Ntshav qab zib nephropathy

Lub ntsiab yam tseem ceeb ntawm tus kab mob no yog mob hyperglycemia, ntev ntev ntawm cov ntshav qab zib, dyslipidemia, tawg. Ntshav qab zib nephropathy yog yus muaj los ntawm qhov txhab ntawm lub glomerular apparatus ntawm lub raum. Tus kab mob yog feem ntau pom nyob rau hauv cov txiv neej thiab cov tib neeg uas tus thawj hom mob ntshav qab zib tsim thaum lub hnub nyoog ntawm 15 xyoo. Ntshav qab zib nephropathy muaj nyob rau hauv 30 feem pua ntawm cov neeg mob ntshav qab zib.

Early soj ntsuam ces ntawm tus kab mob muaj peev xwm yuav qhia nyob rau hauv tawg. Ntshav qab zib nephropathy nyob rau tom qab ces hais nyob rau hauv lub raum tsis ua hauj lwm thiab nephrotic syndrome. Screening ntawm cov neeg uas muaj mob ntshav qab zib, muab rau ib tug txhua xyoo kev soj ntsuam nephropathy tsib xyoos tom qab qhov pib ntawm tus kab mob. Tsis tas li ntawd, txhua xyoo daim ntawv ntsuam xyuas kreatianina theem yuav tsum tau mus xam glomerular filtration rate, uas yog, ntsuas ntawm glomerular filtration rate. Ntshav qab zib nephropathy yog yus nyob rau hauv thawj zaug rau theem nce GFR, uas txo lub sij hawm txoj kev loj hlob ntawm lub raum tsis ua hauj lwm.

raum nephropathy nce mus txog nws cov ncov tom qab 18-20 xyoos tom qab qhov pib ntawm cov ntshav qab zib. Daim ntawv pov thawj irreversible txheej txheem xws li nephropathy nyob rau hauv cov ntshav qab zib mellitus yog proteinuria. Tom qab hais txog 10-12 xyoo tom qab lub commencement ntawm lub proteinuria npaj uremia, uas ua rau yus ib lub xeev ntawm mob raum tsis ua hauj lwm.

Lub ntsiab yam kev mob yog kev tiv thaiv ntawm nephropathy nyob rau hauv kev tswj ntshav siab thiab ntshav qab zib nyiaj. Pom zoo kom txo cov kev noj zaub mov uas muaj proteins. Cov neeg mob muab angiotezina receptor blockers thiab ACE inhibitors. ntawm
tawg, cov ua hauj lawm yog muab nyob rau hauv koob tshuaj ntawm antihypertensive. Cov tshuaj tiv thaiv qhov kev hloov ntawm Microalbuminuria rau proteinuria. Nyob rau hauv tej rooj plaub, xws li ib tug txoj kev kho, nrog rau kev them nyiaj ntawm cov ntshav qab zib, ua rau cov tshem tawm ntawm Microalbuminuria. Pom zoo kom tsawg ntawm cov ntsev yog tsis ntau tshaj 3 grams tauj ib hnub.

Nyob rau hauv khiav theem mob raum tsis ua hauj lwm, kho yuav tsum tau ua hypoglycemic txoj kev kho. Cov neeg mob uas muaj hom 2 ntshav qab zib mellitus m yog hloov dua siab tshiab rau insulin, raws li kev txais tos txhais tau tias cov ntsiav tshuaj
Nws muaj peev xwm ua tau rau mob hypoglycaemia. Feem coob ntawm cov neeg mob nrog txo insulin uas yuav tsum tau, txij thaum lub ob lub raum yog thawj qhov chaw ntawm nws metabolism.

Nce creatinine theem seb puas tsimnyog tau rau lo lus nug ntawm kev phais thiab extracorporeal kev kho mob. Yuav kom phais txoj kev xws li mob raum hloov thiab extracorporeal koom nrog peritoneal lim ntshav thiab hemodialysis.

Ib nrab ntawm cov neeg mob uas muaj ntshav qab zib ntawm cov thawj hom nyob rau hauv kev txheeb xyuas txoj kev loj hlob ntawm proteinuria raum mob tsis ua hauj lwm tshwm sim tsis pub dhau 10 xyoo. Ntshav qab zib nephropathy yog qhov ua rau ntawm kev tuag ntawm 15% ntawm cov neeg mob uas mob raum tsis ua hauj lwm vim rau cov neeg mob uas yau dua 50 xyoo.

Niaj hnub no nephropathy yog ib tug loj ua rau ntawm kev tuag thiab kev xiam oob qhab nyob rau hauv cov neeg mob uas muaj ntshav qab zib. Kev tiv thaiv ntawm nephropathy yog ntshav siab tswj thaum kawm tsis pub dhau lub readings ntawm 130/85. Nws yog tsim nyog los kiag li tso tseg tsis haus luam yeeb vim hais tias nicotine ua rau kev puas tsuaj ntawm cov vascular phab ntsa ntawm lub puab txheej thiab muaj ib tug general vasoconstrictor nyhuv. Ib tug tsim nyog mob rau kev tiv thaiv ntawm ntshav qab zib nephropathy yog kom muaj cov ntshav qab zib theem nyob rau hauv lub cev ntau thiab normalize cov ntshav siab. Thaum muaj tej theem ntawm tus kab mob yog muab ib tug khoom noj tshwj xeeb nrog txhua hnub protein cov ntsiab lus tsis tau siab tshaj 30% ntawm volume ntawm tag nrho cov khoom noj.