Lupus nephritis

Lupus nephritis, yomwe ndi vuto la impso, ndi vuto la systemic lupus erythematosus.

Systemic lupus erythematosus (SLE, kapena lupus) ndimatenda amthupi okha. Izi zikutanthauza kuti pali vuto ndi chitetezo cha mthupi.

Nthawi zambiri chitetezo cha mthupi chimateteza thupi ku matenda kapena zinthu zina zovulaza. Koma mwa anthu omwe ali ndi matenda omwe amadzichitira okhaokha, chitetezo cha mthupi sichitha kusiyanitsa pakati pa zinthu zoyipa ndi zomwe zili zathanzi. Zotsatira zake, chitetezo cha mthupi chimagunda maselo ndi minofu yabwinobwino.

SLE imatha kuwononga mbali zosiyanasiyana za impso. Izi zitha kubweretsa zovuta monga:

• Nephritis yapakati
• Matenda a Nephrotic
• Membranous glomerulonephritis
• Impso kulephera

Zizindikiro za lupus nephritis ndi monga:

• Magazi mkodzo
• Kuwonekera kwa thovu mkodzo
• Kutupa (edema) kwa gawo lililonse la thupi
• Kuthamanga kwa magazi

Wothandizira zaumoyo adzakuyesani ndikufunsani za matenda anu. Phokoso losazolowereka limamveka pamene wothandizirayo akumvera mtima ndi mapapo anu.

Mayeso omwe angachitike ndi awa:

• Mutu wa ANA
• BUN ndi creatinine
• Malizitsani milingo
• Kupenda kwamadzi
• Mkodzo mapuloteni
• Impso biopsy, kuti mudziwe chithandizo choyenera

Cholinga cha chithandizo ndikuthandizira kugwira ntchito kwa impso ndikuchedwa kuchepa kwa impso.

Mankhwala atha kuphatikizira mankhwala omwe amaletsa chitetezo chamthupi, monga corticosteroids, cyclophosphamide, mycophenolate mofetil, kapena azathioprine.

Mungafunike dialysis kuti muchepetse zizindikilo za impso, nthawi zina kwakanthawi. Kukulitsa kwa impso kungalimbikitsidwe. Anthu omwe ali ndi lupus yogwira sayenera kumuika chifukwa vutoli limatha kupezeka mu impso zosungidwa.

Momwe mumachitira bwino, zimadalira mtundu wina wa lupus nephritis. Mutha kukhala ndi zoyipa, ndiyeno nthawi zina pomwe mulibe zizindikiro zilizonse.

Anthu ena omwe ali ndi vutoli amakhala ndi kulephera kwa impso kwakanthawi.

Ngakhale lupus nephritis imatha kubwerera mu impso zoumbidwa, sizimayambitsa matenda a impso.

Zovuta zomwe zingachitike chifukwa cha lupus nephritis ndi monga:

• Kulephera kwakukulu kwa impso
• Aakulu aimpso kulephera

Itanani omwe akukuthandizani ngati muli ndi magazi mumkodzo kapena kutupa kwa thupi lanu.

Ngati muli ndi lupus nephritis, itanani omwe akukuthandizani mukawona kuchepa kwa mkodzo.

Kuchiza lupus kumatha kuthandiza kupewa kapena kuchedwa kuyambika kwa lupus nephritis.

Nephritis - lupus; Matenda a Lupus glomerular

• Matenda a impso

Hahn BH, McMahon M, Wilkinson A, ndi al. Malangizo a American College of Rheumatology owunika, kutanthauzira kwamilandu, chithandizo ndi kasamalidwe ka lupus nephritis. Kusamalira Matenda a Nyamakazi (Hoboken). 2012; 64 (6): 797-808. PMCID: 3437757 www.ncbi.nlm.nih.gov/pmc/articles/PMC3437757.

Wadhwani S, Jayne D, Rovin BH. Lupus nephritis. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: chaputala 26.