Ashuga nephropathy

Mfundo zikuluzikulu za matenda amaonedwa hyperglycemia aakulu, nthawi yaitali a shuga, dyslipidemia, matenda oopsa. Ashuga nephropathy amakhala ndi zotupa za zida glomerular a impso ndi. Matendawa nthawi zambiri amapezeka mu amuna ndi anthu ndi mtundu woyamba wa matenda a shuga anayamba pa zaka 15. Ashuga nephropathy akufotokozera mu 30 peresenti milandu a shuga.

Kumayambiriro matenda kuwonekera kwa matenda tingasonyezere oopsa. Ashuga nephropathy mu mawonekedwe anafotokoza zoopsa aimpso ndi matenda nephrotic. Kuyezetsa magazi a anthu ndi shuga, amapereka pachaka kuyezetsa nephropathy zaka zisanu pambuyo isanayambike matenda. Komanso, pachaka kafukufuku kreatianina mlingo anafunika kuwerengera ndalama glomerular kusefera, ndiye zizindikiro za mlingo glomerular kusefera. Ashuga nephropathy amakhala mu magawo oyambirira chinawonjezeka GFR, omwe amachepetsa pa chitukuko cha kulephera aimpso.

impso nephropathy ukufika pachimake patapita zaka 18-20 pambuyo isanayambike matenda a shuga. Certificate sizingasinthe ndondomeko monga nephropathy mu shuga ndi proteinuria. Pambuyo za 10-12 patatha zaka malo ena proteinuria akufotokozera uremia, imbaenda ku mkhalidwe kulephera aakulu aimpso.

zinthu zazikulu ndi kupewa nephropathy kukhalabe yachibadwa magazi ndi shuga chipukuta misozi. Analimbikitsa kuchepetsa kudya chakudya munali mapuloteni. Odwala anatumizidwa angiotezina cholandilira blockers ndi Ace zoletsa. pa
oopsa, wothandizila awa kutumikiridwa mu Mlingo wa antihypertensive. Mankhwalawa kuteteza tinganene microalbuminuria kuti proteinuria. Mu zina, mankhwala amenewa, pamodzi ndi malipiro a shuga, zikubweretsa kuwonongedwa kwa microalbuminuria. Analimbikitsa kudya mchere si magilamu 3 pa tsiku.

Mu otaya siteji kulephera aakulu aimpso kudzudzula ayenera kuchitidwa mankhwala hypoglycemic. Odwala ndi mtundu 2 shuga mamita ali anatembenukira kwa insulin, monga phwando zikutanthauza piritsi
Zimenezi zingachititse kuti hypoglycaemia kwambiri. Ambiri odwala amafuna yafupika insulin, kuyambira impso ndi malo yaikulu ya kagayidwe ake.

Kuchuluka creatinine mlingo akafunsa kuti, mankhwala opaleshoni ndipo extracorporeal. Kuti njira opaleshoni monga impso kupatsidwa zina ndi extracorporeal kumafuna peritoneal dialysis ndi hemodialysis.

Theka la odwala matenda a shuga a mtundu woyamba kudziwa kukula kwa proteinuria aimpso kulephera aakulu amapezeka mkati mwa zaka 10. Ashuga nephropathy chifukwa cha imfa ya 15% odwala ndi kulephera aakulu aimpso chifukwa odwala wamng'ono kuposa zaka 50.

Today nephropathy ndi akupha ndiponso kulemala odwala ndi shuga mkulu. Kupewa nephropathy magazi ulamuliro pamene ntchito alibe olumpha kuwerenga 130/85. M'pofunika kwathunthu kusiya fodya chifukwa chikonga kumabweretsa kuwonongeka makoma mtima wa M'kati ndipo ali ambiri vasoconstrictor kwenikweni. A chikhalidwe zofunika kupewa matenda ashuga nephropathy ndicho kukhala shuga mu uthunthu zabwinobwino komanso matenda a kuthamanga magazi. Pa siteji ina ya matenda akapatsidwa kudya zakudya zapadera tsiku ndi mapuloteni okhutira osati choposa 30% ndi buku la zakudya kwathunthu.