Glomerulonephritis (Maʻi ʻo Bright)

Anter

• He aha nā kumu o GN?
• GN ākea
• GN maʻi
• He aha nā hōʻailona o GN?
• GN ākea
• GN maʻi
• Hewa ʻole nā ​​hakuʻala
• Pehea e ʻike ʻia ai ka GN?
• He aha nā hana i loaʻa no GN?
• He aha nā pilikia e pili ana me GN?
• He aha ka manaʻo lōʻihi?

He aha ka glomerulonephritis?

ʻO Glomerulonephritis (GN) ka mumū o ka glomeruli, ʻo ia nā hale i kāu mau puʻupaʻa i hana ʻia i loko o nā kīʻaha koko liʻiliʻi. Kōkua kēia mau pona o nā moku i ke kānana i kou koko a hemo i nā wai kahe. Inā hōʻino ʻia kāu glomeruli, e pau ana kāu mau puʻupaʻa i ka hana pono ʻana, a hiki iā ʻoe ke hele i loko o ke kīkole ʻole.

I kekahi manawa kapa ʻia ʻo nephritis, he maʻi nui ʻo GN hiki ke hoʻoweliweli i ke ola a koi koke ʻia i ka lāʻau lapaʻau. Hiki i ka GN ke huʻi, a i ʻole ka lōʻihi, a me ka lōʻihi, a i ka wā lōʻihi. ʻO kēia ʻano i kapa ʻia ʻo Bright's disease.

Heluhelu e aʻo i ke kumu o GN, pehea e ʻike ʻia ai, a he aha nā koho lapaʻau.

He aha nā kumu o GN?

Pili nā kumu o GN ma muli o ka huʻihuʻi a lōʻihi paha.

GN ākea

Hiki i ka GN ākea ke lilo i pane i kahi maʻi e like me ka ʻāʻī strep a i ʻole kahi niho niho abscessed. Loaʻa paha ia i nā pilikia me kāu ʻōnaehana pale pale i ka maʻi. Hiki i kēia ke hele me ka ʻole o ka lāʻau. Inā ʻaʻole e hele, pono ka lāʻau wikiwiki e pale i ka hōʻino wā lōʻihi i kāu mau puʻupaʻa.

ʻIke ʻia kekahi mau maʻi e hōʻeuʻeu i ka GN nui, e like me:

• ʻāʻī strep
• systemic lupus erythematosus, ka mea i kapa ʻia ʻo lupus
• ʻO Goodpasture Syndrome, kahi maʻi autoimmune laha ʻole kahi e hoʻouka aku ai nā mea ʻino i kou puʻupaʻa a me kou mau akemāmā
• amyloidosis, i hana ʻia i ka wā a ʻo nā protein pono ʻole i hiki ke hana i nā mea ʻino e kūkulu ʻia i loko o kāu mau kino a me nā ʻano
• granulomatosis me ka polyangiitis (i kapa ʻia ʻo Wegener's granulomatosis), kahi maʻi laha ʻole e hoʻāla i nā kīʻaha koko
• polyarteritis nodosa, kahi maʻi kahi e hoʻouka ai nā pūnaewele i nā aʻa

ʻO ka hoʻohana nui ʻana i nā lāʻau anti-inflammatory nonsteroidal, e like me ibuprofen (Advil) a me naproxen (Aleve), he mea pilikia pū kekahi paha. ʻAʻole pono ʻoe e ʻoi aku ma mua o ke ana a me ka lōʻihi o ka mālama ʻana i helu ʻia ma ka ʻōmole me ka ʻole e ʻimi i ka ʻōlelo aʻoaʻo mai kāu mea mālama mua

GN maʻi

Hiki ke ulu ke ʻano maʻamau o GN i nā makahiki he nui me ka ʻole a me nā ʻōuli liʻiliʻi loa. Hiki i kēia ke kumu i ka hōʻino ʻole i kāu mau puʻupaʻa a alakaʻi hope loa i ka holo pono ʻole ʻana o ka hakuʻala.

ʻAʻole maopopo pinepine ka kumu GN. Hiki i kahi maʻi genetical ke hana i kekahi manawa GN mau. Hiki i nā nephritis heereditary i nā kāne ʻōpio me ka ʻike maka ʻole a me ka hoʻolohe maikaʻi ʻole. Nā kumu kumu ʻē aʻe e pili pū me:

• kekahi mau maʻi pale
• kahi moʻolelo o ka maʻi ʻaʻai
• ka hōʻike ʻana i kekahi mau mea hoʻoheheʻe hydrocarbon

Eia kekahi, ʻo ka loaʻa ʻana o ke ʻano nui o GN e hiki ai iā ʻoe ke hoʻomohala i ka GN maʻamau ma hope.

He aha nā hōʻailona o GN?

ʻO nā ʻōuli āu e ʻike ai e pili ana i ke ʻano o GN āu e like me ke koʻikoʻi.

GN ākea

ʻO nā ʻōuli mua o ka GN āpau e komo pū me:

• puffiness i kou alo
• emi ka mimiki pinepine ʻana
• ke koko i loko o kou mimi, kahi e hoʻohuli ai i kou mimi i kahi kala popo ʻeleʻele
• keu ka wai i loko o kou mau māmā, e hoʻoulu ana i ka hu
• kahe koko kiʻekiʻe

GN maʻi

Hiki ke lele i ke ʻano mau o ka GN me ka ʻole o nā ʻōuli. Aia paha he lohi o ka hoʻomohala ʻana o nā ʻōuli e like me ke ʻano koʻikoʻi. ʻO kekahi o nā hōʻailona me:

• ke koko a i ʻole ka protein i loko o kou mimi, a microscopic paha ia a hōʻike ʻia i nā hoʻokolohua mimi
• kahe koko kiʻekiʻe
• pehu i kou kuʻekuʻe wāwae a me kou alo
• urination ka pō pinepine
• mimi a foamy mimi paha, mai ka nui o ka protein
• abdominal eha
• ihu ihu pinepine

Hewa ʻole nā ​​hakuʻala

Holomua paha kāu GN e hoʻomohala i ka hōʻino kīhāpai. ʻO kekahi o nā ʻōuli o kēia me:

• luhi
• nele i ka makemake ʻole
• nausea a me ka luaʻi
• ʻōlohelohe
• ʻili maloʻo, ʻili ʻili
• ʻūʻū nāʻiʻo i ka pō

Pehea e ʻike ʻia ai ka GN?

ʻO ka hana mua i ka hōʻoia he hōʻike urinalysis. ʻO ke koko a me ka protein i ka mimi nā hōʻailona koʻikoʻi no ka maʻi. ʻO kahi hoʻokolohua kino maʻamau no kahi kūlana ʻē aʻe hiki ke alakaʻi i ka loaʻa ʻana o GN.

Pono paha e hoʻāʻo i ka mimi hou e nānā no nā hōʻailona koʻikoʻi o ke olakino olakino, e like me:

• ʻoluʻolu creatinine
• huina protein i loko o ka mimi
• piʻo mimi
• umekaumaha kikoʻī
• mimi koko ʻulaʻula
• osmolality mimi

Hōʻike paha nā hōʻike koko:

• anemia, kahi pae haʻahaʻa o nā hunaola ʻulaʻula
• pae albumin ʻokoʻa
• nitrogen urea koko ʻokoʻa
• pae kiʻekiʻe kiʻekiʻe

Hiki paha i kāu kauka ke kauoha aku i nā hoʻokolohua immunology e nānā no:

• antiglomerular papa laloʻili lahilahi antibodies
• antineutrophil cytoplasmic antibodies
• nā kinikini antinuclear
• pae hoʻokō

Hiki i nā hopena o kēia hoʻāʻo ke hōʻike i kāu ʻōnaehana pale pale e hoʻopōʻino nei i kou puʻupaʻa.

Pono paha kahi biopsy o kāu mau puʻupaʻa e hōʻoia i ka ʻike. Hoʻopili kēia i ke kālailai ʻana i kahi laʻana o nā puʻupaʻa i lawe ʻia e kahi nila.

E aʻo hou ai e pili ana i kou ʻano, loaʻa paha iā ʻoe nā hoʻokolohua kiʻi e like me kēia:

• CT scan
• ultrasound ʻiʻo
• umauma X-ray
• pyelogram intravenous

He aha nā hana i loaʻa no GN?

Pili nā koho lapaʻau i ke ʻano o GN āu e ʻike nei a me kāna kumu.

Hoʻokahi ka mālama ʻana e kaohi i ke kahe o ke koko kiʻekiʻe, keu hoʻi inā ʻo ia ke kumu kumu o ka GN. He paʻakikī paha ke kaomi koko ke kaohi ke hana ʻole kou mau puʻupaʻa. Inā ʻo kēia ka hihia, hiki i kāu kauka ke kauoha i nā lāʻau kahe koko, e like me nā angiotensin-hoʻololi i nā mea hoʻohiki enzyme, a i ʻole nā ​​mea kāohi ACE, e like me:

• captopril
• lisinopril (Zestril)
• perindopril (Aceon)

Hiki paha i kāu kauka ke kauoha i nā blockers receptor angiotensin, a i ʻole nā ​​ARB, e like me:

• losartan (Cozaar)
• irbesartan (Avapro)
• valsartan (Diovan)

Hoʻohana pū ʻia ʻo Corticosteroids inā hōʻeha kāu ʻōnaehana pale maʻi i kou puʻupaʻa. Hoʻoemi lākou i ka pane pale.

ʻO kekahi ʻano hana e hōʻemi ai i ka hoʻowahāwahā ʻia o ka plasmapheresis. Lawe kēia hana i ka ʻāpana wai o kou koko, i kapa ʻia ʻo ka plasma, a hoʻololi iā ia me nā wai a i ʻole i hāʻawi ʻia i ka plasma i loaʻa ʻole nā ​​mea ʻino.

No ka GN mau, pono ʻoe e hōʻemi i ka nui o ka protein, ka paʻakai, a me ka potassium i kāu papaʻai. Hoʻohui hou, pono ʻoe e nānā i ka nui o ka wai āu e inu ai. Paipai ʻia nā mea hoʻopiha kalipuna, a pono ʻoe e lawe i nā diuretics e hoʻemi i ka pehu. E hōʻoia me kāu loea ākea a loea paha o ka hakuʻala no nā alakaʻi e pili ana i nā kapuʻai a i ʻole nā ​​mea hoʻopili. Hiki iā lākou ke hoʻonohonoho iā ʻoe me kahi kauka lāʻau lapaʻau e aʻoaʻo iā ʻoe i kāu koho ʻana.

Inā hele a holomua kou ʻano a hoʻomohala ʻoe i ka hakuʻala, pono paha ʻoe e loaʻa i ka dialysis. I kēia kaʻina hana, kānana kahi mīkini i kou koko. ʻO ka hope, pono ʻoe i kahi transplan kidney.

He aha nā pilikia e pili ana me GN?

Hiki i ka GN ke alakaʻi i ka maʻi nephrotic, ka mea e lilo ai i nā protein i loko o kou mimi. Ke alakaʻi nei kēia i ka nui o ka wai a me ka paʻa paʻakai i kou kino. Hiki iā ʻoe ke hoʻomohala i ke koko kiʻekiʻe, ke kōpaʻa kiʻekiʻe, a me ka palahu a puni kou kino. Mālama ʻo Corticosteroids i kēia ʻano. ʻO ka hopena, e alakaʻi ka nephrotic syndrome i ka maʻi hōʻino pae hope inā ʻaʻole ia e kaohi.

Hiki i nā kūlana aʻe ke kū aʻe ma muli o GN:

• hōʻeha kīwī koʻikoʻi
• maʻi maʻi maʻi paʻa
• electrbalte imbalances, e like me ke kiʻekiʻe o ka sodium a me ka potassium
• nā maʻi maʻi urinary maʻi mau
• hopena maikaʻi ʻole o ka puʻuwai ma muli o ka paʻa o ka wai a me ka hoʻoheheʻe o ka wai
• edema pulmonary ma muli o ka paʻa o ka wai a i ʻole ka hoʻoheheʻe o ka wai
• kahe koko kiʻekiʻe
• hypertension malignant, ka mea e hoʻonui wikiwiki nei i ke koko kiʻekiʻe
• hoʻonui i ka makaʻu o nā maʻi

He aha ka manaʻo lōʻihi?

Inā loaʻa i ka wanaʻao, hiki i ka GN huehue ke lilo i manawa pōkole a hoʻi hou ʻia. Hiki ke hoʻolohi ʻia ʻo GN maʻi me ka mālama mua ʻana. Inā kūleʻa kou GN, e alakaʻi ia i ka hoʻemi ʻana i ka hana o ke kīhāpai, nā puʻuwai kīnā ʻole mau loa, a me ka maʻi hōʻino hope loa.

ʻO ka hōʻino kīwī koʻikoʻi, hōʻeha kīwī, a me nā maʻi hōʻino hope loa e koi paha i ka dialysis a me kahi transplant kidney.

ʻO kēia nā ala kūpono e hoʻi hou mai GN a pale i nā kaʻina e hiki mai ana:

• Mālama i kahi kaupaona olakino.
• Kāohi i ka paʻakai i kāu papaʻai.
• Kaohi i ka protein i kāu papaʻai.
• Kāohi i ka potassium i kāu papaʻai.
• E haʻalele i ka puhi pua ʻana.

Eia hou, ʻo ka hui ʻana me kahi hui kākoʻo hiki ke lilo i ala kōkua iā ʻoe e hana pū me ka manaʻo kaumaha o ka loaʻa ʻana i kahi maʻi puʻuwai.