Zvese zvaunoda Kuti Uzive Nezve Nephrotic Syndrome

Zvemukati

• Mhedziso
• Nephrotic chirwere zviratidzo
• Nephrotic chirwere chinokonzera
• Zvinonyanya kukonzera nephrotic syndrome
• Chechipiri zvinokonzera nephrotic syndrome
• Nephrotic syndrome kudya
• Nephrotic syndrome kurapwa
• Nephrotic syndrome muvana
• Nephrotic syndrome muvakuru
• Nephrotic syndrome kuongororwa
• Matambudziko eephrotic syndrome
• Nephrotic syndrome njodzi zvinhu
• Nephrotic syndrome maonero

Mhedziso

Nephrotic syndrome inoitika kana kukuvara kweitsvo dzako kuchikonzera nhengo idzi kuburitsa mapuroteni akawandisa mumugodhi wako.

Nephrotic syndrome haisi pachayo chirwere. Zvirwere zvinokanganisa mitsipa yeropa muitsvo dzako zvinokonzeresa chirwere ichi.

Nephrotic chirwere zviratidzo

Nephrotic syndrome inoratidzirwa neinotevera:

• huwandu hwakawanda hweprotein huripo mumurini (proteinuria)
• yakakwira cholesterol uye triglyceride mazinga muropa (hyperlipidemia)
• mashoma mapuroteni anonzi albubin muropa (hypoalbuminemia)
• kuzvimba (edema), kunyanya mumakumbo ako netsoka, uye kutenderedza maziso ako

Mukuwedzera kune izvo zviri pamusoro zviratidzo, vanhu vane nephrotic syndrome vanogona zvakare kuona:

• furo weti
• kurema kuwana kubva kune inoyerera buildup mumuviri
• kuneta
• kuda kudya

Nephrotic chirwere chinokonzera

Itsvo dzako dzakazara netutsinga tuduku turopa twunonzi glomeruli. Ropa rako parinofamba nemidziyo iyi, mvura yekuwedzera uye marara zvinogadzirwa mumuti wako weti. Mapuroteni nezvimwe zvinhu zvinoda muviri wako zvinogara muropa rako.

Nephrotic syndrome inoitika kana iyo glomeruli yakanganisika uye isingakwanise kusefa zvakanaka ropa rako. Kukuvadza kune iyi mitsipa yeropa inobvumira protein kuti idonhe mumugini wako.

Albumin ndeimwe yemapuroteni akarasika mumuti wako.Albumin inobatsira kukwevera imwe mvura kubva mumuviri wako muitsvo dzako. Urume uhwu hunobva hwabviswa mumuti wako weti.

Pasina albumin, muviri wako unobatirira kune iro rinowedzera mvura. Izvi zvinokonzera kuzvimba (edema) mumakumbo ako, tsoka, makumbo, uye kumeso.

Zvinonyanya kukonzera nephrotic syndrome

Mimwe mamiriro anokonzera nephrotic syndrome anongokanganisa itsvo. Izvi zvinonzi zvinonyanya kukonzera nephrotic syndrome. Aya mamiriro anosanganisira:

• Yakajeka segmental glomerulosclerosis (FSGS). Iyi ndiyo mamiriro ayo iyo glomeruli inova neronda kubva kuchirwere, hurema hwesimba, kana chisinga zivikanwe chikonzero.
• Chirangaridzo nephropathy. Mune chirwere ichi, membranes mune glomeruli thicken. Chikonzero chekuwedzera hachizivikanwe, asi zvinogona kuitika pamwe ne lupus, hepatitis B, malaria, kana kenza.
• Minimal shanduko chirwere. Kune munhu ane chirwere ichi, itsvo inoratidzika seyakajairika pasi pe microscope. Asi nekuda kwechimwe chikonzero chisingazivikanwe, haina kusefa zvakanaka.
• Renal vein thrombosis. Mune kusagadzikana uku, ropa rinovhara rinovhara mutsinga unoburitsa ropa kubva muitsvo.

Chechipiri zvinokonzera nephrotic syndrome

Zvimwe zvirwere zvinokonzera nephrotic syndrome zvinokanganisa muviri wese. Izvi zvinonzi zvikonzero zvechipiri zvephrotic syndrome. Zvirwere zvakadaro zvinogona kusanganisira:

• Chirwere cheshuga. Muchirwere ichi, shuga isingadzorwe yeropa inogona kukuvadza tsinga dzeropa muviri wako wese, kusanganisira muitsvo dzako.
• Lupus. Lupus chirwere chemuviri chinokonzera kuzvimba mumajoini, itsvo, uye dzimwe nhengo.
• Amyloidosis. Ichi chirwere chisingawanzo kukonzereswa neyakaunganidzwa yeprotein amyloid munhengo dzako. Amyloid inogona kuvaka mukati meitsvo dzako, pamwe zvichikonzera kukuvara kweitsvo.

Mimwe mishonga, inosanganisira hutachiona-kurwisa zvinodhaka uye nonsteroidal anti-anogumbura zvinodhaka (NSAIDs), akave zvakare akabatanidzwa nephrotic syndrome.

Nephrotic syndrome kudya

Kudya kwakakosha kugadzirisa nephrotic syndrome. Deredza huwandu hwesalt yaunodya kudzivirira kuzvimba uye kugadzirisa yako BP. Chiremba wako anogona zvakare kukurudzira kuti iwe unwe mvura shoma kuti udzikise kuzvimba.

Nephrotic syndrome inogona kuwedzera cholesterol yako uye triglyceride mazinga, saka edza kudya chikafu chakaderera mumafuta akazara uye cholesterol. Izvi zvinogona zvakare kubatsira kudzikisa njodzi yako yekuva nechirwere chemwoyo.

Kunyangwe ichi chiitiko chichiita kuti iwe urasikirwe neprotein mune yako weti, kudya imwe protein haina kukurudzirwa. Kudya-kweprotein kudya kunogona kuita kuti nephrotic syndrome iwedzere. Enderera kuverenga kuti udzidze zvakawanda nezve izvo zvekudya zvaunofanira kudya uye kudzivirira kana uine nephrotic syndrome.

Nephrotic syndrome kurapwa

Chiremba wako anokwanisa kurapa mamiriro akakonzera nephrotic syndrome, pamwe nezviratidzo zveiyi syndrome. Mhando dzakasiyana dzemishonga dzinogona kushandiswa kuita izvi:

• Ropa rekumanikidza mishonga. Izvi zvinogona kubatsira kudzikisa BP uye kudzikisira huwandu hwepuroteni yakarasika mumuti. Iyi mishonga inosanganisira angiotensin-inoshandura enzyme (ACE) inhibitors uye angiotensin II receptor blockers (ARBs).
• Diuretics. Dhiureti inokonzeresa itsvo dzako kuburitsa mamwe emvura, izvo zvinounza kudzimba. Iyi mishonga inosanganisira zvinhu zvakaita furosemide (Lasix) uye spironolactone (Aldactone).
• Statins. Iyi mishonga inoderedza cholesterol mazinga. Mimwe mienzaniso yematuru inosanganisira atorvastatin calcium (Lipitor) uye lovastatin (Altoprev, Mevacor).
• Ropa rakapfava. Iyi mishonga inoderedza kugona kweropa rako uye inogona kunyoreswa kana iwe wakave neropa rekuvhara muitsvo yako. Mienzaniso inosanganisira heparin uye warfarin (Coumadin, Jantoven).
• Immune system inodzvinyirira. Iyi mishonga inobatsira kuchengetedza immune system iri pasi pesimba uye inogona kubatsira pakurapa mamiriro ari pasi se lupus. Muenzaniso wemushonga wekudzvinyirira immune ndeye corticosteroids.

Chiremba wako anogona zvakare kuda kutora matanho ekuderedza njodzi yako yehutachiona. Kuti uite izvi, vanogona kukurudzira kuti iwe utore pneumococcal jekiseni uye wepagore furu pfuti.

Nephrotic syndrome muvana

Zvese primary and secondary nephrotic syndrome inogona kuitika muvana. Primary nephrotic syndrome ndiyo yakajairika mhando muvana.

Vamwe vana vanogona kuve nechinhu chinonzi congenital nephrotic syndrome, chinoitika mumwedzi mitatu yekutanga yehupenyu. Izvi zvinogona kukonzerwa nehutachiona hwakagara nhaka kana hutachiona nguva pfupi mushure mekuberekwa. Vana vane chirwere ichi vanogona kupedzisira voda kuisirwa itsvo.

Muvana, nephrotic syndrome inokonzeresa izvi zviratidzo:

• fivha, kuneta, kutsamwa, uye zvimwe zviratidzo zvehutachiona
• kurasikirwa nenzara
• ropa mumurini
• manyoka
• BP

Vana vane hudiki nephrotic syndrome vanowana zvimwe hutachiona kupfuura zvakajairwa. Izvi zvinodaro nekuti mapuroteni anowanzo dzivirira kubva kuhutachiona akarasika mutsvina yavo. Vanogona zvakare kunge vane yakakwira ropa cholesterol.

Nephrotic syndrome muvakuru

Sezvazviri muvana, nephrotic syndrome muvakuru inogona kuva nezvikonzero zvekutanga uye zvechipiri. Muvanhu vakuru, chinonyanya kukonzera chikonzero nephrotic syndrome ndiyo yakakosha segmental glomerulosclerosis (FSGS).

Aya mamiriro anosanganiswa nehurombo maonero. Huwandu hwepuroteni huripo mumugini chinhu chakakosha mukumisikidza kufungidzira mune vanhu ava. Inenge hafu yevanhu vane FSGS uye nephrotic syndrome inofambira mberi kusvika kumagumo-padanho chirwere cheitsvo mumakore mashanu kusvika gumi.

Nekudaro, zvikonzero zvechipiri zvephrotic syndrome zvakare zvinoita basa rakakosha muvakuru. Inofungidzirwa kuti pamusoro pe50 muzana yezana nephrotic syndrome kesi muvanhu vakuru vane chechipiri chikonzero chakadai seshuga kana lupus.

Nephrotic syndrome kuongororwa

Kuti uongorore nephrotic syndrome, chiremba wako anotanga kutora nhoroondo yako yekurapa. Iwe unozobvunzwa nezve ako zviratidzo, chero mishonga yauri kutora, uye kana uine chero mamiriro ehutano mamiriro.

Chiremba wako achaitawo kuongorora kwepanyama. Izvi zvinogona kusanganisira zvinhu sekuyera yako BP uye kuteerera kumoyo wako.

Miedzo yakati wandei inoshandiswa kubatsira kuongorora nephrotic syndrome. Zvinosanganisira:

• Weti miedzo. Iwe unozobvunzwa kuti upe muenzaniso weti. Izvi zvinogona kutumirwa kune rabhoritari kuti uone kana uine huwandu hwakawanda hweprotein mumuti wako. Mune zvimwe zviitiko, iwe unogona kubvunzwa kuti utore weti pamusoro pemaawa makumi maviri nemana.
• Kuongororwa kweropa. Mune bvunzo idzi, muyenzaniso weropa uchatorwa kubva mutsinga iri muruoko rwako. Iyi sampuro inogona kuongororwa kuongorora mamaki eropa eiyo yakazara itsvo kushanda, mwero weropa wealbumin, uye cholesterol uye triglyceride mazinga.
• Ultrasound. Iyo ultrasound inoshandisa mafungu eruzha kugadzira mufananidzo weitsvo dzako. Chiremba wako anogona kushandisa iyo mifananidzo yakagadzirirwa kuongorora mamiro eitsvo dzako.
• Biopsy. Munguva yebiopsy, idiki sampuro yetsvo tishu ichaunganidzwa. Izvi zvinogona kutumirwa kune lab kuti zviongororwe uye zvinogona kubatsira kuona izvo zvingave zviri kukonzera mamiriro ako.

Matambudziko eephrotic syndrome

Kurasika kwemapuroteni kubva muropa rako pamwe nekukuvara kune itsvo kunogona kutungamira kune akasiyana matambudziko. Mimwe mienzaniso yezvinogona kuitika kuti mumwe munhu ane nephrotic syndrome anogona kusangana anosanganisira:

• Ropa rinovhara. Mapuroteni anodzivirira kugwamba anogona kurasikirwa neropa, kukwidza njodzi yako yekugwamba kweropa.
• Yakakwira cholesterol uye triglycerides. More cholesterol uye triglycerides inogona kusunungurwa muropa rako. Izvi zvinogona kukwidza njodzi yako yechirwere chemwoyo.
• Yakakwira BP. Kukuvara kweitsvo kunogona kuwedzera huwandu hwetsvina muropa rako. Izvi zvinogona kukwidza kuwedzera kweropa.
• Kushaya zvokudya zvinovaka muviri. Kurasikirwa kweprotein muropa kunogona kutungamira kuonda, izvo zvinogona kuvharwa nekuzvimba (edema).
• Anemia. Iwe une kushomeka kwemasero matsvuku eropa kutakura okisijeni kunhengo uye nyama dzemuviri wako.
• Chirwere chetsvo chisingaperi. Itsvo dzako dzinogona kurasikirwa nebasa radzo nekufamba kwenguva, zvichidikanwa dialysis kana kuisirwa itsvo.
• Yakakomba itsvo kutadza. Kukuvara kweitsvo kunogona kukonzera itsvo dzako kumisa kusefa marara, izvo zvinoda kupindira kwechimbichimbi kuburikidza ne dialysis.
• Zvirwere. Vanhu vane nephrotic syndrome vane njodzi yakawedzera yekutapukirwa, senge pneumonia uye meningitis.
• Underactive utachiona gland (hypothyroidism). Utachiona hwako hahuite yakakwana thyroid kemikari.
• Coronary tsinga chirwere. Kuyerera kwemitsipa yeropa kunogumira kuyerera kweropa kuenda pamoyo.

Nephrotic syndrome njodzi zvinhu

Kune zvimwe zvinhu zvinogona kukuisa iwe panjodzi yekuwedzera yephrotic syndrome. Izvi zvinogona kusanganisira:

• Mamiriro ezvinhu ari pasi anogona kukonzeresa kukuvara kweitsvo. Mienzaniso yemamiriro akadaro inosanganisira zvinhu zvakaita seshuga, lupus, kana zvimwe zvirwere zveitsvo.
• Chaicho hutachiona. Kune zvimwe zvirwere zvinogona kuwedzera njodzi yako nephrotic syndrome, kusanganisira HIV, hepatitis B uye C, uye malaria.
• Mishonga. Zvimwe zvehutachiona-kurwisa zvinodhaka uye maNSAIDs anogona kuwedzera njodzi yephrotic syndrome.

Rangarira kuti nekuda kwekuti iwe uine imwe yeizvi njodzi hazvireve kuti iwe uchave nephrotic syndrome. Nekudaro, zvakakosha kuti utarise hutano hwako uye uone chiremba wako kana uri kusangana nezviratidzo zvinoenderana nephrotic syndrome.

Nephrotic syndrome maonero

Maonero einephrotic syndrome anogona kusiyana. Zvinoenderana nezviri kukonzera kuti zviitike pamwe nehutano hwako hwese.

Zvimwe zvezvirwere zvinokonzeresa nephrotic syndrome kuwana zvirinani pachezvazvo kana nemushonga. Kana chirwere chepasi chave kurapwa, nephrotic syndrome inofanira kuvandudza.

Zvisinei, mamwe mamiriro anogona kupedzisira aendesa kukundikana kwetsvo, kunyangwe nekurapwa. Kana izvi zvikaitika, dialysis uye pamwe kuisirwa itsvo kuchazodiwa.

Kana iwe uine zviratidzo zviri kunetsa kana iwe uchifunga kuti unogona kunge uine nephrotic syndrome, ita musangano nachiremba wako kuti utaure nezvezvinonetsa zvako.