Isifo sikashukela isifo sikashukela sivela ngemuva kwesizinda sokungasebenzi kahle kumanyikwe, esibhekene nokukhiqizwa kwe-insulin. Ngenxa yalokhu kuphazamiseka, i-hyperglycemia engapheli iba khona, ebonakala ngoshukela wegazi owengeziwe. Izimpawu ezihamba phambili zalesi sifo ukoma, ukumbumbuluzwa ngokweqile komchamo nomlomo owomile.
Ingozi yesifo sikashukela ukuthi ibangela izinkinga eziningi ezingathinta izitho nezinhlelo ezahlukahlukene, kufaka phakathi imithambo yegazi, izinso nezinzwa zangaphakathi. Eminye yemiphumela ejwayelekile yalesi sifo i-nephropathy yesifo sikashukela, okungelona ukwelashwa okuholela ekubonakaleni kwezinguquko ezingaphenduki.
Ukuphela kwendlela yokuthola izinkinga zezinso kusenesifo sikashukela ukuthola i-microalbuminuria isebenzisa ukuhlaziya okukhethekile. Ngemuva kwakho konke, okuwukuphela kwendlela yokuvimbela ukuthuthukiswa kokuhluleka kwezinso okungapheli.
Izimbangela zokulimala kwezinso kushukela futhi yini i-microalbuminuria?
Kwatholakala ukuthi ngaphezu kwe-hyperglycemia engalapheki, ukulutha kubuye kuhlotshaniswe nephropathy. Lokhu kufaka ukubhema kanye nokudla ukudla okuningi kwamaprotheni, ikakhulukazi inyama.
Enye inkinga yezinso ihlala ivela ngokumelene nesizinda sehypertension, okubuye kube wuphawu lokuphazamiseka okunjalo. Isibonakaliso esilandelayo i-cholesterol ephezulu.
I-Microalbuminuria itholakala lapho kutholakala i-albhamuin emchameni. Namuhla, ukuhlaziya ukuyikhomba kungenziwa ngisho nasekhaya, lapho uthenge imichilo ekhethekile ekhemisi.
Lesi sifo siqala ngokuba ne-glomerular hyperfiltration, okungelinye lomsebenzi wezinso ongasebenzi. Ngasikhathi sinye, i-arteriole iyancipha ezigulini, ngenxa yalokho inqubo yokuhlunga okuthuthukile iqala, ngenxa yokuthi ukugcwala kwe-albhamuin emchameni kuyanda.
Kepha futhi okuqukethwe okuphezulu kwe-albhamuin kuyabonakala ezinkulwaneni zemikhumbi ye-endothelial. Kulokhu, umgoqo we-glomerular, obhekele ukunqandwa kwamaprotheni, uyavuleka.
Njengomthetho, i-microalbuminuria kushukela ikhula iminyaka engama-5-7. Ngalesi sikhathi, isigaba sokuqala salesi sifo siyakhiwa. Isigaba sesibili - i-proteinuria - kungathatha iminyaka eyi-15, kuthi okwesithathu (ukuhluleka kwe-renal) kuthathe iminyaka eyi-15 ukuya kwengama-20 kusukela ngesikhathi sokwehluleka ekukhiqizweni kwe-insulin.
Esigabeni sokuqala, umuntu onesifo sikashukela uvame ukungabuzwa buhlungu. Ngaphezu kwalokho, i-microalbuminuria ingalashwa kuze kube yilapho umsebenzi ojwayelekile wezinso ubuyiselwa ngokuphelele. Kodwa-ke, ezigabeni 2-3 ze-nephropathy, inqubo isivele isilungiswa.
Esigabeni sokuqala, izinkomba zingama-30-300 mg we-albhamuin. Kuyaphawuleka ukuthi phambilini ukukhonjwa kwalolu hlobo lwamaprotheni umchamo akunikwanga ukubaluleka okukhulu, kuze kwacaciswa ubudlelwane bakhe nokuqhubeka kwezindlela ezingama-2-3 zalesi sifo.
Ngakho-ke, namuhla bonke abantu abanesifo sikashukela bangena ocwaningweni olukhomba ubukhona be-albhamuin emchameni, okuvumela ukwelashwa okufika ngesikhathi nokuqala kabusha kokusebenza kwezinso.
Ukuhlaziywa kwe-Microalbuminuria: kwenziwa kanjani, izincomo, umbhalo
Ukwenza ucwaningo lwe-microalbuminuria, udinga ukuthola udluliselwa kudokotela. Ngemuva kwakho konke, lolu cwaningo luhlukile, akuyona ingxenye yokuhlolwa okujwayelekile komchamo.
Ngenqubo, kungasetyenziswa umthamo owodwa noma wansuku zonke womchamo. Kodwa-ke, ukuze usebenze kahle kakhulu, kuy efiseleka ukutadisha ingxenye yomchamo yansuku zonke, kolunye uhlangothi, imiphumela imvamisa ayithembekile.
Ukuhlaziya, umchamo uqoqwa usuku lonke embizeni eyodwa. Ngemuva kwalokho, isitsha kufanele sinyakaziswe kanye nenani eliphelele lomchamo liqoshwe.
Okulandelayo, kusuka kumgqomo ojwayelekile, i-150 ml yomchamo ithululelwa esitsheni esincanyana (200 ml), bese siyiswa elabhorethri. Kulokhu, umsizi welebhu kufanele asho ukuthi bekungakanani inani lomchamo, ukuze akwazi ukubala umthamo wamaprotheni nsuku zonke.
Uma inani le-albhamuin lingaphezulu kune-30 mg emahoreni angama-24, khona-ke le nkomba ibhekwa njengejwayelekile. Uma okwejwayelekile kudlulile, kufanele uthintane nodokotela ozohlola ukuthi ngabe ingozi yesimo sesiguli iyingozi kangakanani.
Esigabeni sokuqala, inani lamaprotheni lifinyelela kuma-300 mg / ngosuku. Kepha kulesi sigaba, ukwelashwa kungasebenza ngokuphelele. Isigaba sesibili sivezwa ngokweqile kwe-albhamuin (ngaphezulu kwama-300 mg). Nge-proteinuria enamandla, kudalwa isifo sikashukela esisongela impilo.
Kodwa-ke, kubalulekile ukuthi uqinisekise ukuthi izimpendulo zithembekile. Impela, uma kwenzeka kungalandelwa imithetho yokulethwa kwe-biomaterial, noma esimweni sezifo ezithile, imiphumela ingahle ihlanekezelwe.
Izincomo eziphambili zokuqoqa umchamo ukuthola i-microalbuminuria:
- Ukuqoqa umchamo, ungasebenzisa ibhodlela elinamalitha amathathu noma uthenge isitsha esikhethekile samalitha ayi-2,7 ekhemisi.
- Ingxenye yokuqala yomchamo ayidingi ukuqoqwa, kepha isikhathi sokuchama kufanele siphawulwe.
- Ukuqoqa kumele kwenziwe ngosuku olulodwa, ngokwesibonelo, ukusuka ngo-9 ekuseni kuye ku-9 ekuseni ngosuku olulandelayo.
- Ungachama ngokushesha esitsheni noma kwezinye izitsha ezomile nezihlanzekile, uvala ngokuqinile izitsha zombili ngamabhodlela.
- Ukuze ugcine i-biomaterial isanda futhi ingasasebenzi, kufanele igcinwe esiqandisini.
Yini okufanele uyenze lapho kutholwa i-microalbuminuria?
Ku-nephropathy yesifo sikashukela, kuyadingeka ukulawula i-glycemia (imininingwane eminingi mayelana nokuxilongwa yi-glycemia yohlobo 2 sikashukela mellitus). Ukuze kwenzeke lokhu, udokotela angabeka umjovo we-iv we-insulin.
Kodwa-ke, akunakwenzeka ngokuphelele ukululama kule nkimbinkimbi, kodwa kungenzeka ukunciphisa inkambo yayo. Uma ukulimala kwezinso kwakubalulekile, khona-ke ukufakelwa kwesitho noma ukuhlukaniswa, lapho igazi lihlanzwa khona, kungadingeka.
Ezidakamizweni ezidumile ze-microalbuminuria, iRenitek, iKapoten ne-Enap zinqunyiwe. Le mishanguzo inhibitors elawula umfutho wegazi futhi ivimbele i-albhamuin ukuthi ingangeni umchamo.
Futhi, ukuze uvikele futhi wehlise ijubane inqubo yokulimala kwezinso, kubalulekile ukwelapha izifo ezithathelwanayo ngesikhathi. Ngale njongo, izidakamizwa ze-antibacterial and antiseptic zingabekwa. Kwesinye isikhathi, ama-diuretics anqunyelwa ukubuyisela izinso nokubuyisa ibhalansi kasawoti wamanzi.
Ngaphezu kwalokho, ukwelashwa kungenzeka kungasebenzi uma umuntu onesifo sikashukela engakulandeli ukudla okwehlisa i-cholesterol. Imikhiqizo enciphisa okuqukethwe yile nto eyingozi ifaka:
- inhlanzi (ukhokho, u-trout, tuna, usalimoni);
- okusanhlamvu kanye nezinsumans (ubhontshisi, uphizi, udali, i-oats), ezilwa ne-cholesterol ngenxa yokuqukethwe kwefayibha yamabala kuyo;
- izithelo nezithelo ezingafakiwe;
- uwoyela wemifino (i-linseed);
- imifino;
- imbewu namantongomane (ama-alimondi, imbewu yethanga, ama-hazelnuts, ifilakisi);
- imifino namakhowe.
Ngakho-ke, nge-cholesterol ephezulu, konke ukudla kufanele kube nemikhiqizo yemvelo. Futhi ekudleni okuqukethe izithako zokwenziwa (abaqinisi, odayi, njll.), Ukudla okusheshayo nokudla okulula kudingeka kushiywe.
Ngakho-ke, ukuze kuvikelwe ukukhula kwe-nephropathy yesifo sikashukela, kuyadingeka ukubhekisisa kahle izinga le-hyperglycemia futhi ulawule nezinkomba zokucindezela kwegazi, ngoba esimweni lapho isiguli sinezimpawu zomfutho wegazi ophakeme nesifo sikashukela, isimo sesiguli sizoba sibi kakhulu. Uma izinkomba ze-glycemia nezingcindezi zegazi zingajwayelekile, khona-ke lokhu ngeke kuthinte umsebenzi wezinso kuphela, kepha nemithambo yegazi, ubuchopho nezinye izitho.
Kubalulekile futhi ukulawula amazinga we-lipid. Ngemuva kwakho konke, ubudlelwane busanda kusungulwa ngokuthuthukiswa kwezinkinga zesifo sikashukela, kufaka phakathi amazinga e-albhamuin aphezulu. Uma ezimweni zelebhu kwavela ukuthi ukugcwala kwama-lipids kuphezulu kakhulu, khona-ke isiguli kufanele singabandakanyi inyama ebunjiwe, ukhilimu omuncu kanye nemayonnaise ekudleni.
Ngaphezu kwalokho, kufanele sikhohlwe ngokubhema, ngoba lo mkhuba omubi ukhulisa ubungozi bezikhathi ngezikhathi ezingama-25. Kubalulekile futhi ukuqapha izinga le-hemoglobin, ngokujwayelekile akufanele idlule ku-7%. Ukuhlolwa kwe-hemoglobin kufanele kuthathwe njalo ezinsukwini ezingama-60. Okushiwo ngamaprotheni omchamo wesifo sikashukela - ividiyo ekulesi sihloko izotshela.
