Poststreptococcal glomerulonephritis (GN)

Poststreptococcal glomerulonephritis (GN) ndi vuto la impso lomwe limachitika pambuyo poti munthu watenga matenda ena a mabakiteriya a streptococcus.

Poststreptococcal GN ndi mawonekedwe a glomerulonephritis. Amayamba chifukwa cha matenda amtundu wa mabakiteriya a streptococcus. Matendawa samapezeka mu impso, koma mbali ina ya thupi, monga khungu kapena mmero. Matendawa amatha kukhala masabata 1 kapena 2 atadwala matenda osagwidwa pakhosi, kapena masabata atatu kapena anayi pambuyo pa matenda akhungu.

Zitha kuchitika kwa anthu amisinkhu iliyonse, koma nthawi zambiri zimachitika mwa ana azaka zapakati pa 6 mpaka 10. Ngakhale matenda akhungu ndi kukhosi amapezeka kwambiri mwa ana, poststreptococcal GN sichimakhala chotenga matendawa. Poststreptococcal GN imapangitsa timitsempha tating'onoting'ono ta magazi m'magawo azosefera a impso (glomeruli) kuti titenthe. Izi zimapangitsa impso kukhala zosakwanira kusefa mkodzo.

Vutoli silofala masiku ano chifukwa matenda omwe angayambitse matendawa amachiritsidwa ndi maantibayotiki.

Zowopsa ndi izi:

• Khwekhwe kukhosi
• Matenda a khungu a Streptococcal (monga impetigo)

Zizindikiro zimatha kuphatikizira izi:

• Kuchepetsa mkodzo
• Mkodzo wa utoto
• Kutupa (edema), kutupa kwathunthu, kutupa kwa m'mimba, kutupa kwa nkhope kapena maso, kutupa kwa mapazi, akakolo, manja
• Magazi owoneka mkodzo
• Ululu wophatikizana
• Kuuma pamodzi kapena kutupa

Kuyezetsa thupi kumawonetsa kutupa (edema), makamaka pamaso. Phokoso losazolowereka limamveka mukamamvetsera pamtima ndi m'mapapu ndi stethoscope. Kuthamanga kwa magazi nthawi zambiri kumakhala kwakukulu.

Mayesero ena omwe angachitike ndi awa:

• Anti-DNase B
• Seramu ASO (ndi streptolysin O)
• Maselo owonjezera a Seramu
• Kupenda kwamadzi
• Impso biopsy (nthawi zambiri siyofunikira)

Palibe mankhwala enieni a vutoli. Chithandizo chimayang'ana kuthetsa zizindikiro.

• Maantibayotiki, monga penicillin, atha kugwiritsidwa ntchito kuwononga mabakiteriya aliwonse a streptococcal omwe atsalira mthupi.
• Mankhwala a kuthamanga kwa magazi ndi mankhwala okodzetsa angafunike kuti muchepetse kutupa komanso kuthamanga kwa magazi.
• Corticosteroids ndi mankhwala ena oletsa kutupa nthawi zambiri sagwira ntchito.

Muyenera kuchepetsa mchere pazakudya zanu kuti muchepetse kutupa komanso kuthamanga kwa magazi.

Poststreptococcal GN nthawi zambiri imatha yokha patatha milungu ingapo mpaka miyezi.

Mwa achikulire ochepa, amatha kukulira ndipo angayambitse impso za nthawi yayitali (zosachiritsika). Nthawi zina, imatha kupita patsogolo mpaka kumapeto kwa matenda a impso, omwe amafunikira dialysis ndi kumuika impso.

Mavuto azaumoyo omwe angabwere chifukwa cha vutoli ndi awa:

• Kulephera kwa impso (kutha msanga kwa impso 'kuchotsa zinyalala ndikuthandizira kuchepetsa madzi ndi ma electrolyte m'thupi)
• Matenda a glomerulonephritis
• Matenda a impso
• Kulephera kwa mtima kapena edema ya m'mapapo (madzi amadzimadzi m'mapapu)
• Mapeto a matenda a impso
• Hyperkalemia (potaziyamu yosazolowereka m'magazi)
• Kuthamanga kwa magazi (matenda oopsa)
• Nephrotic syndrome (gulu la zizindikilo zomwe zimaphatikizapo mapuloteni mumkodzo, kuchuluka kwa mapuloteni m'magazi, kuchuluka kwama cholesterol, kuchuluka kwa triglyceride, ndi kutupa)

Imbani wothandizira zaumoyo wanu ngati:

• Muli ndi zizindikiro za poststreptococcal GN
• Muli ndi poststreptococcal GN, ndipo mwachepetsa kutulutsa mkodzo kapena zizindikilo zina zatsopano

Kuchiza matenda odziwika a streptococcal kungathandize kupewa poststreptococcal GN. Komanso kukhala aukhondo monga kusamba m'manja nthawi zambiri kumateteza kufalikira kwa matendawa.

Glomerulonephritis - poststreptococcal; Matenda opatsirana opatsirana a glomerulonephritis

• Matenda a impso
• Glomerulus ndi nephron

Makampani FX. Matenda amtundu wa glomerular omwe amabwera chifukwa cha hematuria. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 537.

Saha MK, Pendergraft WF, Jennette JC, Falk RJ (Adasankhidwa) Matenda oyamba a glomerular. 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 31.