Poststreptococcal glomerulonephritis (GN)

Poststreptococcal glomerulonephritis (GN) chirwere cheitsvo chinoitika mushure mekutapukirwa nehumwe hutachiona hwehutachiona hwe streptococcus.

Poststreptococcal GN chimiro che glomerulonephritis. Iyo inokonzerwa nehutachiona nemhando ye streptococcus bacteria. Hutachiona hauitike muitsvo, asi mune chimwe chikamu chemuviri, senge ganda kana huro. Dambudziko rinogona kukura kwemasvondo maviri kana maviri mushure mekurapwa hutachiona hutachiona, kana masvondo matatu kusvika mana mushure mehutachiona hweganda.

Zvinogona kuitika muvanhu vezera ripi zvaro, asi zvinowanzoitika muvana vane makore matanhatu kusvika gumi. Kunyange hazvo hutachiona hweganda nehuro hwakajairika muvana, poststreptococcal GN haiwanzo kuve kusangana kweizvi hutachiona. Poststreptococcal GN inokonzeresa iyo tudiki tsinga dzeropa muzvikamu zvekusefa zveitsvo (glomeruli) kuti zvitsve. Izvi zvinoita kuti itsvo dzisakwanise kusefa weti.

Mamiriro acho haana kujairika nhasi nekuti hutachiona hunogona kukonzera kusagadzikana hunorapwa nemishonga inorwisa mabhakitiriya.

Njodzi zvinhu zvinosanganisira:

• Strep huro
• Streptococcal ganda hutachiona (senge impetigo)

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Yakaderera weti kubuda
• Weti-yakaita weti
• Kuzvimba (edema), kuzvimba kwakazara, kuzvimba kwedumbu, kuzvimba kwechiso kana maziso, kuzvimba kwetsoka, makumbo, maoko
• Ropa rinoonekwa mune weti
• Joint kurwadziwa
• Kuomarara kwakabatana kana kuzvimba

Kuongorora kwepanyama kunoratidza kuzvimba (edema), kunyanya kumeso. Ruzha rusina kujairika runogona kunzwika kana uchiteerera kumoyo nemapapu neiyo stethoscope. Kuwedzera kweropa kunowanzo kuve kwakakwira.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Kurwisa-DNase B
• Serum ASO (uye streptolysin O)
• Serum inozadzisa mazinga
• Kuongorora urinal
• Itsvo biopsy (kazhinji haidiwe)

Iko hakuna chaiwo marapirwo echirwere ichi. Kurapa kunoitirwa kurerutsa zviratidzo.

• Mishonga inorwisa mabhakitiriya, yakadai sepenicillin, inogona kushandiswa kuparadza chero mabhakitiriya e streptococcal anosara mumuviri.
• Ropa rekumanikidza mishonga uye diuretic zvinodhaka zvinogona kudikanwa kudzora kuzvimba uye neBP.
• Corticosteroids nemimwe mishonga inopesana nekuzvimba kazhinji haishande.

Iwe ungangoda kudzora munyu muchikafu chako kuti udzore kuzvimba uye neBP.

Poststreptococcal GN inowanzoenda yega mushure memavhiki akati wandei kusvika kumwedzi.

Mune mashoma mashoma evakuru, zvinogona kuwedzera uye zvinotungamira mukureba-kwenguva refu (kusingaperi) itsvo kutadza. Dzimwe nguva, inogona kufambira mberi kusvika kumagumo-padanho chirwere cheitsvo, icho chinoda dialysis uye itsvo kuisazve.

Zvinetso zvehutano zvinogona kukonzerwa nedambudziko iri zvinosanganisira:

• Acute renal kutadza (kukurumidza kurasikirwa kweitsvo 'kugona kubvisa marara uye kubatsira kuenzanisa zvinwiwa nemagetsi mumuviri)
• Chisingaperi glomerulonephritis
• Chirwere chetsvo chisingaperi
• Kutadza kwemoyo kana pulmonary edema (fluid buildup mumapapu)
• End-nhanho renal chirwere
• Hyperkalemia (zvisina kukwirira potasiamu muropa)
• Kuwedzera kweropa (hypertension)
• Nephrotic syndrome (boka rezviratidzo zvinosanganisira mapuroteni mumurini, mapuroteni eropa mashoma muropa, cholesterol yakawanda, mwero we triglyceride, uye kuzvimba)

Fonera wako mupi wezvehutano kana:

• Iwe une zviratidzo zve poststreptococcal GN
• Iwe une poststreptococcal GN, uye iwe wakadzikisa kubuda kweweti kana zvimwe zviratidzo zvitsva

Kurapa kunozivikanwa streptococcal hutachiona kunogona kubatsira kudzivirira poststreptococcal GN. Zvakare, kuita hutsanana hwakadai sekugeza mawoko kazhinji kunodzivirira kupararira kwehutachiona.

Glomerulonephritis - poststreptococcal; Postinfectious glomerulonephritis

• Itsvo anatomi
• Glomerulus uye nephron

Flores FX. Isolated glomerular hosha dzakabatana nekudzokorora kwakakomba hematuria. 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 537.

Saha MK, 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.