Ngaba kufuneka ukhathazeke ngako, kwaye kufuneka ukuba uphathwe?
Kwabaninzi bethu, iprotheni yinto oyifumana kwisondlo sakho, kwaye ngokuqhelekileyo kukulungele. Ngoko kutheni ingxaki xa ugqirha wakho ekutshela ukuba "uneprotheni kumchamo"? Kulungile, iiprotheyini kumchamo, okanye " iproteinuria ", njengoko ibhekiselwa kumachiza kuthetha ukuba khona kweprotheni ephezulu ngokwemvelo kumchamo . Umchamo womntu oqhelekileyo, xa uvavanywe nge-dipstick akufanele kubonise ukuba kukho nayiphina iprotheni.
Nangona kunjalo, xa wenza, kungaba ngumqondiso weSifo esiSigxina seNtsholongwane (CKD). Njengoko ndiqhubeka ndigxininisa, izigulane ezineCKD kaninzi azibonakali naziphi iimpawu kwaye indlela yodwa yokuyihlolisisa ngukuhlolwa kwegazi kunye nomchamo, okanye ukucinga .
Inqanaba eliphezulu leProtein kwi-Urine ingabonisa izifo zengqondo
Ngoko njengoko ndichaze ngasentla, iproteinuria ingabonisa i-CKD. Iphi iprotheni kumchamo ivela phi? Ewe, iprotheni ikhona egazini. Ikhona njengeentlobo ezahlukeneyo (albumin, globulin, njl). Iimisipha zakho zenziwe ngokukodwa ngeprotheni. Iimpawu ezinqamlezayo ezijikelezayo kwinkqubo yakho yokulwa nosuleleko ziprotein. Ngako oko iprotheni ibalulekile kwaye ngokuqhelekileyo akufanele ufune ukuphuma kwi-urine.
Iiprotheni Zifinyelela Njani Kwi-Urine?
Jonga umfanekiso olandelayo. Ukuhlunga kweentso, okubizwa ngokuba yi- glomerulus ngokuqhelekileyo ikhethe kakhulu. Ivumela iibhox ezimbi zingene emcinini. Kodwa ibambezela izinto ezilungileyo (iprotheni, iiseli zegazi, njl).
Nangona kunjalo, umonakalo kwifayiliti yezintso (ngokuqhelekileyo kwizifo ezifana nesifo sikashukela okanye umfutho wegazi ophezulu) kunokukwenza ukuba ilahlekelwe lokhetho (cinga i-sieve enezimbobo eziba nzima kakhulu, nangona kunzima kunokuba kunjalo) ukwenza amaprotheni aphunyuke. Ezinye izinto ezinokubangela ukuba lo umonakalo kwinkqubo ye-intenethi yeentso (jonga iiblule kumfanekiso ohamba kunye) okanye kwiimeko eziqhelekileyo, ubuninzi beeprotheyini egazini apho liphela ngaphezu komlambo.
Iiprotheyini kwi-Urine ayikho nje umphumo weCKD, ingaba yimbangela
Ngoku siyazi ukuba iproteinuria ibonisa umonakalo kwifayile yecebo, kwaye ngoko ke iCKD. Kodwa ukuba iprotheni emcanjeni iphela yempembelelo yesifo sezintso, ngoko kutheni ngaba nephrologists benza ingxabano enkulu malunga nokunyanga?
Ewe, kulukho umxholo obalulekileyo endiza kuthetha ngawo. Yiyiphi iprotheni ayikho enye imbangela yeCKD, ngokwenene yenza ukuba isifo sesifo sibe sibi nakakhulu. Oku kubangela ukulimala kweentso; kwaye okukhokelela kwiprotheyini eninzi kumchamo! Ngoko kungase kuqalwe njengesiphumo, kodwa kungekudala kuba (inxalenye ye) nesizathu. Ndicinga ukuba ufumana iphuzu lam. Iprotheni akuyona nje uphawu lweengxaki, yinkinga!
Makhe sijonge ubungqina bokuxhasa isi sigqibo esingentla. Uninzi lophando lwenziwe kulo, kwaye nanamhlanje, ukunciphisa iproteinuria "kujoliswe" ngokusemthethweni ukulibala ukuqhubela phambili kweCKD.
Into ebalulekileyo ekuqhubekeni kwesifo seengtso (kungakhathaliseki isizathu) kukunyanzela okuphezulu ngaphakathi kwesihlunu seentso, i-glomerulus. Oku kubizwa ngokuba yi-intraglomerular ingozi. Oku kukhokelela kwisilinganiselo esiphakamileyo sokuhlutha, okanye i-GFR, kwizigaba zokuqala zesifo sentso.
Ngethuba elifutshane, oku kunokunceda iinombolo zeentso "zikhangeleke". Ekuhambeni kwexesha, i-maladaptive kwaye i-GFR iyancipha kwaye iyona sizathu sokwenza i-tissue form formation ezininzi iintlobo ze-CKD, umz. isifo sesifo sesifo sikashukela.
Iiprotheyini kumchamo yenza i-intraglomerular ingozi yongcinezelo . Kwaye ke sinobungqina bonyango obonisa ukuba iprotheniuriy engaphathekiyo yandisa kakhulu amathuba okuba isifo sakho sezintso siphumelele ekuphumeleleni (xa i-dialysis okanye i-transplantation iyimfuneko). Umgangatho weprotheni kumchamo uhambelana ngqo nomngcipheko wezifo zakho zezintso ziba zibi.
Ngokufanayo, uphando oluninzi lwezonyango luye lwabonisa ukuba ukunyuka kwesifo seengtso kunokuthintelwa ukuba iproteinuria iphathwa ngokusetyenziswa kweziyobisi ezithile njengeACE inhibitors okanye ii-ARB. Kuyathakazelisa, umphumo wokukhusela ozayo nala mayeza uyazimela ngokulawulwa kwimixinzelelo yegazi eyenziwe ngamachiza! Ukunciphisa okukhulu kuguqulela ekukhuselweni kwezintso ezininzi, kunye nesiphumo esihle ngakumbi kwiintso zakho.
Ngaba iProtheyini Ephantsi Iphendula?
Nangona iyenzeka ngengqiqo, kwaye nangona iprotheni engaphezulu komlambo ihambelana ngokuthe ngqo kunye nokungena komzimba, ngeli xesha umphumo wokuthintela iprotheni (ingakumbi xa yenziwa ngokudibanisa ne-ACE inhibitors okanye i-ARB) ekusebenzeni kwenkunzi ayiqinisekanga. Okwangoku, kunelungelo lokutsho ukuba iprotheni yokulinganisela yokutya kunye ne-0.8 grams kilogi ngokomzimba weprotheni ngosuku, inokuba luncedo kodwa ukuhamba kwiprotheni encinane kunokungabi nzuzo.
> Umthombo:
> Zeeuw DD, Remuzzi G, Ukuhambisa iHH, et al. Iproteinuria, ithagethi yokuguqulwa kwamanzi kwizigulane ezine-type 2 nephropathy ye-diabetic: Izifundo ezivela kwi-RENAAL. ZeZizwe kwiiNtlo . 2004; 65 (6): 2309-2320. i-doi: 10.1111 / j.1523-1755.2004.00653.x.