Nephropathy analgesic

Hoʻopili ka analgesic nephropathy i ka hōʻino ʻana i hoʻokahi a i ʻole ʻelua mau puʻupaʻa i hoʻokumu ʻia e ka hōʻike ākea i nā huikau o nā lāʻau, ʻo ia hoʻi nā lāʻau ʻehaʻeha (analgesics).

Hoʻopili ka analgesic nephropathy i ka hōʻino ma loko o nā hale o ka puʻupaʻa. Hoʻokumu ʻia ia e ka hoʻohana wā lōʻihi o nā analgesics (nā lāʻau ʻeha), ʻo ia hoʻi nā lāʻau ʻoi loa (OTC) i loaʻa nā phenacetin a i ʻole acetaminophen, a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me aspirin a i ʻole ibuprofen.

Kū pinepine kēia ʻano ma muli o ka hoʻoponopono ʻana iā ʻoe iho, pinepine no kekahi ʻano ʻeha mau.

ʻO nā kumu pilikia me:

• Hoʻohana o nā analgesics OTC i loaʻa nā mea hana ʻē aʻe ma mua o hoʻokahi
• Lawe i 6 a ʻoi paha mau pila i ka lā no 3 mau makahiki
• ʻO nā poʻo hina poʻo, nā manawa o ka menstrual ʻeha, backache, a me nā ʻeha musculoskeletal
• Hoʻololi manaʻo a ʻano hana paha
• ʻO ka mōʻaukala o nā hana e pili ana i ka uahi ʻana, ka hoʻohana ʻana i ka waiʻona, a me ka hoʻohana nui ʻana i nā tranquilizers

ʻAʻohe paha hōʻailona ma ka hoʻomaka. I ka hala ʻana o ka manawa, ʻo ka hōʻeha ʻia o nā puʻupaʻa e ka lāʻau, e ulu ana nā ʻōuli o nā maʻi puʻupaʻa, me:

• Ka luhi, nāwaliwali
• Hoʻonui i ke alapine urinary a i ʻole ka wikiwiki
• Koko i ka mimi
• ʻEha flank a ʻeha hoʻi
• Hoʻoemi i ka puka mimi
• Hoʻemi i ka makaʻala, e like me ka hiamoe, huikau, a me ka lethargy
• Hoʻoemi i ka sensation, numbness (ʻoi loa i nā wāwae)
• Nualea, luaʻi
• Māʻeha a hoʻokahe wale paha
• Pehu (edema) i loko o ke kino

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. I ka wā o ka hoʻokolohua, ʻike paha kāu mea hāʻawi:

• Kiʻekiʻena kou kō koko.
• Ke hoʻolohe nei me ka stethoscope, loaʻa i kou puʻuwai a me kou mau māmā nā kani maʻamau.
• Huhū ʻoe, ʻo ka wāwae hoʻi ma lalo.
• Hōʻike kou ʻili i ka ʻelemakule ʻōpio.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Helu piha koko
• CT scan o ka puʻupaʻa
• ʻO ka pyelogram Intravenous (IVP)
• Pākuhi Toxicology
• Urinalysis
• Pākuʻi ultrasound

ʻO nā pahuhopu mua o ka mālama ʻana e pale i ka hōʻino hou ʻana o nā puʻupaʻa a e mālama ai i ka hōʻino ʻole ʻana o ka puʻupaʻa. E haʻi paha kāu mea lawelawe iā ʻoe e haʻalele i ka lawe ʻana i nā mea ʻāpau painkillers āpau, e like me nā lāʻau OTC.

No ka mālama ʻana i ke kōpaʻa ʻole, manaʻo paha kāu mea hāʻawi i nā loliʻai a me ka palena o ka wai. ʻO ka hope loa, pono ʻia ka dialysis a i ʻole ke koli ʻana o ka puʻuwai

Kōkua paha ka ʻōlelo aʻoaʻo iā ʻoe e hoʻomohala i nā hana ʻē aʻe o ka kaohi ʻana i ka ʻeha mau.

ʻO ka hōʻino ʻana i ka puʻupaʻa he koʻikoʻi a kūlohelohe paha, a i ʻole wā lōʻihi a lōʻihi.

Nā pilikia e hopena ʻia mai ka nephropathy analgesic pū kekahi:

• Hewa kōwi koʻikoʻi
• Ka hōʻeha kīnā ʻole
• ʻO nā maʻi kīwī kahi e wela ai nā hakahaka ma waena o nā tubula puʻupaʻa (interstitial nephritis)
• ʻO ka make o ka mākū ma nā wahi kahi e komo ai nā puka o ka hōʻiliʻili ʻana i nā kaola i loko o ka puʻupaʻa a kahi e kahe ai ka mimi i loko o nā ureter (nekrosis papillary renal)
• ʻO nā maʻi maʻi urinary e hoʻomau nei a hoʻi ʻole paha
• Piʻi koko kiʻekiʻe
• Ka maʻi ʻaʻai o ka puʻupaʻa a i ʻole ureter

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Nā ʻōuli o ka analgesic nephropathy, keu hoʻi inā ʻoe e hoʻohana lōʻihi nei i nā painkillers
• Koko a i ʻole paʻa paʻa i kāu mimi
• Ua emi ka nui o kou mimi

E hāhai i nā ʻōkuhi a kāu mea hāʻawi i ka hoʻohana ʻana i nā lāʻau, e like me nā lāʻau OTC. Mai lawe i nā mea i ʻoi aku i ka lāʻau i koi ʻia me ka noi ʻole ʻana i kāu mea lawelawe.

Phenacetin nephritis; ʻO Nefropathy - analgesic

• Anatomia hakuʻala

Aronson JK. Paracetamol (acetaminophen) a me nā hui pū ʻana. I: Aronson JK, nā ʻaoʻao. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 474-493.

Parazella MA, Rosner MH. Nā maʻi tubulointerstitial. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 35.

Segal MS, Yu X. Nā lāʻau lapaʻau a me nā lāʻau lapaʻau a me ka puʻupaʻa. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 76.