Chirwere cheshuga uye cheitsvo

Chirwere cheitsvo kana kukuvara kweitsvo zvinowanzoitika nekufamba kwenguva muvanhu vane chirwere cheshuga Rudzi rwechirwere cheitsvo runonzi chirwere cheshuga nephropathy.

Itsvo yega yega inogadzirwa nemazana ezviuru zvezvikamu zvidiki zvinodaidzwa kuti nephrons. Aya maseru anosefa ropa rako, anobatsira kubvisa marara kubva mumuviri, uye kudzora huwandu hwemvura.

Mune vanhu vane chirwere cheshuga, nephrons inononoka kukura uye kuva nemavanga nekufamba kwenguva. Nephrons dzinotanga kudonha, uye protein (albumin) inopfuura ichipinda weti. Uku kukuvara kunogona kuitika makore zvisati zvatanga zviratidzo zvehosha yeitsvo.

Kukuvara kweitsvo kunowanzoitika kana iwe:

• Iva neshuga yeropa isingadzorwe
• Vakafutisa
• Iva neBP yakakwira
• Iva nechirwere cheshuga cheshuga chakatanga usati wave nemakore makumi maviri
• Iva nenhengo dzemhuri idzo dzine chirwere cheshuga uye itsvo
• Chiutsi
• MaAfrica American, Mexico American, kana Native American

Kazhinji, hapana zviratidzo sezvo kukuvara kweitsvo kunotanga uye zvishoma nezvishoma kuchiwedzera. Itsvo kukuvara kunogona kutanga makore mashanu kusvika gumi zviratidzo zvisati zvatanga.

Vanhu vane chirwere chakakomba uye chenguva refu (chisingaperi) cheitsvo vanogona kuve nezviratidzo zvakaita se:

• Kuneta nguva zhinji
• Kazhinji kurwara kunzwa
• Kutemwa nemusoro
• Kusarongeka kwemoyo
• Kusvotwa uye kurutsa
• Chido chisina kunaka
• Kuzvimba kwemakumbo
• Kufema kwekufema
• Itchy ganda
• Nyore kukura zvirwere

Anokuchengetedza hutano anokuraira bvunzo kuti aone zviratidzo zveitsvo matambudziko.

Chiyero cheweti chinotarisa puroteni, inonzi albubin, ichidonhera mumugini.

• Yakawandisa albumin mune weti kazhinji chiratidzo chekukuvara kweitsvo.
• Muedzo uyu unonziwo microalbuminuria bvunzo nekuti inoyera zvidiki zvealbumin.

Wako mupi anozoongorora zvakare yako BP. Kuwedzera kweropa kunokanganisa itsvo dzako, uye kuwedzerwa kweropa kunonetsa kudzora kana uine kukuvara kweitsvo.

Itsvo biopsy inogona kurairwa kuti isimbise kuongororwa kana kutarisa zvimwe zvikonzero zveitsvo kukuvara.

Kana iwe uine chirwere cheshuga, mupi wako anoongororawo itsvo dzako nekushandisa inotevera yeropa bvunzo gore rega rega:

• Ropa urea nitrogen (BUN)
• Serum creatinine
• Yakaverengerwa glomerular filtration rate (GFR)

Kana kukuvara kweitsvo ikabatwa mumatanho ayo ekutanga, inogona kudzikiswa nekurapwa. Kamwe huwandu hukuru hweprotein hukaonekwa mumuguta, kukuvara kweitsvo kunozowedzera zvishoma nezvishoma.

Tevedza rairo yemupi wako kuti mamiriro ako asanyanya kuwedzera.

DZORA KUFANANA KWAKO NEROPA

Kuchengeta BP yako iri pasi pesimba (pazasi pe140 / 90 mm Hg) ndiyo imwe yenzira dzakanakisa dzekudzora kukuvara kweitsvo.

• Wako mupi achapa mishonga yekumanikidza kweropa kuchengetedza itsvo dzako kubva kukuvara zvakanyanya kana yako microalbumin bvunzo yakanyanya kukwirira pamatanho maviri.
• Kana yako yeropa iri mune yakajairwa renji uye uine microalbuminuria, iwe unogona kukumbirwa kutora ropa rezvinodhaka zvinodhaka, asi iyi kurudziro ikozvino ine kukakavara.

DZORA ROPA RAKO RISUVA ZVINHU

Iwe unogona zvakare kunonoka kukuvara kweitsvo nekudzora rako rehuga reropa kuburikidza:

• Kudya chikafu chine hutano
• Kuwana kurovedza muviri nguva dzose
• Kutora mishonga inonwiwa kana yekubaiwa jekiseni sezvakarairwa nemupi wako
• Mimwe mishonga yeshuga mishonga inozivikanwa kudzivirira kufambira mberi kweshuga nephropathy zvirinani kupfuura mimwe mishonga. Taura nemupi wako nezvekuti ndeipi mishonga yakakunakira iwe.
  
• Kuongorora huwandu hweshuga yeropa rako kazhinji sekurairwa uye nekuchengeta marekodhi eshuga eropa rako kuti iwe uzive mashandisiro anoita kudya uye zviitiko

DZIMWE NZIRA DZOKUDZIVIRIRA KIDI DZAKO

• Kusiyanisa dhayi iyo dzimwe nguva inoshandiswa neMRI, CT scan, kana imwe bvunzo yekufungidzira inogona kukonzera kukuvara kwetsvo dzako. Udza mupi ari kurayira bvunzo kuti une chirwere cheshuga. Tevedzera rairo nezvekunwa yakawanda mvura mushure mekuita kuti ubudise dhayi kubva mune yako system.
• Dzivisa kutora mushonga wekurwadziwa weNSAID, senge ibuprofen kana naproxen. Kumbira mupi wako kana paine imwe mhando yemushonga iwe yaunogona kutora panzvimbo. NSAID dzinogona kukuvadza itsvo, zvakanyanya kana uchiishandisa mazuva ese.
• Wako mupi angangoda kumira kana kushandura mimwe mishonga inogona kukuvadza itsvo dzako.
• Ziva zviratidzo zvekutapukira uye uwane kuti varapwe ipapo ipapo.
• Kuva nehupamhi hwevitamini D kunogona kuwedzera chirwere cheitsvo. Kumbira chiremba wako kana iwe uchida kutora vitamini D zvinowedzera.

Zvakawanda zviwanikwa zvinogona kukubatsira kuti unzwisise zvakawanda nezve chirwere cheshuga. Iwe unogona zvakare kudzidza nzira dzekugadzirisa yako itsvo chirwere.

Chirwere cheshuga cheshuga ndicho chikonzero chikuru chekurwara uye kufa kune vanhu vane chirwere cheshuga. Inogona kutungamira kukudiwa kwedialysis kana kuisirwa itsvo.

Fonera mupiki wako kana uine chirwere cheshuga uye usati wamboongororwa weti kuti utarise mapuroteni.

Chirwere cheshuga nephropathy; Nephropathy - chirwere cheshuga; Chirwere cheshuga glomerulosclerosis; Kimmelstiel-Wilson chirwere

• ACE inhibitors
• Nyora 2 chirwere cheshuga - chii chekubvunza chiremba wako

• Urume urinary system
• Pancreas neitsvo
• Chirwere cheshuga nephropathy

American Chirwere cheshuga Association. 11. Microvascular matambudziko uye tsoka tsoka: zviyero zvekurapa mune cheshuga-2020. Chirwere cheshuga. 2020; 43 (Suppl 1): S135-S151. PMID: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.

Brownlee M, Aiello LP, Sun JK, et al. Matambudziko eshuga mellitus. Mune: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 37.

Tong LL, Adler S, Wanner C. Kudzivirira uye kurapwa kwechirwere cheshuga cheitsvo. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chits.