Nephrocalcinosis

Nephrocalcinosis ndi matenda omwe mumapezeka calcium yambiri mu impso. Zimakhala zachilendo kwa makanda asanakwane.

Matenda aliwonse omwe amatsogolera kashiamu wambiri m'magazi kapena mkodzo atha kubweretsa nephrocalcinosis. Vuto ili, calcium imayika m'misempha ya impso. Nthawi zambiri, impso zonse zimakhudzidwa.

Nephrocalcinosis ndi yokhudzana ndi, koma osati chimodzimodzi, miyala ya impso (nephrolithiasis).

Zomwe zingayambitse nephrocalcinosis ndi monga:

• Alport syndome
• Matenda a Bartter
• Matenda a glomerulonephritis
• Wodziwika bwino wa hypomagnesemia
• Impso za sponges medullary
• Pulayimale hyperoxaluria
• Kukaniza kukonzanso
• Aimpso tubular acidosis (RTA)
• Aimpso kotekisi necrosis

Zina mwazomwe zimayambitsa nephrocalcinosis ndi monga:

• Ethylene glycol kawopsedwe
• Hypercalcemia (calcium yochulukirapo m'magazi) chifukwa cha hyperparathyroidism
• Kugwiritsa ntchito mankhwala ena, monga acetazolamide, amphotericin B, ndi triamterene
• Sarcoidosis
• TB ya impso ndi matenda okhudzana ndi Edzi
• Vitamini D kawopsedwe

Nthawi zambiri, palibe zizindikilo zoyambirira za nephrocalcinosis kupitilira zomwe zimayambitsa vutoli.

Anthu omwe alinso ndi miyala ya impso atha kukhala ndi:

• Magazi mkodzo
• Malungo ndi kuzizira
• Nseru ndi kusanza
• Kupweteka kwambiri m'mimba, mbali zakumbuyo (mbali), kubuula, kapena machende

Zizindikiro zamtsogolo zokhudzana ndi nephrocalcinosis zitha kuphatikizidwa ndi impso za nthawi yayitali (zosatha).

Nephrocalcinosis itha kupezeka ngati zizindikilo za kulephera kwa impso, kulephera kwa impso, kutsekeka kwa m'mitsempha, kapena miyala yamikodzo.

Kuyesa kuyesa kungathandize kuzindikira vutoli. Mayeso omwe angachitike ndi awa:

• M'mimba mwa CT scan
• Ultrasound ya impso

Mayesero ena omwe angachitike kuti apeze ndikuzindikira kuopsa kwa zovuta zomwe zimakhudzidwa ndi awa:

• Kuyezetsa magazi kuti muwone kuchuluka kwa calcium, phosphate, uric acid, ndi hormone ya parathyroid
• Kuthira urinal kuwona makhiristo ndikuyang'ana maselo ofiira
• Kutenga mkodzo kwa maola 24 kuti muyese acidity ndi milingo ya calcium, sodium, uric acid, oxalate, ndi citrate

Cholinga cha chithandizo ndikuchepetsa zizindikiro ndikuletsa calcium yambiri kuti isamange mu impso.

Chithandizochi chimaphatikizapo njira zochepetsera calcium, phosphate, ndi oxalate m'magazi ndi mkodzo. Zosankha zimaphatikizapo kusintha zakudya zanu komanso kumwa mankhwala ndi zowonjezera.

Mukamwa mankhwala omwe amachititsa calcium kutayika, wothandizira zaumoyo wanu angakuuzeni kuti musamwe. Osasiya kumwa mankhwala musanalankhule ndi omwe amakupatsani.

Zizindikiro zina, kuphatikizapo miyala ya impso, ziyenera kuthandizidwa moyenera.

Zomwe mungayembekezere zimatengera zovuta zomwe zimayambitsa vutoli.

Mankhwala oyenera atha kuthandiza kupewa impso. Nthawi zambiri, palibe njira yochotsera madipoziti omwe apanga kale. Ma calcium ambiri omwe amapezeka mu impso SIZO nthawi zonse amatanthauza kuwonongeka koopsa kwa impso.

Zovuta zingaphatikizepo:

• Pachimake impso kulephera
• Kulephera kwa impso kwanthawi yayitali
• Miyala ya impso
• Kulepheretsa uropathy (pachimake kapena chosatha, chosagwirizana kapena chimodzi)

Itanani omwe akukuthandizani ngati mukudziwa kuti muli ndi vuto lomwe limayambitsa calcium yambiri m'magazi ndi mkodzo wanu. Imbani foni ngati mukukula ndi nephrocalcinosis.

Kuchiza mwachangu zovuta zomwe zimayambitsa nephrocalcinosis, kuphatikiza RTA, zitha kuthandiza kuti zisayambike. Kumwa madzi ochulukirapo kuti impso zizisungunuka ndikutsanulira kumathandizanso kupewa kapena kuchepetsa kupangika kwa miyala.

• Impso miyala - zomwe mungafunse dokotala wanu

• Njira yamikodzo yamwamuna

Bushinsky DA. Miyala ya impso. Mu: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 32.

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.

Tublin M, Levine D, Thurston W, Wilson SR. Impso ndi kwamikodzo. Mu: Rumack CM, Levine D, eds. Kuzindikira Ultrasound. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 9.

Vogt BA, Springel T. Impso ndi kwamikodzo ya mwana wakhanda. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 93.