Itsvo nephrosclerosis ( "ndabatwa itsvo"): zvinokonzera, zviratidzo, nezviratidzo, kuongorora chirwere uye kurapwa

chirwere ichi ndicho nephrosclerosis, refu akaramba pasina kurapwa. Kutozosvikira XIX remakore, pakanga pasina tsananguro kwayo zvizere. chirwere Independent, akanga sechinhu Papera matatu chete emakore, kana paiva ruzivo pamusoro etiology. The chirwere kunokonzerwa kuvadza arteries iri pakanyorwa pokukundwa remafuta akawandisa yavo. fungidziro yake haisi zvakanaka nguva dzose. Varwere vakawanda pashure nzira yokurapa kugadzirisa matambudziko akadai upofu, dysfunction mwoyo ventricles. Kuti tirambe nesimba muviri, pane zviitiko zvakadai zvinoda zvokukurumidzira Kuchenesa ropa artificially.

Anatomical bhuku: itsvo nephrosclerosis

Chii? chirwere ichi, apo basa zvinhu inotsiviwa nhengo (parenchyma) connective tishu. Yokupedzisira kuridza basa rimwe divi filler, asi dzinokosha mabasa kwete zvokufungidzira. Kuti tinzwisise chaizvoizvo ari pathological muitiro, ndapota anoreva anatomical rubatsiro.

Itsvo dziri aiwanzopiwa wokushanda nhengo vane Maumbirwe bhinzi. The chikuru Chikamu riri kuonekwa parenchyma, apo weti aumbwa. Also kuonekwa chinokosha kapu uye lohanochki izvo zvinoumba nyika yose nokuda chengetedzo kwaizotevera excretion kuti weti. Mupise zvinoitwa nephrons parenchyma. renal muviri All mubatanidzwa akakura richikurukura midziyo duku branching kubva huru tsinga.

Itsvo mabasa akawanda anoitwa, kusanganisira:

• Renin kwetunhu - a fuma kunokanganisa ezvinhu mudziyo masvingo;
• excretion kuti zvinokuvadza;
• Kuramba padanho asidhi;
• kugadzirwa erythropoietin, iyo inobva zvakananga nedanho hematopoiesis.

pakawanda Izvi zvinoita itsvo regai kupokana kukosha kwavo basa yose muviri. Saka, chero pathological pezvakaitwa munzvimbo iyi kunogona kukanganisa utano hwevanhu.

Nephrosclerosis itsvo - chii?

Chirongwa anotevedzana kuzvitsinhanisa renal parenchyma kubudikidza connective zvinyama, zvichiguma kuderera (kuunyana) saizi Rinodzora uye kuderedza functionality kwayo. Kana akasiya untreated, unogona kuuya kumbomira zvakakwana vaita.

Kare zvakanzi vaidavira kuti kukonzera chirwere makabuda glomerulonephritis. Nhasi, vanachiremba zvakachinja maonero ichi, kutsanangura chikuru vaikurudzira ayo chirwere cheshuga uye BP.

Maererano mashandiro okukura kusiyanisa nesekondari renal nephrosclerosis. Imwe neimwe nzira hosha ine preconditions yayo nokuda chidzoke uye unhu. Nezvenyaya iyi zvinokurudzirwa kuramba zvizere.

chikuru nephrosclerosis

The chikuru chimiro hosha ikabuda iri atadze kushanda zvakanaka midziyo ropa, kuderedza chikamu kushanda ari tsinga. Mhedzisiro ischemia vari siyana infarcts uye mavanga. Chimwe mhaka pathological muitiro inogona sechinoitika zera-ukama kuchinja, kana kuti kutungamirira kurega kunotanga rimwe venous ropa.

Primary nephrosclerosis iri pakubhadhara akawanda: atherosclerotic, vane chirwere cheBP, involution. Muchiitiko chokutanga chikuru chikonzero aienda rwengarava ropa nyasha deposition ravo masvingo mafuta plaques. Somugumisiro akaderedza Clearance, iyo inotungamirira ischemia yacho itsvo. Saka muviri pamusoro anova nodular payo mavanga nyore kuoneka mugari chimiro. mhando iyi zvirwere ichaongororwa kuva zvikuru.

Vane chirwere cheBP nephrosclerosis chinoratidza yakasimba spasm rwengarava ropa, iro kunokonzerwa nezita chete nokuda chirwere. Mhedzisiro yacho pathological muitiro uri aienda pamusoro arteries uye zvikuru ischemia. Renal vane chirwere cheBP nephrosclerosis kungava benign kana akaipa.

Involutive vorudzii zvirwere chokuita zera-ukama kuchinja. Somuenzaniso, pashure pemakore 50, vakawanda vanhu masvingo arteries anotanga kuunganidza calcium, izvo zvinobatsira kuderedza Clearance. Ukuwo, zera atrophy zvinhu Urinary tubules. Naizvozvo, kuti functionality muviri rinokundwa.

Secondary nephrosclerosis

Secondary nephrosclerosis hwapedyo tikafunga anogumbura uye / kana chinopedza pezvakaitwa ari itsvo. Zvinokonzera kuti pathological muitiro unogona kushumira akasiyana-siyana ezvinhu uye zvirwere:

1. Diabetes mellitus. Rise muropa shuga kunokonzera kuchinja pamasvingo tsinga. Vari chisimbiso uye kuzvimba, asi permeability kwokuwedzera. Somugumisiro, puroteni akabudiswa mugomba ropa, riri kudzikamisa inowedzerawo pakugwamba zvirwere. Panguva iyo magetsi DZEMUNHU DZINODZORA, iyo rinobatanidza kurasikirwa kwete itsvo chete, asiwo nedzimwe nhengo.
2. Chisingaperi glomerulonephritis. Panguva chirwere ichi masoja zvivako zvisina kuparadzwa, uye uende zvakananga neitsvo. Zvinokuvadza vascular Kamudzira ari glomerulus. Kuti aripire kunoenderera kwemasayendisiti rinotanga kwetunhu zvinhu zvinowedzera ropa.
3. Pyelonephritis. Maperembudzi anoteverwa kupinda ari kwemabhakitiriya kasvisto ari glomeruli uye tubules, uko thrombi aumba. Around pavo sequentially -wedzera leukocytes. Mushure kupora muzvinhu dzaparadzwa vari vakaumba mavanga kana maronda.
4. Urolithiasis. Kana kurega kunotanga kuti weti mauri vari kutanga ruchikonzera mabhakitiriya. Kana neizvi Kudzingwa weti pathogenic kasvisto vanogona kukuvadza dzomunyika parusvingo Urinary tubules.
5. Lupus erythematosus. Kuti aite izvi, mumwe systemic chirwere dzinoratidzwa synthesizing masoja zvivako dzinogona kurwisa pamusoro miviri yavo.
6. Nephropathy pamuviri. Nepo akatakura mwana womusikana hormone hurongwa kaviri kuchinja, inotungamirira kune malfunctions siyana. Mumwe kukanganisa kwakadaro anoita kurwadza kwacho capillaries. Somugumisiro, wakawedzera BP, ropa kuyerera renal uye runovhuniwa. Mukadzi akazviratidza kuzvimba uye nephrons vari kutanga kufa.

Vakapiwa mashoko, zvinokwanisika kuti vafunga wandei. Primary nephrosclerosis itsvo kazhinji anova pamusoro pakanyorwa kweropa zvirwere zviri mumuviri. The chimiro yechipiri pamusoro pathological muitiro inowanzopiwa pakurukurwa anogumbura uye chinopedza zvirwere.

Nezvadzo ndiro boka vaikurudzira zvinhu izvo nezvainoita kukura chirwere mukana inowedzerawo substantially. Chokutanga, kudhakwa uye zvokudya yokuvirisa, kusvuta, kusingadzoreki kushandisa zvinodhaka. A ndakagara mararamiro uye zvirwere kunowedzerawo mukana renal scarring. Naizvozvo, mukuru mwero muzvidzivirire ichaongororwa kuti kubviswa izvi zvinhu.

Zvokukura Kugadzirwa chirwere

Zvenyaya itsvo zvishoma kufa, uye saka chirwere choga anova nezvishoma. In wokutanga kutotanga pane mufananidzo pedyo zvikuru chirwere, vakatsamwisa sclerotic muitiro. Ndiro Danho vokutanga itsvo renal scarring. Chii anotyisidzira ndezvenguva murwere, kufanotaura zvakaoma, kana ukasateerera mishonga chairayirwa chiremba.

Chinotevera ndechokuti rufu nephrons, yokutsiva yavo connective tishu. The pathological muitiro chinowedzera renal kukundikana, izvo anova nezvishoma.

Chokutanga, vasanyanye kugona Kuipa pautano pashure muviri. Dzimwe nguva anovandudza polyuria. Murwere anogona hwega nyota, achifunga kuti kuoma pamuromo. Muchikamu chinotevera Danho anodzokororwa BP kuti haasi amenable kuti zvinodhaka chokupfeka. Varwere hanya kwazvo nomusoro, uye svoto. Kana murwere nenguva nenzira kurongera yakaoma kudya mu itsvo nephrosclerosis uyewo zvinodhaka kurapa, zvose zvinoitika zviratidzo nokukurumidza kunyangarika.

Chechitatu pavaipfuura pathological muitiro kunoratidzwa kushaya kudya, zvikuru simba. munhu akadaro ane tsika nemavhairasi zvirwere. Tikafunga kugara nyota weti goho ipfupi kwazvo. The ganda anowana anozivikanwa yellowish tint. In pachikuva rechina weti asiri anomira panze. Kukura nokukurumidza kudhaka, ropa pakugwamba muitiro iri kuvhiringidzwa. Panguva iyi, kuchinja aya kusingarapiki.

zvekuchipatara mufananidzo

Nephrosclerosis, hunonziwo "ndabatwa itsvo" mukutanga mumatanho kuziva zvakaoma nokuti hapana chinoratidza zviratidzo. Murwere haadi kuona kusagadzikana apo. Chete kuona chiremba kune dzimwe zvichemo, uye mushure chirwere kuongororwa zvinokwanisika kuona mwero kwendangariro.

Kana hosha yava kutsigira, hunoratidza zvinotevera zviratidzo:

• kuzvimba kumeso uye migumo;
• uwandu weti kunowedzera, asi bhuku dzinounzwa weti ipfupi;
• kurwadziwa lumbar nharaunda;
• nyota kwazvo;
• cheBP;
• kuneta, utera;
• kuvava ganda.

Zviratidzo izvi itsvo renal scarring inofanira kuva nguva kwemutemo kuongororwa zvakadzama zvokurapa. Chete pashure pokugamuchira migumisiro unokwanisa kutanga kurapwa.

A nzwisisika chirwere kuti hosha yeitsvo

Nonspecific zviratidzo chirwere yekudyidzana zvinoomesa zviratidzo. Kazhinji, nyaya dzakadaro vakabatwa iri kushandiswa nephrology nzvimbo. It wo akaita kunosiyana inosiyana kunzwisisa kwomudzimu imwe nhengo yomuviri nokuisazve.

Kana uchifungidzira kuti munhu chirwere vanofanira kutsvaka kubatsirwa chaizvo pakati ichi kana kuti munharaunda chiremba. Last, pashure pokudzidza kunotoda mufananidzo anogona kupa zvivabatsire kune nyanzvi.

Chirwere chirwere inotanga kudzidza murwere zvichemo, nhoroondo yake zvokurapa uye kuongorora chaiko. Panguva zano nephrologist vanogonawo palpate mudumbu. manipulations izvi zvinoratidza rokutanga chirwere uye kuziva zvimwe zvidobi rekushanyirwa.

Munyaya inotevera Danho varwere ushandiswe rabhoritari nemiedzo. Somuenzaniso, ropa nemakemikari omuviri zvingaratidza zvinotevera zviratidzo itsvo:

• kuwedzera dziine urea, creatinine;
• quantitative rutapudzo of puroteni tigutsikane;
• kutsauka mu potassium uye kuwedzera phosphorus uye magnesium.

Weti kuongorora kwakaratidza mapuroteni uye masero matsvuku eropa, asi arambe achirema kwaro yekudyidzana ipfupi. Pamusangano ropa kuongorora kunoratidza kuti padanho Chizenga uye platelet zvinoderedza, uye quantitative zviri leukocytes kunowedzera.

Nokuti yakarurama kunyatsoongorora pamusoro nhengo kushandisa paku nzira pakuongorora varwere chirwere kuti "nephrosclerosis". Renal Ultrasound Somuenzaniso, kuongorora kukura kwavo uye mamiriro ezvinhu cortex. Zviri fanira vanogadzwa urography. Angiography anopa mufananidzo rakazara mamiriro midziyo ropa njodzi nenyere.

Pahwaro chiremba vakagamuchira kuongorora migumisiro zvinopupurira kana anoramba rokutanga nechirwere, uye anoita kurumbidza mamwe kurapwa.

Kushandisa zvinodhaka

Kurapa chirwere ichi vari kuita specialized nephrology nzvimbo. Zviri kubvisa pfungwa chinhu provocateur. Kuedza kudzorera vakarasika itsvo basa pasina danho rokutanga iri kazhinji pasina.

Treatment nguva dzose ndiko nzwisisika uye rakagadzirirwa kwenguva refu. Zvichienderana kunotoda mufananidzo uye murwere talk ezvinhu kungada zvinotevera mishonga:

1. Anticoagulants ( "Heparin") nokuda kudzivirira ropa.
2. Mishonga kuderedza BP.
3. ACE FIs ( "Diroton", "Berlipril") chokuwedzera renal midziyo.
4. Diuretics kuti abvise zvakawandisa mvura kubva mumuviri.
5. Kutsigira kunowedzera tsinga karusiyamu mhandu ( "Falipamil").
6. Multivitamin zvivako.

Nokuti mamwe matambudziko anokonzerwa itsvo dysfunction zvinodhaka vakasarudzwa nomumwe.

kushanda kupindira

3-4-fung pavaipfuura pathological gadziriro kurapika rinowanzova isashande. Muzviitiko zvakadaro, murwere anoratidza hemodialysis kana itsvo nokuisazve. Musimboti wekutanga nzira ipfupi kuchenesa ropa zvine chepfu. Nokuti ichi chinangwa chinokosha Sefa chinhu chakagadzirwa itsvo. Hemodialysis kunorondedzerwa periodicity ezvinhu omurwere, kukuvadza ari pathological muitiro. The nzira inofanira pamwe zvokurapa kurapa.

Kuvhiya marapirwo chinorehwa ne anyatsoronga itsvo transplantation. Uyu ndiwo mumwe mhando shoma remapazi, apo nhengo inogona kubviswa yakaita mupenyu, uye chitunha. Munguva kupora nguva murwere kupiwa rutsigiro chakakura zvinodhaka uye zororo rakakwana.

simba Features

The akakwana mukwanisi yawapiwa kwakakwanira uchiwirirana nokutonga yakaoma kudya. Nutrition nokuti itsvo nephrosclerosis anosarudza chiremba nerimwe murwere nomumwe. Kazhinji vanoremekedza zvinotaurwa:

1. Kuderedza mapuroteni yaunodya. Muchiitiko chino, haugoni chose mapfumo pasi pake. Pakusarudza puroteni zvokudya zvinodiwa zvinofanira kupiwa yehuku, hove nezvinogadzirwa nomukaka. Mbatatisi, bota uye chingwa zvakakosha kubvisa zvachose zvokudya.
2. Zvokudya zvinofanira nguva dzose kusanganisira zvomugungwa, asi havashushi nokuda mukuru zviri phosphorus.
3. Kuderedza munyu yaunodya. Chero zano nephrologist vachati pa 1-2-fung matanho anobvumirwa kusvika 15 magiramu munyu pazuva, uye pamusoro 3-4th mari iyi vagovane. Chose kusiya ichi inonhuhwira asingagoni, nokuti inowedzera mukana wokuti kupera mvura mumuviri.
4. Iva nechokwadi kuti zvinyorwe zvokudya zvekudya potassium yakawanda. Somuenzaniso, mabhanana, apricots yakaomeswa, akaomeswa.
5. Meals vanofanira kuva pakati nepakati napo, ane zvaida uwandu macalorie uye mavhitaminzi.

kudya kwakadaro, varwere vakawanda vanomanikidzwa kuomerera mugumo woupenyu.

mataridzikiro

Nephrosclerosis itsvo - chirwere chirwere. In kwokutanga nzendo kwayo budiriro zvinokwanisika kuramba mashandiro zvomukati, asi zvinokosha kutevera yachiremba kunenge uye vanoomerera kurambidzwa vamwe. Somuenzaniso, varwere chirwere ichi zvakakosha kurerutsa kudyiwa munyu, karusiyamu zviratidzi vari akaramba kuongororwa uye phosphorus muropa. Mumwe exacerbation zvirwere kutsvaka kurapwa neimwe nguva ipfuure nzira yokurapa.

Zvakaziviswa pamusoro 3-4th Danho 'ndabatwa itsvo "kunoda siyanei kusvika. Panyaya iyi, vose zvatisingakwanisi vari yakasimba zvikuru. Nokudzosazve vakarasika nhengo rinenge hakuchina zvinobvira. Naizvozvo, mumamiriro ezvinhu akadaro, kurapa ndiyo inonzi functionality pakati nephrons yasara. Dzimwe nguva izvi hazvina kukwana.