Nephritis yovuta
Zamkati
- Kodi mitundu yosiyanasiyana ya pachimake nephritis
- Nephritis yapakati
- Pyelonephritis
- Glomerulonephritis
- Kodi chimayambitsa pachimake nephritis?
- Nephritis yapakati
- Pyelonephritis
- Glomerulonephritis
- Ndani ali pachiwopsezo cha pachimake nephritis?
- Kodi zizindikiro za pachimake nephritis?
- Kodi pachimake nephritis matenda?
- Kodi pachimake nephritis ankachitira?
- Mankhwala
- Zowonjezera
- Dialysis
- Kusamalira kunyumba
- Idyani sodium yocheperako
- Kodi chiyembekezo chanthawi yayitali ndichotani?
- Zolemba pazolemba
Chidule
Impso zanu ndizosefera thupi lanu. Ziwalo ziwiri zooneka ngati nyemba ndizovuta kwambiri kuchotsa zinyalala. Amakonza magazi okwanira makilogalamu 120 mpaka 150 patsiku ndikuchotsa zinyalala mpaka madzi okwanira 2, malinga ndi National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).
Pachimake nephritis chimachitika impso zanu zikatentha mwadzidzidzi. Pachimake nephritis imayambitsa zifukwa zingapo, ndipo pamapeto pake imatha kubweretsa kufooka kwa impso ngati singachiritsidwe. Vutoli limadziwika kuti matenda a Bright.
Kodi mitundu yosiyanasiyana ya pachimake nephritis
Pali mitundu yambiri ya pachimake nephritis:
Nephritis yapakati
Mu nephritis yapakatikati, malo pakati pa ziphuphu za impso ayamba kutupa. Kutupa uku kumapangitsa impso kutupa.
Pyelonephritis
Pyelonephritis ndikutupa kwa impso, nthawi zambiri chifukwa cha matenda a bakiteriya. Nthawi zambiri, matendawa amayamba mkati mwa chikhodzodzo kenako amasunthira ureters ndi impso. Ureters ndi machubu awiri omwe amanyamula mkodzo kuchokera ku impso iliyonse kupita ku chikhodzodzo.
Glomerulonephritis
Mtundu wa pachimake nephritis umabala kutupa mu glomeruli. Pali mamilioni a capillaries mkati mwa impso iliyonse. Glomeruli ndi timagulu ting'onoting'ono ta ma capillaries omwe amatengera magazi komanso amakhala ngati zosefera. Zowonongeka ndi zotupa za glomeruli sizingasankhe magazi bwino. Dziwani zambiri za glomerulonephritis.
Kodi chimayambitsa pachimake nephritis?
Mtundu uliwonse wa pachimake nephritis uli ndi zifukwa zake.
Nephritis yapakati
Mtundu uwu umayamba chifukwa cha kusalandira mankhwala kapena mankhwala. Zomwe zimachitika chifukwa cha matupi anu ndizomwe thupi limayankha mwachangu pazinthu zakunja. Dokotala wanu atha kukupatsani mankhwala kuti akuthandizeni, koma thupi limawawona ngati mankhwala owopsa. Izi zimapangitsa kuti thupi lizidzivulaza lokha, ndikupangitsa kutupa.
Potaziyamu wochepa m'magazi anu ndi chifukwa chinanso cha interstitial nephritis. Potaziyamu imathandizira kuwongolera ntchito zambiri mthupi, kuphatikiza kugunda kwamtima ndi kagayidwe kake.
Kumwa mankhwala kwa nthawi yayitali kumatha kuwononga impso ndi kupangitsa kuti nephritis ipangidwe.
Pyelonephritis
Matenda ambiri a pyelonephritis amachokera kuE.coli matenda a bakiteriya. Mtundu wa bakiteriya umapezeka m'matumbo akulu ndipo umatulutsidwa mu chopondapo chanu. Mabakiteriya amatha kuyenda kuchokera mu mtsempha kupita pachikhodzodzo ndi impso, zomwe zimapangitsa pyelonephritis.
Ngakhale matenda a bakiteriya ndi omwe amayambitsa matenda a pyelonephritis, zifukwa zina zomwe zingayambitse izi ndi monga:
- mayeso a mkodzo omwe amagwiritsa ntchito cystoscope, chida chomwe chimayang'ana mkati mwa chikhodzodzo
- Kuchita opaleshoni ya chikhodzodzo, impso, kapena ureters
- mapangidwe amiyala ya impso, miyala ngati miyala yomwe ili ndi mchere ndi zinthu zina zotayidwa
Glomerulonephritis
Chimene chimayambitsa matenda amtunduwu ndi omwe sakudziwika. Komabe, mikhalidwe ina ingalimbikitse matenda, kuphatikiza:
- mavuto amthupi
- mbiri ya khansa
- chotupa chomwe chimaswa ndi kuyenda mpaka ku impso zanu kudzera m'magazi anu
Ndani ali pachiwopsezo cha pachimake nephritis?
Anthu ena ali pachiwopsezo chachikulu cha matenda oopsa a nephritis. Zomwe zimayambitsa chiwopsezo cha nephritis ndi monga:
- mbiri yabanja yamatenda a impso ndi matenda
- kukhala ndi matenda amthupi, monga lupus
- kumwa maantibayotiki ambiri kapena mankhwala opweteka
- opaleshoni yaposachedwa ya thirakiti
Kodi zizindikiro za pachimake nephritis?
Zizindikiro zanu zimasiyana kutengera mtundu wa nephritis womwe uli nawo. Zizindikiro zofala kwambiri zamitundu itatu yonse ya pachimake nephritis ndi izi:
- kupweteka kwa chiuno
- kupweteka kapena kumva kutentha pamene ukukodza
- kufunika kodzikodza pafupipafupi
- mkodzo wamtambo
- magazi kapena mafinya mumkodzo
- kupweteka kwa impso kapena pamimba
- kutupa kwa thupi, makamaka kumaso, miyendo, ndi mapazi
- kusanza
- malungo
- kuthamanga kwa magazi
Kodi pachimake nephritis matenda?
Dokotala amayeza thupi ndikutenga mbiri yakale kuti adziwe ngati mungakhale pachiwopsezo cha nephritis.
Mayeso a labu amathanso kutsimikizira kapena kutsimikizira kupezeka kwa matenda. Mayesowa akuphatikizapo kukodza, komwe kumayesa kupezeka kwa magazi, mabakiteriya, ndi ma cell oyera (WBCs). Kukhalapo kwakukulu kwa izi kumatha kuwonetsa matenda.
Dokotala amathanso kuyitanitsa kuyesa magazi. Zizindikiro ziwiri zofunika kwambiri ndi magazi urea nitrogen (BUN) ndi creatinine. Izi ndi zinthu zonyansa zomwe zimazungulira m'magazi, ndipo impso ndizoyenera kuzisefa. Ngati pali kuchuluka kwa manambalawa, izi zitha kuwonetsa kuti impso sizikugwiranso ntchito.
Kujambula kojambula, monga CT scan kapena renal ultrasound, kumatha kuwonetsa kutsekeka kapena kutupa kwa impso kapena kwamikodzo.
Aimpso biopsy ndi imodzi mwanjira zabwino zodziwira pachimake nephritis. Chifukwa izi zimaphatikizapo kuyesa mtundu weniweni wa minofu kuchokera ku impso, kuyesa uku sikuchitika kwa aliyense. Kuyesaku kumachitika ngati munthu sakuyankha bwino kuchipatala, kapena ngati dokotala akuyenera kuzindikira kuti ali ndi vutoli.
Kodi pachimake nephritis ankachitira?
Kuchiza kwa glomerulonephritis ndi interstitial nephritis kungafune kuchiza zomwe zimayambitsa mavuto. Mwachitsanzo, ngati mankhwala omwe mukumwa akuyambitsa mavuto a impso, dokotala wanu akhoza kukupatsani mankhwala ena.
Mankhwala
Dokotala nthawi zambiri amapatsa maantibayotiki kuti athetse matenda a impso. Ngati matenda anu ndi oopsa kwambiri, mungafunike mankhwala opha tizilombo (IV) omwe amapezeka kuchipatala. Maantibayotiki a IV amakonda kugwira ntchito mwachangu kuposa maantibayotiki omwe amapezeka m'mapiritsi. Matenda monga pyelonephritis amatha kupweteka kwambiri. Dokotala wanu akhoza kukupatsani mankhwala kuti muchepetse ululu mukamachira.
Ngati impso zanu zili zotupa kwambiri, dokotala wanu akhoza kukupatsani corticosteroids.
Zowonjezera
Pamene impso zanu sizikugwiranso ntchito, zimatha kukhudza maelekitirodi m'thupi lanu. Ma electrolyte, monga potaziyamu, sodium, ndi magnesium, ndi omwe amachititsa kuti thupi lizichita zinthu zina. Ngati ma electrolyte anu ali okwera kwambiri, dokotala akhoza kukupatsani madzi amadzimadzi a IV kuti alimbikitse impso zanu kutulutsa ma electrolyte owonjezera. Ngati ma electrolyte anu ali otsika, mungafunike kumwa zowonjezera. Izi zitha kuphatikizira mapiritsi a potaziyamu kapena phosphorous. Komabe, simuyenera kutenga zowonjezera zilizonse popanda kuvomerezedwa ndi dokotala.
Dialysis
Ngati ntchito yanu ya impso ili yovuta kwambiri chifukwa cha matenda anu, mungafune dialysis. Iyi ndi njira yomwe makina apadera amagwirira ntchito ngati impso zopangira. Dialysis itha kukhala yofunikira kwakanthawi. Komabe, ngati impso zanu zawonongeka kwambiri, mungafunike dialysis kwamuyaya.
Kusamalira kunyumba
Mukakhala ndi nephritis yovuta, thupi lanu limafunikira nthawi ndi mphamvu kuti lichiritse. Dokotala wanu angakulimbikitseni kupumula pabedi mukamachira. Dokotala wanu angakulimbikitseninso kuti muwonjezere kumwa madzi. Izi zimathandiza kupewa kutaya madzi m'thupi ndikusunga impso kusefa zonyansa.
Ngati vuto lanu limakhudza impso yanu, adokotala angakulimbikitseni kudya zakudya zapadera zamagetsi ena, monga potaziyamu. Zipatso ndi ndiwo zamasamba zambiri zili ndi potaziyamu wambiri. Dokotala wanu akhoza kukuphunzitsani za zakudya zomwe zili ndi potaziyamu wambiri.
Muthanso kuthiramo masamba m'madzi ndikutsuka madzi musanaphike. Njirayi, yotchedwa leaching, imatha kuchotsa potaziyamu wowonjezera.
Dokotala wanu angakulimbikitseni kuchepetsa zakudya zowonjezera zowonjezera. Mukakhala ndi sodium wochuluka kwambiri m'magazi anu, impso zanu zimagwiritsa madzi. Izi zitha kukulitsa kuthamanga kwa magazi.
Pali zinthu zomwe mungachite kuti muchepetse sodium mu zakudya zanu.
Idyani sodium yocheperako
- Gwiritsani ntchito nyama ndi ndiwo zamasamba zatsopano m'malo moikiratu kale.Zakudya zopangidwa kale zimakhala ndi sodium wochuluka.
- Sankhani zakudya zotchedwa "sodium wocheperako" kapena "wopanda sodium" ngati zingatheke.
- Mukamadya kunja, funsani seva yanu yodyerako kuti mupemphe kuti ophikawo achepetse mchere pazakudya zanu.
- Konzani chakudya chanu ndi zonunkhira ndi zitsamba m'malo mwa zokometsera zosakanikirana ndi sodium kapena mchere.
Kodi chiyembekezo chanthawi yayitali ndichotani?
Mitundu itatu yonse ya pachimake nephritis ipitilira patsogolo posachedwa. Komabe, ngati matenda anu sathandizidwa, mutha kukhala ndi vuto la impso. Kulephera kwa impso kumachitika pamene impso imodzi kapena zonse ziwiri zimasiya kugwira ntchito kwakanthawi kochepa kapena kosatha. Ngati izi zichitika, mungafunike dialysis kwamuyaya. Pachifukwa ichi, ndikofunikira kupeza chithandizo mwachangu pazovuta zilizonse zomwe zikayikiridwa ndi impso.
Zolemba pazolemba
- Dialysis. (2015). https://www.kidney.org/atoz/content/dialysisinfo
- Matenda a Glomerular. (2014). https://www.niddk.nih.gov/health-information/kidney-disease/glomerular-diseases
- Haider DG, et al. (2012). Impso biopsy mwa odwala glomerulonephritis: Kodi koyambirira kwabwinoko? CHITANI: https://doi.org/10.1186/1471-2369-13-34
- Haladyj E, ndi al. (2016). Kodi tikufunikirabe renal biopsy mu lupus nephritis? CHINENERO: https://doi.org/10.5114/reum.2016.60214
- Nephritis yapakati. (nd). http://www.mountsinai.org/health-library/diseases-conditions/interstitial-nephritis
- Matenda a impso (pyelonephritis). (2017). https://www.niddk.nih.gov/health-information/urologic-diseases/kidney-infection-pyelonephritis/all-content
- Malangizo 10 apamwamba ochepetsera mchere pazakudya zanu. (nd). https://www.kidney.org/news/ekidney/june10/Salt_june10
- Impso zanu ndi momwe zimagwirira ntchito. (2014). https://www.niddk.nih.gov/health-information/kidney-disease/kidneys-how-they-work
- Matenda a impso (aimpso) - Pyelonephritis ndi chiyani? (nd). http://www.urologyhealth.org/urologic-conditions/kidney-(renal)-infection-pyelonephritis