Tsab ntawv rau Tus Kws Kho Mob Hais txog "Qhov Tseem Ceeb Ntawm Kev Tshuaj Ntsuam Xyuas Thaum Ntxov Thiab Kev Tshawb Fawb Txog Kab Mob Raum Mob Rau Cov Neeg Mob Ntshav Qab Zib Hom 2"

Ntsiab lus:Hom 2 mob ntshav qab zib mellitus; Mob raum mob; Kev tawm dag zog

Nyob zoo Editor, Qhov tseem ceeb ntawm kev tshawb pom ntxov thiab kev ntsuam xyuas ntawmmob raum mob(CKD) nyob rau hauv ib pawg ntawm cov neeg mob uas muaj ntshav qab zib hom 2 tau tham nyob rau hauv daim ntawv ntsuam xyuas nthuav dav sau los ntawm Neil Skolnik thiab Style [1].

Nws yog ib qho tseem ceeb kom nkag siab tias hyperglycemia thiab kab mob ntshav siab sib koom ua ke hauv feem ntau ntawm cov tib neeg uas muaj hom 2 mob ntshav qab zib mellitus (T2DM) thiab qhov no nws thiaj li ua rau ob qho tib si.mob plawv thiab lub raum tsis ua haujlwm. Hauv kev kho mob, kev tswj hwm tshuaj yog thawj kab ntawm kev saib xyuas uas yog tsom rau glycemic thiab ntshav siab tswj hauv pab pawg no.

NYEEM NTXIV RAU HAUV TSEV KAWM NTAWV TSEEM CEEBKIDNEY DYSFUNCTION

Txawm hais tias American Diabetes Association (ADA) 2020 Cov Qauv Kev Kho Mob thiab American College of Physicians,Kab mob raumTxhim kho Cov txiaj ntsig thoob ntiaj teb (KDIGO) 2020 Cov Lus Qhia Txog Kev Kho Mob tau pom zoo kom kuaj lub raum ua haujlwm txhua xyoo hauv cov neeg mob T2DM thiab CKD, tseem tsis muaj pov thawj thoob ntiaj teb txog qhov no.

Primitive CKD theem1, 2 thiab qee zaus 3 mus unnoticed nyob rau hauv cov nyiaj tau los tsawg chaw chaw xws li Is Nrias teb. Tsuas yog thaum cov neeg mob no muaj cov tsos mob xws liqaug zog,anorexia, xeev siab, mob heev ntawm lub ntsej muag, ko taw lossis pob taws, haematuria lossis nocturia lawv mus rau tsev kho mob lossis nrhiav kev pab kho mob. Muaj qhov zoo li qhov kwv yeesglomerular pom tus nqi(eGFR) yuav poob qis dua 30 ml / min / 1.73 m2 thiab tso zisalbumin excretion tus nqi(UAER) nce siab dua 300 mg / 24 teev ntawm qhov sib txuas no. Yog li ntawd, thaum lub raum tsis ua haujlwm tshwm sim nws tus kheej, lub neej zoo (QoL) raug kev txom nyem [2]. Ntxiv mus, lub nra nyiaj txiag thiab kev sib raug zoo ntawm cov neeg saib xyuas thiab cov neeg ua haujlwm kho mob tau nce ntxiv raws li cov tsos mob ntawm cov neeg mob no nce [3].

Ib qho kev tiv thaiv yog tsim nyog ib phaus ntawm kev kho, raws li cov lus hais mus. Txhawm rau hais txog qhov kev txhawj xeeb loj zuj zus ntawm CKD, cov tswv yim tiv thaiv yuav tsum tau tsom thiab siv nyob rau theem pib, theem nrab, theem nrab, thiab hauv zej zog. Cov chaw qhia kev noj qab haus huv ntau zaus ntawm kev noj zaub mov, hloov tus cwj pwm kev noj qab haus huv, thiab kev txhawb nqa kev ua lub cev, kev tsim txuj ci thiab kev cob qhia rau cov neeg ua haujlwm kho mob hauv cov chaw nyob deb nroog, kev nkag mus rau cov chaw kho mob muaj vaj huam sib luag, thiab kev txhim kho cov ntaub ntawv hauv nruab nrab lossis kev sau npe uas suav nrog cov ntsiab lus ntawm txhua tus pej xeem. nrog cov ntaub ntawv tiav ntawm lawv cov keeb kwm kho mob thiab kev kho mob tau txais yog qee qhov kev ntsuas.

Cov ntaub ntawv pov thawj ntawm lub luag haujlwm ntawm kev tawm dag zog hauv kev tiv thaiv CKD tsis ntev los no tau txais kev txhawb nqa. Nyob rau hauv ib tug randomized tswj mus sib hais, Dong et al. tshawb pom tias kev hloov pauv txoj kev ua neej los ntawm kev tawm dag zog thiab noj zaub mov kom txo lub raum puas tsuaj rau cov neeg uas muaj theem 3 mob ntshav qab zib nephropathy [4]. Cov kev tshawb fawb zoo sib xws yuav tsum tau saib mus rau hauv kev tiv thaiv lub luag haujlwm ntawm kev tawm dag zog hauv kev hloov kho pathophysiology ntawm cov kab mob raum ntev ntawm cov neeg mob ntshav qab zib hom 2.

TXOJ CAI

Peb lees paub lub Center for Diabetic Foot Care and Research (CDFCR), Department of Physiotherapy, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal – 576104, Karnataka, India rau kev txhawb nqa lawv.

Nyiaj txiag. Tsis tau txais nyiaj los yog kev txhawb nqa rau tsab ntawv no lossis kev tshaj tawm ntawm tsab xov xwm no. Kev sau ntawv. Txhua tus kws sau npe ua tau raws li International Committee of Medical Journal Editors (ICMJE) cov txheej txheem rau kev sau ntawv rau tsab xov xwm no, ua lub luag haujlwm rau kev ncaj ncees ntawm kev ua haujlwm tag nrho, thiab tau muab lawv qhov kev pom zoo rau cov ntawv luam tawm no. Sau Kev Pab Txhawb. Txoj haujlwm no tau tsim los ntawm Megha Nataraj, Dr. Arun G Maiya thiab Dr. Shankar P Nagaraju. Tsis muaj kev txheeb xyuas txheeb cais tau koom nrog hauv daim ntawv no. Thawj tsab ntawv tau npaj los ntawm Megha Nataraj. Cov qauv no tom qab ntawd tau kho thiab kho los ntawm Dr. Arun G Maiya thiab Dr. Shankar P Nagaraju.

Daim ntawv kawg tau nyeem thiab pom zoo los ntawm txhua tus kws sau ntawv ua ntej xa ntawv mus. Qhia tawm. Cov kws sau ntawv Megha Nataraj, Dr. Arun G Maiya thiab Dr. Shankar P Nagaraju tsis muaj dab tsi los qhia. Ua raws li Cov Cai Tswj Kev Ncaj Ncees. Kab lus no yog ua raws li cov kev tshawb fawb yav dhau los thiab tsis muaj cov kev tshawb fawb tshiab nrog tib neeg koom lossis tsiaj ua los ntawm ib tus kws sau ntawv. Qhib Access. Kab lus no tau tso cai raws li Creative Commons Attribution-NonCommer cial 4.0 Daim ntawv tso cai thoob ntiaj teb, uas tso cai rau kev siv tsis yog lag luam, sib qhia, hloov kho, faib thiab luam tawm hauv ib qho nruab nrab lossis hom ntawv, tsuav yog koj muab credit tsim nyog rau thawj tus kws sau ntawv thiab qhov chaw, muab qhov txuas mus rau Creative Commons daim ntawv tso cai, thiab qhia seb puas tau hloov pauv. Cov duab lossis lwm yam khoom siv thib peb hauv tsab xov xwm no suav nrog hauv tsab xov xwm Creative Commons daim ntawv tso cai, tshwj tsis yog qhia lwm yam hauv kab qiv nyiaj rau cov khoom siv. Yog tias cov ntaub ntawv tsis suav nrog hauv tsab xov xwm Creative Commons daim ntawv tso cai thiab koj qhov kev npaj siv tsis raug tso cai los ntawm txoj cai lij choj lossis tshaj qhov kev tso cai siv, koj yuav tsum tau txais kev tso cai ncaj qha los ntawm tus tuav ntaub ntawv. Txhawm rau saib daim ntawv tso cai no, mus saib

REFERENCES

1. Skolnik NS, Style AJ. Qhov tseem ceeb ntawm kev tshuaj xyuas ntxov thiab kev kuaj mob raum mob raum rau cov neeg mob ntshav qab zib hom 2. Mob Ntshav Qab Zib Ther. 2021; 29:1–8.

2. Farag YM, Keithi-Reddy SR, Mittal BV, et al. Anemia, o thiab kev noj qab haus huv ntsig txog lub neej nyob rau hauv cov neeg mob raum mob. Clin Nephrol. 2011; 75(6:524–33.

3. Senanayake S, Gunawardena N, Palihawadana P, et al. Cov tsos mob hnyav hauv lub raum mob ntev; ib txoj kev tshawb fawb txog pej xeem raws li ntu ntu. BMC NPE. 2017; 18(1):1–8.

4. Li J., Li J., Li J., et al. Kev cuam tshuam kev ua neej ntev ntev txhawb kev txhim kho ntawm theem III mob ntshav qab zib nephropathy. Med Sci Monit. Xyoo 2019; 25: 3061.