Ngaba uziva udumba ngendlela engachazekiyo emilenzeni yakho, emaqatheni, ezandleni, okanye ebusweni? Ngaba ukhe waphawula ukuba umchamo wakho ubonakala unamagwebu? Ezi zinokuba ziimpawu zengxaki kwizintso zakho, enye yezona zitho zibalulekileyo emzimbeni wakho. Namhlanje, sixoxa ngemeko echaphazela izintso—engathethwa kangako, kodwa ebalulekileyo ukuyiqonda: iGlomerulosclerosis.
Ngamazwi alula, yintoni iGlomerulosclerosis?
Izintso zakho ezimbini zisebenza njengezihluzi ezisebenza kakuhle. Zicoca igazi lakho ngokususa inkunkuma kwaye ziyiguqule ibe ngumchamo. Le nkqubo yokucoca yenzeka ngezakhiwo ezincinci nezithambileyo ngaphakathi kwezintso zakho ezibizwa ngokuba yi-glomeruli .
I-Glomerulosclerosis ibhekisa ekuqineni okanye ekuqineni kwezi yunithi zincinci zokucoca. Njengesilonda esenzeka emva kokwenzakala kwesikhumba, ezi zihluzo zivelisa izicubu zesilonda xa zonakele, nto leyo ethintela ukuba zingasebenzi kakuhle.
Ngenxa yoko, iiproteni ezibalulekileyo ezimele zihlale egazini lakho ziyavuza ngesihluzo esonakeleyo kwaye zilahleke kumchamo wakho. Ngokwezonyango, le meko yaziwa ngokuba yi-'Proteinuria' ( iproteni kumchamo ).
Le meko inokuchaphazela nabani na, nokuba uneminyaka emingaphi, nangona ixhaphake kancinci kumadoda.
Yintoni Ebangela Le Ngxaki?
Ngamanye amaxesha akukho sizathu sibonakalayo seGlomerulosclerosis. Nangona kunjalo, idla ngokuba yinto elandela ezinye iimeko zonyango ezisisiseko.
Uhlobo oluqhelekileyo yi-`FSGS` (Focal Segmental Glomerulosclerosis). Oku kuthetha ukuba umonakalo awufani; uchaphazela kuphela ezinye iindawo (Focal), kwaye ngaphakathi kwezo ndawo, kuphela icandelo lesihluzo ngasinye elinezibazi (Segmental).
Izinto eziqhelekileyo ezibangela i-FSGS kunye ne-Glomerulosclerosis ngokubanzi ziquka:
- Isifo seswekile : Iswekile egazini engalawulekiyo iyingozi enkulu kwimpilo yezintso.
- Ukutyeba kakhulu : Ubunzima bomzimba obugqithisileyo bubangela uxinzelelo olukhulu kwizintso.
- Usulelo lwe-HIV : Le ntsholongwane ingonakalisa ngokuthe ngqo iiseli zezintso.
- Izifo ezizikhusela ngokwazo njengeLupus: Ezi meko zibangela ukuba inkqubo yakho yomzimba ihlasele izintso zakho ngempazamo.
- Isifo seSickle cell: Imeko yemfuza enokubangela ukuphazamiseka ekusebenzeni kwezintso.
- I-Reflux nephropathy: Imeko apho umchamo uphuma kwisinyi usiya kwizintso, nto leyo ebangela umonakalo.
- I-Glomerulonephritis: Ukudumba kwe-glomeruli.
- Amayeza athile kunye neetyhefu: Ukuchanabeka kwizinto eziyingozi kwizintso.
Zithini Iimpawu?
Kwinqanaba lokuqala, usenokungabi nazimpawu zicacileyo , yiyo loo nto idla ngokungabonwa. Njengoko iqhubeka, unokubona oku kulandelayo:
| Uphawu | Ingcaciso |
|---|---|
| Ukudumba (Ukudumba) | Ukugcinwa kolwelo kwenzeka kuba izintso azikwazi ukucoca kakuhle. Ungaphawula ukudumba emilenzeni yakho, emaqatheni, ezandleni, esiswini, okanye kufutshane namehlo . |
| Utshintsho kumchamo | Ngenxa yokulahleka kweproteni, umchamo wakho usenokubonakala ngathi unamagwebu okanye unamaqamza . |
| Igazi elonyukayo | Ukonakala kwezintso kudla ngokukhokelela kwi-hypertension, nto leyo enokuba nzima ukuyilawula. |
| I-Cholesterol ephezulu | Njengoko amanqanaba eeproteni ehla egazini, isibindi siyayilungisa le meko ngokuvelisa i-cholesterol engaphezulu. |
Le meko idla ngokufunyanwa ngexesha lokuhlolwa kwempilo rhoqo, ngovavanyo lomchamo olubonisa iproteinuria okanye uvavanyo lwegazi olubonisa amanqanaba aphantsi eeproteni (hypoproteinemia).
Ifunyaniswa Njani?
Ekubeni ezi mpawu zifana nezinye iimeko, eyona ndlela ichanekileyo yokuqinisekisa ukuxilongwa yiKidney Biopsy .
Yintoni i-Kidney Biopsy?
Musa ukoyika. Kusetyenziswa isixhobo esincinci, esifana nenaliti ukuqokelela isampuli encinci kakhulu yezicubu kwizintso zakho, ezithi emva koko zihlolwe ngemakroskopu ukuze kufunyanwe amanxeba.
Ngamanye amaxesha, kufuneka iisampulu ezininzi kuba amanxeba anokuba namabala kwizicwili zezintso.
Ugqirha wakho unokucebisa kwakhona:
- Uvavanyo lweGlomerular Filtration Rate (GFR): Ukulinganisa ukuba izintso zakho zihluza kakuhle kangakanani.
- Iskeni ye-Kidney Ultrasound: Ukujonga ubungakanani, imilo, kunye nolwakhiwo lwezintso zakho.
- Uvavanyo lwemfuza: Kwiimeko ezingaqhelekanga, ukufumanisa ukuba kukho unobangela ozuzwe njengelifa.
Ziziphi Iindlela Zonyango?
Ngelishwa, okwangoku akukho nyango lweGlomerulosclerosis, kwaye akukho mayeza athile avunyiweyo kwihlabathi liphela okuyiguqula.
Nangona kunjalo, musa ukoyika. Iindlela ezahlukeneyo zonyango zinokunceda ukuthintela imeko ukuba ingabi mandundu, ukulawula iimpawu, nokugcina umgangatho wobomi ulungile. Injongo kukucothisa ukuqhubela phambili kwesifo nokukhusela ukusebenza kwezintso.
Unyango ludla ngokubandakanya:
- Amayeza oxinzelelo lwegazi: Ii-ACE inhibitors kunye nee-ARB zinceda ukulawula uxinzelelo lwegazi kwaye zinciphise kakhulu ukulahleka kweeproteni kumchamo.
- Izinto ezithintela amasosha omzimba: Amayeza afana nee-steroids angasetyenziswa ukulawula ukusebenza kwenkqubo yomzimba yokuzikhusela.
- Amayeza okwehlisa i-cholesterol (ii-Statins): Ukulawula amanqanaba aphezulu e-cholesterol.
- I-Diuretics: Ukususa ulwelo olugqithisileyo kunye netyuwa, ukunciphisa ukudumba.
- Ii-Anticoagulants: Ukunceda ukuthintela ukuqhekeka kwegazi.
- Utshintsho kwindlela yokuphila: Ukwamkela ukutya okunetyuwa encinci, ukuzilolonga rhoqo, kunye nokongeza iivithamini ezifanelekileyo.
Okubaluleke kakhulu, ukuba imeko yakho ibangelwa sisifo seswekile okanye ukutyeba kakhulu, ukulawula isifo esingundoqo kubaluleke kakhulu. Ukujonga igazi nomchamo rhoqo kubalulekile.
Ukuba isifo siqhubeka siye ekungasebenzini kwezintso, unyango olufana ne-dialysis okanye ukufakelwa kwezintso lunokufuneka.
Umyalezo Wokuya Ekhaya
- I-Glomerulosclerosis kukuqhekeka kwezihluzo zezintso, nto leyo ekhokelela ekuphazamisekeni kokusebenza kakuhle kwazo.
- Qaphela iimpawu ezinje ngokudumba, umchamo onamagwebu, kunye noxinzelelo lwegazi oluphezulu.
- Ukuba ubona ezi mpawu, qhagamshelana nogqirha wakho ngokukhawuleza.
- I-biopsy yezintso idla ngokuba yimfuneko ukuze kufunyanwe isifo esiqinisekileyo.
- Nangona okwangoku zinganyangeki, amaqhinga okulawula asebenzayo anokunciphisa esi sifo kwaye aphucule impilo-ntle yakho. Ukungenelela kwangoko kubalulekile.
I-Glomerulosclerosis, isifo sezintso, amanxeba ezintso, i-proteinuria, ukudumba, i-kidney biopsy
