ampro beauty й ͧ
blog ampro beauty й ¤ ͧ 鹤ԧ ¹ҷҡ 㨧 ҹдѺ令Ѻ
Permalink : http://www.oknation.net/blog/amprodental
ѹʺ 11 ԧҤ 2565
Posted by Treesirikul , ҹ : 1163 , 15:56:49 .  
Ǵ : آҾ

˹ҹ
ǵ 0

䵷ӧҹ ¡õǨ

Ǩ

Ѻзҹ ҧ¨ա ٴ ж١§㹡ʹ ÷ٴ§ʹ㹺ҧ駷ҡԹҧͧáеͧ١Ѻ͡繢ͧ 䵨͹ǡͧͧش͡ٻ д֧÷ѧ繵ҧ¡Ѻʹ 

㴡ö˹ҷ öӨѴͧ͡ ÷繵ҧشʹ仡Ѻͧ кҧ ҧ·ӧҹԴ仴 

ҧöӧҹ 䵷öӧҹը֧Ӥѭҧҡ ѧ鹡Ǩ ˹㹡õǨآҾ ҡö÷ӧҹԴԢͧ öҡâͧäͧ

Ӥѡ ‘’

(Kidneys) ˹㹵㹺dzд١ѹѧǧǫТ ѡɳФ¡Ѻ紶ᴧҴ˭ҡӻ 䵨繤 ˹ҷ㹡ûѺŢͧõҧ ʹ Ѻͧ·Թͤͧâͧҧ͡ٻ ǺѹԵдѺ ҧӤѭѺôçԵ繻 ˹ҷ աҡ

Ӥѭͧ

зդӤѭҧҡ ˹ҷҧѧդǢͧѺк ҧ

  • ͧͧʹ͡ҡҧٻ ¢ͧ·ͧҡʹѡԵԹ ҵطҡԹ繵ҧ 件֧ þɷ軹͹ʹ

  • ǺдѺҧ仵

  • ѡдѺ繡ô-ҧҧ

  • ǹ¤ǺдѺѹʹ仵

  • ǹ㹡ѧԵԹҧ д١ç

  • ԵԵԹ (Erythropoietin) 繵͡áе䢡д١ҧʹᴧ

դӤѭҧҧҡ ѧ鹡õǨ䵨֧繡ѧջԷҾ㹡÷˹ҷҹ ҡŵǨ͡ҼԴ ʴҨջѭ Ҩä

ä (Kidney Disease)

ä

ä (Kidney Disease) 繡äԴҡԴ㹡÷ӧҹͧ äѧö͡ա»鹡ѺѡɳФԴԷԴ Ҩ繡õС͹ͧҵب繡͹ ÷áͧͧ䵷ӧҹԴԨšش͡һл㹻ҧʹᴧ õչ ФԴ 繵 

¤ԴԷԴ鹡Ѻ䵹йŢͧ ҧ 件֧觼к ҧԴԴ仵 ѹ

˵лѨ§

ääöԴ˵

  • ҧ·ҡ : ҡҧ·աҹҹҹ͡ʷŧ

  • ĵԡú : ˹㹵ǡе䵷ӧҹ˹ѡ 觼Ҿ͹ѹä͡Ѻзҹ÷ʨѴԹ ͡ҡѺзҹعҡ þɡ觼䵷ӧҹԴҾ蹡ѹ

  • ԴԷҧѹء : ҡպؤ㹤ͺä觼Դ÷ӧҹԴԢͧ äҹ äѹԵ٧ ä ͡§äҡ

  • غѵ˵ : غѵ˵طعçҧö١ö ö١ᷡdzµç ͡蹡ҺҧԴ 䵶١зҧعç 觼ԴúҴ纷䵨÷ӧҹԴ

äա誹Դ úҧ

äö͡ҡ 10 Դ ä䵷ѡǨͺ 5 Դ ѧ

  1. ä (Kidney Stones) 

ԴҡõС͹繡͹ͧ ҵطҡԹ繢ͧҧ ҡҷҧ¨öѺ͡ ͹ǹҨشѹҧ кҧԹ ö䵺Ҵй

  1. äѧ (Chronic Kidney Disease)

äѧä䵶١¨öͧͧʹТѺ͡ ѡ繼žǧҡä 䵷ӧҹ˹ѡҧäҹФѹԵ٧

  1. äʹ·ѡʺ (Glomerulonephritis)

Դҡʹѡʺ 䵷ӧҹԴšþشʹ͡㹻 ʹᴧ õչ 繵 ҨԴҡõԴ äʹʹѡʺ ҨԴҡžǧҡä äҹ ѹԵ٧ ä鵹ͧ 繵

  1. äԴкҧԹ (Urinary Tract Infections)

äԴкҧԹѡԴҡõԴͼҹкҧԹҧлѡʺ ء价 

  1. äا䵨ҡ˵ؾѹء (Polycystic Kidney Disease)

äҧѹءзԴا䵷 2 ҧӹǹҡ Шӹǹ й

õǨ䵨ö觺֧͡ԴԢͧ÷ӧҹ ѧö觪֧Դäա

õǨ (Renal Function Test)

õǨ (Renal Function Test)

õǨ (Renal Function Test) 繡õǨҡ÷ҧҹͧ㹻Ѩغѹѧöӧҹ Դ ¡õǨСʹ٤ öšشʹ͡ҧʹᴧ õչ㹻 ͡شʹͧ㹡ʹ 繵

㹻ѨغѹաõǨ䵴ͧǨ䵷öǨآҾͧҧ ᾷӤ仾ԨóԹԨä觢 ѡ ǡõǨѡзӡõǨ BUN, Creatinine eGFR 

ͧǨ

䵨öӧҹԷҾ ԴԴöҡ ǤöҡõǨ䵹ͧ ǵǨ䵺͡ҧ ?

  • Ǩ礤ʹٻԷҾ÷ӧҹͧ㹻Ѩغѹöӧҹ繻

  • ֧͡÷ӧҹԴԢͧ ҧ蹾»л㹡ʹ

  • ټšзͧѡäҧԴ ռŢҧ§ҾǢ

úҧõǨ

٧ؤõǨ

Ǩ Դԡ͹ ѡ¡ ѧ鹡õǨ䵨֧ҧ㹡õǨآҾ Ӥѭҧҡ㹡§ҨԴä ѧ

  • ҡ 60 բ §͡÷Ҿ

  • պؤ㹤ͺջѵäѧ äا䵨ҡ˵ؾѹء ä 觼䵷ӧҹԴҧ äҹ ѹԵ٧

  • äШӵǷҨ觼䵷ӧҹ˹ѡҾ äҹ äѹԵ٧ äԵͧ 繵

  • ѺõǨ Ǿ֧ФѹԵ٧͵ӡһ

  • վĵԡ§ ʾԴ

  • ҡ§ ԧ¹ ˹§ ¹ к ʹ繿ͧ ˹Һ Ǻ Һ 繵

  • عѡäҧԴҨ䵶١

ԸյǨ

õǨҡ÷ҧҹͧöǨҡҧеҧʹ 觵ҧͧԴǢͧѺ÷ӧҹͧµç

õǨ (Urine analysis)

õǨ ˹㹡õǨ ӵҧͧСͺҧ 㹻Ҿš ÷Ǩš㹻йҨ¤ҡ÷ӧҹͧ䵼ԴԹͧ

õǨʹ (Blood analysis)

õǨʹѺõǨ䵹鹨ͧСͺͧʹջҳèкҧҧ㹻ҳ ҡҹ͡ҼԴԡʴҨӧҹԴҾ

1. õǨ BUN (Blood Urea Nitrogen)

Ǩ BUN

BUN 繡õǨһҳʹ »繢ͧ·ҡҼҭõչ ¨ж١Ѻ͡ҨҡٻẺ 㴷䵷ӧҹԴԨз¹鹶١Ѻ͡ҡҧŧ Ф觢ҧл㹡ʹҡ 

ѧ鹡õǨ BUN ֧ö֧͡÷ӧҹͧѧҡ÷ջҳŧ㹡ʹҡ§ 觾ҳʹ٧ BUN ٧ ʴ䵡ѧ Ҿ ջԷҾ÷ӧҹչͧ

ԸյǨʹ BUN Ѵһҳਹµʹ Ѻ·ͧǨ BUN ǡ͹Ǩ¡Ŵ÷ҹѵᴧ õչ٧ (Դͧਹҡ) С͹Ǩ 8 駴

һԢͧ䵨ҡõǨʹ BUN 10-20 mg/dL. 㹼˭ 5-18 mg/dL.

2. õǨ Creatinine

Ǩ Creatinine

Creatinine 觷Դҡ͡ç 㹪ԵШѹ »ҧöѺ Creatinine ͡ҧ ֧ҵǨҤ Creatinine ʹо͹ҧ 㴷䵷ӧҹԴ 䵢Ѻ Creatinine ¡һҳҧ͡ѹ ͵Ǩ䵨о֧ Creatinine ʹ٧

ѧ鹡õǨ Creatinine ûԹͧ·١ҧҡѹ Ѻ·ͧǨ Creatinine ͵Ǩ Creatinine ¡Ŵ÷ҹѵᴧ ҷҨ Creatinine Ҵ͹ NSAIDs, Aminoglycoside, Omeprazole, Trimethoprim, Cephalosporins պӺѴ

һ creatinine 0.6-1.2 mg/dL 㹼 0.5-1.1 mg/dL 㹼˭ԧ (㹼˭ԧ¡ͧҡ˭ԧš͹¡Ҽ)

ҡ creatinine ٧Ҩ¶֧䵷ӧҹԴ ԴͶ١ Դ ҨԴ٭šҧä¡蹡ѹ ҡ creatinine Ҩ¶֧âҴõչ ͹çСպ 

3. õǨ BUN / Creatinine Ratio 

BUN  Creatinine Ratio

õǨ BUN / Creatinine Ratio 繡ùӤ BUN Creatinine Ҥӹdz ¼ŷö觪֧äԹԨä觢 ¡äӹdz BUN áѺ Creatinine ѵǹ

һ BUN / Creatinine Ratio ҡäӹdzöǧ 10-20 : 1 㹼˭ 30 : 1 㹷áصӡ 12 ͹

ҡ BUN : Creatinine ٧һҨ¶֧ТҴ §ͧԴºѹ ͹ 繵 жҡ BUN : Creatinine Ratio ӡһҨ¶֧ҧ¢Ҵõչ ͺҴعç ä

4. õǨ eGFR (Estimated glomerular filtration rate) 

eGFR

õǨ eGFR 繡õǨѵҡ¹ͧʹҹǡͧ 1 ҷ 繤ҷҡäӹdz»Ѩ·ᵡҧѹͧФ 

¤ eGFR ö͡ʶҹТͧäǡѺ Creatinine eGFR öдѺعçͧäдѺ֧ 5 ջª㹡¡ ѧ

  • з 1 GFR ҡҡѺ 90 ml/min. зҨš ÷ӧҹͧѧ繻

  • з 2 GFR = 60-89 ml/min. ʴ֧÷ӧҹͧդԴ硹

  • з 3 GFR = 30-59 ml/min. ʴ֧÷ӧҹͧդԴԻҹҧ

  • з 4 GFR = 15-29 ml/min. ʴ֧÷ӧҹͧդԴҡ

  • з 5 GFR ¡ 15 ml/min. ʴ֧öӧҹա 

5. õǨ Creatinine Clearance 

Ǩ Creatinine Clearance

õǨ Creatinine Clearance ͡õǨͧöͧ䵷㹡áӨѴеԹչ 繡õǨԹö㹡áͧͧǡѺԸ eGFR 繡ùӤ Creatinine ҡʹ Ф Creatinine ҡ纻зǺѹһСͺѺäӹdzͧԺѵԡ ҡ Creatinine ҡ 2 дѺԴԡ繢ͺ觪ͧԴä䵨ҡáͧͧͧ͡

һԢͧ Creatinine Clearance 觵 97 – 137 ml/min 㹼 88 – 128 ml/min 㹼˭ԧ

ҡ Creatinine Clearance ӡһʴ֧䵡ѧ Ҿҡطҡ ТҴ 䵢Ҵʹ§ 繵

ǡ͹Ǩ

õǨ繡õǨҡҧʹл ÷ѺзҹҨʹлԴäҴ͹ ѧ鹡õǨ䵵ͧʹ ? ӵͺ͵ͧʹùͧ ¡ǡ͹Ǩ ŵǨ͡ҵǨشûԺѵԴѧ

  • 8-12 ͹õǨ䵨еͧ

  • 24 ͹õǨ䵧ͧš

  • ѺѺзҹһШ û֡ᾷ͹ء ҧռ¹仨ҡ

Ƿҧѡä

ҡŵǨ䵺觺͡Ҽդ§㹡ä ä͹ ᾷǷҧѡä䵷ᵡҧѹ鹡ѺҡФعçͧä Ըѡäմѧ

ѡͪͧ͡

Ѻ·դԴҡ ʴ֧дѺعçͧäѧдѺ öѡ¡ѡҡõҧ Դҡä ֧ҨѺ¹ĵԡ䵡Ѻ§ҡش

  • ѡҴ

ҷѡä շҷѡҵҡ ҷª͡Ҿͧ ᾷоԨóҡèѺФ

  • ûѺ¹ĵԡ

оĵԡ§觷ҾǢ ûѺ¹ĵԡ繡êӧҹ˹ѡԹ 价Ҿ  

  • äǺѹԵ 

  • ǺдѺӵ 

  • Ǻ

  • ͡ѧҧ

  • ٺдš

ѡѺ·öӧҹա

óշ˹ѡöӧҹա ᾷԸѡҧöӧҹ§Էش 

  • ÿ͡ʹ (Dialysis)

䵷öӨѴͧ͡ҡʹǨзþɵҧйѹ¶֧Ե ѧ繡áӨѴͧʹ᷹ ֧繵ͧӡÿ͡ʹ 㹻Ѩغѹö͡ʹ 2 Ẻ

  • ÿ͡ʹͧ (Hemodialysis) : ͧзӡáͧͧ·ʹ͡ ʹҹáͧǡѺҧ

  • ҧ䵷ҧͧͧ (Peritoneal Dialysis) : ⴹüҵѴҧѺҧ䵷ͧ Ͷ֧ҧ зӡҧͪҧþ͡

  • û١ (Kidney Transplantation)

·öӧҹաö͡û١ 䵷١¹鹨öӧҹǡѺ͹䵻 ¨֧繵ͧ͡ʹ ҧӺҡա û١䵹鹨еͧѺ䵨ҡԨҤШеͧǨͺҧöѺл١

йԸջͧѹä

Ըջͧѹä ʨѴ

зӤѭҧҡ ҾöҹǡҨ觼ç֧Ե ҡҡҾ͹ѹ ô䵴¡ûѺ¹ĵԡ١آѡɳ ״ӧҹҹ

  • Ѻҡ ҵǨͤѴͧä ҡä ͡ʡѡҡҡ

  • ٺдš Ŵ÷ӧҹͧ

  • Ѻзҹ١آѡɳ ѹ٧ ʨѴ觼䵷ӧҹ˹ѡ

  • §͵ѹ

  • ͡ѧ㹻ҳҧ

  • ˹ѡࡳ

  • ѧͧ÷ҹ ҺҧԴѹµ ͹ҵͧ֡ᾷѪ͹ء

ػ

õǨ˹ԸաäѴͧä ö觺֧͡÷ӧҹͧѧ仵 ա÷ӧҹԴҧ ҡõǨ䵾ͤԴ 觷öͧѹա§äá͹ѹµͪԵҹ




ʴԴ


֧ ͡ ءҹ ôҹ
   ·ҧ ѷ ӡѴ (Ҫ) Դͤ͢ ѧ䫵纺͡ҧ 件֧纺͡ OKnation աŧҹѹԢԷ ͧѷ blog ¡˹ͺࢵͧ觷 ö ѧ

- ŧҹŧ鹩Ѻѧ ẺǺŧ ͫ͹繾ѧ з駷 server ͧسͧ copy code
- file download 駷 server ͧسͧ ͽҡ server
ö
- ŧ ͧкتŧЪͼͧѴਹ
- ŧͧͧ ͧкتͼͧ鹩ѺѴਹ
֧¹ôԺѵԵ 蹹鹷ҧѷ ´ԢԷ ԹҼԴѺҹԴԢԷ
OKNATION



ԡҡ¹ͧʴԴ
1 ¹ ʴԴ ͧ ͡зʶҺѹҵ ʹ оҡѵ ͡зͤ蹤ͧҵ
2. ¤Һ ´ ¼㹷ҧ ҧᵡ¡ѧ ѺҾ ԴͤԻ Ͷ¤ ͹Ҩ
3. ѴǹǷԴҡ¹ͧ ʴԴ 㹡ͧѺ觢ͤ (ѧ) ͧ͢¤㹺͡ Сͧǹ СʴԴ ͧҷҾҹ
4. Ԩóҷʡ͹ͺͺ Ҩ繡Դ лԴҡ੾ͧҾҴԧʶҺѹ
5.ùͧ Ҿ ͤԻԴ ͧͧŧ㹺͡ ҧԧ觷 ա§觷ԴԢԷ ҨٻẺԸա㴡 6. ФԴ㹺͡ ǢͧѺҹԹèѴ䫵 ¶繤ѺԴͺҧ繡ǹǢͧҪԡ
ҹ͹䢷"
OKnation ʧǹԷ㹡ûԴ͡ źФԴ ѴͤѧǢҧ ͧᨧ˵ؼ Ңͧ͡ҢͧԴ繹
   

Ѻ˹ҷ Ѻҹ