I-Nephropathy yesifo sikashukela

Izici eziyinhloko zesifo yi-hyperglycemia engapheli, inkambo yesikhathi eside yesikashukela, i-dyslipidemia, isifo somfutho wegazi ophezulu. I-nephropathy yesifo sikashukela ibonakala ngokulimala ezintweni ze-glomerular zezinso. Lesi sifo sivame ukutholakala emadodeni nakubantu abanesifo sikashukela sohlobo lwe-1 ngaphambi kokuba baneminyaka engu-15. I-nephropathy yesifo sikashukela iqala ngamaphesenti angu-30 amacala e- diabetes mellitus.

Ukubonakaliswa kokuqala kwemitholampilo yesifo kungabonakaliswa e-hypertension. I-nephropathy yesifo sikashukela ekuboniseni kamuva kuboniswa ukuhluleka kweqhwaba nesifo se-nephrotic. Ukuhlolwa kwabantu abanesifo sikashukela kudinga ukuhlolwa konyaka kwe-nephropathy eminyakeni emihlanu emva kokuqala kwesifo. Ucwaningo lwaminyaka yonke lwezinga le-creinine liyadingeka ukubala i-GFR, okungukuthi, izinga lokuhlunga kwe-glomerular. I-nephropathy yesifo sikashukela ezinyathelweni zokuqala ibonakala ngokunyuka kwe-GFR, eyancipha ngokuthuthukiswa kokuhluleka kwenkunzi.

I-Nephropathy yezinso ifinyelela phezulu eminyakeni eyishumi nesishiyagalolunye nesithupha emva kokuqala kokuqala kwesifo sikashukela. Ubufakazi bokungapheli kwenqubo enjalo njenge-nephropathy e-diabetes mellitus yi-proteinuria. Cishe eminyakeni engu-10-12 emva kokuqala kweproteinuria, i-uremia iqala, okuholela ekuhlulekeni kwezinso ezingapheli.

Izimo eziyinhloko zokuvimbela i-nephropathy zigcina ukucindezelwa kwegazi evamile futhi zibuyisela isifo sikashukela. Kutuswa ukunciphisa ukudla okuqukethe amaprotheni. Iziguli zinikezwa ukusetshenziswa kwe-angiotensin receptor blockers ne- ACE inhibitors. Ngesikhathi
Ukwelashwa ngokweqile kwalezi zidakamizwa kunqunywe kuma-hypotensive dose. Lezi zidakamizwa zivimbela ukuguqulwa kwe-microalbuminuria ku-proteinuria. Kwezinye izimo, ukwelapha okunjalo, okuhlangene nesinxephezelo sesifo sikashukela, kuholela ekuqedeni i-microalbuminuria. Ukuphakanyiswa kosawoti okunconywe akulona ama-3 amagremu ngosuku.

Esikhathini sesiteleka esingapheli sokuhluleka kwenqunu, ukulungiswa kokwelashwa kwe-sugar reduction kufanele kwenziwe. Iziguli ezine-type 2 yesifo sikashukela zidluliselwa ekwelapheni kwe-insulin, njengokuthatha amaphilisi
Kungabangela ekuthuthukiseni kwe-hypoglycemia eqinile. Eziningi zeziguli, isidingo sokuthi i-insulin isinciphise, ngoba izinso ziyindawo esemqoka ye-metabolism.

Ukwandisa izinga le-creinine kuphakamisa umbuzo wezokwelapha nezindlela zokuphulukiswa komzimba. Izindlela zokuhlinza zihlanganisa ukufakelwa kwezinso, kanye ne-extracorporeal kusho i-dialysis ye-peritoneal ne-hemodialysis.

Ngesigamu seziguli ezine- type 1 zesifo sikashukela, ekutholeni proteinuria, ukuthuthukiswa kokuntuleka kwengane okungapheli kubonakala iminyaka eyishumi. I-nephropathy yesifo sikashukela iyimbangela yokufa kweziguli ezingu-15% ngenxa yokuqeda ukungafinyeleleki okungapheli kubantu abangaphansi kweminyaka engama-50.

Kuze kube manje, i-nephropathy iyimbangela eholela ekufeni nokukhubazeka okukhulu kweziguli ezine-diabetes mellitus. Ukuvimbela ukuthuthukiswa kwe-nephropathy kungukulawulwa kwegazi, lapho ama-indices engeqi 130/85. Kubalulekile ukuyeka ngokuphelele ukubhema, ngoba i-nicotine ibangela umonakalo ohlangothini lwangaphakathi lwezindonga zamasongo futhi unomphumela ovamile we-vasoconstrictive. Okudingekayo ekuvimbeleni i-nephropathy yesifo sikashukela kukugcina ushukela egazini ngaphakathi kwemingcele evamile kanye nokujwayelekile kwegazi. Esigabeni esithile sesifo, ukudla okhethekile okuqukethwe kwamaprotheni nsuku zonke okungaphezulu kuka-30% kokudla okuphelele kunqunywe.