Qhov no puas yog ib qho txaus ntshai rau koj lub raum thiab? (Renal Papillary Necrosis) Cia peb kawm txog nws!

Koj puas paub tias ob lub raum me me hauv peb lub cev ua haujlwm ntau npaum li cas? Qhov tseeb, lub raum yog cov kabmob tseem ceeb uas lim cov khoom pov tseg thiab ntxuav cov ntshav hauv peb lub cev. Txawm li cas los xij, qee zaum cov raum no kuj tuaj yeem tsim cov kab mob uas peb tsis xav tias yuav muaj. Hnub no peb yuav tham txog ib qho mob uas hnyav me ntsis, tab sis yog tias koj paub txog nws, nws tuaj yeem pab koj tswj thiab tiv thaiv nws.

Cov raum ua haujlwm li cas? Renal Papillary Necrosis yog dab tsi?

Hais yooj yim xwb, peb lub raum zoo li ob lub lim dej zoo heev hauv peb lub cev. Lawv txoj haujlwm tseem ceeb yog lim cov khoom pov tseg tsis xav tau hauv cov ntshav thiab tso tawm ua zis. Yuav ua li no, cov ntshav nkag mus rau hauv lub raum thiab hla dhau ntau txoj me me. Cov khoom pov tseg no raug sau los ntawm sab nraud ntawm lub raum thiab tom qab ntawd tuaj rau nruab nrab ntawm lub raum, uas yog lub raum medulla . Nov yog cov khoom zoo li lub raj mis. Qhov kawg ntawm cov raj mis no, uas hu ua lub raum papilla, khaws cov zis. Los ntawm qhov ntawd, cov zis mus dhau cov ureters mus rau lub zais zis thiab tawm mus. Yog li ntawd peb lub raum ua haujlwm li cas.

Qhov mob renal papillary necrosis uas peb tab tom tham txog tam sim no yog kev tuag ntawm cov hlwb thiab cov nqaij hauv nruab nrab ntawm lub raum ('Medulla') thiab lub raum papilla ('Renal Papilla') uas kuv tau hais ua ntej. Xav txog seb, thaum cov cheeb tsam ntawd tsis ua haujlwm zoo, txoj haujlwm uas lub raum ua tsis ua haujlwm zoo, puas yog? Vim li no, lub raum maj mam qaug zog, thiab thaum kawg tuaj yeem ua rau lub raum tsis ua haujlwm .

Leej twg muaj feem yuav mob no tshaj?

Tus mob no (Renal Papillary Necrosis) feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 60 xyoo. Cov kws kho mob kuj taw qhia tias cov poj niam muaj feem yuav mob dua li cov txiv neej.

Dab tsi yog cov ua rau mob Renal Papillary Necrosis?

Muaj ntau yam ua rau muaj tus kab mob no. Cia peb saib seb lawv yog dab tsi.

• Kab mob ntshav qab zib : Qhov no yog qhov tseem ceeb tshaj plaws thiab feem ntau ua rau muaj kab mob no. Cov neeg uas tsis tau tswj kab mob ntshav qab zib zoo muaj feem yuav mob raum. Cov ntshav qab zib ntau dhau lub sijhawm ntev ua rau cov hlab ntsha hauv lub raum puas tsuaj.
• Siv Cov Tshuaj Tua Kab Mob Ntau Dhau (NSAIDs) : Yog tias koj siv cov tshuaj tua kab mob (cov tshuaj uas tsis yog steroidal anti-inflammatory drugs, lossis NSAIDs) xws li aspirin, ibuprofen, lossis naproxen ntev heev yam tsis tau sab laj nrog kws kho mob, koj yuav tsum ceev faj heev. Kev noj cov no ntau dhau tuaj yeem ua rau cov hlab ntsha hauv lub raum nqaim thiab ua rau cov papillae raum puas tsuaj.
• Kab mob hlwb SickleQhov no yog ib yam kab mob uas muaj los ntawm noob caj noob ces. Hauv tus kab mob no, cov duab ntawm cov qe ntshav liab hloov pauv thiab lawv tuaj yeem daig rau hauv cov hlab ntsha. Qhov no kuj tseem tuaj yeem ua rau cov ntshav tsis txaus rau lub raum (Renal Papillary Necrosis).

Ntxiv rau cov laj thawj tseem ceeb no, ntau lwm yam mob kuj tseem tuaj yeem ua rau Renal Papillary Necrosis:

• Kab Mob Siab Ntev
• Pyelonephritis, ib qho kab mob bacterial ntawm lub raum (uas tuaj yeem ua rau lub raum papillae puas tsuaj)
• Kab mob ntsws raum, ib yam kab mob uas cuam tshuam rau lub raum sab nraum lub ntsws
• Kab mob ntshav txhaws hauv cov hlab ntsha hauv lub raum (Renalin Vein Thrombosis)
• Kev thaiv ntawm cov hlab ntsha hauv lub raum (piv txwv li, vim yog pob zeb hauv cov zis)
• Vasculitis, kev o ntawm cov hlab ntsha

Qhov tseem ceeb yog tias tsis yog txhua tus neeg uas muaj ib lossis ntau yam ntawm cov laj thawj no yuav mob (Renal Papillary Necrosis). Tab sis qhov kev pheej hmoo siab dua.

Qhov no puas cuam tshuam rau ob lub raum?

Yog lawm, nws tau tshaj tawm tias kwv yees li xya ntawm kaum tus neeg , qhov mob no (Renal Papillary Necrosis) cuam tshuam rau ob lub raum .

Cov tsos mob ntawm (Renal Papillary Necrosis) yog dab tsi?

Thaum pib mob no, tej zaum yuav tsis muaj tsos mob . Yog vim li ntawd nws thiaj nyuaj rau paub thiab kho nws thaum ntxov. Xav txog, koj tsis muaj teeb meem dab tsi, tab sis koj lub raum yuav puas tsuaj los ntawm sab hauv. Txawm li cas los xij, nws kuj muaj peev xwm tias qhov no raug kuaj pom tsis tau thaum kuaj lwm yam kab mob.

Txawm li cas los xij, thaum tus mob (Renal Papillary Necrosis) hnyav dua, cov tsos mob xws li cov no yuav tshwm sim:

• Mob tso zis heev (Dysuria)
• Kub taub hau thiab mob khaub thuas (tshwj xeeb tshaj yog tias muaj kev kis kab mob)
• Ntshav nyob hauv cov zis ('Hematuria') - Qhov ntau ntawm cov ntshav yuav pom tau rau ntawm qhov muag liab qab (cov zis yuav hloov xim liab lossis xim av), lossis nws yuav me heev uas nws tsuas yog pom tau hauv qab lub tshuab microscope xwb.
• Yuav tsum tau tso zis ntau zaus thaum hmo ntuj ('Nocturia')
• Muaj cov qe ntshav dawb ntau ntxiv hauv cov zis ('Pyuria') - qhov no txhais tau tias cov zis yuav zoo li kua qaub, thiab cov zis yuav zoo li pos huab.
• Mob hnyav rau ob sab nraub qaum, ntawm cov tav thiab cov pob txha ntawm lub duav (qhov chaw uas muaj ob lub raum). Qhov mob no tuaj yeem tshwm sim sai sai lossis maj mam nce ntxiv.
• Cov kab mob hauv txoj zis ntau zaus.

Yuav kuaj mob li cas raum Papillary Necrosis?

Cov kws kho mob yuav ua ntau yam kev kuaj mob los kuaj mob no (Renal Papillary Necrosis). Tom qab mloog koj cov tsos mob thiab keeb kwm mob nkeeg, lawv yuav txiav txim kom kuaj mob xws li:

• Kev kuaj mob ntawm lub qhov zisQhov no suav nrog kev thaij duab X-ray, CT scan, lossis MRI ntawm koj lub raum. Ua ntej qhov kev kuaj mob, koj yuav tau txais cov xim tshwj xeeb (cov xim) los ntawm cov leeg ntshav. Qhov no pab kom pom tseeb cov cheeb tsam puas tsuaj rau lub raum thiab cov kev hloov pauv hauv cov papillae.
• Kev kuaj zis hauv lub qhov zis : Qhov no suav nrog kev ntxig ib lub raj nyias nyias, yoog tau (nrog lub koob yees duab nyob rau ntawm qhov kawg) hla lub qhov zis kom saib ncaj qha rau hauv lub zais zis, cov zis, thiab lub raum. Qhov no ua rau pom qhov xwm txheej ntawm cov papillae kom meej meej.
• Kev Kuaj Mob Raum : Hauv qhov kev kuaj no, ib daim nqaij me me raug rho tawm ntawm lub raum siv ib rab koob tshwj xeeb thiab kuaj hauv qab lub tshuab microscope. Qhov no tuaj yeem pab txiav txim siab seb cov cell puas tau tuag lossis cov nqaij puas lawm.

Kev kuaj ntshav thiab zis

Tsis tas li ntawd xwb, kev kuaj ntshav thiab zis los xyuas seb lub raum ua haujlwm li cas kuj tseem ceeb heev:

• Kev kuaj ntshav urea nitrogen (BUN) : Qhov no ntsuas qhov ntau ntawm urea nitrogen hauv cov ntshav. Qhov no yog cov khoom pov tseg. Cov qib no nce ntxiv hauv cov ntshav thaum lub raum tsis ua haujlwm zoo.
• Kev kuaj Creatinine : Creatinine yog lwm yam khoom pov tseg uas tsim tawm thaum lub sijhawm ua haujlwm ntawm cov leeg nqaij. Feem ntau nws raug tso tawm los ntawm lub raum. Yog tias nws cov qib siab hauv cov ntshav, nws kuj qhia tau tias lub raum tsis ua haujlwm zoo.
• Kwv yees li ntawm Glomerular Filtration Rate (eGFR) : Qhov no yog xam los ntawm kev xav txog cov yam xws li koj cov ntshav creatinine, hnub nyoog, poj niam txiv neej, thiab qhov loj ntawm lub cev. Tus nqi eGFR qhia koj tias koj lub raum lim ntshav npaum li cas ib feeb. Tus nqi no qis dua, koj lub raum ua haujlwm tsawg dua.
• Kev Kuaj Zis : Qhov no suav nrog kev kuaj zis thiab kuaj nws los ntawm kev pom (xim, qhov meej), los ntawm kev siv lub tshuab tsom iav (rau cov qe ntshav, cov qe kua qaub, cov kab mob me me, cov khib nyiab papillary), thiab los ntawm kev siv tshuaj (rau cov protein, qab zib). Qee zaum, cov khoom me me ntawm cov papillae raum kuj tseem tuaj yeem pom hauv qab lub tshuab tsom iav.
• Qhov piv ntawm cov protein hauv zis/creatinine : Qhov no ntsuas seb muaj protein ntau npaum li cas hauv cov zis. Cov raum noj qab haus huv tso cov protein me me tawm. Cov protein ntau hauv cov zis yog ib qho cim qhia tias lub raum puas lawm.

Cov teeb meem uas yuav tshwm sim ntawm (Renal Papillary Necrosis) yog dab tsi?

Yog tias qhov mob no (Renal Papillary Necrosis) tsis raug kho kom zoo, qhov mob no tuaj yeem hnyav zuj zus thiab ua rau muaj teeb meem loj heev.

• Kab Mob Raum Ntev (CKD) : Vim yog kev puas tsuaj tas mus li rau lub raum, lawv txoj haujlwm maj mam txo qis, ua rau muaj kab mob raum ntev.
• Kev Ua Tsis Taus ntawm Lub RaumYog tias qhov mob hnyav zuj zus tuaj, lub raum yuav ua haujlwm tsis zoo kiag li, txhais tau tias lawv yuav ua rau lub raum tsis ua haujlwm zoo.
• Yuav kom koj muaj sia nyob, tej zaum koj yuav xav tau kev ntxuav koj cov ntshav (ntxuav koj cov ntshav nrog lub tshuab) lossis hloov raum .
• Kuj tseem pom tias qhov mob no ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav hu ua mob qog noj ntshav hloov pauv, uas tshwm sim hauv lub raum lossis ureter.
• Kuj tseem muaj kev pheej hmoo ntawm kev kis kab mob hnyav (sepsis).

Yuav kho tus mob Renal Papillary Necrosis li cas?

Tsis muaj kev kho mob tshwj xeeb rau Renal Papillary Necrosis. Kev kho mob tseem ceeb yog kho qhov ua rau muaj tus mob no . Piv txwv li:

• Yog tias nws yog vim muaj ntshav qab zib, ces nws yog ib qho tseem ceeb uas yuav tsum tswj tus kab mob ntshav qab zib kom zoo.
• Yog tias nws yog vim siv cov NSAID, tsum tsis txhob noj cov tshuaj ntawd.
• Yog tias nws yog vim muaj kev kis kab mob, muab tshuaj tua kab mob rau nws.
• Yog tias muaj kev txhaws hauv txoj hlab zis, nws yuav tsum tau muab tshem tawm.

Lub hom phiaj tseem ceeb yog kom txo qhov kev puas tsuaj ntxiv rau lub raum thiab tswj kev ua haujlwm ntawm lub raum kom ntau li ntau tau.

Kev kho mob zoo nyob ntawm seb lub raum puas tsuaj npaum li cas thiab ua rau muaj kab mob. Qee zaum mob hnyav, tus kab mob yuav mob zuj zus txawm tias kho los xij. Txawm li cas los xij, rau cov mob uas tsis hnyav heev, thiab yog tias kho sai sai, kev ua haujlwm ntawm lub raum yuav ruaj khov lossis zoo dua me ntsis.

Kuv puas tuaj yeem tiv thaiv kuv tus kheej ntawm Renal Papillary Necrosis?

Yog, muaj tej yam uas peb ua tau los tiv thaiv peb tus kheej ntawm qhov xwm txheej no, feem ntau.

• Qhov tseem ceeb tshaj plaws yog kom koj lub cev noj qab haus huv zoo . Kev noj zaub mov kom zoo, haus dej kom txaus, thiab tawm dag zog tsis tu ncua yog qhov tseem ceeb.
• Yog koj noj cov tshuaj mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj (NSAIDs), tsuas yog siv raws li cov lus qhia ntawm lub pob lossis raws li tus kws kho mob qhia. Tsis txhob noj ntau zaus lossis ntev dua li qhov tsim nyog. Tsis txhob noj lawv tas li rau qhov mob me me lossis rau mob taub hau.
• Yog koj muaj mob ntshav qab zib (Diabetes Mellitus), mob ntshav qab zib sickle cell (Sickle Cell Disease), lossis lwm yam mob uas ua rau mob raum (Renal Papillary Necrosis), ua raws li koj tus kws kho mob cov lus qhia kom meej. Mus rau cov chaw kho mob raws sijhawm. Noj cov tshuaj uas tau sau tseg. Noj zaub mov kom zoo.
• Nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj mob hauv chaw kuaj mob kom paub tseeb tias lub raum ua haujlwm li qub raws li koj tus kws kho mob hais, thiab kom paub txog tej kev hloov pauv thaum ntxov.

Tus nqi rov zoo rau ib tus neeg uas muaj tus kab mob no yog dab tsi?

Koj qhov kev kwv yees nyob ntawm seb ua rau muaj tus kab mob li cas, lub raum puas tsuaj npaum li cas, koj txoj kev noj qab haus huv tag nrho, thiab koj pib kho sai npaum li cas.

• Rau cov neeg uas muaj ntshav qab zib, qhov tshwm sim yuav tsis zoo me ntsis , vim ntshav qab zib yog ib yam kab mob uas kav ntev thiab tsis yog ib txwm tswj tau zoo. Yog tias koj muaj ntshav qab zib, kev tswj nws kom zoo li sai tau yuav pab tau ntau yam hauv kev tiv thaiv kev puas tsuaj rau lub raum.
• Yog tias muaj mob hnyav heev (Renal Papillary Necrosis), nws yuav ua rau yuav tsum tau ntxuav lub raum thiab hloov raum . Yog tias muaj kev kis kab mob, nws yuav ua rau tuag taus. Muaj feem yuav tuag vim yog lub raum tsis ua haujlwm.
• Hauv cov kab mob sickle cell, renal papillary necrosis tsuas yog ib qho ntawm ntau yam teeb meem uas tuaj yeem tshwm sim hauv lub raum. Thaum tag nrho cov teeb meem no muab tso ua ke, tus neeg mob lub neej yuav txo qis heev.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, tsis txhob nkim sijhawm thiab mus ntsib kws kho mob :

• Yog koj muaj ntshav nyob hauv koj cov zis (cov zis hloov xim liab, liab dawb, lossis xim av).
• Yog koj kub taub hau los yog mob khaub thuas (tshwj xeeb tshaj yog nrog rau lwm cov tsos mob).
• Yog koj muaj mob los yog kub hnyiab thaum tso zis.
• Yog tias koj muaj mob tshiab lossis mob zuj zus tuaj rau ob sab ntawm koj nraub qaum, nyob rau thaj tsam ntawm koj cov pob txha ntawm lub duav thiab cov tav (thaj tsam ntawm lub raum).
• Yog koj muaj kab mob hauv txoj hlab zis ntau zaus.
• Yog tias koj tso zis tsawg dua lossis o ntawm koj ob txhais ceg thiab pob luj taws (cov no yuav yog cov cim qhia tias lub raum ua haujlwm tsis zoo).

Nco ntsoov tias, cov tsos mob no kuj tuaj yeem tshwm sim los ntawm lwm yam kab mob. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tau mus ntsib kws kho mob kom paub qhov ua rau muaj qhov teeb meem no.

Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

Peb lub raum yog ib lub cev tseem ceeb rau peb lub cev, ua haujlwm ntsiag to thiab tseem ceeb. Lawv lim cov khoom pov tseg thiab tswj qhov sib npaug ntawm dej thiab ntsev hauv lub cev. Kev tsis tswj ntshav qab zib, kev siv tshuaj tua kab mob ntau dhau (NSAIDs), thiab ntau yam mob tuaj yeem ua rau lub raum puas tsuaj, ua rau muaj cov mob hnyav xws li Renal Papillary Necrosis.

Qhov phem tshaj plaws txog tus kab mob no yog tias koj yuav tsis muaj tsos mob dab tsi thaum ntxov. Yog li, yog tias koj muaj ntshav qab zib, yog tus neeg siv NSAIDs ntau zaus, lossis muaj lwm yam ua rau muaj kab mob raum, tham nrog koj tus kws kho mob txog cov hau kev los tiv thaiv koj lub raum. Los ntawm kev kuaj xyuas tsis tu ncua thiab ua raws li kev noj qab haus huv, koj tuaj yeem ua kom koj lub raum noj qab haus huv. Kev paub thaum ntxov thiab kev nqis tes ua yog qhov zoo tshaj plaws ua.

Lub raum, lub raum papillary necrosis, kab mob raum, ntshav qab zib, NSAIDs, lub raum tsis ua haujlwm, zis