Iiprotheni zibhekisela kwii-macromolecules, ezihlanganiswa kwiiseli zomzimba wethu kwaye ziyinxalenye ebalulekileyo ye-muscular, i-connector kunye nezinye izicubu zomzimba. Ubuninzi beeprotheni emcanjeni womntu luphawu lobunzima obuqhubekayo emzimbeni wakhe. Nangona kunjalo, kumchamo womntwana, iprotheni inokuthi ibekho ngexabiso elincinci ngokuqhubekayo. Iingqungquthela eziqhelekileyo zikwimiba yama-30-60 iiprogram yeeprotheyini kwiqoqo lemihla ngemihla, ngokutsho kwezinye iindlela zokulinganisa ukuya kwi-100 milligrams ngosuku.
Uninzi lweeprotheni zomntu zikhulu kakhulu, ngenxa yokuba azinako ukudlula kwinkqubo yokuhluthwa kweentso. Ngoko ke, ukubonakala kwiprotheni emcanjeni kuthathwa njengesigxina esingenakuthenjwa sokuba umsebenzi wezintso unzima, oko kukuthi, ukuhlanjululwa kwe-glomerular kuphazamiseka.
Ukubonakala kweprotheni kumchamo kungabakho uhlobo oluthileyo, umzekelo, isizathu esingaba khona phambi kwe-arhente echaphazelayo, ukuphuhliswa kwezilwanyana ezinokuhlunga ezincinci zeentso okanye lonke iqumrhu ngexesha elilodwa. Kodwa ngamanye amaxesha kwiimeko zonyango zichazwe xa iprotheni emcinini wabantwana ayihambisani neenguqu zengcinezelo yomsinga, umntwana uziva kakuhle njalo njalo. Eli gama libizwa ngokuba yi-latent orthostatic (cyclic) proteinuria. Ngamanye amazwi, ukubonakala kweprotheni kumchamo womntwana kudibene nomsebenzi wayo emini, isikhundla esicacileyo somzimba. Ebusuku, iprotheni iyanyamalala, ayitholakali ngexesha lokulala, xa umntwana ephakamileyo.
Iproteinuria (ubukho beeprotheni emcinini) aluhambisani neempawu ezibuhlungu. Nangona kunjalo, ukuba inani elikhulu leprotheyini lingena kumchamo, izinga lalo egazini liyancipha kakhulu, elidala i-edema kunye negazi eliphezulu. Ngokuqhelekileyo, iprotheni emcanjeni wabantwana ngumqondiso wokuqala wesiphi na isifo kwaye ikuvumela ukufumanisa ukuphuhliswa kwayo okanye ukuhamba kwexesha lokuqala. Ngoko ke, kubaluleke kakhulu ukuba abantwana abancinane bathathe umchamo ukuze bahlalutye.
I-Orthostatic Proteinuria
I-Orthostatic proteinuria ifunyanwe kubantwana beqela elidala kunye nabaselula. I-synonym iyi-proteinuria ejikelezayo, ehambelana nokubonakala kweprotheni emcimbini ngexesha lomntwana. Kuze kube ngoku, izizathu zokungena kwiprotheyini kumchamo emini zange zingasungulwa kunye nokungabikho kwaso nasiphi na isifo sobuthakathaka kunye nokungaphumeleli kocingo. Ebusuku, xa abantwana belele, iintso zabo zicoca iprotheni, zingadlulanga kumchamo. Ukuze uhlolisise ngokufanelekileyo le meko, i-urinalysis yamacandelo amabini ayenziwa, equlethwe ngokuhlalutya umchamo wokuqala wekusasa oqokelelwe emva kokulala kunye nesahlulo sesibini somchamo eqoqwe yonke imihla. Ezi sampulu zigcinwe kwiibhothi ezahlukeneyo. Ukuba ngaba iprotheni itholakala kuphela kwisiqephu sesibini, umntwana une-orthostatic proteinuria. Ingxenye yentsasa yeprotheni yomchamo ayifumaneka. Kufuneka kuqatshelwe ukuba i-proteinuria ye-orthost isisimo esiqhelekileyo, esingenakubungozi. Ngoko ke, musa ukumnciphisa umntwana ukuba asebenze ngokusemzimbeni, azilimazi iintso, nangona zingabangela ukwanda kwexeshana kwiprotheni ye-protein kwi-urine baby.
Iiprotheyini kumchamo kubantwana: nini unyango luyimfuneko?
Xa iprotheni ivela kumchamo ngobuncinane kunye neprotoriuria ye-orthostatic, akukho mfuneko yokunyanga umntwana. Ngokuqhelekileyo, ugqirha umisela ukuvavanya ngokuphindaphindiweyo kwamanzi emva kweenyanga ezimbalwa. Oku kuyimfuneko ukufumana utshintsho kwimali yeprotheni kumchamo.
Ekubeni kwiprotheni kumchamo ngeemvavanyo eziphindaphindiweyo, ugqirha unokumisela iimvavanyo ezongezelelweyo ukujonga umsebenzi wezintso ukuseka imbangela yeproteinuria. Kungakhathaliseki ukuba kuvela phi, ukususa iiprotheyini ezivela kumchamo akulula kakhulu kwaye kwiimeko ezininzi kuphela indlela efanelekileyo yokutya. Ukutya ukutya ngaphandle kweryuwa kunceda ukunciphisa izinga leprotheni kumchamo kwaye kunceda ukususa ngokukhawuleza nangokulula. Kwiimeko ezinzima, ugqirha ubeka amachiza ngamayeza. Ngokuqhelekileyo umthamo wokuqala weziyobisi mkhulu, kodwa ngokuncipha kuncitshiswa. Ngamanye amaxesha kufuneka usebenzise iziyobisi ngamanani amancinci kwiinyanga eziliqela. Kubalulekile ukulandela imiyalelo yegqirha.