Ngaba unayo iproteni kumchamo wakho xa umi? Masifunde nge-Orthostatic Proteinuria!

Ukuba ugqirha ukuxelela ukuba umntwana wakho uneproteni kumchamo wakhe, usenokuziva usoyika kancinci, akunjalo? Okanye ukuba ungumntu oselula, usenokuva into efana nale nawe? Kodwa ungakhathazeki. Namhlanje siza kuthetha ngemeko onokuthi uve ngayo ngamanye amaxesha anje, kodwa ayiyongozi kangako. Oku kubizwa ngokuba yi-Orthostatic Proteinuria.

Yintoni i-Orthostatic Proteinuria?

Ngamafutshane, i-orthostatic proteinuria iyenzeka xa uchama umi okanye uhleli, kwaye inqanaba leprotheyini kumchamo wakho liphezulu kancinci. Nangona kunjalo, ukuba uchama kusasa emva kokulala (nokuba ngomqolo okanye ngecala) kwaye ulale kamnandi ebusuku, inqanaba leprotheyini kumchamo wakho liqhelekile. Ayimangalisi loo nto? Oku kukwabizwa ngokuba yi-'postural proteinuria.'

Le yimeko engenabungozi neqhelekileyo. Ixhaphake kakhulu kubantwana abancinci nakubantu abadala abancinci. Into ebalulekileyo kukuba ayibangeli ngxaki okanye ingozi kwizintso zakho. Kwiimeko ezininzi, le meko iya kuba ngcono ngokwayo ngokuhamba kwexesha, ngaphandle konyango.

Kutheni umzimba udinga iiproteni?

Ngoku usenokuba uzibuza, 'Kutheni sithetha kangaka ngale proteni? Yintoni eyenziwa yile proteni emizimbeni yethu?' Iiproteni zibalulekile ukuze imizimba yethu ihlale isempilweni. Jonga okwenzekayo kule proteni:

• Inceda ekwakheni nasekuphuhliseni amathambo nemisipha yethu.
• Ilawula ubungakanani bolwelo egazini lethu.
• Ukulwa nezifo kuthetha ukunceda amajoni ethu omzimba .
• Xa umzimba wenzakele, oko kunceda ekulungiseni izicubu.

Ingaba le yimeko eyingozi?

Hayi, akunjalo konke konke . I-Orthostatic Proteinuria ayisiyongozi. Uphando lubonise ukuba le meko ayikhokeleli kwizifo zezintso ezihlala ixesha elide, ezifana ne-Chronic Kidney Disease (CKD). Ngoko ke akukho sizathu sokukhathazeka.

Nangona ixhaphake kangaka, ayiqhelekanga . Ichaphazela abantu abaselula abaphakathi kwe-2% ne-5%. Ayiqhelekanga kakhulu kubantu abaneminyaka engaphezu kwe-30.

Zithini iimpawu?

I-Orthostatic proteinuria ayinazo iimpawu ezibonakalayo onokuzibona okanye ozivayo. Eyona ndlela yokwazi ukuba unale meko kukuba ugqirha ajonge inqanaba leproteni kumchamo wakho.

Yintoni enokubangela oku?

Oogqirha kunye nabaphandi bezonyango abakaqiniseki ukuba yintoni kanye kanye ebangela i-orthostatic proteinuria. Nangona kunjalo, bakholelwa ukuba inokuba inxulumene nemisebenzi ethile yezintso. Nazi imizekelo embalwa:

• Iingxaki zeGlomeruli: Ngaphakathi kwizintso zakho kukho imithambo yegazi emininzi emincinci ehluza igazi. Le ibizwa ngokuba yi-glomeruli. Ezinye izifundo zibonise ukuba malunga ne-43% yabantu abane-orthostatic proteinuria, udonga lwale glomeruli lutyebile kancinci kunesiqhelo.
• Impendulo engaqhelekanga ye-hemodynamic: I-Hemodynamics ibhekisa kwindlela igazi elihamba ngayo kwimithambo yegazi yethu. Inkqubo yomzimba wethu ye-Renin-Angiotensin-Aldosterone System (RAAS) (inkqubo yeehomoni, iiproteni, kunye nee-enzymes) inceda ukulawula ukuhamba kwegazi lethu. Ngoko ke, iingxaki ngale nkqubo ye-RAAS zinokubangela impendulo engaqhelekanga ekuhambeni kwegazi, enokuchaphazela izintso.
• I-Nutcracker syndrome (okanye i-Left Renal Vein Entrapment Syndrome): Oogqirha nabaphandi bacinga ukuba xa umi, uxinzelelo kumthambo wakho wezintso wasekhohlo lunokubangela ukuba iiproteni ezininzi zidlule kwi-glomeruli kunaxa ulele phantsi. Cinga ngayo njengetyhubhu ecinezelweyo.

Ezinye iingcali zicinga ukuba amandla adonsela phantsi komhlaba nawo anokudlala indima. Zicinga ukuba ukuma okanye ukuhlala ixesha elide kunokubangela ukuba iiproteni 'ziphume' kwizintso.

Ngubani ochaphazeleka kakhulu yile meko?

I-Orthostatic proteinuria ichaphazela kakhulu abantu abancinci . Ikwaxhaphake kancinci nakubafana. I-Orthostatic proteinuria ayifumaneki rhoqo kubantu abadala.

Ngaba kukho naziphi na iingxaki?

Hayi, oogqirha bacinga ukuba i-orthostatic proteinuria yimeko engeyongozi . Ayibangeli mngcipheko kwizintso zakho, kwimpilo yakho iyonke, okanye kubomi bakho.

Uyibona njani le nto kanye kanye?

Ugqirha uza kuqala athathe imbali yakho yezonyango , aze emva koko enze uvavanyo lomzimba. Ukongeza, baza kuyalela iimvavanyo ezininzi ukunceda ukuqinisekisa ukuxilongwa.

Ungathunyelwa kwi -nephrologist , ugqirha ogxile kwizifo zezintso.

Luhlobo luni lovavanyo oluqhutywayo?

Ugqirha wakho uza kwenza ubuncinane uvavanyo oluphindwe kabini lokuhlola umchamo. Ngexesha lokuhlola umchamo, uchamela kwibhotile ekhethekileyo, nokuba kuseofisini kagqirha okanye esibhedlele.

• Uvavanyo lokuqala lomchamo: Kule meko, ugqirha uza kuthatha 'isampulu yosuku'. Le yisampuli yomchamo owuqokelelayo emva kokuba ulele kakuhle ebusuku (nokuba ulele okanye ulele) kwaye yinto yokuqala kusasa.
• Uvavanyo lwesibini lomchamo: Oku kuquka ukuthatha 'isampulu yasebusuku'. Le sampulu ithathwa xa umi okanye uhleli imini yonke, nokuba ngokuhlwa okanye ebusuku.

Ngoku, ukuba isampuli yomchamo wakho wasebusuku ineproteni engaphezulu kunesampuli yomchamo wakho wasekuseni, ugqirha wakho unokuqinisekisa ukuba une-orthostatic proteinuria.

Zithini iindlela zonyango?

Ezi zezona ndaba zimnandi! I-Orthostatic Proteinuria ayifuni naluphi na unyango . Akunyanzelekanga ukuba utshintshe indlela otya ngayo okanye uyeke ukuzilolonga.

Nangona kunjalo, ukuba wena okanye umntwana wakho unale meko, licebo elihle ukuqaphela amanqanaba eeproteni zakho. Ugqirha wakho unokucebisa ukuba uvavanye umchamo kube kanye ngonyaka ukuze ujonge amanqanaba eeproteni zakho.

Ngaba oku kungathintelwa?

Hayi, i-orthostatic proteinuria ayinakuthintelwa. Nangona kunjalo, njengoko bekutshiwo ngaphambili, ayisiyongxaki , ngoko ke akukho nto inokubangela ixhala ngayo.

Ngoko ke, uphila njani nale meko?

Isiganeko sokugula kwesi sifo silungile kakhulu . Oku akubonisi ukuba unesifo sezintso esingapheliyo okanye esinye isifo sezintso. Kwakhona, awudingi naluphi na unyango.

Uninzi lwexesha, i-orthostatic proteinuria iyaphela yodwa njengoko ukhula.

Ngaba kufuneka ndiye kugqirha?

Nangona i-orthostatic proteinuria ingadingi naluphi na unyango, kwezinye iimeko ugqirha wakho unokucebisa ukuba uvavanye umchamo kube kanye ngonyaka ukuze ujonge amanqanaba eeproteni zakho.

Ungabuza ugqirha imibuzo efana nale:

• Uqiniseka njani ukuba ndine-Orthostatic Proteinuria?
• Ingaba ucebisa ukuba uvavanyo lomchamo lwenziwe kube kanye ngonyaka?
• Ngaba kufuneka ndidibane nogqirha wezifo zezintso, ugqirha ogxile kwizifo zezintso?

Khumbula njengesishwankathelo

I-Orthostatic proteinuria yimeko engenabungozi ebonwa ngoogqirha kubantwana abancinci nakubantu abadala abancinci.Uhlobo lwe-proteinuria. Ngamafutshane, oku kuthetha ukuba inqanaba leproteni kumchamo wakho xa umi liphezulu kunaxa uhleli okanye ulele phantsi. Oku akuthethi ukuba kukho into engalunganga ngezintso zakho. Kwakhona, le meko idla ngokuba ngcono ngokwayo njengoko ukhula. Ukuba wena okanye umntwana wakho une-orthostatic proteinuria, kulungile ukubuza ugqirha wakho malunga nokuvavanywa minyaka le.

I- Orthostatic Proteinuria, iProteinuria, izintso, abantwana, abakwishumi elivisayo, uhlalutyo lomchamo