IgA Nephropathy ine nzira yakasiyana-siyana inobva pakurwara zvakakwana (mune zvakanakisisa mamiriro ezvinhu) kumurwere achafambira mberi nokukurumidza kusvika pakupera kwetsvo yakakwana. Nokudaro, kurapwa kungave kusingakoshi kune murwere wese uye iwe unofanira kutaura neanrologist pamusoro pekuona nzira yakanakisisa yekuita.
Kuchengeta Varwere Vane Ngozi
Muzhinji, varwere vane zvikamu zvinotevera vanofunga kuti vane ngozi yakawanda yekuderera mupfungwa basa:
- Murwere ane GFR inoderedza kana kukwirira mumusiki (iyi ndiyo inowanzoedzwa yecheno yako)
- Vaya vane ruswere rusingadzorwi ropa
- Varwere vane kurasikirwa kukuru kweprotheni mumuginhi
- Varwere vane zvimwe zviwanikwa zvinoshungurudzwa nehisvo biopsy (kunze kwepamusoro pechinyorwa chino)
Kana iwe uchifunga kuti iwe unokodzera chimwe chezvikamu izvi, heano maitiro mashomanana ekurapwa aungada kufunga nezvawo:
- Angiotensin-Kuchinja Enzyme Inhibitors kana Angiotensin Receptor Blockers: Izvi zvinowanzoshandiswa nemishonga yeropa (iwe ungangodaro wakanzwa nezita rakadai sa lisinopril kana losartan). Zvisinei, mishonga iyi haisi kungoderedza ropa rako, inobatsirawo itsvo 'basa nekuda kwekudzivirira kwavo kuburikidza nekuderedza mapuroteni kurasikirwa mumuginhi (chimwe chinhu chinowanzoonekwa kune varwere vane IgA nephropathy). Izvi zvinobatsirawo nokuti varwere vane IgA nephropathy vanogona kuva nezvinetso nehuwandu hwemhepo. Nokudaro, kunze kwekuti murwere asingakwanisi kuvabvumira, vanowanzotorwa semishonga yekutanga yemishonga yekurapa kukwirira kweropa mune varwere vane IgA nephropathy neproteine kurasika mumuguta.
- Mafuta ehove / chiremba-simba omega-3 fatty acids: Mafuta ehove akaratidza chivimbiso kune varwere vane IgA nephropathy, zvichida nekuda kwechiito chacho chinopesana nokuputika. Zvisinei, kushanda kwemafuta ehove hakuna kumbove yakanyatsosimbiswa. Muitiro wekushandisa ndewekuushandisa pamwe chete nemamwe mushonga chero bedzi murwere anoregerera. Vanachiremba vazhinji vanotenda kuti mafuta ehove haangave akave akaipa uye naizvozvo anokwanisa kupiwa kupfura.
- Glucocorticoids / steroids: Muenzaniso wakafanana uri chimwe chinhu chinonzi "prednisone." Varwere vane uchapupu hwechirwere chakakomba nevarwere vane maitiro ehupi anonyatsoratidza kuti kuputika kukuru kunogona kubatsirwa nemishonga iyi. Iyi mishonga inodzvinyirira uye inonyaradza muviri wemuviri uye saka inogona kubatsira kune varwere vane IgA nephropathy (sezvo tichiziva kuti maitiro ezvirwere zvezvirwere zvinoshungurudza mafungiro munyaya ino). Zvakakosha kuziva kuti steroids haisi yevanhu vose. Varwere vane zvirwere zvinyoro zvingangodaro vasingabatsiri kubva kwavari uye ingano-inobatsira iyo inogona kunge isingakwaniki (sezvo mishonga iyi inouya nemigumisiro yakakura inosanganisira kuwedzera kuwedzera, kuwedzerwa kwemashuga eropa, kukwirira kwemazipa eropa, kurasikirwa kweropa nezvimwewo). Mukutaura, varwere vane chirwere chakakomba chakaramba kwenguva yakareba uye chakakonzera kuparara kusingaperi uye kupererwa kwetsvo zvingasakwanisawo kubatsirwa nesteroids. Izvi hazvina kuoma kunzwisisa kana iwe ukaziva kuti steroids ndiyo yatinoshandisa "kubudisa moto wekuputika." Mune mamwe mazwi, kana moto waita basa rawo uye wakaparadza zvachose itsvo ndokubva uchisiya nawo zvakanyanya akafa mutsvuku, kupa mumwe munhu steroidhu kunge kwakafanana nekudira mvura pane chivako chave chitopisa. Hazvizogoni kushanda.
- Mycophenolate mofetil: Uyu mishonga mutsva inoshandiswa pakuzivikanwa iyo inenge ichiri kuongororwa senhengo inogona kushanda nevarwere vane IgA nephropathy. Panguva ino yazvino, zvisinei, hazvikurudzirwi sekutanga rokumanikidzi akapa kusavapo kweuchapupu hunotsanangurwa.
- Cyclophosphamide, Azathioprine, etc: Idzi ndidzo dzimwe mishonga inofungidzirwa uye inoshandiswa panguva dzakasiyana-siyana yekurapa IgA nephropathy. Kushandisa kwavo hakugone kushanda kune varwere vose uye zvakare, vangave vasina kubatsirika mune varwere uko kukanganisa kwakakura kwakatoitika.
Taura nephrologist wako pamusoro pezvipi zvingave zvakakunakira iwe.