Matenda a Nephrotic angakhale ndi matenda a impso chifukwa cha shuga, mankhwala osokoneza bongo, ndi zina zotero
Matenda a Nephrotic ndi osakaniza zinthu zina zomwe zimawoneka kwa odwala ali ndi matenda a impso. Choncho, ndiko kuyezetsa magazi osati matenda okhaokha. Izi zikhoza kuwonedwa muzikhalidwe zosiyanasiyana zomwe zimatsogolera. Kuphatikizidwa kwa zoperewera zomwe zimagwirizanitsidwa pansi pa ambulera akuti nephrotic syndrome ndi izi:
- Kuwonjezera proteinuria, kapena kutayika kwa mapuloteni osaneneka mu mkodzo
- Mapuloteni otsika m'magazi
- Edema / kutupa thupi
- Mbali ya cholesterol yapamwamba m'magazi
- Chizoloŵezi chotheka kupanga magazi
Mmene Zimakhalira
Kusintha mu impso 'fyuluta (yotchedwa glomerulus ) ingayambitse matenda a nephrotic. Zosinthazi zikhoza kuchitika paokha popanda kufotokozedwa momveka bwino koma kawirikawiri zimawoneka chifukwa cha kuwonongeka kwa impso 'fyuluta ya matenda ena omwe atchulidwa pansipa. Mosasamala kanthu chomwe chimayambitsa, kusintha kwa impso fyuluta yawonekedwe kumabweretsa zovuta m'ntchito yake.
Kawirikawiri impso fyuluta imayikidwa mwakuti imalola kuti zinthu zina / poizoni zichoke m'magazi mumtsinje. Amatsitsimutsa pamatumba akuluakulu monga mapuloteni omwe amapezeka m'magazi (imodzi mwa albin). Mu nephrotic syndrome, fyuluta imalephera kuthetsa pakati pa zinthu zomwe zimadutsamo, ndipo ngakhale ma molekyulu akuluakulu monga mapuloteni amayamba kutuluka mu mkodzo.
Izi zimayambitsa zochitika zomwe zimayambitsa matenda a nephrotic. Mwanjira ina, zinthu zabwino zimapita mumtsinje ndi zoipa, ndipo thupi limayamba 'kuponyera mwanayo pamodzi ndi madzi osamba'.
Kodi Matenda Okhudza Impso Amapangitsa Ntherotic Syndrome?
Matenda a Nephrotic amatha kuchitika m'madera osiyanasiyana.
Komabe, nthawizina palibe chifukwa chomwe chingadziwike. Ena mwa matenda odziwika omwe amachititsa kusintha komwe kumabweretsa matenda a nephrotic ndi awa:
- Matenda a shuga
- Mankhwala ena monga bisphosphonates (omwe amagwiritsidwa ntchito pochiza osteoporosis), NSAID painkillers, ndi zina
- Zidzetsa matenda monga lupus
- Zitha kuchitika mofanana ndi khansa zina
- Matenda opatsirana pogwiritsa ntchito njira zolimbana ndi chitetezo nthawi zina amatha kuchititsa matenda a nephrotic. HIV ndi chitsanzo chofala.
- Zina za poizoni za chilengedwe
Kudziwa
Monga tafotokozera pamwambapa, matenda a nephrotic amaphatikizapo kuyamikira kugwirizana kwa zochitika zomwe zimapanga nephrotic syndrome. Kawirikawiri, kukayikira kumachokera mwa wodwalayo popanda chifukwa china chifukwa cha kutupa m'maso kapena m'maso. Kufufuza kwa izi kungaphatikizepo kuyezetsa mkodzo. Izi zikhoza kuwonetsa kutaya kwakukulu kwa mapuloteni mu mkodzo. Nthawi zina odwala omwe ali ndi mapuloteni othamanga kwambiri mumtsinje amadandaula chifukwa choona thovu kapena madontho mumtsuko. Zovuta zina monga kuperewera kwa mapuloteni m'magazi kapena ma cholesterol ambiri amadziwikiranso pa mayeso.
Zonsezi zomwe zili pamwambazi sizitha kudziwa chomwe chimayambitsa matenda a nephrotic. Ngati chifukwa chake sichikuwonekera pa mbiri yachipatala, vuto la impso liyenera kuchitidwa kuti lidziwe matenda omwe amachititsa matenda a nephrotic.
Mavuto
Matenda a Nephrotic chifukwa cha matenda ena angathe kuthetsa okha. Komabe, matenda osokonezeka a nephrotic akhoza kukhala ndi zotsatira zovulaza.
- Imodzi yoonekera kwambiri ndiyo kupitirizabe kuwonjezereka kwa impso, ntchito yake, ndikutha kusokoneza zowonongeka ndi madzimadzi oposa thupi.
- Maseŵera akuluakulu a cholesterol omwe amapezeka mu nephrotic syndrome adzawonjezera chiopsezo cha matenda a mtima.
- Odwala amakhalanso ndi chiopsezo chachikulu chopanga magazi ndipo amatha kuona mabungwe monga mafinya a thrombosis ndi pulmonary embolism.
- Kuwonjezeka kwa chiopsezo chotenga matenda kumawoneka chifukwa cha kutaya kwa ma antibodies (omwe ali mapuloteni) mu mkodzo.
Chithandizo
Pofuna kuchiza matenda a nephrotic, choyamba muyenera kudziwa chifukwa chake muli ndi nephrotic syndrome. Ngati chifukwa chake sichikuwonekera pa mbiri yachipatala yokha, vuto la impso lidzafunika kuyankha funso ili. Kamodzi kokha chifukwa chodziwikiratu, mankhwala angaphatikizepo kuphatikiza mankhwala osiyana siyana ochokera ku renin-angiotensin omwe amaletsa kuthamanga kwa magazi (otchedwa ACE inhibitors kapena angiotensin receptor blockers), steroid, mankhwala ena omwe amachititsa kuti thupi lawo lisamagwiritsidwe ntchito mofanana (cyclosporine), ndi zina zotero. chikhalidwe chomwe chimachitidwa bwino mwa kufunafuna uphungu wa katswiri wamagulu a zachipatala .
Kumbukirani, zotsatira za mankhwala ochiritsidwa kachiwiri zimadalira chifukwa. Mabungwe ena amatha kukhala omvera mankhwala, pamene ena sangayankhe ngakhale ku mfuti yayikulu kunja uko.
Chithandizo chofunikirachi chikufunikanso kuphatikizidwa ndi kuganizira mavuto omwe angapangitse. Chifukwa chake mapiritsi a madzi ngati furosemide angakhale oyenera kuchiza kutupa kwakukulu komwe kumawoneka. Magazini a magazi angafunike kwa odwala ena kuti asateteze magazi. Zakudya zochepa kwambiri nthawi zonse zimafunikira.