Itsvo ndeimwe yenhengo dzinoshamisa kwazvo mumuviri wedu. Dzakaita senzira yekuchenesa muviri yedu. Dzinosefa tsvina isingadiwe muropa redu, dzinobvisa mvura yakawandisa, uye dzinoiburitsa seweti. Zvisinei, dzimwe nguva itsvo idzi dzinokosha dzinorwarawo. Nhasi tichataura nezvechirwere icho vanhu vazhinji vasati vanzwa nezvacho, asi chinogona kukuvadza muviri chinyararire. Ndiyo Glomerulonephritis.
Zvichitaurwa zviri nyore, chii chinonzi Glomerulonephritis (GN)?
Iri izita refu, risinganzwisisike, asi zviri nyore kunzwisisa. Glomerulonephritis chirwere chinokanganisa itsvo. Mukati meitsvo dzedu, mune mamiriyoni emafirita madiki, akapfava anosefa ropa. Tinodana aya kuti glomeruli. Funga nezvawo semaburi madiki ari mumudziyo wekusonera tii. Muchirwere chinonzi glomerulonephritis, mafirita madiki aya anokuvara uye anozvimba.
Kana mafirita aya akakuvara, haagone kushanda zvakanaka. Izvi zvinoreva kuti haakwanise kusvina tsvina nemvura zvisina basa mumuviri. Kana chirwere ichi chikanyanya kuipa, chinogona kutokonzera kutadza kushanda kweitsvo . Asi mashoko akanaka ndeekuti kazhinji, matanho ekutanga echirwere ichi anogona kurapwa zvizere nekurapwa.
Saka chii chaizvo chinoitika muGlomeruli idzi (mafirita)?
Itsvo dzedu dzese dzine mayuniti madiki ekusefa anonzi glomeruli angangoita miriyoni. Idzi dzakagadzirwa netsinga dzeropa dzakapfava kwazvo (capillaries) dzakaungana pamwe chete. Basa radzo guru nderekusefa tsvina nemvura yakawandisa muropa redu. Iri ndiro danho rekutanga uye rakakosha pakuumbwa kweweti. Saka fungidzira, kana chimwe chinhu chikaitika kune iyi sisitimu yekusefa, maitiro ekuchenesa muviri wedu wese aizokanganiswa, handiti?
Pane mhando huru dzechirwere ichi here?
Ehe, chirwere ichi chinogona kukamurwa kuita mhando mbiri huru zvichienderana nekuti chinoitika sei.
1. Glomerulonephritis Inorwadza: Izvi zvinotanga kamwe kamwe.
2. Glomerulonephritis Isingaperi: Ichi chirwere chakakomba zvikuru chinokura zvishoma nezvishoma. Chinogona kugara kwemakore.
Vamwe vanhu vanogona kunge vaine chirwere chinongoerekana chaitika (chakakomba), icho chinogona kuzogara kwenguva refu mushure mekunge chapora.
Ndezvipi zviratidzo zveGlomerulonephritis?
Chinhu chine njodzi huru pamusoro pechirwere ichi ndechekuti vanhu vazhinji havaratidzi zviratidzo pakutanga. Izvi zvinoreva kuti vanogona kunge vasingatombozivi kuti vane chirwere ichi. Zvisinei, kana zviratidzo zvikaonekwa, zvinogona kunge zviri sezvakaratidzwa mutafura iri pazasi.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Ropa muweti | Weti inogona kuoneka yakasvibira (senge mvura yetii), yepingi, kana tsvuku. |
| Kuzvimba kwechiso nemakumbo | Pandinomuka mangwanani, maziso angu nechiso changu zvinoita sezvinenge zvakazvimba. Masikati, makumbo angu nezviziso zvangu zvinozvimba. |
| Weti ine furo | Kana ukaita weti ine maburi akawanda uye furo rine sipo, zvinogona kunge zvichikonzerwa nekuti mapuroteni ari kuburitswa neweti. |
| Kukwira Kweropa | Kana kushanda kweitsvo kusina kunaka, BP inogona kuwedzera. |
| Kuchinja kwehuwandu hweweti | Unogona kuita weti shoma kana kuti yakawanda kupfuura yawagara uchiita. |
| Zvimwe zvinhu | Kusvotwa, mapundu paganda, kufema zvakaoma, kurwadziwa mumapfundo kana mudumbu, kurasikirwa nechido chekudya, uye kudzikira kwehuremu. |
Chinhu chakakosha ndechekuona chiremba wako nekukasika kana uine chimwe chezviratidzo izvi. Kunyangwe zviratidzo izvi zvichigonawo kukonzerwa nezvimwe zvirwere, zvakakosha kuwana chikonzero chaicho.
Sei chirwere chakadai chichiitika? Ndezvipi zvinokonzera?
Kazhinji zvakaoma kuwana chikonzero chaicho cheizvi, asi zvakaonekwa kuti zvinogona kukonzerwa nezvimwe zvirwere nehutachiona.
| Chikonzero chingangoitika | Tsananguro |
|---|---|
| Utachiona | Kurwara kwehuro kunogona kuitika sedambudziko rehutachiona hwakadai seHIV, hepatitis C, uye bacterial endocarditis. |
| Matambudziko emuviri wekuzvidzivirira | Masoja emuviri wedu anorwisa masero ane hutano ari muitsvo zvisirizvo. Semuenzaniso, lupus. |
| IgA Nephropathy | Chirwere chinokonzerwa nekuiswa kweantibody inonzi Immunoglobulin A (IgA) muitsvo. |
| Zvirwere zvetsinga dzeropa | Zvimwe zvirwere zvisingawanzoitiki (semuenzaniso granulomatosis ine polyangiitis) zvinogona kukonzera kuzvimba kwetsinga dzeropa, izvo zvinogona kukuvadza itsvo. |
| Zvimwe zvikonzero | Inogonawo kukonzerwa nemamwe marudzi egomarara (semuenzaniso multiple myeloma) uye, kashoma, nezvikonzero zvemajini zvinopfuudzwa nezvizvarwa. |
Ndezvipi zvinetso zvinogona kuitika nekuda kwe glomerulonephritis?
Kana chirwere ichi chikarapwa zvakanaka, chinogona kukonzera kukuvara kunoramba kuripo kuitsvo uye kukonzera matambudziko akakomba.
- Chirwere Chisingaperi Cheitsvo (CKD): Kudzikira zvishoma nezvishoma kushanda kweitsvo.
- Kukwira kweropa (BP):Nekuti itsvo dzinobatsira kudzora BP, kana dzikakuvara, BP inowedzera.
- Kutadza kushanda kweitsvo: Izvi zvinogona kuitika nekukurumidza kana kwemakore akawanda. Muchiitiko ichi, itsvo dzinomira kushanda zvachose.
- Nephrotic Syndrome: Chirwere chinokonzerwa nekubuda kwemapuroteni akawanda muweti, zvichikonzera kuzvimba uye cholesterol yakakwira.
- Kugwamba kweropa: Njodzi yekuti ropa rigwamba mutsinga dzemakumbo (Deep Vein Thrombosis - DVT) kana mumapapu (Pulmonary Embolism - PE) inowedzera.
Chiremba anonyatsoongorora sei chirwere ichi?
Kazhinji, chirwere ichi chinowanikwa netsaona. Kureva kuti, kana uchiongororwa chimwe chirwere. Kana chiremba wako achifungidzira kuti chirwere ichi chakakonzerwa nezviratidzo zvako, anogona kukutumira kuna chiremba weitsvo. Miedzo inotevera inoitwa kuti isimbise chirwere chacho.
| Bvunzo | Chii chaunoona pane izvi? |
|---|---|
| Kuedzwa kweWeti | Weti inoongororwa ropa (masero matsvuku eropa) kana mapuroteni. |
| Kuongororwa kweRopa | Kuongororwa kweropa kunoyera huwandu hwe creatinine, tsvina inoburitswa neitsvo. Kana huwandu uhwu hwakakwira, zvinoreva kuti itsvo hadzisi kushanda zvakanaka. |
| Kuongororwa kweitsvo | Uchishandisa tsono, kanyama kadiki kanotorwa kubva muitsvo koongororwa uchishandisa maikorosikopu. Iyi ndiyo nzira yakanakisisa yekuziva chikonzero chaicho chechirwere. |
| Miedzo yeKufungidzira | Kuongororwa kweUltrasound, X-ray, kana CT scan kunoongorora saizi, chimiro, uye kuvapo kwechero chipi zvacho chakavharika muitsvo. |
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana nechikonzero chechirwere uye kukura kwekukuvara kweitsvo. Chinangwa chikuru chekurapa ndechekudzivirira kukuvara kutsva kweitsvo uye kuchengetedza mashandiro adzo.
- Kurapa chikonzero chiripo: Semuenzaniso, kana chirwere ichi chakakonzerwa neBP, mushonga unopihwa kudzora BP. Kana chakakonzerwa nehutachiona, mushonga unorwisa mabhakitiriya unopihwa.
- Kuchinja kwekudya: Chiremba wako anogona kukukurudzira kuti uderedze kudya zvine munyu neprotein yakawanda, izvo zvinowedzera kuomesa itsvo dzako.
- Mishonga inodzvinyirira muviri: Kana chirwere ichi chakakonzerwa nedambudziko remuviri wemuviri, mishonga iyi inopihwa kudzora mashandiro emuviri iwoyo.
- Corticosteroids: Izvi zvinobatsira kuderedza kuzvimba muitsvo.
- Kuchenesa ropa: Uku ndiko kuchenesa ropa uchishandisa muchina kana itsvo dzisina simba rekuita basa radzo.
- Mishonga inobvisa mvura mumuviri: Iyi inopihwa kubvisa mvura yakawandisa mumuviri uye kuderedza kuzvimba.
- Plasmapheresis: Iyi inzira yakakosha inobvisa mapuroteni ane njodzi muropa.
Glomerulonephritis inogona kudzivirirwa here?
Kutaura zvazviri, hapana nzira yakasimbiswa yekudzivirira chirwere ichi. Zvisinei, kutevedzera mararamiro ane hutano uye kushandisa dzimwe tsika kunogona kuderedza njodzi.
- Idya chikafu chakakwana. Deredza zvinhu zvekugadzira uye zvekudya zvakagadzirwa nemagetsi zvakanyanya sezvinobvira.
- Kana uine BP yakakwira , dzora BP yako zvakanaka nekudya zvine munyu mushoma, kurovedza muviri, uye kutora mishonga yawakanyorerwa nachiremba wako nemazvo.
- Kana uine chirwere cheshuga , chidzore zvakanaka.
- Dzivirira hutachiona. Ita hutsanana hwakanaka. Kana ukawana chimwe chinhu chakaita sehutachiona hwepahuro (strep throat), usazviregeredza uye enda kuna chiremba nekukasika kuti arapwe.
- Dzivisa kuramba uchishandisa mishonga yakaita semishonga inoderedza marwadzo usina kubvunza chiremba.
Kana wakamboonekwa uine Glomerulonephritis, zvakakosha kuti itsvo dzako dziongororwe nguva nenguva, utore mishonga yako sezvakarairwa nachiremba wako, uye udzore kudya kwako.
Mharidzo Yekuenda Nayo Kumba
- Glomerulonephritis (GN) chirwere chinokonzera kukuvara kwemafirita akapfava ari muitsvo. Chinowanzo kukonzera kukuvara kwemuviri chinyararire.
- Ziva zviratidzo zvakaita seweti yakasviba, kuzvimba kwechiso kana makumbo, uye weti ine furo. Asi yeuka kuti vanhu vazhinji havaone zviratidzo.
- Kurapa zvirwere zvepahuro (semushonga we strep throat) nekukurumidza kunogona kubatsira kudzivirira kukuvara kweitsvo gare gare.
- Kana mumwe munhu mumhuri mako aine chirwere cheitsvo, kana uine chirwere cheshuga kana BP, zvakakosha kuti ugare uchiongororwa nachiremba.
- Kana ukaonekwa uine chirwere ichi, nyatsotevedzera kudya kwawakapihwa nachiremba wako uye mirairo yemishonga kuti udzivirire itsvo dzako.
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