Acute Nephritis

Zvemukati

• Ndeapi marudzi akasiyana eacute nephritis
• Kupindirana nephritis
• Pyelonephritis
• Glomerulonephritis
• Chii chinokonzera acute nephritis?
• Kupindirana nephritis
• Pyelonephritis
• Glomerulonephritis
• Ndiani ari panjodzi yeacute nephritis?
• Ndezvipi zviratidzo zveacute nephritis?
• Acute nephritis inoonekwa sei?
• Anorapwa sei nephritis?
• Mishonga
• Zvokuwedzera
• Dialysis
• Kuchengetwa kwemusha
• Idya zvishoma sodium
  
• Ndeupi mutarisiro wenguva refu?
• Chinyorwa zvinyorwa

Mhedziso

Itsvo dzako mafirita emuviri wako. Nhengo mbiri idzi dzakaumbwa semabhinzi inzira yakasarudzika yekubvisa marara. Ivo vanogadzira zana kusvika zana nemakumi mashanu emarita eropa pazuva uye vanobvisa kusvika kumakota maviri emarara nemvura yakawandisa, sekureva kweNational Institute of Diabetes uye Digestive uye Kidney Zvirwere (NIDDK).

Acute nephritis inoitika kana itsvo dzako dzikangoerekana dzatsva. Acute nephritis ine zvikonzero zvinoverengeka, uye inogona pakupedzisira kutungamira kukundikana kwetsvo kana ikasiiwa isina kurapwa. Mamiriro aya aimbozivikanwa sechirwere cheBright.

Ndeapi marudzi akasiyana eacute nephritis

Kune akati wandei marudzi eacute nephritis:

Kupindirana nephritis

Mune interstitial nephritis, nzvimbo dziri pakati peitsvo tubules dzinopisa. Uku kuzvimba kunokonzera itsvo kuzvimba.

Pyelonephritis

Pyelonephritis iko kuzvimba kweitsvo, kazhinji nekuda kwehutachiona hwehutachiona. Muzviitiko zvakawanda, hutachiona hunotangira mukati mechiropa hwobva hwasimudzira ureters uye kuitsvo. Ureters maviri machubhu anotakura weti kubva kune imwe itsvo kuenda kudundira.

Glomerulonephritis

Mhando iyi yeacute nephritis inogadzira kuzvimba mu glomeruli. Kune mamirioni emakopirari mukati meitsvo yega yega. Glomeruli ndiwo masango madiki emakapirari anotakura ropa uye anoita seyunifomu zvikamu. Yakakuvara uye inopisa glomeruli inogona kusasvina iro ropa nemazvo. Dzidza zvakawanda nezve glomerulonephritis.

Chii chinokonzera acute nephritis?

Mhando yega yega yeacute nephritis ine zvikonzero zvayo.

Kupindirana nephritis

Rudzi urwu runowanzo guma kubva ku allergic reaction kumushonga kana mushonga unorwisa mabhakitiriya. Anogadzikana kugadzirisa ndiko kupindura kwemuviri pakarepo kune chinhu chekunze. Chiremba wako anogona kunge akanyorera mushonga kuti akubatsire, asi muviri unoutarisa sechinhu chinokuvadza. Izvi zvinoita kuti muviri urwise pachako, zvichikonzera kuzvimba.

Potasiamu yakaderera muropa rako ndechimwe chikonzero cheiyo interstitial nephritis. Potassium inobatsira kudzora akawanda mabasa mumuviri, kusanganisira kurova kwemoyo uye metabolism.

Kutora mishonga kwenguva yakareba kunogona kukuvadza nyama dzeitsvo uye kunotungamira kune yepakati nephritis.

Pyelonephritis

Ruzhinji rwezviitiko zve pyelonephritis zvinobva kuE.coli hutachiona hutachiona. Rudzi urwu rwebhakitiriya runonyanya kuwanikwa muura hukuru uye rwunobuditswa muchitsiko chako. Mabhakitiriya anogona kukwira kumusoro kubva kuurethra kuenda kudundira neitsvo, zvichikonzera pyelonephritis.

Kunyangwe hutachiona hwehutachiona chiri chikonzero chikuru che pyelonephritis, zvimwe zvikonzero zvinogona kusanganisira:

• weti bvunzo dzinoshandisa cystoscope, chiridzwa chinotarisa mukati mechidzitiro
• kuvhiyiwa kwedundira, itsvo, kana ureters
• kuumbwa kweitsvo mabwe, akaita sedombo maficha ane zvicherwa uye nezvimwe marara zvinhu

Glomerulonephritis

Chikonzero chikuru cherudzi urwu rwehutachiona hweitsvo hachizivikanwe. Zvisinei, mamwe mamiriro anogona kukurudzira hutachiona, kusanganisira:

• matambudziko mu immune system
• nhoroondo yekenza
• bundu rinotyoka richienda kuitsvo dzako kuburikidza neropa rako

Ndiani ari panjodzi yeacute nephritis?

Vamwe vanhu vari panjodzi huru yeacute nephritis. Izvo zvinokuvadza zveacute nephritis zvinosanganisira:

• nhoroondo yemhuri yeitsvo chirwere uye hutachiona
• kuva ne immune system chirwere, senge lupus
• kutora mishonga yakawandisa kana mishonga inorwadza
• kuvhiyiwa kwazvino kweti weti

Ndezvipi zviratidzo zveacute nephritis?

Zviratidzo zvako zvinosiyana zvichienderana nerudzi rweacute nephritis yauinayo. Zviratidzo zvakajairika zvemarudzi ese matatu eacute nephritis ndeaya:

• kurwadziwa muchiuno
• kurwadziwa kana kutsva uku uchiita weti
• inowanzoda kuita weti
• weti ine makore
• ropa kana bofu mumuti
• kurwadziwa munzvimbo yeitsvo kana dumbu
• kuzvimba kwemuviri, kazhinji kumeso, makumbo, uye tsoka
• kurutsa
• kupindwa nechando
• BP

Acute nephritis inoonekwa sei?

Chiremba achaita bvunzo dzepanyama uye otora nhoroondo yezvokurapa kuti aone kana iwe uchigona kunge uri panjodzi yakawedzera yeacute nephritis.

Miedzo yeLab inogona zvakare kusimbisa kana kutonga kunze kwehutachiona. Aya maedzo anosanganisira kuongorora urinalysis, kunoedza kuvepo kweropa, mabhakitiriya, uye masero machena eropa (WBCs). Kuvapo kwakakosha kweizvi kunogona kuratidza hutachiona.

Chiremba anogona zvakare kuraira kuongororwa kweropa. Zviratidzo zviviri zvakakosha iropa urea nitrogen (BUN) uye creatinine. Izvi zvigadzirwa zvemarara zvinotenderera muropa, uye itsvo ndidzo dzinofanirwa kusefa. Kana paine kuwedzera kwenhamba idzi, izvi zvinogona kuratidza kuti itsvo hadzisi kushanda zvakare.

Iyo yekufungidzira scan, yakadai seCT scan kana renal ultrasound, inogona kuratidza kuvhara kana kuzvimba kwetsvo kana weti turakiti.

Iyo renal biopsy ndiyo imwe yenzira dzakanakisa dzekuongorora acute nephritis. Nekuti izvi zvinosanganisira kuyedza chaiyo tosi sampuro kubva kuitsvo, uyu muedzo hauitwe kune wese munhu. Muedzo uyu unoitwa kana munhu asiri kupindura mushe pakurapwa, kana kana chiremba achifanira kuongorora mamiriro acho ezvinhu.

Anorapwa sei nephritis?

Kurapa kwe glomerulonephritis uye interstitial nephritis kungangoda kurapa mamiriro ezvinhu ari kukonzera matambudziko. Semuenzaniso, kana mushonga wauri kutora uri kukonzera matambudziko eitsvo, chiremba wako anogona kukunyorera mumwe mushonga.

Mishonga

Chiremba anowanzo kupa mishonga inorwisa mabhakitiriya kuti arape hutachiona hweitsvo. Kana hutachiona hwako hwakanyanya zvakanyanya, ungangoda intravenous (IV) mishonga inorwisa mabhakitiriya mukati mechipatara inpatient setting. IV mishonga inorwisa mabhakitiriya inowanzo shanda nekukurumidza kupfuura maantibayoti mune fomu yepiritsi Zvirwere zvakadai se pyelonephritis zvinogona kukonzera kurwadziwa kwakanyanya. Chiremba wako anogona kukunyorera mishonga yekudzora marwadzo sezvaunopora.

Kana itsvo dzako dzakapisa zvakanyanya, chiremba wako anogona kunyorera corticosteroids.

Zvokuwedzera

Kana itsvo dzako dzisiri kushanda futi, dzinogona kukanganisa chiyero chemagetsi mumuviri wako. Electrolyte, senge potasium, sodium, uye magnesium, zvine basa rekugadzira makemikari mumuviri. Kana yako maelectrolyte mazinga akawandisa, chiremba wako anogona kuraira IV mvura kuti ikurudzire itsvo dzako kuburitsa mamwe maelectrolyte. Kana ma electrolyte ako ari pasi, ungangoda kutora zvinowedzera. Izvi zvinogona kusanganisira potasium kana phosphorus mapiritsi. Nekudaro, iwe haufanire kutora chero zvinowedzerwa pasina kubvumidzwa kwachiremba uye kurudziro.

Dialysis

Kana itsvo yako ichikanganisa zvakanyanya nekuda kwehutachiona hwako, ungangoda dialysis. Aya maitiro ekuti muchina wakasarudzika unoshanda seitsvo yekuisira. Dialysis inogona kunge iri yenguva pfupi inodikanwa. Nekudaro, kana itsvo dzako dzaona kukuvara kwakanyanya, ungangoda dialysis zvachose.

Kuchengetwa kwemusha

Paunenge uine acute nephritis, muviri wako unoda nguva nesimba kuti upore. Chiremba wako angangokurudzira kurara kwekuzorora panguva yekupora kwako. Chiremba wako anogona zvakare kukuraira iwe kuti uwedzere kudya kwako kwemvura. Izvi zvinobatsira kudzivirira kupera mvura uye kuchengeta itsvo kusefa kuburitsa marara.

Kana mamiriro ako akakanganisa itsvo yako, chiremba wako anogona kukurudzira kudya kwakasarudzika kwakaderera mune mamwe maelectrolyte, senge potasium. Michero yakawanda nemiriwo zvakakura mu potassium. Chiremba wako anogona kukuraira nezve izvo zvikafu zviri pasi mu potassium.

Iwe unogona zvakare kunyorova mimwe miriwo mumvura uye kudurura mvura usati waibika. Maitiro aya, anozivikanwa se leaching, anogona kubvisa yakawedzera potasium.

Chiremba wako anogona zvakare kukurudzira kudzora kumashure kune yakanyanya-sodium chikafu. Paunenge uine sodium yakawandisa muropa rako, itsvo dzako dzinobatirira pamvura. Izvi zvinogona kuwedzera yako BP.

Pane nhanho dzaunotora kuti uderedze sodium mukudya kwako.

Idya zvishoma sodium

• Shandisa nyama nyowani nemiriwo pachinzvimbo cheyakafanogadzirwa.Zvokudya zvakagadzirirwa zvinowanzove zvakakwirira mu sodium.
• Sarudza chikafu chakanzi "low sodium" kana "hapana sodium" pese pazvinogoneka.
• Kana uchidya kunze, bvunza yako yekudyira server kukumbira kuti chef muganho munyu wakawedzerwa kune ako madhishi.
• Nonoka chikafu chako nezvinonhuwira uye nemiriwo panzvimbo yesodium-yakasanganiswa mwaka kana munyu.

Ndeupi mutarisiro wenguva refu?

Ese matatu marudzi eacute nephritis anovandudza nekukurumidza kurapwa. Nekudaro, kana chimiro chako chikatadza kurapwa, unogona kukura itsvo kutadza. Itsvo kutadza kunoitika kana imwe kana mbiri itsvo dzamira kushanda kwenguva pfupi kana zvachose. Kana izvo zvikaitika, ungangoda dialysis zvachose. Nechikonzero ichi, zvakakosha kuti utsvage kurapwa nekukasika kune chero fungidziro dzenyaya dzeitsvo.

Chinyorwa zvinyorwa

• Dialysis. (2015). https://www.kidney.org/atoz/content/dialysisinfo
• Zvirwere zveGlomerular. (2014). https://www.niddk.nih.gov/health-information/kidney-disease/glomerular-diseases
• Haider DG, et al. (2012). Itsvo biopsy mune varwere vane glomerulonephritis: Ndezvakambotanga zviri nani here? DOI: https://doi.org/10.1186/1471-2369-13-34
• Haladyj E, et al. (2016). Tichiri kuda renal biopsy mu lupus nephritis? DOI: https://doi.org/10.5114/reum.2016.60214
• Kupindirana nephritis. (nd). http://www.mountsinai.org/health-library/diseases-conditions/interstitial-nephritis
• Itsvo chirwere (pyelonephritis). (2017). https://www.niddk.nih.gov/health-information/urologic-diseases/kidney-infection-pyelonephritis/all-content
• Matipi gumi epamusoro ekuderedza munyu mune chako chikafu. (nd). https://www.kidney.org/news/ekidney/june10/Salt_june10
• Itsvo dzako nekushanda kwadzo. (2014). https://www.niddk.nih.gov/health-information/kidney-disease/kidneys-how-they-work
• Chii chinonzi itsvo (renal) hutachiona - Pyelonephritis? (nd). http://www.urologyhealth.org/urologic-conditions/kidney-(renal)-infection-pyelonephritis