Nkọwa nke "ọrịa mamịrị nephropathy" bụ echiche mkpokọta nke jikọtara ọrịa dị iche iche na-ebute mmebi na arịa n'ime akụrụ megide ndabere nke ọrịa shuga na-arịa nnukwu ọrịa mellitus.
A na-ejikarị okwu ahụ bụ "Kimmelstil-Wilson syndrome" maka ọrịa a, n'ihi na a na-eji echiche nke nephropathy na glomerulosclerosis dịka otu.
Maka diphropathy mamịrị dịka ICD 10 si kwuo, a na-eji koodu 2. Yabụ, koodu nephropathy nke ọrịa mamịrị dịka ICD 10 nwere ike inwe ma ọ bụrụ na E.10-14.2 (ọrịa shuga nwere mmerụ akụrụ) yana N08.3 (ọnya na-arịa ọrịa shuga). Ọtụtụ mgbe, a na-ahụkarị ọrụ ezumike n’akụkụ insulin na-adabere, ụdị nke mbụ - 40-50%, na ụdị nke abụọ, njupụta nke nephropathy bụ 15-30%.
Ihe kpatara mmepe
Ndị dọkịta nwere echiche atọ bụ́ isi banyere ihe na-akpata nephropathy:
- mgbanwe. Echiche dị na ya bụ na eburu oke ọrụ mbibi ahụ ka ọ bụ n’ọbara glucose dị n’ọbara, n’ihi nke ahụ ọbara na-adọgharị n’agha, na-etinyekwa abụba n’ime arịa, nke na-eduga na nephropathy;
- mkpụrụ ndụ ihe nketa. Nke ahụ bụ, ọrịa ga - ekesa ọrịa ahụ. Ebumnuche nke echiche a bụ na ọ bụ usoro mkpụrụ ndụ ihe nketa na-akpata ọrịa dị ka ọrịa shuga na ọrịa nephropathy na ụmụaka;
- hemodynamic. Ozizi ahụ bụ na na ọrịa shuga, enwere mmebi nke hemodynamics, ya bụ, mgbasa ọbara na akụrụ, nke na-ebute mmụba nke ọkwa nke albumin na mmamịrị - protein nke na-emebi arịa ọbara, mmebi nke na-egbu (sclerosis).
Na mgbakwunye, ihe kpatara mmepe nke nephropathy dịka ICD 10 na-agụnyekarị:
- ise siga
- ọbara mgbali elu;
- ọbara mgbali elu;
- ogbenye triglycerides na cholesterol;
- anaemia
Ọtụtụ mgbe, n'ime otu nephropathy, a na-achọpụta ọrịa ndị a:
- ọrịa mamịrị glomerulosclerosis;
- akwara akwara atherosclerosis;
- negirossi nke canal akwara;
- itinye ego na ọdụ ụgbọ mmiri
- pyelonephritis.
Ọrịa
Nke mbu, okwesiri ikwu na oria mamiri nwere ike imebi akwara nke onye ọrịa rue oge di anya, onye ọrịa agaghị enwe mmetuta obi ojoo.
Ọtụtụ mgbe, a na-achọpụta ihe mgbaàmà nke ọrịa mamịrị nephropathy ugbua n'oge nsogbu akwara malitere.
N'oge usoro ahụ, ndị ọrịa nwere ike ịnwe mmụba n'ọbara, proteinuria, yana mmụba nwatakịrị 15-25%. Na ọkwa dị elu, ndị ọrịa na-enwe ọrịa diphtic nephrotic syndrome, ọbara mgbali elu, na mbelata ọnụego filtration glomerular. Akara nke agba - ọrịa akụrụ na - adịghị ala ala - bụ nke ọnụnọ nke azotemia, osteodystrophy nke akwara, ọbara mgbali elu na ọnụnọ nke ọrịa edematous.
Kedu ka esi achọpụta ya?
Iji kpebie nephropathy, a na-eji akụkọ banyere onye ọrịa na nyocha ụlọ nyocha. Mainzọ kachasị dị na ogbo ahụ bụ ịchọpụta ọkwa nke albumin na mmamịrị.
Enwere ike iji usoro ndị a chọpụta ọrịa nephropathy ọrịa mamịrị dabere na ICD 10:
- mkpebi siri ike nke GFR site na iji ule Reberg.
- ndu okacha ime.
- Dopplerography nke akụrụ na arịa arịa (ultrasound).
Na mgbakwunye, ophthalmoscopy ga-enyere aka ikpebi ọdịdị na ogbo nke retinopathy, na electrocardiogram ga-enyere aka ịchọpụta hypertrophy ventricular left.
Ọgwụgwọ
N'ime ọgwụgwọ ọrịa akụrụ, ọnọdụ kachasị bụ ọgwụgwọ mmado nke ọrịa shuga. A na-arụ ọrụ dị mkpa site na nhazi nke metabolism lipid na mmezi nke ọbara mgbali. A na-agwọ Nephropathy na ọgwụ na-echebe akụrụ na ala ọbara mgbali elu.
Ihe atụ nke ihe oriri nwere carbohydrates dị mfe
Otu n'ime ụzọ ịgwọ ọrịa bụ nri. Nri maka nephropathy kwesịrị ịbụ ịbelata oriri nke carbohydrates dị mfe ma nwee oke protein achọrọ.
Mgbe ị na-eri nri, ọnye mmiri anaghị amachị, na mgbakwunye, mmiri mmiri ahụ kwesiri ịnwe potassium (dịka ọmụmaatụ, mmiri ọweetụ juiceụ). Ọ bụrụ na onye ọrịa ebelatala GFR, nri nwere protein dị ala, mana n'otu oge ahụ nwere ọtụtụ calorie achọrọ. Ọ bụrụ na jikọtara nephropathy onye ọrịa na ọbara mgbali elu, a na-atụ aro nri nwere nnu dị obere.
Palliative gbasara akwara ọgwụgwọ
Ọ bụrụ na onye ọrịa ahụ na-agbadata etu esi agbaze ụwa dị ka ihe na-egosi na mmiri dị n'okpuru 15 ml / min / m2, dibịa na-aga elekere na-ekpebi ịmalite usoro nnọchi, nke enwere ike ịnọchite anya hemodialysis, ọgwụ mgbapụta ma ọ bụ ntụgharị.
Ihe di omimi banyere ihe banyere akwara bu osachapu obara site n’eji ngwa “akwara puru ime”. Ekwesịrị ịme usoro ahụ ugboro atọ n'izu, ihe dịka awa 4.
Mgbatị akwara azụ na-agụnye ịsacha ọbara site na peritoneum. Kwa ubochi, ugboro ugboro 3-5 onye ọrịa ka a na-eji ọgwụ ya wee gwọ ya n’ime oghere dị n’ime afọ. N'adịghị ka usoro akụrụngwa dị n'elu, a nwere ike ịme mgbapụta ụlọ n'ụlọ.
Ọkpụkpụ akụrụ na inye onyinye bụ usoro dị oke njọ iji luso ọgụ nephropathy. N'okwu a, onye ọrịa ahụ kwesịrị ị drugsụ ọgwụ ọjọọ nke na-egbochi usoro ahụ ji alụso ọrịa ọgụ, iji gbochie mgbochi ntụgharị.
Threezọ atọ iji gbochie
Thezọ kachasị ntụkwasị obi iji gbochie mmepe nke nephropathy bụ ụgwọ a na-anabata maka ọrịa shuga:
- Ihe mgbochi bụ mgbochi nke microalbuminuria. Ihe ndị dị mkpa maka mmepe nke microalbuminuria bụ: oge afọ nke ọrịa shuga site na afọ 1 ruo afọ 5, ihe nketa, ise anwụrụ, retinopathy, hyperlipidemia, yana enweghị ebe obibi na arụ ọrụ;
- Ihe mgbochi nke abụọ bụ iji belata mmepe nke ọrịa ahụ na ndị ọrịa belagoburu GFR ma ọ bụ ọkwa albumin na mmamịrị dị elu karịa ka ọ dị. Usoro a bụ mgbochi: nri nwere protein dị ala, njikwa ọbara mgbali elu, mmezi nke profaịlụ lipid n'ọbara, njikwa glycemic na nhazi nke usoro ịba uru ọbara;
- A na - egbochi mgbochi na ngalaba nke proteinuria. Ebumnuche ebumnuche dị na mbido ahụ bụ iwelata ihe ize ndụ nke ọganihu nke akụrụngwa na-akpata nnukwu nsogbu, nke, n'aka nke ya, ọbara mgbali elu, ụgwọ ezughi oke maka metabolism metabolism, proteinuria dị elu na hyperlipidemia.
Vidiyo ndị metụtara
Banyere ihe na-akpata na ọgwụgwọ nke ọrịa kansa nephropathy na TV na-egosi “Nọgide na-enwe ezi ahụ ike!” ya na Elena Malysheva:
N'agbanyeghi eziokwu na n'etiti nsogbu ojoo niile nke ọrịa shuga mellitus, nephropathy bụ otu n'ime ebe ndị a na - eduga, iji nlezianya debe ihe mgbochi na njikọta na nyocha oge kwesịrị ekwesị ga - enyere aka kwụsịtụ mmepe nke ọrịa a.
