Proteinuria n'oge ime

Kedu ihe bụ proteinuria?

N'oge ọ bụla nleta nwa, nne na-amụ ga-enwerịrị nyocha nke mmamịrị iji chọọ shuga na albumin. Protein na-ebugharị nke imeju na-eme, albumins anaghị adịkarị na mmamịrị. Albuminuria, nke a na-akpọkwa proteinuria, na-ezo aka na ọnụnọ albumin na-adịghị mma na mmamịrị.

Kedu ihe a na-eji proteinuria?

Ebumnuche nke ịchọ albumin n'ime mmamịrị bụ nyocha maka pre-eclampsia (ma ọ bụ toxemia nke afọ ime), mgbagwoju anya nke afọ ime n'ihi arụghị ọrụ nke placenta. Ọ nwere ike ime n'oge ọ bụla, mana ọ na-apụtakarị na trimester ikpeazụ. Mgbe ahụ, a na-egosipụta ya site na ọbara mgbali elu (systolic ọbara mgbali elu karịa 140 mmHg na diastolic ọbara mgbali elu karịa 90 mmHg, ma ọ bụ "14/9") na proteinuria (protein itinye uche na mmamịrị karịa 300 mg kwa awa 24) (1). Mmụba ọbara mgbali elu na-eduga n'ịdị mma mgbanwe ọbara dị ala na placenta. N'otu oge ahụ, ọbara mgbali elu a na-agbanwe akụrụ nke na-adịghịzi arụ ọrụ ya nke nzacha nke ọma ma na-enye ohere ka protein na-agafe na mmamịrị.

Ya mere, a na-achọpụta pre-eclampsia ozugbo enwere ike na a na-eme nyocha nke mmamịrị na nyocha ọbara n'usoro n'usoro nyocha tupu ọmụmụ nwa ọ bụla.

Ụfọdụ ihe ịrịba ama ụlọ ọgwụ nwekwara ike ịpụta mgbe pre-eclampsia dị elu: isi ọwụwa, mgbu afọ, ọgbaghara anya (nhụjuanya nke ìhè, ntụpọ ma ọ bụ na-enwu n'ihu anya), vomiting, mgbagwoju anya na mgbe ụfọdụ nnukwu edema, na-esonyere ọzịza siri ike. ibu ibu na mberede. Ọdịdị nke mgbaàmà ndị a kwesịrị ime ka ị nyochaa ngwa ngwa.

Pre-eclampsia bụ ọnọdụ dị ize ndụ nye nne na nwa ọhụrụ. N'ime 10% nke ikpe (2), ọ nwere ike ịkpata nsogbu siri ike na nne: mwepu nke placenta na-eduga n'ọbara ọbara na-achọ nnyefe mberede, eclampsia (ọnọdụ mgbagwoju anya na nkwụsị nke mmụọ), ọbara ọgbụgba ụbụrụ, ọrịa HELL.

Ebe ọ bụ na mgbanwe ndị dị n'ogo nke placenta anaghịzi ewere ọnọdụ n'ụzọ ziri ezi, uto dị mma nke nwa ọhụrụ nwere ike iyi egwu, na mbelata uto na utero (IUGR) ugboro ugboro.

Kedu ihe ị ga-eme ma ọ bụrụ na enwere proteinuria?

Ebe ọ bụ na proteinuria abụrụlarị ihe ịrịba ama nke ịdị njọ, a ga-anọ n'ụlọ ọgwụ maka nne na-aga n'ihu iji rite uru site na nleba anya nke ọma na nyocha mmamịrị, nyocha ọbara mgbali elu na nyocha ọbara iji chọpụta mmalite nke pre-eclampsia. A na-enyochakwa mmetụta ọrịa ahụ na nwa ọhụrụ mgbe niile site na nleba anya, doppler na ultrasounds.

Ewezuga izu ike na nleba anya, ọ nweghị ọgwụgwọ maka preeclampsia. Ọ bụ ezie na ọgwụ hypotensive na-ebelata ọbara mgbali ma na-echekwa oge, ha anaghị agwọ ọrịa preeclampsia. N'ọnọdụ nke pre-eclampsia siri ike, nne na nwa ya nọ n'ihe egwu, ọ ga-adị mkpa ka a mụọ nwa ngwa ngwa.

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