Izvi zvine njodziwo here kuitsvo dzako? (Renal Papillary Necrosis) Ngatidzidzei nezvazvo!

Unoziva here kuti itsvo mbiri diki dziri mumuviri wedu dzinoshanda zvakadini? Kutaura zvazviri, itsvo ndidzo nhengo huru dzinosefa tsvina uye dzinochenesa ropa riri mumuviri wedu. Zvisinei, dzimwe nguva itsvo idzi dzinogonawo kukura nezvirwere zvatisingatarisiri. Nhasi tichataura nezvechirwere chakakomba zvishoma, asi kana uchiziva nezvazvo, chinogona kukubatsira kudzora nekudzivirira.

Itsvo dzinoshanda sei? Chii chinonzi Renal Papillary Necrosis?

Zvichitaurwa zviri nyore, itsvo dzedu dzakaita semafirita maviri makuru mumuviri wedu. Basa radzo guru nderekusefa tsvina isingadiwe muropa uye kuiburitsa seweti. Kuti izvi zviitike, ropa rinopinda muitsvo uye rinopfuura nemumigero midiki yakawanda. Tsvina iyi inounganidzwa kubva kuchikamu chekunze cheitsvo uye yozosvika pakati peitsvo, inova kidney medulla . Heano zvikamu zvakaita sefunnel. Mugumo wemafunnel aya, anonzi renal papilla, unounganidza weti. Kubva ipapo, weti inopinda nemumaureter kuenda kudundira uye yobuda. Ndizvo zvinoshanda itsvo dzedu.

Dambudziko rekuti itsvo papillary necrosis yatiri kutaura nezvayo ikozvino kufa kwemasero nematishu ari pakati peitsvo (`Medulla`) uye renal papilla (`Renal Papilla`) yandambotaura kare. Ingofungai, kana nzvimbo idzodzo dzisingashande nemazvo, basa rinoitwa neitsvo harishande nemazvo, handiti? Nekuda kweizvi, itsvo dzinopera simba zvishoma nezvishoma, uye dzinogona kutungamira kukundikana kweitsvo .

Ndiani ari panjodzi huru yechirwere ichi?

Chirwere ichi (Renal Papillary Necrosis) chinowanzoitika kuvanhu vane makore anopfuura makumi matanhatu. Vanachiremba vanotiwo vakadzi ndivo vane mukana wekuwana chirwere ichi kupfuura varume.

Ndezvipi zvikonzero zveRenal Papillary Necrosis?

Kune zvikonzero zvakawanda zvinokonzera chirwere ichi. Ngationei kuti chii.

• Chirwere cheshuga : Ichi ndicho chikonzero chikuru uye chinowanzoonekwa. Vanhu vane chirwere cheshuga chisina kudzorwa zvakanaka vari panjodzi huru yekukuvara kweitsvo. Kuwanda kweshuga muropa kwenguva yakareba kunokuvadza tsinga dzeropa dzakatetepa dziri muitsvo.
• Kushandisa mishonga inoderedza marwadzo zvakanyanya (NSAIDs) : Kana ukashandisa mishonga inoderedza marwadzo nguva dzose (isina steroidal anti-inflammatory drugs, kana NSAIDs) yakaita seaspirin, ibuprofen, kana naproxen kwenguva yakareba usina kubvunza chiremba, unofanira kungwarira zvikuru. Kutora mishonga iyi yakawandisa kunogona kukonzera kuti tsinga dzeropa dziri muitsvo dzitete uye dzikuvadze renal papillae.
• Chirwere cheSickle Cell: Ichi chirwere chinokonzerwa nemajini. Muchirwere ichi, chimiro chemasero matsvuku eropa chinoshanduka uye anogona kunamatira mutsinga dzeropa. Izvi zvinogonawo kukonzera kusashanda zvakanaka kweropa rinoenda kuitsvo (Renal Papillary Necrosis).

Kuwedzera kune izvi zvikonzero zvikuru, mamwe mamiriro ezvinhu akawanda anogonawo kukonzera Renal Papillary Necrosis:

• Chirwere Chisingaperi Chechiropa
• Pyelonephritis, chirwere chebhakitiriya cheitsvo (chinogona kukuvadza papillae yeitsvo)
• Renal Tuberculosis, chirwere chinokanganisa itsvo dziri kunze kwemapapu
• Kugwamba kweropa mutsinga inotakura ropa kubva muitsvo (Renal Vein Thrombosis)
• Kuvharirwa kweUreter (semuenzaniso, nekuda kwematombo emuweti)
• Vasculitis, kuzvimba kwetsinga dzeropa

Chinhu chakakosha ndechekuti havasi vese vane chimwe chezvikonzero izvi vachabatwa neRenal Papillary Necrosis, asi njodzi yacho yakakura.

Izvi zvinokanganisa itsvo dzese here?

Ehe, zvinonzi muvanhu vanomwe pavanhu gumi , chirwere ichi (Renal Papillary Necrosis) chinokanganisa itsvo dzese .

Ndezvipi zviratidzo zve (Renal Papillary Necrosis)?

Pakutanga kwechirwere ichi, panogona kunge pasina zviratidzo . Ndosaka zvakaoma kuchiziva nekurapa nekukurumidza. Fungidzira, hauna matambudziko, asi itsvo dzako dzinogona kunge dzakakuvara kubva mukati. Zvisinei, zvinogonawo kuti izvi zvikaonekwa netsaona kana uchiongororwa chimwe chirwere.

Zvisinei, kana chirwere ichi (Renal Papillary Necrosis) chikanyanya kuipa, zviratidzo zvakaita seizvi zvinogona kuoneka:

• Kuita weti inorwadza (Dysuria)
• Fivha nechando (kunyanya kana zvichiperekedzwa nehutachiona)
• Ropa riri muweti (`Hematuria`) - Huwandu hweropa hunogona kuonekwa nemaziso asina kupfeka (weti inogona kutsvuka kana kutsvukuruka), kana kuti inogona kunge iri diki zvekuti inogona kuonekwa chete nemaikorosikopu.
• Kuda kuita weti nguva nenguva husiku (`Nocturia`)
• Kuwedzera kusingawanzoitiki kwehuwandu hwemasero machena eropa muweti (`Pyuria`) - izvi zvinoreva kuti weti inogona kutaridzika semapundu, uye weti inogona kuita seyakasviba.
• Kurwadziwa kwakanyanya kumativi ese emusana, pakati pembabvu nemapfupa ehudyu (pane itsvo). Kurwadziwa uku kunogona kuitika kamwe kamwe kana kuwedzera zvishoma nezvishoma.
• Kutapukirwa nezvirwere zvemunzira yeweti kakawanda.

Chirwere cheRenal Papillary Necrosis chinoonekwa sei?

Vanachiremba vachaita bvunzo dzinoverengeka kuti vaongorore chirwere ichi (Renal Papillary Necrosis). Mushure mekuteerera zviratidzo zvako uye nhoroondo yezvekurapa, vanogona kuraira bvunzo dzakadai se:

• Urography: Izvi zvinosanganisira kutora X-ray, CT scan, kana MRI yeitsvo dzako. Usati waongororwa, uchapihwa dhayi yakakosha (dhayi) kuburikidza netsinga. Izvi zvinobatsira kuona zvakajeka nzvimbo dzakakuvara paitsvo uye shanduko dziri mupapillae.
• Ureteroscopy : Izvi zvinosanganisira kuisa chubhu yakatetepa, inochinjika (ine kamera kumagumo) kuburikidza neurethra kuti ione zvakananga mukati medundira, ureter, uye itsvo. Izvi zvinoita kuti mamiriro epapillae aonekwe zvakajeka.
• Kuongororwa kweitsvo : Muongororo iyi, chidimbu chidiki chenyama chinotorwa kubva muitsvo uchishandisa tsono yakakosha uye chinoongororwa nemaikorosikopu. Izvi zvinogona kubatsira kuona kana masero akafa kana kuti nyama yacho yakakuvara.

Kuongororwa kweropa neweti

Pamusoro pezvo, kuongororwa kweropa neweti kuti itsvo dzishande zvakanaka kwakakoshawo zvikuru:

• Kuongororwa kweropa re urea nitrogen (BUN) : Izvi zvinoyera huwandu hwe urea nitrogen muropa. Ichi chinhu chinoraswa. Huremu uhwu hunokwira muropa kana itsvo dzisiri kushanda zvakanaka.
• Kuongororwa kweCreatinine : Creatinine imwe tsvina inogadzirwa panguva yekushanda kwetsandanyama zvakanaka. Inowanzo buritswa neitsvo. Kana huwandu hwayo hwakakwira muropa, zvinorevawo kuti itsvo hadzisi kushanda zvakanaka.
• Chiyero Chinofungidzirwa Chekusefa KwemaGlomerular (eGFR) : Izvi zvinoverengerwa nekutarisa zvinhu zvakaita sehuwandu hwe creatinine muropa rako, zera, murume kana mukadzi, uye saizi yemuviri. Kukosha kwe eGFR kunokuudza kuti itsvo dzako dzinosefa ropa rakawanda sei paminiti. Kukosha uku kwakaderera, ndiko kuderera kwebasa reitsvo dzako.
• Kuongororwa kweweti : Izvi zvinosanganisira kutora weti woiongorora nemaziso (ruvara, kujeka), nemaikorosikopu (yemasero eropa, masero epus, mabhakitiriya, marara epapillary), uye nemakemikari (yemapuroteni, shuga). Dzimwe nguva, zvidimbu zvepapillae yeitsvo zvinogona kuonekwawo nemaikorosikopu.
• Chiyero cheprotein/creatinine weti : Izvi zvinoyera huwandu hweprotein iri muweti. Itsvo dzine hutano dzinoburitsa mapuroteni mashoma. Mapuroteni akawanda muweti chiratidzo chekukuvara kweitsvo.

Ndezvipi zvinetso zvinogona kuitika nekuda kwe (Renal Papillary Necrosis)?

Kana chirwere ichi (Renal Papillary Necrosis) chikarapwa zvakanaka, chirwere ichi chinogona kuipa uye kukonzera matambudziko akakomba.

• Chirwere Cheitsvo Chisingaperi (CKD) : Nekuda kwekukuvara kunoramba kuchiitika kuitsvo, mashandiro adzo anoderera zvishoma nezvishoma, zvichikonzera chirwere cheitsvo chisingaperi.
• Kukundikana kweitsvo: Kana mamiriro acho akanyanya kuipa, itsvo dzinogona kusashanda zvakanaka zvachose, zvichireva kuti dzinogona kusashanda zvakanaka kweitsvo.
• Kuti urarame, ungangoda dialysis (kuchenesa ropa rako nemuchina) kana kuisirwa itsvo .
• Zvakaonekwawo kuti chirwere ichi chinowedzera njodzi yekubatwa nechirwere chegomarara chinonzi transitional cell cancer, icho chinokura muitsvo kana muureter.
• Kunewo njodzi yekutapukirwa zvakanyanya (sepsis).

Renal Papillary Necrosis inorapwa sei?

Hapana mushonga chaiwo wekurapa Renal Papillary Necrosis. Mushonga mukuru ndewekurapa chikonzero chikuru chechirwere ichi . Semuenzaniso:

• Kana zvichikonzerwa nechirwere cheshuga, zvakakosha kudzora chirwere cheshuga zvakanaka.
• Kana zvichikonzerwa nekushandisa NSAID, rega kutora mishonga iyoyo.
• Kana zvichikonzerwa nehutachiona, ipe mushonga unorwisa mabhakitiriya.
• Kana paine chinhu chakavharika munzira yeweti, chinofanira kubviswa.

Chinangwa chikuru ndechekuderedza kukuvara kweitsvo uye kuchengetedza mashandiro eitsvo zvakanyanya sezvinobvira.

Kubudirira kwekurapwa kunoenderana nekuti itsvo dzakakuvara zvakadii uye chikonzero chechirwere ichi. Mune zvimwe zviitiko zvakakomba, chirwere ichi chinogona kuramba chichiwedzera kunyangwe kurapwa kwacho kuchiitwa. Zvisinei, mune zvimwe zviitiko zvisina kunyanya kuoma, uye kana chikonzero chacho chikarapwa nekukurumidza, mashandiro eitsvo anogona kugadzikana kana kutoita nani zvishoma.

Ndingazvidzivirira kubva kuRenal Papillary Necrosis here?

Ehe, pane zvatinogona kuita kuti tizvidzivirire kubva mumamiriro ezvinhu aya, zvakanyanya.

• Chinhu chinonyanya kukosha kuchengetedza hutano hwako hwese . Kudya chikafu chakakwana, kunwa mvura yakakwana, uye kurovedza muviri nguva dzose zvakakosha.
• Kana uchitora mishonga yekuderedza marwadzo (NSAIDs) inotengeswa pasina kunyorerwa chiremba, ishandise chete sezvakarairwa papakeji kana sezvakarairwa nachiremba. Usaitore kakawanda kana kwenguva yakareba kupfuura zvinodiwa. Usaitore nguva dzose kana paine marwadzo madiki kana kuti nemusoro.
• Kana uine chirwere cheshuga (Diabetes Mellitus), chirwere chesickle cell (Sickle Cell Disease), kana zvimwe zvirwere zvinogona kukonzera chirwere cheitsvo (Renal Papillary Necrosis), tevera mirairo yachiremba wako nemazvo. Enda kumakiriniki nenguva. Inwa mishonga yawakanyorerwa. Tevedzera kudya kwakakodzera.
• Zvakakosha kuti uedze kuongororwa kweitsvo nguva nenguva sezvakarairwa nachiremba wako, uye kuti uone kana paine shanduko dziripo nekukurumidza.

Mwero wekupora kwemunhu ane chirwere ichi wakaderera zvakadii?

Kufanotaura kwako nezvechirwere kunoenderana nechikonzero chechirwere, kukura kwekukuvara kweitsvo, hutano hwako hwese, uye kuti unotanga kurapwa nekukurumidza sei.

• Kune vanhu vane chirwere cheshuga, mhedzisiro yacho inogona kunge isina kunaka zvakanyanya , sezvo chirwere cheshuga chiri chirwere chenguva refu uye hachidzorwi zvakanaka nguva dzose. Kana uine chirwere cheshuga, kuchidzora zvakanaka sezvinobvira kunobatsira zvikuru mukudzivirira kukuvara kweitsvo.
• Muzviitiko zvakakomba (Renal Papillary Necrosis), zvinogona kutungamira ku dialysis uye kuisirwa itsvo . Kana hutachiona hukaitika, hunogona kuisa hupenyu panjodzi. Pane mukana wekufa nekuda kwekutadza kushanda kweitsvo.
• Muchirwere chesickle cell, renal papillary necrosis inongova imwe yematambudziko akawanda anogona kuitika muitsvo. Kana matambudziko ese aya akabatanidzwa, hupenyu hwemurwere hunogona kudzikira zvakanyanya.

Ndinofanira kuona chiremba rini?

Kana uine chimwe chezviratidzo izvi kana kupfuura, usapedza nguva uye taura nachiremba :

• Kana une ropa muweti yako (weti inoshanduka kuva tsvuku, pingi, kana brown).
• Kana uine fivha kana dzihwa (kunyanya pamwe nezvimwe zviratidzo).
• Kana uchirwadziwa kana kutsva paunenge uchiita weti.
• Kana uine marwadzo matsva kana kuti ari kuwedzera kumusana wako, munzvimbo iri pakati pemapfupa ehudyu nembabvu (nzvimbo yeitsvo).
• Kana uchigara uchibatwa nezvirwere zvemunzira yeweti.
• Kana ukaona weti yakaderera kana kuzvimba mumakumbo ako netsoka (izvi zvinogona kuva zviratidzo zvekushaya simba kweitsvo).

Yeuka kuti zviratidzo izvi zvinogonawo kukonzerwa nezvimwe zvirwere. Zvisinei, zvakakosha kuti uongororwe nachiremba kuti uwane chikonzero chaicho.

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Itsvo dzedu nhengo inokosha mumuviri wedu, dzinoita basa rakanyarara uye rinokosha. Dzinosefa tsvina uye dzinochengetedza mwero wemvura nemunyu mumuviri. Chirwere cheshuga chisina kudzorwa, kushandisa mishonga inoderedza marwadzo zvakanyanya (NSAIDs), nezvimwe zvirwere zvakasiyana-siyana zvinogona kukuvadza itsvo, zvichikonzera zvirwere zvakakomba zvakaita seRenal Papillary Necrosis.

Chinhu chakaipisisa nezvechirwere ichi ndechekuti ungasave nezviratidzo pakutanga. Saka, kana uine chirwere cheshuga, unowanzo shandisa NSAIDs, kana uine zvimwe zvinhu zvinokonzera chirwere cheitsvo, taura nachiremba wako nezvenzira dzekudzivirira itsvo dzako. Nekuongororwa nguva dzose uye kutevedzera mararamiro ane hutano, unogona kuchengetedza itsvo dzako dzakagwinya. Kuziva nekukurumidza uye kuita chimwe chinhu ndicho chinhu chakanakisa kuita.

Itsvo , renal papillary necrosis, chirwere cheitsvo, chirwere cheshuga, NSAIDs, kutadza kushanda kweitsvo, weti