Glomerulonephritis: Mea Maluna. Li nui o nā puʻupaʻaʻelua. hakuʻalaʻoki kino

Li nui o nā puʻupaʻa, a ua wehewehe aku ma ka poho i ke kānana i hoʻomākaukauʻia, ma ka lāʻau lapaʻau i kapaia "glomerulonephritis". pathology Mea Maluna hilinaʻi nui ma luna o nā kumu o ka maʻi, papa o na i Kekahi Mau '. Ma ka hapanui o na hihia o keia maʻi i mea hoʻopilikia maoli hakuʻala glomeruli (glomerulus). Naʻe, ka mea pathological kaʻina ke komo i loko o nā hakuʻala pauku: tubules intercellular'aʻaʻa. Loa pinepine, i ka maʻi ua diagnosed i na keiki ma lalo o 12 makahiki. Eia naʻe, ua hiki ole hookaawale ia i ka pilikia o ka maʻi i loko o adulthood.

Ano o ka maʻi

He aha ka glomerulonephritis? O ka helu ana o okoa maʻi, a i wehewehe aku e ka hoʻoʻino hakuʻala maʻi. Loa pinepine ka mea, e triggered ma ka hopena maikaʻi 'ole o penetrating i loko o ke kino o nā mea palahēhē a me allergens.

Pathology hoike aku make glomeruli,ʻaʻa puʻuwai tubules, a me nā ipu. E hoʻolauna hou au mamuli, i mea he maʻi i ai e hoopa mai i ka'anatomia. Glomeruli hana i loko o ke kino, kekahi o ka mea nui i hana '. Ua wae 'ia a me nā toxins, loa kinowai palaho huahana a me nā hua'ōlelo i makemake' ona.

Glomeruli i aia i loko o ke kino o ka hakuʻala. Ka mea, i kekahi lālā o capillaries o ka loop type. Ma ka maʻamau functioning meaola i ke kokoʻoniʻoni ma afferent arterioles. Ua laila, komo kaʻaʻa puʻuwai glomerulus. Eia, aia no he kānana a me ka mimi ua hana. All wao akua, neoneo huahana i eliminated ma mochesborny tubule. Mai ka mea, e komo i ka lua o ka hakuʻala, a laila, - i ka bladder. Ke koko, huikala mai ka hua'ōlelo i makemake impurities ma efferent arteriole koe glomerule.

A i kekahi mau mea okoa kiʻi ua malama ia kekahi kanaka e hoʻomōhala ana i glomerulonephritis. Kēia pathology ua wehewehe aku ma ka hoomahuahua iʻaʻa puʻuwai Kānana patency. E like me ka hopena, ke koi kuleana pili i ua lawe mai i loko o piha. Ka mimi ke komo nui nā hale: kumuʻiʻo, ula koko keena, keʻokeʻo koko keena. A me kēia mau eiiiiiaiou e nui ai i ke kino. Holomua o ka maʻi hele aku ai i mea hōʻemi o ke koko huikala. Oi loli a me nā palapala 'ona i ole excreted.

Ka hapanui pinepine i loko o ka maʻi ua muli ma ka naoh o ka meaola i nā nā mea palahēhē paha allergies. Akā, i kekahi manawa i ka maʻi mea autoimmune. Ma keia hihia, ka maʻi e hoʻomōhala ana i loko o ka hakuʻala hoʻopilikia maoli kona mau nā mea'aʻaʻa.

Nā kumu o ka maʻi

No ke aha la hiki ana glomerulonephritis? Mea Maluna mea iki e kaukaʻi ma ke kumu o ka maʻi.

ʻO kēia kumumea i ka papa kuhikuhiE kumu o ka glomerulonephritis:

1. Streptococcal maʻiʻaʻai. Kēia hōʻeleu o ka loa, he pono ole maʻi. Ma ka hapanui o hoopii, hakuʻala poino hoonaukiuki e kūpono lapaʻau o streptococcal tonsillitis. E hoola i kēia pathology, ia mea e pono ke hana i ka piha papa o antibiotics i hoakaka ia ma ke kauka. Pepehi streptococcus'ē aʻe ki ina hana like ole i ke Akua. Inā ka maʻiʻaʻai uaʻaʻole maopopo eliminated, laila, ma hope o 10-14 lā, e kūkulu i ka huʻi kia-streptococcal glomerulonephritis. Me ia pathology kino iho hoʻomaka e hoouka aku i ka hakuʻala keena.
2. Mea hoʻomaʻi maʻiʻaʻai. Ua hiki no hoi kāhea he relapse o ka maʻi.
3. Ke anu. Maʻi huikau hakuʻala li nui.
4. Systemic pathology o connective'aʻaʻa. Hp'pnphp i ka hooulu ana o ka glomerulonephritis e moe rheumatoid arthritis, systemic lupus, polyarteritis periarthritis, vasculitis.
5. Maʻi mea koʻohune a mea hoʻomaʻi nā mea palahēhē. Pathology mea hiki ke hoʻomōhala ma ke kāʻei kua o ka mea hoʻomaʻi hepatitis B a me C, syphilis, infectious endocarditis, malaria.
6. Metabolic maʻi. By glomerulonephritis i ka hopena amyloidosis, mimikō mellitus, urate nephropathy, gout.
7. Maʻi o ke koko. Kona kūlana i loko o ka ulu ana o ka maʻi ke pāʻani i ka lymphoma, mau myeloma, maʻi leukemia.
8. ʻawahia aʻe. E lilo i kāhea no ka hooulu ana o ka glomerulonephritis i e hoʻohana pākela ', ai' a me ka waiʻona; 'ole ma ke kino o Hereme, kēpau, nā'uheheʻe, kekahi hoomake iho no hoi (e laʻa me, beeswax, nahesa). Ke kumu o ka helehelena o ka maʻi ke moe pāhawewe maʻi, ikaika undercooling vaccination.

symptomatology o ka maʻi

I kekahi manawa, pathology hiki e asymptomatic. Kauka nei ua aneane hapalua o ka hoʻomanawanui iki mai ka poe i diagnosed glomerulonephritis, ua 'akomi i ka maʻi ma' inikua ninaninau wale. A me nā mea maʻi iā lākou iho nō,ʻaʻole i ike o ka hooulu ana i loko o ke kino o ia i ka nui infectious maʻi.

Inā glomerulonephritis Make iho i manao ai, i ka symptoms e e like penei:

1. Puffiness. Eia kahi mea akaka ma luna o ka maka, lihilihi. Haanou ana ke ana i loko o ka luna, a malaloʻaoʻao. makua nuipa mai ana ia symptoms kekahi manawa maoli he 7 lā ma 25 kg.
2. Oliguria. A emi a piha kaawale o ka hoʻomanawanui ka mimi.
3. Pokole o ka hanu. Oia symptoms ma ka loa pele ke alakai i ka pulmonary edema.
4. Hematuria. Ka mimi i lepaʻano. Keia ua dictated ma ke alo o ke koko i loko o laila.
5. Hypertension. Hoomanawanui eha paakiki māhuahua ma ka puʻe.
6. Ke alo o ke kumuʻiʻo i loko o ka mimi. Ua Ua triggered e mahuahua bandwidth glomeruli i ke koko kānana.
7. Na ke kiekie ana wela.
8. Pain i loko o ka lumbar māhele -ʻeluaʻaoʻao.
9. Mau manao no ka make wai.
10. Ka luaʻi, imua o ka nausea. Hoomaloka o kona'ōpū.

A, ano, e nana i ka mea loaʻa ia i kekahiʻano o nā pathologies like glomerulonephritis.

Mea Maluna o ka maʻi

Pathology ua maheleia i mau kai. I mea no ke aha la malaila i kekahi mau o kona Mea Maluna.

No laila, e hoʻomanaʻo i nā kumu no ke aha la he mea he glomerulonephritis. Mea Maluna o ka maʻi ma luna o ka meaʻikeʻia o nā kumu e e like penei:

1. Helu glomerulonephritis. Nā puʻupaʻa i loli like me ka hopena o pathogenic aʻe.
2. Secondary. I ka maʻi e hoʻomōhala ana i ku e mai i ke kāʻei kua o na abnormalities i loko o ke kino.

E like me ke percolation 'ano o ka maʻi hiki e:

• pahi - nei kaua kipi;
• subacute - pathology mau he mau o nā pule a me kekahi mau mahina;
• maʻi - maʻi kauo aku la ia i ka makahiki, a me kekahi manawa hou.

E like me ka nui o ke kalaʻana aku:

• eiei? kaʻina a encompasses ka holoʻokoʻa Kānana'ōnaehana;
• mea nui maʻi.

ano o ka maʻi

Ua haawiia i ke ano o na symptoms, kauka classify ka maʻi like penei:

1. Latent palapala. Ke pathology ia lŘlŘ ma ka malu. Ke hoomanawanui i symptoms o episodic holoiia. More ma mua,ʻaʻole pinepine, keia palapala i ano o ka subacute type.
2. Cyclical. Wehewehe aku ma ka huʻi li nui. Ke hoomanawanui i ka wi symptoms. E like me ka rula, ma laila hele mai kekahi kokololio ke ola. Naʻe, i kēia palapala pinepine recurs.

ʻano likeʻole o ka pathology

Kekahi o na kumu nui 'ano o ka maʻi ua manaoia e e lapaʻau ano. Ano hoohanohano a o ka maʻi ua lawe mai e lawe i ka mooolelo o ka maʻamau symptomatology.

Ma ke kumu o ke ano hiʻona i ka hahai ana i ke ano o na glomerulonephritis:

1. Nephrotic. Akaka nani.
2. Hematuric. O hoʻoʻino kaʻina Ua hui me symptomatic loli i loko o ka mimi. Proteinuria, hematuria maʻia.
3. Hypertensive. Mea palapala. Ua Ua wehewehe aku ma ka paakiki mahuahua ma ka puʻe. E hiki anei i hana i ka complications, kena ae la ma ka hypertension.
4. I hui pūʻia. Ma keia palapala o ka nephrotic-hypertensive me ka hui pu ana o na hoailona. Pathology kekahi nō o ka poe ilihune prognosis.

Aia o kekahi Mea Maluna - morphological symptoms:

1. Mea nui segmental glomerular li nui. No ka pathology wehewehe aku e kokololio sclerosisʻaʻa puʻuwai capillaries.
2. Mesangioproliferative nephritis. Ka loa e like me ka ano o ka maʻi. Ke pathology Ua wehewehe aku e hoʻokomo kālā o ka'ōnaehana paleʻea eiiieaenu i kekahi pathogens o nā mea'aʻaʻa.
3. Membranous nephropathy. ʻia naʻe glomerular capillary paia hoʻohui pū proteinaceous plaques hoikeia.
4. Mesangiocapillary glomerulonephritis. Poe hana hoʻoikaika glomeruli'aʻaʻa eiei? Sclerosis. E like me ka hopena, ka mea i auou caiaiai e ai pili aku i ke keena. Pathology okoa adverse ha i.

E mākou noʻonoʻo i nui au mamuli kekahi? Ueo.

huʻi nānaina

Kēia pathology hoomaka koke, a ua pinepine symptomatic. Huʻi eiei? Glomerulonephritis ua wehewehe aku ma ke kuni, gipostenuriey, polturiiey a me hematuria, i ke alo o ka hopeʻeha. Ke pathology hiki e mea koʻohune, laʻau heluna,'ōnaehana paleʻea paha mea hoʻomaʻi.

subacute palapala

Pathology i kekahi inoa - malignant glomerulonephritis. Ua Ua wehewehe aku e kokololio ulu. Ke hoomanawanui i ka ia symptoms me ka huʻi type.

Eia naʻe, a pau na hoailona o ka maʻi i oi'ōlelo ai:

• haanou ana;
• hoemi i ka nui o ka mimi;
• headache;
• pallor;
• pokole o ka hanu;
• discoloration o ka mimi;
• nawaliwali;
• palpitations;
• puʻe.

Maʻi diagnosed ma ke koko hōʻike, mimi.

membranous glomerulopathy

No keia palapala ua wehewehe aku e eiei? Ai hanaʻia naʻe o ka glomerular capillaryʻili lahilahi. Loa pinepine, i ka pathology me ka maʻiʻaʻai hou pili. He nui prone i keia maʻi ano o kanaka. Ka mea, i membranous glomerulonephritis wehewehe aku ma ke kali hoʻomaka. Eia hou, i ka maʻi ua pu e nephrotic maʻi pale a me ka proteinuria.

Ke pathology hiki e huikau e maʻiʻaʻa puʻuwai insufficiency, venous thrombosis, like me ka hopena o ka a hiki iʻike ākea thromboembolism.

lapaau ana i ka maʻi

I ka hakakāʻana o ka maʻi apo akuk ai hulina Inc i hiehie:

• ka lapaʻauʻia;
• adherence i ka ikaikaʻai (Table № 7a);
• moe koena (i loko o relapsed huʻi a me ka pele).

Ma ka hapanui o hoopii, i kēia mau kiʻina hana ae i koke hopu oe i ka huʻi papa o ka maʻi. A laila, i ka hoʻomanawanui ua koho ka ho'ēmiʻana Inc.

Akā, i kekahi manawa i ka maʻi ua wehewehe aku ma ka loa. Ma keia hihia, hemodialysis hoʻomanawanui ua hāʻawi. Kēia mea e hoʻopale ai i ka hoʻomanawanui, mai mea complications mai o ka maʻi. Special mea, i kapaʻia ka "ʻimi hoʻopunipuni hakuʻala", hanaʻia ke koko huikala mai kaʻawahia i huiʻia, oi loli a me electrolytes. Ua ua pono no ka poe e hoomanawanui i ka poe i ke kāʻei kua i loko o kaʻeluaʻaoʻao lesions uluʻaʻa puʻuwai insufficiency i ka maʻi palapala.

hakuʻalaʻoki kino

Maʻi glomerulonephritis ke alakai i ka, aole i kaʻawaʻawa loa hopena. Kekahi o ia mea hakuʻala ole. A ina ma ka loiloi mua kahua o ka hoʻonaʻauao (i loko o nā-ala kaʻina) ke kōkua i hoʻomākaukauʻia "ʻimi hoʻopunipuni hakuʻala", laila, i ka holo kaʻina urgently ke kahe ana o transplantsʻilikai. , Ae waiho nei ma ke transplanting kanaka kino i loaa mai i ka pou.

Hakuʻalaʻoki kino ua hana ma hope o ka hoʻokolokolo pono ninaninau o ka hoʻomanawanui wale. It E e kaulana ia transplantation i kona contraindications. Eia hou kekahi, pilikia i ala mai ai me ke koho ana o kekahi mau pou hakuʻala.