Koj puas muaj mob ntshav qab zib? Los yog puas muaj ib tug neeg hauv koj tsev neeg lossis ib tug phooj ywg zoo uas muaj mob ntshav qab zib? Yog li ntawd, zaj dab neeg no yuav tseem ceeb heev rau koj. Thaum peb feem ntau xav txog mob ntshav qab zib, peb tsuas xav txog kev tswj cov ntshav qab zib xwb. Tab sis peb puas paub tiag tiag txog kev puas tsuaj uas mob ntshav qab zib tuaj yeem ua rau lwm yam tseem ceeb hauv peb lub cev, peb lub raum? Qhov ntawd yog qhov peb tab tom tham txog hnub no.
Kab mob ntshav qab zib nephropathy yog dab tsi?
Hais yooj yim xwb, mob ntshav qab zib nephropathy yog qhov ua rau lub raum tsis ua haujlwm zoo uas tshwm sim los ntawm ntshav qab zib dhau sijhawm. Qhov tseeb, ntshav qab zib yog qhov ua rau lub raum tsis ua haujlwm zoo tshaj plaws thoob ntiaj teb. Kwv yees li ib ntawm peb tus neeg uas muaj ntshav qab zib yuav muaj tus mob no.
Thaum ib tug neeg uas muaj tus kab mob ntshav qab zib muaj tus kab mob raum, qhov xwm txheej yuav nyuaj me ntsis dua li yog tias lawv tsuas muaj tus kab mob raum uas tsis muaj tus kab mob ntshav qab zib. Qhov no yog vim tias cov neeg uas muaj tus kab mob ntshav qab zib feem ntau muaj lwm yam teeb meem kev noj qab haus huv, xws li ntshav siab, roj cholesterol ntau, thiab atherosclerosis . Thaum tag nrho cov no muab ua ke, kev puas tsuaj rau lub raum tuaj yeem loj dua.
Qhov xwm txheej no kuj txawv me ntsis nyob ntawm hom ntshav qab zib.
- Hauv hom ntshav qab zib hom 1: Kev puas tsuaj rau lub raum tsis tshua muaj nyob rau hauv 10 xyoo thawj zaug tom qab kuaj pom.
- Hauv Hom Kab Mob Ntshav Qab Zib 2: Rau qee tus neeg mob, txawm tias thaum tus kws kho mob hais tias, "Koj muaj ntshav qab zib," lawv lub raum tej zaum yuav twb pib puas lawm. Yog vim li ntawd cov neeg uas muaj Hom Kab Mob Ntshav Qab Zib 2 yuav tsum ceev faj txog qhov no.
Cov tsos mob ntawm tus mob no yog dab tsi?
Qhov txaus ntshai tshaj plaws txog qhov no yog tias tsis muaj tsos mob thaum ntxov. Tej zaum koj yuav tsis pom muaj kev hloov pauv kom txog thaum muaj kev puas tsuaj loj rau koj lub raum. Tab sis thaum koj lub raum pib ua haujlwm tsis zoo, cov tsos mob hauv qab no yuav tshwm sim:
Xav txog seb, koj niam muaj mob ntshav qab zib. Nws ua tsis tau tej yam uas nws ua yav tas los, nws ib txwm hais tias nws nkees. Thaum nws sawv thaum sawv ntxov, nws ob txhais ceg thiab lub ntsej muag me ntsis o. Peb xav tias nws yog ib yam dab tsi uas tshwm sim nrog lub hnub nyoog, lossis ib yam dab tsi uas tshwm sim nrog kev qaug zog. Tab sis cov no yuav yog cov cim qhia ntxov ntawm teeb meem raum.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Tes, taw, thiab lub ntsej muag o | Qhov no tshwm sim vim tias lub raum tsis tshem tawm cov kua dej ntxiv ntawm lub cev. |
| Teeb meem pw tsaug zog thiab txo qis kev mloog zoo | Qhov kev sib sau ua ke ntawm cov khoom pov tseg hauv cov ntshav tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub hlwb. |
| Tsis qab los noj mov thiab xeev siab | Nws yog ib qho tsos mob tshwm sim los ntawm kev sib sau ua ke ntawm cov tshuaj lom hauv lub cev. |
| Tsis muaj zog thiab qaug zog heev | Kev txo qis ntawm cov tshuaj hormones uas tsim los ntawm lub raum tuaj yeem ua rau muaj ntshav tsis txaus (ntshav tsis txaus). |
| Daim tawv nqaij qhuav thiab khaus ntau dhau | Qhov no tuaj yeem pom nyob rau theem kawg ntawm kev ua tsis tau haujlwm ntawm lub raum (kab mob raum theem kawg). |
| Kev ua haujlwm ntawm lub plawv dhia tsis zoo | Cov potassium ntau ntxiv hauv cov ntshav cuam tshuam rau kev ua haujlwm ntawm lub plawv. |
| Cov leeg nqaij ntswj | Nws tuaj yeem tshwm sim los ntawm kev tsis sib npaug ntawm calcium thiab phosphorus hauv lub cev. |
Thaum lub raum puas tsuaj ntau zuj zus, lawv tsis muaj peev xwm lim cov khoom pov tseg tawm ntawm cov ntshav. Cov khoom pov tseg no tuaj yeem sib sau ua ke hauv lub cev thiab ua rau lom. Qhov no hu ua uremia . Thaum qhov mob no hnyav zuj zus, nws tuaj yeem ua rau tsis meej pem thiab txawm tias tsis nco qab.
Yuav kuaj mob li cas?
Qhov tseem ceeb tshaj plaws yog kom paub txog qhov mob no thaum ntxov. Yog tias koj ua li ntawd, koj tuaj yeem tswj lossis ncua qhov kev nce qib mus rau qhov ua tsis tiav ntawm lub raum.
Txoj kev yooj yim tshaj plaws los nrhiav qhov no yog kev kuaj zis.Qhov mob no yuav paub tau sai dua los ntawm kev kuaj seb puas muaj microalbuminuria (Kuaj seb puas muaj Microalbuminuria). Yog vim li ntawd nws thiaj li tseem ceeb rau ib tus neeg uas muaj ntshav qab zib kom kuaj zis tsawg kawg ib xyoos ib zaug.
Tsis tas li ntawd xwb, kev kuaj ntshav uas kuaj xyuas cov tshuaj lom neeg hauv cov ntshav, xws li creatinine, tuaj yeem muab rau koj tus kws kho mob lub tswv yim zoo txog kev puas tsuaj rau koj lub raum thiab lawv ua haujlwm zoo li cas (eGFR).
Cov kev kho mob yog dab tsi?
Thaum nws los txog rau kev kho mob, kev hloov pauv hauv lub neej yog qhov tseem ceeb tshaj plaws. Kev tswj koj cov ntshav qab zib thiab ntshav siab yog txoj hauv kev zoo tshaj plaws los tiv thaiv kev puas tsuaj ntxiv rau lub raum.
Tsis tas li ntawd xwb, muaj cov tshuaj tshwj xeeb uas tuaj yeem pab tswj thiab ncua kev puas tsuaj rau lub raum.
- Cov tshuaj SGLT2 inhibitors: Cov no yog ib hom tshuaj uas pab tswj cov ntshav qab zib thiab tiv thaiv lub raum. Piv txwv li suav nrog dapagliflozin (Farxiga) thiab empagliflozin (Jardiance).
- Cov tshuaj ACE inhibitors (Angiotensin-converting enzyme inhibitors): Cov no feem ntau yog siv rau cov neeg mob ntshav siab. Txawm li cas los xij, lawv kuj raug siv los tiv thaiv kev puas tsuaj rau lub raum rau cov neeg mob ntshav qab zib. Txawm tias koj cov ntshav siab zoo li qub los xij, koj tus kws kho mob yuav pib noj cov tshuaj no rau koj los tiv thaiv koj lub raum. Piv txwv li: ramipril (Altace), lisinopril (Prinivil).
- Cov tshuaj ARBs (Angiotensin II receptor blockers): Yog tias cov tshuaj ACE inhibitors ua rau muaj kev phiv xws li hnoos, hom tshuaj no (ARBs) yuav raug muab hloov.
Tseem ceeb heev: Tsuas yog koj tus kws kho mob thiaj li sau ntawv rau cov tshuaj no. Tsis txhob siv raws li koj nyeem hauv internet lossis raws li ib tug phooj ywg pom zoo. Koj tus kws kho mob yuav kuaj koj thiab sau ntawv rau cov tshuaj thiab cov koob tshuaj uas tsim nyog tshaj plaws rau koj tus mob.
Yog tias tsis kho, lub raum yuav maj mam ua haujlwm tsis zoo, cov protein hauv cov zis yuav ntau ntxiv, thiab thaum kawg yuav tsum tau ntxuav dialysis lossis hloov raum. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav qab zib yog tus kab mob ua rau muaj kab mob raum.
- Vim tias feem ntau tsis muaj tsos mob thaum ntxov, nws yog ib qho tseem ceeb uas yuav tsum kuaj zis txhua xyoo (Uriage for Microalbumin) yog tias koj muaj ntshav qab zib.
- Kev puas tsuaj rau lub raum tuaj yeem tswj tau los ntawm kev tswj cov ntshav siab thiab cov ntshav qab zib kom zoo heev.
- Yog koj muaj cov tsos mob xws li o tes, taw, lossis lub ntsej muag, qaug zog heev, lossis tsis xav noj mov, tsis txhob tsis quav ntsej lawv thiab mus ntsib koj tus kws kho mob tam sim ntawd.
- Nws yog ib qho tseem ceeb heev uas yuav tsum noj koj cov tshuaj uas koj tau sau tseg, tshwj xeeb yog cov rau ntshav qab zib, ntshav siab, thiab kab mob raum, kom raug thiab raws sijhawm.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus