I-Nephritic syndrome iyinkimbinkimbi enkulu yezibonakaliso ezithile kanye nezibonakaliso ezibonisa inqubo yokuvuvukala ezinso. Kuvame ukutholakala ukuthi kuneziguli ezine-glomerulonephritis. Ngokuhamba kwesikhathi, i-pathology evezweyo ivumela ukuqala ngesikhathi esifanele kwezokwelapha futhi ugweme imiphumela embi.
Uyini umehluko phakathi kwe-nephrotic syndrome ne-nephritic syndrome?
Ezinye iziguli aziboni umehluko omkhulu phakathi kwalezi zimbonakaliso ezimbili, kodwa kukhona umehluko. UJade ukuvuvukala kwezinso, nephrosis ukuhlukunyezwa kwabo. Lesi samuva sinokubonakala okubanzi. I-Nephrosis ingafaka kokubili ukuvuvukala okuncane ezinso nasekufeni kwabo. Lawa ma-syndromes ahluke kakhulu. Umehluko ubonakala ezimbangela nezinqubo zokuthuthukiswa kwezifo.
Umsuka we-Nephritic nephrotic umehluko kanje:
- Indawo yokunqotshwa. E-nephritis, izimo ezibuhlungu ze-pathological zigxilwe ku-glomeruli yama-renal. Lezi zindawo zivutha, ngenxa yalokho, uketshezi luboshwe emzimbeni. E-nephros, ukwanda kwama-protein-lipid compounds emasethini e-epithelium kubonakala. Ngenxa yalokho, kukhona ukwephulwa kwezinqubo zokusebenzisa umzimba.
- Shintsha ekubunjweni kwegazi. Nge-nephrotic syndrome, ukugxilwa kwe-albinini ku-fluid ebalulekile kunciphisa. Ngaphezu kwalokho, i-blood coagulability iyanda.
- I-Hematuria. I-nephritic syndrome ihambisana nokutholakala kwamaseli obomvu e-urine. Lokhu, empeleni, isibonakaliso esiyinhloko salesi simo sokugula.
Uma sicabangela indlela i- nephrotic syndrome ne-nephritic syndrome ehluke ngayo, umehluko phakathi kwabo ubonakala ekuqiniseni kokuthuthukiswa kwesifo. Esikhathini sokuqala, lesi sifo sinokunyakaza okusheshayo, ngokushesha siphuthuma futhi singase siphumelele ekubhekaneni nezinkinga zezinso. Ngokwehlukile kwesibili, izimpawu zalesi sifo zibonakaliswa emva kwamasonto amabili kuphela ngemuva komthelela we-factor causative emzimbeni.
I-Nephritic syndrome - i-pathogenesis yokubonakaliswa kwayo okuyinhloko
Izimbangela zalesi simo sezifo zihluke kakhulu. Unikezwe i-pathogenesis yalezi zinhlobo ze-syndrome:
- okuyisisekelo - ihlotshaniswa nenqubo ye-pathological eyenzeka ezinso;
- secondary - lesi sifo kwenzeka eziningana izitho ezikhona, bese uya app gummum.
I-Nephritic syndrome pathogenesis inale:
- ukutheleleka ngegciwane (i-hepatitis, mononucleosis , herpes);
- izifo ezizimele ( scleroderma , lupus erythematosus, vasculitis);
- ukutheleleka kwama-bacterium (meningitis, typhoid of the abdominal, endocarditis );
- isifo se-streptococcal;
- impendulo yokugoma;
- irradiation yomzimba;
- i-thrombosis ye-veins ye-renal;
- isifo sikashukela mellitus ;
- umthelela emzimbeni wezinto ezinobuthi kanye nezinhlayiya.
Ngaphezu kwalokho, lesi sifo sinamafomu alandelayo:
- bukhali;
- okungapheliyo.
I-nephritic syndrome elula
Leli fomu lesi sifo liboniswa yi-deformation enzima yamathambo ama-glomerular. Ngaphezu kwalokho, i-nephritic syndrome ebonakalayo ibonakala ngamanani okuthuthukiswa okusheshayo. Zonke izimpawu zalo zingahle zihlukaniswe ngokomzimba zibe yizici zakudala futhi ezingekho emthethweni. Eqenjini lokuqala lezibonakaliso, okuyinto efana ne-nephritic syndrome efana nayo, ingafakwa ngokuthi:
- ukutholakala kwamaseli abomvu e-urine;
- ukuvuvukala ebusweni kusukela ekuseni nasezinyaweni kuya kusihlwa;
- Ukwandisa izinga lokushaya kwenhliziyo nomfutho wegazi;
- umqondo oqinile wokoma kanye ne-oligoanuria;
- ukuwohloka kwemithambo yegazi.
I-nephritic syndrome ephawulekayo ezinjalo izimpawu ezingenasici ziyizici:
- ubuhlungu be-lumbar;
- ukwanda kancane ekushiseni komzimba;
- i-malaise ejwayelekile, ehambisana nekhanda elibi;
- inzuzo yesisindo;
- wehla ekusebenzeni.
I-nephritic syndrome engapheli
Eqinisweni, lokhu kungumphumela wesimo sengqondo sokunganaki ngempilo yomuntu. Uma i-nephritic pathology enzima ayifuni usizo lwezokwelapha, lesi sifo sidlulela esimweni esingapheli. Ukulwa nezifo kulesi sigaba kunzima nakakhulu kunesigaba sokuqala. Esimweni esingapheli sesifo, udokotela ngeke nje kuphela aqede lesi simo sokugula, kodwa futhi "ahlanze" imiphumela yaso. Ngenxa yalesi sizathu, uma okokuqala kubonakaliswa ngokucacile ukuthi uphawu lwe-nephritic syndrome luqala ukuvela, kuyisilwane somchamo, udinga ukuya kudokotela. Ukuziqhenya kuyingozi kakhulu!
I-Nephritic syndrome - ukuxilongwa
Ngaphambi kokukhetha indlela yokwelashwa, udokotela uzokunikeza isiguli isitifiketi nokuhlolwa kwempahla. Ukuxilongwa kwe-Nephrotic nephritic syndrome kungaqinisekisa. Kuhlanganisa ukuphathwa okunjalo:
- ukuhlola igazi kwegazi;
- I-CT;
- I-Ultrasound;
- i-smear emqaleni;
- i-angiography;
- ukuguqulwa kwamanzi;
- i-coagulogram;
- i-biopsy yamaseli ezinso.
I-Nephritic syndrome - i-urinalysis
Ngenxa yokuhlunga kwezinso ezincishisiwe, u-oliguria uyaphawulwa (inani lokukhishwa kwamanzi abilayo liye lalinganiselwa ku-0.5 amalitha ngosuku). Ngesikhathi esifanayo, inani lomchamo landa. Ngaphezu kwalokho, uma kukhona ukusola kwe-nephrotic nephritic syndrome, okuqukethwe okuphezulu kwamaprotheni kukhonjelwa emveleni ohoxiswa emzimbeni. Ezinsukwini zokuqala zesifo, le nkhomba ingaba ngu-40-90 g / l.
Futhi, ukuqinisekisa i-nephritic nephritic syndrome ye-nephritic, isiguli singabelwa izivivinyo zomchamo we-laboratory:
- Ukuhlaziywa kwe-Nechiporenko;
- ukuhlolwa okuncane kakhulu kwe-precipitate;
- Uhlolo lukaReberg;
- isiko le-bacteriological;
- icala ngokusho kukaZimnitsky.
I-Nephritic syndrome - ukwelashwa
Ukwelapha kwenziwa esibhedlela, ngakho udokotela angakwazi ukuqapha isimo. I-nephritic syndrome iyaphilika, kanti ngaphambili isiguli siya esibhedlela, indlela elula futhi ephuthumayo inqubo yokuphulukisa kuyoba. Ukulungiswa kwezidakamizwa okwenziwa kanyekanye kulezi zikhombisi-ndlela ezilandelayo:
- ukujwayelekile kwiprotheni egazini;
- ukuvimbela ukuqhubeka kwesifo;
- ukuqiniswa kwengcindezi yegazi;
- ukujwayelekile kwe-diuresis.
I-Nephritic syndrome ye-urinary iphathwa ngaleyo mithi:
- Ama-antibiotics (i-Erythromycin, i-Cephalosporin noma i-Penicillin) asetshenziselwa ukulwa nezifo zesifo.
- Ukuze uthuthukise i-microflora yepheshana lokugaya, lalela ama-probiotics (i-Hilak forte, i-Acipol, i-Bifidumbacterin).
- Ukuvimbela inqubo yokuzimela, i-glucocorticosteroids (kaningi kakhulu i-Prednisolone) isetshenziswa.
- Ukwandisa ukumelana komzimba kuma-agent angenelelayo kusizwa ngama-immunostimulants (i-Cytovir, Immunal).
- Ukuze unciphise i-edema, ukusetshenziswa kwezidakamizwa (Hypothiazide, Trigrim, Furosemide).
- Qinisa umzimba nge vithamini complexes (Vitrum, Selmevit).
I-Nephritic syndrome elesifo sikashukela
Ngokuhamba kwesikhathi, kulula ukuthola ukwelashwa. Uma emva kwezinqubo zokuxilonga kuqinisekisile isifo se-urinary ngesifo sikashukela, ukwelashwa kwenziwa ngokuvumelana nesimiso esikhethekile. Ukwelashwa kulokhu kuhlanganisa izici ezilandelayo:
- Ukujwayelekile kwe-glucose egazini.
- Ukuthatha ukulawula isifo somfutho wegazi ophezulu.
- Ukumiswa kwe-cholesterol.
- Ukwelashwa ngokuqokwa kwe-Sulodexide (kabili ngonyaka).
I-Nephritic syndrome ene-glomerulonephritis
Ekulweni nalesi sifo, ukwelapha izidakamizwa kuhlangene nokwelashwa okungewona okwelashwa. Lokhu kuhlanganisa ukuhambisana nombuso kanye nesimiso esikhethekile sokudla. I-urinary syndrome ene-glomerulonephritis inganqotshwa uma umuntu enamathele ekudleni okunjalo:
- Ncishisa inani lomthamo odliwayo.
- Hlanganisa nokudla kwezitsha ezibucayi, izinongo, utshwala, ikhofi kanye netiye eziqinile.
- Nciphise ukusetshenziswa kasawoti.