Lupus nephritis

ʻO ka Lupus nephritis, kahi maʻi hōʻino, he pilikia ia o ka systemic lupus erythematosus.

ʻO ka lupus erythematosus ʻōnaehana (SLE, a i ʻole lupus) kahi maʻi autoimmune. ʻO kēia ke kumu o ka pilikia o ka pale o ke kino.

ʻO ka maʻamau, kōkua ka ʻōnaehana pale pale i ke kino mai ka maʻi a i ʻole nā ​​mea ʻino. Akā i ka poʻe me ka maʻi autoimmune, ʻaʻole hiki i ka ʻōnaehana pale pale ke haʻi i ka ʻokoʻa ma waena o nā mea ʻino a me nā mea olakino. A ʻo kahi hopena, hoʻouka ka ʻōnaehana pale ʻē aʻe i nā pūnaewele olakino a me nā aʻa.

Hiki paha i ka SLE ke hōʻino i nā ʻāpana like ʻole o ka puʻupaʻa. Hiki i kēia ke alakaʻi i nā maʻi e like me:

• Nephritis interstitial
• Nā maʻi Nephrotic
• ʻO ka glomerulonephritis membranous
• Hewa ʻole nā ​​hakuʻala

ʻO nā ʻōuli o ka lupus nephritis me:

• Koko i ka mimi
• ʻO ka helehelena hua i ka mimi
• Pehu (edema) o kēlā me kēia wahi o ke kino
• Piʻi koko kiʻekiʻe

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona. Lohe paha nā leo maʻamau i ka hoʻolohe ʻana o ka mea hāʻawi i kou puʻuwai a me kou mau māmā.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ANA titer
• BUN a me ka creatinine
• Nā pae hoʻokō
• Urinalysis
• Pīmī protein
• ʻO ka biopsy kidney, e hoʻoholo ai i ka mālama kūpono

ʻO ka pahuhopu o ka hoʻomaʻamaʻa ʻana e hoʻomaikaʻi i ka hana o ka hakuʻala a hoʻolōʻihi i ka holo pono ʻole ʻana o ka hakuʻala.

Hiki i nā lāʻau ke hoʻopili i nā lāʻau e kāohi i ka ʻōnaehana pale, e like me ka Corticosteroids, cyclophosphamide, mycophenolate mofetil, a i ʻole azathioprine.

Pono ʻoe i ka dialysis e kāohi i nā ʻōuli o ke kō ʻole o ka hakuʻala, i kekahi manawa no kekahi manawa. Kākoʻo ʻia kahi transplant kidney. ʻAʻole pono i ka poʻe me ka lupus hana i kahi transplant no ka mea hiki ke ʻano i ke kīkī transplanted.

Pehea ʻoe e hana ai, kaukaʻi ʻia i ke ʻano kikoʻī o ka lupus nephritis. Hiki paha iā ʻoe ke lele i luna, a laila nā manawa ke ʻole kāu mau hōʻailona.

ʻO kekahi poʻe me kēia ʻano e hoʻomōhala i ka wā lōʻihi (maʻi mau) ʻole.

ʻOiai paha e hoʻi mai ka nephritis lupus i kahi puʻuwai transplanted, ʻaʻole hiki iki i ka maʻi ʻōiwi hopena.

ʻO nā pilikia i hopena ʻia mai ka lupus nephritis me:

• Hoka kōpaʻa koʻikoʻi
• Hoka kōpaʻa paʻa

Kāhea i kāu mea hāʻawi inā loaʻa kou koko i kou mimi a i ʻole ka pehu ʻana o kou kino.

Inā loaʻa ʻoe i ka nephritis lupus, kāhea i kāu mea hāʻawi inā ʻike ʻoe i ka hōʻemi ʻana o ka mimi.

Hiki i ka mālama ʻana i ka lupus ke kōkua i ka pale ʻana a hoʻolohi paha i ka hoʻomaka ʻana o ka nephritis lupus.

Nefitis - lupus; Maʻi maʻi Lupus glomerular

• Anatomia hakuʻala

Hahn BH, McMahon M, Wilkinson A, et al. Nā kulekele ʻAmelika Hui Pū ʻIa o Rheumatology no ka kānana ʻana, ka wehewehe ʻana i ka hihia, ka mālama ʻana a me ka mālama ʻana i ka nephritis lupus. Hoʻolaha Hoʻolaha Hoʻolaha Hoʻolaha (Hoboken). 2012; 64 (6): 797-808. PMCID: 3437757 www.ncbi.nlm.nih.gov/pmc/articles/PMC3437757.

ʻO Wadhwani S, Jayne D, Rovin BH. Lupus nephritis. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 26.