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hmb-\-bpsS PmeI hmXnÂ
hmb-\-bpsS kvt\l-hoSv
BtcmKyw hr°kvXw`\w (Chronic kidney disease)
\ap°v Imte°q´n I≠p]nSn°m\pw
NnIn’n°phm\pw km[n°Ww. F∂m¬
{]mcw`Zibn¬ ÿmbnbmb hr°kvXw`\
Dr.S Gomathi Øn\v e£W߃ H∂pw Xs∂ ImWmdn√.
MD.DNB., DM (Nephrology) CXv tcmK\n¿Æbhpw, NnIn’bpw
Medical College Alappuzha k¶o¿Æamhp∂p. Hcp kaqlØnse
F√mhtcbpw \ap°v CXv I≠p]nSn°phm
\p≈ sSÃpIƒ°v hnt[bcm°m≥
km[n°pIbn√. Fs¥∂m¬ Hcp 10%
hr°tcmK߃...e£W߃, Bƒ°m¿°v am{Xta C¥y Dƒs∏tSbp≈
temIcm{„ßfn¬ CXv ImWp∂p≈q..
ImcW߃ At∏mƒ B¿s°ms° \ap°v hr°
km[mcWbmbn Hcp a\pjy\v c≠p kvXw`\ (CKD)tcmK\n¿ÆbØn \mbn
sSÃpIƒ sNømw?
hr°IfmWp≈Xv. 140gm Xq°hpw 2cm - 11cm
hsc \ofhpap≈ hr°Iƒ icocØns‚
{]talw, Db¿∂ c‡ kΩ¿±w,
]pdIphisØ \s´√n\ncphiØpambmWv
hr°Ifn¬ I√pIfp≈h¿, t\ctØ
ÿnXn sNøp∂Xv. icocØnse ]e kp{]
h∂n´p≈h¿, ]mcºcyambn hr°tcmK
[m\ [¿Ωßfpw hr°IfpsS {]h¿
ap≈h¿, Nne thZ\mkwlmcnIfpsS
Ø\߃ aqeamWv km[yamhp∂Xv.
AanXap]tbmKap≈h¿ F∂nhscms°
AXmbXv icocØns‚ PeØns‚ Afhv
kq£n°Ww. ta¬∏d™hsb√mw PohnX
\nb{¥n°pI. tkmUnbw, s]m´mkyw,
ssieotcmK߃ F∂dnbs∏Sp∂p.
Im¬kyw, amKv\ojyw F∂o ehWßfpsS
CØcØn¬ {][m\amb as‰mcp PohnX
Afhv \nb{¥n°pI, AæßfpsS tXmXv
ssien tcmKsØ°pdn®v FSpØp]dtb
\nb{¥n°pI. c‡w DXv∏mZn∏n°m
≠nbncn°p∂p. ]et∏mgpw \mw AXn\v
\mhiyap≈ Fdns{Xm t]mbn‰n≥ (Erithro
th≠{X {]m[m\yw sImSp°mdn√. AXv
poitien) Vit D t]mep≈hbpsS DXv∏mZ\w
F¥msW∂t√? AanX icoc`mcw Xs∂.
F∂o [¿Ωßsf√mw hr°Ifn¬ kw£n
(Obesity) km[mcW AanX icoc`mcw,
]vXambncn°p∂p.
Db¿∂ c‡kΩ¿±w, {]talw, hr°Ifn¬
C{Xb[nIw kp{][m\ [¿Ω߃ I√v F∂nhbv°v hgnsh°psa¶nepw ta¬∏
\n¿∆ln°p∂ hr°Iƒ°v Hcp khn d™hbpsS A`mhØn¬ t]mepw AanX
tijX IqSnbp≠v. GItZiw 75% icoc`mcap≈h¿ kq£n°Ww. icoc`mcw
Øne[nIw c≠p hr°IfptSbpw {]h¿Ø\w \nb{¥n®ns√¶n¬ {ItaW hr°kvXw`\w
XIcmdnembm¬ am{Xta tcmKn°v Hs∂m, D≠mIpw. 40 hbkn\p apIfnep≈hcpw
H∂ne[nItam tcmK e£W߃ D≠mhp {i≤nt°≠XmWv. {]mbØn\v A\p]mX
Ibp≈q AXpsIm≠v tcmK \n¿Æbw ambn hr°IfpsS {]h¿Ø\w Ipdbp∂p.
sshIp∂p. ]et∏mgpw hr° kvXw`\w 60 hbkn\p apIfnep≈h¿°v hr°IfpsS
F∂ KpcpXcamb tcmKmhÿ I≠p]nSn {]h¿Ø\w GItZiw 70% am{Xambn
°ptºmƒ Xs∂ tcmKn AXnt\mSIw AXv Npcpßp∂p. ]e acp∂pIfpw D]tbmKn
NnIn’n®v t`Zam°m≥ km[n°mØ °ptºmƒ {i≤n°Ww. {]tXyIn®v
Ahÿbntes°Ønbncn°pw. AXn\m¬ hr°kvXw`\Øns‚ \nc°v C°q´cn¬
hr°kvXw`\w hninjym ÿmbnbmb IqSpXembn ImWmw.
kvt\l-hoSv tIcf sabv þ2021 29
