Izinso zingenye yezitho ezibaluleke kakhulu emzimbeni wethu. Zifana "nezihlungi" ezimbili emzimbeni wethu. Umsebenzi oyinhloko wezinso ukuhlunga nokuhlanza imfucuza emzimbeni bese uyikhipha njengomchamo . Ngakho-ke kubaluleke kakhulu ukugcina lezi zinso ziphilile. Namuhla sizokhuluma ngesifo esingathinta izinso buthule, kodwa akekho okhuluma ngaso kakhulu. Leyo yi-Interstitial Nephritis.
Kalula nje, iyini i-Interstitial Nephritis?
Kulungile, leli gama lizwakala liyinkimbinkimbi kancane, kodwa empeleni lilula impela. Ngishilo ngaphambilini ukuthi izinso zifana nesihlungi. Lesi sihlungi sinenethiwekhi yamapayipi amancane kakhulu (ama-tubule). Kwezokwelapha, siwabiza ngokuthi "ama-tubule". I-Interstitial Nephritis yilapho lawo mapayipi amancane kanye nezicubu ezizungezile zivuvukala khona. Lokhu kuvuvukala kuvimbela izinso ukuthi zingasebenzi kahle.
Lesi simo ngezinye izikhathi singaba sincane kakhulu futhi sibe ngcono ngesikhathi esifushane. Kodwa ngezinye izikhathi singaba sibi kakhulu futhi siqhubeke isikhathi eside. Esikhathini esiningi, senzeka njengomphumela wesinye isimo sezokwelapha.
Kunezinhlobo ezimbili eziyinhloko zalesi sifo.
Yebo, i-Interstitial Nephritis ingahlukaniswa ngezinhlobo ezimbili eziyinhloko. Uhlobo lwalezi ezimbili luhlukile kancane.
| Isici | I-Acute Interstitial Nephritis | I-Nephritis Engapheli Ye-Tubulointerstitial |
|---|---|---|
| Isivinini lapho | Lokhu kwenzeka ngokushesha okukhulu, ezinsukwini ezimbalwa. | Lokhu kwenzeka kancane kancane, ngokuhamba kwesikhathi. |
| Ukuchama | Inani lomchamo ophumayo lingase lehle noma lenyuke ngokuzumayo, ikakhulukazi ebusuku. | Ngokuvamile, ukuchama kukhulu kakhulu. |
| Ezinye izici | Uma lesi simo sibangelwa ukutheleleka ngamagciwane, kungase kube nomkhuhlane, ukutheleleka komgudu womchamo, kanye nobuhlungu emhlane. | Ekuqaleni, izimpawu zifana nezokwehluleka kwezinso. Ukuluma, ukukhathala okukhulu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuhlanza, kanye nobunzima bokuphefumula kungase kube khona. |
Yiziphi izimbangela ze-Interstitial Nephritis?
Akukho sizathu esisodwa salesi simo, kodwa kunezici eziningana ezingaba nomthelela kuso. Ake sibheke izizathu eziyinhloko.
| Isizathu | Incazelo nezibonelo |
|---|---|
| Izidakamizwa | Lena yimbangela evame kakhulu . Eminye imithi ingathinta izinso. Izibonelo zifaka phakathi i-aspirin, eminye imithi elwa namagciwane, imithi engeyona i-steroidal yokulwa nokuvuvukala, eminye imithi ye-gastritis (Proton Pump Inhibitors), kanye neminye imithi yokwelapha umdlavuza (Immune checkpoint inhibitors). |
| Ukusabela Kwezidakamizwa | Ngezinye izikhathi lesi sifo singaba khona njengokusabela kokungezwani nomuthi owuthathayo. |
| Izifo | Izimo ezahlukahlukene ezithelelanayo zingabangela lokhu. Izibonelo: ukutheleleka ngamagciwane njenge-E. coli, amagciwane afana ne-HIV noma i-herpes, i-syphilis, ama-parasites, kanye nokutheleleka nge-fungus. Kanye nokutheleleka okukhula ezinso ngokwazo, lokhu kungaba yimbangela. |
| Izinkinga Zokuzivikela Emzimbeni | Kungabangelwa futhi yizifo ezithile ezithinta amasosha omzimba. Izibonelo zifaka phakathi i-sarcoidosis, i-Sjogren's syndrome, kanye ne-lupus. |
Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha umuthi owunikwe udokotela wakho ngoba nje ukulolu hlu. Uma unokungabaza, qiniseka ukuthi ukhuluma nodokotela wakho .
Yiziphi izimpawu zalesi sifo?
Into ethakazelisayo lapha ukuthi abantu abaningi abanazo nhlobo izimpawu, noma ezingathi sína kakhulu. Kodwa-ke, abanye abantu bangase babhekane nezinto ezifana nalezi:
- Ukwehla kokukhishwa komchamo
- Ukwanda kokuchama noma inani lokuchama
- Isicanucanu nokuhlanza
- Imfiva
- Ukuqubuka kwesikhumba
- Umfutho wegazi ophakeme
- Ukungaphumuli noma ukucasuka
- Ukulala ngokweqile
- Ukuphazamiseka kwenkumbulo kanye nokuqonda (Ukudideka)
- Ukuvuvukala komzimba wonke noma kwezinye izindawo
- Ukwanda kwesisindo
Uma unohlobo oluhlala isikhathi eside (oluhlala isikhathi eside), ungase ube nobunzima bokuphefumula . Uma unesinye noma ngaphezulu kwalezi zimpawu, ikakhulukazi uma zenzeka ngemva kokuqala umuthi omusha, kungcono ukufuna iseluleko sikadokotela.
Udokotela usithola kanjani lesi sifo ngokunembile?
Ukuze kuqinisekiswe ngokunembile lesi sifo, kufanele kwenziwe izivivinyo eziningana zelebhu.
- Ukuhlolwa kokusebenza kwezinso: Lokhu ukuhlolwa kwegazi okulula okungabonisa ukuthi izinso zakho zisebenza kahle kangakanani. Kungabuye kuhlole amazinga aphezulu emfucuza egazini, njenge-uric acid kanye ne-phosphate.
- Ukuhlolwa kwezinso:Lena yindlela kuphela yokuqinisekisa lesi sifo isikhathi esingu-100%. Kodwa lokhu akwenziwa yiwo wonke umuntu. Okwenziwa lapha ukuthatha ingxenye encane kakhulu yezicubu ezinso ngenaliti encane kakhulu bese uyihlola ngaphansi kwe-microscope. Lokhu kuhlolwa kwenziwa ezimweni ezikhethekile, njengokunquma ukuthi kufanele yini unikeze imithi efana ne-corticosteroids noma cha.
- Ezinye izivivinyo: Udokotela wakho angase futhi a-ode izikeni ezifana ne-ultrasound scan noma i-radionuclide scanning. Lezi zikeni zingasiza ekubhekeni ukuvuvukala kwezinso, ikakhulukazi uma kusolwa ukuthi kukhona ukusabela kokungezwani nomuthi.
Yiziphi izindlela zokwelapha lokhu?
Izindlela zokwelapha zincike ekutheni unesifo se-interstitial nephritis nokuthi sibi kangakanani.
Nge-Acute Interstitial Nephritis (uhlobo lokuqala ngokuzumayo):
Into yokuqala nebaluleke kakhulu ukuyeka ngokushesha ukuthatha umuthi osolwayo . Kodwa lokhu kufanele kwenziwe kuphela ngaphansi kweseluleko sikadokotela wakho . Ungalokothi uyeke ukuthatha umuthi wedwa.
Uma lokhu kubangelwa yisifo esifana ne-lupus noma ukungezwani nomzimba nemithi ethile, udokotela wakho angase akunike imithi efana ne-corticosteroids ukunciphisa ukuvuvukala.
Uma isimo siba sibi kakhulu futhi izinso ziqala ukungasebenzi kahle, kungase kudingeke ukuthi wenze inqubo yokuhlanzwa kwegazi usebenzisa umshini, obizwa ngokuthi i-dialysis.
Nge-Chronic Interstitial Nephritis (uhlobo lwesikhathi eside):
Nalapha futhi, uma kukhona umuthi obangela lesi sifo, kubalulekile ukuwuyeka ngeseluleko sikadokotela. Ngaphezu kwalokho, eminye imithi inganikezwa ukulawula umfutho wegazi lakho nokuvimbela ukuqhubeka kwesifo.
Ngeshwa, uma izinso zonakele unomphela, ungase udinge i-dialysis impilo yakho yonke noma ukufakelwa izinso.
Yingakho sithi ukunaka noma yiziphi izimpawu nokufuna iseluleko sezokwelapha ngokushesha kungavimbela umonakalo omkhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-interstitial nephritis ukuvuvukala kwemigudu yokuhlunga emincane ezinso nasezicutshini ezizungezile, okungalimaza izinso.
- Lokhu kuvame ukubangelwa imithi ethile, izifo, noma izimo ezithinta amasosha omzimba.
- Uma unezimpawu ezifana nokushintsha komchamo, ukuvuvukala, umkhuhlane, noma ukuqubuka kwesikhumba, bona udokotela ngokushesha . Ikakhulukazi uma lezi zimpawu zivela ngemva kokuqala umuthi omusha, mtshele ngakho.
- Kukhona ukwelashwa kwalesi sifo. Ukutholwa kusenesikhathi kanye nokwelashwa kunganciphisa umonakalo ezinso.
- Ungalokothi uqale noma uyeke ukuthatha noma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho.
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