Minimal shanduko chirwere

Minimal shanduko chirwere chirwere cheitsvo icho chinogona kutungamira kune nephrotic syndrome. Nephrotic syndrome iboka rezviratidzo zvinosanganisira mapuroteni mumurini, mapuroteni eropa mashoma muropa, cholesterol yakawanda, mwero we triglyceride, uye kuzvimba.

Itsvo yega yega inogadzirwa neunopfuura mamirioni mayuniti anonzi nephrons, ayo anosefa ropa nekugadzira weti.

Mune zvishoma shanduko chirwere, pane kukuvara kune iyo glomeruli. Iyi ndiyo midziyo midiki yeropa iri mukati mefroni panosvinwa ropa kuita weti nemarara zvinobviswa. Chirwere ichi chinowana zita racho nekuti kukuvara uku hakuoneke pasi pechinhu chinowanzoonekwa nemaikorosikopu. Inogona kungoonekwa chete pasi pemaikorosikopu ine simba kwazvo inonzi iyo elektroni maikorosikopu.

Minimal shanduko chirwere ndicho chinonyanya kukonzera chikonzero nephrotic syndrome muvana. Izvo zvinoonekwawo muvakuru vane nephrotic syndrome, asi haina kujairika.

Chikonzero hachizivikanwe, asi chirwere chinogona kuitika mushure kana kuve nehukama ne:

• Allergic maitiro
• Kushandiswa kweNSAIDs
• Mamota
• Zvirwere (furu uye pneumococcal, kunyange zvisingawanzoitiki)
• Utachiona hutachiona

Panogona kuve nezviratidzo zvephrotic syndrome, kusanganisira:

• Kutaridza kupenga kweiyo weti
• Chido chisina kunaka
• Kuzvimba (kunyanya kutenderedza maziso, tsoka, uye makumbo, uye mudumbu)
• Kurema kwehuremu (kubva mukuchengetedza kwemvura)

Chishoma shanduko chirwere hachidzikise huwandu hweti yakaburitswa. Izvo hazviwanzo kufambira mberi kune itsvo kutadza.

Anopa hutano anogona kusakwanisa kuona chero zviratidzo zvechirwere, kunze kwekuzvimba. Ropa uye weti bvunzo zvinoratidza zviratidzo zveinephrotic syndrome, inosanganisira:

• Cholesterol yakakwira
• Yakakwira mazinga epuroteni mumugini
• Akadzika mazinga ealbumin muropa

Itsvo biopsy uye kuongororwa kweiyo tishu neelectron maikorosikopu kunogona kuratidza zviratidzo zveshoma shanduko chirwere.

Mishonga inonzi corticosteroids inogona kuporesa kushanduka kushoma kwechirwere muvana vazhinji. Vamwe vana vangangoda kugara pasteroids kuti chirwere ichi chisadzoke.

Steroid inoshanda muvakuru, asi zvishoma muvana. Vakuru vanogona kuve vachidzokorora kakawanda uye vozovimba nesteroid.

Kana steroid isingashande, mupi angangodaro ataura mimwe mishonga.

Kuzvimba kunogona kurapwa ne:

• ACE inhibitor mishonga
• Ropa rekumanikidza kutonga
• Diuretics (mapiritsi emvura)

Iwe unogona zvakare kuudzwa kuti udzikise huwandu hwemunyu mukudya kwako.

Vana vanowanzo pindura zvirinani kune corticosteroids kupfuura vanhu vakuru. Vana vanowanzo pindura mukati memwedzi wekutanga.

Kudzokerazve kunogona kuitika. Mamiriro acho anogona kuvandudzika mushure mekurapwa kwenguva refu necorticosteroids nemishonga inodzvinyirira immune system (immunosuppressants).

Fonera mupiki wako kana:

• Unovandudza zviratidzo zvekushomeka kwechirwere
• Iwe une kusagadzikana uku uye zviratidzo zvako zvinowedzera
• Unovandudza zviratidzo zvitsva, zvinosanganisira mhedzisiro kubva kumishonga inoshandiswa kurapa kusagadzikana

Minimal shanduko nephrotic syndrome; Nil chirwere; Lipoid nephrosis; Idiopathic nephrotic syndrome yehudiki

• Glomerulus uye nephron

Appel GB, Radhakrishnan J, D'Agati VD. Sekondari glomerular chirwere. 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. 32.

Erkan E. Nephrotic chirwere. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 545.