Lefu la tsoekere nephropathy

The lintlha tsa sehlooho tsa lefu lena le li nkoa hyperglycemia foleng, nako e telele ea lefu la tsoekere, dyslipidemia, kgatelelo ya madi. Lefu la tsoekere nephropathy e tšoauoa ka diso tsa sethusathuto glomerular ea a liphio le. Lefu lena le e hangata ka ho fetisisa a fumanoa ka banna le batho ba nang le mofuta oa pele oa lefu la tsoekere ntshetswa pele ka lilemo tse 15. Lefu la tsoekere nephropathy develops ka karolo ea 30 lekholong ea linyeoe tsa lefu la tsoekere.

Early tlelenike liponahatso tsa lefu ka ho bontšoa ka kgatelelo ya madi. Lefu la tsoekere nephropathy ka liponahatso hamorao bontšoa ka ho hloleha renal le lefu nephrotic. Screening ea batho ba nang le lefu la tsoekere, e fana ka bakeng sa ea selemo le selemo liteko nephropathy lilemo tse hlano ka mor'a hore ho qala ho ea lefu lena. Hape, selemo le selemo ho lekoloe kreatianina boemo ba ne ba lokela ho a bale sekhahla glomerular karaoke set, ke hore, litsupa ea sekhahla glomerular karaoke set. Lefu la tsoekere nephropathy e tšoauoa ka mekhahlelo e ka lekhetlo la pele e ile ea eketseha GFR, eo decreases nakong ea ntshetsopele ya ho hloleha renal.

liphio nephropathy fihla tlhōrō eona ka mor'a lilemo tse 18-20 ka mor'a qala ho ea lefu la tsoekere. Setifikeiti sa etsolloa thulaganyou e kang nephropathy ka lefu la tsoekere mellitus ke proteinuria. Ka mor'a ka 10-12 lilemo tse ka mor'a ho thehwa ha proteinuria e develops uremia, leng isang boemo ba ho hloleha foleng renal.

maemo a ka sehloohong ke ho thibela nephropathy ho hlokomela tloaelehile khatello ea mali le lefu la tsoekere matšeliso. Kgothaletswa ho fokotsa tshebediso ya ea lijo e nang le liprotheine. Bakuli ba abeloa angiotezina receptor blockers le Ace inhibitors. ka
kgatelelo ya madi, mahlahana tsena li tsamaisoa ka tekanyetso ea antihypertensive. lithethefatsi tsena li ka thibela phetoho ea microalbuminuria ho proteinuria. Maemong a mang, e le phekolo e joalo, ho kopantswe le puseletso ea lefu la tsoekere, ea isang ho ho felisoa ha microalbuminuria. Recommended ja tsa letsoai hase dikgerama tse fetang 3 ka letsatsi.

Ka phallo sethaleng hloleha foleng renal, khalemelo lokela ho phethwa ka phekolo hypoglycemic. Bakuli ba nang le mofuta 2 lefu la tsoekere mellitus limithara e sokolohela ka insulin, e le baeti ba fihlelang ho bolela Letlapa
Seo se ka lebisa hypoglycaemia matla. Boholo ba bakuli ba ditlhoko fokotswa ka insulin, kaha liphio tse sebakeng sena e ka sehloohong ea metabolism lona.

Eketseha creatinine boemo ba hlahisa potso ea phekolo ho buoa le extracorporeal. Ho mekhoa ea ho buoa e kenyeletsa liphio transplantation le extracorporeal akarelletsa peritoneal dialysis le hemodialysis.

Halofo ea bakuli ba le lefu la tsoekere la mofuta oa pele ka ho hlwaya ntshetsopele ya proteinuria renal ho hloleha foleng le hlaha ka hare ho lilemo tse 10. Lefu la tsoekere nephropathy ke sesosa sa lefu la 15% ea bakuli le ho hlōleha foleng renal ka lebaka la ho ba teng bakuling ba ka tlaase ho feta lilemo tse 50.

Kajeno nephropathy ke sesosa kholo tsa lefu le bokooa bakuli ba lefu la tsoekere phahameng. Thibelo ea nephropathy ke khatello ea mali taolo ha tshebetso ha feta bala tsa 130/85. Hoa hlokahala ho feletseng tlohela koae hobane bokoali isang tshenyo ha marako vascular ea lera ka hare 'me e na le kakaretso vasoconstrictor sebediswa. A boemong bo hlokahalang bakeng sa ho thibela lefu la tsoekere nephropathy ke ho boloka maemo mali tsoekere ka hare ho fapaneng tloaelehileng le normalize khatello ea mali. Ka sethaleng itseng tsa lefu abetsoe ho ja ka tsela e khethehileng le ea letsatsi le letsatsi protheine dikahare sa feteng 30% ka bophahamo ba modumo ea seratsoana palo yohle.