Lupus Nephritis

Zamkati

• Kodi zizindikiro za lupus nephritis ndi ziti?
• Kuzindikira lupus nephritis
• Kuyesa magazi
• Kutola mkodzo kwa maola 24
• Mayeso amkodzo
• Kuyesedwa kwa chilolezo cha Iothalamate
• Kusokoneza impso
• Magawo a lupus nephritis
• Njira zochiritsira lupus nephritis
• Zovuta za lupus nephritis
• Kuwona kwakanthawi kwa anthu omwe ali ndi lupus nephritis

Kodi lupus nephritis ndi chiyani?

Systemic lupus erythematosus (SLE) amatchedwa lupus. Ndi chikhalidwe chomwe chitetezo chamthupi chanu chimayamba kuwukira magawo osiyanasiyana amthupi lanu.

Lupus nephritis ndiimodzi mwamavuto akulu kwambiri a lupus. Zimachitika pamene SLE imapangitsa kuti chitetezo chamthupi chanu chiwononge impso zanu - makamaka, ziwalo za impso zanu zomwe zimasefa magazi anu pazotayira.

Kodi zizindikiro za lupus nephritis ndi ziti?

Zizindikiro za lupus nephritis ndizofanana ndi matenda ena a impso. Zikuphatikizapo:

• mkodzo wakuda
• magazi mkodzo wanu
• mkodzo wa thovu
• kukodza pafupipafupi, makamaka usiku
• kudzikuza kumapazi, akakolo, ndi miyendo zomwe zimawonjezeka masana
• kunenepa
• kuthamanga kwa magazi

Kuzindikira lupus nephritis

Chimodzi mwazizindikiro zoyambirira za lupus nephritis ndi magazi mkodzo wanu kapena mkodzo wophulika kwambiri.Kuthamanga kwa magazi ndi kutupa m'mapazi anu kumatha kuwonetsanso lupus nephritis. Mayeso omwe angathandize dokotala kuti adziwe ndi awa:

Kuyesa magazi

Dokotala wanu adzafunafuna zinyalala zambiri, monga creatinine ndi urea. Nthawi zambiri, impso zimasefa izi.

Kutola mkodzo kwa maola 24

Kuyesaku kumayeza impso mosankha kusefa zinyalala. Zimatsimikizira kuchuluka kwa mapuloteni omwe amapezeka mumkodzo kwa maola 24.

Mayeso amkodzo

Kuyezetsa mkodzo kumayesa ntchito ya impso. Amazindikira milingo ya:

• mapuloteni
• maselo ofiira ofiira
• maselo oyera

Kuyesedwa kwa chilolezo cha Iothalamate

Chiyesochi chimagwiritsa ntchito utoto wosiyanitsa kuti muwone ngati impso zanu zikuwonongeka bwino.

Ma radioactive iothalamate amalowetsedwa m'magazi anu. Dokotala wanu adzayesa momwe adatulukira msanga mumkodzo wanu. Angayesenso mwachindunji momwe imachokera m'magazi anu mwachangu. Izi zimawerengedwa kuti ndiyeso yolondola kwambiri ya kuthamanga kwa impso.

Kusokoneza impso

Ma biopsies ndi njira yolondola kwambiri komanso yovuta kwambiri yodziwitsa matenda a impso. Dokotala wanu amalowetsa singano yayitali m'mimba mwanu komanso mu impso zanu. Atenga zitsanzo za minofu ya impso kuti ziwunikiridwe ngati pali kuwonongeka.

Magawo a lupus nephritis

Mukazindikira, dokotala wanu adzazindikira kuwonongeka kwa impso zanu.

World Health Organisation (WHO) idakhazikitsa njira yoyika magawo asanu osiyana a lupus nephritis mu 1964. Magulu atsopanowa adakhazikitsidwa mu 2003 ndi International Society of Nephrology ndi Renal Pathology Society. Gulu latsopanoli lidachotsa gulu loyambirira I lomwe linalibe umboni wa matenda ndikuwonjezera gulu lachisanu ndi chimodzi:

• Kalasi Woyamba: Ochepera mesangial lupus nephritis
• Kalasi Yachiwiri: Mesangial proliferative lupus nephritis
• Gulu Lachitatu: Focal lupus nephritis (yogwira komanso yanthawi yayitali, yochulukitsa komanso kufinya)
• Gulu IV: Kusokoneza lupus nephritis (yogwira komanso yanthawi yayitali, kufalikira komanso kufooka, gawo limodzi ndi padziko lonse lapansi)
• Kalasi V: Membranous lupus nephritis
• Gulu VI: Advanced sclerosis lupus nephritis

Njira zochiritsira lupus nephritis

Palibe mankhwala a lupus nephritis. Cholinga cha chithandizo ndikuteteza vutoli. Kuletsa kuwonongeka kwa impso koyambirira kumalepheretsa kufunika koumba impso.

Chithandizo chingaperekenso mpumulo ku matenda a lupus.

Mankhwala ochiritsira amaphatikizapo:

• kuchepetsa kudya kwa mapuloteni ndi mchere
• kumwa mankhwala a magazi
• kugwiritsa ntchito ma steroids monga prednisone (Rayos) kuti muchepetse kutupa ndi kutupa
• kumwa mankhwala kuti muchepetse chitetezo chanu chamthupi monga cyclophosphamide kapena mycophenolate-mofetil (CellCept)

Kuganizira mwapadera kumaperekedwa kwa ana kapena amayi omwe ali ndi pakati.

Kuwonongeka kwakukulu kwa impso kungafune chithandizo china.

Zovuta za lupus nephritis

Vuto lalikulu kwambiri lomwe limagwirizana ndi lupus nephritis ndi kulephera kwa impso. Anthu omwe ali ndi vuto la impso adzafunika dialysis kapena kumuika impso.

Dialysis nthawi zambiri amakhala woyamba kusankha chithandizo, koma sichingagwire ntchito mpaka kalekale. Odwala dialysis ambiri amafunika kumuika. Komabe, zimatha kutenga miyezi kapena zaka gulu lothandizira likupezeka.

Kuwona kwakanthawi kwa anthu omwe ali ndi lupus nephritis

Maganizo a anthu omwe ali ndi lupus nephritis amasiyanasiyana. Anthu ambiri amangowona zizindikiro zakanthawi. Kuwonongeka kwa impso kwawo kumatha kuzindikiridwa kokha mukamayesa mkodzo.

Ngati muli ndi zizindikilo zowopsa za nephritis, muli pachiwopsezo chachikulu chotaya ntchito ya impso. Mankhwala amatha kugwiritsidwa ntchito pochepetsa matenda a nephritis, koma nthawi zina samachita bwino. Lankhulani ndi dokotala wanu za mankhwala omwe akuyenera.