Ingabe kufanele ukhathazeke ngakho, futhi ingabe udinga ukuphathwa?
Kwabaningi bethu, amaprotheni yinto eniyithola ekudleni kwakho, futhi ngokuvamile kukuhle kuwe. Ngakho kungani kuyinkinga uma udokotela wakho etshela ukuthi une "amaprotheni emcimbini"? Impela, amaprotheni emcimbini, noma " proteinuria ", njengoba kubhekiselwa emzimbeni kusho ukutholakala kwemali ephakeme ngokungavamile kwamaprotheni emcinini . Umchamo womuntu ovamile, uma uhlolwe nge-dipstick akufanele ubonise ukuthi kukhona noma iyiphi iphrotheni.
Kodwa-ke, uma wenza, kungaba isibonakaliso Sokugula Kwezinso Zengqondo (CKD). Njengoba ngiqhubeka ngicindezela, iziguli ezine-CKD ngokuvamile azikho izimpawu futhi indlela ewukuphela kokuyihlolisisa ngegazi nokuhlolwa komchamo, noma ukucabanga .
Izinga Eliphakeme LamaProtheyini E-Urine Lingaveza Ukugula Kwezinso
Ngakho njengoba ngichazile ngenhla, i-proteinuria ingabonisa i-CKD. Uphi amaprotheni emcimbini avela? Yebo, amaprotheni akhona egazini. Ikhona njengezinhlobo ezahlukene (i-albin, i-globulin, njll). Imisipha yakho yenziwe ngokuyinhloko ngamaprotheni. Ama-antibodies ajikeleza ohlelweni lwakho lokulwa nokutheleleka kukhona amaprotheni. Ngakho-ke amaprotheni ayadingeka futhi ngokuvamile akufanele ube uphelela emcinini.
Iphi amaprotheni aphuma kanjani e-Urine?
Bheka isithombe esilandelayo. Isihlungi sezinso, okuthiwa i- glomerulus ngokuvamile sikhetha kakhulu. Ivumela izidakamizwa ezimbi zingene emcinini. Kodwa livimba izinto ezinhle (amaprotheni, amaseli egazi, njll).
Noma kunjalo, ukulimala esihlungwini sezinso (ngokuvamile ezivela ezifweni ezifana nesifo sikashukela noma umfutho wegazi ophakeme) kungenza ukuba kulahlekelwe lokhu kukhetha (cabanga ngesihlungo esinezimbobo ezinkulu kakhulu, nakuba kunzima kakhulu kunalokho) ukwenza amaprotheni aphunyuke. Ezinye izimbangela ezingabangela lokhu kulimaza ohlelweni lwamanzi wezinso (bheka amashubhu esithombeni esilandelayo) noma kuma-rarer amacala, inani eliningi lamaprotheni egazini lapho liwela ngaphezu komchamo.
Amaphrotheni e-Urine Akuyona nje umphumela we-CKD, Kungaba Yimbangela Yakho
Manje siyazi ukuthi i-proteinuria ibonisa ukulimala kokuhlunga kwezinso, ngakho-ke i-CKD. Kodwa uma amaprotheni emcimbini ungomunye umphumela ongezansi wezinso zezinso, kungani thina bezinkinga zezinzwa senza izingxabano eziningi ngokuphatha?
Yebo, lapha kukhona umqondo oyinhloko engizokhuluma ngawo. Iyiphi leyo prothini akuyona nje enye imiphumela ye-CKD, empeleni ngokuqondile yenza isifo sezinso sibe sibi nakakhulu. Okuholela ekulimaleni kwezinso ngaphezulu; futhi okuholela emaprotheni amaningi emcimbini! Ngakho kungase kuqalwe njengethonya, kodwa ngokushesha liba (yingxenye) futhi imbangela. Ngicabanga ukuthi uthola iphuzu lami. Amaprotheni akuyona nje isibonakaliso senkinga, kuyinkinga!
Ake sibheke ubufakazi obusekela isiphetho esingenhla. Ucwaningo oluningi lwenziwe ngalokhu, futhi namhlanje, ukunciphisa iproteinuria "okuhloswe" okuvumelekile ukuvimbela ukuqhubeka kwe-CKD.
Isici esiyinhloko ekuthuthukeni kwesifo sezinso (kungakhathaliseki imbangela) ingcindezi ephakeme ngaphakathi kwesihlungi sezinso, i-glomerulus. Lokhu kubizwa ngokuthi i-intraglomerular hypertension. Lokhu kuholela ekutheni izinga lokuhlunga eliphakeme, noma i-GFR, ngezigaba zokuqala zesifo sezinso.
Ngesikhathi esifushane, lokhu kungase kusize izinombolo zezinso "zibukeke zinhle". Ngokuhamba kwesikhathi, empeleni i-maladaptive futhi i-GFR yehla futhi iyisizathu sokwakheka kwezicubu eziluhlaza izinhlobo eziningi ze-CKD, isb. isifo sikashukela sezinso.
Amaprotheni emcimbini enza i-intraglomerular hypertension ibe nzima nakakhulu . Futhi-ke sinobufakazi bezokwelapha obonisa ukuthi amaprotheniuriya angaphazanyiswa kakhulu akwandisa amathuba okuthola isifo sakho sezinso ekuhlulekeni (uma i-dialysis noma ukufakelwa kabusha kudingekile). Izinga lamaprotheni emcimbini lilingana ngqo nengozi yokuba isifo sakho sezinso siba sibi nakakhulu.
Ngokufanayo, ucwaningo oluningi lwezokwelapha luye lwafakazela ukuthi ukubola kwesifo sezinso kungavinjelwa uma i-proteinuria iphathwa ngokusebenzisa izidakamizwa ezithile ezifana ne-ACE inhibitors noma ama-ARB. Ngokuthakazelisayo, umphumela wokuzivikela oza nale mithi uhlukile ekulawuleni ukucindezelwa kwegazi okubangelwa izidakamizwa! Ukunciphisa okukhulu kuhumusha ekuvikelweni kwezinso eziningi, kanye nomphumela omuhle kakhulu wezinso zakho.
Ingabe Iprotheyini Ephansi Idla Impendulo?
Ngisho noma yenza umqondo onembile, kanti noma ngabe amaprotheni amaningi ngokweqile ahlobene nokuhlunga, ngalesi sikhathi umphumela wokuvinjelwa kwamaprotheni (ikakhulukazi uma usuwenziwe ngokuhambisana nama-inhibitors e-ACE noma ama-ARB) ekusebenzeni kobuqili akuqinisekisiwe. Okwamanje, kunelungelo lokusho ukuthi amaprotheni alinganisiwe okudla okungenani ama-gramu angu-0.8 kilogram yesisindo somzimba ngamaprotheni ngosuku, angase azuze kodwa ukudla okuncane kakhulu kwamaprotheni kungase kungabi yinzuzo.
> Umthombo:
> Zeeuw DD, Remuzzi G, Ukuhambisa HH, et al. I-proteinuria, isisombululo sokuvuselelwa kabusha kweziguli ezine-type 2 ye-nephropathy yesifo sikashukela: Izifundo ezivela ku-RENAAL. Isolo International . 2004; 65 (6): 2309-2320. i-doi: 10.1111 / j.1523-1755.2004.00653.x.