Microalbuminuria a cikin ciwon sukari mellitus - menene barazanar karuwar furotin?

Alamar farko na lalacewar koda sun haɗa da microalbuminuria a cikin ciwon sukari, wanda yake da mahimmanci don gano don ƙayyade hanyoyin dabarun magani.

A matsayinka na mai mulkin, ba sa kula sosai da yanayin kodan. An yi bayanin wannan ta hanyar doguwar ci gaba na dogon lokaci tare da alamun rashin ƙarfi.

Amma yana jagorantar, a sakamakon ƙarshe, ga gazawar koda. Ikon hana rigakafin rikitarwa na hypoinsulinism, glomerulosclerosis, ya dogara da yadda ake yin saurin gano cutar.

Menene albuminuria?

Albamin wani nau'in sunadarai ne wanda yake hakowa a cikin hanta kuma yana nan cikin plasma jini. Yawan su kusan kashi 60% na dukkanin sunadarai ne.

Ayyukan da albumin ke gudana suna da mahimmanci ga:

• barga osmotic matsa lamba a cikin tsarin jiki,
• jigilar kayayyaki daga samfuran ciki (bilirubin, kitse, urobilin, thyroxine), da kuma fitowa daga waje,
• samar da ajiyar furotin.

Molecules na albumin - ƙarami a cikin girma, suna da motsi mafi girma kuma yawancin su.

Sabili da haka, idan akwai cin zarafi a cikin kodan, ayyukan ɓata suna ɓacewa da farko. Fitowar karamin adadin furotin a cikin fitsari - microalbuminuria - halayya ce ta matakin farko na lalacewar koda.

Rashin hankali na wannan matakin shine rashin bayyanar cututtuka na waje na cutar rauni, amma tsarin ilimin cuta ya ci gaba. Bayan wasu 'yan shekaru (12-15) daga bayyanar cutar sankara, matakin na proteinuria ya fara - ɓataccen asarar furotin ta jiki.

Akwai alamun bayyananniyar cutar a halin yanzu: kumburi, bugun jini, rauni. Ci gaban ilimin pathology yana haifar da zuwa matakin uremic - gazawar koda.

Na daɗe ina nazarin matsalar Cutar DIABETES. Yana da ban tsoro yayin da mutane da yawa suka mutu, har ma da yawa suna zama masu rauni saboda cutar sankara.

Na yi hanzarin ba da labari mai kyau - Cibiyar Bincike ta Endocrinological na Kwalejin Kimiyya ta Rasha ta gudanar da wani magani wanda ke warkar da ciwon sukari gaba daya. A yanzu, ingancin wannan magani yana gab da kusan kashi 100%.

Wani albishir mai kyau: Ma'aikatar Lafiya ta tabbatar da ɗaukar wani shiri na musamman wanda zai biya duk farashin magunguna. A Rasha da kasashen CIS masu ciwon sukari a da 6 ga Yuli na iya karɓar magani - KYAUTA!

Saboda haka, lalacewar koda a cikin ciwon sukari ya ratsa matakan:

Asarar ko da ƙananan adadin furotin sun riga sun nuna lalacewar koda. Amma a matakin farko, tare da magani na lokaci, yana yiwuwa a dakatar da tsarin.

Yaya za a ƙaddamar da urinalysis don microalbuminuria a cikin ciwon sukari?

Idan an gano cutar sankara, mai haƙuri ya kamata a gwada lokaci-lokaci don microalbumin a cikin fitsari don fara gane canje-canje a cikin tsarin ƙirar.

Hanyar da aka saba amfani da ita don irin wannan cutar ba ta da tasiri. Don ƙarin ƙaddara mafi inganci, ana amfani da radiimmune, enzyme immunoassay, hanyoyin immunoturbidimetric a cikin dakin gwaje-gwaje.

A shekara ta 47, an gano ni da ciwon sukari na 2. A cikin 'yan makonni kaɗan na sami kusan kilo 15. Rage jiki, bacci, jin rauni, hangen nesa ya fara zama.

Lokacin da na cika shekaru 55, na riga na saka kaina da insulin, komai yayi dadi sosai. Cutar ta ci gaba da ci gaba, rikicewar lokaci ya fara, motar asibiti ta dawo da ni daga duniya ta gaba. Duk lokacin da nayi tunanin cewa wannan lokacin zai zama na karshe.

Duk abin ya canza lokacin da 'yata ta bar ni in karanta labarin guda a kan Intanet. Ba za ku iya tunanin irin yadda nake gode mata ba. Wannan labarin ya taimaka mini in kawar da ciwon sukari gaba daya, cutar da ba a iya Magani. Shekaru 2 na ƙarshe na fara motsawa, a cikin bazara da lokacin rani Ina zuwa ƙasar kowace rana, girma tumatir da sayar da su a kasuwa. Aan uwana sun yi mamakin yadda nake ci gaba da komai, inda ƙarfi da ƙarfi suke fitowa, amma har yanzu ba su yarda cewa ina da shekara 66 ba.

Wanene yake so ya rayu tsawon rai, mai kuzari kuma ya manta da wannan mummunan cutar har abada, ɗauki mintuna 5 kuma karanta wannan labarin.

Zai fi kyau a tattara bayanan yayin rana a cikin kwalba mai tsabta na lita 3. Bayan haka jerin abubuwa:

• saka makon shigar ruwa ya gauraye
• Ana jefa 150 ml a cikin kwalba
• an bawa mai dakin gwaji bayani game da adadin yawan fitsari.

Matsayin asarar albumin ya bambanta tare da lokaci da matsayin jiki.

Don haka, nishaɗin su yana ƙaruwa a madaidaiciyar matsayi, tare da motsa jiki, abinci mai gina jiki, kamuwa da cuta, cututtukan zuciya, shan sigari. Hakanan tsufa, kiba, hadewar launin fata shima ana nuna shi a cikin sakamakon.

Kafin tattara binciken, dole ne ka:

• rage cin abinci mai gina jiki, gishiri, kayan fitsari, ruwa da abinci,
• kiyaye zaman lafiya, ware fitina,
• kada ka bijirar da jiki ga matsanancin zafin jiki,
• kar a sha taba
• tsafta kafin tara fitsari.

Akwai dabararren hanzari don ƙaddarar microteins (ƙwaƙƙwaran ƙwayoyi).

Tare da taimakonsu, zaku iya gudanar da bincike a gida a cikin 'yan mintoci kaɗan. Sakamakon yana bayyane a fili lokacin da aka kwatanta yanki mai launi na tsiri tare da sikelin da aka nuna akan kunshin. Jin hankalin gwajin yana da girma, amma tare da sakamako mara kyau, yana da kyau a maimaita gwajin a cikin dakin gwaje-gwaje.

Norms a cikin Lafiya na mutane da masu ciwon sukari

Mutane masu lafiya kuma suna amintaccen adadin furotin. Jimlar adadin sunadarai na al'ada - kusan 150 mg / dl, da albumin - ƙasa da MG 30 / dl a cikin sabis guda ɗaya.

Asarar yau da kullun har zuwa 30-300 mg / rana. Increasearuwar alamomi na iya nuna cutar.

Lokacin da wuya a ƙayyade lokacin da aka tattara fitsari, an ƙaddara rarar albumin zuwa creatinine. A cikin maza, wannan alamar tana da ɗan ƙasa kaɗan - 2.5 mg / μmol al'ada ce. Ga mata, 3.5 mg / μmol. Lambobin da aka haɓaka suna magana akan zafin aikin.

Ganin cewa fitowar albumin a cikin fitsari ya dogara da dalilai da yawa kuma ana iya gano su lokaci-lokaci cikin ƙoshin lafiya, ana bada shawarar yin gwaje-gwaje uku a jere a cikin watanni 3-6.

Dalilin kin amincewa da sakamakon bincike

Lalacewar koda a cikin cututtukan fata na nau'in 1 da nau'in 2 suna da alaƙa da wani rauni mai rauni:

• tsarin metabolic
• tasoshin (arterioles).

Rashin insulin yana haifar da ɓoye daga cikin babban membrane na capeliries na glomerular da karuwa a cikin ƙwayar ƙwayar ƙwayar ciki saboda karuwar haɗi na sukari zuwa kwayoyin.

Dalilin jijiyoyin bugun jini na farko yana haifar da karuwa a cikin rubin dunƙule, wanda ke haifar da hauhawar matsin lamba a cikin gangar ɗin. Hauhawar jini, da kuma na jijiyoyin jiki na ƙaruwa. Wannan yana inganta shigarwar albumin zuwa fitsari.

Jiyya da daidaituwa na microalbuminuria a cikin ciwon sukari

A cikin ci gaba na hanyoyin da ake bi don magance cututtukan sukari, diabetology ya sami sakamako mai mahimmanci. Dukkanin sababbin magunguna ana ƙirƙirar su koyaushe don maye gurbin insulin ƙananan insulin.

Hakanan, wannan ɓangaren magani yana aiki a zaɓin abincin mutum, rigakafin farko, wanda ke da nufin ba kawai don magance ciwon sukari ba, har ma don rage faruwansa.

A mataki na microalbuminuria, wanda tuni rikicewar cutar, ya zama dole:

• a hankali daidaita metabolism na kwayoyi na magunguna (galibi ta hanyar canzawa zuwa bambance-bambancen insulin),
• ko da tare da ƙara ƙarancin hauhawar jini, yi amfani da masu hana ACE ko ƙungiyar analog (idan sun kasance masu haƙuri), tunda suna da kaddarorin nephroprotective,
• yi amfani da statins a far,
• an gudanar da aikin jiyya tare da angioprotector da antioxidants.

Bugu da kari, wajibi ne a lura da wani tsarin a:

• abinci mai gina jiki (ƙuntatawa na carbohydrates masu sauƙi, soyayyen, yaji, gishiri),
• aiki da hutawa (kar a cika aiki)
• aiki na jiki (motsa jiki na yau da kullun tare da nauyin dosed),
• lafiya aiki (ba tare da jaraba mai cutarwa ba).

Menene microalbuminuria

Tare da cututtukan ƙwayar cuta marasa ƙwayar cuta, kodan suna shafar sau da yawa, abin da ake kira nephropathy yana haɓaka. Ana bayyana Nephropathy ta hanyar bayyanar da furotin a cikin fitsari, kuma da farko ƙarancin ƙananan abubuwa suka fara bayyana, shine, microalbumin iri ɗaya, kuma tare da ci gaban ilimin halittu, manyan sunadarai suna shiga fitsari.

Wataƙila kun lura cewa a cikin babban binciken fitsari (OAM), wani lokacin sukan rubuta furotin ko mara kyau, idan tabbatacce, to a wane adadin. Don haka, ya ƙaunatattuna, idan kun ga sakamakon OAM tare da ƙayyadaddun furotin a cikin mai haƙuri tare da ciwon sukari, wannan yana nuna cewa nephropathy yana cikin cikakkiyar juyawa, kuma mafi munin abu shine cewa wannan matakin ya riga ya zama mai canzawa. Lokacin da aka gano manyan bindigogi a cikin fitsari, al’amarin ya tafi sosai.

Amma menene game da microalbumin? Kuma OAM, ba a gano ƙananan furotin ba, saboda ana amfani da ƙarin hanyoyin bincike. Don ganin microalbumin, ana buƙatar wani bincike daban, wanda ake kira "fitsari don microalbuminuria." Ana yin binciken ne duka a cikin fitsari yau da kullun da aure. Zai fi kyau kuma mafi yawan alamun tattara fitsari kullum. Yadda ake yin wannan zan faɗi kaɗan kaɗan.

Kamar yadda zaku iya tsammani, wannan nazarin yana da matukar mahimmanci a cikin gano cewa lalacewar koda a farkon matakin yana ba da damar gyara komai, wato, wannan matakin yana juyawa kashi 100%. Saboda haka, zaku iya ɗaukar matakan da suka dace don daidaita matakan glucose, gudanar da tsauraran matakan warkewa da kawar da cutar koda.

Maimakon shan wahala tare da kodan, saboda nephropathy babu makawa ko ba jima ko ba jima yana haifar da cutar sankara da bincike ga koda mai bayarwa. Riba? Ina tsammanin haka. Saboda haka, irin wannan bincike yakamata a yi kowace shekara ta kowane mai fama da ciwon sukari na 2, ba tare da la'akari da tsawon ciwon sukari ba, haka kuma shekara-shekara 5 bayan bayyanar cututtukan type 1.

Yadda ake ɗaukar urinalysis don microalbuminuria

Hanyar tattara fitsari: da ƙarfe 6 na safe, tashi da urin inura a bayan gida. Daga 6:00 na safiyar wannan rana zuwa 6:00 na safe na gaba (gami da safiya) ana tattara fitsari a cikin akwati ɗaya, alal misali, kwalbar lita 3. Abu na gaba, auna adadin fitsari da aka samu kowace rana a cikin ml. Tuna ko rubuta wannan adadi, zaku buƙaci hakan.

Dama don hazo ya gauraya a ko'ina, da kuma zuba fitsari 150 na fitsari a cikin ɗan ƙaramin kwalba, alal misali, daga mayonnaise. Kuna kawo karamin gilashi a dakin gwaje-gwaje, lokacin da aka kammala binciken, ku gaya wa moda yawan fitsari da aka saki kowace rana (lambar da aka yi rikodin). Bayan 'yan kwanaki, zaku iya tattara sakamakon bincike a cikin dakin gwaje-gwaje inda aka ɗauki fitsari.

Ka'idar microalbumin a cikin fitsari

Ka'idoji shine rarrabewar microalbumin kasa da MG 30 a cikin fitsari yau da kullun da kasa da 20 MG cikin fitsari guda.

Idan kun sami abun haɓaka wannan furotin a cikin fitsari, kuna buƙatar tuntuɓar ƙwararren masanin halittar dabbobi - ƙwararren masani wanda ya fahimci cututtukan koda. Wataƙila za a ba ku ƙarin nazarin don yin cikakken ganewar asali kuma ku fara magani daidai.

Ya kamata a dauki wannan nazarin sau ɗaya a shekara, sai dai idan likita ya gaya muku in ba haka ba. Idan kun sami furotin a cikin aikin urinalysis na yau da kullun, to babu wani ma'ana a cikin yin nazarin microalbuminuria, har yanzu za a haɓaka shi.

Wannan ya ƙare labarin na. Shin wannan bayanin ya taimaka? Latsa maɓallin maɓallin zamantakewa. cibiyoyin sadarwa, rabawa tare da abokai a cikin masifa.

Tare da dumi da kulawa, endocrinologist Lebedeva Dilyara Ilgizovna

Microalbuminuria - menene wannan cuta?

Idan an samo furotin a cikin fitsari na mutum, to wannan yana nuna wata cuta kamar microalbuminuria. Tare da tsawon lokaci na ciwon sukari, glucose yana da sakamako mai guba a kan kodan, yana tsokanar lalacewar su.

Sakamakon haka, matattara ta rikice, wanda ke haifar da bayyanar a cikin fitsari na sunadarai waɗanda yawanci bai kamata su ratsa ta ta yara ba. Yawancin sunadarai suna albumin. Matakin farko na bayyanar furotin a cikin fitsari shi ake kira microalbuminuria, i.e. furotin yana fitowa a cikin microdoses kuma wannan tsari yana da sauki a cire.

Alamun gargajiya na microalbumin a cikin fitsari:

Idan microalbumin a cikin fitsari ya haɓaka (30 - 300 MG), to wannan shine microalbuminuria, kuma idan mai nuna alama ya wuce 300 MG, to macroalbuminuria.

Sanadin da inji don ci gaban Pathology a cikin ciwon sukari

Haɓaka glucose na jini yana haifar da ƙishi a cikin marasa lafiya (wannan shine yadda jiki yayi ƙoƙarin cire sukari mai yawa daga jiki) kuma, saboda haka, adadin ƙwayar da aka cinye yana ƙaruwa, wanda ke ɗaukar nauyin kodan.

Sakamakon haka, matsin lamba a kan abubuwan capel na glomeruli yana ƙaruwa, tasoshin ƙwayoyin nephrons suna shimfiɗa - duk wannan kuma ya ƙaddamar da furotin a cikin fitsari (watau lalacewar fil ɗin gaba ɗaya).

Babban dalilan da zasu haifar da wannan cin zarafi sune:

• kwayoyin halittar jini
• nau'in 1 da nau'in ciwon sukari na 2
• cututtukan oncological
• cututtuka na tsarin zuciya da jijiyoyin jini,
• na kullum ko yawan hauhawar jini (hawan jini),
• hawan jini
• babban matakan lipid
• babban adadin abincin furotin, wato nama,
• mummunan halaye, musamman shan sigari.

Rashin haɗari

Ba duk mutanen da ke da ƙarancin kulawar glucose na jini suna da haɗari ga microalbuminuria.

Waɗannan su ne mafi yawan mutane:

• jagorancin salon rayuwa mara kyau, yana da halaye mara kyau, cin abinci mai "rashin daidai",
• kiba, jagorancin salon rayuwa,
• tare da conquitant cututtukan zuciya,
• tare da hawan jini
• pancreas malfunctions,
• tsufa.

Alamomin cutar

Tsarin kamuwa da cutar koda yana da tsayi. A cikin shekaru 6-7, farkon matakin cutar yana faruwa - asymptomatic. An kwatanta shi da rashin bayyanar cututtuka. Ana iya gano shi kawai ta hanyar ƙaddamar da bincike na musamman akan microalbumin. A cikin babban binciken fitsari, komai na al'ada ne. Tare da taimakon lokaci, ana iya dawo da aikin koda.

Mai biyo baya na shekaru 10-15, mataki na biyu yana faruwa - proteinuria. A cikin binciken gaba ɗaya na fitsari, sunadarai sun bayyana a cikin darajar fiye da 3 MG da ƙwayoyin jini suka karu, a cikin bincike don microalbumin, alamu sun wuce ƙimar 300 MG.

Creatinine da urea suma suna ƙaruwa. Mai haƙuri ya koka da cutar hawan jini, ciwon kai, kumburi a jiki. Lokacin da irin wannan matakin ya bayyana, yana da gaggawa a tuntuɓi likitan nephrologist. Wannan wani yanayi ne wanda ba za'a iya juyawa ba - aikin kodan ya lalace kuma ba za'a iya murmurewa gaba daya ba. A wannan matakin, ana iya zama mai sanyi ne kawai don hana cikakken asarar aikin koda.

Sannan, a cikin shekaru 15-20, mataki na uku ya bunkasa - gazawar renal. A cikin binciken bincike, abubuwan da ke cikin kwayoyin halittar jini da sunadarai na haɓaka sosai, kuma ana gano sukari a cikin fitsari. Mutum yakan gyara canje-canje kwatsam a cikin karfin jini.

Kumburi yakan zama tsayayye, bayyananniyar bayyanar. Ana jin ana rashin jin daɗi koyaushe a gefen hagu na jiki, kuma jin zafi yana bayyana. Yanayin rayuwar mutum yayi rauni. Rashin ciwon kai yana bayyana, hankali yana rikicewa, magana tana cikin damuwa.

Sannu-sannu, asarar rai, har ma da coma na iya faruwa. Zai yuwu a magance matsalar matakin na ukun kawai a bangon asibitin. Mafi sau da yawa, wannan matsalar dole ne ta warkar da cutar kansa da jijiyoyin koda.

Tsara matakan matakai na cigaban nephropathy

Idan aka gano microalbuminuria ko proteinuria akai-akai, kuna buƙatar bincika dalilin cutar wannan yanayin.

Tunda farkon farawar nephropathy yakan zama sannu a hankali, ba tare da alamun asibiti ba, ba a gano irin wannan yanayin asymptomatic ba. Akwai ƙananan canje-canje a cikin sigogi na dakin gwaje-gwaje, kuma babu ƙararraki marasa tushe a cikin haƙuri.

Zai yuwu kawai a gano ɗan ƙaramin albumin da ke ɗauke da shi a cikin fitsari. Sabili da haka, gwaje-gwaje na dakin gwaje-gwaje na wannan nau'in suna da matukar mahimmanci ga ganewar asali na nephropathy a farkon matakin.

Yaya ake ba da maganin urinal?

Ga mutanen da ke da cutar hawan jini, gwajin fitsari na yau da kullun bai isa ba.

Dole ne a yi gwajin fitsari na musamman don microalbuminuria. Likita ya zama dole ya rubuta jagora don wannan bincike - wannan dole ne a yi ta ko da mai ilimin hanyoyin kwantar da hankali ko kwararru tare da kunkuntar mai da hankali.

Don tattara gwajin fitsari, kuna buƙatar tattara fitsari yau da kullun - wannan yana ba da tabbacin ƙarin ingantaccen sakamako na gwaji, amma zaku iya duba fitsari sau ɗaya na fitsari.

A tattara fitsari a kullun, dole ne a mance da wasu wuraren.

Ana buƙatar akwati na musamman don tattara fitsari. Zai fi kyau ka siya shi a cikin kantin magani, tunda sabon kwandon shara ba zai ba ka damar gurbata sakamakon bincike ba (yawancin lokuta waɗannan kwantena 2.7 l ne). Hakanan zaku buƙaci akwati na yau da kullun don bincike tare da nauyin 200 ml (zai fi dacewa bakararre).

Ya kamata a tattara fitsari a cikin babban akwati a lokacin rana, kuma wannan ya kamata ayi kamar haka:

• Misali, domin tara bayanan daga karfe 7 na safe zuwa 7 na safe gobe (awanni 24),
• kar a tattara kashi na farko na fitsari da karfe 7 na safe (bayan dare),
• sannan tara dukkan fitsari a cikin babban jirgin har zuwa 7 na safe, washegari,
• da karfe 7 na safiyar sabuwar rana a cikin wani kebantaccen kofin don tattara 200 mm na fitsari bayan bacci,
• ƙara waɗannan 200 ml a cikin jirgin ruwa tare da ruwa mai tattarawa a baya kuma haɗa sosai,
• bayan zuba 150 ml daga jimlar adadin ruwan da aka tara kuma a kai shi dakin gwaje-gwaje don bincike,
• yana da matukar muhimmanci a nuna yawan fitsarin yau da kullun (yawan ruwa da ake tarawa kowace rana),
• dauke da fitsari a cikin firiji yayin tarin saboda kada a gurbata sakamakon,
• a yayin tara bincike, ya zama dole a gudanar da tsabtataccen tsarin jikin sassan jikinta,
• kar a yi bincike a yayin mahimmin kwanaki,
• Kafin tattara bayanan bincike, ware samfuran da zasu iya lalata fitsari, daskararru, asfirin.

Za'a iya samun sakamako ingantacce ta hanyar lura da duk abubuwan da aka ambata a sama.

Dabarar magani

Hanyar warkewa don microalbuminuria da ciwon sukari na buƙatar kulawa mai wahala.

An tsara magunguna don rage cholesterol a cikin jiki, don rage karfin jini:

• Lisinopril
• Kaya Yanar,
• Rosucard
• Captopril da sauransu.

Alƙawarin kawai likita zai iya yi.

Hakanan ana wajabta don sarrafa abubuwan sukari. Idan ya cancanta, an wajabta maganin insulin.

Kulawa da matakai na biyu da na uku na cutar yana faruwa ne kawai a asibiti, karkashin kulawar likita koyaushe.

Don daidaita yanayin haƙuri, dole ne a bi tsarin da ya dace. Dole ne a zaba samfurori na musamman, ba tare da ƙari ba cikin abubuwan sunadarai a cikin nau'ikan launuka, masu ɗorewa da abubuwan kiyayewa.

Abincin yakamata ya zama low-carb da low-protein. Ana buƙatar cire halayyar munanan halaye ta hanyar amfani da giya da sigari. Yawan cinyewa na tsarkakakken ruwa ya zama 1.5-2 lita kowace rana.

Don ware microalbuminuria ko shafe shi a matakin farko, ya kamata ka:

1. A kai a kai saka idanu kan matakin glucose a jiki.
2. Kula da cholesterol.
3. Maido da karfin jini zuwa al'ada, auna shi akai-akai.
4. Guji cututtuka.
5. Bi abinci.
6. Guji mummunan halaye.
7. Sarrafa adadin ruwan da akayi amfani dashi.

Bidiyo daga gwani:

Ya kamata mutanen da ke fama da tabin yakamata suyi gwajin fitsari don microalbumin aƙalla sau ɗaya a shekara. Yana da mahimmanci a tuna cewa za'a iya hana matakin farko sannan kodan ya yi aiki sosai. Gwaje-gwaje na yau da kullun da kuma salon rayuwa mai kyau zai taimaka matuka don magance hakan.

Menene karuwa a cikin albumin a cikin fitsari ya nuna?

Idan kashi na abu a cikin fitsari ya rabu da al'ada, wannan na iya nuna ci gaban cututtukan da ke gaba:

• ciwon sukari mellitus
• malfunctions na gabobin na zuciya da jijiyoyin jini,
• hauhawar jini
• mutum rashin haƙuri,
• sarcoidosis.

Idan zamuyi magana game da mafi yawan sanadin ƙwayar microalbuminuria, yana da daraja a lura da ciwon sukari mellitus. Increasedarin yawan fitsari da sinadarin albumin ya bayyana shekaru da yawa bayan haɓakar cutar. Sabili da haka, gwaji don tattara abu a cikin ruwa yana ba ka damar ƙayyade yawan adadin glucose.

Bayyanar asibiti

Anaruwar albumin a cikin fitsari yana faruwa a cikin matakai da yawa:

1. Asymptomatic - ba a karɓar koke daga mai haƙuri ba, duk da haka, ana lura da canje-canjen halayyar a cikin jiki.
2. Farkon - cuta cuta a cikin jiki ba tukuna gano. A lokaci guda, raguwa a cikin tasirin narkewa mai narkewa a cikin ƙwayar koda na haɓaka.
3. Prenephrotic - fitsari kullun yana cika shi da ɗimbin furotin. Marasa lafiya na fama da matsanancin matsin lamba saboda karuwar kodan.
4. Nephrotic - mutum yana lura da bayyanar puffiness a jiki. A cikin fitsari, ban da adadin albumin mai mahimmanci, ana lura da bayyanar sel sel. Matsakaicin samar da urea da creatinine ta jiki yana ƙaruwa.
5. Matsayin uremia (gazawar koda) - yana tare da yawan tazara da kaifi a hawan jini. Yankunan Edematous a jiki sun zama barga. Matakan jan jini a cikin urea ya tashi sosai. Yawan ci gaban abubuwa mai guba ta hanjin koda ya ragu sosai. Fitsari na yau da kullun yana cika da glucose. A lokaci guda, kawarwar insulin daga jiki yayi saurin sauka.

Bayyanar bayyanar cututtuka na microalbuminuria

Microalbuminuria (akwai da yawa daga furotin albumin a cikin fitsari) za a iya bayyanar da su ta hanyar wadannan alamu: ciwon kirji, kasancewar rashin jin daɗi a ɓangaren hagu na jiki, haɓaka matsin lamba da kuma tabarbarewa gaba ɗaya cikin kyautatawa.

Ofaya daga cikin sakamakon ci gaban ilimin halittu a cikin matakan gaba sune alamun raunin jiki. A wannan yanayin, mutanen da ke saurin kamuwa da cutar sau da yawa suna fama da asarar hankali, magana mai wahala, rauni a cikin gabobin. Bayyanannun alamun da aka nuna na iya supplementunara da tafin ciki, ciwon kai a kai a kai.

Yadda ake wuce fitsari?

Don ƙayyade matakin albarkar sunadarai a cikin abubuwan ɓata, ana buƙatar samfurin fitsari. Masanin ilimin uro, endocrinologist, likitan mata ko likitan kwantar da hankali na iya tsara binciken.

Yaya za a wuce gwajin fitsari a asibiti? Bayyana sakamakon zai nuna hoto mafi aminci idan mai haƙuri ya yi komai yadda ya dace. Don nazarin da aka ƙaddara game da ƙimar gishiri a cikin ruwa mai narkewa da ɓarna a cikin aikin kodan, abubuwan da aka tattara a ranar kafin gwajin ya yi amfani.

Don samun sakamakon bincike na abin dogara, ana bada shawara don amfani da akwati na musamman don fitsari. Hanyar kamar haka:

• kusan 200 ml na fitsari ana jefa shi cikin akwati,
• an ba da kwandon ga dakin gwaje-gwaje,
• idan ya cancanta, sake nazarin
• Ana lissafta sakamakon ne ta ƙwallon ƙwaƙwalwar ƙwaƙwalwa dangane da nauyin haƙuri.

Kodan, a matsayin babbar hanyar ƙwayar cuta, suna cire ƙwayoyin cuta mai guba da ba dole ba daga jiki, suna ɗaukar duk abin da ya cancanta. Lokacin da ba za su iya jure nauyin ba, samfuran cututtukan cututtukan jini kamar ƙwayoyin jan jini, lu'ulu'u na gishiri, epithelium, da microalbumin a cikin fitsari na iya bayyana.

Babban bayani

Ayyukan kodan sun haɗa da tsarkake jini daga gubobi, yawan ƙwayoyin lantarki, gishiri da ruwa. A wannan yanayin, ana sake farfado da furotin na mutum, glucose, da sel jini.

Abubuwan sunadarai wadanda aka kera a hanta, da wadanda aka basu abinci, ana buƙatar su sabunta ƙwayoyin sel a cikin gabobin jiki da kyallen takarda. Yawancin tsarin gina jiki a cikin jini albumin ne.

Suna da mahimmanci don kula da hauhawar jini oncotic da daidaitaccen daidaituwa tsakanin abun da ke ciki na jini da sel a cikin kyallen. Tsarin mulkin dunƙule na ƙwayar ƙwayar cuta na koda shine ke da alhakin lafiyar waɗannan sunadarai a cikin tashoshin kewaya.

Hakanan, an riga an shiga cikin matattun turmi, ruwa da abubuwan da suka wajaba a sake samasu su. Duk abin kuma daga baya ya fita daga cikin urinary fili kuma ana ɗaukar shi fitsari na biyu.