Cia peb kawm ntxiv txog "lub raum cortex" ntawm koj lub raum.

Peb txhua tus paub txog lub raum, puas yog? Ob lub raum me me no uas lim thiab cais cov khoom pov tseg hauv lub cev thiab tso tawm ua zis, koj puas paub tias lawv ua ntau ntxiv? Lub raum, uas ua haujlwm zoo heev los tswj qhov sib npaug ntawm peb lub cev, zoo li lub tshuab ntxuav dej hauv peb lub cev. Hnub no peb yuav tham txog ib feem tseem ceeb ntawm cov raum no, uas yog, 'lub plhaub' lossis Renal Cortex, uas yog sab nraud tshaj plaws ntawm lub raum. Lub npe no tej zaum yuav tshiab rau koj, tab sis koj yuav xav tsis thoob thaum koj kawm txog kev ua haujlwm ntawm qhov no!

Hauv lwm lo lus, lub Cortex no yog dab tsi?

Xav txog lub raum zoo li txiv hmab txiv ntoo. Qhov uas zoo li daim tawv nqaij sab nraud ntawm cov txiv hmab txiv ntoo hu ua Renal Cortex . Qhov no yog txheej sab nraud tshaj plaws ntawm lub raum. Cov kws kho mob kuj hu nws ua 'renal cortex'. Qhov nruab nrab ntawm lub raum hauv Cortex no hu ua Medulla . Yog li Cortex no nyob ib puag ncig thiab tiv thaiv Medulla. Sab nraud, tag nrho lub raum no raug npog los ntawm lwm daim nyias nyias tiv thaiv hu ua Renal Capsule .

Qhov tseem ceeb tshaj plaws hauv lub raum yog cov chav lim ntshav. Peb hu cov no ua nephrons . Koj puas paub, muaj li ib lab ntawm cov nephrons no hauv ib lub raum! Cov nephrons no pib los ntawm Renal Cortex. Lub lim tseem ceeb hauv nephron hu ua Glomerulus . Lub lim no lim cov ntshav thiab cov khoom pov tseg tsis xav tau dhau los ntawm cov tubules. Hauv Cortex, cov tubules no convoluted heev. Tab sis thaum lawv mus txog Medulla, lawv dhau los ua cov tubules ncaj.

Cov haujlwm tseem ceeb ntawm lub raum thiab lub raum cortex yog dab tsi?

Cov raum tsis yog tsuas yog ib lub cev uas tsim cov zis xwb. Lawv ua ntau yam haujlwm tseem ceeb uas tswj tau qhov sib npaug ntawm peb lub cev tag nrho. Lub raum Cortex ua lub luag haujlwm tseem ceeb hauv txhua yam no.

• Kev Tswj Xyuas Qhov Ntswg Thiab Dej Kom Sib Npaug: Lub raum pab tswj cov electrolytes kom zoo, xws li sodium thiab potassium, thiab dej hauv peb lub cev.
• Kev tswj ntshav siab: Lub raum kuj tseem ceeb rau kev tswj ntshav siab, vim lawv tswj cov kua dej thiab ntsev hauv lub cev.
• Kev tsim cov qe ntshav liab: Ib hom tshuaj hormone (Erythropoietin) uas pab tsim cov qe ntshav liab yog tsim los ntawm lub raum.
• Kev sib npaug ntawm cov kua qaub thiab cov hauv paus: Lwm lub luag haujlwm ntawm lub raum yog tswj cov qib acid thiab cov hauv paus kom zoo hauv peb cov ntshav.
• Kev tsim cov Vitamin D: Lub raum thiab lub siab ua haujlwm ua ke los hloov cov vitamin D uas peb noj mus rau hauv daim ntawv uas lub cev siv tau.
• Kev sib npaug ntawm calcium thiab phosphate: Lub raum kuj pab tswj cov calcium thiab phosphate, uas yog qhov tseem ceeb rau cov pob txha muaj zog.
• Kev tsim cov piam thaj (glucose): Cov piam thaj (glucose) uas peb lub cev xav tau feem ntau yog ua los ntawm lub siab, tab sis muaj me ntsis uas lub raum kuj tsim tawm. Qhov no hu ua glucogenesis .

Cov kab mob thiab tej yam mob uas feem ntau cuam tshuam rau lub raum cortex yog dab tsi?

Tu siab kawg li, muaj ntau yam mob uas cuam tshuam rau peb lub raum, thiab tshwj xeeb tshaj yog Renal Cortex. Cia peb saib ob peb yam ntawm lawv.

Ntxiv rau qhov no, muaj ntau lwm yam mob hnyav uas cuam tshuam rau lub raum.

• Mob Acidosis: Thaum lub raum tsis ua haujlwm zoo, cov ntshav yuav ua rau muaj kua qaub. Qhov no tuaj yeem ua rau tuag taus yog tias tsis kho.
• Kab mob raum: Kev puas tsuaj rau lub raum los ntawm ntshav qab zib (Diabetic Nephropathy) thiab ntshav siab (Hypertensive Nephropathy).
• Cov Kab Mob Glomerular: Kev puas tsuaj lossis o ntawm cov lim dej (glomeruli) hauv lub raum kuj tuaj yeem ua rau lub raum tsis ua haujlwm.
• Proteinuria thiab Nephrotic Syndrome: Proteinuria yog qhov tso zis ntau dhau ntawm cov protein hauv cov zis. Qhov no yog ib qho cim qhia txog kev puas tsuaj rau lub raum. Yog tias muaj protein ntau dhau raug tso tawm, nws yuav yog ib qho mob hu ua Nephrotic Syndrome.
• Uremia: Ib qho mob uas cov tshuaj lom uas yuav tsum tau tshem tawm los ntawm lub raum sib sau ua ke hauv cov ntshav es tsis txhob raug tshem tawm ntawm lub cev. Qhov no kuj yog ib qho mob txaus ntshai heev.

Cov tsos mob ntawm tus kab mob raum yog dab tsi?

Qhov txaus ntshai tshaj plaws txog ntau yam kab mob raum yog tias lawv tsis qhia cov tsos mob pom tseeb thaum ntxov . Cov tsos mob no tsuas yog pib tshwm sim thaum tus kab mob hnyav dua me ntsis.

Yuav ua li cas thiaj kuaj tau seb lub raum puas noj qab nyob zoo?

Yog koj tus kws kho mob xav tias lub raum ua haujlwm tsis zoo, nws yuav hais kom kuaj ntau zaus kom paub meej.

• Kev Kuaj Duab (X-ray, CT scan, MRI, Ultrasound): Cov kev kuaj no tuaj yeem saib cov duab, qhov loj, thiab muaj cov kev thaiv lossis qhov tsis zoo hauv lub raum. Piv txwv li, yog tias qhov tuab ntawm lub raum cortex raug txo qis, nws tuaj yeem xav tias lub raum tau raug puas tsuaj lawm.
• Kev Kuaj Ntshav: Cov no tuaj yeem ntsuas seb lub raum glomeruli lim ntshav tau zoo npaum li cas. Cov ntshav Creatinine hauv cov ntshav yog qhov kev kuaj uas siv ntau tshaj plaws.
• Kev Kidney Biopsy: Hauv qhov no, ib daim ntaub me me ntawm lub raum raug coj mus kuaj thiab kuaj xyuas hauv qab lub tshuab microscope.
• Kev Kuaj Zis: Yuav muab cov zis kuaj thiab kuaj seb puas muaj protein, ntshav, thiab lwm yam. Qhov no yuav qhia tau tias muaj kab mob lossis muaj mob dab tsi.

Yuav ua li cas kom koj ob lub raum noj qab nyob zoo?

Zoo dua los tiv thaiv kab mob raum ua ntej nws tshwm sim dua li kho nws tom qab nws tshwm sim. Nov yog qee yam yooj yim uas koj tuaj yeem ua tau.

• Tsis txhob haus luam yeeb: Kev haus luam yeeb ua rau cov hlab ntsha uas xa ntshav mus rau lub raum puas tsuaj.
• Txo kev noj ntsev: Kev noj ntsev ntau dhau tuaj yeem ua rau cov ntshav siab thiab ua rau lub raum puas tsuaj.
• Haus dej ntau: Kev haus dej txaus pab kom lub raum yooj yim tshem tawm cov tshuaj lom tawm ntawm lub cev.
• Kev tawm dag zog txhua hnub: Kev tawm dag zog tuaj yeem pab tswj cov ntshav siab thiab tswj qhov hnyav kom noj qab nyob zoo.
• Txwv kev siv cov tshuaj tua kab mob: Kev siv cov tshuaj Nonsteroidal Anti-inflammatory Drugs (NSAIDs) ntev thiab ntau dhau, xws li Brufen thiab Diclofenac, ua rau lub raum puas tsuaj. Tsis txhob siv cov no yam tsis tau kev qhia los ntawm kws kho mob.
• Tswj qhov hnyav kom noj qab nyob zoo: Kev rog dhau tuaj yeem ua rau muaj ntshav qab zib thiab ntshav siab.
• Tswj koj cov ntshav siab thiab cov ntshav qab zib: Yog tias koj muaj ntshav qab zib lossis ntshav siab, nws yog ib qho tseem ceeb uas yuav tsum tswj lawv kom zoo kom tiv thaiv koj lub raum.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj xav tias koj muaj teeb meem raum, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd. Ceev faj tshwj xeeb yog tias koj muaj ib qho ntawm cov tsos mob lossis cov yam ntxwv uas ua rau muaj kev pheej hmoo hauv qab no:

Yog koj muaj cov tsos mob zoo li no:

• Xim zis hloov (ntshav los yog pos huab) los yog hloov tus cwj pwm tso zis (tso zis ntau zaus, mob thaum tso zis).
• Tawv nqaij qhuav los yog khaus.
• Xav tias nkees heev.
• Ntshav siab (Hypertension).
• Cov leeg nqaij co.
• Tsis qab los noj mov los yog saj hlau hauv cov khoom noj.
• Mob plab los yog ntuav.
• O, tshwj xeeb tshaj yog nyob ib ncig ntawm cov pob luj taws lossis tes.

Yog koj muaj cov yam txaus ntshai no:

• Muaj kab mob raum hauv tsev neeg.
• Mob ntshav qab zib.
• Kab mob plawv.
• Ntshav siab.
• Rog dhau los yog rog dhau.

Yog tias koj muaj cov yam ntxwv txaus ntshai no, nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj xyuas koj lub raum ua haujlwm raws li lub sijhawm uas koj tus kws kho mob tau teev tseg.