Itsvo ndeimwe yenhengo dzinokosha mumuviri wedu. Dzakaita se "mafirita" maviri mumuviri wedu. Basa guru reitsvo nderekusefa nekuchenesa tsvina iri mumuviri uye kuiburitsa seweti . Saka zvakakosha kuchengetedza itsvo idzi dziine hutano. Nhasi tichataura nezvechirwere chinogona kukanganisa itsvo chinyararire, asi hapana anotaura nezvacho zvakanyanya. Ndiyo Interstitial Nephritis.
Zvichitaurwa zviri nyore, chii chinonzi Interstitial Nephritis?
Zita iri rinonzwika serakaoma, asi zviri nyore. Ndakambotaura kare kuti itsvo dzakaita sefirita. Iyi firita ine network yemachubhu madiki akanaka kwazvo (tubules). Mukurapa, tinoidaidza kuti "tubules". Interstitial Nephritis inguva apo machubhu madiki nenyama yakaapoteredza zvinozvimba. Kuzvimba uku kunodzivirira itsvo kushanda zvakanaka.
Dambudziko iri dzimwe nguva rinogona kunge rakapfava uye rinopera munguva pfupi. Asi dzimwe nguva rinogona kunge rakanyanya kuoma uye rinogara kwenguva yakareba. Kazhinji, rinowanzoitika semhedzisiro yeimwe chirwere.
Kune mhando mbiri huru dzechirwere ichi.
Ehe, Interstitial Nephritis inogona kukamurwa kuita mhando mbiri huru. Hunhu hwezviviri hwakasiyana zvishoma.
| Hunhu | Chirwere cheAcute Interstitial Nephritis | Chirwere cheTubulointerstitial Nephritis chisingaperi |
|---|---|---|
| Kumhanya kwacho | Izvi zvinoitika nekukurumidza zvikuru, mukati memazuva mashoma. | Izvi zvinokura zvishoma nezvishoma, nekufamba kwenguva. |
| Kuita weti | Huwandu hweweti yaunobuda nayo hunogona kudzikira kana kuwedzera kamwe kamwe, kunyanya husiku. | Kazhinji, weti inenge yakawandisa. |
| Zvimwe zvinhu | Kana chirwere ichi chikakonzerwa nehutachiona hwebhakitiriya, fivha, utachiona hwemunzira yeweti, uye kurwadziwa kwemusana zvinogona kuitika. | Pakutanga, zviratidzo zvakafanana nezvirwere zveitsvo. Kukwenya, kuneta zvakanyanya, kushaya chido chekudya, kuda kurutsa, kurutsa, uye kunetseka kufema zvinogona kuitika. |
Ndezvipi zvikonzero zveInterstitial Nephritis?
Hapana chikonzero chimwe chete cheizvi, asi zvinhu zvakawanda zvinogona kukonzera izvi. Ngatitarisei zvikonzero zvikuru.
| Chikonzero | Tsananguro nemienzaniso |
|---|---|
| Mishonga | Ichi ndicho chikonzero chinonyanya kuitika . Mimwe mishonga inogona kukanganisa itsvo. Mimwe mienzaniso inosanganisira aspirin, mimwe mishonga inorwisa mabhakitiriya, mishonga isingashandisi steroidal inorwisa kuzvimba, mimwe mishonga yechirwere chegastritis (Proton Pump Inhibitors), uye mimwe mishonga yekurapa kenza (Immune checkpoint inhibitors). |
| Kukanganisa Kwemishonga | Dzimwe nguva chirwere ichi chinogonawo kuitika sekusawirirana nemishonga yaunotora. |
| Utachiona | Zvirwere zvakasiyana-siyana zvinogona kukonzera izvi. Mienzaniso: hutachiona hwemabhakitiriya hwakadai seE. coli, mavhairasi akadai seHIV kana herpes, syphilis, tupukanana, uye hutachiona hwefungus. Pamusoro pehutachiona hunokura muitsvo pachadzo, ichi chinogona kunge chiri chikonzero. |
| Matambudziko eMuviri Wemuviri | Inogonawo kukonzerwa nezvimwe zvirwere zvinokanganisa masoja emuviri. Mienzaniso inosanganisira sarcoidosis, Sjogren's syndrome, uye lupus. |
Chinhu chinonyanya kukosha ndechekuti, usarega kutora mushonga wawakanyorerwa nachiremba wako nekuti uri pane urongwa uhwu. Kana uine kusava nechokwadi, iva nechokwadi chekutaura nachiremba wako .
Ndezvipi zviratidzo zvechirwere ichi?
Chinhu chinonakidza apa ndechekuti vanhu vazhinji havana zviratidzo zvachose, kana kuti zvishoma chete. Zvisinei, vamwe vanhu vanogona kusangana nezvinhu zvakaita se:
- Kuderera kwehuwandu hweweti
- Kuwedzera kwekukanda kana kuwanda kweweti
- Kusvotwa nekurutsa
- Kupindwa nechando
- Mapundu paganda
- Kukwira kweropa
- Kusagadzikana kana kusagadzikana
- Kurara zvakanyanya
- Kukanganisika kwepfungwa nepfungwa (Kuvhiringidzika)
- Kuzvimba kwemuviri wese kana mune dzimwe nzvimbo
- Kuwedzera huremu
Kana uine chirwere cherudzi rwechirwere chisingaperi (chinogara kwenguva refu), unogona zvakare kunetseka kufema . Kana uine chimwe chezviratidzo izvi, kunyanya kana zvikaitika mushure mekutanga mushonga mutsva, zvakanaka kutsvaga rubatsiro rwechiremba.
Chiremba anonyatsoongorora sei chirwere ichi?
Kuti chirwere ichi chisimbiswe nemazvo, bvunzo dzakawanda dzinofanirwa kuitwa murabhoritari.
- Kuongororwa kwebasa reitsvo: Iyi bvunzo dzeropa dziri nyore dzinoratidza kuti itsvo dzako dziri kushanda zvakanaka sei. Dzinogonawo kutarisa huwandu hwakawanda hwetsvina muropa, zvakaita se uric acid ne phosphate.
- Kuongororwa kweitsvo:Iyi ndiyo nzira chete yekusimbisa chirwere ichi 100% yenguva. Asi izvi hazviitwe nemunhu wese. Chinoitwa pano kutora chidimbu chidiki chenyama kubva muitsvo netsono yakatetepa kwazvo wochiongorora pasi pemaikorosikopu. Kuongororwa uku kunoitwa muzviitiko zvakakosha, zvakaita sekusarudza kana mushonga wakadai se corticosteroids uchifanira kupihwa kana kwete.
- Mimwe miedzo: Chiremba wako anogonawo kuraira kuti upiwe scan dzakadai se ultrasound scan kana radionuclide scanning. Kuongororwa uku kunogona kubatsira kuona kuzvimba kweitsvo, kunyanya kana paine chikonzero chekuti une allergy kana wapihwa mushonga.
Ndezvipi zvinorapwa izvi?
Nzira dzekurapa dzinoenderana nerudzi rwe interstitial nephritis yaunayo uye kuti yakanyanya sei.
Kune Acute Interstitial Nephritis (rudzi rwechirwere chinokurumidza kuitika):
Chinhu chekutanga uye chinonyanya kukosha ndechekurega kutora mushonga waunofungidzira kuti une chirwere . Asi izvi zvinofanirwa kuitwa chete kana warayirwa nachiremba wako . Usamborega kutora mushonga wega.
Kana izvi zvichikonzerwa nechirwere chakadai se lupus kana allergy yemushonga, chiremba wako anogona kukupa mishonga yakaita se corticosteroids yekuderedza kuzvimba.
Kana dambudziko racho rikanyanya kuoma uye itsvo dzikatanga kushanda, ungangofanira kucheneswa ropa uchishandisa muchina unonzi dialysis.
Kune chirwere cheChronic Interstitial Nephritis (rudzi rwenguva refu):
Pano zvakare, kana paine mushonga uri kukonzera chirwere ichi, zvakakosha kuti uregedze mushure mekupiwa zano nachiremba. Pamusoro pezvo, mimwe mishonga inogona kunyorerwa kudzora BP yako uye kudzivirira kuenderera mberi kwechirwere.
Zvinosuwisa kuti kana itsvo dzikakuvara zvachose, ungangoda dialysis yehupenyu hwako hwese kana kuisirwa itsvo.
Ndosaka tichiti kuteerera zviratidzo zvese uye kutsvaga mazano echiremba nekukurumidza kunogona kudzivirira kukuvara kukuru.
Mharidzo Yekuenda Nayo Kumba
- Interstitial nephritis kuzvimba kwenzira dzekusefa dziri muitsvo nenyama dzakapoteredza, izvo zvinogona kukuvadza itsvo.
- Izvi zvinowanzokonzerwa nemimwe mishonga, hutachiona, kana zvirwere zvinokanganisa masoja emuviri.
- Kana uine zviratidzo zvakaita sekuchinja kweweti, kuzvimba, fivha, kana mapundu paganda, enda kuna chiremba nekukasika . Kunyanya kana zviratidzo izvi zvikaonekwa mushure mekutanga mushonga mutsva, vaudze nezvazvo.
- Kune mushonga wekurapa chirwere ichi. Kuonekwa nekukasika uye kurapwa kunogona kuderedza kukuvara kweitsvo.
- Usambofa watanga kana kurega kutora chero mushonga usina kurairwa nachiremba wako.
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