Uri kuzvimba kamwe kamwe mumuviri wako, kunyanya makumbo ako, zvitsitsinho, maoko, kana kumeso here? Kana kuti uri kuona furo rakawanda muweti yako kupfuura zvawagara uchiita? Izvi zvinogona dzimwe nguva kuva zviratidzo zvedambudziko nenhengo dzakakosha mumuviri wedu, itsvo. Nhasi tichataura nezvechirwere chinokanganisa itsvo, icho chisingawanzoitiki, asi chakakosha kuziva nezvacho. Ichi chinonzi Glomerulosclerosis.
Zvichitaurwa zviri nyore, chii chinonzi Glomerulosclerosis?
Itsvo dzedu dzakaita semafirita maviri makuru. Dzinosefa tsvina iri muropa redu dzoiburitsa mumuviri seweti. Kusefa uku kunoitika munetwork
yetsinga diki dzeropa dziri mukati meitsvo. Idzi ndidzo dzatinodaidza kuti 'Glomeruli'.
Glomerulosclerosis chirwere apo manetwork madiki ekusefa ropa
anova nemavanga kana kukora. Kungofanana nevanga rinoitika kana ganda redu rakuvara, kana manetwork ekusefa ropa aya akakuvara, anova mavanga. Kana izvi zvikaitika, manetwork iwayo haagone kushanda zvakanaka.
Nekuda kweizvozvo, mapuroteni akakosha anofanira kunge ari muropa redu anotanga kubuda nepasefa obuda muweti . Mukurapa, chirwere ichi tinochidana kuti ' Proteinuria' .
Chirwere ichi chinogona kubata vana, vakuru, uye chero ani zvake. Zvisinei, chinowanzoitika zvishoma kuvarume.
Chii chingave chiri kukonzera mamiriro ezvinhu aya?
Kune dzimwe nguva apo pasina chikonzero chaicho che glomerulosclerosis. Asi kazhinji, inokonzerwa nezvimwe zvirwere kana zvimwe zvinhu. Chikonzero chikuru chirwere chinonzi `FSGS` (Focal Segmental Glomerulosclerosis). Izvi zvinoreva kuti haisi yese tissue iri muitsvo inokuvadzwa, asi dzimwe nzvimbo (Focal). Uye kana kukuvara ikoko kukaitika, chikamu chimwe chete (Segmental) chetissue chinokuvadzwa, kwete tissue yese. Heano zvimwe zvikonzero zvinogona kukanganisa mamiriro aya e `FSGS` uye Glomerulosclerosis kazhinji:
- Chirwere cheshuga : Chirwere cheshuga chisingadzoreki ndicho chinhu chikuru chinokonzera kukuvara kweitsvo.
- Kufuta : Kurema kwakanyanya kwemuviri kunoisa dambudziko guru paitsvo.
- Kutapukirwa neHIV :Utachiona uhwu hunogona kukanganisa zvakananga masero eitsvo.
- Zvirwere zve autoimmune zvakaita se lupus: Muizvi, masoja emuviri anorwisa itsvo.
- Chirwere cheSickle cell: Ichi chirwere chinokonzerwa nemajini chinogona kukanganisa itsvo.
- Reflux nephropathy: Mumamiriro ezvinhu aya, weti inodzokera kubva kudundira ichienda kuitsvo, zvichikuvadza itsvo.
- Glomerulonephritis: Chinoitika pano ndechekuti network dzekusefa ropa (Glomeruli) dzatataura kare dzinozvimba, kureva kuti, dzinozvimba.
- Mimwe mishonga nemakemikoro: Mimwe mishonga nemakemikoro anokuvadza itsvo anogonawo kukonzera izvi.
Ndezvipi zviratidzo zveizvi?
Pakutanga kwechirwere ichi, panogona kunge
pasina zviratidzo zviri pachena . Ndicho chinhu chine njodzi zvikuru. Asi nekufamba kwenguva, zvimwe zviratidzo zvinotanga kuoneka. Zvakakosha kuziva zviratidzo izvi.
| Chiratidzo | Zvakatsanangurwa zviri nyore |
|---|
| Kuzvimba | Mvura inoungana mumuviri nekuti itsvo hadzisi kuisefa zvakanaka. Unogona kuona kuzvimba, kunyanya mumakumbo, muzvitsitsinho, mumaoko, mudumbu, uye kutenderedza maziso . Kuzvimba uku kazhinji hakurwadzi. |
| Kuchinja kweweti | Weti ine furo kana kuti inobuda matumbu inoitika nekuti mapuroteni anobuda muweti. |
| Kukwira Kweropa | Kana itsvo dzikakuvara, BP inokwira. Dzimwe nguva, BP iyi inova yakaoma kudzora nemishonga. |
| Cholesterol Yakawanda | Kana huwandu hweprotein muropa hukadzikira, chiropa chinoburitsa cholesterol yakawanda. Izvi zvinoita kuti huwandu hwecholesterol muropa huwedzere. |
Kazhinji, chirwere ichi chinowanikwa panguva yekuongororwa kwakaitwa nachiremba kwenguva dzose nekuda kwechimwe chikonzero. Kuongororwa kweweti kunogona kuratidza huwandu hwakawanda hweprotein (Proteinuria) kana kuongororwa ropa kunogona kuratidza huwandu hwakaderera hweprotein (Hypoproteinemia).
Ungaongorora sei chirwere ichi nemazvo?
Sezvo zviratidzo zvataurwa pamusoro apa zvichigona kuonekwawo mune zvimwe zvirwere, nzira chete uye yakanakisisa yekusimbisa chirwere ichi ndeyekuita
biopsy yeitsvo .
Chii chinonzi itsvo Biopsy iyi?
Usazvidya moyo. Izvi zvinosanganisira kutora chidimbu
chidiki chenyama kubva muitsvo yako uchishandisa chinhu chidiki chakaita setsono. Zvadaro, nyama yacho inoongororwa nemaikorosikopu kuti ione kana paine mavanga ataurwa pamusoro apa.
Dzimwe nguva zvingada kuongororwa kanopfuura kamwe chete. Nekuti mavanga aya haana kufanana muitsvo yese, chiremba angafanira kutora sampuli kubva kunzvimbo dzakasiyana-siyana kusvika vawana nzvimbo yakakuvara.
Uye zvakare, chiremba wako anogonawo kukurudzira bvunzo dzinotevera:
- Kuongororwa kweGlomerular Filtration Rate (GFR): Izvi zvinoyera kuti itsvo dzako dziri kushanda zvakanaka sei.
- Kuongororwa kweitsvo neUltrasound: Tarisa saizi, chimiro, uye kuvapo kwezvisina kumira zvakanaka muitsvo.
- Kuongororwa kwemajini: Muzviitiko zvisingawanzoitiki, kuona kana paine chikonzero chemajini.
Ndezvipi zvinorapwa izvi?
Zvinosuwisa kuti
hapana mushonga we glomerulosclerosis. Hakunawo mishonga chaiyo inotenderwa.
Asi musazvidya mwoyo! Kune mishonga yakawanda inogona kubatsira kudzora kufambira mberi kwechirwere, kugadzirisa zviratidzo, uye kurarama hupenyu hwakajairika. Chinangwa chikuru chekurapa ndechekumisa chirwere kuti chisarambe chichikura uye kudzivirira kutadza kushanda kweitsvo. Kurapa kunowanzo sanganisira:
- Mishonga yeBP: Mishonga yakaita seACE inhibitors neARB haingodzore BP chete, asiwo inobatsira kuderedza kurasikirwa nemapuroteni muweti.
- Mishonga inodzvinyirira masoja emuviri: MaSteroid akaita sePrednisolone nemimwe mishonga inobatsira kudzora mashandiro emasoja emuviri, kuderedza kubuda kwemapuroteni mumuviri, uye kuvandudza mashandiro eitsvo.
- Mishonga inodzora cholesterol (Statins): Inodzora huwandu hwecholesterol hwakakwira.
- Mishonga inobvisa mvura mumuviri: Bvisa mvura yakawandisa nemunyu mumuviri uye kuderedza kuzvimba.
- Mishonga inorwisa ropa kupwanya ropa.
- Kuchinja mararamiro: Kudya chikafu chisina munyu wakawanda , kurovedza muviri, uye kutora mavhitamini zvakakosha zvikuru.
Chinhu chinonyanya kukosha ndechekuti kana chirwere ichi chakakonzerwa nechimwe chirwere, chakadai sechirwere cheshuga kana kufuta, chirwere chacho chinofanira kurapwa nemazvo. Zvakakoshawo kutarisa mamiriro eitsvo nekuongorora ropa neweti nguva dzose.
Pasinei nekurapwa kwese, mune dzimwe nguva chirwere ichi chinogona kukonzera kutadza kushanda kweitsvo. Kana zvakadaro, dialysis kana kuti kuisirwa itsvo zvinogona kudiwa.
Mharidzo Yekuenda Nayo Kumba
- Glomerulosclerosis chirwere apo machubhu madiki anosefa ropa ari muitsvo anokuvara, zvichiita kuti itsvo dzimire kushanda zvakanaka.
- Ziva zviratidzo zvakaita sekuzvimba kwemuviri, kunyanya makumbo nechiso, weti ine furo, uye BP yakakwira.
- Kana uine zviratidzo izvi, enda kuna chiremba wako nekukasika kuti akupe mazano.
- Kuongororwa kweitsvo kunodiwa kuti kusimbiswe chirwere chaicho.
- Kunyangwe zvisingarapike zvachose, kune mishonga inoshanda yekudzora kufambira mberi kwechirwere uye kugadzirisa zviratidzo. Zvakakosha kutanga kurapwa nekukurumidza.
Glomerulosclerosis Sinhala, chirwere cheitsvo, mavanga eitsvo, mapuroteni muweti, proteinuria Sinhala, kuzvimba kwemakumbo, biopsy yeitsvo
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment