Mob ntshav qab zib mellitus provokes ib tug xov tooj ntawm cov kev hloov tsis zoo hauv lub cev, cuam tshuam yuav luag tag nrho cov plab hnyuv siab raum thiab ua rau lawv ua tsis taus. Yog li, yog ib hom kab mob siab tshaj plaws, ua ob qho tib si hauv cov neeg mob insulin-dependent, thiab nyob hauv cov insulin-dependent ones, yog ntshav qab zib nephropathy, nyob rau hauv uas lub raum yog hom phiaj pathological.
Diabetic nephropathy - kev faib tawm los ntawm theem
Qhov teeb meem ntawm cov ntshav qab zib yog txuam nrog kev ua txhaum ntawm cov metabolism hauv carbohydrates thiab lipids nyob rau hauv cov ntaub so ntswg, ua rau lub swb ntawm cov hlab ntsha, cov kab mob hauv siab, cov hlab ntsws thiab cov leeg ntawm lub cev. Qis qis, kev tsis hnov mob hauv lub cev tsis tuaj yeem ua rau kev kho mob ua rau kev ua tiav ntawm lawv qhov chaw ua haujlwm thiab ua teeb meem rau lub neej.
Nyob rau hauv ntiaj teb xyaum, qhov sib faib ntawm no complication mus rau tsib lub sij hawm, tsim los ntawm Mogensen, yog siv. Cia peb xav txog nyob rau hauv ntau dua kom meej uas theem ntawm cov ntshav qab zib nephropathy raug faib, lawv lub ntsiab yam ntxwv:
- Thawj theem yog qhov hyperfunction ntawm lub cev. Nws tshwm sim nyob rau hauv lub sij hawm deb dhia ntawm cov ntshav qab zib thiab nws yog ib qho kev nce los ntawm qhov loj ntawm cov hlab ntsha ntawm lub raum thiab kev ua kom ntshav khiav hauv lawv, nce excretion thiab pom cov zis. Lub cev nws tus kheej yog me ntsis ntxiv, thaum cov protein nyob hauv cov zis tseem tsis tau kuaj.
- Qhov thib ob theem yog thawj zaug kev hloov ntawm cov khoom hauv lub cev. Nws tsim ib ncig ntawm peb lub xyoo los ntawm qhov pib ntawm cov ntshav qab zib. Nyob rau theem no, cov kab mob ntawm cov phab ntsa ntawm cov kab mob hauv lub raum tseem tuaj yeem ua kom tuab, qhov hyperfiltration ntawm glomeruli, nthuav tawm ntawm kev sib tshuam hauv kev sib tshuam. Tsis pom muaj protein ntau.
- Qhov thib peb theem yog pib nephropathy. Daim ntawv tshaj tawm ntawm theem no pib ntawm kwv yees li ntawm tsib mus rau xya xyoo tom qab kuaj ntshav qab zib. Vim tias qhov ruaj siab nyob hauv lub raum uas raug puas tsuaj, qhov nce ntawm cov dej thiab lub cev tsis sib haum sib xyaw ua rau lub cev tsis sib haum xeeb los ntawm kev lim ntshav. Kev faib tawm ntawm tus nqi ntawm cov protein ntau nrog cov zis pib.
- Qib plaub yog lub sij hawm uas qhia tau hais tias muaj ntshav qab zib nephropathy. Nws txhais nyob rau hauv cov neeg mob ntshav qab zib mellitus nrog "kev paub" ntawm ntau tshaj 10-15 xyoo. Nyob rau theem no, ib qho txiaj ntsig loj ntawm cov protein tas mus rau hauv cov zis, hauv lub cev cov txheej txheem cov mechanisms muaj kev tswj hwm nws cov qib kev xav tau. Muaj qeeb ntawm cov ntshav ntws ntawm cov qog thiab tus nqi ntawm glomerular pom, muaj ib qho kev vam meej hypertrophy ntawm lub glomeruli.
- Qhov thib tsib theem yog mob caj dab. Zoo tag nrho cov hlab ntsha yog sclerotized, tsis muaj peev xwm ua kom muaj nuj nqi. Hauv qhov kawg ntawm tus kab mob, vim lub raum tsis ua hauj lwm, cov nqaij toxication ua los ntawm protein ntau metabolism, loj proteinuria, ntshav siab thiab ntau lwm txoj kev pathological.
Diabetic Nephropathy - Cov tsos mob
Diabetic nephropathy, qhov ua rau thiab cov tswv yim ntawm txoj kev loj hlob uas nyob tsis meej, yog asymptomatic rau ib lub sij hawm ntev. Yog li, nyob rau hauv 1-3 theem, hu ua kev kho mob, tsis muaj kev tshawb fawb tshwj xeeb, nws yog ib qhov tsis yooj yim sua kom pom lub yeej ntawm ob lub raum. Thawj "tswb" feem ntau tshwm sim ib ntus nce ntawm nce siab . Lwm yam tshwm sim ntawm cov ntshav qab zib nephropathy, uas tsim tau raws li cov kab mob pathology:
- o;
- muaj zog tsis muaj zog;
- tsawg hauv lub cev hnyav;
- mob taub hau;
- nqhis dej;
- xeev siab;
- ammonia tsw ntawm lub qhov ncauj;
- txog kev ua tsis taus pa;
- mob hauv plawv;
- qhuav ntawm daim tawv nqaij;
- khaus;
- impaired pom kev, thiab lwm yam.
Diabetic Nephropathy - Qhov tseeb
Vim tias qhov kev ntsuam xyuas dav dav feem ntau tsis tuaj yeem muab cov ntaub ntawv qhia txog cov theem ntawm cov kab mob pathology, cov ntshav qab zib yuav tsum tau kuaj xyuas cov neeg mob ntshav qab zib los ntawm cov kev siv tshwj xeeb (lawv yuav tsum tau ua rau cov neeg mob ib xyoos ib zaug). Yog li, nws tseem tuaj yeem kuaj xyuas qhov teebmeem ntawm ob txoj kev kuaj sim:
- kev txiav txim siab ntau ntawm albumin (protein) hauv cov zis;
- kev txiav txim (xam) ntawm glomerular filtration npaum li cas mus rau hauv tus account concentration ntawm cov ntshav creatinine.
Tsis tas li ntawd, ntshav qab zib nephropathy ntawm lub raum yog tshawb nrog kev pab los ntawm xws li cov kev tshawb fawb:
- kev ntsuam xyuas ntshav thiab zis;
- biochemical ntshav kuaj;
- Doppler ultrasound ntawm ob lub raum;
- hloov khoom nruab nrog cev.
Diabetic Nephropathy - Kev Kho Mob
Qhov tseem ceeb tshaj plaws rau kev kho mob zoo rau qhov teeb meem no yog ib qho txiaj ntsim zoo txaus rau hauv paus ua - ua kom muaj zog ntawm cov ntshav qab zib. Ib qho tseem ceeb ntxiv yog qhov normalization ntawm ntshav siab thiab lipid metabolism. Vim qhov kev tswj ntawm cov yeeb yam no, kev tiv thaiv ntawm cov ntshav qab zib thiab qhov kev ncua ntawm qhov tus nqi ntawm nws qhov kev vam meej yog nqa tawm.
Nyob rau hauv cov ntaub ntawv ntawm lub sij hawm kom paub meej ntawm nephropathy nyob rau hauv cov ntshav qab zib mellitus yog kho ntse, thiab ntau nyob ntawm tus neeg mob nws tus kheej. Kev ua raws li cov lus hauv qab no yuav ua rau kom muaj txiaj ntsim zoo dua:
- kev ua kom lub cev loj dua;
- tsis kam haus dej cawv thiab haus luam yeeb;
- txo ntawm kev puas siab puas ntsws;
- kev noj haus.
Ntshav nephropathy - kev kho mob, siv yeeb siv tshuaj
Tshuaj kho mob tau ua rau noj nyiaj rau theem ntawm cov teeb meem, kuaj pom muaj lwm cov kev hloov hauv lub cev. Cov npe ntawm cov tshuaj yeeb muaj xws li:
- hypoglycemic cov neeg ua haujlwm lossis cov tshuaj insulin (yog tias kuaj ntshav qab zib nephropathy, hom 2 mob ntshav qab zib mellitus feem ntau pauv mus rau kev siv tshuaj insulin);
- inhibitors ntawm angiotensin-converting enzyme;
- calcium antagonists;
- xaiv cov beta-blockers;
- lipidemic preparations;
- diuretics;
- kev npaj hlau thiab calcium;
- enterosorbents, etc.
Hemodialysis nrog ntshav qab zib nephropathy
Thaum swelling loj thiab tswj tsis tau nrog ntshav qab zib nephropathy, muaj cov tsos mob ntawm kev qaug cawv loj, tsis pom kev, uas qhia tau hais tias muaj cov nyom loj heev thiab paub tseeb los ntawm kev ntsuam xyuas, hemodialysis tsis tau zam. Txoj kev no muaj cov purification ntawm cov ntshav los ntawm txoj kev tshwj xeeb apparatus. Feem ntau, mob ntsws loj heev yuav tsum tau phais rau lub raum hloov.
Ntshav nephropathy - kev kho mob nrog pej xeem tshuaj
Nyob rau hauv cov theem ua ntej, kev kho tus mob ntshav qab zib tuaj yeem kho ntxiv nrog lwm txoj kev, tab sis qhov no yuav tsum tau nrog tus kws kho mob tham. Nws yog tsim tau hais tias lub chav kawm ntawm cov kab mob xws li ntshav qab zib mellitus, nephropathy, kub siab yog facilitated los ntawm intake ntawm decoctions ntawm medicinal nroj tsuag. Cov phytopreparations xws li:
- Bay nplooj;
- sage;
- chamomile;
- mint;
- succession;
- yarrow;
- oats, lwm yam zoo li
Kev noj haus nrog ntshav qab zib nephropathy
Kev noj zaub mov zoo yog ib qho ntawm cov hauv paus kev kho mob zoo ntawm qhov teeb meem no. Kev noj haus rau cov ntshav qab ntsev ntawm ob lub raum, daim ntawv teev cov khoom noj uas tsuas pub tsawg-cov protein ntau thiab cov ntsev tsawg tsawg, yuav tsum muaj calorie ntau ntau. Tso cai:
- zaub, txiv hmab txiv ntoo;
- mis nyuj porridge;
- ntsev tsis xyaw;
- fermented mis nyuj khoom;
- txiv roj roj;
- cov roj tsawg, thiab lwm yam.
Txwv tsis pub:
- Nqaij qaib, nqaij lauj kaub tais diav;
- marinades;
- cheese;
- taum;
- nceb noj;
- chocolate;
- caviar, thiab lwm yam.