Kodi impso zanu zili ngati siponji? Lero tikambirana za Medullary Sponge Kidney!

Mwina simunamvepo za mawu akuti 'Medullary Sponge Kidney' kale. Ngakhale zingamveke zovuta kufotokoza, kwenikweni ndi vuto lobadwa nalo lokhudzana ndi impso. Mwachidule, ndi pomwe thovu laling'ono lamadzi, lotchedwa cysts, limapangika mkati mwa impso zanu, makamaka pakati pa impso (medulla). Tiyeni tikambirane izi mwatsatanetsatane lero, sichoncho?

Kodi impso ya Medullary Sponge Kidney ndi chiyani kwenikweni?

Choyamba tiyeni tiwone zomwe impso zili komanso momwe zimagwirira ntchito. Monga mukudziwa, impso ndi gawo lofunika kwambiri la dongosolo la mkodzo m'thupi lathu. Impso iliyonse ili ndi gawo lapakati, lomwe timalitcha kuti medulla. Medulla iyi ili ndi njira zazing'ono kwambiri zotchedwa tiny tubules. Njirazi zimasonkhanitsa zinyalala zomwe zimasefedwa kuchokera m'magazi ndikupanga mkodzo. Kenako njirazi zimalumikizana ndikulumikizana ndi njira zazikulu pang'ono zotchedwa collecting ducts. Kuchokera pamenepo, mkodzo umapita kumalo osonkhanitsira pakati pa impso, renal pelvis. Kuchokera pamenepo, mkodzo umadutsa mu ureters kupita ku chikhodzodzo, kenako kudzera mu urethra kuti utuluke m'thupi.

Chabwino, tsopano chomwe chimachitika kwa munthu amene ali ndi `Medullary Sponge Kidney` ndichakuti ma ducts omwe ndatchulawa amakhala ndi ma cysts ang'onoang'ono, ndipo ma ducts amenewo amatupa ndikukula. Amaoneka ngati siponji. Ndicho chifukwa chake amatchedwa `Sponge Kidney`. Matendawa nthawi zambiri amakhudza impso zonse ziwiri, koma nthawi zina amatha kukhudza impso imodzi yokha.

Kodi vuto la impso ya siponji yodwala kwambiri limayamba bwanji?

Tsopano muli ndi funso lokhudza zomwe zimachitika pamene ma cyst awa apangidwa. Pamene ma cyst awa apangidwa, njira zazing'ono (tubules) sizigwira ntchito bwino. Kenako, zinthu monga calcium zimayamba kuikidwa mkati mwa njirazi. Timazitcha izi (nephrocalcinosis). Sikuti calcium yokha, komanso zinthu zina monga phosphate ndi oxalate zimatha kudziunjikira mwanjira imeneyi. Pakapita nthawi, zinthuzi zimasonkhana pamodzi ndikupanga miyala ya impso .

Miyala ndi ma cysts amenewa amaletsanso kutuluka kwa mkodzo kudzera mu mkodzo, zomwe zimawonjezera chiopsezo cha matenda opatsirana m'mitsempha ya mkodzo (UTIs) .

Kodi kusiyana kwake ndi matenda a impso a Polycystic ndi kotani?

Mwina munamvapo za matenda a impso otchedwa Polycystic Kidney Disease (PKD). Ndi matenda omwe ma cysts amapangika mu impso. Ndiye kusiyana pakati pa awiriwa ndi kotani?

Matenda a impso a Polycystic (PKD) ndi matenda a majini omwe nthawi zambiri amabadwa nawo. Amapangitsa impso kukula, ndipo ma cysts ambiri amapangika m'thupi lonse. PKD nthawi zina ingayambitse mavuto aakulu.Zingayambitse mavuto a moyo wonse. Anthu ambiri omwe ali ndi PKD amalephera kugwira ntchito ya impso ndipo amafunika dialysis kuti ayeretse magazi awo.

Komabe, kulephera kwa impso n'kosowa kwambiri kwa anthu omwe ali ndi impso ya medullary sponge (MSK). Kusiyana kwakukulu ndiko komwe kulipo.

Ndani amene amakhudzidwa kwambiri ndi vutoli? Kodi ndi lofala bwanji?

Matenda a ``medullary sponge kidney (MSK)'' akuti amachitika mwangozi. Izi zikutanthauza kuti, popanda chifukwa chenicheni. Komabe, popeza amapezeka m'mabanja ena, pakhoza kukhala mwayi wolandira cholowa. Komabe, palibe njira yodziwikiratu ya majini yomwe yapezeka.

Anthu ambiri amazindikira kuti ali ndi matendawa zizindikiro zikaonekera, nthawi zambiri ali ndi zaka za m'ma 20. Azimayi nawonso akuti ali pachiwopsezo chachikulu kuposa amuna .

Ndi zofala kwambiri, ndipo pafupifupi munthu m'modzi pa anthu 5,000 ali ndi MSK. Komabe, zimapezeka kwambiri mwa anthu omwe ali ndi miyala ya impso. Izi zikutanthauza kuti pakati pa 12% ndi 20% ya anthu otere akhoza kukhala ndi MSK.

Kodi impso ya siponji ya medullary imayambitsa kuthamanga kwa magazi?

Ena angadabwe ngati "MSK" iyi imayambitsa kuthamanga kwa magazi kapena kupanikizika. Malinga ndi kafukufuku waposachedwa, palibe umboni woti "medullary sponge kidney" imayambitsa kuthamanga kwa magazi.

Kodi n’chiyani chimayambitsa matenda a impso otchedwa medullary sponge kidney?

Madokotala sakudziwabe chifukwa chake anthu ena amadwala matendawa. Akuti amayamba chifukwa cha vuto la kukula kwa impso panthawi ya mwana wosabadwayo, pamene mwana akadali m'mimba .

Kodi zizindikiro za matendawa ndi ziti?

Chodabwitsa n'chakuti, anthu ambiri omwe ali ndi Medullary Sponge Kidney (MSK) samakhala ndi zizindikiro zilizonse . Izi zikutanthauza kuti amakhala moyo osadziwa ngakhale kuti ali ndi matendawa. Ndi ochepa okha, pafupifupi 10%, omwe amakhala ndi zizindikiro.

Zizindikiro zotere zikachitika, nthawi zambiri zimagwirizanitsidwa ndi matenda a mkodzo (UTIs) ndi miyala ya impso. Zizindikiro zazikulu ndi izi:

• Magazi mu mkodzo (hematuria): Izi zikutanthauza kuti mkodzo ukhoza kufiira, nthawi zina mtundu wa madzi a tiyi.
• Kupweteka kwa m'mbali mwa msana: Kupweteka komwe kumachitika mbali zonse ziwiri za msana wanu, pansi pa nthiti zanu.
• Ululu pokodza (dysuria): Pakhoza kukhala kutentha ndi ululu pokodza.
• Miyala ya impso: Ichi ndi chinthu chomwe anthu ambiri akumana nacho. Chingabwere ndi ululu waukulu wa msana.
• Matenda a mkodzo: Zizindikiro monga kukodza pafupipafupi ndi kutentha thupi zimatha kuchitika.

Kodi impso ya siponji ya medullary imapezeka bwanji?

Ngati muli ndi zizindikiro izi, dokotala wanu adzayamba kaye wakuyezani thupi. Adzakufunsani za mbiri yanu yachipatala, mbiri ya banja lanu, ndi zizindikiro zilizonse zomwe mukukumana nazo.

Ngati dokotala wanu akukayikira kuti muli ndi matenda a impso, mwina adzakulamulani kuti muyesedwe magazi ndi mkodzo kangapo. Izi zikuyang'anani:

• Kodi pali magazi mu mkodzo?
• Kodi impso zimagwira ntchito bwanji?
• Kodi pali matenda a mkodzo?

Kuphatikiza apo, mayeso apadera ojambulira amatha kuchitidwa kuti aone ngati pali ma cysts omwe ndatchula m'impso. Mitundu yodziwika bwino ya ma scan ndi iyi:

• Kujambula kwa CT: Izi zimagwiritsa ntchito X-rays kuti zipange chithunzi cha impso cha magawo atatu (3D).
• Intravenous Pyelogram (IVP): Izi zimaphatikizapo kubaya utoto wapadera mumtsempha wanu. Kenako, zithunzi zingapo za X-ray zimatengedwa. Utotowo umasefedwa kudzera m'magazi ochokera ku impso ndikulowa mumkodzo, kotero zithunzi za X-ray zimasonyeza bwino njira ya mkodzo. Izi zingathandize kupeza ma cysts ndi malo omwe mkodzo umatsekedwa.
• Kujambula kwa Ultrasound: Izi zimagwiritsa ntchito mafunde a phokoso kujambula zithunzi za impso.

Kodi impso ya siponji ya medullary imachiritsidwa bwanji?

Pakadali pano palibe chithandizo chenicheni cha matenda otchedwa medullary sponge kidney (MSK). Chithandizochi cholinga chake chachikulu ndi kuletsa ndi kuchiza matenda a mkodzo (UTIs) ndi miyala ya impso.

Chithandizo chachikulu cha matenda a mkodzo ndi maantibayotiki .

Chithandizo cha miyala ya impso chimadalira kukula kwa mwalawo. Miyala yaying'ono nthawi zambiri imadutsa yokha mumkodzo. Dokotala wanu angakuuzeni kuti mumwe madzi ambiri kuti mwalawo utuluke mwachangu. Angakupatseninso mankhwala ochepetsa ululu ndi mankhwala ochepetsa minofu ya mkodzo wanu.

Miyala ikuluikulu ingafunike kukonzedwanso pang'ono. Nazi zitsanzo zingapo:

• Kutupa kwa Mafunde Oopsa: Iyi ndi njira yosagwiritsa ntchito mankhwala omwe amagwiritsa ntchito mafunde amphamvu kwambiri kuti aswe miyala ya impso. Kenako zidutswa zosweka zimatulutsidwa m'thupi kudzera mu mkodzo.
• Ureteroscopy: Izi zimaphatikizapo kugwiritsa ntchito chubu chachitali komanso chopyapyala chotchedwa ureteroscope kuti chiyang'ane malo omwe mwalawo uli. Chida ichi chingagwiritsidwe ntchito kuchotsa miyala ing'onoing'ono, kapena laser ingagwiritsidwe ntchito kuswa miyala ikuluikulu.
• Kuchotsa Nephrolithotomy ya Percutaneous:Madokotala amagwiritsa ntchito njira imeneyi pokhapokha ngati njira zina sizikuyenda bwino. Izi zimaphatikizapo kudula pang'ono kumbuyo ndikuphwanya mwala wa impso ndikuwutulutsa. Iyi ndi opaleshoni yochepa kwambiri.

Kodi impso ya siponji ya medullary ingapewedwe?

Impso ya siponji ya Medullary (MSK) ndi matenda obadwa nawo omwe palibe chifukwa chodziwika, kotero sangathe kupewedwa . Komabe, mutha kuchitapo kanthu kuti mupewe matenda a mkodzo (UTIs) ndi miyala ya impso yomwe ingabwere chifukwa cha matendawa.

Dokotala wanu akhoza kukupatsani mankhwala monga awa:

• Mankhwala oletsa matenda opatsirana m'mitsempha ya mkodzo omwe ali ndi mlingo wochepa .
• Mankhwala monga potassium citrate kapena thiazide (omwe amadziwikanso kuti mapiritsi amadzi) amatha kuchepetsa kuchuluka kwa calcium mu mkodzo ndikuletsa kupanga miyala mu impso.

Kusintha zakudya zanu kungathandizenso kupewa matenda a mkodzo ndi miyala ya impso:

• Calcium: Kupeza calcium yokwanira kuchokera muzakudya zanu kungathandize kuchepetsa chiopsezo cha miyala mu impso. (Anthu ena angaganize kuti kutenga calcium yochuluka kungawonjezere chiopsezo cha miyala, koma sizili choncho. Muyenera kumwa pang'ono. Funsani dokotala wanu.)
• Madzi: Kumwa madzi ambiri n'kofunika kwambiri. Izi zimathandiza kuchepetsa mkodzo ndikuchepetsa chiopsezo cha miyala. Zimathandizanso kutulutsa mabakiteriya mu impso. Yesetsani kumwa madzi osachepera malita 2-3 patsiku.
• Zakudya zokhala ndi mapuloteni ambiri: Kuchepetsa zakudya zokhala ndi mapuloteni ambiri monga nyama, nsomba, ndi mazira kungathandize kupewa miyala ya impso.
• Mchere: Kuchepetsa mchere muzakudya zanu n'kofunika kwambiri. Kudya mchere wochuluka kumawonjezera chiopsezo cha miyala ya impso. Choncho samalani ndi kuchuluka kwa mchere womwe mumawonjezera muzakudya zanu. Zinthu monga zakudya zam'chitini ndi Zakudya zophikidwa nthawi yomweyo zimakhala ndi mchere wambiri.

Chofunika: Nthawi zonse funsani dokotala wanu kapena katswiri wa zakudya musanasinthe zakudya zanu.

Kodi tsogolo la munthu amene ali ndi vuto la impso ya siponji yofooka ndi lotani?

Anthu ambiri angaope kumva izi, koma anthu ambiri omwe ali ndi Medullary Sponge Kidney (MSK) amatha kugwira ntchito bwino kwa impso zawo zonse .

Komabe, anthu ochepa, pafupifupi 10%, amatha kulephera kugwira ntchito ya impso. Zomwe zimayambitsa matendawa ndi matenda opatsirana m'mitsempha ya mkodzo (UTIs) komanso miyala ya impso.

Kupweteka kosatha ndi vuto lina losowa lomwe limapezeka mwa anthu omwe amadwala miyala ya impso pafupipafupi. Vutoli lingathe kuthetsedwa mwa kuchitapo kanthu kuti apewe miyala ya impso.

Impso ya siponji ya Medullary (MSK) ingayambitse kuchepa kwa calcium m'magazi. Izi zitha kufooketsa mafupa . Izi zimawonjezera chiopsezo cha matenda okhudzana ndi mafupa. Mwachitsanzo:

• Matenda a mafupa (osteoporosis) (matenda omwe mafupa amachepa komanso amafooka)
• Hyperparathyroidism yachiwiri (kutulutsa mahomoni ambiri ndi ma thyroid glands a parathyroid)

Pofuna kupewa kuwonongeka kwa mafupa kwa nthawi yayitali, dokotala wanu angakupatseni mankhwala monga potassium citrate.

Kodi mungakhale bwanji ndi impso ya siponji ya medullary?

Dokotala wanu adzayang'anira momwe impso zanu zimagwirira ntchito nthawi zonse ndikupereka chithandizo chothandizira pakafunika kutero. Ndikofunikira kumwa mankhwala anu monga momwe mwalangizidwira, kutsatira zakudya zanu, komanso kutsatira nthawi zomwe mwakumana nazo . Zinthu izi zingathandize kupewa matenda a mkodzo ndi miyala ya impso.

Palibe mankhwala a Medullary Sponge Kidney (MSK). Koma monga ndanenera kale, anthu ambiri omwe ali ndi vutoli alibe zizindikiro zilizonse, ndipo ena sadziwa kuti ali nalo. Zizindikiro zikayamba, nthawi zambiri zimayambitsidwa ndi matenda a mkodzo kapena miyala ya impso. Zonsezi zimatha kuchiritsidwa . Muthanso kupewa matenda a mkodzo ndi miyala ya impso mwa kusintha zakudya zanu ndi moyo wanu. Ngati muli ndi mafunso kapena nkhawa, musazengereze kulankhula ndi dokotala wanu .

Uthenga Wopita Nawo Kunyumba

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino za `Medullary Sponge Kidney` yomwe tidakambirana. Tiyeni tikumbukirenso mfundo zofunika kwambiri:

• Imeneyi ndi matenda obadwa nawo omwe ma cysts ang'onoang'ono amakula pakati pa impso (medulla).
• Anthu ambiri alibe zizindikiro . Ngati ali nazo, ndi chifukwa cha matenda a mkodzo (UTIs) kapena miyala ya impso.
• Palibe mankhwala enieni a izi, koma zizindikiro ndi mavuto zimatha kuchiritsidwa bwino.
• Ndikofunikira kwambiri kupewa miyala ya impso ndi matenda a mkodzo. Kuti muchite izi, imwani madzi ambiri, samalani ndi zomwe mumadya, ndipo tsatirani malangizo a dokotala wanu.
• Anthu ambiri amatha kugwira ntchito bwino kwa impso pa moyo wawo wonse . Kulephera kwa impso n'kosowa.
• Ngati muli ndi mafunso okhudza izi, pitani kwa dokotala .

Musadandaule, anthu ambiri akhoza kukhala ndi moyo wabwinobwino komanso wathanzi ndi vutoli!

'Impso ya Medullary Sponge, Matenda a Cacchi-Ricci, matenda a impso, miyala ya impso, matenda a mkodzo, ziphuphu za impso, matenda a impso obadwa nawo, ziphuphu za impso, nephrocalcinosis, hematuria, thanzi la impso Sinhala