Ọrịa nephropathy

The isi ihe nke ọrịa na-atụle-adịghị ala ala hyperglycemia, ogologo oge nke-arịa ọrịa shuga, dyslipidemia, ọbara mgbali. Ọrịa nephropathy e ji ọnya nke glomerular ngwa nke akụrụ. The ọrịa esiwak hụrụ na ndị ikom na ndị mmadụ n'otu n'otu na mbụ ụdị ọrịa shuga mepụtara na afọ 15 na afọ. Ọrịa nephropathy amalite na 30 percent nke ikpe nke-arịa ọrịa shuga.

Early adakarị ngosipụta nke ọrịa nwere ike kwupụtara na ọbara mgbali. Ọrịa nephropathy na mgbe e mesịrị ngosipụta kwupụtara na gbasara akụrụ odida na nephrotic syndrome. Echetakwa ndị mmadụ na-arịa ọrịa shuga, na-enye maka kwa afọ ule nephropathy afọ ise mgbe ahụ mmalite nke ọrịa. Ọzọkwa, kwa afọ e mere na kreatianina larịị mkpa gbakọọ glomerular filtration ọnụego, ya bụ, na-egosi nke glomerular filtration ọnụego. Ọrịa nephropathy e ji na mbụ nkebi ụba GFR, nke mbelata n'oge mmepe nke gbasara akụrụ odida.

akụrụ nephropathy esịmde ya elu mgbe 18-20 afọ mgbe mmalite nke-arịa ọrịa shuga. Certificate irreversible usoro dị ka nephropathy na-arịa ọrịa shuga mellitus bụ proteinuria. Mgbe ihe 10-12 afọ mgbe malitere nke proteinuria amalite uremia, nke na-eduga a ala nke-adịghị ala ala gbasara akụrụ odida.

Isi ọnọdụ ndị mgbochi nke nephropathy na ịnọgide na-enwe nkịtị ọbara mgbali na-arịa ọrịa shuga asato. Na-atụ aro iji belata oriri nke nri nwere ndi na-edozi. Ọrịa kenyere angiotezina ihe nnabata blockers na Ace inhibitors. na
ọbara mgbali elu, ndị a elekọta mmadụ na-ndinọ na doses nke antihypertensive. Ọgwụ ndị a gbochie mgbanwe nke microalbuminuria ka proteinuria. Mgbe ụfọdụ, ndị dị otú ahụ a ọgwụ, jikọtara na akwụ ụgwọ nke-arịa ọrịa shuga, na-eduga mkpochapu microalbuminuria. Na-atụ aro oriri nke nnu adịghị karịa 3 grams kwa ụbọchị.

Na eruba ogbo ala ala gbasara akụrụ odida, mgbazi ga-rụrụ hypoglycemic ọgwụ. Ọrịa na ụdị 2 ọrịa shuga mellitus m na-ghọrọ ka insulin, dị ka n'ikuku pụtara mbadamba
Ọ pụrụ ịkpata ajọ hypoglycaemia. Ọgụgụ ka ukwuu nke ọrịa na-ebelata insulin chọrọ, ebe ọ bụ na akụrụ bụ isi na saịtị nke ya metabolism.

Mụbara creatinine larịị-ewelite ajụjụ nke ịwa ahụ na extracorporeal usoro ọgwụgwọ. Iji ịwa ahụ ụzọ gụnyere akụrụ transplantation na extracorporeal abuana peritoneal dialysis na hemodialysis.

Ọkara nke ọrịa na -arịa ọrịa shuga nke mbụ ụdị na-akọwapụta na mmepe nke proteinuria gbasara akụrụ-adịghị ala ala ọdịda emee n'ime 10 afọ. Ọrịa nephropathy bụ na-akpata ọnwụ nke 15% nke ọrịa na-adịghị ala ala gbasara akụrụ odida ruru ọrịa tọrọ afọ 50.

Taa nephropathy bụ isi na-akpata ọnwụ na nkwarụ na ndị ọrịa na-elu-arịa ọrịa shuga. Prevention of nephropathy bụ ọbara mgbali akara mgbe arụmọrụ adịghị gafere na agụ nke 130/85. Ọ dị mkpa ka kpamkpam ahapụ ụtaba n'ihi na nicotine na-eduga ná mmebi nke vaskụla mgbidi n'ime oyi akwa na nwere a n'ozuzu vasoconstrictor mmetụta. A mkpa ọnọdụ maka mgbochi nke ọrịa nephropathy bụ ịnọgide na-enwe ọbara sugar etoju n'ime nkịtị nso na normalize ọbara mgbali. Na ụfọdụ ogbo nke ọrịa na-kenyere a pụrụ iche nri na kwa protein ọdịnaya adịghị nnọọ 30% site na olu nke ngụkọta nri.