Nehritic syndrome isumu hwakazara wezviratidzo uye zviratidzo zvinoratidza kuti kuputira mukati maitsvo. Inowanzoonekwa kune varwere vane glomerulonephritis. Nokufamba kwenguva, chirwere chinoratidzika chinoratidzira kutanga panguva yakakodzera yerapi yehutano uye kudzivisa migumisiro yakakomba.
Ndeupi musiyano pakati peNephrotic syndrome uye nephritic syndrome?
Vamwe varwere havaoni kusiyana kukuru pakati pezviratidzo izvi zviviri-zvinetso, asi pane kusiyana. Jade ndiko kuputika kwetsvo, uye nephrosis ndiko kukunda kwavo. Iyo yekupedzisira ine huwandu hwakajeka kuratidzwa. Nephrosis inogona kusanganisira zvose kuvhiringidza kwakanyanya muitsvo uye rufu rwavo. Aya syndromes akasiyana zvikuru. Kusiyana kwakaratidzwa mune zvikonzero uye nzira dzekuvandudzwa kwezvirwere.
Nehritic uye nephrotic syndrome yemafungiro akadai:
- Area of defeat. MuNephritis, pathological phenomena inowanikwa mu renal glomeruli. Iyi nharaunda inoputika, semugumisiro, iyo inotonhora inobatwa mumuviri. MuNephros, kuwedzera kweprotheni-lipid makemikari mumasero e epithelium inoonekwa. Somugumisiro, pane kutyorwa kwemagadzirirwo emagetsi.
- Kuchinja mukugadzirwa kweropa. Nephrotic syndrome, kuwanda kwe albumin mumvura inokosha inoderera. Mukuwedzera, ropa coagulability inowedzera.
- Hematuria. Iyo nephritic syndrome inofambidzana nekuvapo kwemasero matsvuku eropa mumuguta. Izvi, chaizvoizvo, chiratidzo chikuru chechirwere ichi.
Kana tikafunga kuti nephrotic syndrome nephritic syndrome yakasiyana sei, musiyano pakati pavo unozviratidza mukukura kwekuvandudzwa kwechirwere. Muchiitiko chekutanga, chirwere chacho chinokurumidza kufamba, nekukurumidzira kuwedzera uye chingakurumidza kutungamirira kunetseka kwepvo. Muchikamu chechipiri, zviratidzo zvechirwere zvinoratidzira mushure memasvondo maviri mushure mekukanganisa kwechikonzero chemuviri.
Nephritic syndrome - iyo pathogenesis yekuratidzwa kwayo kukuru
Zvimwe zvinokonzera chirwere ichi chakasiyana zvikuru. Zvichipiwa pathogenesis yemhando idzi dzechirwere:
- primary - inobatanidza nehutachiona hwehutano hunowanikwa muitsvo;
- yechipiri - chironda ichi chinowanikwa mune dzimwe nhengo dzemuviri, uye dzinobva dzaenda kune glomerular apparatus.
Nehritic syndrome pathogenesis ine izvi:
- utachiona hwehutachiona (hepatitis, mononucleosis , herpes);
- zvirwere zvinodzivirira ( scleroderma , lupus erythematosus, vasculitis);
- mabhakitiriya zvirwere (meningitis, typhoid yemimba, endocarditis );
- streptococcal renal chirwere;
- mhinduro kune chirwere;
- kujekesa kwemuviri;
- thrombosis yemavheya emvura;
- chirwere cheshuga mellitus ;
- kukanganisa pamuviri wezvinhu zvinotyisa uye chepfu.
Mukuwedzera, iyi syndrome ine mafirimu anotevera:
- rinopinza;
- chronic.
Acute nephritic syndrome
Ichi chimiro chechirwere chinoratidzwa nekudengenyeka kukuru kwezvinonzi glomerular apparatus tissues. Uyezve, nephritic syndrome yakajeka inoratidzirwa nekukwira kwekuwedzera kwekufambira mberi. Zvose zviratidzo zvaro zvinogona kunge zvakagadzirirwa kuva chikamu uye zvisingaiti. Kuboka rekutanga rezviratidzo, iro rinonyanya kuve nephritic syndrome, rinogona kuonekwa:
- kuvapo kwemasero matsvuku eropa mumukombe;
- kurira kwechiso kubva mangwanani uye tsoka kusvika manheru;
- Kuwedzera kwekushaya kwepfungwa uye kuwedzerwa kweropa;
- pfungwa yakasimba yenyota uye oligoanuria;
- kuora kwemidziyo yeropa.
Nephritic syndrome yakajeka zviratidzo zvakadai zvisingaoneki ndezvokuti:
- lumbar pain;
- kuwedzera kuduku kwekushisa kwemuviri;
- general malaise, pamwe chete nemusoro wemusoro;
- kurema kuwanda;
- kuderera mukushanda.
Chronic nephritic syndrome
Kutaura zvazviri, ichi ndicho chikonzero chekuregerera kwehutano hwehutano hwako. Kana iyo yakaoma nephritic pathology isingatsvaki rubatsiro rwechiremba, chirwere chichapinda muhupenyu husingaperi. Kurwisana nechirwere panguva iyi kunonetsa zvikuru kupfuura pane pakutanga. Mune chimiro chisingaperi chechirwere, chiremba haazofaniri kungobvisa chirwere ichi, asiwo "kuchenesa" migumisiro yacho. Nokuda kwechikonzero ichi, apo chiratidzo chokutanga chakaratidza zvakajeka chinoratidza kuti nephritic syndrome inotanga kuonekwa, inzvimbo yekuvhenekera, unoda kuenda kuna chiremba. Kufungidzira kunopisa upenyu!
Nehritic syndrome - kuongororwa
Asati asarudza nzira yekurapa, chiremba achapa murwere mu laboratori uye kuongorora kwechigadzirwa. Nehrotic nephritic syndrome kusiyana kwekutarisa kunogona kusimbisa. Inosanganisira maitiro akadaro:
- biochemical blood test;
- CT;
- Ultrasound;
- smear kubva pamutsipa;
- angiography;
- urinalysis;
- coagulogram;
- biopsy yeinso masero.
Nephritic syndrome - urinalysis
Nemhaka yekuderedzwa kweiyo mafungiro, oliguria inozivikanwa (kuwanda kwemvura inodonhedzwa inoderera kusvika ku1,5 litres pazuva). Panguva imwecheteyo, huwandu hwemuti hunowedzera. Mukuwedzera, kana pane kusafungirwa kweephrotic nephritic syndrome, puroteni yakanyanya yehutano inowanikwa mumvura inodzingwa kubva mumuviri. Mumazuva okutanga echirwere ichi, chiratidzo ichi chinogona kuva 40-90 g / l.
Uyewo, kuti asimbise nephritic nephritic urinary syndrome, murwere angagoverwa maitiro ekuongorora urinjini aya:
- Nechiporenko analysis;
- kuongorora zvinyorwa zvishoma nezvishoma;
- Reberg's test;
- bacteriological culture;
- kutongwa maererano neZimnitsky.
Nephritic syndrome - kurapwa
Kurapa kunoitwa muchipatara, saka chiremba anogona kutarisa mamiriro acho ezvinhu. Iyo nephritic syndrome inogona kurapa, uye iyo yapfuura murwere anoenda kuchipatara, zviri nyore uye nokukurumidza kuporesa kuchave. Mishonga yekururamisa inogadziriswa panguva imwechete inotevera:
- kumira kweprotheni muropa;
- kudzivirira kupfuurira kwezvirwere;
- kugadzikana kweropa;
- normalization diuresis.
Nehritic urinary syndrome inobatwa nemishonga yakadaro:
- Antibiotics (Erythromycin, Cephalosporin kana Penicillin) inoshandiswa kurwisa zvirwere zvechirwere chacho.
- Kuti uvandudze microflora yenzira yekudya, ita zvinonzi probiotics (Hilak forte, Acipol, Bifidumbacterin).
- Kuchengetedza chirongwa chemoto, glucocorticosteroids (kazhinji Prednisolone) inoshandiswa.
- Kuwedzerwa kwekudzivirira mumuviri kune zvinopararira kunobatsira nema immunostimulants (Cytovir, Immunal).
- Kuti kuderedze edema, diuretics inoshandiswa (Hypothiazide, Trigrim, Furosemide).
- Simbisa muviri ne vitamini complexes (Vitrum, Selmevit).
Nephritic syndrome mu chirwere cheshuga cheshuga
Nokufamba kwenguva, kuonekwa kwehutano kwakaoma kurapa. Kana mushure mekuongororwa kwehutano hunosimbisa urinary syndrome mune chirwere cheshuga, kurapwa kunoitwa maererano nechirongwa chakanaka. Kurapa munyaya ino kunosanganisira zvinotevera:
- Normalization ye glucose muropa.
- Kutora kudzora dambudziko rehutachiona.
- Normalization cholesterol.
- Kurapa nekugadzwa kweSudedexide (kaviri pagore).
Nephritic syndrome ne glomerulonephritis
Mukurwisana nechirwere ichi, mushonga wezvinodhaka unosanganiswa nevasiri-mishonga yekurapa. Iyo yekupedzisira inosanganisira kutenderwa nehurumende uye chirongwa chakakosha chokudya. Iyo urinary syndrome ne glomerulonephritis inogona kukundwa kana munhu akatevedzera kudya kwakadaro:
- Deredza kuwanda kwemvura inoshandiswa.
- Usabvisa kudya kwezvinonhuwira, zvinonhuwira, doro, kofi uye yakasimba chai.
- Deredzai kushandiswa kwemunyu.