Ukulimala Kwempumputhe Okuvela Ekubeni Nesifo Sishukela Yini? Izimpawu, Izimbangela, Nokwelashwa

Ukulimala kwempumputhe okuvela ekubeni nesifo sishukela yilokhu ukulimala kwempumputhe okuvela lapho isifo sishukela siqeda izithombo zegazi ezincane empumputhe yakho ngokuhamba kwesikhathi. Cabanga ngempumputhe yakho njengezifiltha ezihlakaniphile ezihlanza udoti egazini lakho - uma isifo sishukela silimaza lezi zifiltha, azikwazi ukwenza umsebenzi wazo kahle.

Lesi simo sikhula kancane kancane, ngokuvamile ngaphandle kwezimpawu ezibonakalayo ezigabeni zokuqala. Kungakho ukuhlolwa okuvamile kubaluleke kakhulu uma une-diabetes. Izindaba ezinhle ukuthi ngokunakekelwa okuhle nokuphathwa kweswekile yegazi, unganciphisa noma uvikele lo mlilo wempumputhe ukuba ungabi sibi.

Ukulimala Kwempumputhe Okuvela Ekubeni Nesifo Sishukela Yini?

Ukulimala kwempumputhe okuvela ekubeni nesifo sishukela kwenzeka lapho amazinga aphezulu eswekile yegazi elimaza amayunithi okuhlunga anemfutho empumputhe yakho abizwa ngokuthi ama-nephron. Lezi zinto ezincane zisebenza njengezifiltha zekhofi, zigcina izinto ezinhle egazini lakho ngenkathi zisusa imikhiqizo yokuphumula.

Uma isifo sishukela siqeda lezi zifiltha, ziyaba buthakathaka futhi azisebenzi kahle. Amaprotheni okufanele ahlale egazini lakho aqala ukugeleza emanzini akho, ngenkathi imikhiqizo yokuphumula okufanele isuswe iqala ukuqongelela egazini lakho. Lo mkhuba ngokuvamile uthatha iminyaka ukuqhubeka, kungakho ngokuvamile ubizwa ngokuthi “ukukhubazeka okungabonakali.”

Cishe umuntu omunye kwabathathu abane-diabetes uzothola ukulimala kwempumputhe ngezinga elithile phakathi nokuphila kwabo. Noma kunjalo, akuwona wonke umuntu onalesi sifo sokulimala kwempumputhe esibangelwa yi-diabetes ozoqhubekela ekwehlulekeni kwempumputhe - ikakhulukazi ngokutholakala kwangaphambi kwesikhathi nokuphathwa okuhle.

Ziyini izimpawu zokulimala kwempumputhe okuvela ekubeni nesifo sishukela?

Ukulimala kwempumputhe okuvela ekubeni nesifo sishukela ekuqaleni ngokuvamile akubangeli izimpawu ezibonakalayo, okwenza ukuhlolwa okuvamile kubaluleke kakhulu. Uma izimpawu zivele, ngokuvamile zibonisa ukuthi ukulimala okukhulu kwempumputhe sekuvele kwenzeke.

Nawa ama-symptom ongawahlangabezana nawo njengoba isimo siqhubeka:

• Ukukhuluka kwezinyawo, izingalo, izandla, noma ubuso (ikakhulukazi eduze kwamehlo)
• Ushukela olukhulu olukhulu noma olukhulu ngenxa yokopha kwe-protein
• Ukuphuma kwesisu njalo, ikakhulukazi ebusuku
• Ukukhathala nobuthakathaka obungaphuli ngokuphumula
• Ukuphefumula nomhlangano
• Ukulahlekelwa ukudla
• Ukuqina komoya
• Ukuphindaphindeka kwegazi eliphakeme okunzima ukulawula
• Ukunambitha okufana nensimbi emlonyeni wakho
• Ukukhahlela kwesikhumba

Lezi zimpawu zingafana nezinye izimo, ngakho kubalulekile ukungacabangi ukuthi zihlangene namakhondolo akho. Umhlinzeki wakho wezempilo angakusiza ukuthola ukuthi yini ebangela izimpawu zakho futhi enze uhlelo lokwelapha olufanele kuwe.

Ziyini izinhlobo ze-nephropathy ye-diabetic?

Abahlinzeki bezempilo bahlukanisa i-nephropathy ye-diabetic zibe izigaba ezinhlanu ngokusekelwe ekutheni amakhondolo akho ahlanza kangcono kanjani udoti egazini lakho. Lokhu kulinganiselwa kubizwa nge-estimated glomerular filtration rate (eGFR).

Isigaba 1 sibonisa umsebenzi wokukhondolo ovamile noma ophezulu ngokulimala kwamakhondolo okukhona. I-eGFR yakho ingama-90 noma ngaphezulu, kepha ukuhlolwa kubonisa i-protein eshukela lakho noma ezinye izimpawu zokulimala kwamakhondolo. Awungase ubone zimpawu kule sigaba.

Isigaba 2 sibonisa ukunciphisa okuncane komsebenzi wokukhondolo ngokulimala kwamakhondolo. I-eGFR yakho iphakathi kwama-60-89, futhi ungase uzizwe uphelele. Yilapho ukungenelela kwasekuqaleni kungenza umehluko omkhulu.

Isigaba 3 sibonisa ukunciphisa okuphakathi komsebenzi wokukhondolo. I-eGFR yakho iphakathi kwama-30-59, futhi ungase uqale ukuhlangabezana nezinye izimpawu ezifana nokukhathala noma ukukhuluka. Lesi sigaba sihlukaniswe ngokwengeziwe sibe yi-3a (45-59) ne-3b (30-44).

Isigaba 4 sibonisa ukunciphisa okukhulu komsebenzi wokukhondolo nge-eGFR phakathi kwama-15-29. Izimpawu ziyabonakala kakhulu, futhi kuzodingeka uqale ukulungiselela izinketho zokwelapha ukushintshwa kwamakhondolo.

Isigaba 5 yiphutha lekhondolo, lapho i-eGFR yakho ingaphansi kwama-15. Kuleli phuzu, uzodinga i-dialysis noma ukuhlinzwa kwamakhondolo ukuze uphile.

Yini ebangela i-nephropathy yama-diabetic?

Amazinga aphezulu kashukela egazini isikhathi eside yimbangela eyinhloko ye-nephropathy yama-diabetic. Uma amazinga e-glucose ehlala aphezulu, abangela ukonakala kwezinsimbi zegazi ezincane emzimbeni wakho wonke, kuhlanganise nalezo ezinkanyeni zakho.

Izici eziningi zisebenza ndawonye ukubangela le nkinga yokonakala kwesibindi:

• Amazinga aphezulu kashukela egazini isikhathi eside adlula amazinga akho okuqondisa
• Ukugeleza kwegazi okuphezulu okufaka uxinzelelo olukhulu ezitsheni zegazi zesibindi
• Ukuvuvukala okubangelwa i-diabetes okuthinta inyama yesibindi
• Ukushintsha kwemizimba yokugeleza kwegazi ngaphakathi ezinkanyeni
• Izici ze-genetic ezenza abanye abantu babe sengozini enkulu yokonakala kwesibindi
• Ubude be-diabetes - ukukhombisa isikhathi eside kukhuphula ingozi
• Amazinga aphezulu e-cholesterol anikelela ekonakaleni kwezinsimbi zegazi
• Ukubhema, okuthoba ukugeleza kwegazi ezinkanyeni

Inqubo iqala ngokushintsha okuncane ohlelweni lokucwecwa kwesibindi. Ngezinyanga neminyaka, lezi zinguquko ezincane ziqoqana zibe ukonakala okukhulu. Kungakho ukugcina ukulawulwa okuhle kweswekile egazini kusukela ekuqaleni kokuxilongwa kwe-diabetes kubaluleke kakhulu ekuvikeleni izinkanyeni zakho.

Nini okumele ubone udokotela nge-nephropathy yama-diabetic?

Kufanele ubone udokotela wakho njalo ukuhlolwa kokusebenza kwesibindi uma une-diabetes, ngisho noma uzizwa uphilile ngokuphelele. Ukutholakala kwangaphambi kwesikhathi kuyisihluthulelo sokuvimbela noma ukuthambisa ukonakala kwesibindi.

Hlela i-aphoyintimenti ngokushesha uma ubona noma yikuphi ukuvuvukala ezinyaweni, ezinkulwini, noma ebusweni obungapheli. Ukuvuvukala okuqhubekayo kuvame ukubonisa ukuthi izinkanyeni zakho azisusi kahle amanzi engeziwe.

Xhumana nodokotela wakho uma ubona umchamo onamafutha noma onamabhabhu, ikakhulukazi uma uqhubeka izinsuku eziningi. Lokhu kungaba uphawu lokuthi iprotheni iphuma egazini lakho iye emchameni wakho.

Ungalindi ukuthola usizo uma uhlushwa ukuphefumula okusheshayo okungaqondakali, ubuhlungu esifubeni, noma ukugula nokuhlanza okukhulu. Lezi zimpawu zingabonisa ukuthi umsebenzi wokukhipha amanzi emzimbeni uphungukile kakhulu futhi udinga ukunakekelwa ngokushesha kwezokwelapha.

Uma unesinkinga lokulawula igazi lakho eliphezulu naphezu kokuthatha imithi, lokhu kungabonisa ukwanda kokungasebenzi kahle kwesibindi. Udokotela wakho angase adinge ukulungisa uhlelo lwakho lokwelashwa noma ahlole okwengeziwe.

Iyini imizamo yokusabela kwe-nephropathy ye-diabetic?

Ukuqonda imizamo yokusabela yakho kungakusiza ukuthi uthathe izinyathelo zokuvikela izinkulungwane zakho. Ezinye izinto ongaziqondisa, kanti ezinye ziyingxenye yemfuyo yakho yezakhiwo.

Imizamo yokusabela ongayithinta ifaka:

• Ukulawulwa okubi kweswekile legazi isikhathi eside
• Igazi eliphezulu elingalawulwa kahle
• Ukubhema, okonakalisa imithambo yegazi
• Amazinga aphezulu e-cholesterol
• Ukukhuluphala, ikakhulukazi ngasemadolweni
• Ukwehluleka kokuzivocavoca njalo
• Ukudla okuningi kwenkuntshana
• Ukudla okuningi kwamaprotheni

Imizamo yokusabela ongenakuyishintsha ifaka:

• Umlando womndeni wesifo sezinkulungwane noma isifo sikashukela
• Izizwe ezithile (umAfrika ongumAmerika, iHispanic, iNative American, noma i-Asia)
• Ukuba nesifo sikashukela iminyaka engaphezu kwengu-10
• Ukuba yindoda (ingozi encane enkulu)
• Iminyaka - ingozi ikhula njengoba ukhula

Ngisho noma unemizamo eminingi yokusabela, ukuthuthukisa i-nephropathy ye-diabetic akuyona into eqinisekile. Ukugxila emizamweni ongayiqondisa kwenza umehluko omkhulu ekuvikeleni impilo yezinkulungwane zakho.

Ziyini izinhlanganisela ezingaba khona ze-nephropathy ye-diabetic?

I-nephropathy ye-diabetic ingabangela izinhlanganisela eziningi ezinkulu ezithinta impilo yakho yonke kanye nekwalithi yempilo. Ukuqonda lokhu kukusiza ukuthi uqonde ukuthi kungani ukwelashwa kwasekuqaleni nokuvimbela kubaluleke kangaka.

Izinhlanganisela ezivamile kakhulu zifaka:

• Isikhathi eside sesifo sezinso esibi kakhulu ngokuhamba kwesikhathi
• Ukwehluleka kwesinyo sokuphela komugqa okudinga ukuhlanzwa kwegazi noma ukuhlohlolwa
• Isifo senhliziyo nokushaya kwengqondo ngenxa yezinso ezonakele
• Ukuphindaphinda okukhulu kokuphakama kokucindezela kwegazi okunzima ukulawula
• Isikhathi sesifo samathambo esivela ekuhlukaniseni kwaminerali
• Ukuntuleka kwegazi okuvela ekunciphiseni ukukhiqizwa kwamaseli abomvu egazi
• Ukugcinwa kwamanzi okubangela ukukhula okubi
• Ukungahambisani kwama-electrolyte okuthinta izinga lenhliziyo

Izinkinga ezingavamile kepha ezinzima zingabandakanya:

• Ukuhlushwa okukhulu kwe-metabolic lapho igazi lakho liba nomsoco kakhulu
• I-Hyperkalemia (amazinga aphezulu kakhulu e-potassium)
• Ubuthi be-Uremic obuthinta umsebenzi wengqondo
• Ukungena kaningi kwezifo
• Ukuhlupheka kokulala okuhlobene nokusebenza kabi kwezinso

Izindaba ezinhle ukuthi ukuphathwa kahle kwesifo sikashukela nokulandelela njalo kungavimbela noma kulibale kakhulu lezi zinkinga. Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo kukunika ithuba elihle kakhulu lokuqhubeka nokusebenza kahle kwezinso iminyaka ezayo.

Kungenzeka kanjani ukuvimbela i-nephropathy yesifo sikashukela?

Ukuvimbela kungenzeka ngokuphelele nge-nephropathy yesifo sikashukela, futhi kuqala ngokuphathwa okuhle kwesifo sikashukela. Uma uqala ngokushesha ukuvikela izinso zakho, amathuba akho okuqeda ukulimala okukhulu.

Gcina amazinga akho eshukela egazini eduze ncamashi njengoba kunjalo. I-A1C yakho efanele kufanele ibe ngaphansi kuka-7%, yize udokotela wakho angase abeke imigomo ehlukile ngokuya ngesimo sakho siqu. Ukulawulwa okuqhubekayo kwesukela egazini yithuluzi elinamandla kakhulu lokuvikela izinso.

Lawula ukucindezela kwegazi ngamandla. Hlose ngaphansi kuka-130/80 mmHg, noma noma yikuphi okunconyiwe udokotela wakho. Ukucindezela kwegazi okuphezulu kusheshisa ukulimala kwezinso, ngakho-ke lokhu kubaluleke kakhulu njengokuqondisa iswekela egazini.

Thatha ama-ACE inhibitors noma imithi ye-ARB uma udokotela wakho ekupreskrayba. Le mithi ivikela izinkalankala zakho ngisho noma uxinzelelo lwakho lwegazi lungajwayelekile. Iyasiza ekunciphiseni ukuvuza kwe-protein nokuthambisa ukuqhubeka kokonakala kwezinkalankala.

Gcina isisindo esinempilo ngokudla okulinganisekile nokuzivocavoca njalo. Ngisho nokulahlekelwa isisindo esincane kungathuthukisa kakhulu ukulawulwa kweswekile yakho yegazi nokunciphisa ukucindezela ezinkalankaleni zakho.

Ungabhemi, futhi ubeke umkhawulo ekusetshenzisweni kotshwala. Ukubhema konakalisa imithambo yegazi kulo lonke umzimba wakho, kuhlanganise nalabo abasezinkalankaleni zakho. Uma ubhema njengamanje, ukuyeka kuyinye yezinto ezinhle ongayenza impilo yezinkalankala zakho.

Thola ukuhlolwa okujwayelekile okuhlanganisa nezivivinyo zomsebenzi wezinkalankala. Ukutholakala kwangaphambi kwesikhathi kuvumela ukwelashwa okusheshayo okungathuthukisa noma kuyeke ukuqhubeka kokonakala kwezinkalankala.

I-diabetic nephropathy ihlonishwa kanjani?

Ukuhlonishwa kwe-diabetic nephropathy kuhilela izivivinyo ezilula udokotela wakho angazenza ngesikhathi sokuhlolwa okujwayelekile. Ukutholakala kwangaphambi kwesikhathi kubalulekile, ngakho-ke lezi zivino ziqhutshwa okungenani kanye ngonyaka uma une-diabetes.

Ivivinyo lokuqala yi-urine analysis ukuhlola i-protein (i-albumin). Inani elincane le-protein e-urine yakho lingaba uphawu lokuqala lokukonakala kwezinkalankala. Udokotela wakho angase asebenzise i-spot urine test noma akucele ukuthi uqoqe i-urine amahora angu-24.

Izivivinyo zegazi zilinganisa umsebenzi wezinkalankala zakho ngokuhlala amazinga e-creatinine nokubala i-estimated glomerular filtration rate yakho (eGFR). Lezi zinombolo zitshela udokotela wakho ukuthi izinkalankala zakho zihlanza kahle kangakanani udoti egazini lakho.

Udokotela wakho uzobuye ahlole uxinzelelo lwakho lwegazi, njengoba uxinzelelo lwegazi oluphezulu luhlala luhamba ndawonye nezingqinamba zezinkalankala. Bangase bacebise ukuqapha uxinzelelo lwegazi ekhaya ukuze bathole isithombe esiphelele.

Izivivinyo ezengeziwe zingase zihlanganise ukuhlola amazinga akho e-cholesterol, i-hemoglobin A1C, kanye nokujwayelekile kwe-electrolyte. Ngezinye izikhathi udokotela wakho angase ayalele izifundo zokubonisa njenge-ultrasound ukuze abuke usakhiwo lwezinkalankala zakho.

Kwezinye izimo ezingavamile, ukuhlolwa kwesampula yeqanda kungase kudingeke uma udokotela wakho engabaza ngezinye izimbangela zesifo seqanda ngaphandle kwesifo sikashukela. Lokhu kuhilela ukuthatha isampula encane yethishu yeqanda ukuze ihlolwe ngaphansi komkhiqizo.

Iyini impilo yesifo sikashukela seqanda?

Ukuphathwa kwesifo sikashukela seqanda kugxile ekunciphiseni ukuqhubeka kokonakala kweqanda nokuphatha izinkinga. Ukwelashwa okuqala kusheshe, kuba nomphumela omuhle.

Ukuphathwa kweswekile igazi kuhlala kuyisisekelo sokwelashwa. Udokotela wakho uzosebenza nawe ukuze ufinyelele amazinga eswekile igazi ngokulungisa imithi, ukushintsha ukudla, nokushintsha indlela yokuphila.

Ukulawulwa kwegazi eliphakeme kubalulekile. I-ACE inhibitors noma imithi ye-ARB ngokuvamile iyisinqumo sokuqala ngoba inikeza isivikelo esengeziwe seqanda ngaphezu kokunciphisa igazi eliphakeme. Udokotela wakho angase afake imithi engeziwe yegazi eliphakeme uma kudingeka.

Ukushintsha ukudla kungathinta kakhulu impilo yawo eqanda. Ungase udinge ukunciphisa ukudla kwamapuroteni, ukulinganisela usawoti, nokuphatha ukusetshenziswa kwe-potassium ne-phosphorus. Uchwepheshe wokudla angakusiza ukwakha uhlelo lokudla olusebenza esimweni sakho.

Ukuqapha okuvamile kuya kuba khona njengoba umsebenzi weqanda uya ehluleka. Udokotela wakho uzolandelela izindinganiso zakho zokuhlola ngokucophelela futhi alungise ukwelashwa njengoba kudingeka.

Ezinyathelweni eziphambili, ukulungiselela ukwelashwa kokufakwa kweqanda kuqala kusenesikhathi. Lokhu kungase kuhilele ukuxoxa ngezinketho zokuhlolwa kwe-dialysis noma ukuhlolwa kokufakwa kweqanda. Ithimba lakho lokuphatha impilo lizokuqondisa lezi zinketho futhi wenze izinqumo ezinolwazi.

Ukuphathwa kwezinye izimo zempilo njengokuhlupheka kwegazi, isifo samathambo, nezinkinga zenhliziyo kuya kubaluleka njengoba umsebenzi weqanda uya ehluleka.

Indlela yokwelashwa ekhaya ngesikhathi sesifo sikashukela seqanda?

Ukuphathwa ekhaya kudlala indima ebalulekile ekuthambiseni ukuqhubeka kwesifo sikashukela seqanda. Izinqumo zakho zansuku zonke zingathinta kakhulu ukuthi amaqanda akho asebenza kangcono kanjani ngokuhamba kwesikhathi.

Qapha amazinga akho eshukela egazini njengoba kunconywe yiqembu lakho lokunakekelwa kwezempilo. Gcina irekhodi lokufunda kwakho futhi uqaphele noma iyiphi imiqondo noma ukukhathazeka. Ukuqapha okuqhubekayo kusiza wena nodokotela wakho ukuba nizenze izinqumo zokwelashwa ezinolwazi.

Thatha wonke amaphilisi njengoba kunqunywe, ngisho noma uzizwa kahle. Lungisa umhleli wephilisi noma sebenzisa izikhumbuzo zeselula ukukusiza uhlale ohambweni. Ungalokothi udlulise izilinganiso zegazi elikhulu noma imithi yeswekile.

Landela uhlelo lwakho lokudla oluqokiwe ngokucophelela. Lokhu kungase kusho ukulinganisa izingxenye, ukufunda amalebula okudla, nokulungiselela ukudla okwengeziwe ekhaya. Izinguquko ezincane emikhwenyeni yakho yokudla zingaba nemiphumela emikhulu empilweni yezinso zakho.

Hlala uthambile, kodwa ungagcini. Phuza amanzi usuku lonke, kodwa landela izincomo zodokotela wakho mayelana nokungenisa izinto ezinzima uma une-kidney disease ephambili.

Zivocavoca njalo ngaphakathi kwamandla akho. Ngisho nemisebenzi emnene njengokuhamba ingasiza ekuthuthukiseni ukulawulwa kweswekile egazini nempilo iyonke. Xhumana nodokotela wakho mayelana nokuthi yiliphi izinga lomsebenzi olufanele kuwe.

Landelela isisindo sakho nsuku zonke futhi ubike ukwanda okungazelelwe kunikezeli wakho wezempilo. Ukuthola isisindo ngokushesha kungase kubonise ukugcinwa kwamanzi, okungase kubonise ukusebenza kwezinso okubi.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola inzuzo enkulu kusuka ezikhathini zakho kunikezeli wakho wezempilo. Ukulungiselela okuhle kuholela ekuxhumaneni kangcono nasekunakekelweni okuqondene nomuntu.

Letha yonke imithi yakho yangamanje, kufaka phakathi imithi yokuthengwa ngaphandle kokubhalwa komtholampilo kanye nezinhlanganisela. Yenza uhlu noma ulethe amabhodlela angeziwe ukuze udokotela wakho akwazi ukubuyekeza konke okuthathayo ngokuqondene nemiphumela yokusebenzisana noma yezinso.

Gcina irekhodi lokufunda kwakho kweswekile egazini, ukulinganiswa kwegazi elikhulu, kanye nezisindo zansuku zonke okungenani isonto ngaphambi kwe-aphoyintimenti yakho. Ulwazi lolu lusiza udokotela wakho ukuthi ahlole ukuthi uhlelo lwakho lokwelashwa olukhona lusebenza kangcono kangakanani.

Bhala noma yiziphi izimpawu ozibonile, ngisho noma zibonakala zincane. Faka ukuthi zaqala nini, zingaki izikhathi ezenzeka, nokuthi yini ezenza zibe ngcono noma zibe zimbi.

Lungisa uhlu lwemibuzo mayelana nempilo yakho yokwephukela, izinketho zokwelashwa, noma ukushintsha kwendlela yokuphila. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu - udokotela wakho ufuna ukukusiza ukuthi uqonde isimo sakho.

Letha ilungu lomndeni noma umngani uma ufuna ukwesekwa noma usizo ekukhumbula ulwazi olubalulekile. Ukuba nomuntu onaye kungaba usizo kakhulu lapho uxoxa ngezinqumo zokwelashwa eziyinkimbinkimbi.

Buyekeza ukumbozwa kwe-inshorensi yakho bese uletha amakhadi noma amadokhumenti adingekayo. Ukuqonda ukumbozwa kwakho kusiza ukugwema izimangaliso ngezindleko zokuhlola noma zokwelashwa.

Iyini into ebaluleke kakhulu mayelana nephropathy yama-diabetic?

Into ebaluleke kakhulu okumele uyikhumbule nge-nephropathy yama-diabetic ukuthi iningi layo lingathintelwa futhi liphathwe ngokunakekelwa okuhle. Ukutholakala kwasekuqaleni nokuphathwa okuqhubekayo kungakusiza ukugcina umsebenzi omuhle wokwephukela iminyaka eminingi.

Izinqumo zakho zansuku zonke ziyabaluleka kakhulu. Ukugcina ushukela wegazi nokucindezela kwegazi kuqondiswe kahle, ukuthatha imithi ebekiwe, nokulandela ukudla okuhle ekwephukeli kunganciphisa kakhulu noma kuyeke ukwanda kokonakala kwephukela.

Ungavumeli ukwesaba kukudale - gxila kulokho ongakulawula. Ukuhlola okuvamile, ukuxhumana okuqotho neqembu lakho lokunakekelwa kwezempilo, nokuzimisela ohlelweni lwakho lokwelashwa kukunika ithuba elihle kakhulu lokuvikela amakwephukela akho.

Khumbula ukuthi ukuba ne-nephropathy yama-diabetic akusho ukuthi uya e-dialysis noma ekuhlulekeni kwamakwephukela. Abantu abaningi abanesifo sama-kidney esisezingeni lokuqala baphila impilo egcwele, esebenzayo ngenkathi baphatha kahle isimo sabo.

Hlala unethemba futhi uhileleke ekunakekelweni kwakho. Ukwelashwa kwezokwelapha kuqhubeka nokukhula, futhi ukuhlanganyela kwakho okusebenzayo ekuphatheni impilo yakho kwenza umehluko omkhulu emiphumeleni yakho yesikhathi eside.

Imibuzo evame ukubuzwa mayelana ne-nephropathy yama-diabetic

Ingabe i-nephropathy ye-diabetic ingaphenduka?

Nakuba i-nephropathy ye-diabetic ingaphenduki ngokuphelele, ukulimala kwamathumbu esinyi ezingeni lokuqala ngezinye izikhathi kungathuthuka ngokulawulwa okuhle kweswekile legazi kanye nokucindezela kwegazi. Ikhona into ebalulekile yokuthi uyibambe ngokushesha bese uthatha izinyathelo ezinzima zokuvikela umsebenzi wakho osaleyo wezinyo. Ngisho nasezigabeni ezilandelayo, ukwelashwa okuqondile kunganciphisa kakhulu intuthuko futhi kukusize ugcine ikhwalithi yokuphila.

Kuthatha isikhathi esingakanani ukuba isifo sikashukela sibangele ukulimala kwamathumbu esinyi?

I-nephropathy ye-diabetic ngokuvamile ithuthuka eminyakeni engu-10-20 yokuba nesifo sikashukela, nakuba lokhu kuhluka kakhulu phakathi kwabantu. Abanye abantu bangabonisa izimpawu zokuqala phakathi kweminyaka emi-5, kanti abanye bagcina umsebenzi wezinyo ovamile amashumi eminyaka. I-genetics yakho, ukulawulwa kweswekile legazi, ukuphathwa kokucindezela kwegazi, nezinye izici zempilo konke kuthonya leli thuba.

Yikuphi ukudla okufanele ngikugweme nge-nephropathy ye-diabetic?

Uzoqala udinga ukulinganisela ukudla okunosadium, i-potassium, ne-phosphorus eliphezulu njengoba umsebenzi wezinyo uyancipha. Lokhu kuhlanganisa ukudla okuqediwe, usoso olupakishwe, inyama yase-deli, amantongomane, imikhiqizo yobisi, ne-soda emnyama. Kodwa-ke, ukulinganiselwa kokudla kuyahluka kuye ngesigaba somsebenzi wezinyo, ngakho-ke sisebenzisana nodokotela wezondlo ukuze udale uhlelo lokudla oluqondene nezidingo zakho.

Ingabe i-nephropathy ye-diabetic ibuhlungu?

I-nephropathy ye-diabetic ngokwayo ngokuvamile ayibangeli ubuhlungu. Abantu abaningi abazizwa bebuhlungu kuze kube yilapho umsebenzi wezinyo uyancipha kakhulu. Kodwa-ke, izinkinga ezinjengokuvuvukala okukhulu, izinkinga zenhliziyo, noma isidingo sokudla i-dialysis zingabangela ubuhlungu. Uma uzizwa ubuhlungu futhi une-kidney disease, kubalulekile ukuxoxa nalokhu nodokotela wakho ukuze uthole imbangela.

Kufanele ngihlole kangaki izinyo zami uma nginesifo sikashukela?

Kumele uhlolwe ukusebenza kwempilo yakho yezinso okungenani kanye ngonyaka uma une-diabetes kanye nokusebenza okujwayelekile kwezinso. Uma usuvele unemonakalo oluthile ezinso, udokotela wakho cishe uzofuna ukuhlola ukusebenza kwezinso zakho njalo ngenyanga ezingu-3-6 ukuqapha intuthuko. Abantu abanesifo sezintso esiphambili bangadinga ukuhlolwa nyanga zonke noma ngisho nangokuphindaphindiwe ukuze kulungiswe ukwelashwa ngokufanele.