Ọgụ megide nephropathy na ọrịa shuga: ọgwụgwọ na mgbochi

Ọrịa mamịrị na-arịa ọrịa shuga bụ ọrịa na-esite na mgbanwe mgbanwe ọrịa na akụrụ.

Ọ na-egosipụta onwe ya na ndị ọrịa nwere ọrịa mellitus, mbelata ike nke nzacha nke akwara, proteinuria, ọrịa ọbara mgbali, uremia.

Isi ọgwụgwọ maka ọrịa a bụ iji gbochie ọdịda akwara anaghị ala ala. Ihe mgbochi maka mmepe nke ọrịa gụnyere nyochaa ọkwa nke glucose na plasma, na-agbaso ndụmọdụ dọkịta.

Ihe na-akpata ọrịa mamịrị nephropathy

Ọrịa shuga bụ ọrịa na-akpata nsogbu nke ụdị shuga abụọ a. Achọtara ya na pasent iri abụọ nke ndị mmadụ na-arịa ọrịa "ụtọ".

Ọtụtụ mgbe, ụmụ nwoke na-arịa ọrịa site na nchọpụta nke ọrịa shuga mbụ na nwata.

Nephropathy bụ ihe kachasị akpata ọnwụ maka ndị ọrịa na-arịa ọrịa shuga, ebe ọ na-emebi arịa nile nke ahụ, gụnyere akụrụ, sistem na anya. Mmepe nke ọrịa na-eme nwayọọ nwayọọ. Ihe dị ka afọ iri na ise nwere ike ịpụ site na oge a chọpụtara ọrịa shuga ruo mmalite nke mgbaàmà nke ọrịa nephropathy.

Isi ihe na-enyere aka n'ịzụlite nsogbu nke akụrụ bụ shuga dị n'ọbara. Ọrịa mamịrị na-arịa ọrịa shuga na-apụta na ogologo oge nke mebiri carbohydrate metabolism.

Ọrịa glycemia na-ebute mgbanwe na usoro nke biochemical nke anụ ahụ:

1. arụ ọrụ nke akụrụngwa renal glomeruli na-agbada. Ha glycosylation emee - mgbakwunye nke ị sugarụ shuga na ụmụ irighiri ahịhịa;
2. agbakasị mmiri-electrolyte homeostasis. O siri ike igbanwe ọdụdụ ọdụdụ na ibuga ahụ nke oxygen;
3. n'ihi iji glucose n'ụzọ na-ekwesịghị ekwesị, nsonaazụ ya na nsị akụrụ na-apụta. Ha arịa na-abawanye nke;
4. ọbara mgbali ọbara na - eduga na imebi ihe owuwu nke glomeruli nke akụkụ ahụ. Usoro a na-emetụta ọrụ nzacha ha. Ọdịda akwara na-adigide;
5. ndị ọrịa nwere o bu pụta ụwa na-arịa ọrịa.

Udiri oria na ihe iriba ama n’ime ndi oria shuga

Ọrịa mamịrị na-arịa ọrịa shuga. Ejiri ya na ogologo oge asymptomatic.

Ihe ịrịba ama nke ịgba ọgwụ na-egosi nwayọ:

1. na mmalite nke ọrịa, glomeruli nke akụrụ hypertrophy, na-abawanye na nha. N'otu oge ahụ, ọgbụgba ọbara na-abawanye, ọnụego mkpokọta ụwa na-abawanye. Mgbe ọtụtụ afọ gasịrị, mgbanwe mgbanwe na-adị n’ime ahụ;
2. na ọrịa a, akụrụ na-amalite izobe albumin. Mwepụta nke protein ndị a yana ihe mmamịrị na-egosi emebi mbibi nke akụkụ ahụ. Mgbe ụfọdụ ndị ọrịa na-eme mkpesa nke jumps na ọbara mgbali;
3. site na mmepe nke ọrịa, ọdịmma nke ndị ọrịa na-akawanye njọ. Enwere proteinuria. Protein na mmamịrị ruru 300mg kwa ụbọchị. Usoro enweghị mmeghari nke mmebi akụrụ na-amalite. Ọrịa Nehrotic na-etolite, ọzịza na-apụta;
4. a na-eji ọkwa dị ala na-egosipụta ike dị ukwuu na mkpochasị nke anụ ahụ, ọnụọgụ protein na mmamịrị na-abawanye, ọkwa urea na creatinine n'ọbara na-ebili.

Site n'ọrịa ahụ, shuga ọbara eruteghị n'ọtụtụ dị oke mkpa, mkpa nke homonụ na-ebu ibu na-ebelata. Ọbara mgbali elu na uremic syndrome na-etolite n'ike n'ike. Enwere akara nke nsị site na ngwaahịa metabolism, mmebi ọtụtụ akụkụ ahụ.

Diagnostics

Iji gbochie nsogbu ndị nwere ike ibute ọrịa shuga, ọ dị mkpa ime nyocha nke ọma n'oge.

Dọkịta depụtara ụdị nyocha ọbara dị iche iche, nnwale mmamịrị: ihe dị ndụ, ihe niile, ule Zimnitsky. Ọ dịkwa mkpa iji mee nyocha nke akụrụ.

Mgbe ị na-elele nsonaazụ ya, dọkịta na-adọrọ uche gaa na ntinye nke albumin kwa ụbọchị na mmamịrị, ọnụọgụ filtration.Ọrịa ahụ na-aga n’ihu, n’ọ̀tụ̀tụ̀ nke protein dị na mmamịrị dị elu. Mgbanwe ndị gosipụtara ọbara mgbali na nnukwu uzo na-egosikwa mmepe nke ọrịa.

N'ime usoro nke ikpeazụ, a na-achọpụta ihe mgbaàmà anaemia, acidosis, ihu abụọ, ọkwa urea na-ebili. Onye ọrịa ahụ nwere nnukwu ọzịza nke ihu na ahụ.

Ọgwụ nke nephropathy na ọrịa shuga

Usoro ọgwụgwọ iji gwọọ ọrịa a bụ iji gbochie nsogbu akụrụ na obi. Edere onye ọrịa nkwalite ike na ọkwa glucose, mgbali, nnabata na ndụmọdụ maka nri dị mma, ụdị ndụ ahụike.

Kedu ọgwụ iji na-emeso?

Ọrịa shuga na-adabere na insulin chọrọ mmezi nke ọgwụ homonụ. Mgbe ị na-ede ọgwụ na -ebelata ọgwụ shuga, mmadụ kwesịrị iburu n’uche otu esi wepụta ọgwụ ahụ n’ahụ.

Iji belata ọbara mgbali, tinye:

• Lisinopril, enalapril;
• ndị na-egbochi calcium channel (verapamide) na ndị na-anabata angiotensin (losartan);
• saluretics: Furosemide, Indapamide.

Ọ bụrụ na onye ọrịa nwere cholesterol dị elu, a na-enye ya statins na fibrates.

N'oge ọgbụgba ọrịa nke ọrịa ahụ, a chọrọ ọgwụgwọ iji kpochapụ ahụ. Dọkịta na-ede ọgwụ anwansi, iji chekwaa ọkwa hemoglobin. A na-agbazi onye ọrịa ahụ maka ọgwụgwọ shuga.

Nri nri Akụrụ

E nyere ndị ọrịa ọgwụ na-enweghị nnu. Ihe oriri kwesiri inwe otutu protein protein anumanu, carbohydrates, potassium, phosphorus.

Usoro ọgwụgwọ na ọgwụ ọdịnala

Obere ọgwụ maka ọgwụ ọgwụ mba ga-adị irè naanị mmalite nke ọrịa ahụ. Can nwere ike iji:

1. decoctions nke lingonberries, mkpụrụ osisi rowan, strawberries, kranberị, hips. Ha na-enye aka na nhazi nke ọrụ akụrụ;
2. okpukpo bean nke okpukpu kporo nku. A na-awụnye gram 50 nke ihe dị n'ime otu lita esi mmiri, ha guzoro awa atọ. Na-a halfụ ọkara iko otu ọnwa. Ngwá ọrụ na-edozi shuga ọbara, nwere uru bara uru na akụrụ;
3. olive, mmanụ linseed. Cholesterol dị ala. Usoro akwadoro bụ ngaji abụọ. A na-agbakwunye ngwaahịa ahụ na nri;
4. infusion nke birch buds. Na-enyere aka ahụ dị arụ ọrụ. A na-awunye iko abụọ nke ngwaahịa ahụ na mmiri na thermos, sie ọnwụ nkeji iri atọ. Na-a aụ otu iko nkeji anọ na otu ụbọchị.

Ọkpụkpụ akụrụngwa na akwara

Ọ bụrụ na ọnọdụ ahụ na-akawanye njọ, a na-enye onye ọrịa iwu usoro nhicha ọbara site na ngwaọrụ pụrụ iche ma ọ bụ site na oghere oghere nke afọ.

Ọ gaghị ekwe omume ịgwọ akụrụ ahụ n'ụzọ dị otú a, ị nwere ike ịkwado ọrụ ha. Anabataghị mmeghari omume site n'aka ọtụtụ ndị ọrịa. Site na iji akwara hemodial, a na-eji ngwaọrụ dialyzer eme ihe.

A na-asachapụ ọbara dị na ya. Nke a ga - enyere gị aka idobe elektrik na alkaline nkịtị. A na-eme usoro ahụ ugboro atọ n'izu maka awa ise n'ụlọ ọgwụ. A na - egosipụta oghere mgbapụta nke ọrịa mgbe ọ na - agaghị ekwe omume.

A na-eme ka ọbara dị ọcha site na peritoneum, nke a na-egbu egbu. A na-eme mmechi nke ụlọ ọgwụ na n'ụlọ, ọbụlagodi ugboro abụọ n'izu. Onye ọrịa ahụ nwere ike ịnweta mbufụt nke peritoneum, hernia, nsogbu na urination.

Nkwado ụlọ ọgwụ na mgbochi

Ọ bụrụ na achọpụtara ọrịa ahụ n’azụ oge, a na-egosi onye ọrịa usoro ịba ama, ịmịnye ya akụkụ ahụ metụtara.

Mgbochi nephropathy gụnyere n'ime onye ọrịa nwere endocrinologist, onye na-ahụ maka nri na-edozi ahụ, na nhazi nke oge ọgwụgwọ.

Onye ọrịa ahụ kwesịrị ịchịkwa ọkwa nke glycemia, nrụgide, were ọgwụ ndị dọkịta nyere ya, rie nri, tinye ọgwụ ndị dị na ahịa ọgwụ mba, tinye aka na egwuregwu ndị enwere ike, zere nrụgide na àgwà ọjọọ.

Vidiyo ndị metụtara

Banyere ọgwụgwọ nke nephropathy na ọrịa shuga na vidiyo:

Agba nke mbụ nke nephropathy anaghị egosipụta onwe ya na mgbaàmà nke ọrịa, nke na-agbagha nchọpụta nke ọrịa ahụ. N'ime afọ ole na ole achọpụtara ọrịa shuga, onye ọrịa ahụ na-ebute proteinuria, ọbara mgbali bilitere, mkpụmkpụ ume, olu mgbu, ọzịza siri ike. Ebumnuche nke ọgwụgwọ bụ igbochi nbibi nke nsogbu ndị mebiri vaskụla.

Ileta dọkịta mgbe niile, inyocha, ileba ọkwa glucose ọbara anya, na-agbaso ntuziaka ndị enyere n'iwu ga - enyere aka ịchọpụta ọrịa na mbido ọrịa ma gbochie ọdịda nke ọdịda akụrụ afọ.