Isifo sikashukela sikhuthaza ushintsho oluningana emzimbeni, oluthinta cishe zonke izitho nokudala ukungasebenzi kwazo. Ngakho-ke, esinye sezifo ezivamile ezijwayelekile, ukuthuthukisa iziguli ezixhomeke ku-insulin, futhi ezixhomeke kwi-insulin, i-nephropathy yesifo sikashukela, lapho izinso zihlose khona.
Ukwelashwa kwesifo sikashukela - ukuhlukaniswa ngezigaba
Lokhu kunenkinga yesifo sikashukela kuhlotshaniswa nokuphulwa komzimba we-carbohydrate ne-lipids ezintanjeni zezinso, okuholela ekunqothulweni kwemithambo yegazi, i-arterioles, i-capillary nezigulane zesitho. Kancane kancane, ukukhubazeka ngokweqile uma kungabikho ukwelashwa kuholela ekupheleni komsebenzi wabo ngokuphelele futhi kuba yingozi ekuphileni.
Ezenzweni zomhlaba, ukuhlukaniswa kwale nkinga ngezikhathi ezinhlanu, okwakhiwa nguMogensen, isetshenziswa. Ake sicabangele ngokuningiliziwe ukuthi yiziphi izigaba ze-nephropathy yesifo sikashukela ezihlukanisiwe, izici zabo eziyinhloko:
- Isigaba sokuqala yisisindo somzimba. Kwenzeka esikhathini sokuqala sesifo sikashukela futhi sibonakala ukwanda ngobukhulu bemithini yegazi yezinso nokusebenza kokugeleza kwegazi kuzo, ukwandisa ukuphuma nokuhlunga umchamo. Umzimba ngokwawo wanda kakhulu, kanti amaprotheni emcimbini awatholakali.
- Isigaba sesibili yizinguquko zokuqala ezakhiweni. Iqala cishe ngonyaka wesithathu kusukela ekuqaleni kwesifo sikashukela. Ngalesi sikhathi, ukukhubazeka kodonga lwezinso kuqhubeka nokukhubaza, ukungena kahle kwe-glomeruli, ukwandiswa kwesikhala se-intercellular kubonakala. Iphrotheni ayitholakali.
- Isigaba sesithathu yi-nephropathy yokuqala. Umbiko walesi sigaba uqala cishe kusukela ngonyaka wesihlanu kuya komnyaka wesikhombisa ngemuva kokuxilongwa ngesifo sikashukela. Ngenxa yengcindezi ephakeme njalo emikhumbi yezinso ezimele, ukunyuka okuncane kwesilinganiso sokuhlunga kwamanzi kanye nesisindo esincane se-molecular esakhiwe ngokusebenzisa isihlungi se-renal. Ukunikezwa kwesamba esingenasidingo samaprotheni ne-urine kuqala.
- Isigaba sesine yisikhathi se-nephropathy ebizwa ngokuthi i-diabetes. Ichazwa ezigulini ezinesifo sikashukela esine "isipiliyoni" esingaphezu kweminyaka engu-10-15. Ngalesi sigaba, inani elikhulu lamaprotheni lihlale lidonswa emcimbini, emzimbeni wokulawula umzimba kufakiwe ukugcina izinga elifunayo. Kunciphisa ukugeleza kwegazi ezintsheni kanye nesilinganiso sokuhlunga kwe-glomerular, kukhona hypertrophy engenakuguquka ye-glomeruli.
- Isigaba sesishiyagalombili siwubukhulu. Cishe yonke imikhumbi iyahlushwa, ayikwazi ukwenza umsebenzi we-excretory. Esigabeni sokugcina sesi sifo, ngenxa yokuhluleka kokuqamba amathumba, ukukhwabanisa kwezicubu kukhiqizwa amaprotheni umzimba, i-proteinuria enkulu, i-anemia nezinye izinqubo eziningi zempilo.
I-Nephropathy yesifo sikashukela - Izimpawu
I-nephropathy yesifo sikashukela, izimbangela kanye nezinqubo zokuthuthukiswa okungahlali zingacacile, kuyinto engapheli isikhathi eside. Ngakho-ke, ezinyathelweni ezingu-1-3, ezibizwa nge-preclinical, ngaphandle kwezifundo ezikhethekile, akunakwenzeka ukuveza ukunqotshwa kwezinso. I "bell" yokuqala ivame ukuvela ukwanda kwenyuka kokucindezela komzimba . Ezinye izibonakaliso ze-nephropathy yesifo sikashukela, ezakhiwa njengoba i-pathology iqhubeka:
- ukuvuvukala;
- ubuthakathaka obuqinile;
- ukwehla kwesisindo somzimba;
- ikhanda;
- ukoma;
- isicasuli;
- i-ammonia iphunga emlonyeni;
- ukuphefumula;
- ubuhlungu enhliziyweni;
- isikhumba esomile;
- itching;
- umbono okhubazekile, njll.
I-Nephropathy yesifo sikashukela - Ukuxilongwa
Ngenxa yokuthi ukuhlaziywa kwama laboratory jikelele akukwazi ukuhlinzeka ngolwazi ngezigaba ezinqamulayo zokugula, isifo sofuzo soshukela kufanele sitholakale kuziguli ezine-sikashukela ngezindlela ezikhethekile (kufanele zenziwe ngeziguli kanye ngonyaka). Ngakho-ke, kungenzeka ukuba uhlolisise ukucindezeleka yizivivinyo ezimbili zelabhuthrikhi:
- ukuzimisela okweqile kwe-albumin (amaprotheni) emcinini;
- ukuzimisela (ukubala) kwezinga lokuhlunga kwe-glomerular kucabangela ukuhlushwa kwe-blood creatinine.
Ngaphezu kwalokho, i-nephropathy yesifo sikashukela yezinso itholakala ngosizo lwezifundo ezinjalo:
- ukuhlaziywa okujwayelekile kwegazi nomchamo;
- ukuhlola igazi kwegazi;
- I-doppler ultrasound yezinso;
- i-organ biopsy.
Isifo soshukela seNepropathy - Ukwelashwa
Isimo esibaluleke kunazo zonke sokwelashwa okuphumelelayo kule nkinga iyimpumelelo eyanele imbangela eyisisekelo - izinga eliphakeme le-glucose egazini. Esinye isidingo esibalulekile yi-normalization yegazi ne-lipid metabolism. Ngenxa yokulawulwa kwalezi zikhombisi, ukuvimbela ukuphelelwa yisifo sikashukela nokumiswa kwesilinganiso sokuqhubekela phambili kwayo kwenziwa.
Uma ukutholakala kwe-nephropathy esikhathini esifike ngesikhathi sesifo sikashukela kuphethwe ngempumelelo, futhi kuncike kakhulu ngesiguli ngokwakhe. Ukugcinwa kwezimo ezilandelayo kwandisa amathuba okuba nomphumela omuhle:
- umsebenzi owenziwe ngokomzimba;
- ukwenqaba utshwala nokubhema;
- ukunciphisa ukucindezeleka kwengqondo;
- ukudla.
Nephropathy yesifo sikashukela - ukwelashwa, izidakamizwa
Ukwelashwa kwezidakamizwa kwenziwa ngokucabangela isigaba sokuhlukumezeka, ukutholakala kwezinye izinguquko ze-pathological emzimbeni. Uhlu lwezidakamizwa eziyisisekelo luhlanganisa:
- ama-hypoglycemic agents noma i-insulin (uma i-nephropathy yesifo sikashukela iyatholakala, uhlobo lwe-2 lwesifo sikashukela luvame ukudluliselwa ku-insulin therapy);
- inhibitors ye-enzyme yokuguqula i-angiotensin;
- abaphikisi be-calcium;
- i-beta-blockers ekhethiwe;
- amalungiselelo e-lipidemic;
- i-diuretics;
- amalungiselelo ensimbi ne-calcium;
- ama-enterosorbents, njll.
I-Hemodialysis ene-nephropathy yesifo sikashukela
Uma ukuvuvukala kuba mkhulu futhi kungalawulwa nesifo sofuba sesifo sikashukela, kunezibonakaliso zokudakwa ngokweqile, umbono awunzima, obonisa isigaba esiyinkimbinkimbi yokucindezeleka futhi kuqinisekiswa ngokuhlaziywa, i-hemodialysis ayikwazi ukugwema. Le ndlela ihilela ukuhlanzwa kwegazi ngokusebenzisa amadivaysi akhethekile. Ngokuvamile, i-nephropathy enkulu yesifo sikashukela idinga ukuhlinzwa ukufakelwa kwezinso.
Nephropathy yesifo sikashukela - ukwelashwa ngamakhambi abantu
Ezimweni zokuqapha, i-nephropathy yesifo sikashukela ingelashwa ngezinye izindlela, kepha lokhu kufanele kukhulunywe nodokotela. Kuqinisekiswe ukuthi inkinga yezifo ezifana nesifo sikashukela, i-nephropathy, umfutho wegazi ophakeme uhlinzekwa ngokudla kwezitshalo zemithi yokwelapha. I-phytopreparations enjalo ihlanganisa:
- i-bay leaf;
- i-sage;
- i-chamomile;
- i-mint;
- ukulandelana;
- i-yarrow;
- oats, njll
Ukudla nge-nephropathy yesifo sikashukela
Ukudla okunempilo kungenye yezinsisekelo zokwelashwa okuphumelelayo kwalolu phiko. Ukudla kwe-nephropathy yesifo sikashukela sezinso, uhlu lokudla okukhawulelwe amaprotheni aphansi namaphesenti aphansi, kufanele kube ngamakholori aphezulu. Kuvunyelwe:
- imifino, izithelo;
- ubisi lobisi;
- isinkwa esingenalutho;
- imikhiqizo yobisi evutshiwe;
- amafutha omnqumo;
- inyama enamafutha aphansi, njll.
Kuvinjelwe:
- Inyama ebhemayo, izitsha ezinamafutha;
- izimoto zemikhumbi;
- ushizi;
- ubhontshisi;
- amakhowe;
- ushokoledi;
- i-caviar, njll.