Puas muaj tej lub sij hawm koj sawv thaum sawv ntxov thiab koj lub qhov muag o? Los yog koj txhais taw thiab pob luj taws o, ua rau nws nyuaj rau hnav koj cov khau? Koj puas tau pom tias koj cov zis ua npuas dua li niaj zaus? Cov no tsis yog tsuas yog tej yam tsis paub xwb. Tej zaum yuav muaj teeb meem nrog koj lub raum tom qab cov tsos mob no. Hnub no peb tab tom tham txog ib qho mob tseem ceeb hauv kev kho mob uas tshwm sim los ntawm kev sib xyaw ua ke ntawm cov tsos mob zoo li no. Ntawd yog Nephrotic Syndrome.
Nephrotic Syndrome yog dab tsi tiag?
Thawj qhov uas yuav tsum nkag siab yog tias qhov no tsis yog ib yam kab mob tshwj xeeb. Nws hais
txog cov tsos mob uas tuaj yeem tshwm sim thaum peb lub raum tsis ua haujlwm zoo. Xav txog peb lub raum zoo li lub lim dej siab heev. Lawv txoj haujlwm tseem ceeb yog ntxuav peb cov ntshav thiab tshem tawm cov khib nyiab tsis xav tau thiab dej ntau dhau ntawm lub cev ua zis. Txoj haujlwm lim dej no yog ua los ntawm lub network zoo heev ntawm cov hlab ntsha hauv lub raum. Peb hu cov no glomeruli. Hauv ib tus neeg noj qab haus huv, lub kaw lus lim dej no tsis pub cov khoom xws li cov protein uas tseem ceeb rau lub cev hla dhau. Lawv khaws cia rau hauv cov ntshav. Tab sis yog tias cov lim dej zoo no hu ua glomeruli puas lawm,
ntau cov protein uas lub cev xav tau hla dhau lawv thiab pib dhau mus nrog cov zis. Ntawd yog qhov peb hu ua nephrotic syndrome. Tus mob no tuaj yeem cuam tshuam rau cov neeg laus thiab cov menyuam yaus, tab sis qhov xov xwm zoo yog tias muaj kev kho rau nws.
Vim li cas qhov xwm txheej no thiaj tshwm sim?
Cov laj thawj rau qhov no tuaj yeem faib ua ob ntu tseem ceeb.
Cov ua rau mob raum xwb (Primary Causes)
Qhov no txhais tau hais tias tus mob nephrotic syndrome tshwm sim los ntawm ib qho mob uas tshwm sim hauv lub raum nws tus kheej, tsis muaj kev cuam tshuam ntawm lwm yam kab mob.
- Kab Mob Hloov Pauv Tsawg Kawg Nkaus: Qhov no yog qhov ua rau muaj tus mob nephrotic syndrome hauv cov menyuam yaus . Txawm hais tias lawv cov nqaij ntawm lub raum zoo li qub hauv qab lub tshuab tsom iav, cov txheej txheem lim dej tsis zoo. Nws ntseeg tau tias yog los ntawm kev kis kab mob viral , kev ua xua , lossis qee yam tshuaj (tshwj xeeb tshaj yog cov tshuaj tua kab mob xws li NSAIDs ).
- Kab mob Focal Segmental Glomerulosclerosis (FSGS): Qhov no yog ib qho mob uas cov chav lim dej (glomeruli) ntawm lub raum ua rau muaj qhov txhab. Qhov no yog qhov ua rau mob nephrotic syndrome hauv cov neeg laus . Cov kab mob xws li HIV , qee cov tshuaj, cov yam ntxwv caj ces, thiab kev rog dhau tuaj yeem ua rau mob no.Muaj ntau yam, xws li ntshav siab, tuaj yeem cuam tshuam rau qhov no.
- Kab mob Membranous Nephropathy: Qhov no yog qhov tuab ntawm cov daim nyias nyias ntawm glomeruli. Qhov no kuj tuaj yeem tshwm sim los ntawm cov mob xws li mob qog noj ntshav, mob malaria, kab mob siab B, thiab mob lupus.
Cov ua rau mob raum thib ob vim yog lwm yam kab mob
Qhov no txhais tau tias tus mob nephrotic syndrome tshwm sim thaum lub raum raug puas tsuaj ua ib qho kev mob tshwm sim ntawm lwm yam mob hauv lub cev.
- Kab mob ntshav qab zib : Kab mob ntshav qab zib yog qhov ua rau mob ntshav qab zib ntau tshaj plaws rau cov neeg laus. Yog tsis tswj tau kab mob ntshav qab zib ces yuav ua rau lub raum puas (diabetic nephropathy).
- Lupus: Qhov no yog ib yam kab mob ntev ntev ntawm lub cev tiv thaiv kab mob uas tuaj yeem ua rau muaj kev puas tsuaj loj rau lub raum.
- Amyloidosis: Ib hom protein hu ua amyloid tuaj yeem sib sau ua ke hauv cov ntshav, ua rau lub raum puas tsuaj.
Tej zaum koj yuav muaj cov tsos mob dab tsi?
Muaj plaub yam tsos mob tseem ceeb ntawm tus mob nephrotic syndrome. Yog xav nkag siab meej txog cov no, saib daim ntawv teev lus hauv qab no.
| Cov tsos mob | Hais yooj yim xwb... |
|---|
| Proteinuria | Tso zis ntau dhau los ntawm cov protein. Qhov no tuaj yeem ua rau cov zis zoo li ua npuas dua li niaj zaus . |
| Kev rog dhau heev | Cov rog thiab cov roj cholesterol hauv cov ntshav nce ntxiv . Thaum lub cev poob cov protein, lub siab tsim cov rog thiab cov roj cholesterol ntau dua, uas yog qhov laj thawj tseem ceeb rau qhov no . |
| Lub cev o (Edema) | O, tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg, pob luj taws, thiab taw . Qee zaum tes thiab lub ntsej muag, tshwj xeeb tshaj yog nyob ib ncig ntawm lub qhov muag thaum sawv ntxov, kuj tseem yuav o. |
| Hypoalbuminemia | Kev txo qis ntawm ib hom protein hu ua albumin hauv cov ntshav. Cov protein no yog qhov uas ua rau cov kua dej nyob hauv cov hlab ntsha. Thaum nws raug tso tawm hauv cov zis, cov kua dej ntawd ntws mus rau hauv cov nqaij thiab lub cev pib o. |
Qhov xwm txheej no cuam tshuam li cas rau cov menyuam yaus?
Kab mob nephrotic syndrome yog ib yam mob uas tsis tshua muaj rau cov menyuam yaus. Txawm li cas los xij, yog tias ib tug menyuam muaj tus mob no, cov tsos mob yuav txawv me ntsis.
- O ntawm ob lub qhov muag, tshwj xeeb tshaj yog thaum sawv ntxov.
- O ntawm lub ntsej muag, tes, ceg, thiab plab.
- Cov zis ua npuas ncauj .
- Xav tias nkees thiab qaug zog dua li niaj zaus.
Cov tshuaj Corticosteroids yog cov tshuaj kho mob uas siv ntau tshaj plaws rau cov menyuam yaus. Cov no feem ntau tuaj yeem tswj cov tsos mob thiab ua rau kom zoo dua qub.
Kws kho mob, koj kuaj qhov no li cas?
Yog koj muaj cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob sai li sai tau. Tus kws kho mob yuav nug koj txog koj cov tsos mob ua ntej. Tom qab ntawd,
- Kev Kuaj Zis: Qhov no yog qhov tseem ceeb los ntsuas seb muaj pes tsawg cov protein raug tso tawm hauv cov zis.
- Kev Kuaj Ntshav: Xyuas cov roj cholesterol hauv cov ntshav, cov albumin, thiab lwm yam kev ua haujlwm ntawm lub raum.
- Kev kuaj lub raum: Qee zaum, tej zaum yuav tsum tau muab ib daim nqaij me me ntawm lub raum thiab kuaj nws hauv lub tshuab microscope. Qhov no yog qhov pab txiav txim seb dab tsi ua rau lub raum puas tsuaj.
Tshwj xeeb tshaj yog tias cov tsos mob ntawm ntau tshaj 3.5 grams ntawm cov protein ib hnub hauv cov zis, cov albumin qis hauv cov ntshav, thiab o ntawm lub cev coexist, nws yog qhov tseem ceeb rau kev kuaj mob nephrotic syndrome.
Yog tsis kho ces yuav muaj teeb meem dab tsi tshwm sim?
Yog tias tus mob no tsis kho kom zoo, nws tuaj yeem ua rau muaj lwm yam teeb meem kev noj qab haus huv loj.
- Kev pheej hmoo ntawm cov roj cholesterol thiab kab mob plawv: Cov rog hauv cov ntshav thiab cov roj cholesterol siab ua rau muaj kev pheej hmoo ntawm kab mob plawv.
- Ntshav Siab: Thaum lub raum puas lawm, lawv lub peev xwm tshem tawm sodium (ntsev) thiab kua dej ntawm lub cev txo qis, uas ua rau ntshav siab nce siab.
- Cov Ntshav Ntshav:Vim tias cov protein uas tiv thaiv cov ntshav txhaws raug tso tawm hauv cov zis, qhov kev pheej hmoo ntawm cov ntshav txhaws hauv lub cev nce ntxiv.
- Kev kis kab mob: Vim tias cov protein xws li immunoglobulins, uas yog qhov tseem ceeb rau lub cev tiv thaiv kab mob, ploj mus, muaj feem ntau dua los ntawm kev kis kab mob xws li mob ntsws.
- Kev Ua Tsis Taus Mob Raum: Yog tias tsis kho ntev, lub raum yuav ua tsis tau haujlwm tag nrho, yuav tsum tau ntxuav ntshav lossis hloov lub raum kom thiaj li muaj sia nyob.
Cov kev kho mob rau qhov no yog dab tsi?
Txoj kev npaj kho mob nyob ntawm seb qhov ua rau koj tus mob nephrotic syndrome yog dab tsi.
Hom tshuaj
Koj tus kws kho mob yuav sau ntawv rau cov tshuaj hauv qab no:
- Cov tshuaj kho ntshav siab: Cov tshuaj xws li ACE inhibitors thiab ARBs txo qhov siab ntawm lub raum thiab txo qhov tso cov protein tawm hauv cov zis.
- Cov tshuaj diuretics: Kuj hu ua "tshuaj ntsiav dej," cov no pab txo qhov o ntawm lub cev.
- Cov tshuaj txo cov roj cholesterol.
- Cov tshuaj ua kom cov ntshav nyias (Anticoagulants): Txo qhov kev pheej hmoo ntawm cov ntshav txhaws.
- Cov tshuaj tiv thaiv kab mob: Cov tshuaj xws li corticosteroids tswj kev ua haujlwm ntawm lub cev tiv thaiv kab mob thiab txo qhov kev puas tsuaj rau lub raum.
Qhov no yog vim li cas kev tswj kev noj zaub mov thiaj li tseem ceeb
Nrog rau kev siv tshuaj, kev noj zaub mov kuj tseem ceeb heev rau kev tswj tus kab mob no.
- Txo cov ntsev (sodium): Kev noj ntsev ntau dhau tuaj yeem ua rau cov dej khaws cia, o, thiab ntshav siab. Tsis txhob noj cov khoom noj uas muaj ntsev ntau, xws li cov hnyuv ntxwm, cov nqaij kho, cov zaub hauv qab, cov kua zaub, cov ncuav qab zib, thiab cov kua ntses.
- Txo cov rog thiab cov roj cholesterol: Ua raws li kev noj zaub mov uas tsis muaj cov rog saturated thiab cov roj cholesterol.
- Txwv cov dej haus: Qee zaum koj tus kws kho mob yuav qhia koj kom txwv cov dej uas koj haus ib hnub.
Nco ntsoov, cov kev txwv kev noj zaub mov no yuav tsum tau ua raws li cov lus qhia uas koj tus kws kho mob lossis tus kws noj haus tau muab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Nephrotic syndrome yog ib pawg ntawm cov tsos mob uas tshwm sim los ntawm kev puas tsuaj rau lub tshuab lim dej hauv lub raum.
- Cov tsos mob tseem ceeb yog o ntawm lub cev (tshwj xeeb tshaj yog ntawm ob txhais ceg thiab ib ncig ntawm lub qhov muag), zis ua npuas ncauj (vim muaj protein ntau dhau), thiab cov roj cholesterol hauv cov ntshav siab.
- Tus mob no kuj tuaj yeem tshwm sim los ntawm lwm yam kab mob xws li ntshav qab zib thiab ntshav siab.
- Ntxiv rau cov tshuaj rau kev kho mob, nws tseem ceeb heev kom ua raws li kev noj zaub mov uas tsis muaj ntsev thiab rog ntau.
- Yog koj muaj cov tsos mob no, tsis txhob tso tseg lawv . Mus ntsib koj tus kws kho mob sai li sai tau kom tau txais cov lus qhia thiab kev kho mob zoo.
Kab mob Nephrotic, Kab mob Nephrotic, kab mob raum, o, protein hauv zis, zis ua npuas, kab mob raum hauv Sinhala, roj cholesterol
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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