Ngaba ukhe waqaphela ukuba umchamo wakho unamagwebu kwaye unamaqhubu ngakumbi kunesiqhelo xa usiya kwindlu yangasese kutshanje? Usenokuba awuzange uwunike ngqalelo ingako. Nangona kunjalo, oku kungaba luphawu lokuqala lwengxaki kwizintso zethu. Namhlanje sithetha ngesihloko esibalulekileyo kubantu abaninzi, kodwa esingaziwayo ncam. Oko kukuphuma kweprotheyini kumchamo, imeko esiyibiza ngokuba yi-'proteinuria' ngokwezonyango.
Ngamafutshane, kuthetha ukuthini ukuba neproteni kumchamo wakho?
Cinga ngezintso zethu njengesihluzo esicolekileyo esihluza amagqabi eti. Njengoko igazi lethu lidlula kwesi sihluzo, lihluza inkunkuma engafunekiyo ngumzimba ize iyikhuphe njengomchamo. Nangona kunjalo, izinto ezibalulekileyo, ezinje ngeeproteni (ingakumbi i-albumin), zigcinwa egazini endaweni yokuba zihluzwe.
Kodwa, kwenzeka ntoni ukuba ngesizathu esithile iimbobo ezikwisihluzo esincinci kwezi zintso ziyakhula okanye zonakele? Emva koko, iiproteni ezibalulekileyo ezifunekayo emzimbeni ukuze zigcinwe ziqala ukuvuza ngaloo mbobo zize ziphume nomchamo. Yiloo nto siyibiza ngokuba yi-'Proteinuria'.
Ngaba ukulahleka kweproteni kuyingozi kakhulu? Makhe sijonge iintlobo zako
Hayi. Iiproteni kumchamo azisoloko ziyinto yokukhathazeka. Ngamanye amaxesha zinokuba zezexeshana, kwaye zinokubangelwa yinto engeyongozi kangako. Masizihlukanise zibe ziintlobo ezintathu eziphambili.
| Uhlobo lwe-proteinuria | Ithetha ntoni le nto? |
|---|---|
| Okwexeshana | Olu lolona hlobo luqhelekileyo nolungabalulekanga kangako. Lwenzeka xa iprotheyini emchameni ibonakala ngesizathu sexeshana ize inyamalale xa unobangela ungekho. Imizekelo: umkhuhlane ophezulu, ukuzilolonga kakhulu, uxinzelelo olugqithisileyo, ukuphelelwa ngamanzi emzimbeni (ukungabikho kwamanzi emzimbeni). |
| I-Orthostatic | Le yinto engaqhelekanga. Abanye abantu, ingakumbi abantu abancinci abade nabancinci, baneproteni kumchamo wabo xa bemi okanye behleli imini yonke. Nangona kunjalo, xa bevuka baze bajonge umchamo wabo kusasa, kuyinto eqhelekileyo. Le ayisiyongxaki imbi kangako. |
| Ukuqhubeka | Olu lolona hlobo sifanele siluxhalabele. Oku kuthetha ukuba iiproteni zifumaneka rhoqo kwiimvavanyo ezininzi zomchamo ngokuhamba kwexesha. Oku kunokuba luphawu lwesifo esithile esingabonakaliyo, ingakumbi isifo sezintso. |
Ndingazi njani ukuba ndinale meko? Iimpawu
Amaxesha amaninzi, ukuba ubungakanani beproteni oyikhuphayo kumchamo wakho buncinci, usenokungabi nazimpawu. Kodwa xa ukhupha iproteni eninzi kakhulu, oko kuthetha ukuba kukho umonakalo othile kwizintso zakho, usenokuba nazo ezi mpawu.
- Umchamo onegwebu okanye onamagwebu: Olu luphawu lokuqala olubonwa ngabantu abaninzi. Ukuba umchamo wakho unegwebu ngaphezu kwesiqhelo, xhalaba.
- Ukudumba: Ukudumba, ingakumbi ezinyaweni, emaqatheni, ezandleni, okanye ebusweni . Oku kungenxa yokuba iiproteni ezisegazini zinceda ukugcina ulwelo ngaphakathi kwemithambo yegazi. Xa iiproteni zilahlekile, olu lwelo luvuza kwiithishu ezingqongileyo, nto leyo ebangela ukudumba.
- Amehlo avuvukileyo xa uvuka kusasa: Olu luphawu olubaluleke kakhulu.
- Ukudinwa nokudinwa: Imeko ebangelwa kukuncipha kweproteni egazini kunye nokusebenza kwezintso okungasebenzi kakuhle.
- Isicaphucaphu nokuhlanza.
- Ukutya akunancasa.
- Ukuqengqeleka kwamaqhuma enyama emilenzeni ebusuku.
Eyona nto ibalulekileyo kukubona ugqirha ukuze akunike icebiso, endaweni yokuqikelela nje, ukuba unenye okanye ngaphezulu kwezi mpawu.
Kutheni oku kusenzeka? Izizathu eziphambili zeproteinuria
Iiproteni kumchamo zinokubangelwa zizizathu zexeshana kunye neemeko zempilo ezinzulu zexesha elide.
Izizathu ezixhaphakileyo
- Isifo seswekile: Isifo seswekile esingalawulekiyo sesona sibangela siphambili sesifo sezintso kwilizwe lethu. Xa amanqanaba eswekile egazini ephezulu ngokuhamba kwexesha, yonakalisa inkqubo yokucoca ethambileyo yezintso.
- Uxinzelelo lwegazi oluphezulu (iHypertension): Olu lolunye utshaba olukhulu oluyonakalisa izintso, kunye nesifo seswekile. Uxinzelelo lwegazi oluphezulu lonakalisa imithambo yegazi kwizintso kwaye lubangela ukuba iiproteni ziphume.
- Iimeko zokudumba kwizintso (iGlomerulonephritis): Oku kwenzeka xa ingxaki kwinkqubo yomzimba yokuzikhusela ihlasela kwaye yonakalise iiyunithi zokucoca zezintso.
- Usulelo lwezintso.
- Amatye ezintso.
Ezinye izizathu
- Ezinye izifo ezibangelwa kukuzikhusela komzimba: Umzekelo, i-lupus.
- Ezinye iintlobo zomhlaza: umzekelo `Multiple Myeloma`.
- Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (i-Preeclampsia): Ukuba umama okhulelweyo uba nale meko, kufuneka unyango olukhawulezileyo.
- Ukungaphumeleli kwentliziyo okubangelwa kukunganyamezelani.
- Ukusetyenziswa kwamayeza athile ixesha elide: ingakumbi amayeza okudambisa iintlungu.
- Ityhefu: Umzekelo, iintsimbi ezinzima.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kukubuza ngeempawu zakho aze akuhlole. Emva koko, banokuyalela iimvavanyo ezifana nezi ukuqinisekisa imeko ye-'Proteinuria' baze bafumane unobangela.
1. Uvavanyo lomchamo: Olu lolona vavanyo lulula nolulula. I-strip encinci (i-dipstick) ifakwa kwisampulu yomchamo oyinikayo kwaye ivavanywa iproteni. Ukongeza, umchamo uhlolwa nge-microscope ukubona ukuba kukho ezinye iintlobo zeeseli okanye iiproteni ezifakwe kuyo.
2. Uvavanyo lokuqokelelwa komchamo lweeyure ezingama-24: Oku kuquka ukuqokelela wonke umchamo owukhuphayo imini yonke kunye nokulinganisa inani elipheleleyo leeproteni ezikuwo. Oku kuya kukunika umbono wokuba ingakanani na iproteni oyikhuphayo ngosuku.
3. Uvavanyo lwegazi: Olu vavanyo lujonga ukusebenza kwezintso (umz. inqanaba le-creatinine) kunye namanqanaba eeproteni egazini.
4. Iiskeni: Kungenziwa i-ultrasound okanye i-CT scan ukujonga imo, ubungakanani, kunye nezinye iingxaki zezintso.
5. I-Biopsy yezintso: Le yinto engenziwa ngumntu wonke. Ukuba unezinga eliphezulu leeproteni kumchamo wakho, okanye ukuba kunzima ukufumana unobangela wesifo, ugqirha wakho unokucebisa olu vavanyo. Oku kubandakanya ukuthatha iqhekeza elincinci lesicwili sezintso zakho usebenzisa inaliti encinci kakhulu kwaye uyihlolisise phantsi kwe-microscope.
Zithini iindlela zonyango zoku?
Eyona nto ibalulekileyo ekufuneka siyiqonde apha kukuba asinyangi iproteni ekwimchamo, kodwa sinyanga imeko yempilo ebangela loo nto.
- Ukuba unobangela sisifo seswekile okanye uxinzelelo lwegazi oluphezulu , ezo meko kufuneka zilawulwe kakuhle. Kubalulekile ukuthatha amayeza amiselweyo ngexesha, ukulawula ukutya kwakho, kunye nokuzilolonga.
- Ukuba unobangela yimeko yokudumba kwezintso (iGlomerulonephritis), amayeza alawula inkqubo yomzimba yokuzikhusela anganikwa.
- Utshintsho kwindlela yokuphila: Ukuba utshaya, uyeka, unciphisa ityuwa nokutya okunamafutha, kunye nokulawula ubunzima bakho kubaluleke kakhulu.
- Ukuba ukusebenza kwezintso kuphazamiseka kakhulu, i-dialysis okanye ukufakelwa kwezintso kungafuneka.
Ngaba ukusela amanzi amaninzi kunciphisa ukulahleka kweproteni?
Lo ngumbuzo abantu abaninzi abawubuzayo. Hayi. Ukusela amanzi amaninzi kuyawunciphisa umchamo wakho kuphela. Oku kuthetha ukuba uxinaniso lweprotheyini kuvavanyo olunye lomchamo lunokuncipha. Kodwa isixa siphela seprotheyini ekhutshwayo imini yonke asiyi kutshintsha. Kuba ukuvuza kwizintso kusafana. Kufana nokugcwalisa ibhakede ngamanzi. Ukongeza amanzi akuyi kuwuvala umngxuma. Ke ngoko, isisombululo kuphela kukuthatha unyango njengoko kuyalelwe ngugqirha wakho.
Umyalezo Wokuya Ekhaya
- Ukuba umchamo wakho unegwebu ngaphezu kwesiqhelo, musa ukuwutyeshela. Luphawu olufanelekileyo ukulibonisa kugqirha.
- Ayizizo zonke iimeko ezibangela iiproteni kumchamo eziyingozi, kodwa kubalulekile ukufumanisa ukuba yintoni kanye kanye ebangela oko.
- Ezibini zezona zinto ziphambili ezibangela umonakalo kwizintso kwilizwe lethu sisifo seswekile esingalawulekiyo kunye noxinzelelo lwegazi oluphezulu. Ukuba unezi zifo, zilawule kakuhle.
- Xa kunyangwa i-proteinuria, kubaluleke kakhulu ukunyanga isifo esibangela oku kunokususa i-protein kumchamo.
- Ukufunyanwa kwangethuba kwesi simo kunye nonyango olufanelekileyo kunokuthintela iimeko ezinzulu ezifana nokungasebenzi kakuhle kwezintso.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment