Izidakamizwa ezijwayelekile kanye nezifo zingase zishaye izinso zakho
I-nephritis yezinkanyezi yisifo esibhekene nenqubo yokuvuvukala ehilela izinso, okungabangela ukwehla kwemisebenzi yezinso ngisho nokuphelelwa kwezinso ngokuphelele. Indlela elula yokubheka i-nephritis yezinhlangothi zokucabangela ukucabanga njengendlela yokusabela okubangelwa yilezi zindawo ezibangelwa izinso (nakuba lokho kungaphezu kokulula).
Izimpawu Nezibonakaliso Zezinkanyezi ZaseNifritis
I-nephritis ye-interstitial ngokuvamile ihlukaniswe ngezigaba ezimbili kuye ngokuthi izinga liqala kanjani, futhi ukusheshiswa kokuncipha kwenhliziyo yezinso. Lezi zigaba ezimbili ziyi:
- I-nephritis yangaphakathi ye-interstitial (AIN) , okuyinto ngokuvamile ngokuzumayo, futhi ngokuvamile iyancipha ehlala njalo ekusebenzeni kwezinso.
- I-nephritis ye-interstitial interstitial (CIN) eyinkimbinkimbi enkulu yesifo eside, eside.
Izimpawu nezibonakaliso ezijwayelekile, okuvame ukuhlaba umxhwele kakhulu nge-nephritis ye-interstitial interstitial, zifaka:
- Fever
- Ukukhwabanisa isikhumba
- Ubuhlungu emaceleni
- Izibalo eziphakeme zenye uhlobo i-white cell cell (ebizwa nge-eosinophils)
- Izinga legazi eliphakanyisiwe le- creinine, umaka ogama lakhe livame ukuhlolwa ukuhlola umsebenzi wakho wezinso
- Ubukhona be-eosinophils ephakeme emcinini
- Ubukhona bamaseli abomvu obomvu kumchamo (inani lingase libe lincane ngokwanele ukuba ungakwazi ukuliqonda ngamehlo)
- Ukwandisa amaprotheni ukusakaza emcinini. Lokhu kubizwa ngokuthi " proteinuria ," futhi kubhekwa ukutholakala okungeyona okuqondile kokulimala kwezinso.
Nakuba lezi zimpawu nezimpawu ezibalulwe ngenhla zibhekwa njenge "izimpawu zamakhompiyutha ezindala," zingase zingabonakali ngaso sonke isikhathi kuzo zonke iziguli.
Yini Ebangelwa I-Interstitial Nephritis?
Njengoba kuchazwe ngenhla, i-nephritis yangaphakathi yomshoshaphansi ifana nokuba ne-inflammatory or reaction reaction in the kidney, futhi ivame ukuhlelwa izici ezithile zokugqugquzela.
I-agent provocateur iziphatha ngendlela efana ne-"allergen" ebeka ukusabela okulindelekile. Izidakamizwa ziyisizathu esivamile, kodwa ezinye izinhlangano zingenzeka futhi. Nansi ukubuka kabanzi kwamacala athile avamile:
- Imithi - Lezi zihlanganisa ama-antibiotic afana ne-penicillin, i-quinolones (isib. Ciprofloxacin), imithi ejwayelekile yokuhlunguphaza efana ne-NSAID, imithi ye-aclup reflux (ebizwa ngokuthi i-proton pump inhibitors), amaphilisi amanzi / i-diuretics, njll. imithi ethize, kanti abanye benza kahle, ayiqondi kahle, kodwa ihlobene nendlela impendulo yethu yokuzivikela ngayo emzimbeni isici esithile sokugqugquzela. Lokhu kufana nokuthi wonke umuntu akakwazi yini ukungenelela kokungezwani komzimba kusuka emanzini, isibonelo.
- Izifo - Izifo ziyaziwa ukuthi zenza i-nephritis yangaphakathi. Ngokweqile, noma iyiphi i-agent esebenzayo ingaba yisisusa esikhuthazayo, kodwa, izibonelo zifaka amabhaktheriya afana ne-streptococci, amagciwane afana ne-Epstein-Barr virus, i-leptospira, nama-parasites.
- Izifo ezizimele ngokuzenzakalelayo - Enye into evamile eyaziwa ukuthi ihlotshaniswa nephritis ye-interstitial interstitial. Lezi zihlanganisa izifo eziziwayo ezizimele njenge-lupus, noma i-systemic lupus erythematosus (SLE), isifo se-Sjogren's njll.
- I-TINU (i-nebulo-interstitial nephritis ene-uveitis) syndrome - Lena yinhlangano ethize i-pathogenesis engaziwa. Imithi, ama-infectious agents ezifana ne-chlamydia, kanye nesitshalo esithile seChina okuthiwa "Goreisan", bonke babhekwa njengabasola abasolwa. Isiguli esithintekile sizobika ubuhlungu be-flank, igazi, noma amaprotheni emcimbini, futhi kuyothathwa ukuthi kunezinso ezinzima kakhulu zezinso. I-Uveitis, okuwukuvuvukala kwezicubu ezithile emehlweni, izoletha njengobunzima beso noma ukubomvu.
Ukuqaphela i-Interstitial Nephritis
Udokotela angase akwazi ukuxilongwa nge-nephritis yangaphakathi yezinhlangothi ngenxa yesimiso semitholampilo ethola izimpawu kanye nezibonakaliso yodwa. Njengoba kuboniswe ngenhla, noma kunjalo, akuzona zonke izimpawu noma izimpawu ezikhona kuzo zonke iziguli. Ezimweni ze-nephritis ye-interstitial interstitial, isiguli esithintekile siyovame ukuza nomlando wokuqala imithi yokwelashwa kamuva futhi uma kuqhathaniswa "ngaphambi nangemva" imiphumela yokuhlolwa kwegazi yezinso ingaba yindlela yokuhlonza ingqondo.
Ezimweni lapho ukuxilongwa kungatholakali kalula, noma uma umsebenzi wezinso unciphisa kakhulu, i-kidney biopsy ingase ibe yimfuneko.
Lokhu kuvivinywa okungenasidingo lapho ucezu oluncane lwezicubu zezinso kudingeka lithathwe futhi lufundwe ngaphansi kwe-microscope. Imininingwane yenqubo ihlanganisiwe lapha.
Ukwelapha I-Nephritis Engaphakathi
Uma kutholakala ukuxilongwa okucacile kwe-nephritis yangaphakathi, yonke imizamo kufanele isetshenziselwe ukukhomba isici sokugqugquzela ukuze imbangela yokuvuvukala isuswe, uma kungenzeka. Isibonelo, ezimweni ze-nephritis yokudakwa kwezidakamizwa, ukuyeka isidakamizwa esiphutha kungabalulekile, futhi isinyathelo sokuqala somqondo ovamile kakhulu. Uma kungekho mithi ethintekayo, khona-ke ukucinga kwamanye ama-autoimmune kanye nezifo ezithathelwanayo kufanele kulandelwe.
Ezigulini ezinomtholampilo omncane ekusebenzeni kwezinso, ngokuvamile akukho lutho olungaphezu kokumisa isikhulu esicasulayo kuyadingeka. Kodwa-ke, uma ukwehla okuhlobene nokuvuvukala okuhlobene nokusebenza kwezinso kubonakala, isilingo se-steroids singase sibe usizo (lapho kwenzeka ukwelashwa kungadingeka khona nje izinyanga ezingu-2-3). Ezigulini ezingaphenduli i-steroids, enye imithi egama le-mycophenolate ingabhekwa njengenye indlela.
Izwi elivela
I-nephritis yangaphakathi yendawo ikhuluma ngokuvuvukala okunzima noma okungapheliyo kukhishwa ezinso ngenxa yama-ejenti ahlukahlukene njengemithi, izifo, noma ngisho nesifo se-autoimmune. Ukulimala okwenziwe ezinso kungabuka ekunciphiseni okubuhlungu, ukuphelelisa izinso. Ukuqaphela isisusa esiyinhloko esashukumisa ukuvuvukala yingakho isinyathelo sokuqala ekwelapheni, kepha imithi efana ne-steroids ingadingeka.
> Imithombo
> De Pascalis A, Buongiorno E. I-nephritis ephakathi kwe-interstitial, into engavamile ye-Giardiasis. I-Clin Pract. 2012 Jan 1; 2 (1): e6. Ishicilelwe ku-intanethi ngo-2011 Dec 30. Ithi: 10.4081 / cp.2012.e6 PMCID: PMC3981349
> Krishnan N, Perazella MA. I-nephritis enobudlova obangelwa yizidakamizwa: i-pathology, i-pathogenesis, kanye nokwelashwa. I-Iran J Izinso Dis. 2015 Jan; 9 (1): 3-13
> Michel DM, uKelly CJ. I-nephritis ye-interstitial acute. J Am Soc Nephrol. Mar 1, 1998 9: 506-15
> Spanou Z, Keller M, Britschgi M, Yawalkar N, Fehr T, Neuweiler J, Gugger M, Mohaupt M, Pichler WJ. Ukubandakanyeka kwamaseli athile e-T-drug e-nephritis ephakathi kwezidakamizwa .J Am Soc Nephrol. 2006 Oct; 17 (10): 2919-27. Epub 2006 Aug 30
> Schmidhauser T, Curioni S, Bernasconi E. I-nephritis eqondile ye-interstitial ngenxa yeLeptospira grippotyphosa ngokungabikho kwesifo sikaWeil . I-J Infect Dis Med Microbiol ingakwazi yini. 2013 Spring; 24 (1): e26-e28.PMCID: PMC3630035
> Tan Y, Yu F, Zhao M. Ukuzimela kwamagciwane ane-TINU syndrome. Hong Kong Journal of Nephrology. Umqulu 13, Issue2, Okthoba 2011, amakhasi 46-50- ukufinyelela okuvulekile