Mob ntshav qab zib nephropathy yuav kho li cas? Pib nrog 7 Thaj Chaw no

Mob ntshav qab zib nephropathy yog ib qho comorbidity hauv cov neeg mob ntshav qab zib thiab qhov thib ob feem ntau ua rau lub raum tsis ua haujlwm ntev. Thawj cov tsos mob ntawm ntshav qab zib nephropathy yog proteinuria. Feem ntau ntawm cov edema hauv cov neeg mob ntshav qab zib nephropathy yog tshwm sim los ntawm ntau cov proteinuria. Yog tias edema tshwm sim, nws txhais tau hais tias tus neeg mob tau mus txog theem kawg ntawm ntshav qab zib nephropathy. Cov mob hnyav tuaj yeem ua rau lub raum tsis ua haujlwm, ua rau muaj kev phom sij rau tus neeg mob lub neej.

Nyem rau cistanche cov txiaj ntsig thiab cov kev mob tshwm sim rau cov kab mob raum

Raws li tib neeg txoj kev ua neej hloov pauv, kev laus ntawm cov pej xeem kuj hloov pauv (kuj maj mam nce), thiab qhov tshwm sim ntawm ntshav qab zib kuj tseem qhia txog kev nce siab. Yog mob ntshav qab zib mellitus tshwm sim rau hauv lub raum, nws yuav txuas ntxiv mus rau qhov mob hnyav dua. Mob ntshav qab zib nephropathy tau muab faib ua hom 1 thiab hom 2, thiab hom 1 muab faib ua tsib theem:

①Glomerular hyperfiltration lub sij hawm: Lub sij hawm no, lub glomerular filtration tus nqi yog ho ntau dua li qhov ib txwm pom tus nqi;

② Albuminuria lub sij hawm: lub excretion ntawm albuminuria yog ib txwm, tab sis lub excretion tus nqi yuav nce tom qab ib ce los yog kev nyuaj siab;

③Microalbuminuria theem: Microalbuminuria txuas ntxiv mus;

④ Proteinuria theem: albuminuria tseem nce ntxiv, lub sijhawm no edema thiab ntshav siab yuav tshwm sim, thiab lub raum ua haujlwm yuav maj mam poob;

⑤ Lub raum tsis ua hauj lwm theem: Cov protein tso tawm tau txo qis, thiab ntshav siab nce ntxiv.

Nyob rau theem kev loj hlob ntawm ntshav qab zib, nws yuav muaj qee yam cuam tshuam rau lub raum, tsim cov ntshav qab zib nephropathy. Kev kho mob ntshav qab zib nephropathy yog kev tswj hwm thiab kev kho mob dav dav vim tias tsis muaj tshuaj rau ntshav qab zib nephropathy. Yog li, rau cov neeg mob ntshav qab zib, kev kho mob ntshav qab zib nephropathy yuav tsum pib nrog kev kho mob ntshav qab zib, thiab tom qab ntawd kev kho mob nephropathy. Los ntawm xya yam los qhia txog kev tiv thaiv thiab kev kho mob ntshav qab zib nephropathy, saib hauv qab no.

1. Ntshav qab zib

Txhawm rau kho mob ntshav qab zib nephropathy, tus neeg mob cov ntshav qab zib yuav tsum tau tswj kom zoo ua ntej thiab yuav tsum ncav cuag tus nqi zoo. Qhov kev tswj cov ntshav qab zib zoo dua, qhov kev pheej hmoo ntawm kev mob ntshav qab zib nephropathy tsawg dua. Kev yoo mov ntshav qab zib yuav tsum tswj hwm ntawm thaj tsam 3. Tus neeg mob cov tsos mob thaum ntxov ntawm lub raum tsis pom tseeb, feem ntau yog cov ntshav qab zib, thiab cov tshuaj noj yuav tsum muaj kev txo qis ntshav qab zib thiab proteinuria.

2. Ntshav siab

Cov neeg mob yuav tsum hloov lawv cov zaub mov. Kev noj zaub mov yuav tsum yog lub teeb, thiab cov khoom noj muaj suab thaj thiab cov ntsev siab yuav tsum tau tswj nruj me ntsis. Tus neeg mob qhov hnyav yuav tsum tau tswj tsis pub dhau qhov qub kom tsis txhob ua rau lub raum hnyav vim qhov hnyav. Ua raws li kev noj tshuaj antihypertensive kom stabilize ntshav siab. Ua haujlwm tswj ntshav siab kom ncav cuag cov qauv ib txwm muaj, ua haujlwm kom tsim nyog, noj cov tshuaj calcium, thiab hais kom noj cov tshuaj tiv thaiv hypertensive raws li cov kws kho mob cov lus qhia. Systolic ntshav siab yog tswj ntawm ib ncig ntawm 90-140 mmHg, thiab diastolic ntshav siab yog tswj ntawm ib ncig ntawm 60-90 mmHg.

3. Cov ntshav lipids

Cov neeg mob uas muaj dyslipidemia yuav tsum tau them sai sai rau kev kho cov ntshav lipids, thiab noj cov tshuaj hauv qhov ncauj kom txo cov ntshav lipids, xws li statins. Kev tawm dag zog kom zoo, npaj koj lub neej kom tsim nyog, noj cov rog, txo koj qhov hnyav, txiav luam yeeb thiab haus dej, thiab saib xyuas cov ntshav lipid tsis tu ncua. Tsis txhob noj cov zaub mov tsis zoo thiab cov zaub mov kib, thiab noj zaub mov. Tswj cov roj (cholesterol) qis dua 4.5 mmol / L.

4. ruaj khov albuminuria

Thaum lub sijhawm kho, nws yog ib qho tsim nyog yuav tsum tau ua raws li kev noj zaub mov tsis zoo, txwv tsis pub noj cov protein, thiab siv nrog rau cov tshuaj tiv thaiv kab mob siab, tshuaj lipid-txo qis, thiab cov tshuaj hypoglycemic. Noj cov tshuaj txo cov protein nyob rau tib lub sijhawm, cov kws kho mob feem ntau tsis pom zoo kom siv cov tshuaj hormones thiab tshuaj tiv thaiv kab mob rau cov neeg mob ntshav qab zib nephropathy. Kev tiv thaiv kab mob thiab txhim kho kev tiv thaiv kab mob yog cov kev ntsuas tseem ceeb tshaj plaws. Nyob rau hauv lub neej txhua hnub, koj yuav tsum tau xyuam xim rau kev tawm dag zog lub cev, noj cov zaub mov tsis tu ncua thiab tsim nyog, mus rau hauv tsev kho mob tsis tu ncua los ntsuas koj qib kev tiv thaiv, thiab noj qee yam tshuaj tiv thaiv kab mob yog tias tsim nyog.

5. Tiv thaiv kab mob ntawm cov zis

Cov neeg mob uas muaj ntshav qab zib nephropathy raug kev txom nyem los ntawm kev pw tsaug zog tsis zoo thiab tsis qab los noj mov, ua rau tus neeg mob poob qis heev. Vim tias cov neeg mob ntshav qab zib nephropathy tawm hws ntau dua, yog tias tus neeg mob tsis tuaj yeem ntxiv dej rau lub sijhawm, qhov tso zis ntau zaus yuav txo qis, thiab cov nyhuv ntawm cov kab mob hauv lub cev yuav raug txo, yog li ntawd, ntshav qab zib nephropathy thiab kab mob urinary yog qhov tshwm sim. Haus dej kom ntau thaum muaj mob kom tsis txhob muaj kab mob hauv cov zis.

6. Kev noj zaub mov zoo

Txoj hauv kev tseem ceeb tshaj plaws los tiv thaiv kev txhim kho ntshav qab zib nephropathy yog txwv tsis pub noj cov protein. Raws li theem ntawm nephropathy, koob tshuaj noj kuj txawv. Kev noj zaub mov tsis tshua muaj ntsev tuaj yeem pab cov neeg mob tswj qhov nce ntshav siab thiab qib ntawm edema, thiab tsim nyog ntxiv cov hlau thiab calcium Cov tshuaj muaj kev sib raug zoo heev nrog rau lub raum rov qab. Tau lees paub cov khoom noj khoom haus uas xav tau los ntawm lub cev, tswj lawv tus kheej kev noj qab haus huv, ua kom lawv qhov hnyav nyob rau hauv ib txwm muaj, thiab tsom mus rau cov khoom noj muaj txiaj ntsig zoo, tsis muaj rog, ntsev tsawg, thiab cov khoom noj muaj calcium, txwv tus neeg mob cov piam thaj kom tsawg thiab txiav luam yeeb thiab haus cawv.

7. Kev kho mob ntshav qab zib thiab hloov lub raum

Kev hloov pauv raum yog kev kho mob zoo tshaj plaws rau cov neeg mob ntshav qab zib theem kawg. Lub raum ntawm cov neeg noj qab haus huv tau hloov mus rau cov neeg mob uas lub raum tsis ua haujlwm. Thaum hloov lub raum, cov tshuaj pabcuam raug siv kom tsim nyog, uas txo qis kev lag luam ntawm cov neeg mob, txo cov kev mob tshwm sim ntawm cov tshuaj tiv thaiv kab mob, thiab tiv thaiv thiab txhim kho lub raum ua haujlwm ntawm cov neeg mob.

Thaum lub sij hawm lim ntshav hauv cov neeg mob ntshav qab zib nephropathy, ntshav qab zib tuaj yeem poob, thiab cov ntshav plasma colloid osmotic siab kuj yuav txo qis, uas yuav ua rau hypotension. Kev tshuaj xyuas tsis tu ncua yuav tsum tau ua kom zoo saib xyuas cov kev hloov pauv ntawm cov neeg mob. Hyperkalemia yuav tshwm sim thaum lub sij hawm lim ntshav, thiab cov neeg mob yuav tsum tau nruj me ntsis tswj lawv cov zaub mov, paub txog qhov tseem ceeb ntawm kev noj zaub mov, thiab xyuas glycated hemoglobin tsis tu ncua. Kev kis kab mob kuj tuaj yeem tshwm sim thaum lub sij hawm lim ntshav. Ua kom sov kom tsis txhob muaj kab mob ua pa, ntxiv dag zog rau kev noj zaub mov kom tsawg, thiab tswj cov dej kom tsawg rau cov neeg mob anuric.

Txhua yam, kev kho mob ntshav qab zib nephropathy suav nrog xya yam: ntshav qab zib, ntshav siab, ntshav lipids, ruaj khov albuminuria, tiv thaiv kab mob hauv lub cev, kev noj zaub mov kom zoo, kev kho mob ntshav qab zib thiab hloov lub raum. Kev kho mob ntshav qab zib nephropathy siv kev tswj ntshav qab zib raws li kev kho mob yooj yim. Ntshav siab yog ib qho tseem ceeb ua rau muaj qhov tshwm sim thiab kev loj hlob ntawm ntshav qab zib nephropathy, uas muaj ntau heev hauv ntshav qab zib nephropathy. Cov tshuaj tswj ntshav siab muaj xws li angiotensin-hloov enzyme inhibitors (captopril, thiab lwm yam), angiotensin receptor antagonists (losartan, olmesartan, thiab lwm yam); Tshuaj, biguanide hypoglycemic agents); Cov tshuaj lipid-txo cov ntshav muaj xws li (cholic acid integrators, niacin, thiab lwm yam). Nyob rau tib lub sijhawm, cov neeg mob yuav tsum nquag siv cov blockers los tswj qhov tshwm sim thiab kev loj hlob ntawm cov proteinuria. Cov neeg mob kuj yuav tsum tau kho lawv txoj kev ua neej thiab kev noj zaub mov kom haum rau kev tswj tus kab mob.

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