Wake waphawula ukuthi uma unomkhuhlane, umchamo wakho uphenduka umbala wetiye? Noma uyaqaphela ukuthi umchamo wakho unegwebu eliningi? Nakuba abantu abaningi becabanga ukuthi lezi yizinto ezivamile, lokhu kungaba uphawu lokuqala lokuthi kukhona okungahambi kahle ngezinso zakho. Namuhla sizokhuluma ngesimo esibizwa ngokuthi i-IgA Nephropathy, esithinta imizimba yethu buthule futhi kuyinto abantu abaningi abangakaze bayizwe.
Kalula nje, iyini i-IgA Nephropathy?
Empeleni lesi yisifo esilimaza izinso ngenxa yenkinga ngesimiso sethu somzimba sokuzivikela. Uma sikhuluma iqiniso, lesi yisifo sokuzivikela komzimba .
Cabanga ngesimiso sethu somzimba sokuzivikela njengebutho elivikela izwe. Leli butho linohlobo olukhethekile lwesosha, esilibiza ngokuthi ama-antibodies . Umsebenzi walo ukuthola nokubhubhisa izitha, njengegciwane namagciwane, angena emzimbeni. I-Immunoglobulin A, noma i-IgA, ingenye yama-antibody akhethekile.
Umuntu one-IgA Nephropathy unoshintsho oluncane, noma ukuntuleka, kwamanye ama-antibodies e-IgA akhiqizwa emzimbeni. Ngenxa yalokhu, abanye abavikeli ohlelweni lwethu lokuzivikela komzimba abakwazi ukubona le IgA engavamile. Bacabanga ukuthi iyisitha esivela ngaphandle. Ngakho-ke, bahlasela le IgA engavamile futhi bahlangane ndawonye ukuze bakhe amaqoqo amakhulu.
La maqoqo e-antibody ahamba egazini futhi abhajwe ohlelweni lokuhlunga olubucayi lwezinso zethu, olubizwa ngokuthi i-glomeruli . Lokhu kubangela ukuvuvukala lapho, futhi ngokuhamba kwesikhathi, izinso ziqala ukulimala.
Lo monakalo uvimbela izinso ekuhlungeni igazi ngendlela efanele. Lokhu kubangela ukuthi umzimba ulahlekelwe yibhalansi yamakhemikhali. Uma ungelashwa, lo monakalo ungaqhubekela esifweni sezinso esisesigabeni sokugcina.
Ingabe ikhona imbangela ethile yalesi sifo?
Ososayensi abakayitholi imbangela eqondile yalesi sifo. Kodwa asithelelani. Kukholakala ukuthi sihlobene nofuzo. Lokho kusho ukuthi uma othile emndenini wakho enaso, nawe unethuba elincane lokusithola.
Futhi, ezinye izimo zezokwelapha zingaba 'yimbangela' yokuthi lokhu kuqale.
| Izibangeli | Incazelo |
|---|---|
| Izifo Zesibindi | I-cirrhosis, kanye nokutheleleka kwe-hepatitis B no-C okungamahlalakhona. |
| Isifo se-Celiac | Isifo sokugaya ukudla lapho iphrotheni i-gluten etholakala kokusanhlamvu ingenakugaywa. |
| Ezinye izifo | I-HIV kanye nezinye izifo ezibangelwa amagciwane nazo zingase zihileleke. |
Nakuba lesi sifo singakhula kunoma yimuphi ubudala, izimpawu zivame ukuvela kubantu abangaphansi kweminyaka engama-40. Amadoda nawo anamathuba aphindwe kabili okuba naso kunabesifazane.
Ake sithole ukuthi ziyini ngempela izimpawu.
Inkinga enkulu ngalesi sifo ukuthi asibonisi zimpawu ezigabeni zokuqala. Yingakho abantu abaningi bengazi nokuthi banalesi sifo.
Kodwa-ke, uphawu oluyinhloko nolusobala kakhulu abanye abantu abalubonayo yigazi emchameni (hematuria) lapho benesifo esifana nomkhuhlane, umkhuhlane, noma umphimbo . Umchamo ungase ubonakale unombala wetiye, umbala we-cola, noma ubomvu. Uma ukutheleleka sekuphelile, umchamo ubuyela embala wawo ojwayelekile.
Esinye isibonakaliso esiyinhloko umchamo onegwebu . Lokhu kungenxa yokukhishwa kweprotheyini emchameni (i-proteinuria).
Ngaphezu kwalokhu, kungase kube nezinye izimpawu eziningana:
- Ukuvuvukala emilenzeni, ikakhulukazi emaqakaleni.
- Umfutho wegazi ophezulu (i-Hypertension).
- Uma lesi sifo siqhubeka isikhathi eside, kungase kuvele izimpawu zokwehluleka kwezinso.
Ukuthola kanjani lokhu, Dokotela?
Uma unalezi zimpawu, udokotela wakho uzoqala enze ukuhlolwa komchamo ukuze ahlole igazi noma amaprotheni emchameni. Kodwa-ke, njengoba lokhu kungabonakala kwezinye izifo eziningi zezinso, akukwazi ukuqinisekisa i-IgA Nephropathy.
Ukuphela kwendlela yokuqinisekisa i-IgA Nephropathy ngo-100% ukwenza i-biopsy yezinso .
Ungakhathazeki uma uzwa lokhu. Lokhu ukuhlolwa okuvamile okwenziwa esibhedlela. Udokotela uzokonakalisa umhlane wakho, afake inalithi encane kakhulu ezinso zakho, bese esebenzisa isikena ukuthatha isithombe sezinso zakho.Kuthathwa ingcezu encane kakhulu yezicubu. Bese ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona yini ama-clumps e-IgA nokuthi kungakanani umonakalo owenziwe ezinso. Lokhu kuhlolwa akugcini nje ngokuqinisekisa lesi sifo, kodwa futhi kusiza udokotela ukuthi anqume ukwelashwa okungcono kakhulu kuwe.
Izindlela zokwelapha kanye nokuphathwa kwazo
Okwamanje akukho ukwelashwa kwalesi sifo. Kodwa ungakhathazeki! Manje kunezindlela zokwelapha eziphumelela kakhulu ezingalawula lesi sifo, zinciphise umonakalo ezinso, futhi zikusize uphile impilo enempilo nende.
Imigomo eyinhloko yokwelashwa yile:
- Ukulawula umfutho wegazi.
- Ukunciphisa ukuphuma kwamaprotheni emchameni.
- Ukunciphisa ijubane lokulimala kwezinso.
Ngenxa yalokhu, udokotela wakho angase akunike imithi yokwelapha efana nalokhu:
- Imithi yokucindezeleka kwegazi: Imithi efana ne-ACE inhibitors kanye ne-ARB ivame ukusetshenziswa kulokhu. Lokhu akugcini nje ngokulawula ukucindezeleka kwegazi, kodwa futhi kusiza ukuvikela izinso.
- Imithi yokucindezela amasosha omzimba: Imithi yama-steroid efana ne-Prednisone noma imithi emisha efana ne-Nefecon inganikezwa ukunciphisa ukuvuvukala ezinso.
- Imithi esanda kwethulwa: Imithi yesimanje efana neSparsentan (Filspari) kanye ne-Iptacopan (Fabhalta) isiza ukuvikela ukusebenza kwezinso ngokunciphisa ukuphuma kwamaprotheni emchameni.
- Ama-Diuretics: Uma kukhona ukuvuvukala emzimbeni, le mithi isiza ekususeni amanzi angaphezulu ngomchamo.
- Imithi yokwehlisa i-cholesterol: Abanye abantu bangase babe namazinga aphezulu e-cholesterol. Imithi efana nama-statin inikezwa lokhu.
Izinguquko zendlela yokuphila zibaluleke kakhulu
Ngaphezu kwemithi, izinguquko ezincane endleleni yakho yokuphila zingasiza kakhulu ekuvikeleni izinso zakho.
- Nciphisa usawoti odliwayo: Nciphisa inani likasawoti ekudleni kwakho. Gwema ukudla okupakishwe emaphaketheni kanye noshukela wokwenziwa. Lokhu kunosawoti omningi.
- Lawula iphrotheni: Khuluma nodokotela wakho noma isazi sokudla ukuze uthole inani elifanele lephrotheni. Ukudla iphrotheni eningi kakhulu kucindezela izinso zakho.
- Ama-fatty acid e-Omega-3: Izithasiselo zamafutha enhlanzi zingumqondo omuhle. Kodwa-ke, qiniseka ukuthi ubuza udokotela wakho ngaphambi kokuthatha noma yiziphi izithasiselo.
- Gwema iziqeda-buhlungu: Ungaphuzi iziqeda-buhlungu njenge-NSAID (isib. i-Ibuprofen, i-Diclofenac) ngaphandle kweseluleko sikadokotela wakho. Lokhu kungaba yingozi ezinso zakho.
- Gwema ukubhema: Ukubhema kunciphisa ukugeleza kwegazi ezinso futhi kunciphisa nokusebenza kahle kwemithi yokucindezela kwegazi.
- Hlola umfutho wegazi lakho njalo: Kala futhi ubhale phansi umfutho wegazi lakho ekhaya.
Umlayezo Wokuya Nawe Ekhaya
- I-IgA Nephropathy yisifo sokuzivikela komzimba esilimaza izinso buthule.
- Uma kuqala njengomkhuhlane, izimpawu zokuqala eziyinhloko kungaba umchamo omnyama (igazi) noma ukwanda kwamagwebu emchameni.
- Lesi sifo singaqinisekiswa kuphela ngokuhlolwa kwezinso.
- Nakuba kungelapheki ngokuphelele, ngokwelashwa okufanele kanye nokushintsha indlela yokuphila, lesi sifo singalawulwa futhi ungaphila impilo ende nenempilo.
- Uma unalezi zimpawu, ungesabi futhi ubone udokotela wakho ngokushesha okukhulu. Uma lesi sifo sitholakala ngokushesha, amathuba akho okusindisa izinso zakho ayanda.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho