Ingabe uzwa ukuvuvukala okungazelelwe emzimbeni wakho, ikakhulukazi imilenze yakho, amaqakala, izandla, noma ubuso? Noma ingabe ubona igwebu eliningi emchameni wakho kunokujwayelekile? Lokhu kungaba ngezinye izikhathi izimpawu zenkinga ngesinye sezitho ezibaluleke kakhulu emzimbeni wethu, izinso. Namuhla sizokhuluma ngesimo esithinta izinso, esingavamile kakhulu, kodwa okubaluleke kakhulu ukwazi ngaso. Lokhu kubizwa ngokuthi i-Glomerulosclerosis.
Kalula nje, iyini i-Glomerulosclerosis?
Izinso zethu zifana nezihlungi ezimbili ezinkulu. Zihlunga imfucuza egazini lethu bese ziyikhipha emzimbeni njengomchamo. Le nqubo yokuhlunga yenzeka kunethiwekhi yemithambo yegazi emincane
kakhulu ngaphakathi kwezinso. Lezi yizinto esizibiza ngokuthi 'i-Glomeruli'.
I-Glomerulosclerosis yisimo lapho lawo manethiwekhi amancane okuhlunga igazi
eba nezibazi noma ajiyile. Njengoba nje kwakheka isibazi lapho isikhumba sethu silimele, lapho la manethiwekhi okuhlunga igazi onakele, aba nezibazi. Uma lokhu kwenzeka, lawo manethiwekhi awakwazi ukusebenza kahle.
Ngenxa yalokho, amaprotheni abalulekile okufanele abe segazini lethu aqala ukuvuza ngesihlungi bese ephuma emchameni . Kwezokwelapha, lesi simo sibizwa ngokuthi ' i-Proteinuria' .
Lesi simo singathinta izingane, abantu abadala, nanoma ubani. Kodwa-ke, sivame kakhulu kwabesilisa.
Yini engabangela lesi simo?
Kunezimo lapho kungekho mbangela ethile ye-glomerulosclerosis. Kodwa isikhathi esiningi, ibangelwa ezinye izimo zezokwelapha noma izici. Imbangela eyinhloko yisimo esibizwa ngokuthi i-'FSGS' (Focal Segmental Glomerulosclerosis). Lokhu kusho ukuthi akuzona zonke izicubu zokuhlunga ezinso ezilimele, kodwa izindawo ezithile kuphela (Focal). Futhi lapho kwenzeka lowo monakalo, yingxenye kuphela (Segmental) yezicubu eyonakele, hhayi yonke izicubu. Nazi ezinye izimbangela ezingathinta lesi simo se-'FSGS' kanye ne-Glomerulosclerosis ngokujwayelekile:
- Isifo Sikashukela : Isifo sikashukela esingalawulwa siyingozi enkulu yokulimala kwezinso.
- Ukukhuluphala ngokweqile : Isisindo somzimba esiningi sibeka ingcindezi eyengeziwe ezinso.
- Ukutheleleka nge-HIV :Leli gciwane lingalimaza ngqo amangqamuzana ezinso.
- Izifo ezihlasela amasosha omzimba njenge-lupus: Kulezi, amasosha omzimba ahlasela izinso.
- Isifo se-Sickle cell: Lesi futhi yisifo sofuzo esingalimaza izinso.
- I-Reflux nephropathy: Kulesi simo, umchamo ubuyela emuva usuka kwesinye uye ezinso, onakalise izinso.
- I-Glomerulonephritis: Okwenzekayo lapha ukuthi amanethiwekhi okuhlunga igazi (i-Glomeruli) esikhulume ngawo ekuqaleni ayavuvukala, okusho ukuthi, ayavuvukala.
- Imithi ethile namakhemikhali: Imithi ethile namakhemikhali ayingozi ezinso nawo angabangela lokhu.
Ziyini izimpawu zalokhu?
Ezigabeni zokuqala zalesi sifo, kungase
kungabi khona zimpawu ezisobala . Yilokho okuyingozi kakhulu ngakho. Kodwa ngokuhamba kwesikhathi, izimpawu ezithile ziqala ukuvela. Kubaluleke kakhulu ukuqaphela lezi zimpawu.
| Isibonakaliso | Kuchazwe kalula |
|---|
| Ukuvuvukala | Amanzi ayanqwabelana emzimbeni ngoba izinso aziwuhlungi kahle. Ungase uqaphele ukuvuvukala, ikakhulukazi emilenzeni, emaqakaleni, ezandleni, esiswini, nasemaceleni kwamehlo . Lokhu kuvuvukala ngokuvamile akubuhlungu. |
| Izinguquko emchameni | Umchamo onegwebu noma onamagwebu uvela ngenxa yokukhishwa kwephrotheni emchameni. |
| Umfutho Wegazi Ophakeme | Uma izinso zonakele, umfutho wegazi uyakhuphuka. Ngezinye izikhathi, lo mfutho wegazi uba nzima ukuwulawula ngemithi. |
| I-Cholesterol Ephezulu | Uma izinga lamaprotheni egazini lehla, isibindi sikhiqiza i-cholesterol eyengeziwe. Lokhu kubangela ukuthi izinga le-cholesterol egazini likhuphuke. |
Ngokuvamile, lesi sifo sitholakala ngesikhathi sokuhlolwa okuvamile kwezokwelapha ngesinye isizathu. Ukuhlolwa komchamo kungase kwembule amazinga aphezulu eprotheyini (i-Proteinuria) noma ukuhlolwa kwegazi kungase kwembule amazinga aphansi eprotheyini (i-Hypoproteinemia).
Uyithola kanjani ngokunembile lesi sifo?
Njengoba izimpawu ezishiwo ngenhla zingabonakala nakwezinye izifo, okuwukuphela kwendlela engcono kakhulu yokuqinisekisa lesi simo ukwenza
i-biopsy yezinso .
Iyini le Biopsy Yezinso?
Ungakhathazeki. Lokhu kuhilela ukuthatha ingxenye encane
kakhulu yezicubu ezinso lakho usebenzisa ithuluzi elincane kakhulu elifana nenaliti. Ngemuva kwalokho, izicubu zihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi zikhona yini izibazi ezishiwo ngenhla.
Ngezinye izikhathi kungadingeka i-biopsy engaphezu kweyodwa. Ngenxa yokuthi lokhu kushaqeka akufani kuyo yonke inso, udokotela kungadingeka athathe amasampula ezindaweni eziningana aze athole indawo emonakalweni.
Ngaphezu kwalokho, udokotela wakho angase futhi ancome ukuhlolwa okulandelayo:
- Ukuhlolwa kwe-Glomerular Filtration Rate (GFR): Lokhu kulinganisa ukuthi izinso zakho zisebenza kahle kangakanani.
- Ukuskena kwe-Ultrasound yezinso: Hlola usayizi, ukuma, kanye nokuba khona kwanoma yikuphi ukukhubazeka ezinso.
- Ukuhlolwa kofuzo: Kwezinye izimo ezingavamile, ukuze kubonakale ukuthi kukhona yini imbangela yofuzo.
Yiziphi izindlela zokwelapha lokhu?
Ngeshwa,
ayikho ikhambi le-glomerulosclerosis. Akukho nemithi ethile evunyelwe yona.
Kodwa ungakhathazeki! Kunezindlela eziningi zokwelapha ezingasiza ekulawuleni ukuqhubeka kwesifo, ukuphatha izimpawu, nokuphila impilo evamile. Umgomo oyinhloko wokwelashwa ukuvimba lesi sifo ukuthi singaqhubeki nokuvimbela ukwehluleka kwezinso. Ukwelashwa kuvame ukufaka:
- Imithi yokucindezeleka kwegazi: Imithi efana ne-ACE inhibitors kanye ne-ARB ayigcini nje ngokulawula ukucindezeleka kwegazi, kodwa futhi isiza ekunciphiseni ukulahleka kwamaprotheni emchameni.
- Imithi yokucindezela amasosha omzimba: Ama-steroid afana ne-Prednisolone neminye imithi asiza ukulawula umsebenzi wesimiso somzimba sokuzivikela, ukunciphisa ukuphuma kwamaprotheni, nokuthuthukisa ukusebenza kwezinso.
- Imithi yokulawula i-cholesterol (ama-Statins): Lawula amazinga aphezulu e-cholesterol.
- Imithi yokuhlanza: Susa amanzi amaningi nosawoti emzimbeni bese unciphisa ukuvuvukala.
- Ama-anticoagulant.
- Izinguquko endleleni yokuphila: Ukudla ukudla okunosawoti omncane , ukuzivocavoca, kanye nokudla amavithamini kubaluleke kakhulu.
Into ebaluleke kakhulu ukuthi uma lesi simo sibangelwa esinye isifo, njengesifo sikashukela noma ukukhuluphala ngokweqile, lesi sifo esiyisisekelo kufanele selashwe ngendlela efanele. Kubalulekile futhi ukuqapha isimo sezinso ngokuhlola igazi nomchamo njalo.
Naphezu kwazo zonke izindlela zokwelapha, kwezinye izimo lesi sifo singaqhubekela ekuhlulekeni kwezinso. Kuleso simo, kungadingeka i-dialysis noma ukufakelwa izinso.
Umlayezo Wokuya Nawe Ekhaya
- I-Glomerulosclerosis yisimo lapho amapayipi amancane okuhlunga igazi ezinso elimele khona, okubangela ukuba izinso ziyeke ukusebenza kahle.
- Qaphela izimpawu ezifana nokuvuvukala komzimba, ikakhulukazi imilenze nobuso, umchamo onegwebu, kanye nomfutho wegazi ophakeme.
- Uma unalezi zimpawu, bona udokotela wakho ngokushesha ukuze uthole iseluleko.
- Kudingeka i-biopsy yezinso ukuqinisekisa ukuxilongwa okunembile.
- Nakuba kungelapheki ngokuphelele, kunezindlela zokwelapha ezisebenzayo zokulawula ukuqhubeka kwesifo nokuphatha izimpawu. Kubaluleke kakhulu ukuqala ukwelashwa kusenesikhathi.
I-Glomerulosclerosis IsiSinhala, isifo sezinso, izibazi zezinso, iphrotheni emchameni, i-proteinuria IsiSinhala, ukuvuvukala kwemilenze, i-biopsy yezinso
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