Zvirwere zvinowanzoonekwa uye zvirwere zvinogona kupisa itsvo dzako
Nhengo dzepati nephritis inhengo yezvirwere inoratidzirwa nekuputira kunobatanidza neimpso 'tissue, izvo zvinogona kukonzera kuderera mumabasa epso uye kunyange kukwana kusaputsika kwepvo. Nzira iri nyore yokutarira interstitial nephritis ndeyekufunga nezvayo seanoratidzika zvinoparidzirwa panzvimbo ino kusvika kuneiyo (kunyange izvi zviri kuwedzera-nyore).
Zviratidzo uye Zviratidzo zveMitambo yeNefritis
Necrititi nephritis inowanzoparadzana muzvikamu zviviri zvichienderana nehuwandu hwekutanga, nekukurumidza kwekudonha kwepfungwa basa. Aya mapoka maviri ndeaya:
- Acute interstitial nephritis (AIN) , iyo inowanzoitika kamwe kamwe, uye kazhinji inopera nguva shoma muhupi basa.
- Chronic interstitial nephritis (CIN) iyo inonyanya kurwara kwenguva refu, yakareba kwenguva refu chirwere.
Kazhinji zviratidzo nezviratidzo, zvinowanzova zvinonakidza neacute interstitial nephritis, zvinosanganisira:
- Fever
- Kushanda kweganda
- Pain in the flanks
- Zvakawandisa zviyero zvemarudzi akasiyana-shena jena rega rega (rinonzi eosinophils)
- Yakakosha ropa remusiki we creatinine, mucherechedzo uyo ane maitiro anowanzoedzwa kuti aongorore mushandi wako
- Kuvapo kweEosinophils yakakwirira mumuguta
- Kuvapo kwemasero matsvuku eropa mumuginhi (iyo mari inogona kunge yakakosha kuti iwe usakwanisa kuikoshesa neziso rakashama)
- Wedzera protein spillage mumugini. Izvi zvinotumidzwa se " proteinuria ," uye inofunga nezvekutsvaga kusina kunyoreswa kwekukuvara kwepvo.
Kunyange zvazvo zviratidzo nezviratidzo zvataurwa pamusoro apa zvichionekwa se "mazita ezvinyorwa zvekare," vangave vasingaoneki nguva dzose kune varwere vose.
Chii Chinokonzera Interstitial Nephritis?
Sezvinorondedzerwa pamusoro apa, interstitial nephritis inenge seine kuvhiringidzika kana kugadzirisa zvirwere mukati memoyo, uye inowanzomiswa nezvimwe zvinhu zvinokurudzira.
Mumiririri anokurudzira anoita se "allergen" inogadzirisa zvinokonzera kugadzirisa. Zvinodhaka ndizvo zvinowanzoita, asi zvimwe zvikamu zvinogonawo. Heino mhedziso yezvimwe zvivi zvinowanzozivikanwa:
- Mishonga - Izvi zvinosanganisira mishonga inorwisa mabhakitiriya sepenicillin, quinolones (semuenzaniso ciprofloxacin), mishonga inowanzopfuura-the-counter pain like NSAIDs, asidi reflux mishonga (inonzi proton pump inhibitors), mvura yemapiritsi / diuretics, nezvimwewo. imwe mishonga, apo vamwe vanoita zvakakwana, haisi kunyatsonzwisiswa, asi yakabatana nemararamiro emagadzirirwo emagetsi edu kune chimwe chinhu chinokurudzira. Izvi zvakangoita sekuti vanhu vose havakwanise kunetseka kubva kune zvipembenene, semuenzaniso.
- Zvirwere - Utachiona hunozivikanwa kuti hunokonzera interstitial nephritis. Nechepfungwa, chero chero chinopararira chinogona kuve chiitiko chinokurudzira, asi, mienzaniso inosanganisira mabhakitiriya akaita se streptococci, mavairasi seEpstein-Barr virus, leptospira, nemapasisiti.
- Zvirwere zvinodzivirira - Chimwe chimiro chinowanzozivikanwa chinosanganiswa neacute interstitial nephritis. Izvi zvinosanganisira zvirwere zvinodzivirira zvirwere zvakadai se lupus, kana systemic lupus erythematosus (SLE), Sjogren's syndrome, nezvimwewo.
- TINU (tubulo-interstitial nephritis neveitisitis) syndrome - Ichi ndicho chinhu chaicho chinonzi pathogenesis hachizivikanwi. Mishonga, zvinotapukira zvinokonzerwa neChlamydia, uye imwe mishonga yeChina ine zita rokuti "Goreisan", vose vakafunga kuti vanofungidzirwa. Murwere anorwara achapa marwadzo eruva, ropa, kana mapuroteni mumuguta, uye zvicharatidzwa kuva nemafuta akaoma. Uveitis, iyo iko kuputika kwemamwe mativi muziso, ichauya sekurwadziwa kweziso kana kubwinya.
Kuongororwa Nhengo dzeNepritis Nephritis
Chiremba anogona kukwanisa kuongororwa kwezvinobvira zvinyorwa zvepinephritis pachishandiswa makiriniki anoratidza zviratidzo uye zviratidzo chete. Sezvakataurwa pamusoro apa, zvisinei, kwete zviratidzo zvose kana zviratidzo zviripo kune varwere vose. Muzviitiko zvezvinodhaka-induced interstitial nephritis, chirwere chinotarisana chinowanzouya nehutano hwekutanga mishonga yekutadza munguva pfupi uye kuenzanisa kwe "mberi uye shure" mitsva yekuongororwa ropa yeropa inogona kunge inogona kujekesa.
Mamiriro ezvinhu apo kuongororwa hakusi nyore kuuya, kana kana basa repvo richideredzwa zvakanyanya, tsvina yeutsvo inogona kudiwa.
Ichi chiyero chinopesana apo chikamu chiduku chetsvo chichifanira kuendeswa uye chichidzidzwa pasi microscope. Tsanangudzo yeiyo nzira inoiswa pano.
Kurapa Kwemashiripiti Nephritis
Pane imwe nguva kugadziriswa kwekwenystisiti yekati interstitial nefritis kwave kuri kuitwa, kuedza kwose kunofanirwa kujekesa chikonzero chinokurudzira kuitira kuti chikonzero chekuvhiringidza chibviswe, kana zvichibvira. Semuenzaniso, mumamiriro ezvinhu emishonga-induced interstitial nephritis, kuvhara mishonga inokanganisa ingave yakakosha, uye inowanikwa-nhanho yekutanga danho. Kana pasina mishonga inobatanidzwa, zvino kutsvaga mamwe maitiro ekudzivirira uye anopararira kunofanira kuteverwa.
Mune varwere vane kupera kunonono mumashandiro epso, kazhinji hapana chinhu chinopfuura kungomisa mutadzi anokanganisa inodiwa. Zvisinei, kana kuora kwekuremara kwakagadzikana kuwirirana kwepfungwa yehso kunoonekwa, kuedzwa kwe steroid kunogona kubatsira (mune izvo zvipi zvinogona kurapwa kwenguva yakareba semwedzi 2-3). Muvatachiona vasingatendi kune steroid, imwe mishonga nezita re mycophenolate inogona kutariswa seimwe nzira.
Shoko Rinobva
Interstitial nephritis inoreva kuoma kwakanyanya kana kusingaperi kusinganzwisisiki muinso nekuda kwevanhu vakasiyana-siyana vakaita semishonga, zvirwere, kana kunyange zvirwere zvemotokari. Kukuvadza kwakaitwa kuinso kunogona kubva pakunonoka kuderedzwa, kugadzirisa mafungiro asina hanya. Kuziva chinokonzera chinokonzera kupisa ndiko saka danho rokutanga mukurapwa, asi mishonga se steroid inogona kudiwa.
> Sources
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