IGA Nephropathy ineendlela ezahlukileyo ezivela kwisifo esipheleleyo (kwisimo esona sihle kakhulu) kwisigulane esiya kuhamba ngokukhawuleza ekufezekeni kweentliziyo ezipheleleyo. Ngenxa yoko, unyango alunokuba luyimfuneko kuzo zonke izigulane kwaye kufuneka uxoxe nomphrofethi we-nephrologist malunga nokugqiba ikhondo elifanelekileyo.
Ukunyanga izigulane eziphezulu
Ngokuqhelekileyo, izigulane ezinezi zinto zilandelayo zibhekwa njengengozi enkulu yokunciphisa umsebenzi wezintso:
- Umonde ngeGFR yehla okanye ukuphakama kwi-creinine (ezi zivavanyo eziqhelekileyo zentsholongwane yakho)
- Abo baphethe uxinzelelo oluphezulu lwegazi
- Iziguli ezinokulahlekelwa ngokwemvelo kweeprotheyini kumchamo
- Izigulane ezineziphumo ezithile zenkxalabo kwi-kidney biopsy (ngaphaya kwelo candelo)
Ukuba ucinga ukuba uhambelana nenye yeendidi, zikhethwa ziinkqubo ezimbalwa zonyango onokufuna ukuziqwalasela:
- I-Angiotensin-Ukuguqula i-Enzyme Inhibitors okanye i-Angiotensin Receptor Blockers: Ezi zixhaphakileyo zonyango lwegazi (mhlawumbi uvile ngamagama afana ne-lisinopril okanye i-losartan). Nangona kunjalo, la mayeza ayenzi nje ukunciphisa uxinzelelo lwegazi, awanceda iinjongo 'ngenxa yendima yabo yokukhusela ngokunciphisa ukulahleka kweprothini kumchamo (into ebonakalayo kwizigulane ezineNopropathy IgA). Oku kunceda kuba izigulane ezineNopropathy ze-IgA zinokuba neengxaki ngegazi eliphezulu. Ngaloo ndlela, ngaphandle kokuba isiguli singakwazi ukunyamezela, bahlala becinga ukuba imishanguzo yeyeza lokuqala ukunyanga uxinzelelo lwegazi kwiigulane ezine-igA nephropathy kunye nokulahleka kweprotheyini kumchamo.
- Ioli yeentlanzi / i-prescription-amandla omega-3 fatty acids: Ioli yeentlanzi ibonise isithembiso esithile kwizigulane ezine-nephropathy ye-IgA, mhlawumbi ngenxa yesenzo sayo sokuchasa. Nangona kunjalo, ukusetyenziswa kweoli yeentlanzi akukaze kwacaciswa ngokucacileyo. Umgangatho osemgangathweni ukuwusebenzisa ngokudibanisa nezinye iindlela zokwelapha xa nje isigulane sibekezelela. Amagqirha amaninzi akholelwa ukuba i-oyile yeentlanzi ayinakwenzeka ukuba yingozi yaye ngoko inokunikezelwa.
- I-Glucocorticoids / steroids: Umzekelo ofanayo obizwa ngokuthi "prednisone." Izigulane ezinobungqina bentsholongwane ezigulane kunye nezigulane apho iinjongo ze-biopsy zibonisa ukuvuvukala okunzima kunokuzuzisa kula mayeza. Ezi zonyango ziyakunqanda kwaye zizolahla izifo zamasosha omzimba kwaye ngoko zinokunceda kwizigulane ezine-nephapatropathy ye-IgA (ekubeni siyazi ukuba i-immune system yenzelwa iinjongo apha). Kubalulekile ukuqaphela ukuba i-steroids ayilona wonke umntu. Izigulane ezinezifo ezincinci zingenakuncedwa kubo kwaye ingeniso-mngcipheko-mngcipheko ongeke uyenze (kuba la mayeza ayeza nemiphumo emibi ebandakanya inzuzo, ukunyuka kwegazi, ukuphakama kwegazi, ukulahleka kwethambo njl. Ngakolunye uhlangothi, izigulane esinezifo ezinzima ziye zaqhubeka ixesha elide kwaye zenze ukuba umonakalo ongenasigxina kunye nokukhangela izintso zingenakunceda nakwi-steroids. Oku akunzima ukuyiqonda ukuba ufumene ukuba i-steroids yinto esiyisebenzisayo "ukukhupha umlilo wokuvuvukala." Ngamanye amagama, xa umlilo usuwenze umsebenzi wayo waza wonakalisa iinjongo kwaye uyishiya ngokusicatshulwa ngokufayo, ukunika umntu i-steroids yayiya kufaka amanzi kwisakhiwo esiye sitshisa. Awuyi kusebenza.
- I-Mycophenolate mofetil: Le yonyango elitsha lonyango elingasetyenziswayo elisafundwa njengegosa elinokuthi luncedise izigulane nge-IgA nephropathy. Ngethuba langoku, kunjalo, alukhuthazwa njenge-arhente yomgca wokuqala ngokungabikho kobungqina obucacileyo.
- Cyclophosphamide, Azathioprin, njl. Lezi ezinye iimpawu zokusebenzisa imithi e-immunosuppressive ezisetyenziswa ngamaxesha athile ukuze unyango lwe-IgA nephropathy. Ukusetyenziswa kwabo akunakwenzeka kuzo zonke izigulane kwaye kwakhona, abanokuba luncedo kwizigulane apho umonakalo omkhulu ongapheliyo usenzekile.
Xoxa nephrologist yakho malunga nantoni na ongakhetha kuyo.