Tiyeni tiphunzire za IgA Nephropathy (Matenda a Berger), omwe amawononga impso zanu mwakachetechete.

Kodi munayamba mwazindikirapo kuti mukakhala ndi chimfine, mkodzo wanu umasintha mtundu ngati tiyi? Kapena mumazindikira kuti mkodzo wanu uli ndi thovu lochuluka? Ngakhale anthu ambiri amaganiza kuti izi ndi zinthu zachilendo, ichi chikhoza kukhala chizindikiro choyamba chakuti pali vuto ndi impso zanu. Lero tikambirana za matenda otchedwa IgA Nephropathy, omwe amakhudza matupi athu mwakachetechete ndipo ndi chinthu chomwe anthu ambiri sanamvepo.

Mwachidule, kodi IgA Nephropathy ndi chiyani?

Imeneyi ndi matenda omwe amawononga impso chifukwa cha vuto la chitetezo chamthupi chathu. Kunena zoona, iyi ndi matenda a autoimmune .

Taganizirani za chitetezo chathu chamthupi ngati gulu lankhondo lomwe limateteza dziko. Gulu lankhondo ili lili ndi mtundu wapadera wa msilikali, womwe timautcha kuti ma antibodies . Ntchito yawo ndi kupeza ndikuwononga adani, monga mavairasi ndi mabakiteriya, omwe amalowa m'thupi. Immunoglobulin A, kapena IgA, ndi imodzi mwa ma antibodies apadera.

Munthu amene ali ndi IgA Nephropathy amakhala ndi kusintha pang'ono, kapena kusowa, kwa ma antibodies ena a IgA omwe amapangidwa m'thupi. Chifukwa cha izi, oteteza ena omwe ali mu chitetezo chathu chamthupi sangathe kuzindikira IgA yachilendo iyi. Amaganiza kuti ndi mdani wochokera kunja. Chifukwa chake, amaukira IgA yachilendo iyi ndikuphatikizana kuti apange magulu akuluakulu.

Kuwonongeka kumeneku kumalepheretsa impso kusefa magazi bwino. Izi zimapangitsa kuti thupi litaye mphamvu zake zamagetsi. Ngati silinalandire chithandizo, kuwonongeka kumeneku kumatha kupitirira mpaka kufika pa matenda a impso omwe amafika pachimake.

Kodi pali chifukwa chenicheni cha matendawa?

Asayansi sanapezebe chomwe chimayambitsa matendawa. Koma si opatsirana. Amakhulupirira kuti ali ndi ubale wa majini. Izi zikutanthauza kuti ngati wina m'banja mwanu ali nawo, muli ndi mwayi wochepa woti nawonso adwale matendawa.

Komanso, matenda ena akhoza kukhala 'choyambitsa' izi.

Ngakhale kuti matendawa amatha kufalikira pa msinkhu uliwonse, zizindikiro nthawi zambiri zimawonekera mwa anthu osakwana zaka 40. Amuna nawonso ali ndi mwayi wowirikiza kawiri matendawo kuposa akazi.

Tiyeni tidziwe bwino zizindikiro zake.

Vuto lalikulu ndi matendawa ndilakuti sasonyeza zizindikiro zilizonse kumayambiriro. Ndicho chifukwa chake anthu ambiri sadziwa ngakhale kuti ali ndi matendawa.

Komabe, chizindikiro chachikulu komanso chodziwikiratu chomwe anthu ena amakumana nacho ndi magazi mu mkodzo (hematuria) akakhala ndi matenda monga chimfine, chimfine, kapena pakhosi . Mkodzo ukhoza kuoneka ngati tiyi, mtundu wa cola, kapena wofiira. Matendawa akatha, mkodzo umabwerera ku mtundu wake wachibadwa.

Chizindikiro china chachikulu ndi mkodzo wokhala ndi thovu . Izi zimachitika chifukwa cha kutuluka kwa mapuloteni mu mkodzo (proteinuria).

Kuwonjezera pa izi, pakhoza kukhala zizindikiro zina zingapo:

• Kutupa m'miyendo, makamaka m'mabondo.
• Kuthamanga kwa magazi (BP).
• Ngati matendawa apitirira kwa nthawi yayitali, zizindikiro za kulephera kwa impso zingawonekere.

Kodi mwapeza bwanji izi, Dokotala?

Ngati muli ndi zizindikiro izi, dokotala wanu ayamba kaye wayesa mkodzo kuti aone ngati magazi kapena mapuloteni ali mu mkodzo. Komabe, popeza izi zitha kuwoneka m'matenda ena ambiri a impso, sizingatsimikizire IgA Nephropathy yokha.

Musachite mantha mukamva izi. Iyi ndi mayeso ochitidwa kuchipatala nthawi zonse. Dokotala adzakupangitsani dzanzi, adzakulowetsani singano yopyapyala kwambiri mu impso yanu, kenako adzagwiritsa ntchito scanner kujambula chithunzi cha impso yanu.Kachidutswa kakang'ono kwambiri ka minofu kamatengedwa. Kenako kamafufuzidwa pogwiritsa ntchito maikulosikopu kuti aone ngati pali ma IgA clumps komanso kuchuluka kwa kuwonongeka kwa impso. Kuyesaku sikungotsimikizira matendawa, komanso kumathandiza dokotala kusankha chithandizo chabwino kwambiri kwa inu.

Njira zochizira ndi kasamalidwe

Pakadali pano palibe mankhwala a matendawa. Koma musadandaule! Tsopano pali mankhwala othandiza kwambiri omwe angachepetse matendawa, kuchepetsa kuwonongeka kwa impso, komanso kukuthandizani kukhala ndi moyo wathanzi komanso wautali.

Zolinga zazikulu za chithandizo ndi izi:

• Kulamulira kuthamanga kwa magazi.
• Kuchepetsa kutuluka kwa mapuloteni mu mkodzo.
• Kuchepetsa kuwonongeka kwa impso.

Pachifukwa ichi, dokotala wanu angakupatseni mankhwala monga:

• Mankhwala oletsa kuthamanga kwa magazi: Mankhwala monga ACE inhibitors ndi ARB amagwiritsidwa ntchito kwambiri pa izi. Izi sizimangoletsa kuthamanga kwa magazi, komanso zimathandiza kuteteza impso.
• Mankhwala oletsa chitetezo chamthupi: Mankhwala a steroid monga Prednisone kapena mankhwala atsopano monga Nefecon angaperekedwe kuti achepetse kutupa kwa impso.
• Mankhwala atsopano: Mankhwala amakono monga Sparsentan (Filspari) ndi Iptacopan (Fabhalta) amathandiza kuteteza ntchito ya impso mwa kuchepetsa kutuluka kwa mapuloteni mu mkodzo.
• Mankhwala Ochepetsa Kutuluka kwa Madzi M'thupi: Ngati pali kutupa m'thupi, mankhwalawa amathandiza kuchotsa madzi ochulukirapo kudzera mu mkodzo.
• Mankhwala ochepetsa cholesterol: Anthu ena akhoza kukhala ndi cholesterol yambiri. Mankhwala monga ma statins amaperekedwa pa izi.

Kusintha kwa moyo ndikofunikira kwambiri

Kuwonjezera pa mankhwala, kusintha pang'ono kwa moyo wanu kungathandize kwambiri kuteteza impso zanu.

• Chepetsani kumwa mchere: Chepetsani kuchuluka kwa mchere muzakudya zanu. Pewani zakudya zopakidwa m'mabokosi ndi zotsekemera zopangidwa. Izi zili ndi mchere wambiri.
• Kulamulira mapuloteni: Lankhulani ndi dokotala wanu kapena katswiri wa zakudya kuti mudziwe kuchuluka kwa mapuloteni oyenera kwa inu. Kudya mapuloteni ambiri kumawonjezera mavuto pa impso zanu.
• Omega-3 fatty acids: Zakudya zowonjezera mafuta a nsomba ndi lingaliro labwino. Komabe, onetsetsani kuti mwafunsa dokotala wanu musanamwe zakudya zowonjezera zilizonse.
• Pewani mankhwala ochepetsa ululu: Musamwe mankhwala ochepetsa ululu monga NSAIDs (monga Ibuprofen, Diclofenac) popanda upangiri wa dokotala. Mankhwalawa akhoza kuvulaza impso zanu.
• Pewani kusuta: Kusuta kumachepetsa kuyenda kwa magazi kupita ku impso komanso kuchepetsa mphamvu ya mankhwala ochepetsa kuthamanga kwa magazi.
• Yesani kuthamanga kwa magazi nthawi zonse: Yesani ndikulemba kuthamanga kwa magazi kunyumba.