Lupus Nephritis

Zvemukati

• Ndezvipi zviratidzo zve lupus nephritis?
• Kuongorora lupus nephritis
• Kuongororwa kweropa
• 24-awa weti kuunganidzwa
• Weti miedzo
• Iothalamate clearance kuyedzwa
• Itsvo biopsy
• Matanho erupus nephritis
• Kurapa sarudzo dze lupus nephritis
• Matambudziko erupus nephritis
• Marefu-marefu maonero kune vanhu vane lupus nephritis

Chii chinonzi lupus nephritis?

Systemic lupus erythematosus (SLE) inowanzozonzi lupus. Icho chiitiko umo immune yako inotanga kurwisa nzvimbo dzakasiyana dzemuviri wako.

Lupus nephritis ndeimwe yematambudziko akakomba erupus. Zvinoitika apo SLE inokonzeresa kuti immune system yako irwise itsvo dzako - kunyanya, zvikamu zveitsvo yako zvinosefa ropa rako kuti riite tsvina.

Ndezvipi zviratidzo zve lupus nephritis?

Lupus nephritis zviratidzo zvakafanana neizvo zveimwe hosha dzeitsvo. Zvinosanganisira:

• weti yakasviba
• ropa mune yako weti
• furo weti
• kuita weti kakawanda, kunyanya husiku
• kuzvimba mumakumbo, makumbo, uye makumbo zvinowedzera mukufamba kwezuva
• kuwedzera uremu
• BP

Kuongorora lupus nephritis

Chimwe chezviratidzo zvekutanga zve lupus nephritis iropa mumurini rako kana yakanyanyisa kuputika fodya.Kuwedzera kweropa uye kuzvimba patsoka dzako zvakare zvinogona kuratidza lupus nephritis. Miedzo inobatsira chiremba wako kuti aongorore inosanganisira zvinotevera:

Kuongororwa kweropa

Chiremba wako anozotsvaga akakwirisa mwero yezviraswa, senge creatinine uye urea. Kazhinji, itsvo dzinobvisa zvigadzirwa izvi.

24-awa weti kuunganidzwa

Uyu muyedzo unoyera kugona kweitsvo zvakasarudzika kusefa marara. Iyo inotarisa kuti yakawanda sei mapuroteni anoonekwa mumuti weti pamusoro peawa makumi maviri nemana.

Weti miedzo

Urini bvunzo dzinoyera itsvo kushanda. Ivo vanoona mazinga e:

• protein
• masero matsvuku eropa
• masero machena eropa

Iothalamate clearance kuyedzwa

Bvunzo iyi inoshandisa dhayi yekusiyanisa kuti uone kana itsvo dzako dzichisefa nemazvo.

Radioactive iothalamate yakaiswa muropa rako. Chiremba wako anozobva aongorora kuti zvakakurumidza kuburitswa sei mumuti wako. Ivo vanogona zvakare kuyedza zvakananga kuti inokurumidza sei kusiya ropa rako. Izvi zvinoonekwa seyakanyanya muyedzo bvunzo yeitsvo filtration kumhanya.

Itsvo biopsy

Biopsies ndiyo chaiyo nzira uye zvakare inopesana nzira yekuongorora chirwere cheitsvo. Chiremba wako anoisa tsono refu kuburikidza nemudumbu mako uye muitsvo yako. Vanozotora sampuro yetsvo tishu kuti iongororwe zviratidzo zvekukuvara.

Matanho erupus nephritis

Mushure mekuongororwa, chiremba wako anoona kukomba kweitsvo yako kukuvara.

World Health Organisation (WHO) yakagadzira hurongwa hwekuisa zvikamu zvishanu zvakasiyana zverupus nephritis muna 1964. Matanho matsva ehurongwa akaumbwa muna 2003 neInternational Society yeNephrology neRenal Pathology Society. Kurongwa kutsva kwakabvisa iyo yekutanga kirasi I iyo yakanga isina humbowo hwechirwere uye yakawedzera yechitanhatu kirasi:

• Kirasi I: Minimal mesangial lupus nephritis
• Kirasi II: Mesangial proliferative lupus nephritis
• Kirasi III: Focal lupus nephritis (inoshanda uye isingaperi, inowedzera uye sclerosing)
• Kirasi IV: Yakapararira lupus nephritis (inoshanda uye isingaperi, inowanda uye sclerosing, segmental uye yepasirese)
• Kirasi V: Membranous lupus nephritis
• Kirasi VI: Yakawedzera sclerosis lupus nephritis

Kurapa sarudzo dze lupus nephritis

Iko hakuna mushonga we lupus nephritis. Chinangwa chekurapa ndechekuchengetedza dambudziko kubva pakuwedzera. Kumisa kukuvara kweitsvo kutanga kunogona kudzivirira kudiwa kwekuisirwa itsvo.

Kurapa kunogona zvakare kupa zororo kubva ku lupus zviratidzo.

Kurapa kwakajairika kunosanganisira:

• kuderedza kudya kwako kweprotein uye munyu
• kutora mishonga yeropa
• kushandisa steroid senge prednisone (Rayos) kudzikisira kuzvimba uye kuzvimba
• kutora mishonga kudzvinyirira immune system yako se cyclophosphamide kana mycophenolate-mofetil (CellCept)

Kunyanya kufunga kunopihwa kuvana kana vakadzi vane nhumbu.

Kukuvadza kwetsvo kwakanyanya kungangoda kurapwa kwakawanda.

Matambudziko erupus nephritis

Dambudziko rakakomba rakabatana ne lupus nephritis kutadza kwetsvo. Vanhu vane itsvo kutadza vanozoda dialysis kana itsvo kuisirwa.

Dialysis inowanzo kuve yekutanga sarudzo yekurapa, asi haishande nekusingaperi. Vazhinji dialysis varwere vanozopedzisira voda kuisirwa. Zvisinei, zvinogona kutora mwedzi kana makore nhengo yemupi isati yavapo.

Marefu-marefu maonero kune vanhu vane lupus nephritis

Maonero evanhu vane lupus nephritis anosiyana. Vazhinji vanhu vanoona chete zvenguva zviratidzo. Kukuvara kwavo kwetsvo kunogona kucherechedzwa chete panguva yekuyedza weti.

Kana iwe uine zvakanyanya zvakakomba nephritis zviratidzo, iwe uri pane yakawedzera njodzi yekurasikirwa neitsvo basa. Mishonga inogona kushandiswa kunonoka nzira nephritis, asi haisi kugara ichibudirira. Taura nachiremba wako nezve kurapwa kupi kwakakukodzera.