Bothata ba ho ba le lefu la tsoekere ke bothata ba liphetoho tsa mafu meleng ea mali ea liphio tse boletsoeng mefuta e 'meli ea lefu la tsoekere. Tlhaloso ena e fumanoa ka ba 10-20% ba bakuli ba nang le lefu la tsoekere.
Lisosa tsa lefu la tsoekere la tsoekere
Lintho tse ka sehloohong tse bakang nts'etso-pele ea lefu lena, ke hyperglycemia (tsoekere e phahameng ea mali) le matšeliso a nako e telele a sa phethoeng a tlōlo ea metabolism ea lik'habohaedreite. Ka lebaka la sena, mekhoa ea likokoana-hloko e fetoha butle-butle: phetoho ea homeostasis ea metsi-electrolyte, phapanyetsano ea mafura a mafura, ho fokotseha ha lipalangoang tsa oksijene,
Glucose e etsa chefo lisele tsa liphio, hape e sebelisa mekhoa e bakang tšenyo le ho eketsa botle ba marako a bona. Ka lebaka la tšenyo ea tsamaiso ea methapo ea lefu la tsoekere, likepe tsa renal li eketsa khatello, 'me lijana tse senyehileng li nkeloa sebaka ke lisele tse tloaelehileng. Hape, karolo ea nts'etsopele ea lefu la tsoekere la lefu la tsoekere e bapisoa ke khatello ea kelello e bakoang ke khatello ea mali le ho senyeha ha mali ho intrarenal, hammoho le liphatsa tsa lefutso.
Matšoao le likarolo tsa lefu la tsoekere la tsoekere
Ha ho ntse ho etsoa ts'ebetsong ena, mekhahlelo e mehlano e khetholloa, tse tharo tsa tsona ke li-preclinical, e.g. Lefu la likokoana-hloko tsa lefu la tsoekere qalong ha le na lipontšo tse ka ntle 'me li ka khethoa feela ke mekhoa e khethehileng ea laboratori kapa ka litsebi. Leha ho le joalo, ho fumanoa ha lefuba setsing sa pele ke habohlokoa haholo, hobane Ke nakong ena feela e nchafalitsoeng. A re ke re hlahlobeng ka ho qaqileng hore na liphetoho li hlokomeloa joang karolong e 'ngoe le e' ngoe ea lefu lena.
Mothati oa I - boholo bo eketsehileng ba lisele tsa renal, ho eketseha ho feteletseng le ho hloekisoa ha motsoako (ho se sebetse ha litho tsa litho).
Mothati oa bobeli - o etsa hoo e batlang e le lilemo tse 2 ka mor'a ho qala ha lefu la tsoekere. Ho sisinyeha ha marako a likepe tsa renal ke tšobotsi.
Mothati oa Boraro - tšenyo e khōlō lijaneng tsa liphio, microalbuminuria (e nyenyane ea protheine meleng), phetoho ea glomerular filtration rate.
Sethaleng sa IV - se etsahala lilemo tse 10 ho ea ho tse 15 ka mor'a ho qala ha lefu la tsoekere. Litšoaneleho li na le:
- proteinuria (ho aroloa ha protheine e kholo ka metsing);
- ho ruruha ho matla maotong, sefahleho, sefuba sa mpa, joalo-joalo;
- boima ba 'mele bo theohile;
- bofokoli;
- ho nyekeloa ke pelo;
- ho nyoroa;
- ho opeloa ke hlooho khafetsa ;
- ho eketsa khatello ea mali.
Sethaleng sa lipapali - hoo e batlang e le ho fokotsa li-sclerosis, ho fokotseha ho hoholo mesebetsing ea liphio tse hloekileng le tsa mahloriso. Lipontšo tse ling ke:
- matla a proteinuria;
- ho ntlafatsoa ha mali a mali;
- ho ruruha ho matla;
- ho fokotseha ha hyperglycemia;
- boloetse bo kotsi;
- uremia, joalo-joalo.
Tsela ea ho phekola nephropathy ea lefu la tsoekere?
Ha ho phekoloa maloetse, ho na le likarolo tse tharo tse ka sehloohong:
- ho boloka tekanyo e nepahetseng ea tsoekere maling;
- Phekolo ea meriana e matla ea mali le microalbuminuria;
- ho thibela ho fokotseha ka potlako mosebetsing oa liphio le ntshetsopele ea sethaleng sa thyric sa ho hlōleha ha renal;
- phekolo ea ho senya.
Ha ho etsoa phekolo ea lefuba la tsoekere, tšebeliso ea lihlopha tse joalo tsa lithethefatsi e bontšoa:
- litokisetso tsa boikaketsi;
- inhibitors ea enzyme e fetolelang angiotensin;
- bahanyetsi ba angiotensin ba amohelang;
- beta-blockers;
- lik'halsiamo li-blockers;
- litokisetso tsa ho tloaeleha ha lipilisi tsa lipid tsa mali;
- diuretics ;
- li-sorbents;
- antizotemics le tse ling.
Ho hloka ho latela mekhoa e tlaase ea protheine le ea letsoai, ho fokotsa ho sebelisoa ha mafura. Haeba mosebetsi oa liphio o tlōloa haholo, ho ka khoneha hore o tsamaise phekolo ea phekolo ea phekolo (hemodialysis, permanent peritoneal dialysis) kapa phekolo ea ho buuoa ka ho kenngoa ha liphio tsa bafani.