Xa usiya kugqirha, ngamanye amaxesha bakucela ukuba ubanike isampuli yomchamo, akunjalo? Usenokuba uzibuza ukuba kutheni bebuza. Esinye sezizathu eziphambili kukubona ukuba ingakanani iproteni ekwimchamo wakho. Enyanisweni, sonke sineproteni encinci kakhulu kumchamo wethu. Oko kuqhelekile. Nangona kunjalo, ukuba eli nqanaba leproteni liphezulu kakhulu kunesiqhelo - sikubiza ngokuba yiproteinuria - kunokuthetha ukuba izintso zakho azisebenzi kakuhle. Ngoko ke, le yinto ekufuneka uyixhalabele.
Yintoni kanye kanye uvavanyo lweproteni yomchamo?
Ngamafutshane, oku kulinganisa ubungakanani beprotheyini kumchamo wakho. Izintso zethu zisebenza njengesihluzo. Omnye wemisebenzi ephambili yezintso kukucoca inkunkuma egazini kwaye uyikhuphe njengomchamo. Izintso eziphilileyo azidli ngokuhluza amasuntswana amakhulu njengeprotheyini. Nangona kunjalo, ukuba kukho nawuphi na umonakalo kwizintso, imingxunya kwesi sihluzo inokuba mikhulu. Kulapho iiprotheyini ziqokelelana kumchamo. Ngoko ke, ukuba neprotheyini eninzi kumchamo luphawu lokuba kukho into engalunganga ngezintso.
Amanye amagama ezonyango asetyenziswa ngoogqirha kolu vavanyo lweproteni yomchamo ngala `(Urine Albumin-to-Creatinine Ratio - UACR)` kunye `(Urine Protein-to-Creatinine Ratio)`. Ungawabona la magama kwiingxelo zakho.
Kutheni ugqirha angacebisa olu vavanyo lweproteni yomchamo?
Kusenokuba nezizathu ezininzi zokuba ugqirha angakucela ukuba wenze olu vavanyo.
- Jonga ukuba ngaba une -urinary tract infection (UTI) . I-UTI ngamanye amaxesha inokubangela iiproteni kumchamo.
- Olu vavanyo lunceda ekuchongeni kwangethuba umngcipheko wokuba nesifo sezintso kubantu abanezifo ezithile, umzekelo, umntu onesifo seswekile . Isifo seswekile sisifo esikhulu esinokuchaphazela izintso.
- Olu vavanyo lubalulekile ekuchongeni imeko eyingozi ebizwa ngokuba yi -preeclampsia, enokwenzeka ngexesha lokukhulelwa.
- Ukuba sele unesifo sezintso, oku kunceda ekuboneni ukuba unyango olufumanayo luneziphumo eziphumelelayo na.
Ngamanye amaxesha ugqirha wakho angakucela ukuba unike isampuli yomchamo kube kanye. Ngamanye amaxesha, angakucela ukuba uqokelele wonke umchamo wakho kwixesha leeyure ezingama-24. Ungafumana novavanyo lomchamo weproteni ekhaya kwiikhemesti.
Silungiselela njani ngaphambi kolu vavanyo?
Kukho izinto ezininzi ezinokuchaphazela iziphumo zolu vavanyo lweproteni yomchamo, ngoko ke kulungile ukukwazi oku.
- Usulelo lomchamo (UTI) : Ukuba une-UTI, ingayitshintsha ingxelo.
- Ukuphelelwa ngamanzi emzimbeni : Ukuphelelwa ngamanzi emzimbeni kunokuchaphazela iziphumo.
- Ulwelo olukhethekileyo olusetyenziselwa ezinye iiskeni (`idayi yokungafani`) : Le dayi yokungafani` esetyenziselwa izinto ezifana neeskeni ze-CT inokuba nefuthe.
- Ukuzilolonga kakhulu : Ukuba uthatha uvavanyo emva nje kokuzilolonga kakhulu, iziphumo zinokwahluka.
- Amanye amayeza : Amanye amayeza owasebenzisayo anokuchaphazela oku.
Ukongeza, ukuba unegazi kumchamo wakho (umzekelo, amatye ezintso, okanye emva kotyando lwe-prostate kumadoda), oko kunokuchaphazela neziphumo.
Kungoko ke, kungcono ukuthetha nogqirha wakho ngaphambi kovavanyo uze ubuze ukuba ufuna ukwenza naluphi na amalungiselelo akhethekileyo. Ngaphandle kokuba ugqirha wakho ekuxelele ngokuthe ngqo, akunyanzelekanga ukuba uzile ukutya ngaphambi kolu vavanyo.
Kwenzeka ntoni ngexesha lovavanyo? Indlela enikwa ngayo isampulu
Oku kulula kakhulu. Okufuneka ukwenze kukufaka umchamo kwibhotile ecocekileyo (isitya somzekelo). Oku kufanele kwenziwe kwindawo eyimfihlo, apho kukho indlu yangasese kunye nesinki. Akubuhlungu kwaye akubangeli monakalo emzimbeni.
Ugqirha okanye umongikazi uza kukunika ezi zinto:
- Ibhotile yomchamo ococekileyo, ocociweyo.
- Iisuphu ezimbalwa ze-antimicrobial.
Emva koko kufuneka wenze ngolu hlobo:
1. Okokuqala , hlamba izandla zakho kakuhle ngesepha .
2. Vula ngononophelo isiciko sebhotile yomchamo.
3. Ngoku, sebenzisa loo sula yokubulala iintsholongwane ukucoca ngokupheleleyo indawo yakho yangasese, ingakumbi ulusu olujikeleze i-urethra . Oku kubaluleke kakhulu, kungenjalo iintsholongwane eluswini lwakho zinokudibana nomchamo zize zibangele ingxelo engachanekanga.
4. Okokuqala, galela umchamo kwindlu yangasese (imizuzwana embalwa).
5. Emva koko yeka ukuchama, buyisela ibhotile ecocekileyo entanyeni yayo, uze uqale ukuchama ebhotileni. Oku kubizwa ngokuba kukuqokelela isampuli yomchamo ephakathi .
6. Qokelela umchamo owaneleyo ukuze uzalise ibhotile, ngesiqhelo malunga nee-ounces ezimbini (60 ml). Rhoqo, kukho uphawu ebhotileni olubonisa ukuba uza kuwuzalisa kangakanani.
7. Emva koko yeka ukuchama kwakhona uze ukhuphe ibhotile.
8. Galela umchamo oseleyo kwindlu yangasese.
9. Vala ibhotile kakuhle uze uyinike ugqirha okanye umongikazi.
Kulula kakhulu, akunjalo? Kuphela xa silandela la manyathelo ngqo apho siya kukwazi ukubona iziphumo ezichanekileyo.
Kuthekani ukuba ndithatha isampuli yomchamo ekhaya? (Njengesampuli yeeyure ezingama-24)
Ngamanye amaxesha ugqirha wakho uya kukuxelela ukuba uqokelele umchamo wakho ekhaya. Ukuba kunjalo, ugqirha wakho uya kukunika iibhotile kunye neeswab ozifunayo. Okufuneka ukwenze kukuqokelela isampuli ngokucocekileyo, njengoko kukhankanyiwe apha ngasentla, ngalo lonke ixesha uchama. Eyona nto ibalulekileyo kukugcina isampuli nganye efrijini ude uye kugqirha kwaye umnike yona.
Kwenzeka ntoni emva kovavanyo?
Isampulu yomchamo oza kuyinika iza kuthunyelwa kwilabhoratri ukuze ivavanywe. Apho, ingcali elabhoratri iza kuvavanya umchamo wakho. Baza kusebenzisa umcu okhethekileyo (`i-dipstick`). Umbala walo mcu uza kukuxelela ukuba ingakanani iproteni ekwilabhoratri yakho.
Ithini ingxelo yam yovavanyo? Masiqonde iziphumo
Ngokwesiqhelo, ubungakanani beprotheyini ekhutshwa kumchamo womntu ophilileyo kufuneka bube ngaphantsi kwe-150 milligrams ngosuku. Ukuba kukho ngaphezu koko, kuthetha ukuba une -proteinuria (oko kuthetha ukuba kukho iprotheyini eninzi kumchamo). Nangona kunjalo, la maxabiso anokwahluka kancinci ukusuka kwilabhoratri ukuya kwenye. Ke ngoko, kufuneka uwathelekise namaxabiso aqhelekileyo kwingxelo yakho.
Olu vavanyo lweprotheyini yomchamo lodwa alunakukuxelela ukuba sisifo sini na esikuso. Nangona kunjalo, lunokunceda ugqirha wakho ukuba akubonise indlela elungileyo . Kunokubakho izizathu ezininzi zokuba neprotheyini ephezulu kumchamo wakho. Ezinye zazo zezokwexeshana, oko kuthetha ukuba ziyaphela kwiintsuku ezimbalwa. Umzekelo:
- Ukuphelelwa ngamanzi emzimbeni
- Uxinzelelo lwegazi oluphantsi (iHypotension)
- Ukuvuvukala emzimbeni
- Amatye ezintso
Nangona kunjalo, ngamanye amaxesha ukuba neproteni eninzi kumchamo kunokuba luphawu lweemeko ezifuna ingqalelo engakumbi . Ezi ziquka:
- Isifo sezintso esingapheliyo
- Izinto ezibangela umngcipheko wesifo sentliziyo
- Ezinye izifo ezibangelwa kukuzikhusela komzimba (oko kukuthi, izifo apho inkqubo yomzimba yokuzikhusela ihlasela iiseli zomzimba) - umzekelo , i-lupus kunye ne -Goodpasture's syndrome .
- Ukungaphumeleli kwentliziyo okubangelwa kukunganyamezelani
- Umhlaza wezintso
- I-multiple myeloma (umhlaza womongo wethambo)
Ugqirha wakho uza kukuchazela ngokweenkcukacha ukuba iziphumo zengxelo yakho zithetha ukuthini na nokuba ufuna naluphi na unyango.
Kuthatha ixesha elingakanani ukufumana ingxelo?
Ingxelo idla ngokubuya emva kweentsuku ezimbini ukuya kwezintathu. Ingahluka ngokuxhomekeke kumthwalo womsebenzi welebhu. Bathumela ingxelo kugqirha wakho, aze emva koko axoxe nawe ngayo.
Yintoni omawuyenze ukuba kukho izinto ezingaqhelekanga kwingxelo?
Ukuba ingxelo yakho ibonisa amanqanaba aphezulu eeprotheyini kumchamo wakho, ugqirha wakho uya kwenza uvavanyo lomzimba okanye acele iimvavanyo zelebhu ezongezelelweyo ukuze abone ukuba kukho na ingxaki yempilo engabonakaliyo.Kuphela emva kokufumanisa ukuba sisiphi isigulo apho ugqirha azakuxoxa nawe ngonyango olufanelekileyo.
Ukuba ufumana iziphumo ezingaqhelekanga kwikhithi yovavanyo lwasekhaya, ungoyiki ngoko nangoko . Kunokubakho izizathu ezininzi zoku, kungekhona zonke eziyingozi. Ugqirha wakho angakuchazela ngokweenkcukacha aze akuncede uqonde iziphumo.
Ndifanele ndimfowunele nini ugqirha?
Ukuba ufumanisa naziphi na iimpawu ezintsha, okanye ukuba iimpawu zakho zibonakala zisiba mandundu, qiniseka ukuba wazise ugqirha wakho . Ugqirha wakho unokugqiba ukuba ngaba kufuneka olunye uvavanyo.
Qaphela iimpawu ezifana nezi:
- Ukudumba (Ukudumba) - Ukuba iindawo ezinje ngobuso, isisu, amaqatha, kunye nemilenze ziyadumba.
- Ukuba umchamo unegwebu .
- Ubunzima bokuphefumla (i-Dyspnea) .
- Ukuba uziva udiniwe ngalo lonke ixesha (Ukudinwa) .
- Ukuba isicaphucaphu nokuhlanza kuyaphela.
- Ukuqaqamba kwemisipha , ingakumbi ebusuku.
- Ukuba uchama kakhulu kunesiqhelo .
- Ukuba uziva udumba ujikeleze amehlo akho .
- Ukuba unomdla wokutya .
Ukuba unenye okanye ngaphezulu kwezi, kubaluleke kakhulu ukuthetha nogqirha wakho ngayo.
Yintoni eyona nto ibangela ukwanda kweprotheyini kumchamo?
I-proteinuria idla ngokubangelwa sisifo sezintso . Nangona kunjalo, njengoko besitshilo ngaphambili, inokubangelwa nazizinto ezininzi, ezinje ngokuphelelwa ngamanzi emzimbeni, usulelo lomchamo (UTIs), kunye nokuzilolonga kakhulu.
Ngaba ukuya exesheni kuyayichaphazela le vavanyo?
Ezinye iimvavanyo zomchamo zinokuchaphazeleka kukuya exesheni. Nangona kunjalo, izifundo zibonise ukuba ukuba isampulu iqokelelwe ngokufanelekileyo, ukuya exesheni akuchaphazeli kakhulu iziphumo zovavanyo lweprotheyini yomchamo . Nangona kunjalo, ukuba uneengxaki, kungcono ukuthetha nogqirha wakho ukuze akunike ingcebiso.
Ngaba ungazijonga iiproteni kumchamo ekhaya?
Ewe, ungakwenza. Kukho "iikiti zovavanyo zasekhaya" ezifumaneka kwiikhemesti onokuzenza ekhaya ngaphandle kwencwadi kagqirha. Ukuba ulandela imiyalelo ngqo, ungafumana iziphumo ezichanekileyo. Usenokukwazi ukufumana ezi kiti ngexabiso eliphantsi ngesicwangciso sakho seinshurensi. Kungcono ukubuza ugqirha wakho ukuba yeyiphi ikiti yovavanyo efanelekileyo kuwe.
Ngoko ke, zeziphi izinto ekufuneka sizikhumbule koku?
Amanqanaba aphezulu eeprotheyini kumchamo wakho angaba luphawu lwesifo esithile esingabonakaliyo, esifana nesifo sezintso, isifo seswekile, okanye usulelo lomchamo (UTI).
Uvavanyo lweprotheyini yomchamo yindlela elula kakhulu, engangenisi ntsholongwane.Funda indlela ezisebenza ngayo izintso zakho. Oku kuya kunika ugqirha wakho ulwazi oluxabisekileyo ukuze axilonge imeko yakho aze agqibe ngonyango olufunekayo.
Ngoko ke, ukuba ugqirha ucela ukuba wenze olu vavanyo, kubaluleke kakhulu ukuba impilo yakho ilwenze ngendlela efanelekileyo kwaye ungayiphosi. Ukuba unemibuzo okanye amathandabuzo, ungoyiki ukuwaxoxa nogqirha wakho.
Iproteni yomchamo , isifo sezintso, iproteinuria, uvavanyo lomchamo, iimvavanyo zempilo, iimpawu, iingcebiso zonyango
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