Glomerulonephritis - zviratidzo uye kurapwa kwemhando dzose dzechirwere

Renal tissue is cluster of glomeruli inonzi glomeruli. Vanoita basa rezvifuta, kubvisa kubva mumuviri zvinoshandiswa pakushandura michina uye kuwedzera kwemvura. Glomerulonephritis inokura apo glomeruli inobatwa. Izvo zvinoratidzira zvinokanganisa nguva dzose mafyvo, inokura nokukurumidza uye inoita zvinetso.

Glomerulonephritis - Zvinokonzera

Kune chimiro chekutanga uye chechipiri chetsanangurwa chirwere. Izvozvo zvakasiyana-siyana zvinokonzerwa nemagumisiro ekunyadzisa kwemuitiro. Semuenzaniso, itsvo glomerulonephritis inogona kuisa marangiro ayo kumashure ehutachiona hunotevera:

• rheumatoid arthritis ;
• Alport syndrome;
• lupus erythematosus;
• Chipfeko chaF Fabry;
• antiphospholipid syndrome;
• hepatitis C;
• vasculitis;
• endocarditis;
• the Coxsackie virus , Epstein-Barr;
• nodular periarteritis;
• amyloidosis;
• Goodpasture syndrome ;
• Shenlen-Henoch chirwere;
• zvinorwarisa matumbo.

Rudzi rwekutanga rwekuparara kune renal glomeruli chirwere chisingagumi. Post-streptococcal glomerulonephritis inowanzobudirira, dzimwe nguva dzimwe mabhakitiriya kana zvipembenene zvinoshanda senhengo dzinokonzera. Kuti varwise pathogenic microorganisms, maitiro ezvirwere zvemuviri anodzivirira zvirwere zvakasimba. Kana zvikasagadziriswa pachavo, idzi dzakaoma zvinowedzera mu glomeruli. Gare gare, zvinokuvadza zvinokonzera kupisa, uye kudzivirirwa kwemuviri kunotanga kurwisa zvirwere zvayo zvepimpvo.

Glomerulonephritis - classification

Chirwere ichi chiri kuongororwa chinoparadzaniswa maererano nehupenyu hwenzira yacho. Nyanzvi dzinoongorora subacute, yakaoma uye isingaperi glomerulonephritis. Nzira yekutanga yehutano inonziwo kukurumidza-kufambira mberi kana kuipa, inonzi inonzi yakaipa zvikuru kusiyana kwekukuvara kune glomeruli. Inowanzokwanisika kumira yakadaro glomerulonephritis - zviratidzo uye kurapwa hazvirevi pane mumwe nomumwe, mamiriro acho anotowedzera kunyange nemafambiro akakodzera panguva chaiyo yehutano. Urwu urwere hwechirwere hunopera mumugumisiro unouraya mu 80% yematambudziko.

Inonzi glomerulonephritis inoratidzwa nekukurumidzira kunotanga nezviratidzo zvakakomba. Nokukurumidza kuongororwa uye nzira yakarurama yemishonga, inopedzwa zvachose pasina migumisiro. Kana chirwere chacho chakanga chasarudzwa chisina kururama kana kuti chirwere chakafambira mberi kwenguva yakareba, chirwere ichi chinopinda muhupenyu husingaperi. Iro rudzi rwechirwere rine maitiro akasiyana-siyana.

Latent glomerulonephritis

Mamwe mazita emhando yakarondedzerwa yekuparara kune renal glomeruli yakasara, urinary. Paunenge uchikudziridza chimiro chinonzi glomerulonephritis, munhu anonzwa zvakanaka, hapana zviratidzo zvakananga zvinoonekwa. Kuziva rudzi rwechirwere rwechirwere runobatsira chete urinho rutsva. Inoratidza maitiro emapuroteni makemikari uye nhengo dzeropa.

Glomerulonephritis inomirira mafomu

Izvi zvakasiyana-siyana zvechirwere zvinonziwo Berger's disease. Pakutanga, kugara zvakanaka kunoramba kuri kugutsikana, asi gare gare hematuric glomerulonephritis inokurudzira kuzvimba kwezvinyama zvishoma uye kuwedzerwa kweropa. Zviratidzo zvehutachiwana hazvina maturo, saka kuongororwa kwebroatori inodiwa. Zvakakosha kuongorora urine kuitira kuti uongorore glomerulonephritis yakadaro - zviratidzo uye kurapwa zvinotsigirwa apo zvikamu zveropa zvinowanikwa muhutachiona hwehupenyu:

• erythrocytes;
• protein fractions;
• thrombocytes.

Glomerulonephritis iyo fomu hypertonic

Imwe yemhando dzakawanda kwazvo dzehutachiona, inenge 25% yezviremera zvose zvinonzi glomerular. Urinalysis haibatsiri kutsanangura ichi chisingagumi glomerulonephritis - chimiro che hypertonic hachina kukanganisa kuumbwa kwehupenyu hwehupenyu. Chimwe chete chiratidzo chinokosha chechirwere chinotarirwa nenyanzvi ndechiwedzera chinowedzera muropa. Hypertension inoratidzika kubva pamazuva okutanga ekufambira mberi kwehutano uye inopfuurira kusvika kuregererwa. Iyo diastolic index (yakadzika mumhepo) inopfuura 95 mm Hg. Art.

Nehrotic glomerulonephritis

Izvi zvakasiyana-siyana zvechirwere zvinopedzisira zvataurwa nekliniki zviratidzo. Izvo zvose zvinokonzera uye zvakaoma glomerulonephritis nephrotic syndrome. Iyo inoratidzirwa nesimba rakasimba puffiness subcutaneous tissue (anosarca), miviri uye zvinyoro zvinyoro, dzimwe nguva ascites (dropsy). Zviri nyore kuti nyanzvi dziongororwe dzinotsanangurwa glomerulonephritis - zviratidzo uye kurapwa zvinotsigirwa kunyange pamusana pekuongorora. Pamwe kuongororwa mumuginho kuwanda kwemafiber, uye muropa - kusakwana kweAlbumine kunowanikwa.

Mixed form of glomerulonephritis

Urwu urwere hwehutano hunobatanidza hypertonic uye nephrotic syndrome. Mixed glomerulonephritis inowanikwa nezviratidzo zvinoratidza maitiro maviri ehutachiona. Inokurumidza kukurumidza uye inogona kutungamirira kumatambudziko makuru, saka inosanganisira kurapa kwakasimba. Mhando yakasanganiswa yezvipembenene zveanoral glomeruli inogara ichikonzera kuchinja mukuumbwa kwemuti (proteinuria uye hematuria).

Glomerulonephritis - zviratidzo

Chirwere chemakirini chechirwere chiri mubvunzo chinopindirana nemhando yekambo uye yerudzi rwayo, kusanganisira zvibereko zveongororo inobata. Urine ne glomerulonephritis inoshandura chimiro chayo kakawanda nguva dzose (kunze kwemaitiro akare). Inoratidzira mapuroteni uye masero eropa zvakasiyana-siyana. Zviratidzo zvakajeka zve glomerulonephritis:

• kutaridzika kuonekwa kwemakumbo, maziso emafupa uye mavara;
• kuchinja muhuro wemuviri, kuonekwa kwehutubu mairi;
• arterial hypertension, kunyanya diastolic kukumanikidza;
• ascites emimba;
• kuderera kwehuwandu hwezuva nezuva hwomuguta wakanyanyisa;
• kuwedzera kwekushisa kwemuviri;
• kureba kweganda;
• kushaya simba;
• nausea;
• kurwadziwa munharaunda yekomba;
• kuora mwoyo kwechido.

Glomerulonephritis - Kuziva

Chokutanga, nyanzvi inonyatsoongorora murwere uye kumubvunzurudza, inogadza kuvapo kwezviratidzo zvakananga zvechirwere. Nokuti pakupedzisira kuongororwa kunodiwa miedzo - ne glomerulonephritis inofanira kupfuura urini neropa (biochemistry). Uyezve, zvidzidzo zvinotevera zvinopiwa:

• kombiyuta kana magnetic resonance imaging;
• X-ray;
• ultrasound diagnostics;
• kidney biopsy

Glomerulonephritis - kurapwa

Kurapa kwekukuvadza glomeruli kunosarudzwa zvichienderana nehuwandu hwechirwere uye kuoma kwemaitiro acho. Kurapa kwechigarire glomerulonephritis panguva yekudzokazve, chirwere chakakomba kana kuti chinonzi subacute chirwere chinosanganisira:

• kubata zvakasimba zororo;
• kutora mishonga;
• kudya kwekudya;
• Hemodialysis (mumamiriro ezvinhu akaipisisa, achityisidzira upenyu hwevanhu).

Glomerulonephritis - kurapa, zvinodhaka

Conservative therapy inorayirwa chete nemumwe nyanzvi zvichienderana nemigumisiro yekugadzira zvidzidzo uye yebhoratori. Zvakakosha kuziva kuti chii chinokonzera glomerulonephritis - zviratidzo uye kurapwa kwechirwere zvakakwana zvinopindirana nezvikonzero zvayo. Kana iyo pathogen yekuputika iine microbes, kushandiswa kwemishonga inorwisa mabhakitiriya inokurudzirwa. Mune mamwe mamiriro ezvinhu, nephrologist anogona kupa maitiro antiviral or anthelmintic agents.

Uyezve, mishonga inotevera inorayirwa kuti glomerulonephritis:

• hypotensive - Ramipril, Captopril, Cilazapril;
• immunosuppressants (kusanganisira glucocorticosteroids) - Metipred, Solumedrol, Methylprednisolone;
• diuretics - Brinaldiks, Triamuteren, Hygroton;
• anticoagulants - Pelentan, Heparin, Phenylin;
• statins - Imuron, Chlorbutin, Cyclophosphamide.

Glomerulonephritis - vanhu vemaitiro emishonga

Dzimwe nzira dzokurapa dzinobvumirwa kuti dzishandiswe chete kunze kwechirwere chechirwere chechirwere. Kurapa kweGermomerulonephritis nemishonga yevanhu kunobatsira kurarama nezvimwe zviratidzo zvechirwere (kubhururuka, kuderera muwandu hwemuti wakabudiswa zuva nezuva). Zvokudya zvepanyama hazvibvisi zvinokonzera kukanganisa kwegemero glomeruli uye usadzivisa zvirwere zvekuvhiringidza, kuitira kuti zvigone kushandiswa sechirwere chekubatsira.

Herbal collection kubva ku glomerulonephritis

Zvisungo:

• mabhasiki akaomeswa - 40-50 g;
• Mbeu yefrikisi - 60-80 g;
• rakapwanyika midzi yakaoma yebindu bhokisi - 45-50 g;
• mvura - 500 ml.

Kugadzirira, shandisa:

1. Sakanidza zvisikwa zvechisikigo mune girasi regirazi.
2. Dururirai musanganiswa wose nemvura inodzika uye muvhare.
3. Kumanikidzira kwemaawa maviri.
4. Shamba kunze kwewaini uye udururire muhari yakachena.
5. Tora mukombe wechitatu wemishonga katatu pazuva.

Tea kubva kuEdema

Zvisungo:

• maruva emakemile emakemikari - 10-15 g;
• uswa hwekutanga - 10-20 g;
• majikiro nemashizha emucheka mutsvuku - 30-35 g;
• mvura inopisa - 220 ml.

Kugadzirira, shandisa :

1. Sakanidza zvinyorwa zvakanyorwa mubheta.
2. Dururirai zvigadzirwa nemvura inopisa.
3. Simbisai mishonga pasi pechivako kwehafu yeawa.
4. Simbisai mvura.
5. Dururira chetatu chegirazi remhinduro uye uinatsire nemvura inodziya.
6. Inwa mushonga seyei (unogona kunakidza) kanomwe pazuva.

Kudya ne glomerulonephritis

Zvokudya zvakakurudzirwa (tafura 7a kana 7b yePevzner) zvinoenderana nemamiriro ehutachiona. Zvokudya zvakaoma zvinowanikwa kana acomerulonephritis yakajeka inoratidzwa - kurapwa kunofungidzira kuvharwa kunokosha kwemuyu mune menyu (kwete kupfuura 2 g pazuva) uye kusagadzikana zvachose kwezvinhu zvinotevera:

• mafuta mazinga e nyama, huku, hove;
• zviyo;
• mishonga inopinza (radish, garlic, onion, radish);
• zvinonhuwira;
• carbonated drinks;
• kofi yakasimba uye tei;
• greens;
• rich broths.

Nhamba yeproteine ​​zvokudya haifaniri kudarika 40 gm pazuva. Zvinokurudzirwa kuisa mukati mekudya unloading days:

• inotapira (0.5 kg ye shuga ne 550-600 ml yematai kana michero);
• watermelon;
• mbatata;
• melon;
• compote.

Mushure mekugadzirisa mamiriro acho ezvinhu, kudzivisa kuputira uye kubvisa kuzvikudza, tafura 7b kana 7 inorayirwa Pevzner. Ichi chikafu chinowedzera zvishoma, kushandiswa kwemasviki mashanu emunyu pazuva kunobvumirwa, chiyero chakabvumirwa cheprotein uye mafuta inowedzera. Kunyangwe nekuvandudzwa kwakasimba mune zvehutano, zvinokurudzirwa kuramba uchichitevera kudya, kuramba mafuta, zvinonhuwira, kusvuta uye zvakabikwa zvokudya.

Matambudziko e-glomerulonephritis

Apo kuongororwa kwechirwere mumatambo akaoma, kunoporesa zvachose pasina migumisiro mumatambudziko mazhinji. Muzviitiko zvisingawanzo glomerulonephritis yakaoma - zviratidzo uye kurapa zvinogona kurondedzerwa zvisina kururama kana chirwere chinowanikwa mu subacute kana chimiro chisingaperi. Chigumisiro chakakomba chechiremera chemumero chinonzi renal failure. Inopfuurira mberi kwemakore uye inotungamirira kushandiswa kwemazuva ose akabatanidzwa.

Zvimwe zvinetso zvinokonzera kuparadzanisa glomerulonephritis:

• thromboses;
• kugadzikana kwehutano hwehutano;
• anemia;
• heart failure;
• eclampsia;
• kuonekwa kusakanganisika;
• intracerebral hemorrhage;
• uremia;
• pulmonary edema.

Glomerulonephritis - kudzivirira

Kuchengetedza kukurudzirwa kwechimiro chakaoma chechirwere, kana kutungamirirwa kwekambani yebhakitiriya uye utachiona hwehutachiwana, dzinogona kurapwa nemishonga yakakodzera panguva yakakodzera. Kuchengetedza glomerulonephritis yerudzi rusingagumi kunoda kururamisa mararamiro uye chikafu kuitira kuti kudzivisa kudzokororazve kwekuvhiringidza:

1. Rega kusvuta uye kunwa doro.
2. Cherechedza kudya kunorambidzwa nemunyu uye mapuroteni muzvokudya.
3. Nguva dzose kuyera kuwedzera kweropa, tora urini kuti uongorore.
4. Nguva nenguva enda kune imwe nyanzvi.
5. Endai ku sanatorium yeprofile.
6. Dzivisa kukura.
7. Chengetedza uwandu hwekuita kwepfungwa nekuita.
8. Nokufamba kwenguva, kurapa zvirwere uye kumira zvachose zviratidzo zvavo.