I-IgA yeNepropathy inezinhlobo ezihlukahlukene ezivela kwisifo esingenakulinganiswa ngokuphelele (esimweni esihle kunazo zonke) kwisiguli esizoqhubekela phambili ngokushesha ekufezeni okuphelele kwezinso. Ngakho-ke, ukwelashwa kungase kungadingeki kuzo zonke iziguli futhi kufanele ukhulume nesazi sezinkanyezi mayelana nokunquma inkambo engcono kakhulu yesenzo.
Ukuphatha iziguli eziphakeme kakhulu
Ngokuvamile, iziguli ezinezici ezilandelayo zibhekwa njengengozi enkulu yokunciphisa izinso:
- Isiguli esiphansi kwe-GFR noma ukuphakama ku-creatinine (lezi zivivinyo ezivamile zesevisi yakho yezinso)
- Labo abanomfutho wegazi ophezulu ongalawuleki
- Iziguli ezinokulahleka okungajwayelekile kwamaprotheni emcinini
- Iziguli ezinokuthola okuthile okukhathazayo nge-biopsy yezinso (ngaphesheya kokungena kwalesi sihloko)
Uma ucabanga ukuthi uhambelana nenye yalezi zigaba, nansi izinketho ezimbalwa zokwelapha ongase uthande ukuzicabangela:
- I-Angiotensin-Ukuguqula i-Enzyme Inhibitors noma i-Angiotensin Receptor Blockers: Lezi yimithi ejwayelekile yengcindezi yegazi (kungenzeka ukuthi uzwile ngamagama afana ne-lisinopril noma i-losartan). Kodwa-ke, le mithi ayigcini nje ekunciphiseni ukucindezelwa kwegazi, futhi isekela izinso 'ngenxa yendima yabo yokuvikela ngokunciphisa amaprotheni ukulahlekelwa emcimbini (into evame ukubonwa kweziguli ezine-nephapatropathy ye-IgA). Lezi zisiza futhi ngoba iziguli ezine-nephropathy ye-IgA zingase zibe nezinkinga ngomfutho wegazi ophezulu. Ngakho-ke, ngaphandle kokuba isiguli singakwazi ukubekezelela, ngokuvamile kubhekwa njengemithi yokuqala ye-line yokwelapha ukucindezeleka kwegazi ezigulini ezine-nephapatropathy ye-IgA ngokulahleka kwamaprotheni kumchamo.
- Amafutha asezinhlanzi / imithi yesiguli-amandla omega-3 fatty acids: Amafutha asezinhlanzi abonise isithembiso esithile ezigulini ezinezinzwa ze-IgA, mhlawumbe ngenxa yesenzo saso sokulwa nokuvuvukala. Kodwa-ke, ukusebenza kwamafutha enhlanzi akukaze kubekwe ngokucacile. Umkhuba ojwayelekile ukuwusebenzisa ngokuhambisana nezinye izindlela zokwelapha uma nje isiguli sibekezelela. Odokotela abaningi bakholelwa ukuthi amafutha enhlanzi akunakwenzeka ukuba abe yingozi ngakho-ke anganikwa isibhamu.
- I-glucocorticoids / steroids: Isibonelo esivamile esibizwa ngokuthi "i-prednisone." Iziguli ezinobungozi obukhulu nezifo ezikhungethwe yizinso zesifo sezinso ezibonisa ukuthi ukuvuvukala okukhulu okusebenzayo kungase kuzuze kule mithi. Le mithi igxila futhi iyancipha isimiso somzimba sokuzivikela komzimba ngakho-ke ingasiza iziguli ezine-nephapatropathy ye-IgA (njengoba sazi ukuthi isimiso somzimba sokuzivikela sisona esilimaza izinso kulokhu). Kubalulekile ukuqaphela ukuthi ama-steroids awawona wonke umuntu. Iziguli ezinezifo ezincane zingase zingazuzi kubo futhi isilinganiso sokungabi nengozi singase singasithandi (ngoba lezi mithi ziza nemiphumela emibi ehlanganisa ukuzuza kwesisindo, ushukela ophakeme wegazi, ukuphakama kwegazi, ukulahleka kwegazi nokunye). Ngakolunye uhlangothi, iziguli ezinesifo esibi kakhulu eziye zaqhubeka isikhathi eside futhi zenze umonakalo unomphela futhi ulahlekelwe izinso angeke futhi zizuze kwi-steroids. Lokhu akulula ukuqonda uma uqaphela ukuthi i-steroid yilokho esiyisebenzisayo "ukukhipha umlilo wokuvuvukala." Ngamanye amazwi, uma umlilo usuwenzile umsebenzi wawo futhi usuqede ngokuphelele izinso futhi wawushiya ngezicucu ezibomvu zokufa, ukunikeza umuntu isifo steroid kufana nokuthulula amanzi esakhiweni esivele sishisiwe. Ngeke usebenze.
- I-Mycophenolate mofetil: Lena imishanguzo emisha yokuzivikela eqhubekayo isacwaningwa njenge-agent engase izuze iziguli ezine-nephropathy ye-IgA. Ngesikhathi samanje, noma kunjalo, akunconywa njenge-ejensi yokuqala yanikeza ukungabi khona kobufakazi obucacile.
- I-Cyclophosphamide, i-Azathioprin, njll. Lezi ezinye imithi yokuzivikela esetshenziswa ngezikhathi ezehlukene zokwelapha i-IgA nephropathy. Ukusetshenziswa kwabo kungenzeka ukuthi akusebenzi kuwo wonke isiguli futhi futhi, kungenzeka ukuthi akuzuzi ezigulini lapho umonakalo omkhulu ongakahlala khona usuvele usuvele khona.
Xoxa nomfowenu wezinkanyezi mayelana nokuthi yini ongakhetha kuyo engcono kakhulu kuwe.