Harbinger ea tšenyo ea liphio ho lefu la tsoekere, e boetse e Microalbuminuria: tloaelo ea urinalysis le maqheka a kalafo

Matšoao a pele a ho senyeha ha meno a kenyelletsa microalbuminuria ho lefu la tsoekere, ho bohlokoa ho a khetholla bakeng sa ho khetholla maqheka a kalafo.

E le molao, ha ba tsotelle ka hloko boemo ba liphio. Sena se hlalosoa ke nts'etsopele ea nako e telele ea nephropathy e nang le matšoao a fokolang.

Empa e lebisa, qetellong, ho ho hlonngoeng ha renal. Bokhoni ba ho thibela khatello e matla ea hypoinsulinism, glomerulosulinosis, bo itšetlehile ka hore na tlhahlobo eo e etsoa kapele hakae.

Albinuria ke eng?

Li-albin ke mofuta oa protheine e bang teng sebeteng 'me e fumaneha ka har'a lero la mali. Bophahamo ba tsona bo ka bang 60% ea liprotheine tsohle.

Mesebetsi eo albin e e etsang e bohlokoa bakeng sa:

• khatello e tsitsitseng ea osmotic tsamaisong ea 'mele,
• lipapatso tsa lihlahisoa tse hlahisoang ka bobeli ke litho tse ka hare (bilirubin, mafura acid, urobilin, thyroxine), hammoho le ho tsoa kantle,
• ho theha polokelo ea liprotheine.

Limolek'hule tsa albin - tse nyane ka boholo, li na le ho sisinyeha ho hoholo ebile boholo ba tsona.

Ka hona, haeba ho na le tlolo ea liphio, mesebetsi ea ho sefa e lahleha pele ho tsohle. Ponahalo ea karolo e nyane ea protheine ka har'a moroto - microalbuminuria - e tšoaea boemo ba pele ba tšenyo ea liphio le lefu la tsoekere.

Ho thella ha sethaleng sena ke ho ba sieo ha lipontšo tsa lesapo, empa ts'ebetso ea methapo ea methapo e ntse e tsoela pele ho hola. Kamora lilemo tse 'maloa (12-15) ho tloha pontsong ea lefu la tsoekere, sethala sa proteinuria se qala - tahlehelo e hlakileng ea protheine ke' mele.

Ho se ho ntse ho na le matšoao a hlakileng a lefu lena: ho ruruha, khatello ea maikutlo, bofokoli. Tsoelo-pele ea methapo ea methapo e lebisa mohato oa uremic - ho hloleha ha rems ho hlaha.

Kahoo, ts'enyo ea lefu la tsoekere ho lefu la tsoekere e ea methating ea:

Tahlehelo ea protheine e fokolang le eona e se e ntse e bonts'a tšenyo e kholo ea liphio. Empa mohatong oa pele, ka kalafo e tlang ka nako, hoa khoneha ho emisa ts'ebetso.

Ho bohlokoa ho tsebahatsa lefu la sethoathoa qalong, leha e le ka pel'a matšoao a kliniki, ha kalafo e sebetsa.

Joang ho fetisa urinalysis bakeng sa microalbuminuria ho lefu la tsoekere?

Haeba lefu la tsoekere le fumanoa, mokuli o lokela ho hlahlojoa nako le nako bakeng sa microalbumin ka har'a moroto bakeng sa ho lemoha kapele liphetoho tse entsoeng mehahong ea renal.

Mokhoa o tloaelehileng oa boits'oaro bo joalo ha o sebetse. Bakeng sa boikemisetso bo nepahetseng haholoanyane, ho sebelisoa mekhoa ea radioimmune, enzyme immunoassay, immunoturbidimetric laboratoring.

Ho molemo ho bokella tlhahlobo ea motšehare ka nkho e hloekileng ea litha e le ngoe. E be ka tatellano:

• mokelikeli o tsoakane
• Li-150 ml li lahleloa ka sejaneng se se nang litšila,
• mothusi oa laboratori o fuoa tlhaiso mabapi le kakaretso ea moroto o felletseng.

Boemo ba tahlehelo ea albin bo fapana ka nako le boemo ba 'mele.

Ka hona, litlolo tsa bona li eketseha ka boemo bo otlolohileng, ka boikoetliso, phepo e ntle ea protheine, ts'oaetso ea urological, lefu la pelo, ho tsuba. Boloetse, botenya, setsoalle sa morabe le sona se bonahala liphellong.

Pele o bokella tlhahlobo, o lokela ho:

• Fokotsa ho ja protheine pele, letsoai, lisebelisoa tse nang le moroto, metsi ka lijo,
• hlokomela khotso ea 'mele, ntle le merusu,
• se ke oa pepesetsa 'mele mocheso o feteletseng,
• se ke oa tsuba
• bohloeki pele o bokella moroto.

Ho na le mokhoa o potlakileng oa ho ikemisetsa li-Microtein (methapo ea kutlo).

Ka thuso ea bona, u ka etsa tlhahlobo ea lapeng ka mor'a metsotso e seng mekae. Liphetho li bonahala ka ho hlaka ha ho bapisoa sebaka sa mmala oa seaparo le sekala se totobalitsoeng sephutheloaneng. Boikutlo ba tlhahlobo bo phahame, empa ka phello e seng ntle, ho molemo ho pheta tlhahlobo ka laboratoring.

Ho bohlokoa ho lula o sebelisa mekhoa eohle e fumanehang ho lekola ts'ebetso ea liphio. Pokello e nepahetseng ea tlhahlobo e tla qoba liphoso ho bonoeng.

Tloaelo ho batho ba phetseng hantle le lefu la tsoekere

Batho ba phetseng hantle hape ba boloka protheine e nyane. Palo ea liprotheine kaofela e tloaelehile - hoo e ka bang 150 mg / dl, le albin - e ka tlase ho 30 mg / dl ho sebeletsa e le 'ngoe.

Tahlehelo ea letsatsi le letsatsi ho fihlela 30-3000 mg / ka letsatsi. Keketseho ea matšoao e ka bonts'a pathology.

Ha ho le thata ho tseba hore na urine e ne e bokelloa ka nako mang, tekanyo ea albinine ea "creatinine" e ikemiselitse. Ho banna, letšoao lena le fokola hanyane - 2,5 mg / μmol e tloaelehile. Bakeng sa basali - 3.5 mg / μmol. Palo e eketsehang e bua ka bohloko ba ts'ebetso.

Kaha ho pepesetsoa ha albin ka moriring ho latela lintlha tse ngata mme ho ka bonoa nako le nako 'meleng o phetseng hantle, ho khothaletsoa ho etsa liteko tse tharo ka tatellano likhoeling tse 3-6.

Ho bohlokoa maemong a lefu la tsoekere ho etsa tlhahlobo ea urinalysis ea microalbumin kamehla.

Mabaka a ho hana liphetho tsa lipatlisiso

Lefu la tsoekere le tšaba pheko ena, joalo ka mollo!

U hloka ho kenya kopo ...

Tšenyo ea liphio ho lefu la tsoekere la mofuta oa 1 le mofuta oa 2 o amana le lesapo le ikhethang:

• Sistimi ea metabolic
• likepe (arterioles).

Ho haella ha insulin ho lebisa ho thateng ha karolo ea mantlha ea li-capillaries tsa glomerular le keketseho ea lumenvascular lumen ka lebaka la ho eketsoa ha tsoekere ho limolek'hule.

Ntho ea methapo ea mafu a lefu la tsoekere la pele e ama keketseho ea sekhahla sa mafura a glomerular, a bakang khatello e eketsehileng ka hare ho li-capillaries. Hypertrophy ea glomeruli, le khaello ea methapo ea methapo ea eketseha. Sena se phahamisa ho kenella ha albin ho moroto.

Phekolo le normalization ea microalbuminuria ho lefu la tsoekere

Nts'etsopele ea mekhoa ea ho phekola lefu la tsoekere, lefu la tsoekere le fihletse liphetho tsa bohlokoa. Lithethefatsi tsohle tse ncha li lula li etsoa ho nkela insulin tsoelo-pele.

Hape, karolo ena ea bongaka e sebelisoa ho khethoeng ha lijo tse khethehileng, thibelo ea mantlha, e ikemiselitseng eseng ho phekola lefu la tsoekere feela, empa le ho fokotsa ho hlaha ha lona.

Boemong ba microalbuminuria, e seng e ntse e le bothata ba bokuli, hoa hlokahala:

• fetola metabolism ea lithethefatsi haholo (haholoholo ka ho e fetisetsa ho li-insulin tse fapaneng),
• leha e le ka keketseho e nyane ea khatello ea mali, sebelisa li-inhibitors tsa ACE kapa sehlopha sa analog (haeba li sa mamellehe), kaha li na le thepa e ka li thusang haholo.
• sebelisa li-statin kalafo,
• etsa kalafo ea 'mele ka li-angioprotectors le li-antioxidants.

Ntle le moo, ho hlokahala ho boloka 'muso o itseng ho:

• phepo (thibelo ea lik'habohaedreite tse bonolo, tse halikiloeng, linoko, letsoai),
• sebetsa 'me u phomole (se ke oa sebetsa ho feta tekano)
• ho ikoetlisa (ho ikoetlisa khafetsa ka mojaro o dosed),
• e phetseng hantle (ntle le lits'ila tse kotsi).

Ho latela litlhahiso tsohle tsa kalafo le thibelo maemong a microalbuminuria ho tla ntlafatsa boemo haholo le ho lelefatsa bophelo.