Matenda a impso a Polycystic

Matenda a impso a Polycystic (PKD) ndi vuto la impso lomwe limadutsa m'mabanja. Mu matendawa, ma cysts ambiri amapangidwa mu impso, kuwapangitsa kukulitsa.

PKD imaperekedwa kudzera m'mabanja (obadwa nawo). Mitundu iwiri ya PKD yobadwa nayo ndiyotsogola kwambiri komanso yodziyimira payokha.

Anthu omwe ali ndi PKD amakhala ndi masango ambiri a impso. Zomwe zimayambitsa ma cysts sizikudziwika.

PKD imagwirizanitsidwa ndi izi:

• Matenda aortic
• Zovuta za ubongo
• Ziphuphu m'chiwindi, kapamba, ndi testes
• Diverticula wamatumbo

Pafupifupi theka la anthu omwe ali ndi PKD amakhala ndi zotupa m'chiwindi.

Zizindikiro za PKD zitha kuphatikizira izi:

• Kupweteka m'mimba kapena kukoma
• Magazi mkodzo
• Kukodza kwambiri usiku
• Kumva kupweteka pambali imodzi kapena mbali zonse ziwiri
• Kusinza
• Ululu wophatikizana
• Zovuta za msomali

Kufufuza kungawonetse:

• Kutentha m'mimba pachiwindi
• Kukulitsa chiwindi
• Kung'ung'uza mtima kapena zisonyezo zina zakulephera kwa aortic kapena kusakwanira kwa mitral
• Kuthamanga kwa magazi
• Kukula kwa impso kapena m'mimba

Mayeso omwe angachitike ndi awa:

• Angiography ya ubongo
• Kuwerengera magazi kwathunthu (CBC) kuti muwone kuchepa kwa magazi
• Kuyesa kwa chiwindi (magazi)
• Kupenda kwamadzi

Anthu omwe ali ndi mbiri yaumwini kapena yabanja ya PKD omwe ali ndi mutu ayenera kuyesedwa kuti adziwe ngati matenda am'magazi ndi omwe amayambitsa.

PKD ndi zotupa pachiwindi kapena ziwalo zina zitha kupezeka poyesa izi:

• M'mimba mwa CT scan
• Mimba ya m'mimba ya MRI
• M'mimba ultrasound
• Mitsempha yotchedwa pyelogram (IVP)

Ngati mamembala angapo am'banja mwanu ali ndi PKD, mayesero amtundu angapangidwe kuti muwone ngati muli ndi jini la PKD.

Cholinga cha chithandizo ndikuwongolera zizindikiro ndikupewa zovuta. Chithandizo chingaphatikizepo:

• Mankhwala a kuthamanga kwa magazi
• Odzetsa (mapiritsi amadzi)
• Zakudya zamcherecherere

Matenda aliwonse amkodzo ayenera kuthandizidwa mwachangu ndi maantibayotiki.

Mphuno zomwe zimapweteka, zili ndi kachilombo, zimatuluka magazi, kapena zimayambitsa kutseka zitha kufunikira kukhetsedwa. Nthawi zambiri pamakhala ziphuphu zambiri zomwe zimapangitsa kuti zitheke kuchotsa chotupa chilichonse.

Kuchita opaleshoni kuti muchotse 1 kapena impso zonse ziwiri kungafunike. Chithandizo cha matenda a impso kumapeto kwake kungaphatikizepo dialysis kapena kumuika impso.

Nthawi zambiri mutha kuchepetsa kupsinjika kwa matenda ndikulowa nawo gulu lothandizira pomwe mamembala amagawana zomwe akumana nazo pamavuto.

Matendawa amakula pang'onopang'ono. Pambuyo pake, zimatha kubweretsa kulephera kwa impso. Amagwirizananso ndi matenda a chiwindi, kuphatikizapo matenda a chiwindi.

Chithandizo chitha kuthana ndi vuto kwazaka zambiri.

Anthu omwe ali ndi PKD omwe alibe matenda ena atha kukhala oyenera kupatsirana impso.

Mavuto azaumoyo omwe angabwere chifukwa cha PKD ndi awa:

• Kuchepa kwa magazi m'thupi
• Kutuluka magazi kapena kutuluka kwa zotupa
• Matenda a impso a nthawi yayitali (osatha)
• Matenda omaliza a impso
• Kuthamanga kwa magazi
• Matenda a chiwindi zotupa
• Miyala ya impso
• Kulephera kwa chiwindi (pang'ono pang'ono)
• Matenda obwerezabwereza amkodzo

Imbani wothandizira zaumoyo wanu ngati:

• Muli ndi zizindikiro za PKD
• Muli ndi mbiri ya banja la PKD kapena zovuta zina ndipo mukukonzekera kukhala ndi ana (mungafune kukhala ndi upangiri wamtundu)

Pakadali pano, palibe mankhwala omwe angalepheretse ma cysts kupanga kapena kukulitsa.

Zotupa - impso; Impso - polycystic; Matenda a impso a Autosomal ofala kwambiri; ADPKD

• Impso ndi chiwindi zotupa - CT scan
• Ziwindi ndi ndulu zotupa - CT scan

Kuzungulira MA. Matenda a impso. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 118.

Torres VE, PC ya Harris. Matenda enaake a impso. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 45.