Ukuqonda i-Nephrotic Syndrome: Izimpawu, Izimbangela, Nokwelashwa

I-Nephrotic syndrome yisimo sezinkalankala lapho izinkalankala zakho zikhishwa khona amaprotheni amaningi kakhulu emanzini omchamo. Cabanga ngezinkalankala zakho njengabafilithi abagcina ngokujwayelekile amaprotheni abalulekile egazini lakho ngenkathi besusa ukhukhwini. Uma laba bafilithi besonakale, baqala ukushiya amaprotheni ayigugu edlula, okwenza inkinga emzimbeni wakho.

Lesi simo sithinta abantu bazo zonke izigaba zokuphila, nakuba sibonakala ngokuhlukile kubantwana kunabantu abadala. Nakuba kuzwakala kukhulu, futhi ngokuqinisekile kudinga ukunakekelwa kwezokwelapha, abantu abaningi baphatha i-nephrotic syndrome ngempumelelo ngokwelashwa okulungile nokunakekelwa.

Ziyini izimpawu ze-nephrotic syndrome?

Isici esiyinhloko se-nephrotic syndrome ukukhuluphala, okubizwa ngokuthi yi-edema. Lokhu kwenzeka ngoba uma ulahlekelwa yiprotheni egazini lakho, amanzi aqala ukuqoqwa ezihlangwini zakho esikhundleni sokuhlala emithanjeni yegazi.

Nazi izimpawu eziyinhloko ongazibona, uqale ngezivamile kakhulu:

• Ukukhuluphala emehlweni akho, okubonakala kakhulu ekuseni
• Ukukhuluphala ezinyaweni, ezinqenqemeni, nasemiileni okuyanda usuku lonke
• Umanzi omchamo onamafutha noma onamafutha obukeka njengezindebe zeqanda ezishaqekile
• Ukuzuza isisindo ngokushesha ngokugcinwa kwamanzi, ngezinye izikhathi kwenzeka ngokushesha ezinsukwini ezimbalwa
• Ukuzizwa ukhathele noma ubuthakathaka
• Ukulahlekelwa ukudla

Abanye abantu nabo baye baba nezimpawu ezingavamile njengokukhuluphala esiswini, ukuphefumula kanzima uma ulele phansi, noma isikhumba esizizwa siqinile ngenxa yokukhuluphala. Izindaba ezinhle ukuthi lezi zimpawu zivame ukuthuthuka kakhulu uma ukwelashwa kuqala.

Ezimeni ezingavamile, ungase uqaphele izimpawu ezinkulu njengokuphefumula kanzima kakhulu, ubuhlungu esifubeni, noma ukukhuluphala okukhulu ngokuzumayo. Lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha njengoba kungabonisa izinkinga.

Ziyini izinhlobo ze-nephrotic syndrome?

Odokotela bahlukanisa i-nephrotic syndrome zibe izigaba ezimbili eziyinhloko ngokusekelwe kulokho okubangela ukonakala kwezinkalankala. Ukuqonda ukuthi yiluphi uhlobo olukhona kusiza ekutholeni indlela yokwelapha engcono kakhulu.

I-Nephrotic syndrome eyinhloko kwenzeka uma inkinga iqala ngqo ezinkalankaleni zakho. Izinhlobo ezivamile kakhulu zihlanganisa isifo esincane sokuchithwa, esivame kakhulu kubantwana, ne-focal segmental glomerulosclerosis, esivame kakhulu kubantu abadala. Kukhona ne-membranous nephropathy, evame ukubathinta abantu abadala abangaphezu kweminyaka engama-40.

I-Nephrotic syndrome yesibili kwenzeka uma enye isimo lilimaza izinkalankala zakho. Ukuqina kweswekile yisibonelo esivamile kakhulu, okulandela izifo ze-autoimmune njenge-lupus. Ukutheleleka, imithi ethile, kanye namanye ama-cancer nawo angabangela lolu hlobo.

Udokotela wakho uzokwenza izivivinyo ezithile ukuze aqonde ukuthi yiluphi uhlobo olukhona kuwe, njengoba lokhu kuchaphazela kakhulu uhlelo lwakho lokwelapha kanye nombono.

Yini ebangela i-nephrotic syndrome?

I-Nephrotic syndrome ithuthuka uma amayunithi amancane okucwecwa ezinkalankaleni zakho, abizwa ngokuthi yi-glomeruli, elimazeka. Le mifilithi ngokujwayelekile isebenza njenge-mesh enhle, igcina amaprotheni egazini lakho ngenkathi ivumela ukhukhwini ukuba udlule.

Izimo eziningi zingalimaza le mifilithi ebuthakathaka:

• Ukuqina kweswekile, ikakhulukazi uma ushukela egazini uhlala uphakeme isikhathi eside
• Izifo ze-autoimmune njenge-lupus noma i-vasculitis, lapho isimiso sakho sokugcina simangalela khona izicubu zakho
• Ukutheleleka, kuhlanganise i-hepatitis B, i-hepatitis C, ne-HIV
• Imithi ethile, ikakhulukazi ezinye izilengisi zobuhlungu kanye ne-antibiotics
• Ama-cancer egazi njenge-lymphoma noma i-leukemia
• Izimo ze-genetic ezihambela emindenini

Ngezinye izikhathi, ikakhulukazi kubantwana, odokotela abakwazi ukubona imbangela ethile. Lokhu kubizwa ngokuthi yi-nephrotic syndrome ye-idiopathic, futhi nakuba kungase kuzwakale kukhulu, ngokuvamile kuphendula kahle ekwelapheni.

Ezimeni ezingavamile, ukuboshwa yizinto ezinobuthi, ukungezwani okukhulu, noma ama-blood clots emithanjeni yezinkalankala kungabangela lesi simo. Udokotela wakho uzoqala lezi zinto ngokusekelwe emlandweni wakho wezokwelapha kanye nezimpawu.

Nini okufanele ubona udokotela nge-nephrotic syndrome?

Kufanele uxhumane nodokotela wakho uma uqaphela ukukhuluphala okuqhubekayo, ikakhulukazi emehlweni akho noma ezinyaweni nasemiileni yakho. Umanzi omchamo onamafutha ongahambi ngemva kosuku noma amabili yilokhu okunye okubalulekile okufanele kunakekelwe.

Ungalindi uma uzuza isisindo ngokushesha ngaphezu kwamapounds angu-3-5 ezinsukwini ezimbalwa, njengoba lokhu ngokuvamile kubonisa ukugcinwa kwamanzi. Ngokufanayo, uma uzizwa ukhathele kakhulu kanye nanoma yikuphi ukukhuluphala, sekuyisikhathi sokuhlolwa.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa ukuphefumula kanzima kakhulu, ubuhlungu esifubeni, noma ukukhuluphala okukhulu ngokuzumayo emzimbeni wakho. Lokhu kungabonisa izinkinga ezinkulu ezidinga ukwelashwa okusheshayo.

Khumbula, ukutholwa kwangaphambi kwesikhathi nokwelashwa kwe-nephrotic syndrome kungavimbela izinkinga futhi kusize ekugcineni umsebenzi wezinkalankala zakho isikhathi eside.

Ziyini izici ezingozi ze-nephrotic syndrome?

Ukuqonda izici zakho ezingozi kungakusiza ukuthi uhlale ulindele izimpawu futhi uthathe izinyathelo zokuvimbela lapho kungenzeka. Ezinye izici awukwazi ukuzilawula, kanti ezinye ungazithonya ngokukhetha indlela yokuphila.

Izimo zezokwelapha ezandisa ingozi yakho zihlanganisa:

• Ukuqina kweswekile, ikakhulukazi uma ukulawulwa kweswekela egazini bekubi
• Izifo ze-autoimmune njenge-lupus, i-rheumatoid arthritis, noma i-vasculitis
• Ukutheleleka okuqhubekayo njenge-hepatitis B noma i-C
• Umbukiso womndeni wesifo sezinkalankala noma i-nephrotic syndrome
• Ama-cancer athile egazi noma ama-tumors aqinile

Ubudala nobuhlanga nawo kudlala indima. Abantwana abaneminyaka engu-2-6 ubudala banesilinganiso esiphezulu sezinye izinhlobo, kanti abantu abadala abangaphezu kweminyaka engama-65 babhekene nengozi ephakeme yokonakala kwezinkalankala ebuhlotshaniswa neswekile. Abantu base-Afrika baseMelika nabase-Hispanic banesilinganiso esiphezulu sesifo sezinkalankala ngokujwayelekile.

Imithi ethile, kuhlanganise ezinye izilengisi zobuhlungu ne-antibiotics, ingandisa ingozi, ikakhulukazi ngokusetshenziswa isikhathi eside. Ukuba ne-HIV, ukusebenzisa izidakamizwa ze-intravenous, noma ukuboshwa yizinto ezithile kuyizici ezengeziwe, nakuba zingavamile, ezingozi.

Ziyini izinkinga ezingaba khona ze-nephrotic syndrome?

Nakuba i-nephrotic syndrome ilawuleka ngokunakekelwa okulungile, ingabangela izinkinga eziningi uma ingalashwa noma ilawulwa kabi. Ukuqonda lokhu kusiza ekuqondeni izimpawu zezexwayiso nokusebenzisana eduze neqembu lakho lokunakekelwa kwezokwelapha.

Izinkinga ezivamile kakhulu zihlanganisa:

• Ama-blood clots, angaba yingozi uma eya emaphashini akho noma ebuchosheni
• Ukungezwani okwandayo kokutheleleka ngenxa yokulahleka kwamaprotheni avikelayo
• I-cholesterol ephakeme nengozi ephakeme yesifo senhliziyo
• Uxinzelelo lwegazi oluphakeme ngenxa yokugcinwa kwamanzi
• Ukonakala kwezinkalankala okukhulu phakathi kokuphakama
• I-bone disease ngenxa yokulahleka kwe-vitamin D ne-calcium

Abanye abantu bathuthukisa izinkinga ezinkulu njengesifo sezinkalankala esiqhubekayo, esingathuthuka sibe ukwehluleka kwezinkalankala ngokuhamba kwesikhathi. Abantwana bangase babe nokulibaziseka kokukhula uma isimo singalawulwa kahle.

Ngokungavamile, izimo ezinkulu zingabangela izinkinga ezisongela impilo njenge-pulmonary edema, lapho amanzi ehlanganiswa khona emaphashini, noma i-peritonitis, ukutheleleka esiswini. Lokhu kudinga ukungenelela kwezokwelapha ngokushesha.

Izindaba ezikhuthazayo ukuthi ngokwelashwa okulungile nokulandelela, izinkinga eziningi zingavikelwa noma ziphathwe kahle.

I-nephrotic syndrome ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izinhlobo ze-nephrotic syndrome, ikakhulukazi izinhlobo ze-genetic, unganciphisa kakhulu ingozi yakho ngokulawula izimo ezikhona nokugcina impilo enhle jikelele.

Uma une-diabetes, ukugcina ushukela egazini wakho ulawulwa kahle kubalulekile. Lokhu kusho ukulandela uhlelo lwakho lokwelapha, ukudla ukudla okulinganiselayo, ukuzivocavoca njalo, nokubuka ushukela egazini lakho njengoba uqondiswe udokotela wakho.

Kwabo abanezimpawu ze-autoimmune, ukusebenzisana eduze nodokotela wakho we-rheumatologist noma ochwepheshe ukuze ugcine ukuvuvukala kulawulwa kusiza ekuvikeleni izinkalankala zakho. Thatha imithi eyalwe njengoba uqondiswe futhi ube khona emihlanganweni yokulandelela njalo.

Izinyathelo zokuvimbela ezijwayelekile zihlanganisa ukugcina isisindo esinempilo, ukuzivocavoca njalo, ukungabhemi, nokuvimbela ukusetshenziswa kotshwala. Lezi zici zendlela yokuphila zisekela impilo yezinkalankala ngokujwayelekile futhi zinciphisa ingozi yezimo ezingabangela i-nephrotic syndrome.

Qaphela imithi yokwelapha ubuhlungu eyenziwa ngaphandle kokubonisana nodokotela, ikakhulukazi i-NSAIDs njenge-ibuprofen, njengoba ukusetshenziswa isikhathi eside kungalimaza izinkalankala. Hlala ukhuluma nodokotela wakho ngokusetshenziswa kwemithi, ikakhulukazi uma unezinye izici ezingozi.

I-nephrotic syndrome ihlonishwa kanjani?

Ukuhlonishwa kwe-nephrotic syndrome kuhilela izivivinyo eziningi ezisiza udokotela wakho ukuqonda ukuthi kwenzekani ezinkalankaleni zakho nakwemzimbeni wakho. Inqubo ngokuvamile iqala ngomlando wezokwelapha ophelele nokuhlolwa komzimba.

Udokotela wakho uzoyala izivivinyo zemanzi omchamo ukuze alinganise amazinga amaprotheni futhi abukele ezinye izinto ezingavamile. Ukuqoqwa kwamanzi omchamo kwamahora angu-24 noma izinga elilula le-protein-to-creatinine lamanzi omchamo lingabonisa ukuthi ulahlekelwa yiprotheni kangakanani. Izivivinyo zegazi zibukeka amazinga amaprotheni akho, umsebenzi wezinkalankala, ne-cholesterol.

Izivivinyo ezengeziwe zingase zihlanganise izifundo zokubonisa njenge-ultrasounds ukuze ubuke usakhiwo lwezinkalankala zakho. Ezimeni eziningi, udokotela wakho angase akukhuthaze ukwenza i-kidney biopsy, lapho isibonelo esincane sesicubu sithathwa khona ukuze ubone uhlobo oluthile lokonakala kwezinkalankala.

I-biopsy ingase izwakale iyesabekayo, kodwa ngokuvamile yenziwa njengokuhlinzwa kwabaphethwe ngaphandle kokulala ngokuphelele. Le nqubo inikeza ulwazi olubalulekile mayelana nalokho okubangela i-nephrotic syndrome yakho futhi isize ekuqondiseni izinqumo zokwelapha.

Udokotela wakho angase futhi ahlole izimo ezikhona njenge-diabetes, i-lupus, noma ukutheleleka okungase kube nomthelela ezinkingeni zakho zezinkalankala.

Yini ukwelashwa kwe-nephrotic syndrome?

Ukwelashwa kwe-nephrotic syndrome kugxile ekuthuthukiseni ukulahleka kwamaprotheni, ukulawula izimpawu, nokubhekana nanoma yiziphi izimbangela ezikhona. Uhlelo lwakho oluthile lokwelapha luzoxhomeka ekutheni yiluphi uhlobo olukhona kuwe nokuthi yini elibangelayo.

Imithi iyisisekelo sokwelapha. I-Corticosteroids njenge-prednisone ngokuvamile iyindlela yokuqala yokwelapha, ikakhulukazi kubantwana nakwezinye izinhlobo ze-nephrotic syndrome. Lezi zidakamizwa ezinamandla zokulwa nokuvuvukala zingasiza ekuthuthukiseni ukuvuvukala kwezinkalankala nokulahleka kwamaprotheni.

Ezinye imithi udokotela wakho angase ayibhale ihlanganisa:

• I-ACE inhibitors noma i-ARBs ukuze avikele izinkalankala zakho futhi unciphise ukulahleka kwamaprotheni
• I-Diuretics ukuze usize ekuthuthukiseni ukukhuluphala ngokususa amanzi amaningi
• Imithi yokucindezela isimiso sokugcina sezimo ezingaphenduli e-steroids
• Imithi yokunciphisa i-cholesterol ukuze uqonde amazinga aphezulu e-lipid
• I-Blood thinners uma unesongo eliphezulu lama-clots

Uma isimo esikhona sibangela i-nephrotic syndrome yakho, ukwelapha leso simo kubalulekile. Lokhu kungase kuhilele ukulawulwa kangcono kweswekile, ukwelashwa kwezifo ze-autoimmune, noma ukubhekana nokutheleleka.

Ezimeni ezingavamile lapho ukwelashwa okujwayelekile kungasebenzi khona, udokotela wakho angase acabangele ukwelashwa okusha noma ukwelashwa okuvivinywayo. Abanye abantu bangase ekugcineni badinge i-dialysis noma ukutshalwa kwezinkalankala, nakuba lokhu kungavamile ngokwelashwa okulungile kwangaphambi kwesikhathi.

Indlela yokuphatha i-nephrotic syndrome ekhaya?

Ukuphatha i-nephrotic syndrome ekhaya kuhilela ukulungiswa okubalulekile kwendlela yokuphila okungathuthukisa kakhulu izimpawu zakho nempilo yakho jikelele. Lezi zindlela zisebenza kanye nokwelashwa kwakho kwezokwelapha ukuze zikusize uzizwe kangcono futhi uvimbele izinkinga.

Ukuchithwa kokudla kudlala indima ebalulekile ekunakekelweni kwakho. Ukuncipha kokudla okune-sodium kusiza ekulawuleni ukukhuluphala noxinzelelo lwegazi. Hlose ngaphansi kwama-2,000 mg we-sodium nsuku zonke ngokugwema ukudla okucutshungulwayo, ukudla kwamarestolo, nokungeza usawoti oluphansi ekuphekeni kwakho. Ukufunda imibhalo yokudla kuyaba yinto ebalulekile.

Ukudla kwamaprotheni kudinga ukulinganisela. Nakuba ulahlekelwa yiprotheni emanzini omchamo, ukudla amaprotheni amaningi kakhulu kungacindezela izinkalankala zakho. Udokotela wakho noma umqeqeshi wokudla uzokuncoma inani elifanele lesimo sakho, ngokuvamile cishe angu-0.8-1.0 amagremu ngekilogremu yesisindo somzimba.

Buka isisindo sakho nsuku zonke bese ugcina irekhodi. Ukuzuza isisindo ngokushesha kwamapounds angu-2-3 ngosuku noma ama-5 pounds ngesonto kungabonisa ukugcinwa kwamanzi futhi kufanele kubikwe ku dokotela wakho. Ukuqengqeleka imilenze yakho uma uhleli noma ulele kungasiza ekuthuthukiseni ukukhuluphala.

Hlala usebenza ngaphakathi kwemingcele yakho. Ukuzivocavoca okulula njengokuhamba kungathuthukisa ukujikeleza kwamanzi nempilo jikelele, kodwa gwema imisebenzi enzima engase ibe yimbi kakhulu. Lalela umzimba wakho uphumule uma kudingeka.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela izihambeli zakho zodokotela kusiza ekuqinisekiseni ukuthi uthola okuningi ngesikhathi sakho sokuhlangana futhi ungakhohlwa ulwazi olubalulekile. Ukulungiselela okuhle kungabangela ukunakekelwa okulungile nezinqumo zokwelapha.

Gcina idayari yezimpawu uqaphele ukuthi ukukhuluphala kwenzeka nini, ukuthi kunzima kangakanani, nokuthi yini engase ikwenze kube ngcono noma kubi. Rekhoda isisindo sakho sansuku zonke, ukufunda kokucindezela kwegazi uma une-monitor ekhaya, nanoma yikuphi ukushintsha okubonakalayo emanzini omchamo.

Letha uhlu oluphelele lwemithi yonke, kuhlanganise imithi eyenziwa ngaphandle kokubonisana nodokotela, izithasiselo, nemithi yemifino. Faka izilinganiso nokuthi uyithatha kangaki. Lolu lwazi lubalulekile ngoba imithi ethile ingathinta umsebenzi wezinkalankala.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza. Unganqikazi ukubuza nganoma yini ongayiqondi, kuhlanganise nezinketho zokwelapha, imiphumela emibi, noma ukulungiswa kwendlela yokuphila. Bhala izimpendulo noma ulethe umuntu ongahlala nawe ukuze akusize ukukhumbula ulwazi olubalulekile.

Letha amakhophi nanoma yiziphi iziphumo zamuva ze-lab noma amarekhodi ezokwelapha kwabanye odokotela. Uma ubona ochwepheshe okokuqala, umlando wakho wezokwelapha kanye neziphumo zokuhlola ezedlule zibasiza ekuqondeni isimo sakho kangcono.

Yini into ebalulekile mayelana ne-nephrotic syndrome?

Into ebaluleke kakhulu okumele uyiqonde mayelana ne-nephrotic syndrome ukuthi nakuba kuyisimo esinzima esidinga ukunakekelwa kwezokwelapha, lilawuleka kakhulu ngokunakekelwa okulungile. Abantu abaningi abane-nephrotic syndrome baphila impilo egcwele, esebenzayo ngokwelashwa okulungile nokwenza izinguquko zendlela yokuphila.

Ukutholwa kwangaphambi kwesikhathi nokwelashwa kwenza umehluko omkhulu ezimpumelelweni. Uma uqaphela ukukhuluphala okuqhubekayo, amanzi omchamo onamafutha, noma ezinye izimpawu, ungalindi ukufuna ukunakekelwa kwezokwelapha. Lapho ukwelashwa kuqala, kangcono amathuba akho okuvimbela izinkinga nokugcina umsebenzi wezinkalankala.

Khumbula ukuthi ukwelashwa ngokuvamile kuthatha isikhathi sokusebenza, futhi ungase udinge ukuzama izindlela ezahlukene ngaphambi kokuthola lokho okusebenza kahle kuwe. Hlala unethemba futhi ugcine ukuxhumana okuvulekile neqembu lakho lokunakekelwa kwezokwelapha mayelana nendlela ozizwa ngayo nanoma yiziphi izinkathazo onazo.

Ngezinketho zokwelapha zanamuhla nokunakekelwa okuhambisana nokusekela, umbono wabantu abane-nephrotic syndrome ngokuvamile uqondile. Gxila ekulandeleni uhlelo lwakho lokwelapha, ukwenza izinqumo zendlela yokuphila enempilo, nokuba neqembu lakho lokunakekelwa kwezokwelapha.

Imibuzo evamile ebuzwa mayelana ne-nephrotic syndrome

Ingayeluleka yini i-nephrotic syndrome ngokuphelele?

Impendulo ixhomeke kulokho okubangela i-nephrotic syndrome yakho. Ezinye izinhlobo, ikakhulukazi isifo esincane sokuchithwa kubantwana, ngokuvamile ziya ekuphumuleni okuphelele ngokwelashwa. Noma kunjalo, ezinye izinhlobo zingase zidinga ukuphathwa okuqhubekayo kunokwelashwa okuphelele. Abantu abaningi bafinyelela ezikhathini ezinde ngaphandle kwezimpawu ngokwelashwa okulungile, okuvamile kufana nokwelashwa ngokuphelele ngokuphathelene nekhwalithi yempilo.

Ingabe i-nephrotic syndrome iyindlela yofuzo noma ifuzo?

Ezinye izinhlobo ze-nephrotic syndrome zingase zihambe emindenini, ikakhulukazi izinhlobo ezithile ze-genetic ezithinta abantwana. Noma kunjalo, izimo eziningi azilithi futhi zithuthukela ngenxa yezinye izimo zezokwelapha noma izimbangela ezingaziwa. Uma unembukiso womndeni wesifo sezinkalankala, kufanele ukhulume nodokotela wakho, kodwa lokho akusho ukuthi uzophuthuma lesi simo.

Ingabe abantwana abane-nephrotic syndrome bangabamba iqhaza ezemidlalo nasemisebenzini evamile?

Abantwana abaningi abane-nephrotic syndrome elawulwayo kahle bangabamba iqhaza emisebenzini evamile, kuhlanganise nezemidlalo. Noma kunjalo, phakathi kwezinyathelo ezisebenzayo zesifo lapho kukhona ukukhuluphala okukhulu noma uma beku-steroids ezingeni eliphezulu, umsebenzi ungase udingeke unciphise. Udokotela womntanakho uzonikeza isiqondiso esithile ngokusekelwe esimweni sabo siqu kanye nezimpawu zamanje.

Ukwelashwa kwe-nephrotic syndrome kuvame ukuphela isikhathi esingakanani?

Isikhathi sokwelashwa sihlukahluka kakhulu kuye ngohlobo lwe-nephrotic syndrome nokuthi uyaphendula kahle kangakanani ekwelapheni. Abanye abantu bangase badinge ukwelashwa izinyanga ezimbalwa, kanti abanye badinga imithi eqhubekayo iminyaka noma ngisho nokuphathwa okuphila konke. Umgomo ukufumana ukwelashwa okusebenzayo okuncane okugcina izimpawu zakho zilawulwa ngemiphumela emibi emincane.

Yikuphi ukudla engingakugwema uma ngine-nephrotic syndrome?

Ukunciphisa okukhulu kokudla ukunciphisa i-sodium ukuze kusize ekulawuleni ukukhuluphala noxinzelelo lwegazi. Lokhu kusho ukugwema ukudla okucutshungulwayo, usoso olubekwe emakhanini, inyama yokuqhekeza, nokudla kwamarestolo lapho kungenzeka. Awudingi ukususa amaprotheni ngokuphelele, kodwa udokotela wakho angase akukhuthaze amanani aphansi. Gwema ukungeza usawoti ekudleni kwakho futhi ufunde imibhalo ngokucophelela, njengoba i-sodium ifihla ezindaweni eziningi ezingalindelekile njengasonka ne-cereals.