ImpiloIzifo nemibandela

Sesikhala nephritis: izimpawu nokwelashwa izinso ukuvuvukala

nephritis Interstitsionalny kuyinto ukuvuvukala isifo sezinso, okuyinto kwenzeka ikakhulu ezithinta izicubu Lesisemkhatsini izinso tubules.

Lesi sifo singenzeka ngesikhathi imithi yokwelashwa (imithi elwa namagciwane ngaphezulu, kuya isisu elincane, sulfonamides) kanye lapho zihlatshwa amagciwane e izinkinga zesimiso sokuzivikela somzimba. I zokugula kusekelwe kokuziphatha lymphohistiocytic ayisukumele Lesisemkhatsini umonakalo izicubu kwezinso okwenzeka ngemva kokuba ama ulwelwesi engaphansi tubules. Kuleli fomu izakhiwo omzimba bese autoantibodies ukuze ulwelwesi amaprotheni. Ngenxa edema cerebral zivuvukale izicubu izinso ungqimba kuyinto kokucindezelwa mechanical imithambo yegazi kanye ijabulise, encishisiwe kwezinso ukugeleza kwegazi, ukwanda ingcindezi vnutrikanaltsevoy, ekugcineni esakha oliguria.

Lapho sitholakele interstitial izimpawu nephritis zimi kanje. Ukuqala Kwenkathi sifo - i-acute, wedlula imfiva, polyuria, noma hematuria eba nokwehluleka ukusebenza kwezinso, kukhona ubuhlungu beqolo. Izimpawu zokuqala amafomu umthamo acute nephritis interstitial aphume ashone futhi okwandisa izinga lokushisa komzimba, okuyinto kungenzeka ukuthi umataniswe nge eosinophilia nesikhumba nokuqhuma. Ukuze lesi sifo libhekene proteinuria ngokulinganisela, hematuria, ezimweni ezingajwayelekile, oliguria.

nephritis interstitial olunamandla amafomu viral ngokuvamile kwenzeka nge oluhambisana nemfiva futhi kwezinso syndrome.

Sifo sifo enziwe isifo sezinso, glomerulonephritis oyingozi. Uma uthuthukisa nokwehluleka ukusebenza kwezinso kufanele ayifakiwe nezinye izimbangela.

Kunzima kakhulu futhi ngezinye izikhathi akunakwenzeka ukuthola imbangela ezingamahlalakhona nephritis tubulointerstitial elihlobene ne izidakamizwa ukuchayeka, isifo esibangelwe igciwane, izinkinga zesimiso sokuzivikela somzimba.

Izimpawu ezingamahlalakhona nephritis interstitial aqukethe in iziyaluyalu ijabulise, ngokushesha ukuthuthukisa aqueous electrolyte thuthuva (hyperkalemia, lactic) Ukuhlukumeza lokuhlushwa nezinso. Ezimweni ezingavamile, kungenzeka nomfutho wegazi ophezulu kanye proteinuria. Ezimweni ejwayelekile nephrotic syndrome lingekho, kodwa uma ukuqhubekela phambili kwesifo nephritis interstitial cishe neolichim ka glomerulonephritis. Izidakamizwa eziyingozi kakhulu, okuholela ifomu njalo lesi sifo yilabo analgesics phenacetin, analgin, aspirin.

Ngezinye izikhathi abesifazane iminyaka 35-40 ubudala, migraine, ukucindezeleka, izilonda esiswini, waphawula analgesic nephritis interstitial. Kulesi inhlanganisela ejwayelekile nge leukocyturia aseptic ukumelana kwezinso iziqephu colic nge hematuria cwe, awakhuba kwezinso usayizi ukunciphisa, polyuria, ukuntuleka kwegazi emzimbeni.

Lesi sifo eba ngokuhlanganyela nezinye izifo, abe pathogenesis ecacile mzimba (asebenzayo -hepatitis okungamahlalakhona, i-lupus omzimba izicubu erythematosus).

nephritis sesikhala ezinganeni lingathuthukiswa ngesikhathi izicubu dizembriogeneza kwezinso, pheshana urinary anomalies, ukwephula uric acid kanye calcium oxalate umzimba.

Ukuze kuliwe nesifo asetshenziswa ukwelashwa etiological ka izilonda webhaktheriya uqale ukuqeda focus ukutheleleka. Lapho ifomu Isikali - ayeke nokusebenzisa izidakamizwa, linqume Ukudla ahlanganiswe amavithamini nokuphuza ngokweqile. In the ukungabikho imiphumela emihle glucocorticoids ebekiwe enze hemodialysis, khipha ukusetshenziswa isisu kakhulu ekuthuthukeni ukwehluleka oyingozi kwezinso. Kuyadingeka ukuba ugweme ukusetshenziswa kakhulu analgesics aphuze ngaphezulu.

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