Koj lub raum puas tso cov protein ntau dhau? Cia peb tham txog tus mob Nephrotic Syndrome!

Koj ob txhais ceg, caj npab, lossis lub ntsej muag puas tau pib o? Los yog koj cov zis puas zoo li lub cev menyuam yaus o? Nws puas zoo li ua npuas ncauj thaum koj tso zis ? Cov no yuav yog teeb meem me me nrog koj lub raum, uas yuav yog vim muaj mob. Hnub no peb yuav tham txog ib qho kab mob raum, 'Nephrotic Syndrome'. Tsis txhob txhawj, peb yuav tham txog qhov no yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.

Kab mob Nephrotic yog dab tsi?

Hais yooj yim xwb, tus mob nephrotic syndrome yog ib yam mob uas peb lub raum tso cov protein ntau dhau rau hauv cov zis. Cov kws kho mob hu qhov no tias "proteinuria". Yog hais kom meej, yog tias muaj ntau tshaj 3 grams ntawm cov protein (hnyav dua ib lub nyiaj Asmeskas me ntsis) raug tso tawm hauv cov zis ib hnub, qhov ntawd yog cov tsos mob tseem ceeb ntawm tus mob no. Qhov no yog li ntawm 20 npaug ntau dua li cov zis uas cov raum noj qab haus huv tso tawm.

Tam sim no xav txog peb lub raum ua ib lub lim dej . Lub lim dej no muaj cov hlab ntsha me me, uas peb hu ua '(glomeruli)' . Cov '(glomeruli)' no lim cov khoom pov tseg (piv txwv li, cov khib nyiab nitrogen '(urea)', cov khib nyiab nqaij '(creatinine)', thiab cov kua qaub), nrog rau cov dej tsis tsim nyog los ntawm cov ntshav. Tom qab ntawd lawv raug tso tawm ua zis. Feem ntau, hauv lub raum noj qab haus huv, '(glomeruli)' lim cov khoom uas lub cev xav tau, xws li cov protein, thiab khaws cia rau hauv cov ntshav, tshwj xeeb tshaj yog cov protein '(albumin)' . Tab sis thaum cov '(glomeruli)' no puas lawm, lawv tsis ua haujlwm zoo. Tom qab ntawd, cov protein muaj nqis xws li '(albumin)' yooj yim sib sau ua ke hauv cov zis.

Qhov no puas txaus ntshai rau lub neej?

Yog, tus mob nephrotic syndrome yog ib qho mob hnyav heev . Yog tias tsis kho kom zoo, nws tuaj yeem ua rau muaj lwm yam teeb meem thiab txawm tias cuam tshuam rau koj lub neej. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no thiab nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob.

Leej twg thiaj muaj tus mob nephrotic syndrome?

Txhua tus neeg yeej muaj tau qhov no. Txawm li cas los xij, cov neeg uas muaj kab mob raum uas cuam tshuam nrog ntshav qab zib, cov neeg uas muaj qee yam kev ua xua, thiab cov neeg uas muaj keeb kwm tsev neeg ntawm hom kab mob raum no (nrog rau tus mob nephrotic syndrome) feem ntau yuav muaj tus kab mob no.

Qhov no tsis yog ib yam kab mob uas pom ntau heev.

• Nws cuam tshuam txog li 1 ntawm 50,000 tus menyuam txhua xyoo. Feem ntau kuaj pom tias muaj tus kab mob no rau cov menyuam yaus hnub nyoog ntawm 2 thiab 5 xyoos. Cov tub hluas muaj feem yuav mob li ob npaug ntau dua li cov ntxhais.
• Rau cov neeg laus , qhov no tshwm sim rau kwv yees li peb ntawm txhua ib puas txhiab tus neeg txhua xyoo.

Kab mob nephrotic cuam tshuam li cas rau lub cev?

Thaum cov protein, uas tseem ceeb heev rau peb lub cev, raug tso tawm hauv cov zis, ntau yam teeb meem tshwm sim.

• Muaj cov protein pab tiv thaiv cov ntshav kom tsis txhob txhaws . Thaum tsis muaj cov protein no, cov ntshav txhaws yuav tsim tau.
• Lwm hom protein tseem ceeb yog`(Immunoglobulins)` . Cov no pab peb lub cev tiv thaiv kab mob tawm tsam cov kab mob thiab kev kis kab mob. Thaum cov no ploj lawm, peb tuaj yeem kis tau kab mob yooj yim. Piv txwv li:
• `(Mob ntsws)` (Mob ntsws)
• Cellulitis (kev kis kab mob ntawm daim tawv nqaij)
• Peritonitis (kev kis mob ntawm daim ntaub ntawm lub plab)

Cov tsos mob ntawm tus mob nephrotic syndrome yog dab tsi?

Nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas cov tsos mob no:

• Muaj cov protein '(albumin)' ntau hauv cov zis (albuminuria) : Ntau tshaj 3.5 grams ntawm cov protein '(albumin)' raug tso tawm hauv zis ib hnub.
• Kev nce qib ntawm cov rog thiab cov roj cholesterol hauv cov ntshav (hyperlipidemia) .
• O ('(edema)') : Feem ntau, ob txhais ceg, pob luj taws, thiab taw o. Qee zaum tes thiab lub ntsej muag kuj tuaj yeem o. Xav txog, yog tias koj tus menyuam sawv thaum sawv ntxov thiab thaj chaw ib puag ncig lawv lub qhov muag zoo li o, qhov ntawd kuj tuaj yeem yog ib qho cim ntawm qhov no.
• Txo cov protein albumin hauv cov ntshav (hypoalbuminemia) .
• Khoom noj tsis qab .
• Xav tias tsis muaj sia nyob thiab nkees txhua lub sijhawm .
• Mob plab (txhua qhov chaw ntawm cov tav tav mus rau sab plab qis).
• Cov zis ua npuas ncauj , zoo li dej xab npum.

Ib qho ntxiv yog tias peb lub cev poob cov zaub mov tseem ceeb thiab cov vitamins, tshwj xeeb tshaj yog calcium thiab vitamin D , ua li no. Rau cov menyuam yaus, qhov no tuaj yeem cuam tshuam rau kev loj hlob. Cov plaub hau poob, cov rau tes tsis muaj zog, thiab cov kab mob ua rau pob txha tsis muaj zog xws li "(Osteoporosis)" (kab mob ua rau pob txha nyias) kuj tuaj yeem tshwm sim.

Cov teeb meem feem ntau ntawm tus mob nephrotic syndrome yog dab tsi?

Yog tias tsis kho, cov teeb meem xws li:

• `(Kev raug mob raum sai sai)` - Ib qho mob uas lub raum cia li tsis ua haujlwm zoo lawm.
• Kab mob ntshav tsis txaus (Anemia) - yog ib qho mob uas tsis muaj cov qe ntshav dawb zoo uas nqa cov pa oxygen mus rau cov kab mob hauv lub cev.
• Kab mob plawv (Coronary artery disease) - Cov rog uas nyob hauv cov hlab ntsha uas muab ntshav mus rau lub plawv.
• Ntshav Siab (Hypertension) - Ntshav siab uas siab dua li qub thaum nws mus ncig los ntawm cov hlab ntsha.
• Hypothyroidism - Cov thyroid caj pas tsis tso cov tshuaj hormones txaus rau hauv cov ntshav.

Dab tsi yog cov ua rau muaj tus mob nephrotic syndrome?

Feem ntau, cov '(glomeruli)' no puas tsuaj vim yog cov kab mob raum. Cov kws kho mob thiab cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas cov kab mob no thiaj cuam tshuam ncaj qha rau '(glomeruli)'. Cov '(glomeruli)' uas puas tsuaj no yog cov ua rau muaj tus mob nephrotic syndrome. Ib txhia ntawm cov kab mob no yog:

• `(Amyloidosis)` : Hauv qhov no, ib hom protein hu ua amyloid tau tso rau hauv peb cov kab mob tseem ceeb. Qhov no feem ntau tshwm sim hauv lub raum. Tom qab ntawd lub peev xwm lim dej ntawm lub raum txo qis.
• `(Nephropathy uas cuam tshuam nrog ntshav qab zib)`Kab mob raum: Qhov no yog thaum lub raum tsis ua haujlwm zoo. Qhov mob no tshwm sim thaum ntshav qab zib ua rau ib lossis ntau lub hlab ntsha hauv lub raum puas tsuaj. Qhov no tuaj yeem ua rau tsis muaj zog, cov leeg tsis muaj zog, thiab mob.
• Focal segmental glomerulosclerosis (FSGS) : Qhov no ua rau muaj qhov caws pliav hauv cov ntu me me ntawm glomeruli. Qhov no tuaj yeem ua rau o, ua tsis tau haujlwm ntawm lub raum, thiab muaj protein nyob hauv cov zis.
• Lupus : Lupus yog ib yam kab mob autoimmune. Nws ua rau o, o, thiab mob thoob plaws lub cev. Nws kuj tseem tuaj yeem cuam tshuam rau lub raum.
• Mob ntsws membranous : Hauv qhov no, peb lub cev lub cev tiv thaiv kab mob tawm tsam cov ntaub lim dej hauv lub raum.
• Kab mob hloov pauv tsawg kawg nkaus (MCD) : Qhov no kuj yog ib hom kab mob nephropathy uas lub raum tsis ua haujlwm zoo. Txawm li cas los xij, kev kuaj lub raum tsis qhia txog kev puas tsuaj loj rau glomeruli lossis cov ntaub so ntswg ntawm lub raum. Txawm hais tias nws tuaj yeem tshwm sim rau txhua lub hnub nyoog, nws feem ntau tshwm sim rau cov menyuam yaus.

Yuav kuaj mob nephrotic syndrome li cas?

Cov kws kho mob ua ntau yam kev kuaj mob los kuaj mob no:

Kev kuaj zis

Qhov no raug kuaj pom los ntawm kev kuaj zis, uas saib qhov tsos, cov tshuaj lom neeg muaj pes tsawg leeg, thiab qhov tsos me me ntawm koj cov zis.

• Kev kuaj Dipstick : Hauv qhov kev kuaj no, koj tso zis rau hauv lub thawv tshwj xeeb ntawm chaw ua haujlwm kws kho mob lossis tsev kho mob. Tom qab ntawd tus kws kho mob lossis tus nais maum muab daim ntawv nplaum uas muaj tshuaj lom neeg (dipstick) tso rau hauv lub thawv. Yog tias muaj albumin hauv koj cov zis, daim ntawv yuav hloov xim.
• Kev kuaj cov protein hauv zis : Cov kev kuaj no yuav ua yog tias xav tau kev ntsuas kom raug dua.
• Ib qho zis kuaj : Qhov no raug xa mus rau chav kuaj mob. Lawv yuav saib seb muaj pes tsawg '(albumin)' thiab '(creatinine)' nyob hauv koj cov zis ('(albumin-to-creatinine ratio)'). Yog tias koj muaj ntau tshaj 30 milligrams ntawm '(albumin)' ib gram ntawm '(creatinine)', qhov ntawd yuav yog teeb meem.
• Kev sau zis 24 teev : Tus kws kho mob yuav muab ib lub raj mis rau koj sau koj cov zis hauv tsev. Thaum hnub kuaj:
• Thaum sawv ntxov, thaum koj sawv, tso zis rau hauv chav dej li niaj zaus.
• Tom qab ntawd tso zis rau hauv lub raj mis ntawd thoob plaws hnub kom txog thaum koj mus pw hmo ntuj.
• Tag kis sawv ntxov, thaum koj sawv los, tso zis rau hauv tib lub raj mis zaum kawg.
• Tom qab ntawd koj yuav tsum coj cov qauv ntawd mus rau chaw ua haujlwm ntawm tus kws kho mob lossis mus rau chav kuaj mob, qhov chaw uas lawv tsuas ntsuas qhov ntau ntawm '(albumin)' xwb.

Kev kuaj ntshav

Hauv qhov no, tus kws kho mob siv ib rab koob nyias nyias los rho me ntsis ntshav los ntawm cov leeg ntshav hauv koj txhais caj npab. Nws raug xa mus rau chav kuaj mob kom kuaj. Yog tias muaj qib qis ntawm '(albumin)' lossis lwm cov protein hauv cov ntshav, nws yuav yog tus mob nephrotic syndrome. Lawv kuj kuaj xyuas cov qib ntawm cov roj cholesterol thiab '(triglyceride)' hauv cov ntshav. Thaum '(albumin)' qis, cov no tuaj yeem nce ntxiv.

Kev kuaj mob raum

Hauv txoj kev kho mob no, tus kws kho mob yuav muab ib daim nqaij me me los ntawm koj lub raum thiab kuaj nws hauv qab lub tshuab kuaj mob me me. Ua ntej ua txoj kev kho mob, thaj chaw ntawd yuav raug ua kom loog, yog li koj yuav tsis hnov ​​mob dab tsi. Koj kuj tseem yuav tau txais me ntsis tshuaj pw tsaug zog kom pab koj so. Tus kws kho mob mam li ntxig ib rab koob hla koj daim tawv nqaij mus rau hauv koj lub raum kom coj cov qauv nqaij.

Txawm li cas los xij, yog tias koj muaj ntshav qab zib thiab koj tus kws kho mob xav tias muaj tus kab mob nephrotic syndrome, feem ntau tsis tas yuav kuaj lub raum. Koj keeb kwm kev kho mob, kev kuaj zis, thiab kev kuaj ntshav tuaj yeem pab kuaj mob nephrotic syndrome uas yog los ntawm ntshav qab zib.

Puas kho tau tus mob nephrotic syndrome?

Qhov no tsis yog ib yam kab mob uas kho tau tag nrho . Tiam sis muaj xov xwm zoo! Yog tias nws tshwm sim rau cov menyuam yaus, nws feem ntau yuav ploj mus thaum lawv tseem hluas, li ntawm 18-20 xyoo.

Kev kho mob tuaj yeem tswj cov tsos mob thiab tiv thaiv kev puas tsuaj ntxiv rau lub raum.

Kev kho mob suav nrog kev kho qhov ua rau mob, txo cov ntshav siab, cov roj cholesterol, o, thiab kev pheej hmoo ntawm kev kis kab mob. Feem ntau, nws suav nrog kev siv tshuaj thiab kev hloov pauv zaub mov .

• Qee cov tshuaj kho mob ntshav siab tuaj yeem pab tswj cov kab mob raum uas ua rau muaj tus mob nephrotic syndrome. Piv txwv li:
• (Cov tshuaj angiotensin-converting enzyme (ACE) inhibitors)
• Cov tshuaj Angiotensin receptor blockers (ARBs)
• Cov tshuaj no txo ​​qhov siab hauv glomeruli thiab txo cov albumin uas tawm hauv cov zis. Ntau tus neeg yuav xav tau ob lossis peb yam tshuaj los tswj lawv cov ntshav siab.
• Nrog rau ACE inhibitor lossis ARB, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj diuretic . Cov tshuaj diuretics pab koj lub raum tshem cov kua dej ntau dhau ntawm koj cov ntshav. Lawv kuj tseem tuaj yeem pab txo cov ntshav siab thiab o. Lwm cov tshuaj uas txo cov ntshav siab suav nrog beta-blockers thiab calcium channel blockers .
• Tus kws kho mob yuav sau ntawv kom noj tshuaj "statins" kom txo cov roj cholesterol.
• Yog koj muaj tus mob nephrotic syndrome, nws tseem yog ib lub tswv yim zoo kom txhaj tshuaj tiv thaiv kab mob khaub thuas (mob ntsws) thiab tshuaj tiv thaiv kab mob pneumococcal txhua xyoo. Tshuaj tiv thaiv kab mob pneumococcal tuaj yeem tiv thaiv cov kab mob uas tshwm sim los ntawm cov kab mob hu ua pneumococcus (piv txwv li, mob pob ntseg, mob ntsws, mob hlwb).
• Qee zaum koj tus kws kho mob yuav sau ntawv kom koj siv cov tshuaj uas ua rau cov ntshav nyias (anticoagulants), tab sis cov tshuaj no tsuas yog muab rau koj yog tias koj cov ntshav txhaws xwb. Lawv tsis tiv thaiv tau tus mob nephrotic syndrome lossis nws cov tsos mob.

Koj puas yuav tsum tau ceev faj txog zaub mov thiab dej haus?

Kev noj haus thiab haus dej tsis muaj feem cuam tshuam loj rau kev loj hlob lossis kev tiv thaiv kab mob nephrotic syndrome rau cov neeg laus. Tab sis yog tias koj muaj tus mob no,Qee cov tsos mob tuaj yeem txo qis los ntawm kev hloov pauv kev noj haus.

• Txo cov ntsev (sodium) hauv koj cov zaub mov noj yuav pab txo qhov o . Feem ntau ntawm cov sodium hauv cov zaub mov uas peb noj yog los ntawm ntsev. Haus dej ntau dua kuj tseem tuaj yeem pab txo qhov o.
• Kev txo cov roj saturated thiab cholesterol hauv koj cov zaub mov noj yuav pab tswj tau "hyperlipidemia" (cov roj ntshav siab). Nws yog qhov zoo tshaj plaws los txwv cov khoom noj xws li cov khoom noj mis nyuj uas muaj roj ntau, nqaij liab, nqaij ua tiav, cheese, cov khoom noj kib, cov khoom ci, thiab khoom qab zib.

Kuv yuav saib xyuas kuv tus kheej li cas?

Txoj kev zoo tshaj plaws los tswj koj cov tsos mob yog noj koj cov tshuaj raws li koj tus kws kho mob tau hais . Nws tseem yog ib lub tswv yim zoo kom noj cov zaub mov uas muaj potassium thiab protein ntau, tab sis muaj sodium tsawg, roj saturated, thiab cholesterol tsawg.

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Qhov no txawv nyob ntawm seb ua rau muaj tus mob nephrotic syndrome. Ib txhia neeg yuav pib zoo dua hauv ob peb hnub tom qab pib kho mob. Rau lwm tus, nws yuav siv sijhawm ntau lub lis piam lossis txawm tias ntau lub hlis. Nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev.

Yuav ua li cas rau ib tus neeg uas muaj tus mob nephrotic syndrome?

Yog tias kuaj pom thiab kho kom raug, cov neeg uas muaj tus kab mob nephrotic syndrome yuav muaj cov txiaj ntsig zoo . Cov neeg feem coob teb zoo rau kev kho mob thiab mus rau hauv kev zam txim ('(kev zam txim)'). Qhov no txhais tau tias cov tsos mob yuav ploj mus. Yog tias koj muaj tus kab mob nephrotic syndrome thaum koj tseem yog menyuam yaus, raws li tau hais ua ntej, nws yuav ploj mus tag thaum koj loj hlob tuaj.

Puas tiv thaiv tau tus mob nephrotic syndrome?

Kab mob nephrotic syndrome no tsis tuaj yeem tiv thaiv tau , tab sis kev kho mob kom zoo rau cov mob uas ua rau nws (piv txwv li, ntshav qab zib, ntshav siab) thiab kev hloov pauv zaub mov tuaj yeem pab txhim kho cov tsos mob thiab txo qhov kev puas tsuaj rau lub raum.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog tias koj muaj cov tsos mob ntawm kab mob raum, tshwj xeeb tshaj yog cov zis ua npuas thiab o, uas kav ntev tshaj ob peb hnub, mus ntsib kws kho mob tam sim ntawd . Qhov ntxov paub tias nws yog, qhov yooj yim dua rau kev kho mob.

Koj yuav tsum nug tus kws kho mob li cas?

Koj tuaj yeem nug cov lus nug no thaum koj mus ntsib kws kho mob:

• "Koj paub li cas tias kuv muaj tus mob nephrotic syndrome?"
• "Kuv puas yuav tsum tau ua lwm yam kev kuaj mob ntxiv kom paub tseeb tias koj muaj mob?"
• Yog tias kuv tsis muaj mob nephrotic syndrome, kuv yuav muaj lwm yam mob dab tsi ntxiv?
• "Muaj mob dab tsi ua rau kuv mob nephrotic syndrome?"
• "Koj puas xav tias kuv tus mob nephrotic syndrome yuav ploj mus yog tias kho mob?"
• "Kuv tus menyuam tus mob nephrotic syndrome puas yuav ploj mus thaum nws loj hlob tuaj?"
• Koj pom zoo kom siv tshuaj lossis kev kho mob twg?
• Kuv puas yuav tsum tau hloov kuv cov zaub mov noj?

Qhov txawv ntawm Nephrotic Syndrome thiab Nephritic Syndrome

Ob qho no yog cov mob uas cuam tshuam rau lub raum.

• Cov tsos mob tseem ceeb ntawm tus mob nephrotic syndrome yog muaj protein ntau hauv cov zis.
• Cov tsos mob tseem ceeb ntawm tus mob nephritic syndrome yog o ntawm lub raum. Qhov o no feem ntau tuaj yeem tshwm sim los ntawm kev kis kab mob, kab mob ntawm cov hlab ntsha, lossis kev puas tsuaj.

Qhov txawv ntawm Nephrotic Syndrome thiab Glomerulonephritis

Glomerulonephritis kuj yog ib yam kab mob raum. Nws cov tsos mob zoo ib yam li nephrotic syndrome. Txawm li cas los xij, qhov txawv tseem ceeb yog qhov ntau ntawm cov protein uas raug tso tawm .

• Yog tias koj muaj tus mob nephrotic syndrome, koj tso zis ntau dua 3.5 grams ntawm cov protein ib hnub.
• Yog tias koj muaj mob Glomerulonephritis, koj yuav tsum tso cov protein tsawg dua 3.5 grams tawm hauv ib hnub.

Mob nephrotic syndrome uas muaj txij thaum yug los yog ... ua neeg yog dab tsi?

Qhov no yog ib yam mob uas muaj thaum yug los . Nws tuaj yeem ua rau lub raum tsis ua haujlwm mus tas li, feem ntau yog thaum muaj hnub nyoog 2 thiab 8 xyoo. Qhov no yog ib yam kab mob raum uas tau los ntawm noob caj noob ces. Qhov ntawd txhais tau tias nws kis tau los ntawm niam txiv mus rau cov menyuam.

Thaum kawg, tej yam rau koj nco ntsoov (Cov Lus Coj Mus Tsev)

Yog li, hauv luv luv, tus mob nephrotic syndrome yog ib qho mob uas lub raum tso cov protein ntau dhau hauv cov zis. Yog tias koj muaj cov tsos mob xws li mob plab, zis ua npuas, o, tsis xav noj mov, thiab qaug zog ntau zaus uas kav ntev tshaj ob peb hnub, nws yog qhov zoo tshaj plaws los nrhiav kev pab kho mob. Nco ntsoov, kev kuaj pom thiab kev kho mob thaum ntxov tuaj yeem pab ua kom koj lub raum noj qab haus huv thiab tiv thaiv cov teeb meem loj . Tsis txhob ntshai, tsuas yog ua raws li koj tus kws kho mob cov lus qhia. Kuv xav kom koj rov zoo sai sai!

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