Mlembi: Virginia Floyd
Tsiku La Chilengedwe: 14 Ogasiti 2021
Sinthani Tsiku: 20 Kuni 2024
Anonim
Renal Papillary Necrosis - Pathology mini tutorial
Kanema: Renal Papillary Necrosis - Pathology mini tutorial

Renal papillary necrosis ndi vuto la impso momwe zonse kapena gawo la papillae wamphongo amafera. Papillae wamphongo ndi malo omwe mipata yolandirira imalowa mu impso ndi komwe mkodzo umadutsa mu ureters.

Aimpso papillary necrosis nthawi zambiri amapezeka ndi nephropathy ya analgesic. Izi ndi kuwonongeka kwa impso imodzi kapena zonse ziwiri zomwe zimadza chifukwa cha kukhudzidwa kwambiri ndi mankhwala opweteka. Koma, zovuta zina zitha kupanganso necrosis ya mpso, kuphatikizapo:

  • Matenda ashuga nephropathy
  • Matenda a impso (pyelonephritis)
  • Kukaniza kukweza impso
  • Matenda a kuchepa kwa magazi, omwe amachititsa kuti ana azipweteka kwambiri
  • Kutsekeka kwa kwamikodzo

Zizindikiro za aimpso papillary necrosis zitha kuphatikizira izi:

  • Ululu wammbuyo kapena ululu wammbali
  • Mkodzo wamagazi, wamtambo, kapena wakuda
  • Zidutswa zaminyewa mkodzo

Zizindikiro zina zomwe zingachitike ndi matendawa:

  • Malungo ndi kuzizira
  • Kupweteka pokodza
  • Kufuna kukodza pafupipafupi kuposa pafupipafupi (kukodza pafupipafupi) kapena mwadzidzidzi, kukakamiza kukodza (mwachangu)
  • Zovuta zoyambira kapena kusunga mkodzo (kukayikira kwamikodzo)
  • Kusadziletsa kwamikodzo
  • Kukodza kwambiri
  • Kukodza nthawi zambiri usiku

Dera lomwe lili ndi impso zomwe zakhudzidwa (m'mbali mwake) limatha kumva kukoma poyesa. Pakhoza kukhala mbiri yazofalitsa kwamikodzo. Pakhoza kukhala zizindikilo za kutsekeka kwa mkodzo kapena kulephera kwa impso.


Mayeso omwe angachitike ndi awa:

  • Mayeso a mkodzo
  • Kuyesa magazi
  • Ultrasound, CT, kapena mayeso ena amalingaliro a impso

Palibe chithandizo chenicheni cha aimpso papillary necrosis. Chithandizo chimadalira chifukwa. Mwachitsanzo, ngati analgesic nephropathy ndiyomwe imayambitsa, adotolo akukulangizani kuti musiye kugwiritsa ntchito mankhwala omwe akuyambitsa. Izi zitha kupangitsa impso kuchira pakapita nthawi.

Momwe munthu amachitira bwino, zimadalira zomwe zimayambitsa vutoli. Ngati vutoli likhoza kuyendetsedwa, vutoli limatha lokha. Nthawi zina, anthu omwe ali ndi vutoli amakhala ndi impso zolephera ndipo amafunikira dialysis kapena kumuika impso.

Mavuto azaumoyo omwe angabwere chifukwa cha impso papillary necrosis ndi awa:

  • Matenda a impso
  • Miyala ya impso
  • Khansa ya impso, makamaka kwa anthu omwe amamwa mankhwala opweteka kwambiri

Itanani kuti mudzakumane ndi wokuthandizani ngati:

  • Muli ndi mkodzo wamagazi
  • Mumakhala ndi zisonyezo zina za aimpso papillary necrosis, makamaka mukamamwa mankhwala owawa

Kulamulira matenda a shuga kapena kuchepa kwa magazi m'thupi kumachepetsa chiopsezo chanu. Pofuna kupewa renal papillary necrosis ku analgesic nephropathy, tsatirani malangizo a omwe amakupatsani mukamagwiritsa ntchito mankhwala, kuphatikizapo mankhwala ochepetsa ululu. Musatenge zochulukirapo kuposa momwe mungafunire popanda kufunsa omwe akukuthandizani.


Necrosis - papillae wamphongo; Aimpso medullary necrosis

  • Matenda a impso
  • Impso - kutuluka magazi ndi mkodzo

Chen W, Monk RD, Bushinsky DA. Nephrolithiasis ndi nephrocalcinosis. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 57.

Landry DW, Bazari H. Njira kwa wodwala yemwe ali ndi matenda aimpso. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 106.

Schaeffer AJ, Matulewicz RS, Klumpp DJ. Matenda a thirakiti. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 12.


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