ʻO glomerulonephritis (GN) hope loa

ʻO ka Posttreptococcal glomerulonephritis (GN) kahi maʻi kīnā i loaʻa ma hope o ka maʻi ʻana me kekahi mau ʻano bacteria bacteria.

ʻO Posttreptococcal GN kahi ʻano o glomerulonephritis. Hoʻokumu ʻia ia e kahi maʻi me kekahi ʻano o nā koʻohune streptococcus. ʻAʻole kū ka maʻi i nā puʻupaʻa, akā ma kahi ʻokoʻa o ke kino, e like me ka ʻili a me ka ʻāʻī. Hoʻolālā paha ka maʻi i 1 a 2 mau pule ma hope o ka maʻi o ka puʻu untreated, a i ʻole 3 a 4 mau pule ma hope o ka maʻi ʻili.

Hiki paha ia i nā poʻe o nā makahiki, akā pinepine pinepine ia i nā keiki o nā makahiki 6 a hiki i ka 10. ʻOiai ʻo ka maʻi o ka ʻili a me ka ʻāʻī ka mea maʻamau i nā keiki, he mea paʻakikī ʻole ka postsnreptococcal GN i kēia mau maʻi. ʻO ka Posttreptococcal GN ke kumu o nā kīʻaha koko liʻiliʻi i nā kānana kānana o nā puʻupaʻa (glomeruli) e hoʻonāukiuki. ʻAʻole hiki i nā puʻupaʻa ke hiki ke kānana i ka mimi.

ʻAʻole maʻamau ka maʻi i kēia lā no ka mea ʻo nā maʻi hiki ke alakaʻi i ka maʻi e mālama ʻia me nā lāʻau ʻalopika.

ʻO nā kumu pilikia me:

• ʻĀʻī Strep
• Nā maʻi ʻili Streptococcal (e like me impetigo)

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Hoʻoemi i ka puka mimi
• Mimi kala-kala
• ʻO ka pehu ʻana (edema), ka pehu nui, ka pehu ʻana o ka ʻōpū, ka pehu ʻana o ka maka a i ʻole nā ​​maka, ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, nā lima.
• ʻIke ke koko i ka mimi
• ʻEha hui
• ʻOʻoleʻa a hui pū paha

Hōʻike kahi hoʻokolohua kino i ka pehu (edema), keu hoʻi i ka maka. Lohe paha nā leo maʻamau i ka hoʻolohe ʻana i ka puʻuwai a me nā māmā me kahi stethoscope. Piʻi mau ke kiʻekiʻe o ke koko.

Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• Anti-DNase B
• Serum ASO (a me streptolysin O)
• Nā pae kākoʻo Serum
• Urinalysis
• ʻO ka biopsy kidney (maʻamau ʻaʻole pono)

ʻAʻohe mālama kūikawā no kēia maʻi. Mālama ʻia ka mālama ʻana i ka hoʻomaha ʻana i nā ʻōuli.

• E hoʻohana ʻia paha nā antibiotic, e like me ka penicillin, e luku ai i nā koʻohune streptococcal i koe i ke kino.
• Hiki ke koi ʻia nā lāʻau a me nā lāʻau diuretic e kaohi i ka pehu a me ke kiʻekiʻe o ke koko.
• ʻAʻole maikaʻi nā Corticosteroids a me nā lāʻau anti-inflammatory ʻē aʻe.

Pono paha ʻoe e kaupalena i ka paʻakai i kāu papaʻai e kāohi ai i ka pehu a me ke koko kiʻekiʻe.

Hele pinepine ʻo Posttreptococcal GN iā ia iho ma hope o nā pule he nui a i nā mahina.

I ka helu liʻiliʻi o nā mākua, ʻinoʻino paha ia a alakaʻi i ka holo wā lōʻihi ʻole (mau). I kekahi manawa, hiki iā ia ke holomua i ka hopena o ka maʻi kidney, e koi ai i ka dialysis a me kahi transplant kidney.

ʻO nā pilikia olakino i hopena ʻia mai kēia maʻi pū me:

• ʻO ke kīnā ʻole koʻikoʻi (ka nalowale wikiwiki ʻana o nā puʻupaʻa 'hiki ke wehe i nā ʻōpala a kōkua i ke kaulike i nā wai a me nā electrolytes i ke kino)
• Glomerulonephritis maʻi
• Maʻi maʻi ʻōniʻoniʻo
• Puʻuwai puʻuwai a i ʻole edema pulmonary (ka paʻa ʻana o ka wai i nā ake māmā)
• Ka maʻi hōʻino hope loa
• Hyperkalemia (kiʻekiʻe kiʻekiʻe pāhare potassium i loko o ke koko)
• Ke koko kiʻekiʻe (hypertension)
• ʻO ka maʻi nephotic (ka hui o nā ʻōuli e pili pū me ka protein i ka mimi, nā pae protein haʻahaʻa o ke koko, nā pae kolesterol kiʻekiʻe, nā pae triglyceride kiʻekiʻe, a me ka pehu)

Kāhea i kāu kahu mālama ola inā:

• Loaʻa iā ʻoe nā ʻōuli o ka posttreptococcal GN
• Loaʻa iā ʻoe ka postsnreptococcal GN, a ua hōʻemi ʻoe i ka puka mimi a i ʻole nā ​​hōʻailona hou aʻe

ʻO ka mālama ʻana i nā maʻi streptococcal ʻike ʻia hiki ke kōkua i ka pale ʻana i ka poststreptococcal GN. Eia kekahi, ʻo ka hoʻomaʻemaʻe maikaʻi e like me ka holoi lima e pale pinepine i ka hoʻolaha ʻana o ka maʻi.

Glomerulonephritis - poststreptococcal; ʻO glomerulonephritis postinfectious

• Anatomia hakuʻala
• ʻO Glomerulus a me nephron

ʻO Flores FX. Nā maʻi glomerular i hoʻokaʻawale ʻia e pili ana i ka hematuria nui hou. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 537.

Saha MK, Pendergraft WF, Jennette JC, Falk RJ. Maʻi glomerular mua. 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 31.