Nekrosis papillary hōʻeha

ʻO ka necrosis papillary āpau kahi maʻi o nā puʻupaʻa e make ai nā mea āpau a ʻāpana paha o ka papillae hakuʻala. ʻO ka papillae ʻāhā kahi nā wahi o ka puka o nā ʻohi hōʻiliʻili e komo i ka puʻupaʻa a kahi e kahe ai ka mimi i loko o nā ureter.

Hana pinepine ʻia ka nerosropic nezropathy papillary me ka analgesic nephropathy. Hoʻopilikia kēia i hoʻokahi a i ʻole nā ​​puʻupaʻa ʻelua i hoʻokumu ʻia e ka hōʻike ākea i nā lāʻau ʻeha. Akā, hiki i nā kūlana ʻē aʻe ke kumu i nā necrosis papillary renal, me:

• Nephropathy diabetic
• ʻO ka maʻi kīnā (pyelonephritis)
• ʻO ka hōʻole ʻana i ke transplant kidney
• ʻO ka anemia sickle cell, kahi kumu maʻamau o ka necrosis papillary renal i nā keiki
• Ka paʻa ʻana o ka mimi

Pākuʻi ʻia paha nā ʻōuli o ka necrosis papillary renal:

• Paʻi kua a ʻaoʻao ʻeha paha
• Ka mimi koko, ʻohu, a ʻeleʻele paha
• Māhele pepa i ka mimi

Nā ʻōuli ʻē aʻe i hiki ke loaʻa me kēia maʻi.

• Fiva a me nā anuanu
• Urination ʻeha
• Pono e mimi hou pinepine aʻe ma mua o ka maʻamau (urination pinepine) a i ʻole ka hikiwawe, ikaika ikaika e mimiki (urency)
• ʻO ka paʻakikī e hoʻomaka a mālama ʻana paha i kahi kahawai kahe (ka huakaʻi urinary)
• Miki ʻole
• Urencing nui
• Urinary pinepine i ka pō

Hiki ke ʻoluʻolu ka wahi ma luna o ka puʻuwai i loli (i ka ʻaoʻao) i ka wā o kahi hoʻokolohua. Aia paha he moʻolelo o nā maʻi maʻi urinary. Aia paha he mau hōʻailona o ke kahe o ka mimi i kāpae ʻia a i ʻole ke kō ʻana o ka hakuʻala.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Hōʻike mimi
• Nā hoʻāʻo koko
• Ultrasound, CT, a i ʻole nā ​​hōʻike kiʻi ʻē aʻe o nā puʻupaʻa

ʻAʻohe mālama kūikawā no ka necrosis papillary renal. Pili ka mālama ʻana i ke kumu. ʻO kahi laʻana, inā ʻo ka analgesic nephropathy ke kumu, e paipai ke kauka iā ʻoe e haʻalele i ka hoʻohana ʻana i ka lāʻau e alakaʻi iā ia. ʻAe paha kēia i ka hakuʻala e hoʻōla i ka manawa.

Pehea ka maikaʻi o ka hana a ke kanaka, kaukaʻi ʻia i ke kumu o ke ʻano. Inā hiki ke kāohi i ke kumu, hele paha ke ʻano ma kāna iho. I kekahi manawa, hoʻomohala ka poʻe me kēia ʻano i ka holo pono ʻole ʻana o ka puʻuwai a pono lākou i ka dialysis a i ʻole ke kolo ʻana o ka puʻupaʻa.

ʻO nā pilikia olakino i hopena ʻia mai ka necrosis papillary renal me:

• Maʻi kīnā
• Pohaku hakuʻala
• Ka maʻi ʻaʻai kidney, ʻo ia hoʻi i ka poʻe e lawe nui i nā lāʻau ʻeha

Kāhea i kahi manawa me kāu kahu mālama ola inā:

• He mimi koko kou
• Hoʻokumu ʻoe i nā ʻōuli ʻē aʻe o ka necrosis papillary renal, keu hoʻi ma hope o ka lawe ʻana i nā lāʻau ʻeha over-the-counter

ʻO ka kaohi ʻana i ka maʻi diabetes a i ʻole ka anemia maʻi sickle e hōʻemi paha i kou makaʻi. I mea e pale aku ai i nā nerosropic papillary renal mai analgesic nephropathy, e hāhai i nā ʻōkuhi a kāu mea hāʻawi i ka hoʻohana ʻana i nā lāʻau, e like me nā mea ʻehaʻeha o ka counter. Mai lawe i nā mea i ʻoi aku i ka lāʻau i koi ʻia me ka noi ʻole ʻana i kāu mea lawelawe.

Necrosis - papillae hakuʻala; Nekrosis medullary ʻōiwi

• Anatomia hakuʻala
• ʻO Kidney - ke kahe o ke koko a me ka mimi

ʻO Chen W, Monk RD, Bushinsky DA. ʻO Nefrolithiasis a me nephrocalcinosis. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 57.

Landry DW, Bazari H. Ke hoʻokokoke aku i ka mea maʻi me ka maʻi hōʻeha. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 106.

ʻO Schaeffer AJ, Matulewicz RS, Klumpp DJ. Nā maʻi o ka maʻi urinary. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 12.