KEV MOB NTSHAV QAB ZIB HAUV NTSHAV QAB ZIB MELLITUS: KEV KHO MOB, COV LUS QHIA SOJ NTSUAM, KEV TIV THAIV

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Mob ntshav qab zib nephropathy yog kab mob los ntawm kev hloov pauv pathological ntawm cov hlab ntsha ntawm lub raum.

Nws ua tau nws tus kheej hauv cov neeg mob ntshav qab zib mellitus, txo qis hauv kev muaj peev xwm ntawm cov khoom hauv nruab nrog cev, proteinuria, mob ntshav siab, uremia.

Kev kho mob tseem ceeb yog tiv thaiv kev mob raum tsis ua haujlwm. Kev tiv thaiv kev tiv thaiv rau kev txhim kho kabmob muaj xws li saib xyuas qib ntawm cov piam thaj hauv ntshav, raws li cov lus pom zoo los ntawm kws kho mob.

Ua rau muaj ntshav qab zib mob nephropathy

Mob ntshav qab zib nephropathy yog qhov muaj kev cuam tshuam los ntawm ob hom mob ntshav qab zib. Nws pom nyob rau nees nkaum feem pua ntawm cov tib neeg uas muaj mob "qab zib" mob.

Feem ntau, cov txiv neej poob mob nrog rau kev kuaj pom ntawm thawj-cov neeg mob ntshav qab zib hauv cov hluas.

Nees ntshav yog qhov tseem ceeb ua rau kev tuag rau cov neeg mob ntshav qab zib, vim nws ua rau kev puas tsuaj rau cov hlab ntsha ntawm tag nrho lub cev, suav nrog ob lub raum, cov hlab ntsha hauv lub cev thiab qhov muag. Kev loj hlob ntawm tus kab mob tshwm sim maj mam. Li kaum tsib xyoos tej zaum yuav dhau mus txij li lub sijhawm kuaj ntshav qab zib kom pib pom cov tsos mob ntawm tus mob nephropathy.

Lub hauv paus tseem ceeb los pab txhawb kev txhim kho raum teeb meem yog ntshav qab zib cov ntshav. Ntshav qab zib nephropathy tshwm sim nrog lub sijhawm ntev ua txhaum ntawm cov metabolism hauv cov metabolism.

Glycemia ua rau kev hloov pauv ntawm lub cev kev ua haujlwm biochemical:

kev ua haujlwm ntawm lub raum glomeruli poob qis. Lawv cov glycosylation tshwm sim - qhov ntxiv ntawm qab zib mus rau cov organic molecules;
cuam tshuam txog dej-electrolyte homeostasis. Nws yog qhov nyuaj rau kev sib pauv fatty acids thiab thauj mus rau lub cev ntawm cov pa;
vim kev siv tsis zoo ntawm cov piam thaj, nws lub cev ua rau lub raum mob tshwm sim. Lawv cov hlab ntsha ua ntau lub cev tob;
arterial hypertension ua rau kev ua txhaum ntawm tus qauv ntawm glomeruli ntawm cov khoom hauv nruab nrog. Cov txheej txheem cuam tshuam rau lawv qhov kev lim haujlwm. Mob raum tsis ua hauj lwm zoo;
cov neeg mob uas muaj keeb caj ces muaj feem yuav raug mob.

Lub hauv paus tseem ceeb ntawm kev mob qa ntshav yog hyperglycemia, ntshav siab, mob txeeb zig, ua rog dhau, ua rau cov rog rog tsis txaus, haus luam yeeb, thiab noj tshuaj rau lub raum.

Cov tsos mob thiab cov tsos mob ntawm tus kab mob ntshav qab zib

Mob ntshav qab zib ua rau cov ntshav qab zib ua rau maj mam hlob tuaj. Nws yog qhov cim los ntawm lub sijhawm ntev asymptomatic.

Cov chaw kho mob maj mam tshwm sim:

ntawm qhov pib ntawm tus kabmob, glomeruli ntawm ob lub raum hypertrophy, nthuav dav. Nyob rau tib lub sijhawm, ntshav ntws nce, glomerular filtration nce. Tom qab ntau xyoo, kev hloov pauv hauv lub cev;
nyob rau hauv tus txheej txheem ntawm tus kab mob, lub raum pib zais albumin. Qhov kev tso tawm ntawm cov protein nrog zis tso zis kev puas tsuaj rau lub glomeruli ntawm yam khoom hauv nruab nrog. Qee zaum cov neeg mob yws ntawm cov ntshav siab;
nrog kev txhim kho tus kab mob, kev saib xyuas qhov tsis zoo ntawm tus neeg mob hnyav zuj zus. Muaj proteinuria. Protein hauv lub tso zis tso tawm txog 300 mg rau ib hnub. Cov txheej txheem tsis ua haujlwm ntawm lub raum puas pib. Tus mob Nifaisrotic tshwm sim, o tuaj;
lub davhlau ya nyob twg theem yog cim los ntawm qhov ua kom tsis pom tseeb hauv qhov muaj peev xwm ntawm cov khoom nruab nrog, cov protein ntau hauv cov zis nce ntxiv, theem ntawm urea thiab creatinine hauv cov ntshav nce siab.

Nrog rau kev nce qib ntawm tus kab mob, cov piam thaj hauv ntshav tsis nce rau theem tseem ceeb, qhov xav tau ntawm exogenous hormone poob qis. Kev kub siab thiab uremic syndrome yog tsim sai heev. Muaj cov tsos mob ntawm kev lom los ntawm cov khoom lag luam hauv lub cev, ua rau muaj kev puas tsuaj rau ntau yam kabmob.

Kev kuaj mob

Txhawm rau tiv thaiv cov teeb meem tshwm sim los ntawm kev mob ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj kom meej.

Tus kws kho mob sau ntawv rau ntau hom kev kuaj ntshav, kuaj cov zis: biochemistry, feem ntau, Zimnitsky txoj kev kuaj. Nws kuj yog qhov tsim nyog los ua ultrasound ntawm cov hlab ntsha ntawm lub raum.

Thaum ntsuas qhov tshwm sim, tus kws kho mob kos sai sai rau kev faib txhua hnub ntawm albumin nrog cov zis, tus nqi ntsuas pom.Cov kab mob loj zuj zus ntxiv, cov protein nyob hauv cov zis ntau dua. Kev hloov pauv ntawm cov ntshav siab qhia nyob rau hauv ib qho kev qhia loj tseem qhia txog kev txhim kho ntawm tus kabmob.

Hauv cov theem tom qab, cov tsos mob ntawm anemia, acidosis, hypocalcemia raug kuaj, theem ntawm urea nce. Tus neeg mob tau mob hnyav ntawm lub ntsej muag thiab lub cev.

Kev kuaj mob ntawm tus mob nephropathy yuav tsum tau ua nrog kev soj ntsuam rau tus kab mob ntsws, pyelonephritis. Txhawm rau ua qhov no, ua cov kab mob bacteriological inoculation ntawm cov zis ntawm microflora, ultrasound, excretory urography. Txog kev kuaj mob kom raug, kev kuaj mob hauv nruab nrog cev.

Kev kho mob ntawm nephropathy mob ntshav qab zib

Kev siv tshuaj los kho tus kab mob yog tswj los tiv thaiv cov teeb meem los ntawm lub raum thiab lub plawv. Tus neeg mob tau txais kev tswj hwm txhim kho kom muaj cov piam thaj, siab, ua raws li cov lus pom zoo kom noj zaub mov kom zoo, ua lub neej noj qab nyob zoo.

Yuav siv tshuaj dab tsi kho?

Mob ntshav qab zib insulin-yuav tsum muaj kev kho kom haum ntawm kev siv tshuaj kho. Thaum sau ntawv yuav txo cov tshuaj muaj ntshav qab zib, ib qho yuav tsum coj mus rau hauv seb qhov tshuaj siv li cas tawm hauv lub cev.

Txo cov ntshav siab, thov:

Lisinopril, enalapril;
calcium channel blockers (verapamide) thiab angiotensin receptors (losartan);
tshuaj pleev: Furosemide, Indapamide.

Yog hais tias tus neeg mob muaj cov roj (cholesterol) siab, nws tau tsim cov tshuaj statins thiab fibrates.

Nyob rau theem xaus ntawm tus kab mob, kev kho mob yog xav tau los ua kom lub cev tsis huv. Tus kws kho mob tau sau ntawv rau sorbents, cov tshuaj rau kom ib txwm hemoglobin ntau ntau. Tus neeg mob kho rau kev kho mob ntshav qab zib.

Raum noj

Cov neeg mob tau raug noj kom tsis txhob ntsev ntau. Cov zaub mov yuav tsum tsis txhob muaj tsiaj protein ntau, carbohydrates, potassium, phosphorus.

Kev kho nrog tshuaj ntsuab

Cov tshuaj yuav rau lub teb chaws muab tshuaj yuav zoo tsuas yog pib ntawm tus kab mob. Koj siv tau:

decoctions ntawm lingonberries, rowan txiv hmab txiv ntoo, txiv pos nphuab, cranberries, sawv duavCov. Lawv pab rau qhov ua kom lub raum khiav haujlwm;
qhuav taum nplooj Txoj kev lis ntshavCov. Tsib caug grams ntawm cov khoom siv raw yog nchuav nrog ib liv ntawm cov dej npau, lawv sawv ntsug peb teev. Haus ib nrab ib khob ib hlis. Cov cuab yeej tswj hwm ntshav qab zib, muaj cov txiaj ntsig zoo rau lub raum;
txiv ntseej, roj linseedCov. Cov roj (cholesterol) qis dua. Cov koob tshuaj pom zoo yog ob lub me nyuam diav. Cov khoom lag luam yog ntxiv rau cov khoom noj;
Txoj kev lis ntshav ntawm birch budsCov. Nws yuav pab ua haujlwm ntawm lub cev. Ob rab diav ntawm cov khoom yog hliv nrog dej hauv ib lub thermos, hais kom peb caug feeb. Haus ib quarter plaub zaug ib hnub.

Cawv tincture ntawm propolis yuav pab daws kev mob ntshav siab. Yaj Cawv kuj teeb tsa tau lub cev.

Hemodialysis thiab peritoneal lim ntshav

Yog tias tus mob hnyav zuj zus ntxiv, tus neeg mob tau kho tus txheej txheem ntxuav ntshav los ntawm cov cuab yeej tshwj xeeb lossis dhau ntawm lub plab ua kom plab.

Nws yog tsis yooj yim sua los kho lub raum hauv txoj kev no, koj tsuas yog tuaj yeem pab txhawb lawv txoj haujlwm. Kev tswj hwm los ntawm cov neeg mob feem ntau zam rau txhua tus. Nrog hemodialysis, lub tshuab lim ntshav siv tshuaj ntxuav tes.

Cov ntshav hauv nws yog ntxuav ntawm co toxins. Qhov no tso cai rau koj kom muaj lub cev hluav taws xob thiab roj ntsha sib npaug hauv lub cev. Cov txheej txheem raug ua tiav peb zaug ib lub lim tiam rau tsib teev hauv tsev kho mob. Peritoneal lim ntshav raug qhia paub thaum hemodialysis ua tsis tau.

Cov ntshav tau ua kom huv los ntawm peritoneum, uas yog lim ntshav. Kev tswj hwm nqa tawm hauv tsev kho mob thiab hauv tsev, tsawg kawg ob zaug hauv ib lub lis piam. Tus neeg mob yuav hnov mob peritoneum, mob hlwv, muaj teeb meem nrog tso zis.

Hemodialysis thiab peritoneal lim ntshav yog contraindicated nyob rau hauv cov ntaub ntawv ntawm kev puas hlwb mob hlwb, mob ntshav dawb, mob qog nqaij hlav, mob cancer, daim siab tsis ua haujlwm, mob ntsws.

Cov lus pom zoo tshuaj thiab kev tiv thaiv

Lub davhlau ya nyob twg ntawm tus kab mob yog yuav luag tsis tau, uas ua rau tuag.

Yog tias qhov mob ais pom tshwm tuaj lig, tus neeg mob yog qhia tus txheej txheem ntawm hemodialysis, hloov chaw ntawm qhov hloov pauv.

Kev tiv thaiv ntawm nephropathy muaj nyob rau hauv kev saib xyuas tus neeg mob nrog endocrinologist, tus kws qhia zaub mov noj tshuaj, hauv kev kho cov sijhawm.

Tus neeg mob yuav tsum tswj hwm qhov qib ntawm glycemia, kev nyuaj siab, noj tshuaj uas kws kho mob tau sau tseg, noj txoj cai, siv tshuaj rau lub teb chaws cov khw muag tshuaj, koom nrog kev ua kis las, zam kev ntxhov siab thiab tus cwj pwm tsis zoo.