Izintso zezinye zezitho ezibalulekileyo emzimbeni wethu. Zifana "nezihluzo" ezimbini emzimbeni wethu. Umsebenzi ophambili wezintso kukucoca nokucoca inkunkuma emzimbeni kunye nokuyikhupha njengomchamo . Ngoko ke kubaluleke kakhulu ukugcina ezi zintso ziphilile. Namhlanje siza kuthetha ngesifo esinokuchaphazela izintso buthule, kodwa akukho mntu uthetha ngaso kakhulu. Yiyo loo nto i-Interstitial Nephritis.
Ngamafutshane, yintoni i-Interstitial Nephritis?
Kulungile, eli gama livakala liyinkimbinkimbi kancinci, kodwa eneneni lilula kakhulu. Ndikhankanye ngaphambili ukuba izintso zifana nesihluzo. Esi sihluzo sinothungelwano lweetyhubhu ezincinci kakhulu (iityhubhu). Kwizonyango, ezi sizibiza ngokuba yi "tubules". I-Interstitial Nephritis kuxa ezo tyhubhu zincinci kunye nezicubu ezizingqongileyo zivuvukala. Oku kuvutha kuthintela izintso ukuba zingasebenzi kakuhle.
Le meko ngamanye amaxesha inokuba buthathaka kakhulu ize iphucuke ngexesha elifutshane. Kodwa ngamanye amaxesha inokuba qatha kancinci ize ihlale ixesha elide. Uninzi lwexesha, iyenzeka njengesiphumo senye imeko yezonyango.
Kukho iintlobo ezimbini eziphambili zesi sifo.
Ewe, i-Interstitial Nephritis inokwahlulwa ibe ziintlobo ezimbini eziphambili. Uhlobo lwazo zombini lwahlukile kancinci.
| Uphawu | I-Acute Interstitial Nephritis | I-Chronic Tubulointerstitial Nephritis |
|---|---|---|
| Isantya apho | Oku kwenzeka ngokukhawuleza kakhulu, kwiintsuku ezimbalwa. | Oku kukhula kancinci kancinci, ngokuhamba kwexesha. |
| Ukuchama | Ubungakanani bomchamo owuphumayo bunokwehla okanye bunyuke ngequbuliso, ingakumbi ebusuku. | Ngokwesiqhelo, ukuchama kugqithisile. |
| Ezinye iimpawu | Ukuba le meko ibangelwa lusulelo lwebhaktiriya, umkhuhlane, usulelo lomchamo, kunye nentlungu yomqolo zinokubakho. | Ekuqaleni, iimpawu zifana nezo zokungasebenzi kakuhle kwezintso. Ukurhawuzelelwa, ukudinwa kakhulu, ukungabi namdla wokutya, isicaphucaphu, ukuhlanza, kunye nobunzima bokuphefumla bunokubakho. |
Zithini izizathu ze-Interstitial Nephritis?
Akukho sizathu sinye sale meko, kodwa zininzi izinto ezinokubangela loo nto. Makhe sijonge ezona zizathu ziphambili.
| Isizathu | Inkcazo kunye nemizekelo |
|---|---|
| Iziyobisi | Le yeyona nto ixhaphakileyo . Amanye amayeza anokuchaphazela izintso. Imizekelo ibandakanya i-aspirin, amanye amayeza okubulala iintsholongwane, amayeza angengo-steroidal anti-inflammatory, amanye amayeza e-gastritis (Proton Pump Inhibitors), kunye namanye amayeza okunyanga umhlaza (Immune checkpoint inhibitors). |
| Iimpendulo zeziyobisi | Ngamanye amaxesha esi sifo sinokubakho njengempendulo yokunganyamezelani namayeza owaselayo. |
| Iintsholongwane | Iimeko ezahlukeneyo zokosuleleka zinokubangela oku. Imizekelo: usulelo lweebhaktheriya ezifana ne-E. coli, iintsholongwane ezifana ne-HIV okanye i-herpes, i-syphilis, iiparasites, kunye nosulelo lwefungus. Kunye nosulelo olukhula kwizintso ngokwazo, oku kungaba yimbangela. |
| Iingxaki Zomzimba | Ingabangelwa zizifo ezithile ezichaphazela inkqubo yomzimba yokuzikhusela. Imizekelo ibandakanya i-sarcoidosis, i-Sjogren's syndrome, kunye ne-lupus. |
Eyona nto ibalulekileyo kukuba, ungayeki ukuthatha amayeza owanikwe ngugqirha wakho kuba nje ekolu luhlu. Ukuba unamathandabuzo, qiniseka ukuba uthetha nogqirha wakho .
Zingaba yintoni iimpawu zesi sifo?
Into enomdla apha kukuba uninzi lwabantu alunazo iimpawu konke konke, okanye zincinci kakhulu. Nangona kunjalo, abanye abantu banokuhlangabezana nezinto ezifana nezi:
- Ukuncipha kokuphuma komchamo
- Ukwanda kokuchama rhoqo okanye ubungakanani bokuchama
- Isicaphucaphu nokuhlanza
- Ifiva
- Irhashalala lolusu
- Igazi elonyukayo
- Ukungazoli okanye ukuphazamiseka
- Ukulala kakhulu
- Ukuphazamiseka kwenkumbulo kunye nokuqonda (Ukudideka)
- Ukudumba komzimba wonke okanye kwezinye iindawo
- Ukutyeba kwakho
Ukuba une-chronic type (yexesha elide), unokufumana ubunzima bokuphefumla . Ukuba unenye okanye ngaphezulu kwezi mpawu, ingakumbi ukuba zenzeka emva kokuqala amayeza amatsha, kungcono ukufuna ingcebiso kagqirha.
Ugqirha uluchonga njani ngokuchanekileyo olu sifo?
Ukuqinisekisa ngokuchanekileyo esi sifo, kufuneka kwenziwe iimvavanyo ezininzi zelabhoratri.
- Uvavanyo lokusebenza kwezintso: Olu luvavanyo lwegazi olulula olunokubonisa indlela ezisebenza kakuhle ngayo izintso zakho. Lunokujonga namanqanaba aphezulu enkunkuma egazini, njenge-uric acid kunye ne-phosphate.
- I-biopsy yezintso:Le yindlela ekuphela kwayo yokuqinisekisa isifo nge-100% yexesha. Kodwa oku akwenziwa ngumntu wonke. Okwenziwa apha kukuthatha iqhekeza elincinci kakhulu lesicwili esisezintsoni ngenaliti encinci kakhulu size silihlole phantsi kwe-microscope. Olu vavanyo lwenziwa kwiimeko ezikhethekileyo, ezifana nokugqiba ukuba ngaba kufuneka kunikwe amayeza anjenge-corticosteroids okanye hayi.
- Ezinye iimvavanyo: Ugqirha wakho unokuyalela iiskeni ezifana ne-ultrasound scan okanye i-radionuclide scanning. Ezi skeni zinokunceda ekujongeni ukudumba kwezintso, ingakumbi ukuba kukho ukusabela kwe-allergy kwiyeza elirhanelwayo.
Zithini iindlela zonyango zoku?
Iindlela zonyango zixhomekeke kuhlobo lwe-interstitial nephritis onayo kunye nokuba inzima kangakanani.
Kwi-Acute Interstitial Nephritis (uhlobo oluqala ngequbuliso):
Into yokuqala neyona ibalulekileyo kukuyeka ngoko nangoko ukuthatha amayeza ocinga ukuba unokuba nawo . Kodwa oku kufanele kwenziwe kuphela phantsi kwengcebiso kagqirha wakho . Ungaze uyeke ukuwathatha wedwa.
Ukuba oku kubangelwa sisifo esifana ne-lupus okanye i-allergy kumayeza athile, ugqirha wakho unokukunika amayeza afana ne-corticosteroids ukunciphisa ukudumba.
Ukuba imeko iba mandundu kakhulu kwaye izintso ziqala ukungasebenzi kakuhle, kunokufuneka wenze inkqubo yokucoca igazi usebenzisa umatshini, obizwa ngokuba yi-dialysis.
Kwi-Chronic Interstitial Nephritis (uhlobo lwexesha elide):
Nalapha, ukuba kukho iyeza elibangela esi sifo, kubalulekile ukuba uyeke ukucetyiswa ngugqirha. Ukongeza, amanye amayeza anokunikwa ukulawula uxinzelelo lwegazi lakho nokuthintela ukuqhubeka kwesifo.
Ngelishwa, ukuba izintso zonakele ngokusisigxina, unokufuna i-dialysis yobomi bonke okanye ukufakelwa izintso.
Yiyo loo nto sithi ukunikel’ ingqalelo kuzo naziphi na iimpawu nokufuna ingcebiso kagqirha ngokukhawuleza kunokuthintela umonakalo omkhulu.
Umyalezo Wokuya Ekhaya
- I-Interstitial nephritis kukudumba kwemijelo yokucoca encinci kwizintso nakwizicwili ezijikelezileyo, okunokonakalisa izintso.
- Oku kudla ngokubangelwa ngamayeza athile, usulelo, okanye iimeko ezichaphazela inkqubo yomzimba yokuzikhusela.
- Ukuba uneempawu ezifana notshintsho ekuchameni, ukudumba, umkhuhlane, okanye ukurhawuzelelwa lusu, bona ugqirha ngokukhawuleza . Ingakumbi ukuba ezi mpawu zibonakala emva kokuqalisa amayeza amatsha, mxelele ngayo.
- Kukho unyango lwesi sifo. Ukufunyanwa kwangethuba kunye nonyango kunokunciphisa umonakalo kwizintso.
- Ungaze uqale okanye uyeke ukuthatha naliphi na iyeza ngaphandle kwengcebiso kagqirha wakho.
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