Nephrocalcinosis

Nephrocalcinosis chirwere umo mune calcium yakawandisa yakaiswa muitsvo. Zvakajairika muvana vasati vasvika.

Chero kusagadzikana kunotungamira kune yakakwira mwero wecalcium muropa kana weti kunogona kutungamira kune nephrocalcinosis. Mune kusagadzikana uku, calcium inoisa mune yeitsvo tishu pachayo. Kazhinji yenguva, itsvo mbiri dzinokanganiswa.

Nephrocalcinosis ine hukama, asi haina kufanana neiyo itsvo matombo (nephrolithiasis).

Mamiriro ezvinhu anogona kukonzera nephrocalcinosis anosanganisira:

• Alport syndome
• Bartter chirwere
• Chisingaperi glomerulonephritis
• Yakakurumbira hypomagnesemia
• Medullary chipanje tsvo
• Primary hyperoxaluria
• Renal kuisazve kurambwa
• Renal tubular acidosis (RTA)
• Renal cortical necrosis

Zvimwe zvinokonzeresa nephrocalcinosis zvinosanganisira:

• Ethylene glycol chepfu
• Hypercalcemia (yakawandisa calcium muropa) nekuda kwehyperparathyroidism
• Kushandiswa kwemimwe mishonga, yakadai seacetazolamide, amphotericin B, uye triamterene
• Sarcoidosis
• Tuberculosis yeitsvo uye hutachiona hune hukama neAIDS
• Vitamin D chepfu

Kazhinji yenguva, hapana zviratidzo zvekutanga zve nephrocalcinosis kupfuura izvo zvemamiriro acho zvichikonzera dambudziko.

Vanhu vane zvakare itsvo mabwe vanogona kuva:

• Ropa mune weti
• Fivha uye kutonhora
• Kusvotwa uye kurutsa
• Kurwadziwa kwakanyanya mudumbu, mativi emusana (kumucheto), kugomera, kana machende

Gare gare zviratidzo zvine chekuita nephrocalcinosis zvinogona kunge zvine chekuita nekureba-kwenguva (kusingaperi) itsvo kutadza.

Nephrocalcinosis inogona kuwanikwa kana zviratidzo zvekushaiwa kukwana, itsvo kutadza, kuvharidzira uropathy, kana matombo eurinani.

Kufungidzira bvunzo kunogona kubatsira kuongorora iyi mamiriro. Miedzo inogona kuitwa inosanganisira:

• Abdominal CT scan
• Ultrasound yeitsvo

Mimwe miedzo inogona kuitwa kuti iongorore uye kuona kuomarara kwezvinetso zvinosangana zvinosanganisira:

• Ropa bvunzo kutarisa huwandu hwecalcium, phosphate, uric acid, uye parathyroid hormone
• Urinalysis kuona makristasi uye kutarisa masero matsvuku eropa
• Yemaawa makumi maviri nemasere muunganidzwa weti kuyera acidity uye mazinga e calcium, sodium, uric acid, oxalate, uye citrate

Chinangwa chekurapa ndechekuderedza zviratidzo uye kudzivirira yakawanda calcium kubva pakuvaka mukati itsvo.

Kurapa kunosanganisira nzira dzekudzora zvisina kujairika huwandu hwecalcium, phosphate, uye oxalate muropa uye weti. Sarudzo dzinosanganisira kuita shanduko mukudya kwako uye kutora mishonga uye zvinowedzera.

Kana iwe ukatora mushonga unokonzera kurasikirwa necalcium, wako wekuchengeta hutano anokuudza kuti urege kuutora. Usamborega kutora chero mushonga usati wataura nemupi wako.

Zvimwe zviratidzo, kusanganisira itsvo matombo, zvinofanirwa kurapwa sezvakakodzera.

Chii chaunotarisira chinoenderana nematambudziko uye chinokonzera kusagadzikana.

Kurapa kwakakodzera kunogona kubatsira kudzivirira kumwe kuiswa muitsvo. Muzviitiko zvakawanda, hapana nzira yekubvisa mari yatove nekuumbwa. Mazhinji madhiri ecalcium muitsvo HAZVI nguva dzose zvinoreva kukuvadza kwakanyanya kune itsvo.

Zvinetso zvinogona kusanganisira:

• Yakakomba itsvo kutadza
• Yenguva refu (isingaperi) itsvo kutadza
• Itsvo matombo
• Kudzivirira uropathy (yakaoma kana isingagumi, isina kubatana kana yepakati)

Fonera mupiki wako kana iwe uchiziva kuti une chirwere chinokonzera kukwirira kwecalcium muropa rako uye weti. Zvakare fona kana iwe ukaita zviratidzo zve nephrocalcinosis.

Kukurumidza kurapwa kwekusagadzikana kunotungamira nephrocalcinosis, kusanganisira RTA, kunogona kubatsira kudzivirira kubva mukukura. Kunwa mvura yakawanda kuti ichengetedze itsvo uye kudhizaina kunobatsira kudzivirira kana kudzikisira kuumbwa kwematombo zvakare.

• Itsvo mabwe - chii kubvunza chiremba wako

• Urume urinary system

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Chen W, Monk RD, Bushinsky DA. Nephrolithiasis uye nephrocalcinosis. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 57.

Tublin M, Levine D, Thurston W, Wilson SR. Itsvo uye weti turakiti. Mu: Rumack CM, Levine D, eds. Kuongorora Ultrasound. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 9.

Vogt BA, Springel T. Iyo itsvo uye weti turakiti yeaneonate. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 93.