Nephrotic syndrome inogona kusangana nechirwere chepfungwa nekuda kweshuga, zvinodhaka, nezvimwe
Nehrotic syndrome inosanganiswa mune zvimwe zvikamu zvekuchikoro zvinogona kuonekwa kune varwere vane chirwere chepfungwa. Saka, iko, kuongororwa kwekliniki uye kwete chirwere chairo pachako. Inogona kuonekwa mumhando dzakasiyana-siyana dzinotungamirira kune iyo. Kubatanidzwa kwezvisina kukodzera zvakakonzerwa pamwe pasi pemuburazwi izwi rokuti nephrotic syndrome rinosanganisira:
- Yakakura proteinuria, kana kurasikirwa kwemaitiro asina kukodzera mapuroteni mumuguta
- Low protein yepamusoro muropa
- Edema / kuzvimba mumuviri
- High cholesterol muropa
- Nzira inokwanisika yekuumba ropa
Iyo Inokura Sei
Kuchinja muinso 'filter (inonzi glomerulus ) kunogona kutungamirira kuNephrotic syndrome. Izvi zvinogona kuitika pachavo pachavo pasina tsanangudzo yakajeka asi inowanzoonekwa nekuda kwekukuvadza kune itsvo 'filter kubva kune dzimwe zvirwere zvinotaurwa pasi apa. Pasinei nechinokonzera, kushanduka muhutano fomu yehutano kunotungamirira kusakanganiswa mubasa rayo.
Kazhinji itsvo filfuta inogadzirwa nenzira yakadaro inobvumira zvimwe zvinhu / tsvina kubva kunze kweropa kusvika mumuguta. Iyo inomira kumashure makuru makuru semaprotini particles akawanikwa muropa (rimwe rayo iri albumin). MuNephrotic syndrome, iyo firati inorasikirwa kukwanisa kwayo kusarura pakati pezvinhu zvinopfuura napo, uye kunyange mikuru yakakura semapurotini inotanga kunyura mumuguta.
Izvi zvinogadzirisa kuitika kwezviitiko zvinotungamirira kuzere-roseged nephrotic syndrome. Nenzira imwechete, zvinhu zvakanaka zvinopinda mumuguta pamwe chete nezvakaipa, uye muviri unotanga "kukanda mwana kunze kwebhaji".
Ndezvipi Zvirwere Zvingaita Zvinetso Zvakaita Nehrotic Syndrome
Nehrotic syndrome inogona kuitika mumamiriro akasiyana-siyana.
Zvisinei, dzimwe nguva hapana chikonzero chinogona kuonekwa. Zvimwe zvirwere zvinowanzozivikanwa zvinokonzera kuchinja kunotungamirira kuNephrotic syndrome zvinosanganisira:
- Diabetes mellitus
- Mamwe mishonga se bisphosphonates (inoshandiswa kurapa osteoporosis), NSAID painkillers, uye nezvimwe
- Kudzivirira zvirwere zvakadai se lupus
- Izvo zvinogona kuitika zvakafanana nemamwe makondombera
- Zvirwere zvisingagoneki kuburikidza nemaitiro asinganzwisisiki ezvirwere zvingaita dzimwe nguva zvinotungamirira kuNephrotic syndrome. HIV ndiyo muenzaniso wakawanda.
- Zvimwe zvinokonzerwa nezvakatipoteredza
Kuziva
Sezvataurwa pamusoro apa, kuongororwa nephrotic syndrome kunosanganisira kuonga kubatana kwezvitsva zvinokonzera nephrotic syndrome. Kazhinji, kunetseka kunoiswa mumurwere pamwe chete pasina chimwe chikonzero chekudzungaira pameso kana mumakumbo. Kuongorora kweizvi kunowanzosanganisira kuongorora urine. Izvi zvingadaro zvinoratidzira kurasika kwakanyanya kweprotheni mumuguta. Dzimwe nguva varwere vane mapuroteni akakurumbira akakurumbira mumuguta vachanyunyutira kuona mhepo yakadzika kana kuti mumugini. Zvimwe zvisingaiti sezvakaita pasi peprotheni muropa kana kuti high cholesterol mazinga zvinogonawo kuonekwa pamatare ekuongorora.
Zvose izvi zvinotarisana nepamusoro hazvingaiti kuti zvione chikonzero cheNephrotic syndrome. Kana chikonzero chacho chisingaoneki pamagariro echipatara, chirwere chetsvo chinowanzofanira kuitwa kuti chione chinonzi chirwere chinokonzera nephrotic syndrome.
Matambudziko
Nehrotic syndrome nemhaka yezvirwere zvimwe zvingagadzirisa pachayo pachayo. Zvisinei, kusarudzwa nephrotic syndrome kunogona kuva nemigumisiro inokuvadza.
- Chimwe chinonyanya kujeka chiri kufambira mberi kwekukurira kweiyo itsvo 'basa , uye kukwanisa kwayo kusvina zvinhu zvakasvibiswa uye kuwedzera kwemvura kunobva mumuviri.
- High cholesterol mazinga anoonekwa muinephrotic syndrome ichawedzera ngozi yehutano hwehutano.
- Varwere vanewo njodzi yakakura yokuumba ropa uye vanogona kuona masangano akadai semvura yakadzika yepisin thrombosis uye mapurmary embolism inobudirira.
- Kuwedzerwa kwehutachiona hwehutachiona kunoonekwa nekuda kwekurasikirwa kwezvidziviriro zvinorwisa (izvo zviriwo mapuroteni) mumuguta.
Kurapa
Kuti uite nephrotic syndrome, iwe kutanga unoda kuziva kuti nei une nephrotic syndrome. Kana chikonzero chacho chisingaoneki pamakiriniki ehupfumi chete, chirwere chepfungwa chichave chakakosha kupindura mubvunzo uyu. Pane imwe nguva chikonzero chaicho chinoratidzwa, kurapa kunogona kusanganisira kusanganiswa kwemishonga yakasiyana-siyana inobva renin-angiotensin inodzivirira kushandisa ropa kumishonga (inonzi ACE inhibitors kana angiotensin receptor blockers), kune steroid, kune dzimwe zvirwere zvinoshandiswa pakuzivikanwa (se cyclosporine), nezvimwe. mamiriro ezvinhu anonyatsorapwa nekutsvaga mazano emumwe nyanzvi wezvenyeredzi .
Yeuka, mugumisiro wekubudirira mushonga zvakare unobva pane chikonzero. Dzimwe humwe hurumende dzakawanda dzinogona kunge dzichida kurapwa, asi vamwe havangatombotauri kune bhomba guru kunze uko.
Mushonga chaiwo unofanirwa kuve wakabatanidzwa nekutarisa kwekutarisa zvinetso zvingadai zvakagadzirwa. Nokudaro mapiritsi emvura akafanana nefurosemide angave akadikanwa kubata chirwere chikuru chinowanzoonekwa. Ropa rakapfupa rinogona kudiwa kune vamwe varwere kudzivirira ropa. Kudya kwepasi-sodium nguva dzose kunowanzodiwa.