Ingabe unayo iphrotheni emchameni wakho? (I-Proteinuria) Ake sithole ukuthi iyini ngempela le phrotheni!

Uke waphawula ukuthi umchamo wakho unegwebu futhi unama-bubble amaningi kunokujwayelekile uma uya endlini yangasese muva nje? Kungenzeka ukuthi awuzange ukunake kakhulu. Kodwa-ke, lokhu kungaba uphawu lokuqala lwenkinga ngezinso zethu. Namuhla sikhuluma ngesihloko esibalulekile kubantu abaningi, kodwa esingaziwa kahle. Leso ukukhishwa kweprotheyini ngomchamo, isimo esisibiza ngokuthi 'i-proteinuria' ngokwezokwelapha.

Kalula nje, kusho ukuthini ukuba neprotheni emchameni wakho?

Cabanga ngezinso zethu njengesihlungi esihle kakhulu esihlunga amaqabunga etiye. Njengoba igazi lethu lidlula kulesi sihlungi, lihlunga imfucuza engadingeki ngumzimba bese liyikhipha njengomchamo. Kodwa-ke, izinto ezibalulekile, njengeprotheni (ikakhulukazi i-albumin), zigcinwa egazini esikhundleni sokuhlungwa.

Kodwa, kwenzekani uma ngesizathu esithile izikhala ezisesihlungini esincane kulezi zinso zikhula noma zonakala? Bese kuthi, amaprotheni abalulekile umzimba owadingayo ukuze uwagcine aqale ukuphuma ngalezo zikhala bese ephuma nomchamo. Yilokho esikubiza ngokuthi 'i-Proteinuria'.

Ingabe konke ukulahleka kwamaprotheni kuyingozi kakhulu? Ake sibheke izinhlobo zako

Cha. Amaprotheni emchameni akuyona into okufanele ukhathazeke ngayo ngaso sonke isikhathi. Ngezinye izikhathi angaba okwesikhashana, futhi angabangelwa yinto engathí sina kangako. Ake siwahlukanise abe izinhlobo ezintathu eziyinhloko.

Ngingazi kanjani ukuthi nginalesi simo? Izimpawu

Esikhathini esiningi, uma inani leprotheyini olitholayo emchameni wakho lincane, ungase ungabi nazo izimpawu. Kodwa uma udlula iprotheyini eningi kakhulu, okusho ukuthi kukhona umonakalo othile ezinso zakho, ungase ube nalezi zimpawu.

• Umchamo onegwebu noma onamagwebu: Lesi yisibonakaliso sokuqala abantu abaningi abasiqaphelayo. Uma umchamo wakho unegwebu kakhulu kunokuvamile, khathazeka.
• Ukuvuvukala: Ukuvuvukala, ikakhulukazi ezinyaweni, emaqakaleni, ezandleni, noma ebusweni . Lokhu kungenxa yokuthi amaprotheni egazini asiza ukugcina uketshezi emithanjeni yegazi. Lapho amaprotheni elahleka, lolu ketshezi luvuza ezicutshini ezizungezile, okubangela ukuvuvukala.
• Amehlo avuvukele uma uvuka ekuseni: Lokhu futhi kuyisibonakaliso esibaluleke kakhulu.
• Ukukhathala nokukhathala: Isimo esibangelwa ukwehla kweprotheni egazini kanye nokwehla kokusebenza kwezinso.
• Isicanucanu nokuhlanza.
• Ukudla akunambitheki.
• Ukugoqa izigaxa zenyama emilenzeni ebusuku.

Kungani lokhu kwenzeka? Izimbangela eziyinhloko ze-proteinuria

Amaprotheni emchameni angabangelwa yizimbangela zesikhashana kanye nezimo zezempilo ezingathi sína zesikhathi eside.

Izizathu ezivame kakhulu

• Isifo Sikashukela: Isifo sikashukela esingalawulwa yisona esibangela isifo sezinso ezweni lethu. Uma amazinga kashukela egazini ephezulu ngokuhamba kwesikhathi, konakalisa uhlelo lokuhlunga olubucayi lwezinso.
• Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Lesi esinye isitha esikhulu esilimaza izinso, kanye nesifo sikashukela. Umfutho wegazi ophezulu wonakalisa imithambo yegazi ezinso futhi ubangele ukuthi amaprotheni aphume.
• Izimo zokuvuvukala ezinso (i-Glomerulonephritis): Lokhu kwenzeka lapho inkinga ngesimiso somzimba sokuzivikela komzimba ihlasela futhi yonakalise amayunithi okuhlunga ezinso.
• Ukutheleleka kwezinso.
• Amatshe ezinso.

Ezinye izizathu

• Ezinye izifo ezibangelwa ukuzivikela komzimba: Isibonelo, i-lupus.
• Ezinye izinhlobo zomdlavuza: isibonelo `I-Multiple Myeloma`.
• Umfutho wegazi ophezulu ngesikhathi sokukhulelwa (i-Preeclampsia): Uma umama okhulelwe eba nalesi simo, kudingeka ukwelashwa ngokushesha.
• Ukwehluleka kwenhliziyo okubangelwa ukuminyana.
• Ukusetshenziswa isikhathi eside kwemithi ethile: ikakhulukazi eminye imithi yokubulala izinhlungu.
• Ubuthi: Isibonelo, izinsimbi ezisindayo.

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela, uzokubuza ngezimpawu zakho bese ekuxilonga. Ngemuva kwalokho, bangase bakucele ukuhlolwa okufana nalokhu ukuqinisekisa isimo se-'Proteinuria' nokuthola imbangela.

1. Ukuhlolwa Komchamo: Lolu ukuhlolwa okuyisisekelo nokulula kakhulu. Kufakwa umucu omncane (i-dipstick) esampula yomchamo owunikezayo bese kuhlolwa iphrotheni. Ngaphezu kwalokho, umchamo uhlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi zikhona yini ezinye izinhlobo zamaseli noma amaphrotheni.

2. Ukuhlolwa kokuqoqwa komchamo kwamahora angama-24: Lokhu kuhilela ukuqoqa wonke umchamo owukhiphayo usuku lonke kanye nokukala inani eliphelele lamaprotheni akuwo. Lokhu kuzokunikeza umbono wokuthi ukhipha amaprotheni angakanani ngosuku.

3. Ukuhlolwa kwegazi: Lokhu kuhlola ukusebenza kwezinso (isib. izinga le-creatinine) kanye namazinga e-protein egazini.

4. Ukuskena: Kungenziwa i-ultrasound noma i-CT scan ukuhlola ukuma, usayizi, kanye nezinye izinkinga zezinso.

5. Ukuhlolwa Kwezinso: Lokhu akuyona into engenziwa yiwo wonke umuntu. Uma unezinga eliphezulu lamaprotheni emchameni wakho, noma uma kunzima ukuthola imbangela yalesi sifo, udokotela wakho angancoma lokhu kuhlolwa. Lokhu kuhilela ukuthatha ingxenye encane yezicubu ezinso lakho usebenzisa inalithi encane kakhulu ebangela ukungazwani bese uyihlola ngaphansi kwe-microscope.

Yiziphi izindlela zokwelapha lokhu?

Into ebaluleke kakhulu okudingeka siyiqonde lapha ukuthi aselapha iphrotheni esemchameni, kodwa yisimo sezempilo esibangela lokhu.

• Uma imbangela kuyisifo sikashukela noma umfutho wegazi ophakeme , lezo zimo zidinga ukulawulwa kahle. Kubalulekile ukuthatha imithi oyinikezwe udokotela ngesikhathi, ukulawula ukudla kwakho, kanye nokuzivocavoca umzimba.
• Uma imbangela kuyisimo sokuvuvukala kwezinso (i-Glomerulonephritis), imithi elawula amasosha omzimba inganikezwa.
• Izinguquko zendlela yokuphila: Uma ubhema, uyeka ukudla, unciphisa usawoti nokudla okunamafutha, kanye nokulawula isisindo sakho kubaluleke kakhulu.
• Uma ukusebenza kwezinso kuphazamiseka kakhulu, kungadingeka ukuthi kukhishwe i-dialysis noma kufakwe ukufakelwa kwezinso.

Ingabe ukuphuza amanzi amaningi kunciphisa ukulahleka kwamaprotheni?

Lona umbuzo abantu abaningi abawubuzayo. Cha. Ukuphuza amanzi amaningi kunciphisa umchamo wakho kuphela. Lokhu kusho ukuthi ukuhlushwa kwamaprotheni ekuhlolweni komchamo okukodwa kungancipha. Kodwa inani eliphelele lamaprotheni akhishwa usuku lonke ngeke lishintshe. Ngoba ukuvuza ezinso kusafana. Kufana nokugcwalisa ibhakede ngamanzi. Ukwengeza amanzi ngeke kuvale imbobo. Ngakho-ke, ikhambi kuphela ukuthatha ukwelashwa njengoba kuqondiswe udokotela wakho.