Ngaba wakha waphawula ukuba umchamo wakho unegwebu kancinci? Okanye ngaba ugqirha wakha wakunika ibhotile encinci waza wakucela ukuba 'uze nesampuli yomchamo'? Oku kuqhelekile kakhulu. Ngokuhlola umchamo ngale ndlela, sinokufumana izinto ezininzi malunga nomzimba wethu. Olunye lovavanyo olubaluleke kakhulu kukujonga ukuba kukho iproteni na kumchamo. Usenokuba ukhe weva ngale nto. Masithethe ngayo yonke into ngokulula nangokunobuhlobo namhlanje.
Okokuqala, masibone, yintoni le vavanyo yeproteni yomchamo?
Ngamafutshane, oku kulinganisa ukuba ingakanani iproteni ekwimchamo wakho. Enyanisweni, sonke sineproteni encinci kakhulu kumchamo wethu. Kuqhelekile, kwaye akukho nto ixhalabisayo ngayo. Kodwa ukuba eli nani liphezulu kakhulu, ngokwezonyango silibiza ngokuba yi-"proteinuria" .
Cinga ngezintso zethu njengesihluzi seti. Umsebenzi wesihluzi kukucoca inkunkuma esegazini size siyikhuphe njengomchamo. Nangona kunjalo, esi sihluzi asihluzi izinto ezibalulekileyo ezifunekayo emzimbeni, njengeeproteni ezisegazini, kodwa sizigcina ngaphakathi emzimbeni. Ukuba ngesizathu esithile iimbobo zesihluzi ezibizwa ngokuba zizintso ziba nkulu okanye ukuba zonakele, iiproteni ekufuneka zigcinwe emzimbeni nazo ziqala ukuhluza ziphume kunye nomchamo. Leyo yimeko ebizwa ngokuba yi-`(proteinuria)`.
Ngoko ke olu vavanyo lusinika umbono wokuba ‘izintso azisebenzi kakuhle.’ Yiyo loo nto olu vavanyo lubaluleke kangaka.
Ziziphi izizathu ezinokucetyiswa ngugqirha ngolu vavanyo?
Zihlala zininzi izizathu zokuba ugqirha wakho angayalela olu vavanyo. Lusenokuba yinxalenye yovavanyo oluqhelekileyo lonyaka, okanye lunokuba ngenxa yemeko ethile yempilo. Makhe sijonge ezona zizathu ziphambili.
| Isizathu sovavanyo | Ingcaciso elula |
|---|---|
| Usulelo lomchamo (UTI) | Ukuba ukrokrela ukuba une-urinary tract infection (UTI), olu vavanyo lunokukunceda ukuqinisekisa oko. |
| Ukuchonga isifo sezintso | Oku kubaluleke kakhulu kubantu abanezifo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu ukuba bazi kwangaphambili ukuba izintso zabo zichaphazelekile na. |
| Ngexesha lokukhulelwa | Olu vavanyo lubalulekile ukuze kufunyanwe iimeko eziyingozi ezifana ne-preeclampsia enokwenzeka koomama abakhulelweyo. |
| Ukulinganisa impumelelo yonyango | Ukuba umntu sele efumana unyango lwesifo sezintso, olu vavanyo lwenziwa ukuze kubonwe ukuba unyango luphumelele na kwaye isifo silawulwa. |
Ngamanye amaxesha ugqirha wakho angakucela ukuba uthabathe isampuli yomchamo kube kanye. Ngamanye amaxesha, angakucela ukuba uqokelele umchamo kangangeeyure ezingama-24. Oku kuya kuxhomekeka kwimeko yakho.
Ngaba kufuneka ulungiselele olu vavanyo?
Olu luvavanyo olulula kakhulu, ngoko ke akukho mfuneko yokulungiselela kakhulu. Ngokwesiqhelo, ukuzila ukutya akufuneki. Nangona kunjalo, ezinye izinto zinokuba nefuthe elincinci kwiziphumo zovavanyo. Ngoko ke kulungile ukuqaphela loo nto.
- Ukuphelelwa ngamanzi emzimbeni: Xa umzimba uphelelwe ngamanzi emzimbeni, ubuninzi bomchamo buyanda kwaye amanqanaba eeproteni anokuba phezulu.
- Usulelo lwendlela yomchamo (UTIs): Iziphumo zinokwahluka ukuba kukho usulelo.
- Ukuzilolonga kakhulu: Ukuba uzilolonga kakhulu ngosuku olungaphambi kovavanyo, amanqanaba eeprotheyini kumchamo wakho anokunyuka okwethutyana.
- Amayeza athile: Amanye amayeza owasebenzisayo anokuchaphazela neziphumo.
- Ezinye iiskeni: Idayi yomahluko esetyenziswa kwezinye iimvavanyo zomfanekiso isenokuchaphazela iziphumo.
Ngoko ke, xa usiya kugqirha wakho, qiniseka ukuba umxelele ngokucacileyo ngayo yonke imithi oyithathayo ngoku (kwaneevithamini) kunye nazo naziphi na ezinye iingxaki zempilo onazo. Emva koko uya kukunika icebiso elifanelekileyo.
Uyenza njani kanye kanye isampuli yomchamo?
Oku kulula kakhulu. Ikliniki okanye isibhedlele siza kukunika ibhotile ecocekileyo (engenazintsholongwane) enesiciko kunye ne-antimicrobial wipe. Emva koko landela la manyathelo.
1. Okokuqala, hlamba izandla zakho kakuhle: Hlamba izandla zakho kakuhle ngesepha.
2. Vula isiciko sebhotile:Vula isiciko ngononophelo ukuze ungachukumisi ngaphakathi.
3. Coca: Coca indawo ejikeleze i-urethra (ukusuka phambili ukuya ngasemva kwabasetyhini) ngelaphu elicocekileyo. Oku kubizwa ngokuba yindlela ethi "clean-catch". Oku kwenzelwa ukuthintela iintsholongwane eluswini lwakho ukuba zingafakwa kwisampuli.
4. Qala ukuchama: Okokuqala, faka umchamo kwindlu yangasese.
5. Bamba umbindi: Ngaphandle kokuthintela ukuhamba komchamo wakho, bamba ibhotile phakathi uze uyizalise ngomlinganiselo ofunekayo (ophawulwe kwibhotile). Oku kubizwa ngokuba yisampuli ethi ``mid-stream```.
6. Hlamba okuseleyo kwindlu yangasese: Nje ukuba ibhotile izele, yikhuphe uze uhlambe umchamo oseleyo endlwini yangasese.
7. Vala isiciko ngokuqinileyo: Vala isiciko sebhotile ngokuqinileyo uze usinike igosa elifanelekileyo.
Ukuba uceliwe ukuba uqokelele isampuli yeeyure ezingama-24, uza kunikwa ibhotile enkulu kunye nemiyalelo. Zonke iisampulu mazigcinwe efrijini zide zibuyiselwe esibhedlele.
Zithini iziphumo zovavanyo?
Ingxelo yakho idla ngokufika kwiintsuku ezimbalwa. Ugqirha uza kuyihlola aze akuchazele.
Ngokwesiqhelo, ubungakanani beprotheyini ekhutshwa kumchamo womntu ophilileyo ngosuku bungaphantsi kwe-150 milligrams (150mg). Nantoni na engaphezulu koko ithathwa njenge-"proteinuria".
Kodwa khumbula, ukuba uneproteni eninzi emchameni wakho akuthethi ukuba yingxaki enkulu. Kunokubakho izizathu zexeshana, ezingengobungozi kangako, kunye nezizathu zokuxhalaba.
Izizathu zexeshana kwaye ezingezizo ezinzulu kangako
| Isizathu | Inkcazo |
|---|---|
| Ukuphelelwa ngamanzi emzimbeni | Xa umzimba uphelelwe ngamanzi emzimbeni, amanqanaba eeprotheyini anokunyuka okwethutyana. |
| Ukuzilolonga kakhulu | Oku kunokwenzeka okwethutyana emva komsebenzi onzima kakhulu. |
| Uxinzelelo lwegazi oluphantsi (iHypotension) | Oku kunokubangela ukwehla koxinzelelo lwegazi okwethutyana. |
| Amatye Ezintso | Amatye ezintso nawo angaba sisizathu soku. |
Iimeko ezinzima ekufuneka zixhalatyelwe
| Imeko yezonyango | Inkcazo |
|---|---|
| Isifo sezintso esingapheliyo | Ukuba iprotheyini iyaqhubeka nokuphuma emchameni, luphawu olukhulu lokuba izintso ziyalimala. |
| Umngcipheko wesifo sentliziyo | Oku kukwathathwa njengomngcipheko wesifo sentliziyo. |
| Izifo zomzimba ezibangelwa kukuzikhusela komzimba | Izifo ezifana ne-lupus okanye i-Goodpasture's syndrome nazo zingonakalisa izintso kwaye zibangele ukuba iiproteni ziphume. |
| Ezinye izifo | Oku kunokwenzeka nakwiimeko zomhlaza ezifana nokusilela kwentliziyo, umhlaza wezintso, kunye ne-multiple myeloma. |
Eyona nto ibalulekileyo: Le ngxelo yovavanyo yodwa ayinakukuxelela ukuba sisifo sini na onaso. Yindlela nje yokubonisa ugqirha. Ke ngoko, eyona nto ibalulekileyo kukungaxhalabi ngexabiso elikwingxelo, kodwa kukuthetha nogqirha ngayo uze ulandele icebiso lakhe.
Ukuba iziphumo aziqhelekanga, kuza kwenzeka ntoni emva koko?
Ukuba amanqanaba akho eeproteni aphezulu, ugqirha wakho uza kuqala akuhlole. Emva koko, banokwenza ezinye iimvavanyo ukuze bafumane unobangela ochanekileyo. Umzekelo:
- Uvavanyo olongezelelekileyo lomchamo
- Uvavanyo lwegazi (jonga ukusebenza kwezintso)
- Ukuhlolwa kwezintso nge-ultrasound
Emva kokwenza konke oku nokufumanisa unobangela ochanekileyo, ugqirha wakho uya kugqiba ukuba loluphi unyango olukufaneleyo.
Ziziphi iimpawu ezifuna ukutyelela ugqirha?
Ukuba ufumanisa enye okanye ngaphezulu kwezi mpawu zilandelayo, okanye ukuba iimpawu zakho ziya zisiba mandundu, qiniseka ukuba wazise ugqirha wakho.
| Iimpawu ekufuneka uziqaphele | |
|---|---|
| Ukudumba (Ukudumba) | Ukudumba, ingakumbi ebusweni, esiswini, emaqatheni, okanye ezinyaweni. |
| Umchamo onogwebu | Umchamo onogwebu njengebhiya xa uchama. |
| Ubunzima bokuphefumla (i-Dyspnea) | Ukuphefumla nzima, ukuziva kunzima ukuphefumla. |
| Ukudinwa okungaqhelekanga | Ukuziva udiniwe kakhulu ngaphandle kwesizathu. |
| Ukuhlanza kunye nesicaphucaphu | Isicaphucaphu nokuhlanza. |
| Ukushukuma kwemisipha | Ukucaphuka okanye ukuqengqeleka kwemilenze, ingakumbi ebusuku. |
| Umnqweno wokutya | Ukulahlekelwa yintliziyo. |
Umyalezo Wokuya Ekhaya
- Ukubakho kweproteni kumchamo (proteinuria) kubonisa ukuba kukho ingxaki kwizintso.
- Olu luvavanyo olulula kakhulu nolungabuhlungu, ngoko ungoyiki ukuba ugqirha wakho ukucela ukuba wenze oku.
- Amanqanaba aphezulu eeprotheyini kumchamo nawo anokubangelwa zizifo zexeshana ezifana nokuphelelwa ngamanzi emzimbeni kunye nokuzilolonga kakhulu, ngoko ke ayisoloko iyimeko embi kakhulu.
- Nokuba iziphumo zovavanyo lwakho zithini na, qiniseka ukuba uxoxa nogqirha wakho ngaphambi kokuba wenze naziphi na izigqibo ngokwakho.
- Ukuba uneempawu ezifana nokudumba kobuso okanye imilenze, okanye umchamo onamagwebu, musa ukuzityeshela. Funa ingcebiso kagqirha ngokukhawuleza.
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