Pleple Yuav Tsum Tau Paub Txog Peb Qhov Tseem Ceeb Ua Rau Uremia sai dua qhov zoo dua

Yog xav paub ntxiv. tiv taujtina.xiang@wecistanche.com

Nyob rau hauv xyoo tas los no, tus naj npawb ntawm cov neeg mob uremia hauv Suav teb tau qhia txog kev loj hlob sai, nrog ze li 100,000 tshiaburemiacov neeg mob hauv 2017 ib leeg. Ntxiv nrog rau kev txhim kho cov qauv kev kho mob thiab kev laus ntawm cov pej xeem, qhov tshwm sim siab ntawm cov kab mob ntev kuj tau dhau los ua ib qho laj thawj tseem ceeb rau cov neeg mob uremia nce sai.

Peb lub ntsiab ua rau uremia yog raws li nram no:

No.3 Ntshav Qab Zib

Cov ntaub ntawv pov thawj pom tau tias 270 lab tus neeg Suav raug mob ntshav siab, tab sis tsawg dua 20 feem pua ​​​​ntawm cov neeg mob tau tswj ntshav siab. Cov ntshav siab siab yuav ua rau kom lub siab nyob rau hauv glomerular capillaries, uas yuav ua rau lub raum puas. Nyob rau lub sijhawm ntev, lub raum yuav tsim lub raum interstitial fibrosis, glomerular arteriosclerosis, thiab lwm yam kab mob, uas yuav ua rau lub raum tsis ua haujlwm. Hauv cov neeg mob uas tsis muaj albuminuria, ntshav siab yuav tsum tswj qis dua 140/90mmHg; Hauv cov neeg mob uas muaj albuminuria, ntshav siab yuav tsum tswj qis dua 130/80mmHg. Qhov ua rau muaj ntshav siab ntau hauv kuv lub teb chaws feem ntau yog vim kev noj ntsev ntau dhau, kev noj zaub mov tsis muaj poov tshuaj, rog rog, ntau lub cev hnyav, nrog rau tsis noj tshuaj tiv thaiv kab mob raws sijhawm thiab raws li tus nqi, thiab tsis saib xyuas ntshav siab tsis tu ncua. . Qhov nruab nrab noj ntsev txhua hnub ntawm Suav yog ntau dua 9g, kev noj ntsev txhua hnub pom zoo los ntawm World Health Organization (WHO) yuav tsum yog<6g, and="" the="" daily="" salt="" intake="" of="" hypertensive="" patients="" should="" be=""><3g. in="" china,="" 60%="" of="" hypertensive="" patients="" are="" salt-sensitive,="" and="" elevated="" blood="" pressure="" in="" such="" people="" is="" closely="" related="" to="" excessive="" salt="" intake.="" in="" other="" words,="" the="" key="" to="" controlling="" blood="" pressure="" is="" to="" reduce="" your="" daily="" salt="" intake,="" including="" various="" salt-containing="" condiments,="" such="" as="" monosodium="" glutamate,="" chicken="" essence,="" bean="" paste,="" peanut="" butter,="" chili="" sauce,="" soy="" sauce,="" and="">

Ntshav siab yog ib qho mob tshwm sim ntawmmob raum, thiab ntshav siab ntau dua nyob rau theem ntawm uremia, suav txog ntau dua 70 feem pua. Ua rau hypertension hauv uremia:

1. Cov ntshav siab yog tshwm sim los ntawm ntau yam. Vim lub raum puas tsuaj, cov zis tso zis txo qis, thiab dej, thiab sodium tau khaws cia hauv lub cev, uas ua rau lub cev muaj peev xwm ua haujlwm thiab ntau dhau ntawm cov hlab ntsha, ua rau muaj ntshav siab. Kev kub siab tshwm sim los ntawm qhov laj thawj no yog hu ua volume-dependent hypertension, suav txog 60 feem pua ​​​​rau 85 feem pua ​​​​ntawm tag nrho cov ntshav siab.

2. Lub raum mob yuav tso tawm ntau yam uas ua rau cov ntshav siab nce, uas yuav ua rau cov hlab ntsha peripheral constrict, yog li ntshav siab yuav nce. Ntshav siab los ntawm qhov laj thawj no yog hu ua renin-dependent hypertension, suav txog li 10 feem pua.

3. Qee cov neeg mob uremia muaj cov ntshav siab li qub lossis txo qis, uas yog vim muaj cov tshuaj uremic toxin ua rau lub plawv tsis zoo, thiab nws txo qis kev ua haujlwm rau vasopressors. Cov neeg mob no muaj cov tsos mob hypotension thaum lub sij hawm lim ntshav. kos xim.

No.2 Mob ntshav qab zib

Mob ntshav qab zib nephropathy yog ib qho teeb meem ntawm cov neeg mob ntshav qab zib, thiab nws kuj yog tus thib ib ua rau uremia hauv cov teb chaws tsim kho xws li Tebchaws Meskas. Nyob rau hauv xyoo tas los no, tus naj npawb ntawm cov neeg mob hauv kuv lub teb chaws tau pom muaj kev nce siab, thiab nws tau dhau los ua qhov thib ob ua rau uremia hauv kuv lub tebchaws. Cov ntaub ntawv pov thawj pom tau tias 10.4 feem pua ​​​​ntawm cov neeg Suav muaj ntshav qab zib, thiab ntau dua 60 feem pua ​​ntawm lawv tsis paub tias lawv muaj ntshav qab zib.

Cov kev tshawb fawb tau pom tias cov neeg mob ntshav qab zib tsawg (kuaj kuaj ua ntej hnub nyoog 40) muaj kev pheej hmoo siab ntawm kev mob ntshav qab zib nephropathy ntau dua li cov neeg laus (kuaj tom qab hnub nyoog 40). Cov lus qhia pom zoo kom kuaj mob raum tsawg kawg ib xyoos ib zaug tom qab kuaj mob ntshav qab zib hom 2, suav nrog cov zis niaj hnub, zis protein / creatinine piv (UACR), thiab ntshav creatinine (xws li eGFR). Yog tias koj raug kuaj mob ntshav qab zib nephropathy, koj yuav tsum nquag tswj cov ntshav qab zib los ntawm kev tswj qhov hnyav, kev tawm dag zog tsim nyog, thiab lwm yam, thiab hloov koj tus cwj pwm noj mov tib lub sijhawm.

Ntxiv rau qhov tseem xav tau xaiv cov khoom noj qabzib, yuav tsum tau saib xyuas kom tsim nyog txwv cov protein hauv cov zaub mov. Yog tias lub raum tsis ua haujlwm, ntxiv rau cov khoom noj muaj protein tsawg, lub raum tseem ceeb amino acids (-keto acid) yuav tsum tau ntxiv, thiab cov zaub mov muaj phosphorus thiab cov khoom noj tsis zoo xws li txiv ntoo thiab taum yuav tsum tau txo. . Protein staple zaub mov hloov qee cov zaub mov tseem ceeb, thiab tib lub sij hawm ua kom muaj zaub mov txaus (1 catties / hnub, yog tias cov neeg mob oliguria lossis hyperkalemia zam cov zaub mov uas muaj cov poov tshuaj ntau, feem ntau cov zaub melon, zaub tuaj yeem boil hauv dej kub rau { {8}} feeb noj).

Kev kho mob hypoglycemic zoo ua ke nrog kev noj zaub mov zoo uas tsis muaj protein ntau tuaj yeem ncua qhov tshwm sim thiab kev loj hlob ntawm ntshav qab zib nephropathy, txo cov proteinuria, ncua kev poob qis.lub raum ua haujlwm, thiab txo qhov kev pheej hmoo ntawmkab mob plawvthiab tuag.

No.1 Chronic glomerulonephritis

Chronic glomerulonephritis, tseem hu ua "nephritis" nyob rau hauv ntau cov pej xeem, yog tus thib ib ua rau kev lim ntshav hauv Suav teb. Txawm hais tias nephritis suab zoo li tonsillitis thiab mob ntsws, nws yogmob, tab sis nws yog ntau dua ntawm "tsis muaj mob" tshwm sim los ntawm qhov txawv txav ntawm cov kab mob autoimmune. IgA nephropathy thiab membranous nephropathy yog ob hom nephritis feem ntau. Cov tsos mob tshwm sim muaj xws li cov protein, hematuria, kub siab, thiab edema. Cov kab mob no feem ntau yog kho nrog cov tshuaj hormones, tshuaj tiv thaiv kab mob, thiab lwm yam, nrog rau kev hloov pauv hauv kev noj haus thiab kev ua neej. Cov neeg mob zoo li no yuav tsum tsis txhob muaj ntsev ntau, noj zaub mov muaj protein ntau, thiab cov cwj pwm phem xws li pw tsaug zog thiab tuav rov qab tso zis. Ua kom cov proteinuria, ntshav siab, ntshav lipids, thiab cov ntshav uric acid nyob rau hauv ib txwm muaj tuaj yeem ncua kev mob raum thiab txo qis uremia. kab mob txaus ntshai.