Zviratidzo glomerulonephritis yayo kurapwa

Ko chirwere "glomerulonephritis"? Iri izwi rinoreva kuzvimba itsvo, umo nechivako chavainyanya - glomerulus - zvakakuvadza nokuda hadzina kufambiswa zvakanaka mune pachavo kutapata. Glomerulonephritis Zviratidzo kazhinji pashure mamwe yapfuura zvirwere (kunyanya streptococcal kwazvo huro), hypothermia, pamusoro autoimmune uye rheumatic nezvirwere nokuda zvishoma toxicity zvikonzero. Kunochinja netsvo pakarepo.

kuti itsvo sei?

muviri mukomana uyu ari nyanyisa chaizvo ropa rive. Zviri zhinji itsvo midziyo uye dzakarukwa anoshanda saka zvakanaka kuti vakadaidzwa "anoshamisa network." Kwakadaro chinoshingaira ropa rive kunokosha kuti aite inokosha basa - Sefa ose wechipiri ropa dzakaparadzana zvisingakoshi zvinoriumba uye dzimwe mvura uye uuye navo weti, saka muviri unonzi "yeplasma ultrafiltrate". Saka, pazuva itsvo "zvakaipa" anenge 150 litres kuti plasma, vakawana somugumisiro vanenge 1.5 litres ari filtrate (anowanzoita mune vana nevakuru zvinofanira kuumbwa kanenge 1 Rine mamiririta / makirogiramu muviri uremu paawa, asi kwete kupfuura 3 Rine mamiririta / makirogiramu / awa).

Pane huru mbiri dzinokosha dziri itsvo:

1) Filtration, umo bhora uye kutamba. Ropa ichipfuura maduramazwi "nomusero". Somugumisiro, mapuroteni, cellular zvinhu uye vamwe kunyika muropa mvura, uye zvazvichanyungudutswa yeplasma fuma kupinda mberi mune tubules ari nephron.

2) Reverse kubvisa. Kuburikidza mashandiro ichi, ropa chinogadzirwa kakawanda tubules, uye muwisira weti zvikuru duku chikamu chokutanga uwandu emura, muduku akakodzera electrolytes, senitrogen, zvine chepfu uye zvinodhaka, zvakanga zvazvichanyungudutswa plasma.

Kunze kuti itsvo filters ropa, uyewo paChikoro kukura zvinhu zvakafanira kuti BP, uye zvinhu zvakadaro kuti zvinowedzera kugadzirwa erythrocytes.

Nekuti izvo pane zviratidzo glomerulonephritis?

1. Streptococcal chirwere: lacunar kana tonsillitis (kazhinji), kwazvo huro, ganda maronda pustules - impetigo. Panyaya iyi, masoja emuviri "anoyeuka" sei kutarisira streptococcus antigen-muvengi, uye nokuti nemamiriro itsvo rinenge afanane utachiona ichi, kuti sei itsvo glomerulus uye nephron.
2. Other noutachiona:

- kwemabhakitiriya sepsis, mabayo, endocarditis, akaita coccal kasvisto, meningococcal, sefivha ;

- utachiwana: chiropa B, "nguruve", chibhokisi, enterovirus;

- zvirwere zvinokonzerwa majemusi: nemarariya, toxoplasmosis.

3. Nhanganyaya-siyana masoja zvinodhaka, serums, yokudzivirira. Panyaya iyi, iyo kutapata "zvaanoita" kune dzimwe mapuroteni (kugadzirira aya akaita pachishandiswa mapuroteni zvemhuka dzakasiyana-siyana dzakadai mabhiza). Complex "antigen ndinoiitawo pachake antibody" riri kunonoka pedyo itsvo glomerulus uye vanoipwanya.

4. systemic zvirwere: periarteritis nodosa, chinonzi systemic lupus erythematosus, Goodpasture kuti chirwere, vasculitis. Muzviitiko izvi, kazhinji kuumbwa antibodies kune huru chezvinonhuwira itsvo glomerulus - membrane.

5. Vamwe vakaremara of zvirwere.

6. Report itsvo perfusion mumamiriro ezvinhu ose hypothermia uye yakakwirira mwando.

Zviratidzo glomerulonephritis

The chirwere angava chakasimba, subacute (kupfuura nyanyisa) kana refu. Zvaitaurwa nomumwe mhando - vari kana kusatonzwa dzaparadzwa zvakakomba glomeruli (dzimwe nguva zvimwe zvikamu itsvo), nokudaro dawo uye weti mapuroteni, uye masero eropa. Roga, puroteni anochengeta mvura iri muropa. Paaiva duku, hune zvishoma nemidziyo ropa, ruchapinda muruoko munyama. Saka kuwana kuzvimba. Uyewo, mashizha uye mapuroteni akadai globulins, nokuda izvo muviri anova vade zvirwere.

Nokuda nokurasikirwa nemasero ropa weti hwapedyo kupererwa neropa. Mukuwedzera, kutambura uye mashandiro kuti masero nokuumbwa masero matsva matsvuku. Uyewo iyi wakaputsika uye venhumbi kunoderedza BP.

Chenjera zviratidzo glomerulonephritis ane siyana, akasiyana nekuomarara. Vanoonekwa 1-2 mavhiki pashure kubaya kana utachiona, anogona angatanga nokukurumidza, zvishoma nezvishoma. The chikuru zviratidzo glomerulonephritis vari:

- utera, nomusoro, kuda kurutsa, kurasikirwa havi;

- fivhiri;

- kuderera uwandu weti;

- kuonekwa patainzwa marwadzo kumativi ose;

- weti angava mutsvuku, black ruvara ( "ruvara nyama slops"), dzimwe nguva imperceptible rinoreva kuchinja, asi migumisiro ine weti kuongororwa yakaratidza kuti pane vazhinji dzakachinjwa erythrocytes;

- sezvo ari mukuru kuongorora weti kungaratidza kuti pane mapuroteni, chena muropa masero vakawanda sepombi;

- chiso uchingodzikira namakumbo vane kuzvimba, uye mumatenhere ingava gobvu uye munyoro, nyore dislodged; pane tsika vakawarira mudumbu, tikarega shure;

- kana puroteni Nokurasikirwa makuru, uye mvura exuded pedyo pleural uye peritoneal mhango, uye mwoyo bhegi: kukura kupfupika mweya, zvakaoma kufamba, vanogona kuva pulmonary edema;

- yakawedzera BP kuti akasiyana nhamba;

- hapana ganda, akaoma;

- bvudzi mikukutu, haungatani kuputsika.

Pamwe yakasiyana akagadzirwa zviratidzo, asi kazhinji pasina nechitarisiko ropa iri weti, kuderedza ayo nhamba edema chirwere uye haagoni kuita. Very kashoma, hosha haina kuratidzwa kuratidzwa. Munhu haangaregi ndokukweverwazve kumusoro kusvikira panguva vakawanda glomeruli vanorega kushanda.

Kana mugore haugoni kukunda rikwanise glomerulonephritis, zvinofungidzirwa kuti akaenda kune chirwere chimiro. Izvi akwanise ne:

- chisingaperi chirwere (tonsillitis kana chirwere sinusitis, mazino caries);

- huripo sema uye autoimmune zvirwere;

- kakawanda chenjera kufema kutapukirwa noutachiona panguva iyi.

Chirwere muitiro inogona anoratidzwa mubatanidzwa zviratidzo zvakasiyana:

- chete ropa iri weti, kuzvimba, uye hapana kuwedzera nevezera;

- Hakuna, uye BP, uye edema, nekuona yakawanda mapuroteni kupinda weti;

- huru chiratidzo - BP, kuzvimba koda ikoko, asi kuchinja weti anenge zvisingaoneki "ne ziso";

- unogona kuonekwa chete kuchinja ari weti, kana kubvarura kuti pachisara edema uye kuwedzera kumanikidza ikoko.

Muchiitiko chino, kana zvimwe chinhu kutsamwisa exacerbation echirwere kwacho, zviratidzo zvichava zvikuru wakajeka, iziviswe sapamazuva rikwanise glomerulonephritis.

Mabatirwo glomerulonephritis

Zvipatara kekutanga kuitwa chete muchipatara. Munhu akagadzwa mubhedha zororo uye munyu-isina kudya chiduku duku shoma mapuroteni uye zvinwiwa. Kana pane uchapupu hwokuti mhaka chirwere - a kwemabhakitiriya kwacho mumuviri, ipapo vakatakura utsanana chinangwa chirwere, mishonga inorwisa mabhakitiriya anogona kupiwa. Kubva chii Kunoratidza glomerulonephritis zviratidzo, uye kurapwa zvinoenderana.

Nokuti kurapa anoshandiswawo zvinodhaka zvakadaro:

- mahormone, glucocorticoids, cytostatics uye kuti vanorega kwataisvika etsvo;

- zvinodhaka kuti kuvandudza ropa riyerere kuti itsvo;

- diuretics;

- antihypertensive zvinodhaka;

- kana zvakakodzera, mapuroteni kugadzirira, erythrocyte vakawanda (yakaderera Chizenga) raitongwa nomutsinga.