Amaprotheni angamahora angama-24

Amaprotheni omchamo wamahora angama-24 alinganisa inani lamaprotheni akhishwe emchameni esikhathini esingamahora angama-24.

Isampula lamahora angama-24 liyadingeka:

• Ngosuku 1, chamela endlini encane lapho uvuka ekuseni.
• Ngemuva kwalokho, qoqa wonke umchamo esitsheni esikhethekile amahora angama-24 alandelayo.
• Ngosuku 2, chamela esitsheni lapho uvuka ekuseni.
• Gcoba isitsha. Yigcine esiqandisini noma endaweni epholile ngesikhathi sokuqoqa.
• Faka ilebula esitsheni negama lakho, usuku, isikhathi sokuphothulwa, bese usibuyisela njengokuyalelwe.

Ngengane, geza kahle indawo ezungeze i-urethra. Vula isikhwama sokuqoqa umchamo (isikhwama sepulasitiki esinephepha lokunamathela kolunye uhlangothi), bese usibeka enganeni. Kwabesilisa, faka wonke umthondo esikhwameni bese unamathisela ukunamathela esikhunjeni. Kwabesifazane, beka isikhwama phezu kwama-labia. Inabukeni njengenjwayelo phezu kwesikhwama esivikelekile.

Le nqubo ingathatha imizamo embalwa. Izinsana ezisebenzayo zingasusa isikhwama, zidale ukuthi umchamo umunce inabukeni. Usana kufanele luhlolwe njalo futhi isikhwama siguqulwe ngemuva kokuthi usana seluchamele esikhwameni. Khipha umchamo esikhwameni ungene esitsheni esihlinzekwe ngumhlinzeki wakho wezokunakekelwa kwempilo.

Yilethe elebhu noma kumhlinzeki wakho ngokushesha okukhulu lapho usuqedile.

Umhlinzeki wakho uzokutshela, uma kudingeka, ukuthi uyeke ukuthatha noma yimiphi imithi engaphazamisa imiphumela yokuhlolwa.

Imithi eminingi ingashintsha imiphumela yokuhlolwa. Qiniseka ukuthi umhlinzeki wakho uyazi ngayo yonke imithi, amakhambi, amavithamini, kanye nezithako ozithathayo.

Okulandelayo kungaphazamisa nemiphumela yokuhlolwa:

• Ukuntuleka koketshezi (ukoma)
• Noma yiluphi uhlobo lokuhlolwa kwe-x-ray nedayi (okokuqhathanisa okungafani) ezinsukwini ezintathu ngaphambi kokuhlolwa komchamo
• Uketshezi oluphuma esithweni sangasese olungena emchameni
• Ukucindezeleka okukhulu ngokomzwelo
• Ukuzivocavoca okunzima
• Ukutheleleka ngomgudu womchamo

Isivivinyo sihilela ukuchama okujwayelekile kuphela, futhi akukho ukungaphatheki kahle.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma ukuhlolwa kwegazi, umchamo, noma i-imaging kuthola izimpawu zokulimala ekusebenzeni kwezinso.

Ukugwema ukuqoqwa komchamo wamahora angama-24, umhlinzeki wakho angakwazi uku-oda ukuhlolwa okwenziwa kusampula eyodwa yomchamo (isilinganiso seprotein-to-creatinine).

Inani elijwayelekile lingaphansi kwama-milligram ayi-100 ngosuku noma ngaphansi kwama-milligram ayi-10 nge-decilita ngayinye yomchamo.

Izibonelo ezingenhla yizilinganiso ezijwayelekile zemiphumela yalezi zivivinyo. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Imiphumela engajwayelekile ingabangelwa:

• Iqembu lezifo lapho iphrotheni okuthiwa i-amyloid lakha khona ezithweni nasezicutshini (amyloidosis)
• Isimila sesinye
• Ukwehluleka kwenhliziyo
• Umfutho wegazi ophakeme ngesikhathi sokukhulelwa (preeclampsia)
• Isifo sezinso esibangelwa yisifo sikashukela, umfutho wegazi ophakeme, ukuphazamiseka komzimba, ukuvimba kohlelo lwezinso, imithi ethile, ubuthi, ukuvimba imithambo yegazi, noma ezinye izimbangela
• I-myeloma eminingi

Abantu abaphilile bangaba nezinga eliphakeme kunamaprotheni avamile ngemuva kokuzivocavoca kanzima noma lapho benciphile emzimbeni. Okunye ukudla kungathinta amazinga wamaprotheni omchamo.

Ukuhlolwa kuhilela ukuchama okuvamile. Azikho izingozi.

Umchamo amaprotheni - 24 ihora; Isifo esingapheliyo sezinso - amaprotheni omchamo; Ukwehluleka kwezinso - amaprotheni omchamo

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UHiremath S, uBuchkremer F, uLerma EV. Ukuhlolwa komchamo. Ku: Lerma EV, Sparks MA, Topf JM, eds. Izimfihlo ZeNefrology. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 2.

UKrishnan A. Levin A. Ukuhlolwa kwelabhorethri yesifo sezinso: isilinganiso se-glomerular filtration, urinalysis, kanye neproteinuria. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.