Ukuba unesifo seswekile, lixesha lokuba unyamekele izintso zakho kancinci. Enye yeengxaki eziphambili zesifo seswekile kukonakala kwezintso. Ngokwezonyango esi sifo sibizwa ngokuba yi " Diabetic Kidney Disease." Usenokuba ukhe weva ugqirha wakho esithi yiDiabetic Nephropathy . Ngamafutshane, oku kwenzeka xa izintso zakho zonakaliswa luxinzelelo lwegazi oluphezulu kunye namanqanaba aphezulu eswekile egazini angakhange alawulwe ixesha elide.
Xa izintso zonakele ngale ndlela, amandla azo okucoca nokususa inkunkuma emzimbeni ayancipha kancinci kancinci. Oku akwenzeki ngaxeshanye, esi sifo siqhubeka kancinci kancinci ngamanqanaba amahlanu. Kodwa eyona nto ilungileyo kukuba, ngonyango olufanelekileyo kunye notshintsho lwendlela yokuphila, singayilawula le meko kwaye sithintele iingxaki.
Kwinqanaba lokuqala lesi sifo sezintso, akukho zimpawu zibonakalayo. Yiyo loo nto kubalulekile ukuthetha nogqirha wakho kwaye uhlole ukusebenza kwezintso zakho ubuncinane kanye ngonyaka.
Ugqirha wakho uhlala ejonga umchamo wakho kunye neesampuli zegazi, ingakumbi ekhangela uhlobo lweproteni ebizwa ngokuba yi -microalbumin kumchamo wakho. Olu luphawu lokuqala lokuba izintso zakho ziqala ukonakala.
Ngawaphi amanqanaba ama-5 esifo sezintso seswekile?
Masiqonde ngoku izigaba ezintlanu zesi sifo ngokwahlukeneyo nangokulula. Ukwazi oku kuya kuba luncedo olukhulu ekuchongeni nasekulawuleni esi sifo kwangethuba.
| Iqonga | Kwenzeka ntoni kwizintso? | Iimpawu eziphambili kunye nezinto onokuzenza |
|---|---|---|
| Inqanaba loku-1 | Izintso zisebenza nzima kancinci kunesiqhelo kwaye zinokuba nkulu kancinci ngobukhulu. | Akukho zimpawu zangaphandle. Incinci kakhulu iproteni (i-microalbumin) inokubonwa kumchamo. Utshintsho kwindlela yokuphila lubaluleke kakhulu. |
| Inqanaba lesi-2 | Izintso ziqala ukubonisa umonakalo omncinci. Zisasebenza kakuhle. | Akukho zimpawu zangaphandle. Ubungakanani beproteni kumchamo buphezulu kancinci kunakwinqanaba loku-1. Kufuneka uqhubeke nokulandela imiyalelo yenqanaba loku-1. |
| Inqanaba lesi-3 | Umsebenzi wezintso wehle kakhulu. | Amaxesha amaninzi akukho zimpawu. Abanye abantu banokuba nokudumba kwamalungu omzimba, uxinzelelo lwegazi oluphezulu, kunye ne-anemia. Kubalulekile ukubona ugqirha ochwephesha kwizifo zezintso (Nephrologist). |
| Inqanaba lesi-4 | Izintso zonakele kakhulu. Umsebenzi wazo uphantsi kakhulu. | Iimpawu ziquka ukudumba kwamalungu omzimba kunye notshintsho kwindlela yokuchama rhoqo. I-potassium, i-phosphorus, kunye ne-asidi egazini ziyanda. Kufuneka ulwalathiso olusondeleyo lwezonyango ukuze kuthintelwe ukungasebenzi kakuhle kwezintso. |
| Inqanaba lesi-5 | Ukungasebenzi kakuhle kwezintso kuphelele okanye kuza kwenzeka kungekudala. | Iimpawu eziqatha ziyavela, ezifuna i-dialysis okanye ukufakelwa izintso. |
Amanqanaba okuqala (Inqanaba loku-1 nelesi-2) - Isilumkiso Esithuleyo
Musa ukucinga ukuba kuba nje ungaziva nto kwezi zigaba zimbini zokuqala, akuyongozi. Eli lelona xesha lifanelekileyo lokwenza into. Eli lelona xesha lifanelekileyo lokuyeka okanye ukulibazisa umonakalo kwizintso zakho.
Izinto onokuzenza ngeli xesha
- Lawula iswekile yakho yegazi kunye noxinzelelo lwegazi: Le yeyona nto ibalulekileyo. Sela amayeza anikwe ngugqirha wakho ngexesha. Bekuya kuba kuhle ukuba ungaba nesixhobo ekhaya sokulinganisa iswekile yakho kunye noxinzelelo lwegazi.
- Ukutya okunempilo: Nciphisa ukutya ityuwa kangangoko unako. Ziphephe iilekese, ukutya okunamafutha, nokutya okukhawulezayo. Faka imifuno, iziqhamo, kunye nemifuno ekutyeni kwakho.
- Umthambo:Ziqhelise ubuncinane imizuzu engama-30 ngosuku. Ukuhamba, ukubaleka, okanye ukukhwela ibhayisekile zezona ndlela zilungileyo.
- Gcina ubunzima obusempilweni: Ukugcina ubunzima obufanele ubude bakho kunciphisa uxinzelelo kwizintso zakho.
- Ukuba uyatshaya, yeka ngoku: Ukutshaya konakalisa imithambo yegazi ethwala igazi izintso.
Amanqanaba 3 kunye no-4 - Lixesha lokuba uqaphele
Nokuba kwinqanaba lesithathu, usenokungaziboni iimpawu ezinkulu. Nangona kunjalo, abanye abantu baqala ukudumba emilenzeni nasezingalweni zabo. Uxinzelelo lwakho lwegazi lunokunyuka kwaye usenokuba ne-anemia. Kweli nqanaba, ugqirha wakho uza kukuthumela kugqirha ogxile kwizifo zezintso, obizwa ngokuba yi -nephrologist . Kubaluleke kakhulu ukulandela imiyalelo yakhe.
Inqanaba lesine yimeko enzulu ngakumbi. Okwangoku, ukusebenza kwezintso kuye kwehla kakhulu. Iimpawu ziquka ukudumba kwamalungu omzimba, utshintsho kwinani lokuchama rhoqo okanye ubungakanani, kunye nokunyuka kwamanqanaba e-potassium kunye ne-phosphorus egazini. Okwangoku, wena nogqirha wakho kufuneka nisebenze nzima kakhulu ukuthintela ukungasebenzi kakuhle kwezintso ngokupheleleyo.
Inqanaba lesi-5 - Ukusilela Kwezintso
Eli linqanaba lokugqibela. Apha, ukusebenza kwezintso zombini kuye kwaphela okanye sele kusondele kakhulu ekuyekeni. Kule ndawo, kuvela iimpawu ezahlukeneyo ngenxa yokuqokelelwa kwenkunkuma emzimbeni kunye netyhefu.
- Ukudumba kwamalungu
- Ulusu olurhawuzelelayo
- Ukuqaqamba kwemisipha
- Isicaphucaphu nokuhlanza
- Umqolo obuhlungu
- Umnqweno wokutya
- Umchamo omncinci kakhulu okanye awuphumi kwaphela
- Ubunzima bokuphefumla, ukungalali ngokwaneleyo
- Ukuphazamiseka kwenkumbulo kunye nokuqonda (Ukudideka)
- Ukuxhuzula
- Ukuva incasa yesinyithi emlonyeni
Ukuze izintso ziphile emva kokufikelela kweli nqanaba, kufuneka zenze imisebenzi yazo ngendlela eyahlukileyo. Kukho iindlela ezimbini eziphambili zonyango loku.
1. I-Dialysis: Kulapho igazi lomzimba licocwa khona ngoncedo lomatshini, kususwa amanzi angaphezulu kunye nenkunkuma. Kukho iintlobo ezimbini zale ndlela: I-Hemodialysis (indlela eyenziwa esibhedlele ngokuyidibanisa nomatshini) kunye ne -Peritoneal Dialysis (indlela eyenziwa ekhaya ngesisu).
2. Ukufakelwa kwezintso: Ukufakelwa kwezintso ngotyando (kusuka kumntu ophilayo okanye oswelekileyo) emzimbeni.
Umyalezo Wokuya Ekhaya
- Ukuba unesifo seswekile, khumbula rhoqo ukuba sinokuchaphazela izintso zakho. Kodwa ungakhathazeki, oku kungalawulwa.
- Eyona nto ibalulekileyo kukugcina iswekile yakho yegazi kunye noxinzelelo lwegazi lulawulwa kakuhle. Sela amayeza njengoko ugqirha wakho ekuyalele.
- Ekubeni kungekho zimpawu kwisigaba sokuqala, cela ugqirha wakho ukuba ahlole ukusebenza kwezintso zakho ubuncinane kanye ngonyaka (iiproteni kumchamo wakho kunye ne-creatinine egazini lakho).
- Indlela yokuphila esempilweni (ukutya okunempilo, ukuzilolonga, kunye nokuphepha ukutshaya) isebenza njengodonga olukhulu lokukhusela izintso zakho.
- Ukuba ufunyaniswe unesifo sezintso, musa ukoyika kwaye ulandele imiyalelo kagqirha wakho ngokuchanekileyo. Ngolawulo olufanelekileyo, ungaphila ubomi obusempilweni.
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