Chirwere cheshuga chinokonzera kushanduka kwakasiyana kwemuviri mumuviri, kunokanganisa nhengo dzose uye kukonzera kusabatsika. Saka, chimwe chezvirwere zvechipiri zvinowanzojairika, zvinowedzera mune insulin-vanovimba nevarwere, uye mune insulin-vanovimbiswa, chirwere cheshuga nephropathy, umo mafungiro ari chirwere chechirwere.
Chirwere cheshuga nephropathy - chigadzirwa nezvikamu
Izvi zvinokonzerwa nechirwere cheshuga zvinosanganiswa nekuputsa kwe metabolism ye-carbohydrates uye lipids muinso tishu, zvichiita kuti kukundwa kwemaseri, arterioles, capillary glands uye tubules yechipfu. Zvishoma nezvishoma, kukanganisa kuparara kwebasa mukushayikwa kwehutano kunoita kuti kuguma kwebasa ravo kuve kwakakwana uye kunopisa upenyu.
Munyika ino tsika, kupatsanurwa kwechisungo ichi munguva dzishanu, yakagadzirwa naMogensen, inoshandiswa. Ngationgororei pane zvimwe zvikamu zvikamu zvechirwere cheshuga nephropathiya zvakakamurwa, zvinyorwa zvadzo zvikuru:
- Nhanho yekutanga ndiyo kushaya simba kwechirongwa. Zvinowanzoitika munguva yekutanga yechirwere cheshuga uye inoratidzwa nekuwedzera kwehukuru hwemidziyo yeropa yeitsvo uye kushandiswa kwekuyerera kweropa mukati mazvo, kuwedzerwa kwepamusoro uye kusvibiswa kwemuti. Muviri pachawo wakawedzerwa, asi mapuroteni mumuguta haasati aonekwa.
- Chikamu chechipiri ndechekutanga kuchinja kwemuitiro munhengo. Inotanga kusvika gore rechitatu kubva pakutanga kwechirwere cheshuga. Panguva ino, chirwere chemasvingo emidziyo yeimpimpiti chinoramba chichiwedzera, kuwedzera kwemagetsi, kuwedzera kwenzvimbo inoputika inoonekwa. Puroteni haigoni kuwanikwa.
- Danho rechitatu nderokutanga nephropathy. Mushumo wegadziriro ino unotanga kusvika kubva kunechishanu kusvikira kune wechinomwe mushure mekunge uongororwa nezvechirwere cheshuga. Nemhaka yekumanikidzirwa kwepamusoro mumitsara yakakanganiswa, kuwedzera zvishoma kwehuwandu hwekusvibiswa kwemvura uye pasi maseroyumu kuwanda kwemakungu kuburikidza nehutano hwekutsvaira inoitika. Kugoverwa kwekukosha kweprotein yeuprota nemukoro inotanga.
- Nhanho yechina ndiyo nguva inonzi yakabatwa nechirwere cheshuga nephropathy. Inotsanangurwa muvarwere vane chirwere cheshuga mellitus ne "ruzivo" rwemakore anopfuura gumi nemashanu. Panguva ino, purogiramu yakawanda yemapuroteni inoramba ichinyorwa mumuguta, mumutumbi unoronga nzira dzinosanganiswa kuti urambe uchida. Pane kunonoka kweropa kunopinda muitsvo uye muzinga we glomerular filtration, kune hypertrophy isingagadziriswi ye glomeruli.
- Nhanho yechishanu ndeye uremic. Zvinenge midziyo yose inoputika, haikwanisi kuita zvinyorwa. Muchikamu chekupedzisira chechirwere ichi, nekuda kwekukundikana kwechirwere, kudhakwa kwepanyama kunobudiswa neproteine metabolism, massive proteinuria, anemia nezvimwe zvakawanda zvinoratidzira zvirwere zvinowanikwa.
Chirwere cheshuga Nephropathy - Zviratidzo
Chirwere cheshuga nephropathy, izvo zvinokonzera uye nzira dzekusimudzira izvo zvinoramba zvisingazivikanwi, ndezvokuti hazvizivikanwi kwenguva refu. Saka, mumatanho matatu, anonzi preclinical, asina kudzidza zvakananga, hazvibviri kuratidza kukundwa kwetsvo. I "bhero" yekutanga inowanzoonekwa nguva nenguva kuwedzera kuwedzera kwesimba rinokonzera . Zvimwe zviratidzo zvechirwere cheshuga nephropathy, izvo zvinokura sezvo hutachiona hunobudirira:
- kuzvimba;
- utera hwakasimba;
- kuderera kwomuviri;
- headaches;
- nyota;
- nausea;
- ammonia kunhuwa kubva mumuromo;
- kupfupika kwemhepo;
- kurwadziwa mumoyo;
- ganda rakaoma;
- itching;
- kuora mwoyo, nezvimwewo.
Diabhesi Nephropathy - Kuziva
Pamusana pekuti maitiro ehurumende yakawanda haakwanisi kupa ruzivo pamusoro pezvikamu zvekudzivirira kwehutachiona, chirwere cheshuga nephropathy chinofanira kuonekwa kune varwere vane chirwere cheshuga nemamwe nzira (dzinofanira kuitirwa nevarwere kamwechete pagore). Nokudaro, zvinobvira kuongororodza kusangana kwezvinhu zviviri zvekuongorora ma laboratory:
- kuwedzerwa kwehuwandu hwe albumin (protein) mumuti;
- kutsunga (kuverenga) ye glomerular filtration rate ichifungisisa kuwanda kweropa creatinine.
Mukuwedzera, chirwere cheshuga nephropathy cheputsvo chinowanikwa kune rubatsiro rwezvidzidzo zvakadaro:
- kazhinji kuongorora ropa neropa;
- biochemical blood test;
- Doppler ultrasound yeinso;
- organ biopsy.
Chirwere cheshuga Nephropathy - Kurapa
Chimwe chinonyanya kukosha chekurapa kwekugadzirisa uku kunokonzera kukwana pamigumisiro inokonzera - chikwata chapamusoro cheglucose muropa. Chimwe chinodikanwa chinodikanwa ndeyekusimudzira ropa kudzvinyirira uye inonzi metadolism. Nokuda kwekutonga kwezvikwangwani izvi, kudzivirira kwechirwere cheshuga nephropathy uye kumiswa kwehuwandu hwekuwedzera kwayo kunoitwa.
Mukana wekuona nguva yakakodzera yeephropathy mu chirwere cheshuga mellitus inobatwa zvakanaka, uye zvakawanda zvinoenderana nemurwere pachake. Kuchengeta kwemamiriro ezvinhu anotevera kunowedzera mikana yezvibereko zvakanaka:
- basa rakawedzerwa mumuviri;
- kuramba kuroro uye kusvuta;
- kuderedza kushungurudzika mupfungwa;
- kudya.
Diabhesi nephropathy - kurapwa, zvinodhaka
Kushandisa mishonga inodhaka kunoitwa nekufungisisa danho rekugadzirisa, kuvapo kwehumwe hutano hunochinja mumuviri. Urongwa hwezvinodhaka zvinosanganisira:
- hypoglycemic agents kana insulin (kana chirwere cheshuga chinonzi nephropathy chinowanikwa, chirwere chechipiri chirwere cheshuga mellitus chinowanzoendeswa kune insulin therapy);
- inhibitors ye-angiotensin-kuchinja enzyme;
- vanamashikiti;
- kusarudza beta-blockers;
- kunetseka kwekugadzirira;
- diuretics;
- Kugadzirira dare uye calcium;
- enterosorbents, nezvimwe.
Hemodialysis ane chirwere cheshuga nephropathy
Apo kuvhara kunova kukuru uye kusingadzorwi nehutachiona hwechirwere cheshuga, pane zviratidzo zvekudhakwa kwakakomba, maonero haakundi, izvo zvinoratidza dambudziko rakaoma remamiriro uye rinoratidzwa nekuongorora, hemodialysis haigone kudziviswa. Iyi nzira inosanganisira kucheneswa kweropa kuburikidza nemashonga chaiwo. Kakawanda, chirwere chakanyanya cheshuga nephropathy chinoda kurapwa kweinso yekupisa.
Chirwere cheshuga nephropathy - kurapwa nemishonga yevanhu
Pazvikamu zvinononoka, chirwere cheshuga nephropathy chinogona kurapwa nekuwedzera nemamwe nzira, asi izvi zvinofanira kukurukurwa nachiremba. Zvinonzwisisika kuti chirwere chechirwere cheshuga chinonzi diabetes mellitus, nephropathy, hypertension inobatanidzwa nekudya kwezvinyorwa zvemishonga yemishonga. P phytopreparations yakadaro inosanganisira:
- Bay leaf;
- sage;
- chamomile;
- mintini;
- kutevera;
- yarrow;
- oats, nezvimwewo.
Kudya nechirwere cheshuga nephropathy
Chikafu chakakwana ndechimwe chezvigaro zvekubudirira kwekuita izvi. Zvokudya zvechirwere cheshuga nephropathy yeitsvo, urongwa hwezvokudya izvo zvisingakwanisi kupuroprotini uye pasi-saliniti ndiro, inofanira kuva yakakwirira mumakori. Kubvumidzwa:
- miriwo, michero;
- mukaka porridge;
- chingwa chisina chinhu;
- yakabikwa mukaka michina;
- mafuta omuorivhi;
- nyama yakaderera-mafuta, nezvimwewo.
Kurambidzwa:
- Nyama inoputa, mafuta zvakasviba;
- marinades;
- cheeses;
- nyemba;
- mushroom;
- chocolate;
- caviar, nezvimwewo.