobaneng ha ke hloka tlhahlobo ea GFR?

Lefu la liphio ha le sa tsoa qala ha le bake matšoao. Empa o kanna oa hloka tlhahlobo ea GFR haeba o le kotsing e kholo ea ho tšoaroa ke lefu la liphio. Mabaka a kotsi a kenyelletsa:

• Lefu la tsoekere
• Khatello ea mali e phahameng
• Nalane ea lelapa ea ho hloleha ha liphio

Hamorao lefu la liphio le baka matšoao. Kahoo o kanna oa hloka tlhahlobo ea GFR haeba o na le matšoao a latelang:

• Ho rota hangata kapa ka tlase ho tloaelo
• Ho hlohlona
• Mokhathala
• Ho ruruha matsohong, maotong kapa maotong
• Maqhubu a mesifa
• Ho nyekeloa le ho hlatsa
• Ho felloa ke takatso ea lijo

Ho etsahala'ng nakong ea tlhahlobo ea GFR?

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

U kanna ua hloka ho itima lijo (u se ke ua ja kapa ua noa) kapa ua qoba lijo tse itseng lihora tse 'maloa pele ho tlhahlobo. Mofani oa hao oa tlhokomelo ea bophelo o tla u tsebisa haeba ho na le litaelo tse khethehileng tseo u lokelang ho li latela.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Liphetho tsa hau tsa GFR li ka bonts'a e 'ngoe ea tse latelang:

• E tloaelehileng-mohlomong ha u na lefu la liphio
• Ka tlasa se tloaelehileng-o kanna oa ba le lefu la liphio
• Ka tlase haholo ho se tloaelehileng-o kanna oa ba le ho hloleha ha liphio

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea GFR?

Le ha tšenyo ea liphio hangata e lula e le teng, o ka nka mehato ea ho thibela tšenyo e ngoe. Mehato e ka kenyelletsa:

• Meriana ea khatello ea mali
• Meriana ea ho laola tsoekere maling haeba u na le lefu la tsoekere
• Liphetoho tsa bophelo joalo ka ho ikoetlisa le ho boloka boima ba 'mele bo phetseng hantle
• Ho fokotsa joala
• Ho tlohela ho tsuba

Haeba u phekola lefu la liphio pele ho nako, u ka khona ho thibela ho hloleha ha liphio. Khetho e le 'ngoe feela ea kalafo ea ho hloleha ha liphio ke dialysis kapa ho kenya liphio.

Litšupiso

1. Letlole la Liphio tsa Amerika [Marang-rang]. Rockville (MD): Letlole la Liphio tsa Amerika, Inc .; c2019. Maloetse a sa Foleng a Liphio (CKD) [e qotsitsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 2], E fumaneha ho tsoa ho: http://www.kidneyfund.org/kidney-disease/chronic-kidney-disease-ckd
2. Johns Hopkins Medicine [Inthanete]. Baltimore: Univesithi ea Johns Hopkins; c2019. Boloetse bo sa foleng ba Liphio [e qotsitsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-kidney-disease
3. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC; Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Tekanyetso ea Glomerular Filtration Rate (eGFR) [e ntlafalitsoeng 2018 Dec 19; e qotsitsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/estimated-glomerular-filtration-rate-egfr
4. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Mali [e qotsitsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests
5. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko le Tlhatlhobo ea mafu a sa foleng a liphio; 2016 Oct [e qotsitsoeng ka la 2019 Mphalane 10]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/tests-diagnosis
6. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lipotso tse botsoang khafetsa: eGFR [e qotsitsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/frequently-asked-questions
7. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lipalo tsa li-Calculator tsa Glomerular Filtration Rate (GFR) [tse boletsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/communication-programs/nkdep/laboratory-evaluation/glomerular-filtration-rate-calculators
8. Motheo oa Naha oa Liphio [Marang-rang]. New York: Mokhatlo oa Naha oa Liphio Inc., c2019. Tataiso ea Bophelo ho A ho Z: Mabapi le Mafu a sa Foleng a Liphio [e qotsitsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.kidney.org/atoz/content/about-chronic-kidney-disease
9. Motheo oa Naha oa Liphio [Marang-rang]. New York: Mokhatlo oa Naha oa Liphio Inc., c2019. Tataiso ea Bophelo bo Botle ho A ho Z: Tekanyo ea Glomerular Filtration Rate (eGFR) [e qotsitsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.kidney.org/atoz/content/gfr
10. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida; c2019. Sekhahla sa kerafo ea Glomerular: Kakaretso [e ntlafalitsoeng ka la 2019 Mphalane 10; e qotsitsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/glomerular-filtration-rate
11. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2019. Health Encyclopedia: Sekhahla sa kofuto ea Glomerular [e boletsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=glomerular_filtration_rate
12. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Tlhahisoleseling ea Bophelo: Glomerular Filtration Rate (GFR): Kakaretso ea Sehlooho [e ntlafalitsoeng ka 2018 Mar 15; e qotsitsoeng ka la 2019 Mphalane 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/special/glomerular-filtration-rate/aa154102.html

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.