Cov protein nyob hauv cov zis tsis yog ib txwm muaj (thaum cov qib siab dua 150 mg ib hnub, uas yog thaum koj tus kws kho mob yuav qhia koj tias koj muaj qib tsis txaus ntawm cov protein hauv koj cov zis). Muaj qee lub sijhawm koj tau nce cov protein ntau tsuas yog nyob ib ntus, thiab nws yuav daws tau ntawm nws tus kheej; txawm li cas los xij, yog qhov teeb meem txuas ntxiv lossis tshwj xeeb yog hnyav, koj yuav tsum tau nrhiav kev pab kho mob. Cov protein ntau hauv cov zis feem ntau yog ib qho qhia tias muaj kab mob hauv lub raum, lossis lwm yam teeb meem kev kho mob yog tias nws txuas ntxiv mus li ob peb hnub.
Cov kauj ruam
Ntu 1 ntawm 2: Sim Ua Lub Neej thiab Kev Kho Mob
Kauj Ruam 1. Ua cov kauj ruam los txo koj cov ntshav siab
Lub tswv yim kev ua neej kom txo koj cov ntshav siab suav nrog:
- Txo cov ntsev hauv koj cov zaub mov noj. Txhawm rau ua qhov no, zam cov lus ntsev ntau dhau ntawm cov zaub mov npaj hauv tsev. Tej zaum qhov tseem ceeb dua, zam kev noj zaub mov ntau dhau, lossis siv ntau cov zaub mov tiav, raws li cov no tau paub tias muaj ntsev ntau (qhov tseem ceeb dua li, qhov nruab nrab, dua li cov zaub mov npaj hauv tsev).
- Txo rov qab ntawm cov cholesterol. Kev tsim cov roj (cholesterol) ua rau plaques tsim hauv koj cov hlab ntsha, uas ua rau ua rau kom ntshav siab nce ntxiv. Nug koj tus kws kho mob kom kuaj ntshav txhawm rau ntsuas koj cov roj thiab qib roj cholesterol seb nws puas yog thaj chaw ntawm koj cov zaub mov uas tuaj yeem siv kev txhim kho.
Nco tseg:
Ua kom cov ntshav siab ua rau lub raum ntau ntxiv, thiab vim tias muaj cov proteinuria tsis tu ncua (cov protein ntau hauv cov zis) yuav luag ib txwm txuas nrog teeb meem hauv lub raum, txo koj cov ntshav siab tuaj yeem pab qhov teeb meem tau zoo.
Kauj Ruam 2. Xaiv cov tshuaj ntshav siab
Qhov tseem ceeb ntawm txhua tus neeg uas tau kuaj pom tias muaj qib kab mob hauv lub raum lossis lub raum tsis ua haujlwm (uas yog thawj qhov laj thawj rau cov protein ntau nyob hauv cov zis) tau txais tshuaj ntshav siab los ntawm lawv tus kws kho mob. Tshwj xeeb, qhov zoo tshaj plaws rau cov kws kho mob sau ntawv yog "ACE inhibitor" (angiotensin-converting enzyme inhibitor). Piv txwv xws li Ramipril, Captopril, thiab Lisinopril. Cov txiaj ntsig ntawm chav kawm tshwj xeeb ntawm cov tshuaj ntshav siab yog tias nws muaj cov txiaj ntsig ntxiv (thiab "tiv thaiv kev tiv thaiv") rau koj ob lub raum.
- Nug koj tus kws kho mob txog kev tau txais daim ntawv yuav tshuaj no, yog tias koj tsis tau noj lawm.
- Tej zaum koj yuav xav tau ntau dua ib qho tshuaj ntshav siab nyob rau qhov mob hnyav ntawm lub raum.
Kauj Ruam 3. Nug koj tus kws kho mob txog lwm yam kev kho mob
Piv txwv li, yog tias koj muaj kab mob autoimmune pib ua teeb meem rau lub raum (thiab yog li cov protein hauv koj cov zis), koj yuav xav tau tshuaj los tiv thaiv koj lub cev tiv thaiv kab mob. Yog tias koj lub raum teeb meem (thiab proteinuria) yog teeb meem ntshav qab zib, koj yuav xav tau tshuaj xws li Metformin lossis Insulin kom tau txais kev tswj hwm koj cov piam thaj hauv ntshav txhua hnub zoo dua. Muaj ntau qhov kev kuaj mob uas tuaj yeem ua rau muaj teeb meem hauv lub raum thiab ua rau muaj proteinuria, yog li tham nrog koj tus kws kho mob kom tuaj nrog kev tswj hwm kev kho mob zoo tshaj plaws rau koj kis tshwj xeeb.
Ntu 2 ntawm 2: Ntsuam Xyuas Qhov Ua Rau
Kauj Ruam 1. Txheeb xyuas qhov ua rau
Nws yog ib qho tseem ceeb kom nkag siab tias lawv tsuas yog txoj hauv kev los txo (lossis kho) cov protein hauv koj cov zis yog los ntawm kev txheeb xyuas qhov ua rau. Qhov no yog vim cov protein hauv cov zis tsis yog kuaj pom hauv nws tus kheej; theej, nws yog cov tsos mob qhia tias muaj lwm yam ntxiv mus. Nws tsuas yog hauv kev kuaj mob thiab kho tus "lwm yam" uas cov qib protein nce nws tus kheej tuaj yeem hais tau zoo tshaj plaws thiab daws nrog.
Kauj Ruam 2. Txiav txim seb hom "proteinuria" twg (cov protein ntau hauv cov zis) uas koj tab tom ntsib
Muaj peb hom proteinuria, thiab cov xov xwm zoo yog tias ob ntawm peb qhov tsis xav tau kev kho mob thiab feem ntau daws txhua yam ntawm lawv tus kheej, nrog sijhawm. Hom thib peb, txawm li cas los xij, xav tau kev tshuaj xyuas ntau ntxiv txhawm rau txiav txim siab qhov laj thawj. Peb hom yog:
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Transient proteinuria.
Nov yog thaum kuaj zis qhia pom cov protein ntau ntawm ib qho kev nyeem, tab sis qib qis zuj zus ntawm nws tus kheej thiab thaum kawg rov zoo li qub nrog kev nyeem tom ntej. Kev hloov pauv cov proteinuria ib txwm muaj feem cuam tshuam nrog kev nyuaj siab xws li mob ua rau kub cev, lossis ua haujlwm ntau dua li ib txwm muaj (xws li kev qhia rau marathon). Thaum qhov kev ntxhov siab dhau mus, lossis koj lub cev yoog raws nws, koj cov qib protein kuj tseem yuav rov zoo li qub.
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Orthostatic proteinuria.
Qhov no yog thaum cov qib protein ntau txawv txav cuam tshuam nrog kev hloov pauv hauv lub cev (sawv tawm tsam zaum zaum zaum nrog pw). Nws tsis tshua muaj tshwm sim, thiab feem ntau yuav tshwm sim hauv cov tub ntxhais hluas; yog tias tam sim no, nws tsis xav tau kev kho mob, thiab nws yuav luag ib txwm daws nws tus kheej thaum neeg laus.
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Cov proteinuria tsis tu ncua.
Nov yog thaum cov qib protein hauv koj cov zis tseem nce ntxiv nrog kev kuaj dua. Nws yog qhov qhia txog qhov teeb meem pib xws li mob raum, mob ntshav qab zib, kab mob autoimmune, lossis lwm yam mob. Nws yuav xav tau cov kev sim ua ntu zus rau lub hom phiaj kuaj mob, nrog rau kev kho mob.
Kauj Ruam 3. Txheeb xyuas txhua qhov kev nyuab siab uas koj tab tom ntsib
Raws li tau hais yav dhau los, yog tias tam sim no koj muaj mob ua npaws, tawm dag zog ntau dua li ib txwm muaj, lossis raug kev txom nyem los ntawm lwm yam kev nyuaj siab nyob hauv koj lub neej, cov protein ntau hauv koj cov zis tuaj yeem nce ntxiv vim qhov kev nyuab siab no. Qhov tseem ceeb ntawm no yog mus ntsib koj tus kws kho mob ob peb hnub tom qab txhawm rau kuaj zis dua (thiab ntsuas dua), nyob rau lub sijhawm twg nws tuaj yeem lees paub tias koj cov qib protein tau qis dua thiab/lossis cia siab tias yuav rov zoo li qub. Yog tias koj tab tom ntsib "transient proteinuria," cov xov xwm zoo yog tias tsis muaj ib yam uas koj yuav tsum tau ua los kho nws, thiab koj qib yuav rov zoo li qub ntawm lawv tus kheej li ob peb hnub mus rau ob peb lub lis piam.
Nco ntsoov tias yog tias koj tab tom ntsib "mob hnyav" (xws li ua npaws, tawm dag zog, lossis lwm yam), koj tseem yuav tsum mus ntsib koj tus kws kho mob kom rov kuaj zis kom paub tseeb tias tsis muaj dab tsi hnyav ntxiv
Kauj Ruam 4. Thov rov kuaj zis dua
Nws yog qhov tseem ceeb kom tau txais kev kuaj zis dua. Qhov no yog vim nws yog ib qho tseem ceeb kom tau txais kev ntsuas ntawm cov protein hauv koj cov zis, saib seb nws tab tom loj hlob thiab seb nws puas yog lossis tsis yog nws txhim kho los ntawm nws tus kheej. Koj tus kws kho mob yuav muab koj tso zis tso zis tso rau hauv chav da dej hauv nws lub tsev kho mob, lossis nws lossis nws yuav thov kom koj nqa nws mus tsev thiab xa rov mus rau tom chav kuaj thaum koj tau kuaj cov zis. Nco ntsoov tias yog tias koj khaws koj cov zis nyob hauv tsev, nws yuav tsum tau txias hauv lub tub yees kom txog thaum koj tuaj yeem xa nws mus rau chav kuaj rau kev tshuaj xyuas raug cai.
Kauj Ruam 5. Mus kuaj ntshav
Kev kuaj mob ntxiv uas koj tus kws kho mob tuaj yeem suav nrog kuaj ntshav, tshwj xeeb yog nws lossis nws xav tias koj yuav muaj kab mob hauv lub raum lossis lwm yam teeb meem kev noj qab haus huv. Yog tias koj tus kws kho mob xaj kom kuaj ntshav, nws yuav zoo li ntsuas BUN (ntshav urea nitrogen) thiab Creatinine. Ob qho ntawm no yog kev ntsuas lub raum ua haujlwm, muab koj tus kws kho mob nrog cov ntaub ntawv tseem ceeb txog kev noj qab haus huv ntawm koj ob lub raum.
- Koj tus kws kho mob tseem tuaj yeem xaj lwm yam kev kuaj ntshav xws li HbA1c (kuaj ntshav qab zib), lossis tshuaj tiv thaiv kab mob autoimmune yog tias nws lossis nws xav tias muaj kab mob autoimmune.
- Nws yuav txhua yam nyob ntawm koj keeb kwm kev kho mob thiab kab mob kev noj qab haus huv uas koj tus kws kho mob xav tias koj muaj feem pheej hmoo yuav muaj.
Kauj Ruam 6. Tau kuaj lub raum
Hauv qee kis, kev kuaj lub raum kuj tseem yuav tsum tau tshawb xyuas ntxiv txhawm rau txiav txim siab qhov ua rau muaj cov protein hauv koj cov zis. Qhov no yog rarer; txawm li cas los xij, nws yuav xav tau yog tias koj tus kws kho mob tsis tuaj yeem txiav txim siab qhov ua rau.
Kauj Ruam 7. Nco ntsoov tias cov protein hauv cov zis thaum cev xeeb tub yog lwm yam teeb meem
Yog tias koj tab tom xeeb tub thiab tau nce qib protein ntau, nws yuav yog vim muaj mob hu ua preeclampsia. Txheeb Xyuas Yuav Ua Li Cas Nrog Preeclampsia kom paub ntau ntxiv txog preeclampsia thiab nce qib protein hauv koj cov zis thaum cev xeeb tub.
