Nephrotic Syndrome Chii? Zviratidzo, Zvinokonzera, & Kurapa

Nephrotic syndrome chirwere cheitsvo umo itsvo ako anobuditsa mapuroteni akawanda muweya wako. Fungidzira itsvo dzako sedziri mafiritha anowanzochengeta mapuroteni akakosha muropa rako panguva yekubvisa tsvina. Kana aya mafiritha akakuvadzwa, anotanga kubvumira mapuroteni anokosha kupfuura, izvo zvinoita kuti pave nematambudziko akawanda mumuviri wako.

Ichi chirwere chinotapura vanhu vezera ripi neripi, kunyangwe zvichiratidza zvakasiyana muvana nevakuru. Kunyange zvazvo zvinonzwa zvakakomba, uye zvinodikanwa kurapwa nekukurumidza, vanhu vakawanda vanodzora nephrotic syndrome nekupiwa kurapwa kwakakodzera nekutarisirwa.

Zviratidzo zveNephrotic Syndrome Ndezvipi?

Chiratidzo chikuru che nephrotic syndrome kuzvimba, kunonzi edema muzvinyorwa zvechiremba. Izvi zvinoitika nekuti kana wakarasikirwa nemapuroteni kubva muropa rako, mvura inotanga kuunganidzwa mune tishu dzako panzvimbo pokuita kuti igare mune ropa rako.

Heano zviratidzo zvikuru zvaunogona kuona, kutanga nezvakajairika:

• Kuzvimba kwakapoteredza maziso ako, kunonyanya kuoneka mangwanani
• Kuzvimba mumakumbo, makwati, nemakumbo anowedzera zuva rese
• Weya ine mvere kana kuti ine furo inotaridzika semazai akarova
• Kuwedzera uremu nekuda kwekuunganidzwa kwemvura, dzimwe nguva zvichiitika nekukurumidza mumazuva mashoma
• Kunzwa kuneta kana kushaya simba
• Kurasikirwa nechido chekudya

Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika senge kuzvimba kwemudumbu, kushaya mweya kana uri kurara, kana ganda rinonzwa rakanyanya kuzvimba. Mashoko akanaka ndeakuti aya zviratidzo kazhinji anovandudzika zvakanyanya kana kurapwa kwakatanga.

Mumazuva mashoma, unogona kuona zviratidzo zvinotyisa senge kushaya mweya kwakanyanya, kurwadziwa pabvudzi, kana kuzvimba kwakanyanya kamwe kamwe. Izvi zvinoda kurapwa nekukurumidza sezvo zvingaratidza matambudziko.

Marudzi eNephrotic Syndrome Ndezvipi?

Vanachiremba vanokamura nephrotic syndrome muzvikamu zviviri zvikuru zvichienderana nezvinokonzera kukuvadzwa kweitsvo. Kunzwisisa rudzi rwaunaro kunobatsira kuona nzira yakanakisa yekurapa.

Primary nephrotic syndrome inoitika kana dambudziko richitanga zvakananga muitsvo ako. Maitiro akajairika anosanganisira minimal change disease, iyo inowanzoitika muvana, uye focal segmental glomerulosclerosis, inowanzoitika muvakuru. Kunewo membranous nephropathy, iyo inowanzotapura vakuru vane makore anopfuura makumi mana.

Secondary nephrotic syndrome inoitika kana chimwe chirwere chikukuvadza itsvo dzako. Chikonzero chikuru ndechechirwere cheshuga, chinoteverwa nezvirwere zve autoimmune senge lupus. Zvirwere, mishonga yakati, uye mamwe marudzi ekanserwo zvinogona kutanga ichi chirwere.

Chiremba wako achaita bvunzo dzakakosha kuti azive rudzi rwaunaro, sezvo izvi zvinokanganisa zvakanyanya chirongwa chako chekurapa uye tariro.

Chii Chinokonzera Nephrotic Syndrome?

Nephrotic syndrome inoitika kana zvikamu zvidiki zvekusefa muitsvo ako, zvinonzi glomeruli, zvakakuvadzwa. Aya mafiritha anowanzoita senge mesh ine mashizha, kuchengeta mapuroteni muropa rako uchibvumira tsvina kupfuura.

Zvirwere zvakati zvinogona kukuvadza aya mafiritha akapfava:

• Chirwere cheshuga, kunyanya kana shuga yeropa ichigara yakakwira kwenguva yakareba
• Zvirwere zve autoimmune senge lupus kana vasculitis, umo immune system yako inorwisa tishu dzako
• Zvirwere, kusanganisira hepatitis B, hepatitis C, uye HIV
• Mishonga yakati, kunyanya mamwe marapirwo eruzha uye maantibayotiki
• Marudzi ekanseru eropa senge lymphoma kana leukemia
• Zvirwere zvemagwenya zvinofamba mumhuri

Dzimwe nguva, kunyanya muvana, vanachiremba havaoni chikonzero chaicho. Izvi zvinonzi idiopathic nephrotic syndrome, uye kunyangwe zvinganzwa zvinotyisa, kazhinji zvinovabata zvakanaka kurapwa.

Mumazuva mashoma, kuiswa kune zvinhu zvine chepfu, kuita allergic reaction kwakanyanya, kana kuunganidzwa kweropa mune itsvo zvinogona kutanga ichi chirwere. Chiremba wako achaongorora aya mikana zvichienderana nehupenyu hwako hwehutano nezviratidzo.

Rini Unofanira Kuona Chiremba Nezve Nephrotic Syndrome?

Unofanira kubata chiremba wako kana ukaona kuzvimba kwenguva refu, kunyanya kwakapoteredza maziso ako kana mumakumbo nemaoko. Weya ine mvere isingaperi zuva rimwe kana maviri chiratidzo chimwe chakakosha chinoda kurapwa nekukurumidza.

Usamirire kana ukaona kuwedzera uremu nekukurumidza kweanopfuura makirogiramu 1.5-2.5 mumazuva mashoma, sezvo izvi zvinowanzoita kuti pave nekuunganidzwa kwemvura. Saizvozvo, kana uchinzwa kuneta pamwe nekuzvimba, nguva yekuongororwa.

Tsvaka kurapwa nekukurumidza kana ukaona kushaya mweya kwakanyanya, kurwadziwa pabvudzi, kana kuzvimba kwakanyanya kamwe kamwe mumuviri wako wese. Izvi zvingaratidza matambudziko akakomba anoda kurapwa nekukurumidza.

Yeuka, kuonekwa nekukurumidza nekurapwa kwe nephrotic syndrome kunogona kudzivirira matambudziko uye kubatsira kuchengetedza basa reitsvo rako kwenguva refu.

Zvinhu Zvinowedzera Ngozi yeNephrotic Syndrome Ndezvipi?

Kunzwisisa zvinhu zvinowedzera ngozi kunogona kukubatsira kuramba uchiri kuona zviratidzo uye kutora matanho ekudzivirira kana zvichibvira. Zvimwe zvinhu hazvigone kudzorwa, nepo zvimwe zvaunogona kukanganisa kuburikidza nezvisarudzo zvehupenyu.

Zvirwere zvinoita kuti ngozi iwedzere zvinosanganisira:

• Chirwere cheshuga, kunyanya kana kudzora shuga yeropa kwakanga kusina kunaka
• Zvirwere zve autoimmune senge lupus, rheumatoid arthritis, kana vasculitis
• Zvirwere zvinoramba zvichiitika senge hepatitis B kana C
• Nhoroondo yemhuri yechirwere cheitsvo kana nephrotic syndrome
• Mamwe marudzi ekanseru eropa kana matumour akasimba

Zera nemarudzi zvinokanganisawo. Vana vane makore maviri kusvika matanhatu vane huwandu hwakakwira hwerudzi rwakati, nepo vakuru vane makore anopfuura makumi matanhatu nematanhatu vane ngozi yakawedzera kubva pakukuvara kweitsvo kunokonzerwa nechirwere cheshuga. Vanhu vemuAfrica nevaHispanic vane huwandu hwakakwira hwechirwere cheitsvo zvakanyanya.

Mishonga yakati, kusanganisira mamwe marapirwo eruzha uye maantibayotiki, inogona kuwedzera ngozi, kunyanya nekushandiswa kwenguva refu. Kuva neHIV, kushandisa mishonga inopinda mutsinga, kana kuiswa kune zvimwe zvinhu zvinowedzera ngozi, kunyangwe zvisingawanzoitika.

Matambudziko Anogona Kuitika eNephrotic Syndrome Ndezvipi?

Kunyangwe nephrotic syndrome ichidzorwa nehutano hwakanaka, inogona kutungamira kumatambudziko akawanda kana isina kurapwa kana isina kudzorwa zvakanaka. Kunzwisisa izvi kunokubatsira kuziva zviratidzo zvekutyisidzira uye kushanda pedyo nechikwata chako chehutano.

Matambudziko akajairika anosanganisira:

• Kuunganidzwa kweropa, izvo zvinogona kunge zvine ngozi kana zvikaenda kumapapu ako kana ubongo
• Kuwedzera ngozi yezvirwere nekuda kwekurasikirwa nemapuroteni anodzivirira
• Cholesterol yakakwira uye kuwedzera ngozi yechirwere chemwoyo
• Kuwedzera kweropa nekuda kwekuunganidzwa kwemvura
• Kukuvadzwa kweitsvo panguva yekuzvimba
• Chirwere chezvipfuwo nekuda kwekurasikirwa ne vitamin D ne calcium

Vamwe vanhu vanowana matambudziko akakomba senge chirwere cheitsvo chinoramba chiripo, icho chinogona kuenda kukukundikana kweitsvo nekufamba kwenguva. Vana vanogona kushaya kukura kana chirwere chisingadzorwi zvakanaka.

Zvisingawanzoitika, zviitiko zvakakomba zvinogona kutungamira kumatambudziko anotyisa senge pulmonary edema, umo mvura inounganidzwa mumapapu, kana peritonitis, chirwere mudumbu. Izvi zvinoda kurapwa nekukurumidza.

Mashoko akanaka ndeakuti nekurapwa kwakakodzera nekutarisa, matambudziko mazhinji anogona kudzivirirwa kana kudzorwa zvakanaka.

Nephrotic Syndrome Inogona Kudzivirirwa Sei?

Kunyangwe usingakwanisi kudzivirira marudzi ose e nephrotic syndrome, kunyanya marudzi emagwenya, unogona kuderedza ngozi yako zvakanyanya nekudzorwa kwezvirwere zviripo uye kuchengetedza hutano hwakanaka zvakanyanya.

Kana uine chirwere cheshuga, kuchengetedza shuga yeropa rako kudzorwa kwakakosha. Izvi zvinoreva kutevera chirongwa chako chemishonga, kudya kudya kwakaringana, kurovedza muviri nguva dzose, uye kutarisa shuga yeropa rako sezvakarayirwa nachiremba wako.

Kune avo vane zvirwere zve autoimmune, kushanda pedyo nachiremba wako wezvirwere zve autoimmune kana nyanzvi kuchengetedza kuzvimba kudzorwa kunobatsira kuchengetedza itsvo dzako. Tora mishonga yakarayirwa sezvakarayirwa uye uende kune zvikamu zvekuongororwa nguva dzose.

Matanho ekudzivirira anosanganisira kuchengetedza uremu hwakanaka, kurovedza muviri nguva dzose, kusafuta, uye kuderedza kunwa doro. Aya mararamiro anobatsira hutano hwese hweitsvo uye anoderedza ngozi yezvirwere zvinogona kutungamira ku nephrotic syndrome.

Iva nechokwadi nemishonga inorwisa marwadzo inowanikwa pasina kunyorerwa, kunyanya NSAIDs senge ibuprofen, sezvo kushandiswa kwenguva refu kunogona kukuvadza itsvo. Gara uchikurukura kushandiswa kwemishonga nachiremba wako, kunyanya kana uine zvimwe zvinhu zvinowedzera ngozi.

Nephrotic Syndrome Inoziviswa Sei?

Kuziva nephrotic syndrome kunosanganisira bvunzo dzakati dzinobatsira chiremba wako kunzwisisa zviri kuitika muitsvo ako nemumuviri wako wese. Maitiro anowanzo tanga nenhoroondo yakakwana yehutano uye bvunzo yemuviri.

Chiremba wako achaodza bvunzo dzeweya kuti averenge mazinga emapuroteni uye kutsvaga mamwe matambudziko. Kuunganidzwa kweweya kwemaawa makumi maviri nemana kana chiyero chakareruka cheweya cheprotein-to-creatinine chinogona kuratidza kuti mapuroteni mangani ari kurasika. Bvunzo dzeropa dzinotarisa mazinga ako emapuroteni, basa reitsvo, uye cholesterol.

Bvunzo dzimwe dzinogona kusanganisira bvunzo dze mifananidzo senge ultrasounds kuti uone chimiro cheitsvo dzako. Muzviitiko zvakawanda, chiremba wako anogona kukurudzira biopsy yeitsvo, umo sampuli diki yetishu inotorwa kuti ione rudzi rwakakosha rwekukuvadzwa kweitsvo.

Biopsy inogona kunzwa inotyisa, asi kazhinji inoitirwa se outpatient procedure ine local anesthesia. Iyi bvunzo inopa ruzivo rwakakosha nezviri kukonzera nephrotic syndrome yako uye inobatsira kutungamira sarudzo dzekurapa.

Chiremba wako anogonawo kuyedza zvirwere zviripo senge chirwere cheshuga, lupus, kana zvirwere zvinogona kuita kuti pave nematambudziko eitsvo.

Kurapa kweNephrotic Syndrome Ndeapi?

Kurapa nephrotic syndrome kunotarisa pakuderedza kurasikirwa nemapuroteni, kudzora zviratidzo, uye kugadzirisa zvikonzero zviripo. Chirongwa chako chakakosha chekurapa chichaenderana nerudzi rwaunaro nezviri kukonzera.

Mishonga ndiyo inotanga kurapwa. Corticosteroids senge prednisone kazhinji ndiyo kurapwa kwekutanga, kunyanya muvana uye marudzi akati e nephrotic syndrome. Aya mishonga ine simba inorwisa kuzvimba inogona kubatsira kuderedza kuzvimba kweitsvo nekurasikirwa nemapuroteni.

Mishonga imwe iyo chiremba wako anogona kunyorera inosanganisira:

• ACE inhibitors kana ARBs kuchengetedza itsvo dzako uye kuderedza kurasikirwa nemapuroteni
• Diuretics kubatsira kuderedza kuzvimba nekubvisa mvura yakawandisa
• Mishonga inodzora immune system yezviitiko zvisingapindure kune steroids
• Mishonga inoderedza cholesterol kugadzirisa mazinga e lipid yakakwira
• Mishonga inononotsa ropa kana uri pangozi yakakwira yekuunganidzwa kweropa

Kana chirwere chiripo chiri kukonzera nephrotic syndrome yako, kurapa icho chirwere kwakakosha. Izvi zvinogona kusanganisira kudzora kwakanaka kwechirwere cheshuga, kurapwa kwezvirwere zve autoimmune, kana kugadzirisa zvirwere.

Mumazuva mashoma apo kurapwa kwakajairwa hakuiti basa, chiremba wako anogona kufunga nezve kurapwa kwatsva kana kurapwa kwekuedza. Vamwe vanhu vanogona kupera vachida dialysis kana kupanwa kweitsvo, kunyangwe izvi zvisingawanzoitika nekurapwa kwakakodzera pakutanga.

Nzira Yekudzorera Nephrotic Syndrome Kumba?

Kudzorera nephrotic syndrome kumba kunosanganisira kuchinja kwakakosha kwehupenyu kunogona kuvandudza zviratidzo zvako nehutano hwese. Aya marongero anoshanda pamwe nekurapwa kwako kwemishonga kukubatsira kunzwa zvakanaka uye kudzivirira matambudziko.

Kuchinja kwezvokudya kunokosha mukutarisirwa kwako. Kuderedza kunwa sodium kunobatsira kudzora kuzvimba uye kuwedzera kweropa. Edza kusapfuura 2,000 mg ye sodium zuva nezuva nekudzivisa zvokudya zvakagadzirwa, zvokudya zvemaresitorendi, uye kuwedzera munyu mukubika kwako. Kuverenga marezinesi ezvokudya kunova kwakakosha.

Kunwa mapuroteni kunoda kuenzana. Kunyangwe uri kurasikirwa nemapuroteni muweya wako, kudya mapuroteni akawanda kunogona kunetsa itsvo dzako. Chiremba wako kana dietitian achakurudzira huwandu hwakanaka hwemamiriro ako chaiwo, kazhinji anenge 0.8-1.0 magiramu pa kirogiramu yeuremu hwemuviri.

Tarisa uremu hwako zuva nezuva uye chengeta rekodhi. Kuwedzera uremu kamwe kamwe kwemakirogiramu 1-1.5 muzuva rimwe kana makirogiramu 2.5 muvhiki kunogona kuratidza kuunganidzwa kwemvura uye kunofanira kuudzwa nachiremba wako. Kusimudza makumbo ako kana uri kugara kana kurara kunogona kubatsira kuderedza kuzvimba.

Ramba uchiita zvemitambo mukati memiganho yako. Kurovedza muviri kwakapfava senge kufamba kunogona kuvandudza kuyerera kweropa nehutano hwese, asi dzivisa mabasa anorema anogona kuwedzera kuzvimba. Teerera kumuviri wako uye zorora kana zvichidiwa.

Ungagadzirira Sei Kune Chiremba Wako?

Kuagadzirira kushanya kwako kwachiremba kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva panguva yenyu pamwe chete uye usakanganwa ruzivo rwakakosha. Kugadzirira zvakanaka kunogona kutungamira pakurapwa kwakanaka uye sarudzo dzekurapa.

Chengeta dhayari yezviratidzo uchicherechedza kuti kuzvimba kunoitika riini, kwakakura sei, uye chii chingaita kuti kuve nani kana kuipa. Nyora uremu hwako hwezuva nezuva, kuverenga kweropa kana uine monitor kumba, uye chero kuchinja mukuonekwa kweweya yako.

Uya neruzivo rwakakwana rwemishonga yese, kusanganisira mishonga inowanikwa pasina kunyorerwa, zvinowedzerwa, uye mishonga yezvirimwa. Sanganisira dosages uye kuti unoidya kazhinji sei. Iyi ruzivo yakakosha nekuti mishonga yakati inogona kukanganisa basa reitsvo.

Gadzira rondedzero yemibvunzo yaunoda kubvunza. Usanetseka kubvunza nezve chero chinhu chisinganzwisisiki, kusanganisira sarudzo dzekurapa, migumisiro, kana kuchinja mararamiro. Nyora mhinduro kana uya nemumwe munhu kukubatsira kuyeuka ruzivo rwakakosha.

Uya nemakopi echero mhinduro dzebvunzo dzichangobva kuitwa kana rekodhi dzehutano kubva kune vamwe vanachiremba. Kana uri kuona nyanzvi kekutanga, nhoroondo yako yehutano nemhedzisiro yebvunzo yapfuura inobatsira kunzwisisa mamiriro ako zviri nani.

Chii Chinonyanya Kukosha Nezve Nephrotic Syndrome?

Chinhu chakakosha kunzwisisa nezve nephrotic syndrome ndechekuti kunyangwe iri chirwere chakakomba chinoda kurapwa nekukurumidza, chinodzorwa zvikuru nehutano hwakanaka. Vanhu vakawanda vane nephrotic syndrome vanorarama hupenyu hwakazara, hunoshanda ne kurapwa kwakakodzera nekuchinja mararamiro.

Kuonekwa nekukurumidza nekurapwa zvinoita kuti pave nekuchinja kukuru mumhedzisiro. Kana ukaona kuzvimba kwenguva refu, weya ine mvere, kana zvimwe zviratidzo, usamirire kutsvaka kurapwa nekukurumidza. Kana kurapwa kwakatanga nekukurumidza, mikana yako yekudzivirira matambudziko nekuchengetedza basa reitsvo inowedzera.

Yeuka kuti kurapwa kunotora nguva kuti kushanda, uye ungada kuyedza nzira dzakasiyana usati wawana izvo zvinokushandira. Ramba uine mwoyo murefu uye chengeta kutaurirana kwakashama nechikwata chako chehutano nezvekuti unonzwa sei uye chero zvinokunetsa zvaunacho.

Nemishonga iripo nhasi nekutarisirwa kunotsigira, tariro yevanhu vane nephrotic syndrome kazhinji yakanaka. Tarisa pakutevera chirongwa chako chekurapa, kuita sarudzo dzehupenyu hwakanaka, uye kuramba uchibatana nekutarisirwa kwako kwemishonga.

Mibvunzo Inowanzo Bvunzwa Nezve Nephrotic Syndrome

Nephrotic syndrome inogona kurapwa zvachose here?

Mhinduro inotsamira pane zviri kukonzera nephrotic syndrome yako. Marudzi akati, kunyanya minimal change disease muvana, kazhinji anopinda mukuvandudzika kwakazara nekurapwa. Nekudaro, mamwe marudzi anogona kuda kutarisirwa kwenguva refu panzvimbo pekurapwa kwakazara. Vanhu vakawanda vanowana nguva refu vasina zviratidzo nekurapwa kwakakodzera, izvo kazhinji zvakanaka sekurapwa maererano nehupenyu hwakanaka.

Nephrotic syndrome ndeyemhuri here kana kuti inofamba mumhuri?

Mamwe marudzi e nephrotic syndrome anogona kufamba mumhuri, kunyanya marudzi akati emagwenya anokanganisa vana. Nekudaro, kazhinji kesi hadzina kunyatsofamba mumhuri uye dzinoitika nekuda kwezvimwe zvirwere kana zvikonzero zvisingazivikanwe. Kana uine nhoroondo yemhuri yechirwere cheitsvo, zvinokosha kukurukura nachiremba wako, asi hazvirevi kuti iwe uchava nechinetso ichocho.

Vana vane nephrotic syndrome vanogona kuita mitambo nemabasa akajairika here?

Vana vazhinji vane nephrotic syndrome inodzorwa zvakanaka vanogona kuita mabasa akajairika, kusanganisira mitambo. Nekudaro, panguva yezvikamu zvinoshanda zvechirwere apo kuzvimba kwakanyanya kana vari pane steroids yakawanda, basa rinogona kuderera. Chiremba wemwana wako achapa mazano chaiwo zvichienderana nemamiriro avo chaiwo nezviratidzo zviripo.

Kurapa kwe nephrotic syndrome kunogara kwenguva yakareba sei?

Nguva yekurapa inosiyana zvakanyanya zvichienderana nerudzi rwe nephrotic syndrome uye kuti unopindura sei kurapwa. Vamwe vanhu vanogona kuda kurapwa kwemwedzi mishoma, nepo vamwe vachida mishonga inoramba ichitorwa kwemakore kana kunyange hupenyu hwese. Chinangwa ndechekuwana kurapwa kwakakodzera kwakakwana kunodzivirira zviratidzo zvako zvichiita kuti pave nemigumisiro mishoma.

Zvokudya ndizvipi zvandinofanira kudzivisa kana ndine nephrotic syndrome?

Kudzivisa kunonyanya kukosha ndekuderedza sodium kubatsira kudzora kuzvimba uye kuwedzera kweropa. Izvi zvinoreva kudzivisa zvokudya zvakagadzirwa, supu dzakabikwa, nyama dzakachekwa, nezvokudya zvemaresitorendi kana zvichibvira. Haudi kusiya mapuroteni zvachose, asi chiremba wako anogona kukurudzira huwandu hwakakodzera. Dzivisa kuwedzera munyu muzvokudya zvako uye verenga marezinesi zvakanaka, sezvo sodium inowanikwa munzvimbo dzisingatarisirwi senge chingwa nezviyo.