Acute nephritic chirwere

Acute nephritic syndrome iboka rezviratidzo zvinoitika nekumwe kunetseka kunokonzera kuzvimba uye kuzvimba kweglomeruli muitsvo, kana glomerulonephritis.

Acute nephritic syndrome inowanzo kukonzerwa ne immune immune inokonzerwa nehutachiona kana chimwe chirwere.

Zvinowanzokonzera muvana nevechiri kuyaruka zvinosanganisira:

• Hemolytic uremic syndrome (kusagadzikana kunoitika kana hutachiona muhurongwa hwekudya hwaburitsa zvinhu zvine chepfu zvinoparadza masero matsvuku eropa uye zvichikonzera kukuvara kwetsvo)
• Henoch-Schönlein purpura (chirwere chinosanganisira mavara epepuru paganda, marwadzo akabatana, matambudziko emimba uye glomerulonephritis)
• IgA nephropathy (kusagadzikana umo maantibodies anonzi IgA anovaka muitsvo tishu)
• Post-streptococcal glomerulonephritis (itsvo kusagadzikana kunoitika mushure mekutapukirwa nemamwe maronda e streptococcus bacteria)

Zvinowanzoitika kune vanhu vakuru zvinosanganisira:

• Abdominal abscesses
• Goodpasture syndrome (kusagadzikana uko immune system inorwisa iyo glomeruli)
• Hepatitis B kana C
• Endocarditis (kuzvimba kwemukati memukati memakamuri emoyo uye mavharuvhu emwoyo anokonzerwa nehutachiona kana hutachiona hutachiona)
• Membranoproliferative glomerulonephritis (kusagadzikana kunosanganisira kuzvimba uye shanduko kune itsvo maseru)
• Inokurumidza kufambira mberi (crescentic) glomerulonephritis (chimiro che glomerulonephritis inotungamira kukurumidza kurasikirwa kweitsvo basa)
• Lupus nephritis (itsvo kuomarara kwe systemic lupus erythematosus)
• Vasculitis (kuzvimba kwemitsipa yeropa)
• Zvirwere hutachiona hwakadai se mononucleosis, gwirikwiti, mamota

Iko kuzvimba kunokanganisa mashandiro eglomerulus. Ichi chikamu cheitsvo chinosefa ropa kuita weti nekubvisa marara. Nekuda kweizvozvo, ropa uye mapuroteni anoonekwa mumuguta, uye kuwanda kwemvura kunowedzera mumuviri.

Kuzvimba kwemuviri kunoitika kana ropa rarasikirwa neprotein inonzi albumin. Albumin inochengeta mvura mumidziyo yeropa. Kana yarasika, mvura inoungana munyama dzemuviri.

Ropa kurasikirwa kubva kune dzakakanganiswa zvimiro zveitsvo zvinotungamira muropa mune weti.

Zviratidzo zvakajairika zveNephritic syndrome ndezvi:

• Ropa mumurini (urini inoratidzika serima, tii-mavara, kana makore)
• Yakadzikira weti kubuda (shoma kana isina weti inogona kugadzirwa)
• Kuzvimba kwechiso, soketi yeziso, makumbo, maoko, maoko, tsoka, dumbu, kana dzimwe nzvimbo
• Kuwedzera kweropa

Zvimwe zviratidzo zvinogona kuitika zvinosanganisira:

• Kuona kwakadzima, kazhinji kubva pakubuda kwetsinga dzeropa muziso reziso
• Kukosora kune mucus kana pinki, yakasviba fosi kubva kune fluid buildup mumapapu
• Kupfupika kwemweya wekufema, kubva pakuwanda kwemvura mumapapu
• Kazhinji kurwara (malaise), kukotsira, kuvhiringidzika, kurwadziwa uye kurwadziwa, kurwadziwa nemusoro

Zviratidzo zveakanyanya itsvo kutadza kana kwenguva refu (isingagumi) chirwere cheitsvo chinogona kukura.

Munguva yekuongorora, mupi wako wezvehutano anogona kuwana zvinotevera zviratidzo:

• Kuwedzera kweropa
• Mwoyo usina kujairika uye mapapu anonzwika
• Zviratidzo zvekuwedzeredza fluid (edema) senge kuzvimba mumakumbo, maoko, kumeso uye mudumbu
• Yakawedzera chiropa
• Akawedzera mitsipa mumutsipa

Miedzo inogona kuitwa inosanganisira:

• Ropa electrolyte
• Ropa urea nitrogen (BUN)
• Creatinine
• Chibvumirano cheCreatinine
• Potassium bvunzo
• Mapuroteni mumurini
• Kuongorora urinal

Itsvo biopsy inoratidza kuratidzwa kweiyo glomeruli, iyo inogona kuratidza chinokonzera mamiriro acho.

Kuyedza kutsvaga chikonzero cheacute nephritic syndrome inogona kusanganisira:

• ANA titer ye lupus
• Antiglomerular yepasi membrane membrane antibody
• Antineutrophil cytoplasmic antibody yevasculitis (ANCA)
• Tsika yeropa
• Tsika yehuro kana ganda
• Serum mukwanisi (C3 uye C4)

Chinangwa chekurapa ndechekuderedza kuzvimba muitsvo uye kudzora kukwira kweropa. Ungangoda kugara muchipatara kuti uone uye ubatwe.

Mupi wako anogona kukurudzira:

• Bedrest kusvikira iwe uchinzwa zvirinani nekurapwa
• Kudya kunogumira munyu, zvinwiwa, uye potasium
• Mishonga yekudzivirira kukwirira kweropa, kuderedza kuzvimba, kana kubvisa mvura kubva mumuviri wako
• Itsvo dialysis, kana zvichidikanwa

Maonero anoenderana nechirwere chiri kukonzera nephritis. Kana mamiriro acho akavandudzika, zviratidzo zvekuchengetwa kwemvura (senge kuzvimba uye kukosora) uye kuwedzerwa kweropa kunogona kupera muvhiki rimwe kana maviri. Weti miedzo inogona kutora mwedzi kuti udzokere pane zvakajairwa.

Vana vanowanzoita zvirinani kupfuura vakuru uye kazhinji vanopora zvakakwana. Kashoma chete pavanogadzira kusagadzikana kana kufambira mberi kune chisingaperi glomerulonephritis uye chisingaperi cheitsvo

Vakuru havazopora zvakare kana nekukurumidza sevana. Kunyangwe zvisingawanzoitika kuti chirwere ichi chidzoke, kune vamwe vanhu vakuru, chirwere chinodzoka uye vanozoita yekupedzisira-chikamu cheitsvo chirwere uye vangangoda dialysis kana itsvo kuisazve.

Fonera mupiki wako kana iwe uine zviratidzo zveacute nephritic syndrome.

Kazhinji, kusagadzikana hakugone kudzivirirwa, kunyangwe kurapwa kwechirwere uye hutachiona kunogona kubatsira kudzikisa njodzi.

Glomerulonephritis - yakaoma; Chirwere chinonzi glomerulonephritis; Nephritis syndrome - yakaoma

• Itsvo anatomi
• Glomerulus uye nephron

Radhakrishnan J, Appel GB. Glomerular kusagadzikana uye nephrotic syndromes. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 113.

Saha M, Pendergraft WF, Jennette JC, Falk RJ. Chirwere chepakutanga chinoratidzira. 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. 31.