Kurapa uye Kurapa kweADPKD

Zvemukati

• Mishonga
• Itsvo cyst kukura
• Yakakwira BP
• Zvirwere
• Kurwadziwa
• Kudya uye hydration
• Kuvhiya kurapa matambudziko
• Dialysis kana itsvo kuisazve
• Mishonga yekurapa
• Kutora

Autosomal yakanyanya polycystic itsvo chirwere (ADPKD) ndiyo yakajairika fomu re polycystic itsvo chirwere (PKD).

Inogona kukonzera akasiyana siyana matambudziko, akadai se:

• kurwadziwa
• BP
• itsvo kutadza

Iko hakuna mushonga weADPKD parizvino. Chiremba wako anogona kukunyorera mishonga, mararamiro anochinja, uye zvimwe zvinobatsira kubatsira kubvisa zviratidzo uye kudzivirira kusagadzikana.

Verenga pamusoro kuti udzidze zvakawanda nezve kurapwa uye kurapwa kweAPDKD.

Mishonga

Chiremba wako anogona kupa mishonga yakati wandei zvichienderana nezviratidzo zvako kana matambudziko eADPKD.

Itsvo cyst kukura

Muna 2018, Chikafu neDrug Administration (FDA) yakatendera mushonga tolvaptan (Jynarque) kurapa ADPKD.

Mushonga uyu unobatsira kudzora kukura kwema cysts kunoitika neADPKD. Izvi zvinobatsira kudzora itsvo kukuvadza uye kudzikisira njodzi yeitsvo kutadza.

Pane njodzi yekukuvara kwechiropa kana kudyidzana kwezvinodhaka kana uchitora tolvaptan. Shanda nachiremba anonyanya kugadzirisa hutano hweitsvo kuti zvive nemhedzisiro yakanaka.

Tolvaptan inogona chete kushandiswa muvakuru vane:

• danho 2 kana 3 chirwere chetsvo chisingaperi pakutanga kwekurapwa
• humbowo hwekuenderera mberi kwechirwere cheitsvo

Zvakajairika mhedzisiro mhedzisiro yetolvaptan (Jynarque) inosanganisira:

• kusaona zvakanaka
• kunetseka kufema kana kushanda kufema
• muromo wakaoma kana ganda rakaoma
• kugara uchiita weti
• muchero-kunge mweya wekufema
• kuwedzera nzara kana nyota
• kuwedzera weti kana vhoriyamu yeti yakasanganiswa weti
• kusvotwa, kurutsa, kana kurwadziwa nemudumbu
• vangadikitira
• kusanzwisisika kuonda
• kushaya simba kunoshamisa kana kuneta

Yakakwira BP

Kuwedzera kweropa kunogona kubatsira mukufambira mberi kwechirwere.

Chiremba wako anogona kukurudzira shanduko yemararamiro uye zvinogona mishonga senge angiotensin-inoshandura enzyme (ACE) inhibitors kana angiotensin II receptor blockers (ARBs) kubatsira kubata yako yeropa.

Zvirwere

Urinary turakiti hutachiona (UTIs), senge dundira kana itsvo hutachiona, hune hukama neADPKD inogona kurapwa nemishonga inorwisa mabhakitiriya. Iyo yakareba nzira yekurapa inogona kudikanwa kana hutachiona hwakanyanya kuomarara pane kungori hutachiwana hutachiona hutachiona.

Kurwadziwa

Kupfuura-the-counter kurapwa senge acetaminophen kunogona kubatsira kudzikamisa chero marwadzo anosangana ne:

• cysts muitsvo
• zvirwere
• itsvo matombo

Nonsteroidal anti-inflammatory drug (NSAIDs), senge ibuprofen, kazhinji haina kukurudzirwa nekuda kwekugona kwavo kupindira neropa BP mishonga uye itsvo basa

Mishonga yekurwisa-kubatwa inogona zvakare kushandiswa kubatsira nekurerutsa kurwadziwa kunokonzerwa nekukuvara kwetsinga. Izvi zvinosanganisira pregabalin (Lyrica) uye gabapentin (Neurontin).

Kana kurwadziwa kusingagoni kudzorwa neiyi nzira, chiremba wako anogona kufunga kunyorera mimwe mishonga yekurwadziwa yakadai seopioid. Opioid ine yakasarudzika mhedzisiro uye mukana wekuvimbika, saka shanda nachiremba wako kuti uwane yakaderera dosi inodiwa kubatsira kubata marwadzo ako.

Nguva dzose taura nachiremba wako usati watora mhando nyowani yemishonga, kusanganisira pamusoro-pe-pari pain painodzora marwadzo. Kumwe kurwadziwa kunodzora uye mimwe mishonga inogona kukuvadza itsvo dzako.

Kudya uye hydration

Izvo zvaunodya zvinogona kuve nemhedzisiro pane yako itsvo hutano, pamwe neropa rako. Kugara zvakanaka hydrated kunoita mutsauko, zvakare, uye kunogona kubatsira mukupfuudza matombo eitsvo uye kudzivirira UTIs.

Kuti ikubatsire kukudziridza tsika dzekudya dzinosangana nehutano hwako, chiremba wako anogona kukuendesa kune chiremba wezvekudya. Vanogona kukubatsira kuti udzidze kuti ndezvipi zvekudya zvaunofanira kuisa muchirongwa chako chekudya uye chekuganhurira kana kudzivirira.

Semuenzaniso, vanogona kukukurudzira ku:

• gumisa munyu, kana sodium, mukudya kwako zvakanyanya sezvinobvira kubatsira kudzikisa kuwedzerwa kweropa rako
• idya zvidimbu zvidiki zvepuroteni yemhando yepamusoro kudzivirira itsvo dzako
• deredza kudyiwa kwako kwemafuta- uye akazara mafuta zvakanyanya sezvaunogona kune hutano hwemwoyo
• dzivisa kudya yakawandisa potasium kana phosphorus
• regedza kuti unonwa doro rakawanda sei

Zvakakoshawo kunwa zvinwiwa zvakakwana kuti ugare uine hydrated yakanaka. Vanotsvaga parizvino vari kudzidza kuti hydration inobata sei mamiriro acho.

Kuvhiya kurapa matambudziko

Kana iwe ukava nezvinetso zveADPKD, chiremba wako anogona kukurudzira kuvhiyiwa sechikamu chehurongwa hwako hwekurapa.

Semuenzaniso, ivo vanogona kuraira kuvhiyiwa kana iwe uchikura:

• cysts muitsvo dzako kana dzimwe nhengo dzinokonzeresa kurwadziwa kusingagadziriswe nemishonga
• yakasimba kana inowanzoitika diverticulitis, iyo inogona kukanganisa madziro ekoloni yako
• aneurysm yeuropi, iyo inogona kukanganisa tsinga dzeropa muuropi hwako

Mhando dzesarudzo dzekuvhiya dzeADPKD dzinosanganisira:

• Kuvhiya cyst drainage. Makemikari ane hutachiona asinga pindure kurapwa kwemishonga inorwisa mabhakitiriya anogona kudururwa nemvura ine tsono.
• Kuvhura kana fiberoptic-inotungamirwa kuvhiya. Izvi zvinogona kukwevera kumadziro ekunze ema cyst kubvisa marwadzo.
• Kubviswa kweitsvo (nephrectomy). Kubviswa kwechikamu kana itsvo dzese dzinogona kuve yakanyanya kusarudzika ma cysts ayo asingakwanise kudzikiswa kana kubviswa neimwe nzira.
• Kusarura zvishoma kwechiropa (hepatectomy) kana kuiswa. Nekuwedzera kwechiropa kana zvimwe zvinosangana nechiropa, kubviswa kwechiropa kana kuisirwa kwechiropa kunogona kukurudzirwa.

Kuvhiya kunogona kubatsira kusunungura mamwe matambudziko emamiriro acho. Zvisinei, hazvinganonoki kukura kwese kweADPKD.

Dialysis kana itsvo kuisazve

Itsvo dzako dzinoita basa rakakosha nekusefa marara uye mvura yakawandisa kubva muropa rako.

Kana iwe ukaita kukundikana kwetsvo, iwe unozoda dialysis kana kuisirwa itsvo kuti urarame.

Kune maviri makuru marudzi e dialysis:

• hemodialysis
• peritoneal dialysis

Mune hemodialysis, muchina wekunze unoshandiswa kusefa ropa rako kunze kwemuviri wako. Mune peritoneal dialysis, nzvimbo yako yemudumbu yakazadzwa ne dialysate (dialyzing fluid) kusefa ropa rako mukati memuviri wako.

Kana iwe ukatambira itsvo kuisazve, chiremba anovhiya anozopinza hutano hunopa kubva kune mumwe munhu mumuviri wako. Zvinogona kutora makore kutsvaga yakanaka yevanopa itsvo.

Mishonga yekurapa

Mamwe marapirwo ekuwedzera anogona kubatsira kudzikisira kushushikana kwako kana nhanho dzemarwadzo. Izvi zvinogona kubatsira kudzikisa yako BP uye kusimudzira hwakanakisa hwehupenyu neADPKD.

Mabasa anogona kubatsira nekushushikana kana kurwadziwa marwadzo anosanganisira:

• kukwiza muviri
• acupuncture
• kufungisisa
• yoga
• tai chi

Kudzidzira hupenyu hwakagwinya hwakakoshawo kubatsira pakubata yako BP uye kukurudzira hutano hwakanaka hwetsvo. Semuenzaniso, edza ku:

• kurara zvakakwana
• kurovedza muviri nguva dzose
• dzivisa kusvuta

Gara uchitaura nachiremba wako usati waedza imwe nyowani yekurapa kana kuita shanduko huru kumararamiro ako. Vanogona kukubatsira iwe kudzidza kana iko kurapwa kana shanduko dzakachengeteka kwauri.

Usambofa wakatora mishonga yemakwenzi kana vhitamini ekuwedzera usina kutaura nachiremba wako kuti udzidze kana akachengeteka. Mishonga yakawanda yemakwenzi uye vhitamini zvinowedzera zvinogona kukuvadza itsvo dzako.

Kutora

Kunyangwe ADPKD parizvino isina mushonga, chiremba wako anogona kukurudzira mishonga, kurapwa, marongero ehupenyu, uye mune dzimwe nguva, kuvhiyiwa kubatsira kubata mamiriro acho.

Rega chiremba wako azive kana iwe ukaita chero matsva zviratidzo kana zvimwe shanduko muhutano hwako. Ivo vanogona kukurudzira kugadziridzwa kune yako yekurapa chirongwa.

Taura nachiremba wako kuti udzidze zvakawanda nezve zvingangoitika mabhenefiti, njodzi, uye mutengo wesarudzo dzakasiyana dzekurapa.