Abun lalata koda daga cutar koda, shima microalbuminuria ne: yanayin urinalysis da dabarun magani

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.

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.

Yana da mahimmanci don gano cutar a farkon matakin, har ma kafin alamun alamun asibiti, lokacin da ilimin yana da tasiri.

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.

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.

Yana da mahimmanci a kowane lokaci don amfani da duk hanyoyin da ake buƙata don saka idanu akan aikin koda. Tattauna bincike daidai zai guji kurakurai a cikin ganewar asali.

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 narkar da albumin a cikin fitsari ya dogara da dalilai da yawa kuma ana iya gano su lokaci-lokaci a cikin lafiyar jiki, ana bada shawarar yin bincike guda uku a jere cikin watanni 3-6.

Yana da mahimmanci idan ciwon sukari ya gudanar da saka idanu akai-akai game da urinalysis don microalbumin.

Dalilin kin amincewa da sakamakon bincike

Ciwon sukari yana tsoron wannan maganin, kamar wuta!

Kawai kawai buƙatar nema ...

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 toshewar 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 cututtukan cututtukan zuciya ba, har ma don rage faruwar hakan.

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).

Biye da duk shawarwari a cikin jiyya da rigakafin a matakin microalbuminuria zai inganta yanayin da inganta rayuwa.