Analgesic nephropathy

Analgesic nephropathy inosanganisira kukuvara kune imwe kana mbiri itsvo dzinokonzerwa nekunyanyisa kuwonekera pamisanganiswa yemishonga, kunyanya pamusoro-pe-pari mishonga inorwadza (analgesics).

Analgesic nephropathy inosanganisira kukanganisa mukati mezvimiro zvemukati zveitsvo. Inokonzerwa nekushandisa kwenguva refu kweanalgesics (inorwadza mishonga), kunyanya pamusoro peiyo-the-counter (OTC) mishonga ine phenacetin kana acetaminophen, uye nonsteroidal anti-inflammatory drug (NSAIDs), senge aspirin kana ibuprofen.

Iyi mamiriro inowanzoitika semhedzisiro yekuzvirapa-, kazhinji kune imwe mhando yekurwadziwa kusingaperi.

Njodzi zvinhu zvinosanganisira:

• Kushandiswa kweOTC analgesics ine zvinopfuura chimwe chete chinhu chinoshanda
• Kutora mapiritsi matanhatu kana anopfuura pazuva kwemakore matatu
• Kusingaperi musoro, kurwadziwa kwekuenda kumwedzi, kurwadziwa kumusana, kana kurwadziwa kwemhasuru
• Emotional kana maitiro ekuchinja
• Nhoroondo yehunhu hwakazvibata hunosanganisira kuputa fodya, kunwa doro, uye kushandisa zvakanyanya kunyaradza

Panogona kunge pasina zviratidzo pakutanga. Nekufamba kwenguva, itsvo dzichikuvadzwa nemushonga, zviratidzo zvehosha yeitsvo zvinokura, kusanganisira:

• Kuneta, kushaya simba
• Kuwedzera kweurinary frequency kana kukurumidza
• Ropa mune weti
• Kurwadziwa kwepamberi kana kurwadziwa kumashure
• Yakaderera weti kubuda
• Kuderedza kusvinura, kusanganisira kukotsira, kuvhiringidzika, uye kuneta
• Kupera kwekunzwa, chiveve (kunyanya mumakumbo)
• Nausea, kurutsa
• Kupwanya kuri nyore kana kubuda ropa
• Kuzvimba (edema) mumuviri wese

Anopa hutano anozokuongorora obvunza nezve zviratidzo zvako. Munguva yebvunzo, mupi wako anogona kuwana:

• Ropa rako rakakwira.
• Paunenge uchiteerera ne stethoscope, moyo wako nemapapu zvine mazwi asina kujairika.
• Une kuzvimba, kunyanya mumakumbo ezasi.
• Ganda rako rinoratidza kukwegura kusati kwasvika.

Miedzo inogona kuitwa inosanganisira:

• Yakazara kuverenga ropa
• CT scan yeitsvo
• Intravenous pyelogram (IVP)
• Toxicology skrini
• Kuongorora urinal
• Itsvo Ultrasound

Zvinangwa zvekutanga zvekurapa ndezvekudzivirira kumwe kukuvara kweitsvo uye nekurapa itsvo kutadza. Wako mupi anogona kukuudza kuti usiye kutora ese ekufungidzira marwadzo, kunyanya maOTC zvinodhaka.

Kurapa itsvo kutadza, mupi wako anogona kupa zano kuchinjika kwekushanduka uye kurambidzwa kwemvura. Pakupedzisira, dialysis kana itsvo kupinza inogona kudikanwa.

Kurairwa kunogona kukubatsira iwe kutanga dzimwe nzira dzekudzora kurwadziwa kusingaperi.

Iko kukuvara kune itsvo kunogona kuve kwakanyanya uye kwenguva pfupi, kana kusingaperi uye kwenguva refu.

Matambudziko anogona kukonzerwa neanalropic nephropathy anosanganisira:

• Yakakomba itsvo kutadza
• Kusingaperi itsvo kutadza
• Itsvo kusagadzikana uko nzvimbo dziri pakati peitsvo tubules dzinopisa (interstitial nephritis)
• Tissue rufu munzvimbo dzinowana maburi einounganidza ducts anopinda muitsvo uye uko weti inoyerera ichienda kune ureters (renal papillary necrosis)
• Urinary turakiti hutachiona huri kuenderera kana kuramba uchidzoka
• Kuwedzera kweropa
• Kenza yeitsvo kana ureter

Fonera mupiki wako kana iwe uine chero chinotevera:

• Zviratidzo zveanalgesic nephropathy, kunyanya kana wanga uchishandisa marwadzo ekurwadziwa kwenguva yakareba
• Ropa kana chakasimba zvinhu mune yako weti
• Huwandu hweweti yako hwaderera

Tevedza rairo yemupi wako kana uchishandisa mishonga, kusanganisira OTC zvinodhaka. Usatore zvinopfuura chiyero chakakurudzirwa usati wabvunza mupi wako.

Phenacetin nephritis; Nephropathy - inozorodza

• Itsvo anatomi

Aronson JK. Paracetamol (acetaminophen) uye musanganiswa. Mune: Aronson JK, eds. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 474-493.

Parazella MA, Rosner MH. Zvirwere zveTubulointerstitial. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 35.

Segal MS, Yu X. Mishonga yemushonga uye inopfuura-the-counter uye itsvo. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chits. 76.