Cov tshuaj no siv tau rau cov kab mob raum puas tuaj yeem nce ntshav creatinine?

Tus neeg mob uas muaj kab mob raum tau koom nrog hauv zej zog tias nws cov creatinine nce ntxiv tom qab noj tshuaj palindromic.

Nyem rau Cistanche rau mob raum

Raws li cov tshuaj nquag siv hauv kev kho mob raum kab mob, nws tsis yog qhov tsis yooj yim rau cov neeg mob lub raum ntsib cov teeb meem zoo li no. Hnub no kuv yuav los nrog koj tham txog cov tshuaj Prilim thiab Sartan.

RAS inhibitors

RAS inhibitors (renin-angiotensin inhibitors) suav nrog ob hom tshuaj:

Ib hom yog ACEI (angiotensin-hloov enzyme inhibitor), cov tshuaj sawv cev suav nrog captopril, enalapril, thiab lwm yam; Lwm hom yog ARB (angiotensin receptor blocker), cov tshuaj sawv cev suav nrog irbesartan, Valsartan, Telmisartan, thiab lwm yam.

Feem ntau hais lus, lub sijhawm nws siv rau hom tshuaj no kom txo tau cov proteinuria yog li 6 lub lis piam. Yog li ntawd, koj yuav tsum tsis txhob maj kom ua tiav thaum siv hom tshuaj no kom txo tau cov proteinuria lossis ncua kev mob raum.

Xib fwb Li Detian, tus kws kho mob ntawm lub Department of Nephrology, Shengjing Hospital Affiliated with China Medical University, ib zaug qhia hais tias RAS inhibitors yog cov tshuaj ntawm universal tseem ceeb hauv kev kho mob raum mob.

Txawm li cas los xij, tus xibfwb Li Detian tseem hais ntxiv tias txawm tias nws yog Sartan lossis tshuaj tiv thaiv ntshav siab yog siv tau zoo, nws tuaj yeem ncua kev mob raum thiab txo cov proteinuria; Yog tias siv tsis raug, nws yuav ua rau muaj kev nce hauv creatinine thiab nce hauv cov poov tshuaj hauv cov ntshav. Siab, txawm yuav raug kev txom nyem. Tsis tas li ntawd, kwv yees li 17% ntawm cov neeg yuav hnoos tom qab noj cov tshuaj promethazine, yog li lawv tsis tuaj yeem noj cov tshuaj yam tsis tau tso cai thiab xav tau kev sib tham nrog lawv tus kws kho mob.

Xib fwb Li Detian tham txog nws qhov kev paub dhau los

Thaum kho cov neeg mob uas muaj kab mob raum ntev, lub voj voog kev soj ntsuam feem ntau yog 3 lub hlis. Tau kawg, cov mob hnyav yuav tsum tau soj ntsuam nyias, thiab kev soj ntsuam lub voj voog yuav yog 2 lub lis piam lossis 1 lub hlis.

Txhawm rau ncua kev loj hlob ntawm cov kab mob hauv lub raum, cov tshuaj no tuaj yeem siv tau thaum creatinine zoo li qub lossis nce siab me ntsis (xws li creatinine 200umol / L, 300umol / L). Txawm li cas los xij, txhawm rau tiv thaiv cov kev mob tshwm sim tsis tuaj yeem, tshwj xeeb tshaj yog rau cov neeg mob uas muaj creatinine siab thiab cov neeg laus, lawv yuav tsum tau siv raws li kev qhia thiab kev saib xyuas ntawm tus kws kho mob.

Cov tshuaj pilin thiab sartan puas tuaj yeem siv ua ke?

Cov neeg mob ib leeg tuaj yeem siv ua ke. Vim tias qee tus neeg mob tuaj yeem tiv thaiv qhov kev zoo siab ntawm renin thiab angiotensin los ntawm kev siv nws ua ke.

Kev ncua kev loj hlob ntawm tus kab mob raum muaj txoj kev mus ntev

Mob raum mob tsis yog ib yam kab mob. Nws yog ib yam kab mob uas mob raum puas yog tshwm sim los ntawm ntau yam laj thawj thiab kab mob, thiab lub raum ua haujlwm maj mam deteriorates, nws thiaj li tsim mus rau hauv uremia.

Xyoo 2023, kev tshawb fawb luam tawm los ntawm Zhou Maigeng ntawm Tuam Tsev Saib Xyuas Kab Mob thiab Tiv Thaiv, Hou Fanfan, tus kws tshaj lij ntawm Tsev Kho Mob Nanfang ntawm Southern Medical University, thiab lwm tus hauv JAMA Internal Medicine tau qhia tias qhov tshwm sim ntawm CKD, lub raum tsis ua haujlwm, thiab. proteinuria nyob rau hauv kuv lub teb chaws tau raws li tus nqi yog 8.2%, 2.2% thiab 6.7%, tab sis qhov kev paub txog tsuas yog 10%. Tom qab ntawd, raws li cov pej xeem ntawm 1.4 billion thiab qhov muaj feem ntau ntawm 8.2%, muaj kwv yees li 115 lab tus neeg mob CKD hauv kuv lub tebchaws.

Tseem muaj txoj hauv kev ntev mus kom ncua qhov kev loj hlob ntawm cov kab mob raum ntev. Ntxiv nrog rau kev kho tshuaj, kev tswj hwm lub neej txhua hnub kuj tseem ceeb heev rau kev ncua kev loj hlob ntawm cov kab mob raum.

Cistanche kho mob raum li cas?

Cistancheyog ib hom tshuaj suav tshuaj ntsuab siv rau ntau pua xyoo los kho ntau yam mob, suav nrograumkab mob. Nws yog muab los ntawm qhuav stems ntawmCistanchedeserticola, ib tsob nroj nyob rau hauv cov suab puam ntawm Tuam Tshoj thiab Mongolia. Lub ntsiab active Cheebtsam ntawm cistanche yogphenylethanoidglycosides, echinacoside cov tshuaj, thiabacteoside, uas tau pom tias muaj txiaj ntsig zoo rau lub raum kev noj qab haus huv.

Kab mob raum, tseem hu ua kab mob raum, hais txog ib yam mob uas lub raum ua haujlwm tsis zoo. Qhov no tuaj yeem ua rau muaj cov khoom pov tseg thiab cov co toxins hauv lub cev, ua rau muaj ntau yam tsos mob thiab teeb meem. Cistanche tuaj yeem pab kho mob raum ase los ntawm ntau lub tswv yim.

Ua ntej, cistanche tau pom tias muaj cov nyhuv diuretic, txhais tau tias nws tuaj yeem ua rau cov zis ntau ntxiv thiab pab tshem tawm cov khoom pov tseg ntawm lub cev. Qhov no tuaj yeem pab txo lub nra ntawm lub raum thiab tiv thaiv kev tsim cov co toxins. Los ntawm kev txhawb nqa diuresis, cistanche kuj tseem tuaj yeem pab txo qis ntshav siab, ib qho teeb meem ntawm cov kab mob raum.

Ntxiv mus, cistanche tau pom tias muaj cov teebmeem antioxidant. Kev ntxhov siab oxidative, tshwm sim los ntawm qhov tsis sib xws ntawm kev tsim cov dawb radicals thiab lub cev tiv thaiv antioxidant, ua lub luag haujlwm tseem ceeb hauv kev mob raum. ies pab neutralize dawb radicals thiab txo Oxidative kev nyuaj siab, yog li tiv thaiv lub raum los ntawm kev puas tsuaj. Cov phenylethanoid glycosides pom hauv cistanche tau tshwj xeeb hauv kev tshem tawm cov dawb radicals thiab inhibiting lipid peroxidation.

Tsis tas li ntawd, cistanche tau pom tias muaj cov nyhuv anti-inflammatory. Kev mob yog lwm yam tseem ceeb hauv kev loj hlob thiab kev loj hlob ntawm cov kab mob raum. Cistanche's anti-inflammatory zog pab txo cov zus tau tej cov pro-inflammatory cytokines thiab inhibit qhov ua kom o yuav tsum tau txoj kev, yog li alleviating o nyob rau hauv lub raum.

Tsis tas li ntawd, cistanche tau pom tias muaj cov teebmeem immunomodulatory. Hauv kab mob raum, lub cev tiv thaiv kab mob tuaj yeem ua rau tsis zoo, ua rau muaj kev mob ntau dhau thiab cov ntaub so ntswg puas. Cistanche pab tswj lub cev tiv thaiv kab mob los ntawm kev hloov kho kev tsim khoom thiab kev ua haujlwm ntawm lub cev tiv thaiv kab mob, xws li T hlwb thiab macrophages. Txoj cai tiv thaiv kab mob no pab txo qhov mob thiab tiv thaiv kev puas tsuaj ntxiv rau lub raum.

Ntxiv mus, cistanche tau pom los txhim kho lub raum kev ua haujlwm los ntawm kev txhawb nqa kev tsim kho ntawm lub raum hlab nrog cov hlwb. Lub raum tubular epithelial hlwb ua lub luag haujlwm tseem ceeb hauv kev pom thiab rov nqus cov khoom pov tseg thiab electrolytes. Hauv kab mob raum, cov hlwb no tuaj yeem raug puas tsuaj, ua rau lub raum ua haujlwm puas. Cistanche lub peev xwm los txhawb kev tsim kho ntawm cov hlwb no pab kho lub raum kom zoo thiab txhim kho lub raum tag nrho.

Ntxiv nrog rau cov kev cuam tshuam ncaj qha rau lub raum, cistanche tau pom tias muaj txiaj ntsig zoo rau lwm yam kabmob thiab lub cev hauv lub cev. Txoj hauv kev zoo rau kev noj qab haus huv no tseem ceeb tshwj xeeb hauv cov kab mob raum, vim tias tus mob feem ntau cuam tshuam rau ntau lub cev thiab lub cev. che tau pom tias muaj kev tiv thaiv rau lub siab, lub plawv, thiab cov hlab ntsha, uas feem ntau cuam tshuam los ntawm kab mob raum. Los ntawm kev txhawb nqa kev noj qab haus huv ntawm cov kabmob no, cistanche pab txhim kho lub raum tag nrho thiab tiv thaiv kev mob ntxiv.

Hauv kev xaus, cistanche yog cov tshuaj suav tshuaj ntsuab siv rau ntau pua xyoo los kho mob raum. Nws cov active Cheebtsam muaj diuretic, antioxidant, anti-inflammatory, immunomodulatory, thiab regenerative teebmeem, uas pab txhim kho lub raum ua haujlwm thiab tiv thaiv ob lub raum los ntawm kev puas tsuaj ntxiv. , cistanche muaj txiaj ntsig zoo rau lwm yam kabmob thiab lub cev, ua rau nws txoj hauv kev zoo rau kev kho mob raum.