Kodi matenda a shuga angawononge impso? (Matenda a Impso a Matenda a Shuga) Tiyeni tidziwe izi

Dokotala akakuuzani kuti muli ndi matenda a shuga, chinthu choyamba chomwe chimabwera m'maganizo mwanu ndikuwongolera shuga m'magazi mwanu. Koma kodi mumadziwa kuti matenda a shuga osalamulirika amatha kuwononga mwachinsinsi chiwalo china chofunikira m'thupi lanu, impso? Izi sizimachitika kwa anthu ambiri, koma ndi vuto lofala la matenda a shuga. Matendawa amatchedwanso Matenda a Kidney a Diabetic (DKD), Matenda a Kidney Osatha (CKD) kapena Matenda a Diabetic Nephropathy. Chifukwa chake lero, tiyeni tikambirane za kulumikizana pakati pa matenda a shuga ndi matenda a impso.

Kodi izi zimachitika bwanji?

Mwachidule, impso zanu zili ngati fyuluta m'thupi lanu. Ntchito yaikulu ya impso ndikusefa zinyalala kuchokera m'magazi ndikuzitulutsa m'thupi ngati mkodzo.

Mukakhala ndi matenda a shuga amtundu wachiwiri, shuga m'magazi mwanu nthawi zonse amakhala okwera. Taganizirani izi, mkati mwa impso izi muli mafyuluta ang'onoang'ono mamiliyoni ambiri, omwe timawatcha glomeruli. Shuga m'magazi mwanu akakwera nthawi zonse, mafyuluta ang'onoang'ono awa amayikidwa pansi pa kupsinjika kwakukulu. Zili ngati fyuluta ya tiyi yomwe imatsekeka mukasefa madzi odetsedwa nthawi zonse.

Pamene kupanikizika kumeneku kukugwiritsidwa ntchito pakapita nthawi, zosefera zofewa izi zimayamba kuwonongeka. Pamapeto pake, ngakhale zinthu monga albumin, puloteni yofunika kwambiri yomwe thupi limafunika kusunga, zimayamba kutuluka kudzera mu zoseferazi ndikutuluka ndi mkodzo. Mwanjira ina, mapuloteni amayamba "kutuluka" kuchokera ku impso.

Zizindikiro ndi kuzindikirika

Choopsa kwambiri pa izi ndi chakuti poyamba simungakhale ndi zizindikiro zilizonse. Ngakhale kuti impso zanu zawonongeka kale, simungamve chilichonse chokhudza izi.

Pachifukwa ichi, chitsanzo cha mkodzo ndi chitsanzo cha magazi zimayesedwa makamaka.

• Kuyesa mkodzo: Ngati impso sizikugwira ntchito bwino, padzakhala puloteni yambiri yotchedwa albumin mu mkodzo.
• Kuyezetsa magazi: Izi zingathandize kudziwa ngati impso zanu zikusefa magazi moyenera.

Gome ili m'munsimu likuwonetsa kusiyana pakati pa magawo awiriwa.

Ndi zinthu ziti zomwe zimawonjezera chiopsezo?

Matenda a shuga akamapitirira nthawi, chiopsezo chanu chodwala matenda a impso chimakula. Ngati shuga m'magazi mwanu ndi wokwera nthawi zonse, chiopsezo chanu chodwala matenda a impso chimawonjezeka.

Kuphatikiza apo, zinthu izi zimawonjezeranso chiopsezo:

• Kukhala ndi kuthamanga kwa magazi
• Kusuta
• Kukhala ndi matenda a impso mwa munthu wina m'banja (amayi, abambo, abale)
• Kukhala ndi matenda a mtima
• Kunenepa kwambiri (kunenepa kwambiri)
• Kusachita masewera olimbitsa thupi
• Kusatsatira zakudya zoyenera kuti muchepetse matenda a shuga
• Kuonjezera mchere wambiri (sodium) ku chakudya

Kodi mungateteze bwanji impso? (Kuteteza)

Chinthu chofunika kwambiri chomwe mungachite kuti muteteze impso zanu ndikuwongolera matenda anu a shuga. Zimenezi zokha zingachepetse chiopsezo chanu cha matenda a impso ndi pafupifupi gawo limodzi mwa magawo atatu. Izi zikutanthauza kuti,

• Kuyang'ana kuchuluka kwa shuga m'magazi nthawi ndi nthawi
• Kumwa mankhwala monga momwe dokotala wanenera
• Kutsatira zakudya zoyenera
• Kupita kuzipatala pa masiku omwe akonzedwa

Komanso, ngati muli ndi matenda ena, monga kuthamanga kwa magazi, ndikofunikira kuwalamulira bwino.

Ngati mukusuta fodya, siyani lero. Ngati muli ndi kunenepa kwambiri, chepetsani thupi. Dokotala wanu angakuthandizeni ndi zonsezi.

Kodi mankhwala ake ndi otani?

Ngati mayeso akusonyeza kuti impso zanu zawonongeka, cholinga choyamba cha dokotala wanu chidzakhala kuletsa matendawa kuti asakule kwambiri. Kuti achite izi, adzapanga dongosolo lokuthandizani kuwongolera shuga m'magazi mwanu ndi kuthamanga kwa magazi.

Palinso zinthu zingapo zomwe mungachite pa izi:

• Ngati muli onenepa kwambiri, chepetsani thupi.
• Kuchita masewera olimbitsa thupi nthawi zonse
• Kusiya mowa ndi fodya konse
• Kuchepetsa kudya mchere

Mankhwala angathandizenso. Mankhwala ena a kuthamanga kwa magazi, monga ACE inhibitors ndi ARBs, awonetsedwa kuti amachepetsa kufalikira kwa matenda a impso. Ngakhale mutakhala kuti mulibe kuthamanga kwa magazi, dokotala wanu angakulembeni mankhwala awa kuti ateteze impso zanu. Kuphatikiza apo, mitundu yatsopano ya mankhwala a shuga, monga SGLT2 inhibitors , GLP-1 agonists, ndi nonsteroidal mineralocorticoid receptor antagonists (MRAs), ingathandizenso kuwongolera matenda a impso omwe amayamba chifukwa cha matenda a shuga.

Komanso, dokotala wanu angakulangizeni kuti muchepetse kuchuluka kwa mapuloteni omwe mumadya kuti muchepetse kupsinjika kwa impso zanu.

Kodi Kulephera kwa Impso ndi Chiyani?

Ngati matenda a impso afika pamlingo wotchedwa kulephera kwa impso, zikutanthauza kuti impso zanu zikugwira ntchito ndi 10% mpaka 15% ya mphamvu zawo zachibadwa. Izi zikutanthauza kuti impso sizingathe kuchita ntchito yoyeretsa ndi kuchotsa madzi ofunikira kuti thupi lizigwira ntchito bwino.

Matendawa timawatcha End-Stage Impso Disease (ESRD). Odwalawa amafunika dialysis kapena kuikidwa impso kuti apulumuke.

Koma musachite mantha. Si aliyense amene ali ndi matenda a impso chifukwa cha matenda a shuga amene adzadwala matendawa. Anthu ambiri amatha kuthana ndi matendawa polandira chithandizo choyenera komanso kusintha moyo wawo.

Chofunika kwambiri ndikuwongolera bwino matenda anu a shuga, kusamalira thanzi lanu, ndikutsatira mayeso ndi mankhwala omwe dokotala wanu wakupatsani.