Impso ndi chimodzi mwa ziwalo zofunika kwambiri m'thupi lathu. Zili ngati "zosefera" ziwiri m'thupi lathu. Ntchito yayikulu ya impso ndikusefa ndikuyeretsa zinyalala m'thupi ndikuzitulutsa ngati mkodzo . Chifukwa chake ndikofunikira kwambiri kusunga impso izi kukhala zathanzi. Lero tikambirana za matenda omwe angakhudze impso mwakachetechete, koma palibe amene amalankhula kwambiri za matendawa. Umenewo ndi Interstitial Nephritis.
Mwachidule, kodi Interstitial Nephritis ndi chiyani?
Chabwino, dzinali likumveka lovuta pang'ono, koma kwenikweni ndi losavuta. Ndanena kale kuti impso zili ngati fyuluta. Fyuluta iyi ili ndi netiweki ya machubu ang'onoang'ono kwambiri (machubu). Mu zamankhwala, timatcha izi "machubu". Interstitial Nephritis ndi pamene machubu ang'onoang'ono ndi minofu yozungulira imatupa. Kutupa kumeneku kumalepheretsa impso kugwira ntchito bwino.
Matendawa nthawi zina amakhala ochepa kwambiri ndipo amatha kuchira pakapita nthawi yochepa. Koma nthawi zina amakhala ovuta pang'ono ndipo amakhalapo kwa nthawi yayitali. Nthawi zambiri, amapezeka ngati zotsatira zina za matenda ena.
Pali mitundu iwiri ikuluikulu ya matendawa.
Inde, matenda a Interstitial Nephritis akhoza kugawidwa m'magulu awiri akuluakulu. Mtundu wa matenda awiriwa ndi wosiyana pang'ono.
| Khalidwe | Matenda a Acute Interstitial Nephritis | Matenda a Tubulointerstitial Nephritis Osatha |
|---|---|---|
| Liwiro limene | Izi zimachitika mofulumira kwambiri, mkati mwa masiku ochepa. | Izi zimayamba pang'onopang'ono, pakapita nthawi. |
| Kukodza | Kuchuluka kwa mkodzo womwe umatuluka kungachepe kapena kukwera mwadzidzidzi, makamaka usiku. | Kawirikawiri, kukodza kumakhala kochulukira. |
| Zina mwazinthu | Ngati vutoli layamba chifukwa cha matenda a bakiteriya, kutentha thupi, matenda a mkodzo, komanso kupweteka kwa msana kungachitike. | Poyamba, zizindikiro zimakhala zofanana ndi za kulephera kwa impso. Kuyamba kuyabwa, kutopa kwambiri, kusowa chilakolako cha chakudya, nseru, kusanza, komanso kupuma movutikira kungachitike. |
Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a interstitial nephritis?
Palibe chifukwa chimodzi chokha chomwe chimayambitsa vutoli, koma pali zinthu zingapo zomwe zingayambitse vutoli. Tiyeni tiwone zifukwa zazikulu.
| Chifukwa | Kufotokozera ndi zitsanzo |
|---|---|
| Mankhwala osokoneza bongo | Ichi ndi chomwe chimayambitsa matendawa nthawi zambiri . Mankhwala ena amatha kukhudza impso. Zitsanzo zake ndi aspirin, maantibayotiki ena, mankhwala oletsa kutupa omwe si a steroidal, mankhwala ena a gastritis (Proton Pump Inhibitors), ndi mankhwala ena ochizira khansa (Immune checkpoint inhibitors). |
| Zotsatira za Mankhwala | Nthawi zina matendawa amathanso kuchitika ngati vuto la ziwengo chifukwa cha mankhwala omwe mumamwa. |
| Matenda | Matenda osiyanasiyana opatsirana angayambitse izi. Zitsanzo: matenda a bakiteriya monga E. coli, mavairasi monga HIV kapena herpes, syphilis, tizilombo toyambitsa matenda, ndi matenda a bowa. Kuphatikiza pa matenda omwe amakula mu impso zokha, izi zitha kukhala chifukwa. |
| Matenda a Chitetezo cha Mthupi | Zingayambitsidwenso ndi matenda ena omwe amakhudza chitetezo cha mthupi. Zitsanzo zake ndi sarcoidosis, Sjogren's syndrome, ndi lupus. |
Chofunika kwambiri ndichakuti, musasiye kumwa mankhwala omwe dokotala wanu wakupatsani chifukwa choti ali pamndandandawu. Ngati muli ndi kukayikira kulikonse, onetsetsani kuti mwalankhula ndi dokotala wanu .
Kodi zizindikiro za matendawa zingakhale zotani?
Chosangalatsa apa ndichakuti anthu ambiri alibe zizindikiro zilizonse, kapena zochepa chabe. Komabe, anthu ena angakumane ndi zinthu monga:
- Kuchepa kwa mkodzo
- Kuchuluka kwa kukodza kapena kuchuluka kwa mkodzo
- Kusanza ndi kusanza
- Malungo
- Ziphuphu pakhungu
- Kuthamanga kwa magazi
- Kusakhazikika kapena kusokonezeka
- Kugona tulo topitirira muyeso
- Kusokonezeka kwa kukumbukira ndi chikumbumtima (Kusokonezeka)
- Kutupa kwa thupi lonse kapena m'malo ena
- Kulemera
Ngati muli ndi mtundu wa matenda osatha (a nthawi yayitali), mungavutikenso kupuma . Ngati muli ndi chimodzi mwa zizindikiro izi, makamaka ngati zichitika mutayamba kumwa mankhwala atsopano, ndi bwino kufunafuna upangiri wa dokotala.
Kodi dokotala amazindikira bwanji matendawa molondola?
Kuti atsimikizire matendawa molondola, mayeso angapo a labotale ayenera kuchitidwa.
- Mayeso a ntchito ya impso: Awa ndi mayeso osavuta a magazi omwe angasonyeze momwe impso zanu zikugwira ntchito. Angathenso kuyang'ana kuchuluka kwa zinyalala m'magazi, monga uric acid ndi phosphate.
- Kufufuza kwa impso:Iyi ndiyo njira yokhayo yotsimikizira matendawa 100% nthawi zonse. Koma izi sizichitika kwa aliyense. Chomwe chimachitika apa ndikutenga chidutswa chaching'ono kwambiri cha minofu kuchokera ku impso ndi singano yopyapyala kwambiri ndikuchiyang'ana pansi pa maikulosikopu. Kuyesaku kumachitika m'mikhalidwe yapadera, monga kusankha ngati angapereke mankhwala monga corticosteroids kapena ayi.
- Mayeso ena: Dokotala wanu angakupatseninso ma scan monga ultrasound scan kapena radionuclide scanning. Ma scan amenewa angathandize kuwona kutupa kwa impso, makamaka ngati mukukayikira kuti muli ndi vuto la ziwengo chifukwa cha mankhwala.
Kodi mankhwala ochizira izi ndi otani?
Njira zochiritsira zimadalira mtundu wa interstitial nephritis yomwe muli nayo komanso momwe imakulira.
Kwa Acute Interstitial Nephritis (mtundu woyambira mwadzidzidzi):
Choyamba komanso chofunika kwambiri ndi kusiya kumwa mankhwala omwe mukuganiza kuti ndi owopsa . Koma izi ziyenera kuchitika pokhapokha ngati dokotala wanu wakupatsani upangiri . Musasiye kumwa mankhwala nokha.
Ngati izi zachitika chifukwa cha matenda monga lupus kapena ziwengo ndi mankhwala, dokotala wanu angapereke mankhwala monga corticosteroids kuti achepetse kutupa.
Ngati vutoli lakula kwambiri ndipo impso zayamba kulephera kugwira ntchito, mungafunike kuyeretsa magazi pogwiritsa ntchito makina otchedwa dialysis.
Kwa matenda a Chronic Interstitial Nephritis (mtundu wa nthawi yayitali):
Apanso, ngati pali mankhwala omwe amayambitsa matendawa, ndikofunikira kusiya kumwa mankhwalawo mutalandira upangiri wa dokotala. Kuphatikiza apo, mankhwala ena angakupatseni mankhwala oletsa kuthamanga kwa magazi ndikuletsa kuti matendawa asapitirire.
Mwatsoka, ngati impso zawonongeka kwamuyaya, mungafunike dialysis ya moyo wanu wonse kapena kuikidwa impso ina.
Ndicho chifukwa chake timanena kuti kulabadira zizindikiro zilizonse ndikupempha upangiri wa dokotala mwachangu kungalepheretse kuwonongeka kwakukulu.
Uthenga Wopita Nawo Kunyumba
- Interstitial nephritis ndi kutupa kwa njira zoyeretsera impso ndi minofu yozungulira, zomwe zingawononge impso.
- Izi nthawi zambiri zimachitika chifukwa cha mankhwala enaake, matenda opatsirana, kapena matenda ena omwe amakhudza chitetezo cha mthupi.
- Ngati muli ndi zizindikiro monga kusintha kwa mkodzo, kutupa, kutentha thupi, kapena ziphuphu pakhungu, pitani kwa dokotala nthawi yomweyo . Makamaka ngati zizindikirozi zikuwonekera mutayamba kumwa mankhwala atsopano, muuzeni za izi.
- Pali mankhwala a matendawa. Kuzindikira msanga ndi kulandira chithandizo kungachepetse kuwonongeka kwa impso.
- Musayambe kapena kusiya kumwa mankhwala aliwonse popanda upangiri wa dokotala.
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