Lub raum yog ib qho ntawm cov kabmob tseem ceeb tshaj plaws hauv peb lub cev. Lawv zoo li ob lub "lim" hauv peb lub cev. Lub luag haujlwm tseem ceeb ntawm lub raum yog lim thiab ntxuav cov khoom pov tseg hauv lub cev thiab tso tawm ua zis . Yog li nws tseem ceeb heev kom cov raum no noj qab haus huv. Hnub no peb yuav tham txog ib yam kab mob uas tuaj yeem cuam tshuam rau lub raum ntsiag to, tab sis tsis muaj leej twg tham txog nws ntau. Ntawd yog Interstitial Nephritis.
Hais yooj yim xwb, Interstitial Nephritis yog dab tsi?
Zoo, lub npe no suab nyuaj me ntsis, tab sis nws yooj yim heev. Kuv tau hais ua ntej lawm tias lub raum zoo li lub lim dej. Lub lim dej no muaj lub network ntawm cov raj me me (tubules). Hauv kev kho mob, peb hu cov "tubules". Interstitial Nephritis yog thaum cov raj me me thiab cov nqaij nyob ib puag ncig lawv o. Qhov o no tiv thaiv lub raum kom tsis txhob ua haujlwm zoo.
Qhov mob no qee zaum yuav tsis hnyav heev thiab zoo dua sai sai. Tab sis qee zaum nws yuav hnyav dua me ntsis thiab kav ntev. Feem ntau, nws tshwm sim los ntawm lwm yam mob.
Muaj ob hom kab mob no tseem ceeb.
Yog, Interstitial Nephritis muaj ob hom loj. Qhov xwm txheej ntawm ob hom no txawv me ntsis.
| Yam ntxwv | Mob Ntsws Mob Ntsws Mob Ntsws | Mob ntsws tubulointerstitial ntev |
|---|---|---|
| Qhov ceev uas | Qhov no tshwm sim sai heev, tsis pub dhau ob peb hnub. | Qhov no maj mam loj hlob, dhau sijhawm. |
| Kev tso zis | Cov zis uas koj tso tawm yuav maj mam txo lossis nce ntxiv, tshwj xeeb tshaj yog thaum hmo ntuj. | Feem ntau, tso zis ntau dhau. |
| Lwm yam nta | Yog tias qhov mob no yog los ntawm kev kis kab mob bacterial, yuav ua rau kub taub hau, kis kab mob ntawm txoj hlab zis, thiab mob nraub qaum. | Thaum xub thawj, cov tsos mob zoo ib yam li cov mob raum tsis ua haujlwm. Tej zaum yuav khaus, qaug zog heev, tsis xav noj mov, xeev siab, ntuav, thiab ua pa nyuaj. |
Dab tsi yog cov ua rau muaj Interstitial Nephritis?
Tsis muaj ib qho laj thawj rau qhov teeb meem no, tab sis muaj ntau yam ua rau muaj qhov teeb meem no. Cia peb saib cov laj thawj tseem ceeb.
| Vim li cas | Kev piav qhia thiab piv txwv |
|---|---|
| Cov tshuaj | Qhov no yog qhov ua rau feem ntau . Qee cov tshuaj tuaj yeem cuam tshuam rau lub raum. Piv txwv li suav nrog aspirin, qee cov tshuaj tua kab mob, cov tshuaj tiv thaiv kev o uas tsis yog steroidal, qee cov tshuaj rau mob gastritis (Proton Pump Inhibitors), thiab qee cov tshuaj rau kev kho mob qog noj ntshav (Immune checkpoint inhibitors). |
| Cov Tshuaj Tiv Thaiv | Qee zaum tus kab mob no kuj tuaj yeem tshwm sim los ntawm kev ua xua rau cov tshuaj uas koj noj. |
| Kev kis kab mob | Muaj ntau yam kab mob sib kis tau ua rau qhov no. Piv txwv li: cov kab mob bacterial xws li E. coli, cov kab mob xws li HIV lossis herpes, syphilis, parasites, thiab cov kab mob fungal. Ib yam li cov kab mob uas tshwm sim hauv lub raum lawv tus kheej, qhov no tuaj yeem yog ib qho ua rau. |
| Kev Tiv Thaiv Kab Mob | Nws kuj tseem tuaj yeem tshwm sim los ntawm qee yam kab mob uas cuam tshuam rau lub cev lub cev tiv thaiv kab mob. Piv txwv li suav nrog sarcoidosis, Sjogren's syndrome, thiab lupus. |
Qhov tseem ceeb tshaj plaws yog, tsis txhob tsum noj cov tshuaj uas koj tus kws kho mob tau sau ntawv kom noj tsuas yog vim nws nyob hauv daim ntawv teev npe no. Yog tias koj muaj lus nug dab tsi, nco ntsoov nrog koj tus kws kho mob tham .
Cov tsos mob ntawm tus kab mob no yuav yog dab tsi?
Qhov nthuav ntawm no yog tias feem ntau cov neeg tsis muaj tsos mob li, lossis tsuas yog cov tsos mob me me xwb. Txawm li cas los xij, qee tus neeg yuav muaj tej yam xws li:
- Cov zis tso tawm tsawg dua
- Tso zis ntau zaus lossis tso zis ntau zaus
- Xeev siab thiab ntuav
- Ua npaws
- Cov tawv nqaij ua pob khaus
- Ntshav siab
- Kev tsis tswm los yog kev ntxhov siab
- Kev tsaug zog ntau dhau
- Kev cuam tshuam ntawm kev nco qab thiab kev paub (Kev tsis meej pem)
- Kev o ntawm tag nrho lub cev lossis qee qhov chaw
- Qhov hnyav nce
Yog koj muaj hom mob ntev (mob ntev), koj kuj yuav ua pa nyuaj . Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, tshwj xeeb tshaj yog tias lawv tshwm sim tom qab pib noj tshuaj tshiab, nws yog qhov zoo tshaj plaws los nrhiav kev pab kho mob.
Tus kws kho mob yuav kuaj mob no li cas kom meej?
Yuav kom paub tseeb tias tus kab mob no yog dab tsi, yuav tsum tau ua ntau qhov kev kuaj hauv chaw kuaj mob.
- Kev kuaj mob raum ua haujlwm: Cov no yog cov kev kuaj ntshav yooj yim uas tuaj yeem qhia tau tias koj lub raum ua haujlwm zoo npaum li cas. Lawv kuj tseem tuaj yeem kuaj xyuas seb puas muaj cov khoom pov tseg ntau hauv cov ntshav, xws li uric acid thiab phosphate.
- Kev kuaj mob raum:Qhov no yog tib txoj kev los paub tseeb tias muaj tus kab mob 100%. Tab sis qhov no tsis yog ua rau txhua tus. Qhov ua ntawm no yog siv ib rab koob me me los txiav ib daim nqaij me me ntawm lub raum thiab kuaj nws hauv qab lub tshuab kuaj mob. Qhov kev kuaj no ua rau muaj tej yam tshwj xeeb, xws li txiav txim siab seb puas yuav muab tshuaj xws li corticosteroids lossis tsis muab.
- Lwm yam kev kuaj mob: Koj tus kws kho mob kuj tseem yuav kom koj ua cov kev kuaj mob xws li kev kuaj mob ultrasound lossis kev kuaj mob radionuclide. Cov kev kuaj mob no tuaj yeem pab nrhiav seb puas muaj kev o ntawm lub raum, tshwj xeeb yog tias koj xav tias koj muaj kev tsis haum tshuaj.
Cov kev kho mob rau qhov no yog dab tsi?
Cov kev xaiv kho mob nyob ntawm seb koj muaj hom mob interstitial nephritis twg thiab nws hnyav npaum li cas.
Rau Mob Ntsws Acute Interstitial Nephritis (hom mob uas pib tam sim ntawd):
Qhov tseem ceeb tshaj plaws thiab tseem ceeb tshaj plaws yog kom tsum tsis txhob noj cov tshuaj uas koj xav tias muaj . Tab sis qhov no tsuas yog ua tau raws li koj tus kws kho mob qhia xwb . Tsis txhob tsum tsis txhob noj tshuaj koj tus kheej.
Yog tias qhov no yog los ntawm ib yam kab mob xws li lupus lossis kev ua xua rau ib yam tshuaj, koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj xws li corticosteroids kom txo qhov o.
Yog tias qhov mob hnyav heev thiab lub raum pib ua haujlwm tsis zoo, koj yuav tsum tau siv lub tshuab ntxuav ntshav, hu ua dialysis.
Rau Chronic Interstitial Nephritis (hom mob ntev):
Yog tias muaj tshuaj uas ua rau muaj tus kab mob no, nws yog ib qho tseem ceeb uas yuav tsum tsis txhob noj tshuaj ntawd thaum koj mus ntsib kws kho mob. Tsis tas li ntawd xwb, tej zaum yuav muaj lwm yam tshuaj uas yuav pab tswj koj cov ntshav siab thiab tiv thaiv kom tus kab mob no tsis txhob loj zuj zus mus ntxiv.
Tu siab kawg li, yog tias lub raum puas tas mus li, koj yuav xav tau kev ntxuav lub raum tas mus li lossis hloov lub raum.
Yog vim li ntawd peb thiaj hais tias kev ua tib zoo saib xyuas txhua yam tsos mob thiab nrhiav kev kho mob sai sai tuaj yeem tiv thaiv kev puas tsuaj loj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntsws interstitial nephritis yog kev o ntawm cov raj xa dej me me hauv lub raum thiab cov nqaij nyob ib puag ncig, uas tuaj yeem ua rau lub raum puas tsuaj.
- Qhov no feem ntau yog tshwm sim los ntawm qee cov tshuaj, kev kis kab mob, lossis tej yam mob uas cuam tshuam rau lub cev tiv thaiv kab mob.
- Yog koj muaj cov tsos mob xws li kev hloov pauv ntawm kev tso zis, o, kub taub hau, lossis tawv nqaij ua pob, mus ntsib kws kho mob tam sim ntawd . Tshwj xeeb tshaj yog tias cov tsos mob no tshwm sim tom qab pib noj tshuaj tshiab, qhia rau lawv txog qhov ntawd.
- Muaj kev kho rau tus kab mob no. Kev kuaj pom thiab kho thaum ntxov yuav txo tau kev puas tsuaj rau lub raum.
- Tsis txhob pib lossis tsum noj tshuaj yam tsis tau koj tus kws kho mob qhia.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus