Ingabe unesifo sikashukela? Noma ingabe othile emndenini wakho noma umngane wakho oseduze unesifo sikashukela? Khona-ke le ndaba izoba yinto ebaluleke kakhulu kuwe. Uma sivame ukucabanga ngesifo sikashukela, sicabanga kuphela ngokulawula ushukela wegazi. Kodwa ingabe siyaqaphela ngempela umonakalo isifo sikashukela esingawubangela kwesinye isitho esibaluleke kakhulu emzimbeni wethu, izinso zethu? Yilokho esikhuluma ngakho namuhla.
Kuyini i-diabetesic nephropathy?
Kalula nje, i-diabetic nephropathy iwukulahlekelwa kancane kancane kokusebenza kwezinso okubangelwa yisifo sikashukela ngokuhamba kwesikhathi. Eqinisweni, isifo sikashukela siyimbangela ehamba phambili yokwehluleka kwezinso emhlabeni jikelele. Cishe umuntu oyedwa kwabathathu onesifo sikashukela uzoba nalesi simo.
Uma umuntu onesifo sikashukela eba nesifo sezinso, isimo singaba nzima kakhulu kunokuba uma enesifo sezinso kuphela ngaphandle kwesifo sikashukela. Lokhu kungenxa yokuthi abantu abanesifo sikashukela bavame ukuba nezinye izinkinga zempilo, njengomfutho wegazi ophakeme, i-cholesterol ephezulu, kanye ne-atherosclerosis . Uma zonke lezi zinto zihlanganiswa, umonakalo wezinso ungaba mkhulu nakakhulu.
Lesi simo siyahlukahluka kancane kuye ngohlobo lwesifo sikashukela.
- Kusifo sikashukela sohlobo 1: Ukulimala kwezinso akuvamile eminyakeni eyi-10 yokuqala ngemva kokuxilongwa.
- Ku-Type 2 Diabetes: Kwabanye iziguli, ngisho noma udokotela ethi, "Unesifo sikashukela," izinso zabo kungenzeka ukuthi seziqalile ukonakala ngezinga elithile. Yingakho abantu abanesifo sikashukela sohlobo lwesibili kudingeka baqaphele kakhulu ngalokhu.
Ziyini izimpawu zalesi simo?
Into eyingozi kakhulu ngalokhu ukuthi azikho izimpawu ezigabeni zokuqala. Ungase ungaboni noma yiziphi izinguquko kuze kube yilapho sekwenzeke umonakalo omkhulu ezinso zakho. Kodwa njengoba izinso zakho ziqala ukungasebenzi kahle, kungase kuvele izimpawu ezilandelayo:
Cabanga nje, umama wakho unesifo sikashukela. Akakwazi ukwenza izinto ayezenza, uhlala ethi ukhathele. Lapho evuka ekuseni, imilenze nobuso bakhe kuvuvukele kancane. Sicabanga ukuthi kuyinto eyenzeka ngokuguga, noma into eyenzeka ngokukhathala. Kodwa lokhu kungaba izimpawu zokuqala zenkinga yezinso.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuvuvukala kwezandla, izinyawo, nobuso | Lokhu kwenzeka ngoba izinso ziyahluleka ukukhipha uketshezi oluthe xaxa emzimbeni. |
| Ubunzima bokulala kanye nokuncipha kokunaka | Ukuqongelela kwemfucuza egazini kungathinta ukusebenza kobuchopho. |
| Ukulahlekelwa yisifiso sokudla kanye nesicanucanu | Kuwuphawu oluvamile olubangelwa ukuqongelela kobuthi emzimbeni. |
| Ubuthakathaka nokukhathala okukhulu | Ukwehla kwama-hormone akhiqizwa yizinso kungabangela i-anemia (ukuntuleka kwegazi). |
| Isikhumba esomile kanye nokulunywa ngokweqile | Lokhu kungabonakala ezigabeni zokugcina zokwehluleka kwezinso (isifo sezinso sesigaba sokugcina). |
| Ukuphazamiseka kwenhliziyo | Amazinga e-potassium akhuphukile egazini athinta ukusebenza kwenhliziyo. |
| Ukuqhaqhazela kwemisipha | Kungabangelwa ukungalingani kwe-calcium ne-phosphorus emzimbeni. |
Njengoba umonakalo wezinso ukhula, azikwazi ukuhlunga imfucuza egazini. Le mfucuza inganqwabelana emzimbeni bese iba yingozi. Lokhu kubizwa ngokuthi i-uremia . Uma lesi simo siba sibi kakhulu, singaholela ekudidekeni ngisho nasekufeni.
Ungasithola kanjani lesi sifo?
Into ebaluleke kakhulu ukuqaphela lesi simo kusenesikhathi. Uma wenza kanjalo, ungalawula noma ubambezele ukuqhubeka kwalesi simo kuze kube ukwehluleka kwezinso okuphelele.
Indlela eyinhloko nelula yokuxilonga lokhu ukuhlolwa komchamo. Amaprotheni emchameniLesi simo singatholakala kusenesikhathi ngokuhlola i-microalbuminuria (Umchamo we-Microalbuminuria). Yingakho kubalulekile ukuthi umuntu onesifo sikashukela ahlolwe umchamo okungenani kanye ngonyaka.
Ngaphezu kwalokho, ukuhlolwa kwegazi okuhlola amazinga amakhemikhali egazini, njenge-creatinine, kunganikeza udokotela wakho umbono omuhle ngomonakalo wezinso zakho nokuthi zisebenza kahle kangakanani (i-eGFR).
Yiziphi izindlela zokwelapha?
Uma kukhulunywa ngokwelashwa, izinguquko zendlela yokuphila ziyinto yokuqala. Ukulawula ushukela wegazi lakho kanye nomfutho wegazi kuyindlela engcono kakhulu yokuvimbela ukulimala kwezinso okuqhubekayo.
Ngaphezu kwalokho, kunemithi ekhethekile engasiza ekulawuleni nasekulibaziseni ukulimala kwezinso.
- Izithibi ze-SGLT2: Lezi uhlobo lwemithi esiza ukulawula ushukela egazini futhi ivikele izinso. Izibonelo zifaka phakathi i-dapagliflozin (Farxiga) kanye ne-empagliflozin (Jardiance).
- Ama-ACE inhibitors (ama-Angiotensin-converting enzyme inhibitors): Lawa avame ukunqunyelwa umfutho wegazi ophakeme. Kodwa-ke, anqunyelwa futhi ukuvimbela ukulimala kwezinso kubantu abanesifo sikashukela. Ngisho noma umfutho wegazi wakho ujwayelekile, udokotela wakho angase akuqalise ngale mithi ukuvikela izinso zakho. Izibonelo: i-ramipril (Altace), i-lisinopril (Prinivil).
- Ama-ARB (ama-Angiotensin II receptor blockers): Uma ama-ACE inhibitors ebanga imiphumela emibi njengokukhwehlela, lolu hlobo lwemithi (ama-ARB) lunganikezwa esikhundleni salokho.
Kubaluleke kakhulu: Udokotela wakho kuphela ongakunikeza le mithi. Ungayisebenzisi ngokusekelwe kulokho okufundile ku-inthanethi noma lokho okunconywa umngane. Udokotela wakho uzokuxilonga bese ekukunikeza imithi efanele kanye nesilinganiso esifanele isimo sakho.
Uma zingelashwa, izinso zizohluleka kancane kancane, inani lamaprotheni emchameni lizokhula, futhi ekugcineni kungase kudingeke ukuthi kukhishwe i-dialysis noma kufakwe izinso. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela siyimbangela ehamba phambili yesifo sezinso.
- Njengoba ngokuvamile kungekho zimpawu ezigabeni zokuqala, kubalulekile ukwenza ukuhlolwa komchamo minyaka yonke (Umchamo we-Microalbumin) uma unesifo sikashukela.
- Ukulimala kwezinso kungalawulwa ngokulawula umfutho wegazi kanye namazinga kashukela egazini kahle kakhulu.
- Uma uzwa izimpawu ezifana nokuvuvukala kwezandla, izinyawo, noma ubuso, ukukhathala okukhulu, noma ukulahlekelwa yisifiso sokudla, ungazinaki futhi ubone udokotela wakho ngokushesha.
- Kubaluleke kakhulu ukuphuza imithi oyinikezwe ngudokotela, ikakhulukazi leyo yesifo sikashukela, umfutho wegazi ophakeme, kanye nesifo sezinso, ngendlela efanele nangesikhathi.
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