Xa ugqirha ekuxelela ukuba unesifo seswekile, into yokuqala efika engqondweni kukulawula iswekile yakho egazini. Kodwa ubusazi na ukuba isifo seswekile esingalawulekiyo singonakalisa ngasese elinye ilungu elibalulekileyo emzimbeni wakho, izintso? Oku akuyonto eyenzeka kubantu abaninzi, kodwa yingxaki eqhelekileyo yesifo seswekile. Esi simo sikwabizwa ngokuba yiDiabetic Kidney Disease (DKD), Chronic Kidney Disease (CKD) okanye iDiabetic Nephropathy. Ngoko ke namhlanje, masithethe ngonxibelelwano phakathi kwesifo seswekile nesifo sezintso.
Kwenzeka njani oku?
Ngamafutshane, izintso zakho zifana nesihluzo emzimbeni wakho. Umsebenzi ophambili wezintso kukucoca inkunkuma egazini ize iyikhuphe emzimbeni njengomchamo.
Xa unesifo seswekile sohlobo lwesibini, amanqanaba eswekile egazini lakho asenokuba phezulu rhoqo. Cinga ngayo, ngaphakathi kwezi zintso kukho izigidi zeefilitha ezincinci kakhulu, esizibiza ngokuba yi-glomeruli. Xa amanqanaba eswekile egazini lakho ehlala ephezulu rhoqo, ezifilitha zincinci zifakwa phantsi koxinzelelo olukhulu. Kufana nesihluzo seti esivalekayo xa ucoca amanzi angcolileyo ngalo lonke ixesha.
Xa olu xinzelelo lusetyenziswa ngokuhamba kwexesha, ezi zihluzo zibuthathaka ziqala ukonakala. Ekugqibeleni, nezinto ezifana ne-albumin, iproteni ebalulekileyo ekufuneka umzimba uyigcine, ziqala ukuvuza ngezi zihluzo zize ziphume nomchamo. Ngamanye amazwi, iiproteni ziqala "ukuvuza" kwizintso.
Iimpawu kunye nokuchongwa
Eyona nto yoyikisayo ngale nto kukuba kwizigaba zokuqala, usenokungabi nazimpawu. Nangona izintso zakho sele zonakele, usenokungaziva nto ngaloo nto.
Kungoko ke kubaluleke kakhulu ukuba ugqirha wakho enze uvavanyo lwezintso ngexesha elifanelekileyo.
Ngenxa yesi sizathu, isampuli yomchamo kunye nesampuli yegazi ziyavavanywa ikakhulu.
- Uvavanyo lomchamo: Ukuba izintso azisebenzi kakuhle, kuya kubakho iproteni eninzi ebizwa ngokuba yi-albumin kumchamo.
- Uvavanyo lwegazi: Oku kungajonga ukuba izintso zakho zicoca igazi ngokufanelekileyo na.
Itheyibhile engezantsi ibonisa umahluko phakathi kwezi zigaba zimbini.
| Inqanaba lesi sifo | Izinto onokuzibona |
|---|---|
| Inqanaba lokuqala | Akukho zimpawu. Ngoko ke, indlela ekuphela kwayo yokwazi ukuba unesifo kukwenza uvavanyo oluchazwe ngugqirha wakho. |
| Xa isifo siqhubeka (Inqanaba Lamva) |
|
Zeziphi izinto ezandisa umngcipheko?
Okukhona isifo sakho seswekile singalawuleki ixesha elide, kokukhona umngcipheko wakho wokuba nesifo sezintso uphezulu. Ukuba amanqanaba eswekile egazini lakho ahlala ephezulu, umngcipheko wakho wokonakala kwezintso uyanda.
Ukongeza, ezi zinto zonyusa umngcipheko:
- Ukuba noxinzelelo lwegazi oluphezulu
- Ukutshaya
- Ukuba nesifo sezintso kumntu wosapho (umama, utata, abantakwabo noodadewabo)
- Ukuba nesifo sentliziyo
- Ukutyeba kakhulu (ukutyeba kakhulu)
- Ukungazilolongi umzimba
- Ukungalandeli ukutya okufanelekileyo ukulawula isifo seswekile
- Ukongeza ityuwa eninzi (i-sodium) ekutyeni
Ungazikhusela njani izintso? (Ukuthintela)
Eyona nto ibalulekileyo onokuyenza ukukhusela izintso zakho kukulawula isifo sakho seswekile. Oko kukodwa kunokunciphisa umngcipheko wakho wesifo sezintso malunga nesinye kwisithathu. Oko kuthetha ukuba,
- Ukujonga amanqanaba eswekile egazini rhoqo
- Ukusela amayeza kanye njengoko ugqirha emyalele
- Ukulandela ukutya okufanelekileyo
- Ukuya kwiikliniki ngemihla emiselweyo
Kwakhona, ukuba unezinye izifo, ezinje ngoxinzelelo lwegazi oluphezulu, kubalulekile ukuzilawula kakuhle.
Kubaluleke kakhulu ukuba ungasebenzisi amayeza okuphelisa iintlungu athengiswa ngaphandle kwemvume kagqirha wakho. Amanye amayeza okuphelisa iintlungu anokonakalisa izintso zakho ukuba asetyenziswa ixesha elide. Ngoko ke, ukuba uneentlungu, buza ugqirha wakho ukuba loluphi unyango olukhuselekileyo onokulusebenzisa.
Ukuba uyatshaya, yeka namhlanje. Ukuba utyebile kakhulu, yehlisa umzimba. Ugqirha wakho angakunceda kuzo zonke ezi zinto.
Zithini iindlela zonyango?
Ukuba uvavanyo lubonisa ukuba izintso zakho zonakele, injongo yokuqala kagqirha wakho kukuthintela esi sifo ukuba singabi mandundu. Ukuze benze oku, baya kudala isicwangciso sokukunceda ulawule iswekile yakho yegazi kunye noxinzelelo lwegazi.
Kukho izinto ezimbalwa onokuzenza ngale nto:
- Ukuba utyebile kakhulu, yehlisa umzimba.
- Ukuzilolonga rhoqo
- Ukuzikhwebula ngokupheleleyo etywaleni nasecubeni
- Ukunciphisa ukutya ityuwa
Amayeza nawo anokunceda. Amanye amayeza oxinzelelo lwegazi oluphezulu, anjenge -ACE inhibitors kunye nee-ARB, abonakalisiwe ukuba acothisa ukuqhubela phambili kwesifo sezintso. Nokuba awunalo uxinzelelo lwegazi oluphezulu, ugqirha wakho unokukunika la mayeza ukukhusela izintso zakho. Ukongeza, iindidi ezintsha zamayeza eswekile, anje nge -SGLT2 inhibitors , i-GLP-1 agonists, kunye ne -nonsteroidal mineralocorticoid receptor antagonists (MRAs), zinokunceda ukulawula isifo sezintso esibangelwa sisifo seswekile.
Kwakhona, ugqirha wakho unokukucebisa ukuba unciphise inani leproteni oyityayo ukuze unciphise umthwalo kwizintso zakho.
Yintoni Ukusilela Kwezintso?
Ukuba isifo sezintso siqhubeka sifikelela kwinqanaba elibizwa ngokuba kukusilela kwezintso, oko kuthetha ukuba izintso zakho zisebenza nge-10% ukuya kwi-15% yamandla azo aqhelekileyo. Oku kuthetha ukuba izintso azikwazi ukwenza umsebenzi wokucoca nokukhupha ulwelo olufunekayo ukuze umzimba usebenze.
Le meko siyibiza ngokuba yi-End-Stage Renal Disease (ESRD). Aba baguli badinga i-dialysis okanye ukufakelwa izintso ukuze baphile.
Kodwa ungoyiki. Asinguye wonke umntu onesifo sezintso ngenxa yesifo seswekile oza kuba nale meko imbi kangaka. Uninzi lwabantu lunokulawula esi sifo ngonyango olufanelekileyo kunye notshintsho kwindlela yokuphila.
Eyona nto ibalulekileyo kukulawula isifo sakho seswekile kakuhle, ukhathalele impilo yakho, kwaye ulandele iimvavanyo kunye nonyango oluchazwe ngugqirha wakho.
Umyalezo Wokuya Ekhaya
- Isifo seswekile esingalawulwayo singonakalisa izintso zakho ngasese.
- Ekubeni kungekho zimpawu kwizigaba zokuqala, kubalulekile ukuba ungaluphosi uvavanyo lomchamo kunye negazi oluchazwe ngugqirha wakho.
- Eyona ndlela ilungileyo yokukhusela izintso zakho kukugcina iswekile yegazi lakho kunye noxinzelelo lwegazi lulawulwa.
- Qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba usebenzise naliphi na iyeza elitsha, ingakumbi amayeza okudambisa iintlungu.
- Indlela yokuphila esempilweni (ukutya okunempilo, ukuzilolonga, kunye nokuyeka ukutshaya) inokulawula kakhulu ukuqhubela phambili kwesifo sezintso.
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