Ingabe umzimba wakho uyavuvukala? Ingabe umchamo wakho unegwebu? Ingabe lokhu kungaba yi-nephrotic syndrome?

Ingabe ngezinye izikhathi uvuka ekuseni uzizwe uvuvukele emehlweni akho? Noma ingabe izinyawo zakho namaqakala akho ziyavuvukala, okwenza kube nzima ukugqoka izicathulo zakho? Wake waphawula ukuthi umchamo wakho unegwebu kakhulu kunokujwayelekile? Lezi akuzona nje izinto ezingahleliwe. Kungase kube nenkinga ngezinso zakho ngemuva kwalezi zimpawu. Namuhla sikhuluma ngesimo esibalulekile kwezokwelapha esivela ekuhlanganiseni kwezimpawu ezinjengalezi. Leso yi-Nephrotic Syndrome.

Iyini ngempela i-Nephrotic Syndrome?

Into yokuqala okufanele uyiqonde ukuthi lesi akusona isifo esithile. Sibhekisela eqoqweni lezimpawu ezingase zenzeke uma izinso zethu zingasebenzi kahle. Cabanga ngezinso zethu njengesihlungi sobuchwepheshe obuphezulu. Umsebenzi wazo oyinhloko ukuhlanza igazi lethu nokususa ukungcola okungadingeki namanzi angaphezulu emzimbeni njengomchamo. Lo msebenzi wokuhlunga wenziwa yinethiwekhi enhle kakhulu yemithambo yegazi ezinso. Lokhu sikubiza ngokuthi ama-glomeruli. Kumuntu ophilile, lolu hlelo lokuhlunga aluvumeli izinto ezifana namaprotheni abalulekile emzimbeni ukuthi adlule kuwo. Agcinwa egazini. Kodwa uma lezi zihlungi ezincane ezibizwa ngokuthi ama-glomeruli zonakele, inani elikhulu lamaprotheni umzimba okudingeka udlule kuwo bese uqala ukuphuma nomchamo. Yilokho esikubiza ngokuthi i-nephrotic syndrome. Lesi simo singathinta abantu abadala kanye nezingane, kodwa izindaba ezinhle ukuthi kukhona ukwelashwa kwaso.

Kungani lesi simo senzeka?

Izizathu zalokhu zingahlukaniswa zibe izingxenye ezimbili eziyinhloko.

Izimbangela ezithinta izinso kuphela (Izimbangela Eziyinhloko)

Lokhu kusho ukuthi i-nephrotic syndrome yenzeka ngenxa yesifo esenzeka ezinso ngokwazo, ngaphandle komphumela wanoma yisiphi esinye isifo.

• Isifo Sokushintsha Okuncane: Lesi yimbangela eyinhloko ye-nephrotic syndrome ezinganeni . Nakuba izicubu zezinso zazo zibonakala zijwayelekile ngaphansi kwe-microscope, inqubo yokuhlunga iyaphazamiseka. Kukholakala ukuthi ibangelwa ukutheleleka ngamagciwane , ukungezwani komzimba , noma imithi ethile (ikakhulukazi imithi yokubulala izinhlungu efana nama-NSAID ).
• I-Focal Segmental Glomerulosclerosis (FSGS): Lesi yisimo lapho amayunithi okuhlunga (i-glomeruli) ezinso eba nezibazi. Lesi yimbangela eyinhloko ye-nephrotic syndrome kubantu abadala . Amagciwane anjenge -HIV , imithi ethile, izici zofuzo, kanye nokukhuluphala ngokweqile kungabangela lesi simo.Izinto eziningi, njengomfutho wegazi ophakeme, zingathinta lokhu.
• I-Membranous Nephropathy: Lokhu kuwukuqina kolwelwesi lwe-glomeruli. Lokhu kungabangelwa nayizimo ezifana nomdlavuza, umalaleveva, i-hepatitis B, kanye ne-lupus.

Izimbangela zesibili zokulimala kwezinso ngenxa yezinye izifo

Lokhu kusho ukuthi i-nephrotic syndrome yenzeka lapho izinso zonakala njengomphumela wesinye isimo sezokwelapha emzimbeni.

• Isifo Sikashukela : Isifo sikashukela siyimbangela yesibili evame kakhulu yesifo se-nephrotic kubantu abadala. Isifo sikashukela esingalawulwa singaholela ekulimaleni kwezinso (i-diabetic nephropathy).
• I-Lupus: Lesi yisifo esingapheli sesimiso somzimba sokuzivikela esingabangela umonakalo omkhulu ezinso.
• I-Amyloidosis: Uhlobo lweprotheni olubizwa ngokuthi i-amyloid lunganqwabelana egazini, okubangela ukulimala kwezinso.

Yiziphi izimpawu ongase ube nazo?

Kunezimpawu ezine eziyinhloko ze-nephrotic syndrome. Ukuze uziqonde kahle lezi zimpawu, bheka ithebula elingezansi.

Lesi simo sibathinta kanjani abantwana abancane?

I-Nephrotic syndrome iyisimo esingavamile ezinganeni ezincane. Kodwa-ke, uma ingane iba nalesi simo, izimpawu zingase zihluke kancane.

• Ukuvuvukala okuzungeze amehlo, ikakhulukazi uma uvuka ekuseni.
• Ukuvuvukala kobuso, izandla, imilenze kanye nesisu.
• Umchamo onegwebu.
• Ukuzizwa ukhathele kakhulu futhi ukhathele kunokujwayelekile.

Ama-corticosteroids ayindlela yokwelapha evame ukusetshenziswa kakhulu ezinganeni. Lokhu kuvame ukulawula izimpawu futhi kubangele ukudamba.

Dokotela, ukuxilonga kanjani lokhu?

Uma unalezi zimpawu, kubalulekile ukubona udokotela ngokushesha okukhulu. Udokotela uzoqala akubuze ngezimpawu zakho. Bese,

• Ukuhlolwa Komchamo: Lokhu kubalulekile ukuze kulinganiswe ukuthi ingakanani iphrotheni ekhishwa emchameni.
• Ukuhlolwa Kwegazi: Hlola i-cholesterol egazini, amazinga e-albhamuin, kanye neminye imisebenzi yezinso.
• Ukuhlolwa Kwezinso: Kwezinye izimo, kungadingeka ukuthi kuthathwe ingxenye encane kakhulu yezicubu ezinso bese uyihlola ngaphansi kwe-microscope. Yilokhu okusiza ukuthola ukuthi yini ngempela ebangela ukulimala kwezinso.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma lesi simo singelashwa kahle, singaholela kwezinye izinkinga ezinkulu zempilo.

• Ingozi ephezulu ye-cholesterol kanye nesifo senhliziyo: Amafutha aphezulu egazini kanye namazinga aphezulu e-cholesterol andisa ingozi yesifo senhliziyo.
• Umfutho wegazi ophakeme: Uma izinso zonakele, ikhono lazo lokukhipha i-sodium (usawoti) kanye noketshezi emzimbeni liyancipha, okubangela ukuba umfutho wegazi ukhuphuke.
• Amahlule egazi:Ngenxa yokuthi amaprotheni avimbela ukujiya kwegazi akhishwa emchameni, ingozi yokujiya kwegazi emzimbeni iyanda.
• Ukutheleleka: Njengoba amaprotheni afana nama-immunoglobulins, abalulekile ohlelweni lokuzivikela komzimba, elahleka, kunethuba elikhulu lokutheleleka ngezifo ezifana ne-pneumonia.
• Ukwehluleka Kwezinso: Uma zingelashwa isikhathi eside, izinso zingase zingasebenzi ngokuphelele, kudingeke i-dialysis noma ukufakelwa izinso ukuze ziphile.

Yiziphi izindlela zokwelapha lokhu?

Uhlelo lokwelashwa luncike embangela eyinhloko ye-nephrotic syndrome yakho.

Izinhlobo zemithi

Udokotela wakho angakunikeza imithi elandelayo:

• Imithi yokucindezeleka kwegazi: Imithi efana ne-ACE inhibitors kanye ne-ARBs yehlisa ingcindezi ezinso futhi yehlisa ukuphuma kweprotheni emchameni.
• Ama-Diuretics: Abizwa nangokuthi "amaphilisi amanzi," lawa asiza ekunciphiseni ukuvuvukala emzimbeni.
• Imithi yokwehlisa i-cholesterol.
• Ama-anticoagulant: Anciphisa ingozi yokuqhekeka kwegazi.
• Imithi yokucindezela amasosha omzimba: Imithi efana ne-corticosteroids ilawula ukusebenza kwesimiso somzimba sokuzivikela futhi inciphise umonakalo ezinso.

Yingakho ukulawula ukudla kubalulekile

Kanye nemithi, ukudla okunempilo nakho kubaluleke kakhulu ekulawuleni lesi sifo.

• Nciphisa usawoti (i-sodium): Ukudla usawoti omningi kungabangela ukugcinwa kwamanzi, ukuvuvukala, kanye nomfutho wegazi ophakeme. Gwema ukudla okunosawoti omningi, njengemasoseji, inyama eyomisiwe, imifino ekheniwe, amasobho, amabhisikidi, kanye namasosi.
• Nciphisa amafutha ne-cholesterol: Landela ukudla okunamafutha agcwele ne-cholesterol ephansi.
• Nciphisa uketshezi: Ngezinye izikhathi udokotela wakho uzokutshela ukuthi unciphise inani lamanzi owaphuzayo ngosuku.

I-Nephrotic Syndrome, i-Nephrotic Syndrome, isifo sezinso, ukuvuvukala, iphrotheni emchameni, umchamo onegwebu, isifo sezinso ngesiSinhala, i-cholesterol