Diabetic nephropathy

Ke kumu nui aʻe o ka maʻi i manaoia maʻi hyperglycemia, lōʻihi lōʻihi like 'ole o ka mimikō, dyslipidemia, hypertension. Diabetic nephropathy ua wehewehe aku ma lesions o ka glomerular nakeke o ka hakuʻala. I ka maʻi ua loa pinepine i loaʻa i loko o nā kānaka a me nā kanaka me ke 'ano mua o mimikō hoʻomohala i ka makahiki o ka 15 makahiki. Diabetic nephropathy e hoʻomōhala ana i loko o 30 pakeneka o ka hihia o ka mimikō.

I kakahiaka nui lapaʻau hoikeana o ka maʻi hiki e hoike ia ma hypertension. Diabetic nephropathy ma hope hoikeana i hoike ma kaʻaʻa puʻuwai ka hoʻokō 'ole a me ka nephrotic maʻi pale. Loiloi ana o kanaka me ka mimikō, ua hoakaka no ka makahiki ikea ai nephropathy elima makahiki ma hope o ka hoouka kaua ana o ka maʻi. Nō hoʻi, i ka makahiki anamanaʻo kreatianina kaʻilikai pono e hoʻomaulia glomerular kānana ana, i mea, nā hoailona o glomerular kānana kōmi. Diabetic nephropathy ua wehewehe aku i loko o ka loiloi mua kahua o ka hoʻonaʻauao, a mahuahua nui GFR, i emi iloko o ka hooulu ana o kaʻaʻa puʻuwai ole.

hakuʻala nephropathy kīnā kona piko ma hope o 18-20 makahiki ma hope o ka hoouka kaua ana o mimikō. Palapala irreversible kaʻina e like me nephropathy ma ka mimikō mellitus ka proteinuria. Ma hope ma kahi o 10-12 makahiki ma hope o ka hoomaka ana o ka proteinuria e hoʻomōhala ana i uremia, i hiki aku ai i ka moku'āina o ka maʻiʻaʻa puʻuwai ole.

I ka papa kuhikuhiE rula i ka Kāohiʻana o ka nephropathy i loko o ka malama ana maʻamau ke koko, a me ka mimikō uku. Waiho e emi i ka hoopau ana o ka ai i loaʻa nā polokina. Hoʻomanawanui iki mai ia angiotezina mea loaʻa blockers a me ACE nā mea kūpale. ma
hypertension, ka lawelaweia ana i kēia mau konohiki i loko o nā māhele o ka antihypertensive. Mau ai 'ole ka hoʻololi o microalbuminuria i proteinuria. Ma kekahi mau hihia, e like me ka Inc, hui me ka uku o ka mimikō, e alakai ana i ka hoʻopau o microalbuminuria. Paipaiʻai ana o ka paakai mea e oi aku mamua o 3 nā huna no ka lā.

I ka pele ke kahua maʻiʻaʻa puʻuwai ka hoʻokō 'ole, e hanaʻia nō ia? Iaea hypoglycemic Inc. Nā mea maʻi iʻano 2 mimikō mellitus ka m ua hoohuliia i ka insulina, i? Eaia o ia hoʻi, papa
Ua hiki ke alakai i ka loa hypoglycaemia. Ke uie kekahi hapanui hewahewa o nā mea maʻi me ka hoemiia insulina koi, mai nā puʻupaʻa i ka iniiaiie paena o kona pūnao.

Mahuahua creatinine 'ilikai hoala i ka ninau o keʻoki lāʻau lapaʻau a me ka extracorporeal therapies. Iʻoki lāʻau lapaʻau ki ina hana like nā hakuʻala transplantation a me ka extracorporeal Komo peritoneal dialysis a me ka hemodialysis.

Hapalua o ka hoʻomanawanui iki mai me mimikō o ke 'ano mua i loko o nä ka hooulu ana o ka proteinuriaʻaʻa puʻuwai maʻi hoʻokō' ole 'ia lŘlŘ i loko o 10 makahiki. Diabetic nephropathy o ke kumu o ka make ana o 15% o nā mea maʻi me ka maʻiʻaʻa puʻuwai ole ma muli o ka hoʻomanawanui iki mai kaikaina ma mua o 50 makahiki.

I kēia lā nephropathy mea he kumu nui loa o ka make a me ke kīnā i loko o nā mea maʻi me ka kiʻekiʻe mimikō. Kāohiʻana o ka nephropathy mea ke koko, e hooponopono i ka wa hana, aole e oi aku i kaʻikepili o 130/85. He pono e loa haʻalele ka paka no ka nicotine i hiki aku ai i ka poino o ka vascular paia o ka pahale loko, ahu iho, a mai he mau vasoconstrictor kanawai. A e pono ano no ka Kāohiʻana o diabetic nephropathy mea e malama i ke koko kō pae i loko o ka maʻamau huahelu, a normalize ke koko. Ma ka kekahi kahua o ka maʻi ua ia he kūikawāʻai me kela la i keia kumuʻiʻo maʻiʻo ole e oi aku 30% ma ka buke o ka helunaʻai.