Ntshav Qab Zib Thiab Proteinuria, Qhov Ua Li Cas Thiab Qhov Zoo Li Cas?

Kev kub siab ntev ntev tuaj yeem ua rau mob raum, hu ua hypertensive nephropathy, nrog proteinuria, nce ntshav creatinine, thiab lwm yam; Mob glomerulonephritis feem ntau tshwm sim los ntawm proteinuria, hematuria, thiab kub siab.

Txawm li cas los xij, yog tias pom cov zis protein thiab ntshav siab nyob rau tib lub sijhawm, puas yog mob nephritis lossis hypertensive nephropathy? Puas yog ntshav siab yog qhov ua rau lossis qhov tshwm sim? Peb yuav txheeb xyuas thiab kho nws li cas?

Nyem rau Cistanche rau mob raum

Qee tus neeg yuav hais tias txawm tias nws raug txheeb xyuas los tsis yog, puas yog lawv txhua tus siv sartan antihypertensive tshuaj? Qhov no ua rau kev nkag siab, tab sis nws tsis yog tag nrho. Mob nephritis yog ib yam kab mob autoimmune uas yuav raug kho nrog cov tshuaj hormones, thaum hypertensive nephropathy raug txwv tsis pub siv cov tshuaj hormones. Yog tsis muaj kev txheeb xyuas, nws tsis tuaj yeem kho kom raug.

Feem ntau hais lus, mob nephritis feem ntau tshwm sim hauv cov neeg hluas thiab cov hnub nyoog nruab nrab, nrog rau cov zis protein thiab kub siab tshwm sim tib lub sijhawm, thiab cov zis muaj protein ntau heev; thaum hypertensive nephropathy feem ntau pom nyob rau hauv nruab nrab-hnub nyoog thiab cov neeg laus, nrog ntshav siab ua ntej, thiab cov zis protein tshwm sim tom qab 5 mus rau 10 xyoo tom qab kub siab, thiab cov zis protein ntau tsis tshua muaj tshaj 1.5g / d.

Ntshav siab ua ntej, ua raws li cov zis protein, feem ntau yog hypertensive nephropathy; cov zis protein tshwm sim ntxov dua li ntshav siab, lossis ob qho tib si tshwm sim tib lub sijhawm, feem ntau yog mob nephritis. Los ntawm lub sij hawm ib ntus ntawm cov tsos, nws yog feem ntau tsis nyuaj rau qhov txawv.

Cov tswv yim muaj kev cia siab puv npo, tab sis qhov tseeb yog nyias nyias. Nws yog ib qho yooj yim hais, tab sis nws yuav tsis yooj yim rau kev paub qhov txawv ntawm qhov tseeb. Piv txwv li, yog tias cov zis muaj protein ntau thiab ntshav siab tau pom nyob rau tib lub sijhawm (tsis tshwm sim), thiab tus neeg mob tsis tau kuaj lub cev ua ntej, thiab tsis paub tias tus twg los ua ntej thiab qhov twg los tom qab, peb tuaj yeem paub qhov txawv ntawm lawv li cas?

Peb tuaj yeem pib los ntawm qhov txawv ntawm qhov mob glomerulonephritis los ntawm hypertensive nephropathy.

1. Mob glomerulonephritis

Chronic glomerulonephritis, abbreviated as chronic nephritis, yog ib pab pawg ntawm cov kab mob glomerular nrog mob los yog mob tshwm sim, ntev thiab qeeb qeeb, thiab sib txawv ntawm lub raum ua haujlwm tsis zoo, uas yuav kawg mus rau hauv lub raum tsis ua haujlwm [1].

Vim muaj cov kab mob sib txawv thiab theem ntawm cov kab mob no, kev kho mob tshwm sim txawv, thiab cov kab mob muaj ntau haiv neeg, tab sis cov tsos mob tseem ceeb yog proteinuria, hematuria, kub siab, edema, thiab lwm yam.

Vim yog kev puas tsuaj rau glomerular filtration membrane, protein thiab cov qe ntshav liab hauv cov ntshav "kua" rau hauv cov zis los tsim cov proteinuria thiab hematuria; lub raum puas activates renin-angiotensin-aldosterone system, ua rau kub siab; sodium thiab dej tuav, los yog tsawg plasma protein, yuav ua rau edema. Tom qab ib nrab ntawm lub raum tubules puas lawm, cov ntshav creatinine yuav nce.

Cov zis tso zis yog cov tsos mob ntxov ntawm glomerulonephritis, uas feem ntau tshwm sim ntxov dua li ntshav siab. Cov neeg mob pib mob hnyav kuj tuaj yeem ntsib nws tib lub sijhawm.

II. Hypertensive nephropathy

Hypertensive nephropathy yuav tsum xub ua kom tau raws li kev kuaj mob ntawm ob qho tib si kub siab thiab mob raum mob.

Cov txheej txheem kuaj mob ntshav siab yog rov ntsuas qhov chaw ua haujlwm systolic ntshav siab Ntau dua lossis sib npaug ntawm 140 thiab / lossis diastolic ntshav siab Ntau dua lossis sib npaug li 90 mmHg; Cov txheej txheem kuaj mob raum mob ntev yog (raws li KIDGO cov lus qhia) [1]: cov zis albumin-creatinine ratio (UACR) > 30 mg/g lossis kwv yees glomerular filtration rate (eGFR) < 60 mL/min, ib qho yog ntsib tau 3 lub hlis.

Txhawm rau kuaj mob ntshav siab nephropathy, lwm yam ua rau mob raum yuav tsum raug cais tawm, xws li glomerulonephritis, mob ntshav qab zib nephropathy, thiab lwm yam.

Hypertensive nephropathy muaj cov yam ntxwv hauv qab no:

1. Kev kub siab ua ntej tshwm sim, thiab 5 mus rau 10 xyoo tom qab kub siab, nocturia, proteinuria, los yog nce ntshav creatinine maj mam tshwm.

2. Cov zis tso zis yog me me los yog nruab nrab, thiab cov zis protein tsis tshua muaj ntau tshaj 1-1.5 g/d.

3. Lawv feem ntau muaj keeb kwm ntawm tsev neeg mob ntshav siab los yog nrog rau lwm yam kev puas tsuaj ntawm lub cev xws li kub siab, xws li sab laug ventricular hypertrophy, coronary artery atherosclerosis (CHD), kab mob peripheral vascular, thiab lwm yam.

4. Hematuria tej zaum yuav tshwm sim, tab sis nws kuj tsis tshua muaj, thiab lwm yam tsim nyob rau hauv cov zis sediment kuj tsis tshua muaj.

5. Progressive raum tsis txaus, tubular muaj nuj nqi puas (xws li nce nocturia) yog ntxov tshaj los yog ntau tshaj glomerular function puas tsuaj.

6. Lub raum puncture biopsy pathology zoo ib yam nrog rau lub raum arteriosclerosis los ntawm kub siab.

Kev kuaj pom tseeb, yuav kho li cas?

Kev kho mob ntawm glomerulonephritis ntev thiab hypertensive nephropathy muaj ntau yam zoo sib xws:

1. Ob leeg yuav tsum tau noj zaub mov tsawg. Yog hais tias lub glomerular pom tus nqi tsawg dua 60ml / min, yuav tsum tau siv cov khoom noj uas tsis muaj protein ntau.

2. Txawm hais tias nws yog hypertensive nephropathy lossis glomerulonephritis, ntshav siab yuav tsum tswj qis dua 130/80 mmHg thiab cov zis protein yuav tsum tswj qis dua 0.3 g / d.

3. Sartan los yog pril antihypertensive tshuaj yuav tsum tau siv. Yog tias ua tau, qhov siab tshaj plaws koob tshuaj yuav tsum tau siv.

4. Yog tias muaj ntshav qab zib, levofloxacin thiab aldosterone receptor antagonists tuaj yeem siv raws li tus neeg mob tus mob.

5. Yog tias cov kab mob pom meej meej IgA nephropathy, yog tias cov zis muaj protein ntau tshaj 1 g / d, kev kho tshuaj hormone tuaj yeem noj.

Cov ntsiab lus

Hauv luv luv, rau hypertensive nephropathy, kub siab yog qhov ua rau thiab cov zis protein yog qhov tshwm sim; Rau cov mob glomerulonephritis ntev, proteinuria yog qhov ua rau thiab kub siab yog qhov tshwm sim.

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, thiab acteoside, uas tau pom tias muaj txiaj ntsig zoo rauraumnoj 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 lub cev thiab lub cev, ua rau nws txoj hauv kev zoo rau kev kho mob raum.