Isifo sikashukela sichaphazela uninzi lweenguqu ezimbi emzimbeni, ezichaphazela phantse zonke iziko kwaye zibangela ukungasebenzi kwazo. Ngoko ke, esinye sezifo eziqhelekileyo eziqhelekileyo, ukuphucula kokubili kwizigulane ezixhomekeke kwi-insulin, kunye nabantu abaxhomekeke kwi-insulin, i-nephropathy yesifo sikashukela, apho iinjongo zijoliswe kuyo.
I-nephropathy ye-diabetes - udidi ngezigaba
Le nkxwaleko yesifo sikashukela ihambelana nokuphulwa kwe-carbohydrates kunye neepidid kwiisilini zeengso, okubangelwa kukutshatyalaliswa kwemibhobho, i-arterioles, iimbumba ze-capillary kunye ne-tubules yelungu. Kancinci, umsebenzi ongenakunyameko ekungabikho kwonyango kubangela ukupheliswa ngokupheleleyo komsebenzi wabo kwaye ube yingozi ebomini.
Kwiqheliselo lehlabathi, ukwahlula kwale nkcenkceshela ngamaxesha amahlanu, okuphuhliswe nguMogensen, kusetyenziswa. Makhe siqwalasele ngokubanzi iinkcukacha zesigaba se-nephropathy yesifo sesifo sikashukela esahlukisiwe, iimpawu zabo eziphambili:
- Isigaba sokuqala kukungasebenzi komzimba. Iyenzeka ngexesha lokuqala le-diabetes kwaye libonakaliswe ukwanda kwimizi yegazi yeentso kunye nokusebenza kokuphuma kwegazi kuzo, ukwanda kwe-excretion kunye nokucoca umchamo. Umzimba ngokwawo ukhululekile, ngelixa iprotheni emcinesini ayifumaneki.
- Isigaba sesibini yiinguqu zokuqala ezakhiweyo kwiziko. Ikhula malunga nomnyaka wesithathu ukususela kwi-diabetes yokuqala. Kule nqanaba, ukukhubazeka kwodonga lwemikhumbi yeentso kuyaqhubeka ukukhupha, ukungena ngokutsha kwe-glomeruli, ukwandiswa kwesithuba esiphezulu. Iprotheni ayifumanekanga.
- Isigaba sesithathu yi-nephropathy yokuqala. Ingxelo yeli nqanaba iqala malunga nomnyaka wesihlanu ukuya kunyaka wesixhenxe emva kokuxilongwa kwesifo sikashukela. Ngenxa yoxinzelelo oluphezulu oluqhubekayo kwimikhumbi yezintso ezinobungozi, ukwanda kancinci kwinqanaba lokucoca kwamanzi kunye nesisindo se-molecular esezantsi kuhlanganiswa kwi-filter filter. Ulwabiwo lwexabiso elingabalulekanga lweprotheni kunye nomchamo luqala.
- Isigaba sesine lixesha le-nephropathy ebizwa ngokuba yi-diabetes. Kuchazwe kwizigulane ezineesifo sikashukela esine "amava" angaphezu kweminyaka eyi-10-15. Kule nqanaba, inani elikhulu leprotheni lihlala likhutshwe emcanjeni, kwindlela yokulawula umzimba ifakiwe ukugcina izinga elifunayo. Kukho ukucotha ukujikeleza kwegazi kwiintso kunye nesantya sokuhlanjululwa kwe-glomerular, kukho ukuhlaziywa okungenakuphikiswa kwe-glomeruli.
- Isigaba sesithandathu sibukhulu. Cishe zonke iinqanawa ziyahlulwa, zingakwazi ukwenza umsebenzi ogqithisiweyo. Kwinqanaba lokugqibela lesi sifo, ngenxa yokungaphumeleli komzimba, ukuxhatshazwa kwezicubu kuveliswa yiprotein ye-metabolism, i-proteinuria enkulu, i-anemia kunye nezinye iinkqubo ze-pathological.
I-Diabetes Nephropathy - Izimpawu
I-nephropathy ye-diabetes, izizathu kunye neendlela zokuphuhlisa ezihlala zingacacanga, ziyinto engapheliyo ixesha elide. Ngoko, kwiimigangatho 1-3, ebizwa ngokuba yi-preclinical, ngaphandle kwezifundo ezizodwa, akunakwenzeka ukubonakalisa ukutshatyalaliswa kweentso. I-"bell" yokuqala ibonakala ikhula ngokuphindaphindiweyo kwenyuka kwengcinezelo yoxinzelelo . Ezinye iimpawu ze-nephropathy yesifo sikashukela, eziphuhliswayo njengoko i-pathology iqhubeka:
- ukuvuvukala;
- ubuthathaka obunamandla;
- ukuncipha komzimba;
- intloko;
- unxaniwe;
- isicefe
- i-ammonia iphunga emlonyeni;
- ukuphefumula okufutshane;
- intlungu entliziyweni;
- isikhumba esomileyo;
- ukubetha;
- mbono, njl njl
I-Diabetes Nephropathy - Ukuchonga
Ngenxa yokuba uhlalutyo jikelele lwebhubhoratri alukwazi ukunika ulwazi malunga nezigaba zentsholongwane yokugula, i-nephropathy yesifo sikashukela kufuneka ifunyanwe kwizigulane ezineesifo sikashukela ngeendlela ezizodwa (kufuneka zenziwe kwizigulane kanye ngonyaka). Ngaloo ndlela, kunokwenzeka ukuxilonga ukuxilongwa kwezi zivavanyo ezimbini zebhoratri:
- Ukuzimisela okuninzi kwe-albin (protein) kumchamo;
- ukuzimisela (ukubala) kwezinga lokuhlanjululwa kwe-glomerular ngokuqwalasela ukuxilongwa kwe-creatinine yegazi.
Ukongezelela, i-nephropathy yesifo sesifo sesifo ifunyanwe ngoncedo lwezifundo ezinjalo:
- Ukuhlalutya ngokubanzi kwegazi kunye nomchamo;
- vavanyo lwegazi;
- I-doppler ultrasound yeentso;
- i-organ biopsy.
I-Diabetes Nephropathy - unyango
Imeko ebaluleke kakhulu yonyango olusebenzayo kule nkcenkceshela yintsikelelo eyaneleyo kwingcambu - izinga eliphezulu le-glucose egazini. Enye imfuno ebalulekileyo yinto eqhelekileyo yomsinga wegazi kunye ne-lipid metabolism. Ngenxa yokulawulwa kwezi khonkco, ukuthintela ukungafihlisi kwesifo sikashukela kunye nokumiswa kwezinga lokuqhubela phambili kwenzelwa.
Xa kwenzeka ukufumana ngexesha elifanelekileyo ngexesha le-nephropathy kwi-diabetes mellitus iphathwa ngokuphumelelayo, kwaye kuxhomekeka kakhulu kwisigulana ngokwakhe. Ukuqwalaselwa kwezi meko zilandelayo kwandisa amathuba okuba nesiphumo esihle:
- ukwenziwa komzimba;
- ukwala kotywala nokutshaya;
- ukunciphisa kwengqondo;
- ukutya.
I-nephropathy - unyango, iziyobisi
Ukusetyenziswa kweziyobisi kusetyenziswa ingqalelo kwinqanaba leenkcenkceshe, ubukho bezinye utshintsho oluthile emzimbeni. Uluhlu lwezilwanyana ezisisiseko luquka:
- ama-hypoglycemic agents okanye i-insulin (ukuba i-nephropathy yesifo sikashukela ifunyaniswa, uhlobo lwesifo sikashukela sesifo sikashukela luhlala ludluliselwa kwi-insulin yonyango);
- i-inhibitors ye-enzyme yokuguqula i-angiotensin;
- abaxhasi be-calcium;
- i-beta-blockers ekhethiweyo;
- ulungelelaniso lomhlaba;
- diuretics;
- amalungiselelo ensimbi kunye ne-calcium;
- ukungena, njl
I-Hemodialysis ene-nephropathy yesifo sikashukela
Xa ukuvuvukala kuba mkhulu kwaye kungalawulekiyo ne-nephropathy yesifo sikashukela, kukho iimpawu zokuxilisa kakhulu, umbono ungaphumeleli, obonakalisa isicinge esinzima senkcazo kwaye uqinisekiswe nguhlalutyo, i-hemodialysis ayikwazi ukunqandwa. Le ndlela ibandakanya ukuhlanjululwa kwegazi ngeendlela ezikhethekileyo. Ngokuqhelekileyo, i-nephropathy enesifo sikashukela idinga ukuhlinzwa ngokufakelwa kweengtso.
I-nephropathy ye-diabetes - unyango kunye nezilwanyana zabantu
Kwinqanaba elinqabileyo, i-nephropathy yesifo sikashukela ingaphathwa ngeendlela ezingezinye, kodwa oku kufuneka kuxoxwe nodokotela. Kucaciswe ukuba izifundo zezifo ezifana nesifo sikashukela, i-nephropathy, i-hypertension iququzelelwe ngokutya kwezityalo zonyango. Ezi zityalo ziquka:
- hisquequeque followingque hisque hisquequequequeque followingquequequequequequequeque produits
- sage;
- iqhosha;
- isinki;
- landela;
- yarrow;
- oats, njl
Ukutya kunye nephropathy yesifo sikashukela
Isondlo esifanelekileyo sesinye seziqhamo zonyango oluphumelelayo le nkcenkceshela. Ukutya kwesifo sesifo sikashukela sezintso, uluhlu lokutya okubhekiselele kwiitya ezincinci zeprotheni kunye ne-low-salinity, kufuneka zibe zii-calories eziphezulu. Vunyelwe:
- imifuno, iziqhamo;
- ubisi lobisi;
- isonka esingenasanti;
- iimveliso zobisi ezivuthayo;
- ioli;
- inyama enamafutha athile, njl
Inqatshelwe:
- Inyama etshayiweyo, izitya ezinamafutha;
- marinades;
- cheeses;
- imbotyi;
- amakhowe;
- tshokoleta;
- caviar, njl