Kodi izi ndi zoopsa ku impso zanu? (Renal Papillary Necrosis) Tiyeni tiphunzire za izi!

Kodi mukudziwa kuchuluka kwa ntchito ya impso ziwiri zazing'ono m'thupi lathu? Ndipotu, impso ndi ziwalo zazikulu zomwe zimasefa zinyalala ndikuyeretsa magazi m'thupi lathu. Komabe, nthawi zina impso izi zimathanso kudwala matenda omwe sitikuyembekezera. Lero tikambirana za vuto lomwe ndi lalikulu pang'ono, koma ngati mukudziwa, lingakuthandizeni kuliletsa ndikuliletsa.

Kodi impso zimagwira ntchito bwanji? Kodi Renal Papillary Necrosis ndi chiyani?

Mwachidule, impso zathu zili ngati zosefera ziwiri zazikulu m'thupi lathu. Ntchito yawo yayikulu ndikusefa zinyalala zosafunikira m'magazi ndikuzitulutsa ngati mkodzo. Kuti tichite izi, magazi amalowa mu impso ndikudutsa m'njira zambiri zazing'ono. Zinyalala izi zimasonkhanitsidwa kuchokera kunja kwa impso kenako zimafika pakati pa impso, yomwe ndi impso medulla . Nazi zigawo zooneka ngati funnel. Nsonga ya funnel izi, zomwe zimatchedwa renal papilla, zimasonkhanitsa mkodzo. Kuchokera pamenepo, mkodzo umadutsa mu ureters kupita ku chikhodzodzo ndikutuluka. Umu ndi momwe impso zathu zimagwirira ntchito.

Matenda a impso omwe tikukamba pano ndi kufa kwa maselo ndi minofu yomwe ili pakati pa impso (`Medulla`) ndi impso (`Renal Papilla`) zomwe ndatchula kale. Tangoganizani, pamene madera amenewo sagwira ntchito bwino, ntchito yomwe impso zimachita sigwira ntchito bwino, sichoncho? Chifukwa cha izi, impso zimafooka pang'onopang'ono, ndipo pamapeto pake zimatha kupangitsa kuti impso zilephere kugwira ntchito .

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Matendawa (Renal Papillary Necrosis) amapezeka kwambiri mwa anthu azaka zopitirira 60. Madokotala amanenanso kuti akazi ndi omwe ali ndi vutoli kuposa amuna.

Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a impso otchedwa renal papillary necrosis?

Pali zifukwa zingapo zazikulu zomwe zimayambitsa matendawa. Tiyeni tiwone zomwe zimayambitsa matendawa.

• Matenda a shuga : Ichi ndi chifukwa chachikulu komanso chofala kwambiri. Anthu omwe ali ndi matenda a shuga osalamulirika bwino ali pachiwopsezo chachikulu cha kuwonongeka kwa impso. Kuchuluka kwa shuga m'magazi kwa nthawi yayitali kumawononga mitsempha yamagazi yofooka m'impso.
• Kugwiritsa ntchito mankhwala ochepetsa ululu (NSAIDs) mopitirira muyeso: Ngati mumagwiritsa ntchito mankhwala ochepetsa ululu (mankhwala oletsa kutupa omwe si a steroidal, kapena NSAIDs) monga aspirin, ibuprofen, kapena naproxen kwa nthawi yayitali popanda kufunsa dokotala, muyenera kusamala kwambiri. Kumwa mankhwala ochulukirapo kungayambitse mitsempha yamagazi m'impso kupeta ndikuwononga impso.
• Matenda a Sickle Cell: Uwu ndi matenda a majini. Mu matendawa, mawonekedwe a maselo ofiira a magazi amasintha ndipo amatha kutsekeka m'mitsempha yamagazi. Izi zingayambitsenso kuti magazi azilowa mu impso (Renal Papillary Necrosis).

Kuwonjezera pa zifukwa zazikulu izi, matenda ena angapo angayambitsenso Renal Papillary Necrosis:

• Matenda a Chiwindi Osatha
• Pyelonephritis, matenda a bakiteriya a impso (omwe angawononge impso papillae)
• Chifuwa chachikulu cha impso, matenda omwe amakhudza impso kunja kwa mapapo
• Kutupa kwa Mitsempha ya Impso (kuundana kwa magazi mumtsempha komwe kumanyamula magazi kuchokera ku impso)
• Kutsekeka kwa mkodzo (monga chifukwa cha miyala ya mkodzo)
• Vasculitis, kutupa kwa mitsempha yamagazi

Chofunika kwambiri ndichakuti si aliyense amene ali ndi chimodzi mwa zifukwazi amene adzadwala Renal Papillary Necrosis, koma chiopsezo chake n’chokwera.

Kodi izi zimakhudza impso zonse ziwiri?

Inde, zanenedwa kuti mwa anthu pafupifupi asanu ndi awiri mwa khumi , vutoli (Renal Papillary Necrosis) limakhudza impso zonse ziwiri .

Kodi zizindikiro za (Renal Papillary Necrosis) ndi ziti?

Poyamba matendawa, sipangakhale zizindikiro . Ndicho chifukwa chake zimakhala zovuta kuzindikira ndi kuchiza msanga. Tangoganizirani, mulibe vuto lililonse, koma impso zanu zitha kuwonongeka kuchokera mkati. Komabe, n'zothekanso kuti izi zitha kupezeka mwangozi poyesa matenda ena.

Komabe, pamene vuto (Renal Papillary Necrosis) likukulirakulira, zizindikiro monga izi zingawonekere:

• Kupweteka pokodza (Dysuria)
• Malungo ndi kuzizira (makamaka ngati zikugwirizana ndi matenda)
• Magazi mu mkodzo (`Hematuria`) - Kuchuluka kwa magazi kungawonekere ndi maso (mkodzo ukhoza kukhala wofiira kapena bulauni), kapena ukhoza kukhala wochepa kwambiri kotero kuti ungawonekere kokha ndi maikulosikopu.
• Kufuna kukodza pafupipafupi usiku (`Nocturia`)
• Kuwonjezeka kosazolowereka kwa chiwerengero cha maselo oyera m'magazi (`Pyuria`) - izi zikutanthauza kuti mkodzo ungawoneke ngati mafinya, ndipo mkodzo ungawoneke ngati mitambo.
• Ululu waukulu mbali zonse ziwiri za msana, pakati pa nthiti ndi mafupa a m'chiuno (komwe kuli impso). Ululu uwu ukhoza kuchitika mwadzidzidzi kapena pang'onopang'ono.
• Matenda opatsirana pafupipafupi m'njira ya mkodzo.

Kodi matenda a Renal Papillary Necrosis amapezedwa bwanji?

Madokotala adzachita mayeso angapo kuti adziwe vutoli (Renal Papillary Necrosis). Akamvetsera zizindikiro zanu ndi mbiri yanu yachipatala, angakufunseni mayeso monga:

• Urography: Izi zikuphatikizapo kutenga X-ray, CT scan, kapena MRI ya impso zanu. Musanayambe kuyezetsa, mudzapatsidwa utoto wapadera (utoto) kudzera mu mtsempha. Izi zimathandiza kuona bwino madera omwe impso zawonongeka komanso kusintha kwa papillae.
• Ureteroscopy : Izi zimaphatikizapo kulowetsa chubu chopyapyala komanso chosinthasintha (chokhala ndi kamera kumapeto) kudzera mu urethra kuti chiyang'ane mwachindunji mkati mwa chikhodzodzo, ureter, ndi impso. Izi zimathandiza kuti mkhalidwe wa papillae uwonekere bwino.
• Kufufuza Impso : Mu mayesowa, chidutswa chaching'ono cha minofu chimatengedwa kuchokera ku impso pogwiritsa ntchito singano yapadera ndikuwunikidwa pogwiritsa ntchito maikulosikopu. Izi zingathandize kudziwa ngati maselo afa kapena minofu yawonongeka.

Kuyezetsa magazi ndi mkodzo

Kuphatikiza apo, kuyezetsa magazi ndi mkodzo kuti aone momwe impso zikugwira ntchito ndikofunikira kwambiri:

• Kuyesa kwa urea nitrogen m'magazi (BUN) : Izi zimayesa kuchuluka kwa urea nitrogen m'magazi. Ichi ndi chinyalala. Mlingo uwu umawonjezeka m'magazi impso zikalephera kugwira ntchito bwino.
• Kuyesa kwa Creatinine : Creatinine ndi chinthu china chonyansa chomwe chimapangidwa panthawi yomwe minofu imagwira ntchito bwino. Nthawi zambiri chimatulutsidwa ndi impso. Ngati kuchuluka kwake kuli kwakukulu m'magazi, zimasonyezanso kuti impso sizikugwira ntchito bwino.
• Chiŵerengero Choyerekeza cha Kusefa kwa Glomerular (eGFR) : Izi zimawerengedwa poganizira zinthu monga kuchuluka kwa creatinine m'magazi mwanu, zaka, jenda, ndi kukula kwa thupi lanu. Mtengo wa eGFR umakuuzani kuchuluka kwa magazi omwe impso zanu zimasefa pamphindi. Mtengo uwu ukachepa, impso zanu sizigwira ntchito bwino.
• Kusanthula mkodzo : Izi zimaphatikizapo kutenga chitsanzo cha mkodzo ndikuwuyang'ana m'maso (mtundu, kuyera bwino), pogwiritsa ntchito maikulosikopu (ya maselo amagazi, maselo a mafinya, mabakiteriya, zinyalala za papillary), komanso mankhwala (ya mapuloteni, shuga). Nthawi zina, zidutswa za impso zimatha kuwonekanso pansi pa maikulosikopu.
• Chiŵerengero cha mapuloteni/creatinine mkodzo : Izi zimayesa kuchuluka kwa mapuloteni omwe ali mu mkodzo. Impso zathanzi zimatulutsa mapuloteni ochepa kwambiri. Mapuloteni ambiri mu mkodzo ndi chizindikiro cha kuwonongeka kwa impso.

Kodi ndi mavuto ati omwe angayambitse (Renal Papillary Necrosis)?

Ngati vutoli (Renal Papillary Necrosis) silinachiritsidwe bwino, vutoli likhoza kukulirakulira ndikutsogolera ku mavuto aakulu.

• Matenda a Impso Osatha (CKD) : Chifukwa cha kuwonongeka kosalekeza kwa impso, ntchito yawo imachepa pang'onopang'ono, zomwe zimapangitsa kuti impso zidwale matenda osatha.
• Kulephera kwa ImpsoNgati vutoli likuipiraipira, impso zimatha kusagwira ntchito bwino, zomwe zikutanthauza kuti zitha kulephera kugwira ntchito bwino kwa impso.
• Kuti mupulumuke, mungafunike dialysis (kutsuka magazi anu ndi makina) kapena kuikidwa impso .
• Zapezekanso kuti vutoli limawonjezera chiopsezo chotenga khansa yamtundu wina yotchedwa transitional cell cancer, yomwe imayamba mu impso kapena ureter.
• Palinso chiopsezo cha matenda oopsa (sepsis).

Kodi matenda a impso otchedwa Renal Papillary Necrosis amachiritsidwa bwanji?

Palibe chithandizo chapadera cha matenda a impso otchedwa Renal Papillary Necrosis. Chithandizo chachikulu ndi kuchiza chomwe chimayambitsa matendawa . Mwachitsanzo:

• Ngati ndi chifukwa cha matenda a shuga, ndiye kuti ndikofunikira kuwongolera bwino matenda a shuga.
• Ngati ndi chifukwa cha kugwiritsa ntchito NSAID, siyani kumwa mankhwala amenewo.
• Ngati ndi chifukwa cha matenda, mupatseni mankhwala opha tizilombo.
• Ngati pali chotseka mkodzo, chiyenera kuchotsedwa.

Cholinga chachikulu ndi kuchepetsa kuwonongeka kwina kwa impso ndikusunga ntchito ya impso momwe zingathere.

Kupambana kwa chithandizo kumadalira kukula kwa kuwonongeka kwa impso ndi chomwe chayambitsa matendawa. Nthawi zina matendawo akhoza kupitirirabe ngakhale atachiritsidwa. Komabe, nthawi zina matendawo sali oopsa kwambiri, ndipo ngati chifukwa chake chachiritsidwa mwachangu, ntchito ya impso ikhoza kukhazikika kapena kusintha pang'ono.

Kodi ndingathe kudziteteza ku Renal Papillary Necrosis?

Inde, pali zinthu zomwe tingachite kuti tidziteteze ku vutoli, makamaka.

• Chofunika kwambiri ndikukhala ndi thanzi labwino . Kudya zakudya zoyenera, kumwa madzi okwanira, komanso kuchita masewera olimbitsa thupi nthawi zonse n'kofunika.
• Ngati mukumwa mankhwala ochepetsa ululu (NSAIDs) omwe amagulitsidwa kunja kwa chipatala, gwiritsani ntchito monga momwe mwalangizidwira pa phukusi kapena monga mwalangizidwira ndi dokotala. Musamamwe pafupipafupi kapena kwa nthawi yayitali kuposa momwe mukufunira. Musamwe nthawi zonse pa ululu wochepa kapena mutu.
• Ngati muli ndi matenda a shuga (Diabetes Mellitus), matenda a sickle cell (Sickle Cell Disease), kapena matenda ena omwe angayambitse matenda a impso (Renal Papillary Necrosis), tsatirani malangizo a dokotala wanu molondola. Pitani kuzipatala nthawi yake. Imwani mankhwala omwe mwapatsidwa. Tsatirani zakudya zoyenera.
• Ndikofunikira kwambiri kuchita mayeso a labu kuti muwone momwe impso zimagwirira ntchito nthawi ndi nthawi monga momwe dokotala wanu wanenera, komanso kuzindikira kusintha kulikonse msanga.

Kodi munthu amene ali ndi matendawa amachira bwanji?

Kuyembekezeka kwa matenda anu kumadalira chomwe chayambitsa matendawa, kuchuluka kwa kuwonongeka kwa impso, thanzi lanu lonse, komanso momwe mumayambira chithandizo mwachangu.

• Kwa anthu omwe ali ndi matenda a shuga, zotsatira zake sizingakhale zabwino kwenikweni , chifukwa matenda a shuga ndi matenda omwe amakula kwa nthawi yayitali ndipo nthawi zina sawongoleredwa bwino. Ngati muli ndi matenda a shuga, kuwalamulira bwino momwe mungathere kungathandize kwambiri kupewa kuwonongeka kwa impso.
• Pa milandu yoopsa (Renal Papillary Necrosis), imatha kuyambitsa dialysis ndi kuikidwa impso . Ngati matenda apezeka, akhoza kukhala pachiwopsezo cha moyo. Pali kuthekera kwa imfa chifukwa cha kulephera kwa impso.
• Mu matenda a sickle cell, renal papillary necrosis ndi chimodzi mwa mavuto angapo omwe angachitike mu impso. Mavuto onsewa akaphatikizidwa, nthawi ya moyo wa wodwalayo imatha kuchepa kwambiri.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, musataye nthawi ndipo onetsetsani kuti mwawonana ndi dokotala :

• Ngati muli ndi magazi mu mkodzo wanu (mkodzo umasintha kukhala wofiira, pinki, kapena bulauni).
• Ngati muli ndi malungo kapena kuzizira (makamaka ndi zizindikiro zina).
• Ngati mukumva kupweteka kapena kutentha mukamakodza.
• Ngati muli ndi ululu watsopano kapena wokulirapo mbali zonse ziwiri za msana wanu, m'dera la pakati pa mafupa a m'chiuno ndi nthiti (dera la impso).
• Ngati mumadwala matenda a mkodzo pafupipafupi.
• Ngati mukukodza pang'ono kapena ngati miyendo ndi akakolo anu atupa (izi zitha kukhala zizindikiro za kuchepa kwa ntchito ya impso).

Kumbukirani kuti zizindikirozi zingayambitsidwenso ndi matenda ena. Komabe, ndikofunikira kupita kwa dokotala kuti mudziwe chomwe chimayambitsa matendawa.

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Impso zathu ndi chiwalo chofunikira kwambiri m'thupi lathu, chomwe chimagwira ntchito mwakachetechete komanso yofunika kwambiri. Zimasefa zinyalala ndikusunga madzi ndi mchere m'thupi. Matenda a shuga osalamulirika, kugwiritsa ntchito mopitirira muyeso mankhwala ochepetsa ululu (NSAIDs), ndi matenda ena osiyanasiyana amatha kuwononga impso, zomwe zimapangitsa kuti pakhale matenda aakulu monga Renal Papillary Necrosis.

Choyipa kwambiri pa matendawa ndichakuti simungakhale ndi zizindikiro zilizonse kumayambiriro. Chifukwa chake, ngati muli ndi matenda a shuga, mumagwiritsa ntchito mankhwala a NSAID pafupipafupi, kapena muli ndi zinthu zina zomwe zimayambitsa matenda a impso, lankhulani ndi dokotala wanu za njira zotetezera impso zanu. Mwa kupita kukayezetsa nthawi zonse komanso kukhala ndi moyo wathanzi, mutha kusunga impso zanu zathanzi. Kudziwa msanga ndi kuchitapo kanthu nthawi zonse ndiye chinthu chabwino kwambiri kuchita.

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