Lupus (lupus) nephritis: ndi chiyani, zizindikiro, gulu ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira
• Gulu ndi mitundu ya lupus nephritis

Lupus nephritis imayamba pomwe systemic lupus erythematosus, yomwe imayambitsa matenda amthupi, imakhudza impso, kuyambitsa kutupa ndi kuwonongeka kwa zotengera zazing'ono zomwe zimayambitsa zosefera m'thupi. Chifukwa chake, impso sizingagwire bwino ntchito komanso zizindikilo monga magazi mumkodzo, kuthamanga kwa magazi kapena kupweteka kosalekeza m'malo olumikizirana mafupa, mwachitsanzo.

Matendawa amakhudza oposa theka la odwala lupus ndipo amapezeka kwambiri kwa amayi mzaka khumi zapitazi, ngakhale atha kukhudzanso amuna ndi anthu komanso mibadwo ina, pokhala chimodzi mwazomwe zimayambitsa kufa kwa lupus.

Ngakhale ndi vuto lalikulu la lupus, nephritis itha kuthandizidwa ndi chithandizo choyenera, chifukwa chake, ndikofunikira kwa anthu omwe ali ndi lupus kuti azikambirana ndi kuyezetsa pafupipafupi kuti awone ngati pali zovuta. Mukapanda kuchiritsidwa bwino, lupus nephritis imatha kuyambitsa impso.

Dziwani zizindikiro za lupus erythematosus ndi momwe mankhwala amathandizira.

Zizindikiro zazikulu

Zizindikiro za lupus nephritis zimatha kusiyanasiyana pakati pa munthu ndi munthu, komabe, zofala kwambiri ndi izi:

• Magazi mkodzo;
• Mkodzo ndi thovu;
• Kutupa kwambiri kwa miyendo, mapazi, nkhope kapena manja;
• Ululu wambiri m'mfundo ndi minofu;
• Kuchuluka kwa magazi;
• Malungo popanda chifukwa chomveka;

Mukakhala ndi lupus ndipo chimodzi kapena zingapo mwa izi zikuwoneka, ndikofunikira kufunsa dokotala yemwe akuchiza matendawa, kuti athe kuyesa mayeso a mkodzo kapena kuyesa magazi ndikutsimikizira kupezeka kwa nephritis , kuyamba chithandizo.

Nthawi zina, pangafunike kukhala ndi chidziwitso cha impso kuti zitsimikizire kuti ali ndi matendawa. Kuti achite izi, adokotala amagwiritsa ntchito dzanzi pamalowo ndipo, pogwiritsa ntchito singano, amachotsa chidutswa cha impso, chomwe chimayesedwa mu labotale. Renal biopsy iyenera kuchitidwa mwa odwala onse omwe ali ndi lupus, komanso mwa iwo omwe asintha pazotsatira zawo, monga kuchuluka kwa creatinine, kutsitsa kusefera kwa glomerular komanso kupezeka kwa mapuloteni ndi magazi mkodzo.

Aimpso ultrasound imakhala ndi mzere woyamba wazithunzi pofufuza wodwalayo wokhala ndi ziwonetsero za matenda aimpso, chifukwa amalola kuzindikira zosintha monga zotchinga komanso amalola kuwunika momwe thupi limayendera.

Momwe mankhwalawa amachitikira

Chithandizo cha lupus nephritis nthawi zambiri chimayambika pogwiritsa ntchito mankhwala, operekedwa ndi dokotala, kuti achepetse kuyankha kwa chitetezo cha mthupi ndikuchepetsa kutupa kwa impso. Ena mwa mankhwalawa ndi ma corticosteroids, monga prednisone ndi immunosuppressants. Mankhwalawa ndi othandiza kwambiri kuposa omwe amangogwiritsira ntchito corticosteroids okha.

Kuphatikiza apo, kutengera zomwe zikuwonetsa, kungakhale kofunikabe kugwiritsa ntchito okodzetsa kuti achepetse kuthamanga kwa magazi ndikuchotsa poizoni ndi madzi amthupi.

Nthawi zina, amathanso kulimbikitsidwa kukaonana ndi wazakudya kuti asinthe kadyedwe kuti athandize ntchito ya impso ndikuchepetsa kukula kwa lupus. Nawa maupangiri ochokera kwa wazakudya zathu:

Milandu yovuta kwambiri, yomwe lupus idavulaza impso zambiri, kulephera kwa impso kumatha kuwonekera ndipo chifukwa chake, chithandizo chitha kuphatikizira kugwiritsa ntchito hemodialysis kapenanso kumuika impso.

Onani zambiri zakomwe chakudya chiyenera kukhalira kwa iwo omwe ali ndi vuto la impso.

Gulu ndi mitundu ya lupus nephritis

Lupus nephritis akhoza kugawidwa m'magulu 6. Mkalasi Woyamba ndi Wachiwiri pamakhala kusintha pang'ono mu impso, zomwe sizingayambitse zizindikiro kapena kuyambitsa zizindikilo zochepa, monga mkodzo wamagazi kapena kupezeka kwa mapuloteni mumayeso amkodzo.

Kuyambira Mkalasi Wachitatu, zotupazo zimakhudza gawo lokulirapo la glomeruli, kukulira ndikukulira, ndikupangitsa kuchepa kwa ntchito ya impso. Gulu la lupus nephritis limadziwika nthawi zonse pambuyo pofufuza, kuti athandize adotolo kusankha njira yabwino kwambiri yothandizira, nthawi iliyonse. Kuphatikiza apo, adotolo akuyeneranso kuganizira za msinkhu wa munthu komanso matenda azachipatala.