Lupus nephritis

Lupus nephritis, chinova chirwere cheitsvo, chinetso che systemic lupus erythematosus.

Systemic lupus erythematosus (SLE, kana lupus) chirwere chemuviri. Izvi zvinoreva kuti pane dambudziko nema immune system.

Kazhinji, immune system inobatsira kudzivirira muviri kubva kuhutachiona kana zvinhu zvinokuvadza. Asi mune vanhu vane autoimmune chirwere, immune system haigone kusiyanisa mutsauko pakati pezvinhu zvinokuvadza nehutano. Nekuda kweizvozvo, immune system inorwisa mamwe maseru ane hutano uye zvinyama.

SLE inogona kukuvadza zvikamu zvakasiyana zveitsvo. Izvi zvinogona kutungamira kumatambudziko akadai se:

• Kupindirana nephritis
• Nephrotic chirwere
• Chirangaridzo glomerulonephritis
• Itsvo kutadza

Zviratidzo zve lupus nephritis zvinosanganisira:

• Ropa mune weti
• Kupenga furo kune weti
• Kuzvimba (edema) kwenzvimbo ipi neipi yemuviri
• Kuwedzera kweropa

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve zviratidzo zvako. Ruzha rusinganzwisisike runogona kunzwika kana mupi achiteerera kumoyo nemapapu.

Miedzo inogona kuitwa inosanganisira:

• ANA titer
• BUN uye creatinine
• Zadzisa mazinga
• Kuongorora urinal
• Weti mapuroteni
• Itsvo biopsy, kuona yakakodzera kurapwa

Chinangwa chekurapa ndechekuvandudza itsvo mashandiro uye kunonoka itsvo kutadza.

Mishonga inogona kusanganisira mishonga inodzvinyirira immune system, senge corticosteroids, cyclophosphamide, mycophenolate mofetil, kana azathioprine.

Iwe ungangoda dialysis kudzora zviratidzo zveitsvo kutadza, dzimwe nguva kwechinguva chidiki. Kuiswa kweitsvo kunogona kukurudzirwa. Vanhu vane lupus inoshanda havafanirwe kuve nekutapira nekuti mamiriro acho anogona kuitika muitsvo yakasimwa.

Unoita zvakanaka sei, zvinoenderana nechero fomu ye lupus nephritis. Iwe unogona kunge uine flare-ups, uyezve nguva paunenge usina kana zviratidzo.

Vamwe vanhu vane chirwere ichi vanokura kwenguva refu (chisingaperi) itsvo kutadza.

Kunyangwe lupus nephritis inogona kudzoka mune itsvo yakasimwa, haiwanzo kutungamira kumagumo-chikamu cheitsvo chirwere.

Matambudziko anogona kukonzerwa ne lupus nephritis anosanganisira:

• Chakakomba itsvo kutadza
• Kukundikana kusingaperi kwechirwere

Fonera mupiki wako kana iwe uine ropa mumuti wako kana kuzvimba kwemuviri wako.

Kana iwe uine lupus nephritis, fonera mupi wako kana iwe ukaona kuderera kweweti kubuda.

Kurapa lupus kunogona kubatsira kudzivirira kana kunonoka kutanga kwe lupus nephritis.

Nephritis - lupus; Lupus glomerular chirwere

• Itsvo anatomi

Hahn BH, McMahon M, Wilkinson A, uye al. American College yeRheumatology mirayiridzo yekuongorora, tsananguro yenyaya, kurapwa uye manejimendi ye lupus nephritis. Arthritis Kuchengeta Res (Hoboken). 2012; 64 (6): 797-808. PMCID: 3437757 www.ncbi.nlm.nih.gov/pmc/articles/PMC3437757.

Wadhwani S, Jayne D, Rovin BH. Lupus nephritis. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 26.