Nephritic syndrome - choyenera kuchita chiyani kuti musapewe mavuto?

Nephritic syndrome ndi zizindikiro zonse zozizwitsa zomwe zimasonyeza kupweteka kwa impso. Nthawi zambiri amapezeka kwa odwala ali ndi glomerulonephritis. M'kupita kwanthaŵi, matenda owonetseredwawa amalola kuyamba koyenera kwa chithandizo cha mankhwala ndikupewa zotsatira zoopsa.

Kodi pali kusiyana kotani pakati pa matenda a nephrotic ndi matenda a nephritic?

Odwala ena saona kusiyana kwakukulu pakati pa zizindikiro ziwirizi, koma pali kusiyana. Jade ndi kutupa kwa impso, ndipo nephrosis ndi kugonjetsedwa kwawo. Wotsirizira ali ndi mawonetseredwe ochuluka kwambiri. Nephrosis ikhoza kuphatikizapo kutupa kochepa mu impso ndi imfa yawo. Izi syndromes ndi zosiyana kwambiri. Kusiyanasiyana kumawonekera pa zifukwa ndi njira za chitukuko cha matenda.

Matenda a Nephritic ndi nephrotic ali ndi awa:

1. Malo ogonjetsedwa. Mu nephritis, zochitika zapachilengedwe zimayikidwa mu renal glomeruli. Maderawa amayamba kutentha, motero, madziwa amalowa m'thupi. Mu nephros, kuwonjezeka kwa mapuloteni-lipid mankhwala mu maselo a epithelium kumaonedwa. Zotsatira zake, pali kuphwanya njira zamagetsi.
2. Sinthani kusinthika kwa magazi. Ndi matenda a nephrotic, albumin yambiri yamadzimadzi imachepa. Komanso, magazi coagulability akuwonjezeka.
3. Hematuria. Matenda a nephritic amaphatikizidwa ndi kukhalapo kwa maselo ofiira a m'magazi. Ichi, makamaka, chizindikiro chachikulu cha matendawa.

Ngati tilingalira momwe matenda a nephrotic ndi nephritic syndrome amasiyana, kusiyana pakati pawo kumawonekera pa kukula kwa matendawa. Poyamba, matendawa akuyenda mofulumira, mofulumira kukulirakulira ndipo posachedwapa angayambitse vuto la impso. M'chigawo chachiwiri, zizindikiro za matendawa zimangowonekera pambuyo pa masabata awiri pambuyo pa zotsatira za thupi la thupi.

Nephritic syndrome - pathogenesis ya mawonetseredwe ake apamwamba

Zomwe zimayambitsa matendawa ndizosiyana kwambiri. Kuchokera pathogenesis ya mitundu iyi ya matenda:

• choyambirira - chimagwirizanitsidwa ndi ndondomeko ya matenda omwe imapezeka mu impso;
• chachiwiri - chimbudzichi chimapezeka m'magulu angapo omwe amapezeka, ndipo kenako amapita kumagetsi a glomerular.

Nephritic syndrome pathogenesis ili ndi izi:

• Matenda a chiwindi (hepatitis, mononucleosis , herpes);
• Matenda omwe amadziwika nawo ( scleroderma , lupus erythematosus, vasculitis);
• Matenda a bakiteriya (meningitis, typhoid of the abdominal, endocarditis );
• matenda opatsirana a streptococcal;
• yankho la katemera;
• kuwotcha thupi kwa thupi;
• kupweteka kwa mitsempha yamphongo;
• shuga ;
• zimakhudza thupi la poizoni ndi poizoni.

Komanso, matendawa ali ndi mitundu iyi:

• chakuthwa;
• osatha.

Matenda a nephritic

Mtundu uwu wa matendawa ukuwonetsedwa ndi kusintha kwakukulu kwa makompyuta a glomerular. Kuwonjezera pamenepo, matenda a nephritic ndi achulukidwe a chitukuko. Zizindikiro zake zonse zikhoza kukhala zogawidwa m'zinthu zamakono komanso zopanda pake. Ku gulu loyamba la zizindikiro, lomwe limakhala ndi vuto lalikulu la nephritic syndrome, lingatanthauzidwe kuti:

• Kukhalapo kwa maselo ofiira a m'magazi;
• Kutupa kwa nkhope kuyambira m'mawa ndi mapazi mpaka madzulo;
• Kuwonjezeka mu mtima wamtima ndi kuthamanga kwa magazi;
• kulimbikitsa ludzu ndi oligoanuria;
• kuwonongeka kwa mitsempha ya magazi.

Pa matenda ovuta a nephritic syndrome zizindikiro zosazindikirika ndizo:

• kupweteka kwa lumbar;
• kuwonjezeka pang'ono pa kutentha kwa thupi;
• General malaise, limodzi ndi mutu waukulu;
• kupindula;
• kuchepa mu ntchito.

Chronic neicritic syndrome

Ndipotu izi ndi zotsatira za kunyalanyaza thanzi la munthu. Ngati nthenda ya nephritic yovuta siipempha chithandizo chamankhwala, matendawa adzalowera mu mawonekedwe osatha. Kulimbana ndi matenda panthawiyi ndi kovuta kwambiri kuposa poyamba. Mwachizoloŵezi cha matendawa, adokotala sadzangotsiriza kuthetsa vutoli, komanso "kuyeretsa" zotsatira zake. Pa chifukwa chimenechi, pamene chizindikiro choyamba chikuwoneka bwino chomwe chimasonyeza kuti nephritic syndrome ikuyamba kuonekera, ndizopangira mkodzo, muyenera kupita kwa dokotala. Kuchita zinthu mopambanitsa kumayambitsa moyo!

Nephritic syndrome - matenda

Asanasankhe njira yothandizira, dokotala adzalamula kwa wodwala labotale ndi kuyesedwa kwapadera. Matenda a Nephrotic ndi nephritic differential diagnosis angatsimikizire. Zikuphatikizapo njira izi:

• kuyesa magazi;
• CT;
• Ultrasound;
• smear kummero;
• zojambula;
• kukonza;
• coagulogram;
• biopsy a maselo a impso.

Nephritic syndrome - urinalysis

Chifukwa cha kusayidwa kwa impso, mafuta a oliguria amadziwika (kuchuluka kwake kwa madzi omwe amachotsedwa kumachepera 0,5 malita patsiku). Pa nthawi yomweyo, kuchuluka kwa mkodzo kumawonjezeka. Kuwonjezera apo, ngati pali kukayikira kwa nephrotic ndi nephritic syndrome, mapuloteni apamwamba amapezeka mu madzi omwe achoka ku thupi. M'masiku oyambirira a matendawa, chizindikirochi chingakhale 40-90 g / l.

Ndiponso, kutsimikizira nephritic nephritic urinary syndrome, wodwalayo akhoza kupatsidwa mayeso a minofu a ma laboratory:

• Kufufuza kwa Nechiporenko;
• Kufufuza kochepa kwambiri;
• Mayeso a Reberg;
• kuchiritsa;
• mayesero monga Zimnitsky.

Nephritic syndrome - mankhwala

Mankhwalawa amachitikira kuchipatala, choncho dokotala amatha kuona zomwe zikuchitika. Matenda a nephritic ndi ochiritsidwa, ndipo poyambirira wodwalayo amapita kuchipatala, njira yowonongeka ndiyosavuta komanso yofulumira. Kukonzekera kwa mankhwala kumaphatikizidwa potsatira njira zotsatirazi:

• normalization wa mapuloteni m'mwazi;
• kupewa matenda;
• kukhazikika kwa magazi;
• normalization ya diuresis.

Nehritic urinary syndrome imachiritsidwa ndi mankhwala ngati awa:

1. Maantibayotiki (Erythromycin, Cephalosporin kapena Penicillin) amagwiritsidwa ntchito polimbana ndi tizilombo toyambitsa matenda.
2. Kuti mukhale ndi tizilombo toyambitsa matenda, perekani maantibiobi (Hilak forte, Acipol, Bifidumbacterin).
3. Pofuna kuthetsa ndondomekoyi, glucocorticosteroids (nthawi zambiri Prednisolone) imagwiritsidwa ntchito.
4. Kuonjezera chitetezo cha thupi kwa opatsirana opatsirana kumathandizidwa ndi immunostimulants (Cytovir, Immunal).
5. Pofuna kuchepetsa edema, zimagwiritsidwa ntchito (Hypothiazide, Trigrim, Furosemide).
6. Limbikitsani thupi ndi vitamini complexes (Vitrum, Selmevit).

Nephritic syndrome mu matenda a shuga

M'kupita kwanthaŵi, matenda opezeka kuti ndi odwala amachira mosavuta. Ngati mankhwalawa atatsimikiziridwa amatsimikizira kuti amayamba kukhala ndi matenda a shuga, mankhwalawa amachitika mogwirizana ndi dongosolo lapadera. Chithandizo pa nkhaniyi chikuphatikizapo izi:

1. Kusintha kwa shuga mu magazi.
2. Kutenga matenda oopsa.
3. Kusintha kwa kolesterolini.
4. Thandizo ndi kukhazikitsidwa kwa Sulodexide (kawiri pachaka).

Nephritic syndrome ndi glomerulonephritis

Polimbana ndi matendawa, mankhwala opangidwa ndi mankhwala akuphatikizidwa ndi mankhwala osagwiritsa ntchito mankhwala. Otsatirawa akuphatikizapo kutsata boma ndi pulogalamu yapadera ya zakudya. Matenda a urinary ndi glomerulonephritis akhoza kugonjetsedwa ngati wina amatsatira chakudya chotero:

1. Kuchepetsa kuchuluka kwa madzi akumwa.
2. Pewani zakudya za zokometsera, zonunkhira, mowa, khofi komanso tiyi wamphamvu.
3. Pewani kumwa mchere.