Mankhwala ndi mankhwala opatsirana amatha kupsa impso zanu
Nthenda yotchedwa nephritis ndi matenda omwe amadziwika ndi kutupa kwa impso, zomwe zingachititse kuchepa kwa impso komanso kuthetseratu kwa impso. Njira yosavuta kuyang'anitsitsa mankhwala osokoneza bongo ndi kuganiza kuti ndizomwe zimayambitsa matendawa (ngakhale kuti izi ndizochepetsera).
Zizindikiro ndi Zisonyezo za Amatsenga a Nephritis
Nthritis yamagazi imagawidwa m'magulu awiri malingana ndi msinkhu wa kuyambira, komanso kufulumira kwa kuchepa kwa impso. Magulu awiriwa ndi awa:
- Nthenda yotchedwa nephritis (AIN) , yomwe imakhala mwadzidzidzi, ndipo kawirikawiri imakhala yotsika nthawi yayitali mu ntchito ya impso.
- Chronic interstitial nephritis (CIN) yomwe ili ndi matenda aakulu, aatali nthawi yaitali.
Kawirikawiri zizindikiro ndi zizindikiro, zomwe zimakhala zochititsa chidwi kwambiri ndi mankhwala osokoneza bongo a nephritis, kuphatikizapo:
- Fever
- Kuthamanga kwa khungu
- Ululu pambali
- Mitengo yapamwamba ya mtundu winawake wa selo loyera la magazi (lotchedwa eosinophils)
- Kuchuluka kwa magazi a creatinine, chizindikiro chomwe chiwerengero chake chimayesedwa kuti chiyese ntchito ya impso
- Kukhalapo kwa mipando yam'mwamba yakwezeka mu mkodzo
- Kukhalapo kwa maselo ofiira a mumagazi (ndalamazo zingakhale zochepa kuti iwe usakhoze kuchiyamikira icho popanda diso)
- Zonjezerani mapuloteni m'madzi. Izi zimatchedwa " proteinuria ," ndipo zimagwirizana ndi kupeza kosafunikira kwenikweni kwa kuwonongeka kwa impso.
Ngakhale kuti zizindikiro ndi zizindikiro zomwe tazitchula pamwambazi zimatengedwa ngati "zizindikiro zamakono zolemba," sangathe kuwonedwa nthawi zonse ndi odwala onse.
N'chiyani Chimayambitsa Mitambo ya Nephritis?
Monga tafotokozera pamwambapa, mankhwala amphwitiki amatha kukhala ngati kutupa kapena kupweteka kwa impso, ndipo nthawi zambiri amachotsedwa ndi zinthu zina zosangalatsa.
Wothandizira wothandizira amakhala ngati "allergen" zomwe zimapangitsa kuti zisamayende bwino. Mankhwalawa ndi amodzi, koma ziwalo zina ndizotheka. Pano pali kufotokoza mwachidule kwa anthu ena omwe amachimwa:
- Mankhwala - Izi zimaphatikizapo maantibayotiki monga penicillin, quinolones (mwachitsanzo ciprofloxacin), mankhwala opweteka omwe amagwiritsidwa ntchito kwambiri monga NSAIDs, mankhwala a acid reflux (otchedwa proton pump inhibitors), mapiritsi a madzi / diuretics, ndi zina zotero. mankhwala ena, pamene ena amachita bwino, samamvetsetsa bwino, koma akugwirizana ndi momwe chitetezo cha mthupi lathu chimakhudzira chinthu china cholimbikitsa. Izi zikufanana ndi momwe anthu onse sakhala ndi zovuta zowonongeka kuchokera ku mtedza.
- Matenda - Matendawa amadziwika kuti amachititsa interstitial nephritis. Zopeka, aliyense wodwala opatsirana angakhale chochititsa chidwi, koma zitsanzo zikuphatikiza mabakiteriya ngati streptococci, mavairasi monga Epstein-Barr, leptospira, ndi majeremusi.
- Matenda osokoneza bongo - Chinthu china chomwe chimadziwika kuti chimagwirizanitsidwa ndi mankhwala osokoneza bongo. Izi zikuphatikizapo matenda odziwika bwino omwe amadziwika ngati lupus, kapena systemic lupus erythematosus (SLE), syjrome ya Sjogren.
- TINU (tibulo-interstitial nephritis ndi uveitis) matenda - Ichi ndi chinthu china chomwe tizilombo ta pathogenesis sitikudziwika. Mankhwala, opatsirana opatsirana monga chlamydia, ndi chitsamba china cha China chotchedwa "Goreisan", onse akhala akuganiza kuti angakayikire. Wodwala wodwalayo adzafotokozera ululu, magazi, kapena mapuloteni m'mphepete mwa mkodzo, ndipo zidzatsimikizika kukhala ndi ntchito yowopsya ya impso. Uveitis, yomwe imakhala kutupa kwa mapangidwe ena m'diso, idzapereka ngati ululu wa diso kapena kupukuta.
Kusanthula Pakati pa Nephritis
Dokotala amatha kudziwa kuti pali njira zina zofunikira zogonana ndi nephritis pogwiritsa ntchito zizindikiro zachipatala ndi zizindikiro zokha. Monga taonera pamwambapa, si zizindikilo kapena zizindikiro zonse zomwe zilipo kwa odwala onse. Pakati pa mankhwala osokoneza bongo omwe amachititsa mankhwala osokoneza bongo, mliri wodwalayo adzabwera ndi mbiri yakuyambitsa mankhwala okhumudwitsa posachedwapa ndipo kuyerekezera "zisanachitike ndi zotsatila" zotsatira za mayesero a magazi zingakhale chidziwitso chothetsera matenda.
Ngati matendawa sakufika mosavuta, kapena ngati ntchito ya impso ikucheperachepera, vuto la impso lingakhale lofunikira.
Awa ndi mayeso ovuta pamene pangŠ¢ono kakang'ono ka impso kamayenera kutengedwa ndi kuphunzira pang'onopang'ono. Tsatanetsatane wa ndondomekoyi ikuphimbidwa apa.
Kuchiza kwa Nthenda Yamakono
Kamodzi kafukufuku wotsimikizirika wa interstitial nephritis wapangidwa, kuyesayesa kulikonse kuyenela kudziwitsidwa kuti zikhale zochititsa chidwi kuti chifuwa cha kutupa chichotsedwe, ngati n'kotheka. Mwachitsanzo, panthawi ya mankhwala osokoneza bongo omwe amachititsa mankhwala osokoneza bongo, kuyimitsa mankhwala osokoneza bongo kungakhale kofunikira, komanso njira yoyamba yowunika kwambiri. Ngati palibe mankhwalawa, ndiye kuti kufufuza kwa othandizira ena ndi opatsiranawo kumafunidwa.
Odwala omwe ali ndi ubweya wochepa m'maganizo a impso, sakhala kanthu kokha kusiya munthu wolakwirayo. Komabe, ngati kuchepa kwakukulu kokhudzana ndi kutupa kwa ntchito ya impso kukuwonekera, mayeso a steroid angakhale othandiza (panthawi yomwe chithandizocho chingakhale chofunika kwa miyezi itatu). Kwa odwala omwe samayankha steroids, mankhwala ena otchedwa mycophenolate angayang'ane ngati njira ina.
Mawu Ochokera
Nthenda yotchedwa nephritis imatanthawuza kuti kutupa koopsa kapena kosatha kumachotsedwa mu impso chifukwa cha othandizira osiyanasiyana monga mankhwala, matenda, kapena ngakhale matenda omwe amachititsa kuti azidwala. Kuwonongeka kwa impso kungayambike kuchokera ku kuchepa kochepetsedwa, kukatsiriza impso kulephera. Kudziwa choipa chomwe chimapangitsa kutupa ndilo gawo loyamba lachiritso, koma mankhwala monga steroid angafunike.
> Zosowa
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