{"id":7545,"date":"2022-04-20T09:35:26","date_gmt":"2022-04-20T07:35:26","guid":{"rendered":"https:\/\/www.easistent.ro\/?p=7545"},"modified":"2022-05-30T09:42:44","modified_gmt":"2022-05-30T07:42:44","slug":"bolile-cronice-de-rinichi","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=7545","title":{"rendered":"Bolile cronice de rinichi"},"content":{"rendered":"\n<h4><em>Timp de lectur\u0103: 4 minute<\/em><\/h4>\n\n\n\n<p>Prevalen\u021ba global\u0103 estimat\u0103 a bolilor cronice de rinichi este de aproximativ 13,4%, adic\u0103 850 de milioane de persoane la nivel mondial, conform statisticilor privind anul 2020. Este o situa\u021bie destul de \u00eengrijor\u0103toare, av\u00e2nd \u00een vedere c\u0103 rinichii sunt extrem de importan\u021bi pentru buna func\u021bionare a organismului nostru.<\/p>\n\n\n\n<p>Acest articol arunc\u0103 o privire rapid\u0103 asupra rolului rinichilor \u00een organism, riscurilor pentru boala cronic\u0103 de rinichi, comportamentelor preventive \u0219i testelor recomandate.<\/p>\n\n\n\n<p>Rinichii elimin\u0103 de\u0219eurile \u0219i lichidele suplimentare din organism. De asemenea, ei elimin\u0103 acidul produs de celulele corpului \u0219i men\u021bin un echilibru s\u0103n\u0103tos \u00eentre cantitatea de ap\u0103, s\u0103ruri \u0219i minerale &#8211; cum ar fi sodiul, calciul, fosforul \u0219i potasiul &#8211; \u00een s\u00e2nge. F\u0103r\u0103 acest echilibru, este posibil ca nervii, mu\u0219chii \u0219i alte \u021besuturi s\u0103 nu func\u021bioneze normal.<\/p>\n\n\n\n<p>Rinichii no\u0219tri produc, de asemenea, hormoni care ajut\u0103 la:<\/p>\n\n\n\n<ol type=\"1\"><li>controlul tensiunii arteriale<\/li><li>producerea de globule ro\u0219ii<\/li><li>men\u021binerea s\u0103n\u0103t\u0103\u021bii oaselor.<\/li><\/ol>\n\n\n\n<p>Fiecare rinichi este alc\u0103tuit din aproximativ un milion de unit\u0103\u021bi de filtrare numite nefroni. Fiecare nefron include un filtru, numit glomerulus, \u0219i un tubul.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi1.jpg\"><img width=\"1024\" height=\"575\" src=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi1.jpg\" alt=\"\" class=\"wp-image-7530\" srcset=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi1.jpg 1024w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi1-300x168.jpg 300w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi1-768x431.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption>Jasenka Arbanas\/Getty Images<\/figcaption><\/figure>\n\n\n\n<p>Nefronii func\u021bioneaz\u0103 printr-un proces \u00een dou\u0103 etape:<\/p>\n\n\n\n<p>-glomerulii filtreaz\u0103 s\u00e2ngele, iar tubulii reintroduc substan\u021bele necesare \u00een s\u00e2nge \u0219i elimin\u0103 de\u0219eurile. De\u0219eurile \u0219i excesul de ap\u0103 devin urin\u0103.<\/p>\n\n\n\n<p>S\u00e2ngele curge \u00een rinichi prin artera renal\u0103. Aceasta se ramific\u0103 \u00een vase de s\u00e2nge din ce \u00een ce mai mici p\u00e2n\u0103 c\u00e2nd s\u00e2ngele ajunge la nefroni.<\/p>\n\n\n\n<p>Boala cronic\u0103 de rinichi este definit\u0103 ca o condi\u021bie medical caracterizat\u0103 de un anumit tip de anomalie renal\u0103, sau &#8222;marker&#8221;, cum ar fi prezen\u021ba proteinelor \u00een urin\u0103, sau de prezen\u021ba unei func\u021bii renale sc\u0103zute timp de trei luni sau mai mult. Este o afec\u021biune comun\u0103, adesea asociat\u0103 cu \u00eenaintarea \u00een v\u00e2rst\u0103. &nbsp;<\/p>\n\n\n\n<p>De obicei, \u00een stadiile incipiente, nu exist\u0103 simptome ale bolii renale. Aceasta poate fi diagnosticat\u0103 doar dac\u0103 facem un test de s\u00e2nge sau de urin\u0103 din alt motiv \u0219i rezultatele arat\u0103 o posibil\u0103 problem\u0103 la rinichi. \u00centr-un stadiu mai avansat, simptomele pot include: oboseal\u0103; glezne, picioare sau m\u00e2ini umflate; dificult\u0103\u021bi de respira\u021bie, st\u0103ri de r\u0103u sau s\u00e2nge \u00een urin\u0103.<\/p>\n\n\n\n<p>Se recomand\u0103 consultarea unui medic de familie, \u00een cazul simptomelor persistente sau \u00eengrijor\u0103toare care ar putea fi cauzate de o boal\u0103 de rinichi.<\/p>\n\n\n\n<p>Boala cronic\u0103 de rinichi este, de obicei, rezultatul unei combina\u021bii de probleme diferite, ca de exemplu:<\/p>\n\n\n\n<ol><li>tensiune arterial\u0103 ridicat\u0103 &#8211; \u00een timp, aceasta poate pune presiune pe vasele mici de s\u00e2nge din rinichi \u0219i poate \u00eempiedica rinichii s\u0103 func\u021bioneze corect;<\/li><li>diabet &#8211; prea mult\u0103 glucoz\u0103 \u00een s\u00e2nge poate deteriora micile filtre din rinichi.<\/li><li>colesterol ridicat &#8211; acest lucru poate provoca o acumulare de depozite de gr\u0103sime \u00een vasele de s\u00e2nge care alimenteaz\u0103 rinichii, ceea ce poate \u00eengreuna func\u021bionarea corect\u0103 a acestora;<\/li><li>infec\u021biile renale;<\/li><li>glomerulonefrita &#8211; inflama\u021bia rinichilor;<\/li><li>boala poli chistic\u0103 a rinichilor &#8211; o afec\u021biune ereditar\u0103 \u00een care \u00een rinichi apar chisturi;<\/li><li>blocaje \u00een fluxul de urin\u0103 &#8211; de exemplu, din cauza pietrelor la rinichi sau a unei prostate m\u0103rite;<\/li><li>utilizarea regulat\u0103 \u0219i pe termen lung a anumitor medicamente &#8211; cum ar fi litiul \u0219i medicamentele antiinflamatoare nesteroidiene.<\/li><\/ol>\n\n\n\n<p>De exemplu, este deosebit de benefic ca persoanele cu diabet zaharat s\u0103 fac\u0103 un test anual care poate depista precoce nefropatia diabetic\u0103 (afectarea renal\u0103 legat\u0103 de diabet). Testul de albumin\u0103 \u00een urin\u0103 (nu exist\u0103 albumin\u0103 \u00een urin\u0103 atunci c\u00e2nd rinichii func\u021bioneaz\u0103 corect) sau raportul albumin\u0103\/creatinin\u0103 (ACR) este utilizat pentru a examina persoanele cu afec\u021biuni cronice, cum ar fi diabetul zaharat \u0219i hipertensiunea arterial\u0103, care prezint\u0103 un risc crescut de a dezvolta boli renale.<\/p>\n\n\n\n<p>Studiile arata c\u0103 identificarea persoanelor aflate \u00een stadii foarte timpurii ale bolii renale ajut\u0103 at\u00e2t pacien\u021bii, c\u00e2t \u0219i medicii \u00een ajustarea tratamentului. Controlul diabetului zaharat \u0219i al hipertensiunii arteriale prin men\u021binerea controlului glicemic str\u00e2ns \u0219i reducerea tensiunii arteriale previn progresia bolii renale.<\/p>\n\n\n\n<p>Boala cronica a rinichiului poate fi diagnosticat\u0103 cu ajutorul testelor de s\u00e2nge \u0219i de urin\u0103. Aceste teste caut\u0103 niveluri ridicate ale anumitor substan\u021be \u00een s\u00e2nge \u0219i urin\u0103, care sunt semne c\u0103 rinichii nu func\u021bioneaz\u0103 corect.<\/p>\n\n\n\n<p>Boala cronic\u0103 de rinichi poate varia de la o afec\u021biune u\u0219oar\u0103, f\u0103r\u0103 simptome sau cu pu\u021bine simptome, p\u00e2n\u0103 la o afec\u021biune foarte grav\u0103 \u00een care rinichii nu mai func\u021bioneaz\u0103, numit\u0103 uneori insuficien\u021b\u0103 renal\u0103, care apare doar la aproximativ 1 din 50 de persoane cu boli cronice de rinichi. Practic, boala cronic\u0103 a rinichiului se poate \u00eenr\u0103ut\u0103\u021bi \u00een timp \u0219i, \u00een cele din urm\u0103, rinichii pot \u00eenceta s\u0103 mai func\u021bioneze cu totul, dar acest lucru are o probabilitate destul de mic\u0103.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><a href=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi.png\"><img width=\"916\" height=\"489\" src=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi.png\" alt=\"\" class=\"wp-image-7529\" srcset=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi.png 916w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi-300x160.png 300w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2022\/04\/rinichi-768x410.png 768w\" sizes=\"(max-width: 916px) 100vw, 916px\" \/><\/a><figcaption><a href=\"http:\/\/www.medindia.net\" data-type=\"URL\" data-id=\"www.medindia.net\" target=\"_blank\" rel=\"noreferrer noopener\">www.medindia.net<\/a><\/figcaption><\/figure><\/div>\n\n\n\n<p>Majoritatea persoanelor cu boli cronice de rinichi sunt capabile s\u0103 tr\u0103iasc\u0103 o via\u021b\u0103 lung\u0103 dac\u0103 depisteaz\u0103 boala \u0219i o \u021bin sub control cu ajutorul tratamentului \u0219i a unui stil de via\u021b\u0103 s\u0103n\u0103tos. Un stil de via\u021b\u0103 s\u0103n\u0103tos poate contribui \u0219i la prevenirea bolii renale cronice.<\/p>\n\n\n\n<p>\u00cen cazul \u00een care boala a ap\u0103rut deja sau dac\u0103 exist\u0103 suspiciuni din cauza simptomelor, este esen\u021bial ca oamenii s\u0103 mearg\u0103 la screening pentru a primi un diagnostic precoce \u0219i a \u00eencepe tratamentul pentru a preveni agravarea bolii.<\/p>\n\n\n\n<p><em>Mirela Musta\u021b\u0103, Redactor executiv E-asistent<\/em><\/p>\n\n\n\n<p><em>Surse de documentare:<\/em><\/p>\n\n\n\n<ol type=\"1\"><li><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/182306?utm_source=Sailthru%20Email&amp;utm_medium=Email&amp;utm_campaign=MNT%20Daily%20News&amp;utm_content=2022-01-06&amp;apid=32792208&amp;rvid=beaf58282096d50d2dec1156befbe9a46ec8516b489641db27394c944714b7f8#complications\" target=\"_blank\" rel=\"noreferrer noopener\">Kidney infection: Symptoms, causes, and treatment (medicalnewstoday.com)<\/a><\/li><li><a href=\"https:\/\/www.nhs.uk\/conditions\/kidney-disease\/\" target=\"_blank\" rel=\"noreferrer noopener\">Chronic kidney disease &#8211; NHS (www.nhs.uk)<\/a><\/li><li><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/kidney-disease\/kidneys-how-they-work\" target=\"_blank\" rel=\"noreferrer noopener\">Your Kidneys &amp; How They Work | NIDDK (nih.gov)<\/a><\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Timp de lectur\u0103: 4 minute Prevalen\u021ba global\u0103 estimat\u0103 a bolilor cronice de rinichi este de aproximativ 13,4%, adic\u0103 850 de milioane de persoane la nivel mondial, conform statisticilor privind anul 2020. Este o situa\u021bie destul de \u00eengrijor\u0103toare, av\u00e2nd \u00een vedere c\u0103 rinichii sunt extrem de importan\u021bi pentru buna func\u021bionare a organismului nostru. Acest articol arunc\u0103 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7530,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,3],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/7545"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7545"}],"version-history":[{"count":1,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/7545\/revisions"}],"predecessor-version":[{"id":7546,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/7545\/revisions\/7546"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/7530"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7545"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}