Wake wabheka umchamo wakho wacabanga, “Hmm… lokhu kukhulu kakhulu kunokujwayelekile”? Noma ngezinye izikhathi uvuvukala ezandleni nasezinyaweni zakho ngaphandle kwesizathu? Nakuba singazinaki kakhulu lezi zinto, ngezinye izikhathi zingaba izimpawu ezibalulekile umzimba wethu osinikeza zona. Esinye isibonakaliso esibaluleke kangaka ukukhishwa kweprotheyini emchameni , okuyilokho esikubiza ngokwezokwelapha ngokuthi (Proteinuria). Ake sixoxe ngalokhu kalula nangomusa namuhla.
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Kuyini i-proteinuria? (Kuyini i-proteinuria?)
Kalula nje, i-proteinuria iyinani eliphezulu kakhulu le-protein emchameni wakho. Manje cishe ucabanga ukuthi, "Ngakho-ke lokho kusho ukuthini?"
Cabanga ngale ndlela: izinso zethu zifana nesihlungi samanzi, noma isihlungi. Zihlanza igazi lethu futhi zisuse imfucuza engadingeki ngumzimba njengomchamo. Kodwa futhi zihlunga izinto ezibalulekile ezifana namaprotheni egazini bese ziwabuyisela egazini. Lokho kusho ukuthi izinso ezinempilo azivamile ukukhipha amaprotheni.
Kodwa-ke, uma lezi zinso zonakaliswe yisifo esithile sezinso, kuba sengathi izimbobo esisefilingini sezikhule kakhulu. Ngemuva kwalokho, amaprotheni afana ne-albumin, umzimba owadingayo, aqala ukuhlungwa egazini bese ekhishwa emchameni. Ezimweni eziningi, azikho izimpawu zokuqala zesifo sezinso, futhi uphawu lokuqala lokuthi ungase ube neprotheni emchameni wakho ukuvela kweprotheni emchameni wakho. Esikhathini esiningi, udokotela wakho uzoqala ukukubona lokhu ngesikhathi sokuhlolwa komchamo ngesikhathi sokuhlolwa kwezokwelapha okuvamile.
Ingabe kukhona izinhlobo ze-proteinuria?
Yebo, lesi simo singahlukaniswa ngezinhlobo ezintathu eziyinhloko. Ukuze uqonde lokhu ngokucacile, bheka ithebula elingezansi.
| Uhlobo lwe-Proteinuria | Incazelo Elula | Ingabe kuyinto ekhathazayo? |
|---|---|---|
| I-Proteinuria Yesikhashana | Lolu uhlobo oluvame kakhulu. Luyafika ludlule ngezikhathi ezithile. Lungabangelwa izinto ezifana nomkhuhlane, ukuvivinya umzimba ngokweqile kanye nokucindezeleka. | Ngokuvamile, akukho okufanele ukhathazeke ngakho. Lesi simo sizophela sodwa uma imbangela isihambile. |
| I-Orthostatic Proteinuria | Amaprotheni akhishwa kuphela emchameni uma umile, kodwa hhayi uma ulele. Lokhu kuvame kakhulu kubantu abasha. | Lesi akusona isimo esiyingozi futhi. Ngokuvamile siyaphela sodwa njengoba ukhula. |
| I-Proteinuria Eqhubekayo | Lesi yisimo esingamahlalakhona esenzeka ngenxa yezimo zezokwelapha eziyisisekelo ezifana nesifo sezinso, isifo sikashukela, kanye nomfutho wegazi ophakeme. | Lolu uhlobo okufanele sikhathazeke kakhulu ngalo. Kungaba uphawu lwesimo esibucayi esingaphansi. |
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Check Availability →Ziyini izimpawu zalesi simo?
Ngokuvamile, azikho izimpawu ezigabeni zokuqala. Yingakho kuthiwa yisifo esithule. Kodwa njengoba isimo siba sibi kakhulu, ungase uqaphele izimpawu ezifana nalezi:
- Umchamo onegwebu: Uma ukhipha amagwebu njengamanzi anensipho, kuwuphawu olukhulu lweprotheni ephezulu.
- Ukuvuvukala : Izandla zakho, izinyawo, isisu, nobuso kuyavuvukala. Lokhu kungenxa yokuthi amaprotheni asiza umzimba ukugcina amanzi akhishwa emchameni.
- Isidingo sokuchama njalo.
- Ubunzima bokuphefumula .
- Ukukhathala ngokweqile emzimbeni.
- Ukudla akunambitheki.
- Isicanucanu nokuhlanza.
- Ukuqaqamba kwemisipha ebusuku.
Yiziphi izimbangela zeprotheni emchameni?
Kunezizathu eziningi zalokhu. Ezinye zingezesikhashana futhi azibalulekile. Kodwa ezinye ngokuqinisekile ziyizizathu okufanele sikhathazeke ngazo.
Izimbangela ezijwayelekile nezesikhashana
- Ukuphelelwa amanzi emzimbeni
- Imfiva
- Ukuvivinya umzimba ngokweqile
- Ukucindezeleka okukhulu
- Amatshe ezinso
- Ukuchayeka emakhazeni amakhulu
Izizathu ezingathi sína zokukhathazeka
Imbangela enkulu yalokhu izifo ezilimaza izinso. Phakathi kwazo , isifo sikashukela kanye nomfutho wegazi ophezulu yizimo ezimbili ezivame kakhulu.
Ngaphezu kwalokho, amaprotheni emchameni angabangelwa yizimo ezibucayi ezifana nalezi:
- Izifo zamasosha omzimba (isib. i-Lupus)
- Ukuvuvukala kwezinso (Glomerulonephritis)
- I-Multiple Myeloma, uhlobo lomdlavuza wegazi
- I-Preeclampsia, isimo esenzeka komama abakhulelwe
- Ukufakwa kwamaprotheni ezithweni zomzimba (i-Amyloidosis)
- Ukungenisa noma yimuphi ushevu. (Kulokhu, xhumana ngokushesha ne-National Poison Information Centre e-Colombo National Hospital .)
- Isifo senhliziyo
- Umdlavuza wezinso
- Ukwehluleka kwenhliziyo
Ukuthola kanjani lokhu, Dokotela?
Ngakho-ke uma uya kudokotela, kungaba ngenxa yalezi zimpawu noma nganoma yisiphi esinye isizathu, into yokuqala azokwenza ukukubuza ngezimpawu zakho bese ekuxilonga. Ngemuva kwalokho, uma kukhona ukungabaza ngesimo, angase a-ode ukuhlolwa okufana nalokhu.
1. Ukuhlolwa komchamo: Lokhu ukuhlolwa okuyisisekelo nokubaluleke kakhulu. Ucezu oluncane lwekhemikhali lufakwa kusampula yomchamo oyinikezayo bese luhlolwa. Uma lushintsha umbala, kusho ukuthi kukhona iphrotheni emchameni. Luphinde luhlolwe ngaphansi kwe-microscope ukuze kubonakale ukuthi zikhona yini ezinye izinto ezifana namaseli egazi namagciwane.
2. Ukuhlolwa kwegazi: Lokhu kungalinganisa ukuthi izinso zakho zisebenza kahle kangakanani.
3. Ukuskena: Ukuskena okufana ne-(CT scan) kanye ne-(Ultrasound) kungathola amatshe ezinso, izimila, noma ezinye izithiyo.
4. Ukuhlolwa Kwezinso: Uma kukhona ukusola okukhulu ngesifo sezinso, udokotela kungadingeka athathe ingxenye encane kakhulu yezicubu ezinso ayihlole ngaphansi kwe-microscope. Lokhu kungasiza ekuxilongeni lesi sifo ngokuqiniseka.
Iphathwa kanjani?
Izindlela zokwelapha zincike embangela eyinhloko yeprotheyini emchameni.
Into ebaluleke kakhulu ukuthola imbangela bese uyelapha. Akusizi ukwelapha ukulahlekelwa amaprotheni kuphela.
- Uma kungenxa yesifo sezinso:I-proteinuria ingaba uphawu lokuqala lwesifo sezinso esingamahlalakhona. Ngakho-ke, kubaluleke kakhulu ukulawula lesi sifo ngaphambi kokuba izinso zingasebenzi ngokuphelele. Ngenxa yalokhu, udokotela wakho uzoncoma imithi, ukudla, ukuvivinya umzimba kanye nokwehlisa isisindo. Kwezinye izimo ezinzima, kungadingeka i-dialysis.
- Uma unesifo sikashukela noma umfutho wegazi ophakeme: Udokotela wakho cishe uzokunikeza imithi yokulawula lezo zimo. Ngokuvamile, le mithi ibizwa ngokuthi ama-angiotensin-converting enzyme inhibitors (ACE inhibitors) noma ama-angiotensin receptor blockers (ARBs). Le mithi isiza ukulawula umfutho wegazi nokuvikela izinso.
- Ngesikhathi sokukhulelwa: Uma unengcindezi ephezulu yegazi kanye neprotheyini emchameni wakho ngesikhathi sokukhulelwa, kungaba yisimo esibi esibizwa ngokuthi "i-Preeclampsia." Kodwa izindaba ezinhle ukuthi lesi simo siyaphela zingakapheli izinsuku noma amasonto ambalwa umntwana ezelwe. Kodwa-ke, kubalulekile ukuya emitholampilo yezokwelapha njalo phakathi nokukhulelwa kwakho ukuze uhlolwe umfutho wegazi kanye nomchamo wakho.
Ingabe lokhu kuyehla uma uphuza amanzi amaningi?
Lokhu kuyinkinga kubantu abaningi. Empeleni, cha. Uma uphuza amanzi amaningi, uchama kakhulu. Lokhu kunganciphisa ukugcwala kwamaprotheni emchameni ophuma ngesikhathi esisodwa. Lokhu kusho ukuthi umchamo uyancibilika.
Kodwa lokhu ngeke kuvimbele izinso zakho ekuvuzani kwamaprotheni. Ngakho ikhambi lenkinga akukhona nje ukuphuza amanzi, kodwa ukuthola nokwelapha imbangela yenkinga.
Umlayezo Wokuya Nawe Ekhaya
- Ungawunaki umchamo onegwebu noma ukuvuvukala emzimbeni wakho. Kungaba uphawu lokuqala lwesifo sezinso.
- I-proteinuria akuyona isifo, kodwa uphawu lwesinye isimo esiyisisekelo.
- Abantu abanesifo sikashukela kanye nomfutho wegazi ophezulu kufanele baqaphele kakhulu ngalokhu. Gcina izimo zakho zezempilo zilawulwa.
- Uma unokungabaza ngalokhu, qiniseka ukuthi ubona udokotela womndeni wakho ukuze akunike iseluleko.
- Uma uthola imbangela efanele futhi uyiphatha kahle, nawe ungavimbela ukulimala kwezinso futhi uphile impilo enempilo.
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