Tora 2 Chirwere cheshuga uye hosha yeitsvo

Zvemukati

• Zviratidzo zvephropathy
• Njodzi zvinhu zvechirwere cheshuga nephropathy
• Zvinokonzera chirwere cheshuga nephropathy
• Kudzivirira chirwere cheshuga nephropathy
• Kudya
• Rovedza muviri
• Zvinodhaka
• Kurega kusvuta

Chii chinonzi diabetic nephropathy?

Nephropathy, kana chirwere cheitsvo, ndechimwe chezvinetso zvakakomba kune vanhu vazhinji vane chirwere cheshuga. Icho chiri chikonzero chinotungamira cheitsvo kutadza muUnited States.

Sekureva kweNational Kidney Foundation, vanopfuura mazana matanhatu nemakumi matanhatu emazana emamamerica vane chirwere cheitsvo chekupedzisira uye vari kurarama vachishandisa dialysis.

Nephropathy ine mashoma ekutanga zviratidzo kana zviratidzo zvekuyambira, zvakafanana nezvimwe zvirwere zvine chekuita nerudzi rwechipiri chirwere cheshuga. Kukuvadza kune itsvo kubva nephropathy kunogona kuitika kwenguva yakareba semakore gumi zviratidzo zvekutanga zvisati zvaonekwa.

Zviratidzo zvephropathy

Kazhinji, hapana zviratidzo zvehosha yeitsvo inoonekwa kusvikira itsvo dzisisiri kushanda nemazvo. Zviratidzo zvinoratidza itsvo dzako zvinogona kuve panjodzi zvinosanganisira:

• kuchengetwa kwemvura
• kuzvimba kwetsoka, makumbo, uye makumbo
• kusadya zvakanaka
• kunzwa kupera simba uye kupera simba nguva zhinji
• kazhinji musoro
• kugumbuka mudumbu
• kusvotwa
• kurutsa
• kushaya hope
• kunetseka kuisa pfungwa

Njodzi zvinhu zvechirwere cheshuga nephropathy

Kutanga kuongororwa kwechirwere cheitsvo kwakakosha mukuchengetedza hutano hwakanaka. Kana iwe uine prediabetes, type 2 diabetes, kana zvimwe zvinozivikanwa zvine njodzi yeshuga, itsvo dzako dzakatoshanda zvakanyanya uye basa radzo rinofanirwa kuyedzwa gore rega.

Kunze kwechirwere cheshuga, zvimwe zvinokonzeresa nezvechirwere cheitsvo ndeizvi:

• kusadzora kukwirira kweropa
• isingadzorwe yakakwira ropa glucose
• kufutisa
• cholesterol yakawanda
• nhoroondo yemhuri yechirwere cheitsvo
• nhoroondo yemhuri yechirwere chemwoyo
• kusvuta fodya
• kukwegura

Kupararira kwepamusoro kwechirwere cheitsvo kuripo pakati pe:

• VaAfrica vokuAmerica
• MaIndia eAmerica
• Vepanhau vekuAmerican
• Asia vekuAmerica

Zvinokonzera chirwere cheshuga nephropathy

Chirwere cheitsvo hachina chikonzero chimwe chete. Nyanzvi dzinotenda kuti kukura kwayo kunogona kunge kuchisanganiswa nemakore eropa risingadzorwe glucose. Zvimwe zvinhu zvinogona kuita basa rakakosha futi, senge maitiro ekuzvarwa nawo.

Itsvo ndiwo muviri wemuviri wekusefa ropa. Imwe neimwe inoumbwa nemazana ezviuru zveNephroni anonatsa ropa remarara.

Nekufamba kwenguva, kunyanya kana munhu aine chirwere cheshuga chechipiri, itsvo dzinoshanda zvakanyanya nekuti vanogara vachibvisa glucose yakawandisa muropa. Nephrons dzinotsva uye dzine mavanga, uye hadzichashandi zvakare.

Munguva pfupi, iyo nephrons haichakwanise kusefa zvizere kuwedzerwa kweropa remuviri. Zvinyorwa izvo zvinowanzo bviswa kubva muropa, senge protein, inoenda mumugini.

Zvizhinji zvezvinhu izvo zvisingadiwe ipuroteni inonzi albumin. Masero emuviri wako ealbubin anogona kuyedzwa mune weti sampuro kubatsira kuona kuti itsvo dzako dziri kushanda sei.

Chishoma chealbumin mumuti weti inonzi microalbuminuria. Kana huwandu hwealbumin hunowanikwa mumuti, mamiriro acho anonzi macroalbuminuria.

Njodzi dzekukundikana kweitsvo dzakakura zvakanyanya ne macroalbuminuria, uye yekupedzisira-nhanho renal chirwere (ESRD) iri njodzi. Kurapa kweEEDD dialysis, kana kuve neropa rako rakasvinwa nemushini ndokupomberwa zvakare mumuviri wako.

Kudzivirira chirwere cheshuga nephropathy

Nzira huru dzekudzivirira chirwere cheshuga nephropathy inosanganisira zvinotevera:

Kudya

Nzira yakanakisa yekuchengetedza itsvo hutano kutarisa kudya kwako nemazvo. Vanhu vane chirwere cheshuga vane itsvo isina kukwana basa vanofanirwa kuve vakangwarira nezvekuchengetedza:

• shuga yeropa ine hutano
• cholesterol yeropa
• lipid mazinga

Kuchengetedza kuwedzera kweropa risingasviki 130/80 kwakakoshawo. Kunyangwe iwe uine hunyoro hosha yeitsvo, inogona kuitiswa yakanyanya kuwedzerwa neBP. Tevedza aya matipi ekubatsira kudzikisa yako BP.

• Idya zvekudya zvine munyu mushoma.
• Usawedzera munyu pakudya.
• Deredza uremu kana iwe uri kunyanya kufuta.
• Dzivisa doro.

Chiremba wako anogona kukurudzira kuti iwe utevere yakaderera-mafuta, yakaderera-protein chikafu.

Rovedza muviri

Kubva pane zvakataurwa nachiremba wako, kurovedza muviri zuva nezuva kwakakoshawo.

Zvinodhaka

Vanhu vazhinji vane chirwere cheshuga cheshuga vane yakakwira BP vanotora angiotensin inoshandura enzyme (ACE) inhibitors yekurapa chirwere chemoyo, senge captopril uye enalapril. Iyi mishonga zvakare ine mukana wekudzora kufambira mberi kwechirwere cheitsvo.

Vanachiremba zvakare vanowanzo gadza angiotensin receptor blockers.

Dzimwe sarudzo dzinogona kuitika kune vanhu vane chirwere cheshuga cheshuga uye chirwere chetsvo chisingaperi chingave iko kushandiswa kwesodium-glucose cotransporter-2 inhibitor kana glucagon-yakaita peptide-1 receptor agonist. Iyi mishonga inogona kudzora njodzi yekurwara kwechirwere cheitsvo chisingaperi uye zviitiko zvemoyo.

Kurega kusvuta

Ukasvuta midzanga, unofanira kumira pakarepo. Sekureva kweongororo yakaitwa muna 2012 yakaburitswa mu, kusvuta fodya chinhu chakakonzerwa nenjodzi yekuvandudza chirwere cheitsvo.