Izinso zingenye yezitho ezibaluleke kakhulu emzimbeni wethu. Njengesihlungi samanzi, umsebenzi oyinhloko wezinso ukuhlunga imfucuza egazini lethu bese uyikhipha njengomchamo . Kodwa ngezinye izikhathi lolu hlelo lokuhlunga olubucayi lungonakala. Namuhla, sizokhuluma ngesimo esiyinkimbinkimbi kancane esithinta izinso, kodwa okufanele sonke siqaphele. Leso yi- IgA Nephropathy .
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Iyini ngempela i-IgA Nephropathy?
Kalula nje, i-IgA Nephropathy yisimo lapho ingxenye yesimiso sethu somzimba sokuzivikela ilimala khona izinso.
Cabanga ngale ndlela. I-Immunoglobulin A, noma i-IgA ngamafuphi, uhlobo lweprotheni eyenziwa amasosha omzimba wethu ukulwa namagciwane emizimbeni yethu. Ngokuvamile, le phrotheni ye-IgA iyasisiza. Kodwa emzimbeni womuntu one-IgA Nephropathy, la maprotheni e-IgA ayahlangana futhi akhe amaqoqo amancane. Ngokwezokwelapha, siwabiza ngokuthi "ama-immune complexes".
Lezi zinhlayiya zamaprotheni zihamba negazi futhi zibhajwe ezihlungini ezincane ezinso, ezibizwa ngokuthi i-glomeruli. Lezi zinhlayiya yilapho igazi lethu lihlanzwa khona ngempela. Ngakho-ke lapho lezo zinhlayiya zamaprotheni e-IgA zibhajwe kulezi zihlungi, ukuvuvukala kwenzeka kulezo zindawo, futhi kancane kancane lezo zihlungi ezibucayi ziqala ukonakala. Ngenxa yalo monakalo, izinso azikwazi ukuhlunga igazi kahle. Yilokho esikubiza ngokuthi i-IgA Nephropathy.
Ziyini izimpawu zalesi sifo?
Esinye sezici ze-IgA Nephropathy ukuthi ngezinye izikhathi ingahlala ifihliwe emzimbeni iminyaka eminingi ngaphandle kokubonisa izimpawu . Kodwa-ke, njengoba lesi sifo siqhubeka, izimpawu ezilandelayo zingavela:
| Isibonakaliso | Indlela ozizwa noma obona ngayo |
|---|---|
| Igazi emchameni (i-Hematuria) | Umchamo wakho ungase ubonakale upinki, ubomvu, noma unombala we-cola. Ngezinye izikhathi lokhu akubonakali emehlweni futhi kungatholakala kuphela ngokuhlolwa komchamo. |
| I-Proteinuria (iphrotheni emchameni) | Uma kubonakala sengathi wenza igwebu eliningi kunokujwayelekile uma uchama, kungenzeka ukuthi ukhipha iphrotheni nomchamo. |
| Ukuvuvukala kwezandla, izinyawo nobuso (i-Edema) | Uma izinso zingakwazi ukuhlunga nokukhipha amanzi kahle, lawo manzi ayaqoqana emzimbeni futhi abangele ukuvuvukala ezandleni, ezinyaweni, emaqakaleni nasebusweni. |
| Umfutho Wegazi Ophakeme | Uma izinso zonakele, kungathinta indlela ezilawula ngayo umfutho wegazi, okubangela umfutho wegazi ophakeme. Kwabanye abantu, lesi yisibonakaliso sokuqala abasibonayo. |
Kungani lokhu kwenzeka? Iyini imbangela?
Eqinisweni, asikho isizathu esiqondile sokuthi kungani amasosha omzimba eziphatha ngale ndlela futhi amaprotheni e-IgA aqala ukuqongelela ezinso. Kodwa kunezinto ezimbalwa odokotela abazikholelwayo:
- Ithonya lezakhi zofuzo : Lesi sifo singangena emindenini ngezinga elithile. Lokhu kusho ukuthi uma othile emndenini wakho enalesi sifo, nawe ungaba sengozini yokuba naso.
- Izici Zemvelo: Kukholelwa ukuthi izifo ezithile, njengokutheleleka komphimbo noma izifo zamathumbu, zingase zibhebhethekise lesi simo noma zibangele ukuthi sivele kwasekuqaleni.
Ingabe lesi sifo siyingozi? Yiziphi izinkinga ezingaba khona?
I-IgA Nephropathy isifo sezinso esingamahlalakhona . Lokhu kusho ukuthi sikhula kancane ngokuhamba kwesikhathi (ngezinye izikhathi iminyaka eyi-10-20). Akuwona wonke umuntu othola isifo sezinso esibi kakhulu. Kodwa-ke, kwabanye abantu, ukulimala kwezinso kuyanda kancane kancane futhi ekugcineni kungaholela esifweni sezinso esisesigabeni sokugcina .
Njengoba lesi yisifo esikhula kancane kancane, ukutholakala kusenesikhathi kanye nokwelashwa okufanele kungasiza kakhulu ekuvimbeleni izinkinga ezinkulu.
Uma izinso zihluleka ngokuphelele, kuzodingeka ukuthi uhlolwe i-dialysis noma ukufakelwa izinso ukuze usinde. Ngakho-ke, lesi sifo akuyona into okufanele ithathwe kalula.
Iphathwa kanjani?
Into yokuqala okudingeka siyiqonde ukuthi izihlungi (i-glomeruli) ezinso ezilimele yilesi sifo azikwazi ukulungiswa . Ngakho-ke, umgomo oyinhloko wokwelashwa ukwehlisa ijubane lokuqhubeka kwesifo nokulawula noma yiziphi izinkinga ezingase zivele.
Udokotela wakho angase ancome ukwelashwa okulandelayo okukodwa noma ngaphezulu ngokusekelwe esimweni sakho.
Izinguquko Zendlela Yokuphila
- Ukulawula umfutho wegazi ophakeme : Lena yinto ebaluleke kakhulu. Uma umfutho wegazi uphakeme, umonakalo wezinso uba mkhulu. Ngakho-ke, kubalulekile ukulawula umfutho wegazi ngokusebenzisa imithi enqunywe udokotela ngqo.
- Ukudla: Kuye ngeseluleko sikadokotela wakho, ungase ucelwe ukuthi unciphise inani lamaprotheni ekudleni kwakho. Ukunciphisa usawoti nakho kuhle kakhulu ekucindezelekeni kwegazi.
- Ukulawula isisindo: Ukukhuluphala ngokweqile kungandisa ukukhishwa kwamaprotheni ezinso (i-proteinuria) futhi kwandise ukulimala kwezinso. Ngakho-ke, kubaluleke kakhulu ukunciphisa isisindo.
- Gwema ukubhema: Ukubhema kulimaza ngqo imithambo yegazi ethambile ezinso. Ngakho-ke, uma ubhema, kubalulekile ukuyeka ngokuphelele.
Imithi
Ngaphezu kokushintsha indlela yokuphila, udokotela angase anikeze imithi ehlukahlukene kuye ngokuthi isifo sibucayi kangakanani.
- Imithi yokucindezela kwegazi.
- Imithi efana nama-steroid inciphisa ukuvuvukala kanye nomonakalo ezinso.
- Imithi yokucindezela amasosha omzimba elawula ukusebenza kwesimiso somzimba sokuzivikela.
- Muva nje kwethulwe imithi 'ye-biologic'.
Konke lokhu kunqunywa udokotela wakho. Ngakho-ke qiniseka ukuthi ukhuluma nodokotela wakho futhi ulandela imiyalelo yakhe ngqo. Uma unezimpawu noma ungabaza ngalokhu, funa iseluleko sezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-IgA Nephropathy yisifo esingamahlalakhona lapho amasosha omzimba wethu elimaza khona izinso.
- Izimpawu eziyinhloko zifaka phakathi ukushintsha kombala womchamo (obomvu/onsundu), umchamo onegwebu, ukuvuvukala kwamalungu omzimba, kanye nomfutho wegazi ophezulu.
- Umonakalo owenziwe ezinso yilesi sifo awunakuguqulwa. Ukwelashwa kulawula kuphela ukuqhubeka kwesifo.
- Ukulawula umfutho wegazi, ukudla ukudla okunempilo, ukulawula isisindo, nokugwema ukubhema kubalulekile ekulawuleni lesi sifo.
- Uma unezinye zalezi zimpawu noma ungabaza ngazo, ungazinaki. Bona udokotela wakho ngokushesha okukhulu ukuze uthole iseluleko.
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