Ingabe uneprotheyini emchameni wakho uma umi? Ake sifunde nge-Orthostatic Proteinuria!

Uma udokotela ekutshela ukuthi ingane yakho ineprotheni emchameni wayo, ungase uzizwe wesaba kancane, akunjalo? Noma uma ungumuntu osemusha, ungase uzwe into efana nalena wena? Kodwa ungakhathazeki. Namuhla sizokhuluma ngesimo ongase uzwe ngaso ngezinye izikhathi ezinjengalezi, kodwa asiyona ingozi kangako. Lokhu kubizwa ngokuthi i-Orthostatic Proteinuria.

Kuyini i-Orthostatic Proteinuria?

Kalula nje, i-orthostatic proteinuria yilapho uchama umi noma uhleli, kanti izinga leprotheyini emchameni wakho liphakeme kancane. Kodwa-ke, uma uchama ekuseni ngemva kokulala phansi (mhlane noma ngohlangothi) futhi ulale kahle ebusuku, izinga leprotheyini emchameni wakho livamile. Akumangazi lokho? Lokhu kubizwa nangokuthi 'i-postural proteinuria.'

Lesi yisimo esivamile nesingenangozi . Sivame kakhulu ezinganeni ezincane nakubantu abadala abasebasha. Into ebalulekile ukuthi asibangeli izinkinga noma ukulimala ezinso zakho. Ezimweni eziningi, lesi simo sizoba ngcono ngokwaso ngokuhamba kwesikhathi, ngaphandle kokwelashwa.

Kungani umzimba udinga amaprotheni?

Manje ungase uzibuze, 'Kungani sikhuluma kangaka ngale phrotheni? Le phrotheni yenzani emizimbeni yethu?' Iphrotheni ibalulekile ukuze imizimba yethu ihlale iphilile. Bheka ukuthi kwenzekani kule phrotheni:

• Kuyasiza ekwakheni nasekuthuthukiseni amathambo nemisipha yethu.
• Ilawula inani loketshezi egazini lethu.
• Ukulwa nezifo kusho ukusiza amasosha omzimba wethu.
• Uma umzimba ulimele, kuyasiza ukulungisa izicubu.

Ingabe lesi isimo esiyingozi?

Cha, akunjalo nhlobo . I-Orthostatic Proteinuria ayiyona ingozi. Ucwaningo lukhombisile ukuthi lesi simo asiholeli ezifweni zezinso zesikhathi eside, njenge-Chronic Kidney Disease (CKD). Ngakho-ke asikho isizathu sokukhathazeka.

Nakuba kuvame kangaka, empeleni akuvamile . Kuthinta abantu abasha abaphakathi kuka-2% no-5%. Akuvamile kakhulu kubantu abaneminyaka engaphezu kuka-30.

Ziyini izimpawu?

I-Orthostatic proteinuria ayinazo izimpawu ezicacile ongazibona noma ozizwayo. Okuwukuphela kwendlela yokwazi ukuthi unalesi simo ukuthi udokotela ahlole izinga leprotheyini emchameni wakho.

Yini engabangela lokhu?

Odokotela nabacwaningi bezokwelapha abakaqiniseki ukuthi yini ngempela ebangela i-orthostatic proteinuria. Kodwa-ke, bakholelwa ukuthi kungenzeka ukuthi ihlobene nemisebenzi ethile yezinso. Nazi izibonelo ezimbalwa:

• Ukukhubazeka kwe-Glomeruli: Ngaphakathi kwezinso zakho kunemithambo yegazi eminingi emincane ehlunga igazi. Le ibizwa ngokuthi i-glomeruli. Ezinye izifundo zibonise ukuthi cishe kubantu abangu-43% abane-orthostatic proteinuria, izindonga zala ma-glomeruli zijiyile kancane kunokujwayelekile.
• Impendulo engavamile ye-hemodynamic: I-Hemodynamics ibhekisela endleleni igazi eligeleza ngayo emithanjeni yethu yegazi. Uhlelo lwe-Renin-Angiotensin-Aldosterone (RAAS) lomzimba wethu (uhlelo lwama-hormone, amaprotheni, nama-enzyme) lusiza ukulawula ukugeleza kwegazi lethu. Ngakho-ke, izinkinga ngalolu hlelo lwe-RAAS zingabangela impendulo engavamile ekugelezeni kwegazi, okungathinta izinso.
• I-Nutcracker syndrome (noma i-Left Renal Vein Entrapment Syndrome): Odokotela nabacwaningi bacabanga ukuthi uma umi, ingcindezi emthanjeni wakho wezinso wesobunxele ingabangela ukuthi amaprotheni amaningi adlule ku-glomeruli kunalapho ulele phansi. Cabanga ngakho njengepayipi elicindezelwayo.

Abanye ochwepheshe bacabanga ukuthi amandla adonsela phansi nawo angadlala indima. Basola ukuthi ukuma noma ukuhlala isikhathi eside kungabangela ukuthi iphrotheni ethile 'iphume' ezinso.

Ubani othinteka kakhulu yilesi simo?

I-Orthostatic proteinuria ithinta kakhulu intsha . Ivame kakhulu nakubafana. I-Orthostatic proteinuria ayivamile ukubonakala kubantu abadala.

Ingabe zikhona izinkinga?

Cha, odokotela babheka i-orthostatic proteinuria njengesimo esingenabungozi . Ayibeki usongo ezinso zakho, empilweni yakho iyonke, noma empilweni yakho.

Ukubona kanjani lokhu ngqo?

Udokotela uzoqala ngokuthatha umlando wakho wezokwelapha , bese ekwenza ukuhlolwa ngokomzimba. Ngaphezu kwalokho, bazoyala ukuhlolwa okuningana ukusiza ukuqinisekisa ukuxilongwa.

Ungathunyelwa futhi kudokotela wezinso , udokotela ogxile ezifweni zezinso.

Hlobo luni lokuhlolwa okwenziwayo?

Udokotela wakho uzokwenza okungenani izivivinyo ezimbili zokuhlolwa komchamo. Ngesikhathi sokuhlolwa komchamo, uchamela ebhodleleni elikhethekile, kungaba ehhovisi likadokotela noma esibhedlela.

• Ukuhlolwa komchamo kokuqala: Kulokhu, udokotela uzothatha 'isampula yosuku'. Lokhu kuvame ukuba yisampula yomchamo oyiqoqayo ngemva kokulala kahle ebusuku (noma ngabe ulele noma uthambekele ekuguleni) futhi kube yinto yokuqala ekuseni.
• Ukuhlolwa komchamo kwesibili: Lokhu kuhilela ukuthatha 'isampula yasebusuku'. Lesi sampula sithathwa umi noma uhleli usuku lonke, kungaba kusihlwa noma ebusuku.

Manje, uma isampula yomchamo wakho wasebusuku iqukethe amaprotheni amaningi kunesampula yomchamo wakho wasekuseni, udokotela wakho angaqinisekisa ukuthi une-orthostatic proteinuria.

Yiziphi izindlela zokwelapha?

Lezi izindaba ezinhle kakhulu! I-Orthostatic Proteinuria ayidingi ukwelashwa . Akudingeki ushintshe ukudla kwakho noma uyeke ukuzivocavoca.

Kodwa-ke, uma wena noma ingane yakho ninalesi simo, kuwumqondo omuhle ukubheka amazinga akho e-protein. Udokotela wakho angase akuncome ukuthi uhlolwe umchamo kanye ngonyaka ukuze kuqashwe amazinga akho e-protein.

Ingabe lokhu kungavinjelwa?

Cha, i-orthostatic proteinuria ayinakuvinjelwa. Kodwa-ke, njengoba kushiwo ngaphambili, akuyona inkinga eyingozi , ngakho-ke akukho okufanele ukhathazeke ngakho.

Ngakho-ke, uphila kanjani nalesi simo?

Isibikezelo salesi simo sihle kakhulu . Lokhu akulona uphawu lwesifo sezinso esingamahlalakhona noma esinye isifo sezinso. Futhi, awudingi ukwelashwa.

Esikhathini esiningi, i-orthostatic proteinuria iyaphela yodwa njengoba ukhula.

Ingabe kufanele ngibone udokotela?

Nakuba i-orthostatic proteinuria ingadingi ukwelashwa, kwezinye izimo udokotela wakho angase ancome ukuthi uhlolwe umchamo kanye ngonyaka ukuze kuqashwe amazinga akho e-protein.

Ungabuza udokotela imibuzo efana nale:

• Wazi kanjani ukuthi ngine-Orthostatic Proteinuria?
• Ingabe uncoma ukuhlolwa komchamo kanye ngonyaka?
• Ingabe ngidinga ukubona udokotela wezinso, udokotela ogxile ezifweni zezinso?

Khumbula njengesifinyezo

I-Orthostatic proteinuria iyisimo esingenangozi odokotela abavame ukusibona ezinganeni ezincane nakubantu abadala abasebasha.Uhlobo lwe-proteinuria. Kalula nje, lokhu kusho ukuthi izinga le-protein emchameni wakho uma umile liphakeme kunalapho uhleli noma ulele phansi. Lokhu akusho ukuthi kukhona okungahambi kahle ngezinso zakho. Futhi, lesi simo sivame ukuba ngcono ngokwaso njengoba ukhula. Uma wena noma ingane yakho nine-orthostatic proteinuria, kungumqondo omuhle ukubuza udokotela wakho mayelana nokuhlolwa minyaka yonke.

I- Orthostatic Proteinuria, i-Proteinuria, izinso, izingane, intsha, ukuhlolwa komchamo