Iziyobisi eziqhelekileyo kunye nezifo ziyakwazi ukutshaya iintso zakho
I-nephritis ye-interstiti isifo sesifo esichazwe yinkqubo yokuvuvukala ebandakanya izintso ', ezinokubangela ukunciphisa umsebenzi wezintso kunye nokuphelelwa kweentso ngokupheleleyo. Indlela elula yokujonga i-nephritis ye-interstiti ukucinga ngolu hlobo lwempembelelo ekujoliswe kuyo kwiinjongo (nangona oko kukugqithisa ngaphezulu).
Iimpawu kunye nezibonakaliso ze-Nephritis yangaphakathi
I-nephritis ye-interstiti ihluke ngokubini kwiindidi ezimbini kuxhomekeke kwisantya sokuqala, kunye nokukhawuleza kokunciphisa umsebenzi wezintso. Ezi zigaba zibini:
- I-nephritis eqhelekileyo ye-interstitial (AIN) , edla ngokukhawuleza, kwaye ngokuqhelekileyo iyancipha ukuhlala kwexesha elifutshane kwimisebenzi yengqondo.
- I-nephritis engapheliyo ye-interstitial (CIN) eyona nto ininzi yesifo esingapheliyo, ixesha elide.
Iimpawu neempawu eziqhelekileyo, ezithandekayo ngakumbi nge-nephritis ye-interstitial interstitial, zibandakanya:
- Fever
- Ukugqithisa isikhumba
- Ubuhlungu kwiintlanzana
- Izibalo eziphakamileyo zoluhlobo oluthile lwegazi elimhlophe (elibizwa ngokuthi i-eosinophils)
- Iphakamileyo legazi le- creinine, umakishi ongezantsi ovavanywa ukuba ahlole umsebenzi wakho wezintso
- Ubuninzi bama-eosinophil ephakamileyo kumchamo
- Ubuninzi beeseli ezibomvu zegazi kumchamo (imali ingaba yincinci ngokwaneleyo ukuba ungakwazi ukuyixabisa ngeliso elize)
- Ukwandisa iprotheni yokusasaza kumchamo. Oku kubizwa ngokuba yi " proteinuria ," kwaye iqwalaselwe ngokufumanisa okungabalulekanga kokulimala kwezintso.
Nangona iimpawu kunye nezibonakaliso ezikhankanywe ngasentla ziqwalaselwa "iimpawu zeencwadi zakudala," azinakuze zibonwe rhoqo kuzo zonke izigulane.
Yintoni ebangela i-Interstitial Nephritis?
Njengoko kuchaziwe ngasentla, i-nephritis ye-interstiti ifana nokuba ne-inflammatory okanye i-reaction response in kidney, kwaye ihlala ikhutshwe ngezinto ezithile zokukhuthaza.
I-arhente provocateur iziphatha njenge "allergen" ekhupha isisombululo. Iziyobisi zizathu eziqhelekileyo, kodwa ezinye iindawo zinokwenzeka. Nantsi ingqwalasela yezinye izigwenxa eziqhelekileyo:
- Amachiza - Ezi ziquka i-antibiotics efana ne-penicillin, i-quinolones (umzekelo, i-ciprofloxacin), imithi efana ne-anti-contra-contractors njenge-NSAID, imithi ye-acid reflux (ebizwa ngokuba yiproton pump inhibitors), iipilisi zamanzi / i-diuretics, njl. iyeza elithile, ngelixa abanye benza kakuhle, aluqondiswanga ngokupheleleyo, kodwa luhlobene nendlela yokuphendula komzimba wethu wokuzivikela kwisimo esithile sokukhuthaza. Oku kufana nendlela wonke umntu angafuneki ukuba aphethwe yizilwanyana ezinqabileyo, umzekelo.
- Izifo - Izifo ziyaziwa ngenxa ye-nephritis yangaphakathi. Iingcali, nayiphi na i-agent echaphazelayo ingaba yinto yokukhuthaza, kodwa, imizekelo ibandakanya amabhaktheriya afana ne-streptococci, iintsholongwane ezinjengegciwane le-Epstein-Barr, i-leptospira, kunye nama-parasites.
- Izifo ezizimela ngokuzenzekelayo - Elinye iqumrhu eliqhelekileyo eliyaziwayo linxulumene nephritis eqhelekileyo ye-interstitial. Ezi ziquka izifo eziziwayo eziziwayo njenge-lupus, okanye i-systemic lupus erythematosus (SLE), isifo se-Sjogren njl
- I-TINU (i-tubula-interstitial nephritis ene-uveitis) syndrome - Eli liziko elithile elingaziwa ngalo i-pathogenesis. Amachiza, ii-agents ezithathelwanayo ezifana ne-chlamydia, kunye nesityalo esithile saseTshayina egama elithi "Goreisan", bonke bacingelwa ukuba bangabangelwa. Isigulane esichaphazelekayo siya kubika intlungu, igazi, okanye iprotheni emcimbini, kwaye kuya kuqatshelwa ukuba yenze umsebenzi wezintso. I-Uveitis, ukuvuvukala kwezicubu ezithile kwijiso, iya kubonakala njengentlungu okanye ubomvu.
Ukuchonga i-Interstitial Nephritis
Ugqirha unokukwazi ukufumanisa i-nephritis ye-interstitial interstitial ngesiseko seempawu zeklinikhi ezibonisa kuphela. Njengoko kuphawuliwe ngasentla, nangona kunjalo, akuzona zonke iimpawu okanye iimpawu ezikhoyo kuzo zonke izigulane. Kwiimeko ze-nephritis yangaphakathi yezidakamizwa, isifo esichaphazelekayo siza kuvela kunye nembali yokuqalisa imichiza enokutsha kunye nokuthelekiswa "kwangaphambi nangemva" iziphumo zokuhlolwa kwegazi zengqondo ziyakwazi ukufumana ingxaki yokuxilonga.
Kwiimeko apho i-diagnostic ayifumanekanga lula, okanye ukuba umsebenzi weentso uncitshiswa kakhulu, i-kidney biopsy ingafuneka.
Olu luvavanyo olungenangxaki apho kukho iincinci ezincinci zesisifo kufuneka zithathwe kwaye zifundwe phantsi kwe-microscope. Iinkcukacha zenkqubo zifakwe apha.
Unyango lweNkritis yeNkcazo
Xa sele kuhlolwe i-nephritis ye-interstitial ye-interphitial, zonke iinzame kufuneka zenziwe ukuba zichonge into ebangela ukuba i-inflammation isuswe, ukuba kunokwenzeka. Ngokomzekelo, kwiimeko ze-nephritis ye-interstitial interstitial interstitial, ukuyeka isicatshulwa esikhuselekileyo kuya kubaluleka, kwaye isona sinokuqala esona siqonde. Ukuba akukho mishishini echaphazelekayo, ke ukukhangela ezinye izithuthi ezichaphazelekayo kunye nezifo ezithintekayo kufuneka zilandelwe.
Kwizigulane ezinobunzima bokuncipha komsebenzi wezintso, ngokuqhelekileyo akukho nto ngaphezu kokumisa ummeli okhubazayo kuyimfuneko. Nangona kunjalo, ukuba ulwaphulo olunzulu lwe-inflammation enxulumene nomsebenzi wezintso lubonakala, isilingo se-steroids sinokuba luncedo (kwimeko apho unyango lunokuba lunyanzelekile ixesha elide kangangeenyanga ezi-2-3). Kwizigulane ezingaphenduliyo kwi-steroids, enye imithi egama le-mycophenolate inokujongwa njengenye indlela.
ILizwi
I-nephritis ye-interstiti ibhekisela kuvuvu oluvakalayo okanye olungapheliyo olususwe kwiinjongo ngenxa yeenkunkuma ezihlukahlukeneyo ezifana nemithi, izifo, okanye isifo esisodwa. Ukulimala okwenziwe kwiintso kunokuqala ukusuka ekunciphiseni okunyanzelekayo, ukuzaliswa kweezintso. Ukuchonga isigxina esisisiseko esenza ukuba ukuvuvukala ngoko ke isinyathelo sokuqala kunyango, kodwa kufuneka ukuba unyango olunjenge-steroids lufuneka.
> Imithombo
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