Cov ntaub so ntswg yog ib pawg ntawm glomeruli hu ua glomeruli. Lawv ua haujlwm ntawm cov ntxaij lim dej, tshem tawm ntawm lub cev cov khoom hloov paug thiab kua dej ntau dhau. Glomerulonephritis tsim thaum glomeruli raug cuam tshuam. Cov txheej txheem pathological yeej muaj feem xyuam rau ob lub raum, sai zuj zus thiab ua rau muaj teeb meem.
Glomerulonephritis - Ua rau
Muaj ib daim ntawv thib ob thiab qib siab ntawm tus kab mob tau piav qhia. Lub tom kawg variant tshwm sim raws li qhov qhov tsim nyog ntawm kev ua txhaum kev ua txhaum loj. Piv txwv, lub raum glomerulonephritis tuaj yeem ua rau nws debut rau ntawm keeb kwm ntawm cov pathologies nram no:
- rheumatoid kev mob caj dab ;
- Cov mob hu ua Alport syndrome;
- lupus erythematosus;
- Fabry tus kab mob;
- tshuaj antiphospholipid syndrome;
- hepatitis C;
- vasculitis;
- endocarditis;
- Coxsackie tus kab mob , Epstein-Barr;
- nodular periarteritis;
- amyloidosis;
- Goodpasture Syndrome ;
- Tus kab mob Shenlen-Henoch;
- malignant qog.
Thawj hom kev puas tsuaj rau lub raum glomeruli yog ib hom kab mob autoimmune. Post-Streptococcal glomerulonephritis feem ntau tsim, qee zaus lwm yam kab mob los yog cov tshuaj cab ua neeg li cov neeg ua hauj lwm. Yuav kom tiv thaiv pathogenic microorganisms, lub cev tsis pub leejtwg secretes tej tshuaj. Yog hais tias lawv tsis tau muab rho tawm ntawm lawv tus kheej, cov khoom no muaj nyob hauv glomeruli. Tom qab ntawd, lawv ua rau muaj kev tiv thaiv kabmob, thiab lub cev tiv thaiv kabmob pib tawm tsam nws cov ntaub so ntswg.
Glomerulonephritis - kev faib tawm
Tus kab mob hauv kev saib xyuas yog sib txawv raws li nws qhov kev kawm. Cov kws kho mob tshawb nrhiav subacute, mob ntev thiab mob glomerulonephritis. Thawj daim ntawv ntawm pathology tseem hu ua ceev ceev los yog malignant, nws yog suav hais tias yog feem ntau txaus ntshai variant ntawm kev puas tsuaj rau lub glomeruli. Nws tsis tshua pom zoo kom tsis txhob zoo li glomerulonephritis - cov tsos mob thiab kev kho mob tsis vam khom ib leeg, qhov teebmeem ntawd txawm tias muaj kev tu ncua tshwj xeeb ntawm kev kho. Hom kab mob no xaus rau ntawm qhov tshwm sim thaum tuag ntawm 80% ntawm tus neeg mob.
Kab mob glomerulonephritis yog cov tsos mob pib mob ceev heev. Nrog rau kev ntxov paub thiab txoj kev kho kom yog, nws kho tag nrho yam tsis muaj kev puas tsuaj. Yog hais tias qhov kev kho mob raug xaiv los tsis tsim nyog los yog cov kab mob pathology mus ntev dhau lawm, tus kab mob kis mus rau hauv ib qho kev kawm ntev. Hom kab mob no muaj ntau yam kev hloov.
Latent glomerulonephritis
Lwm cov npe ntawm cov kev qhia txog kev puas tsuaj rau lub raum glomeruli yog latent, urinary. Thaum tsim cov ntaub ntawv glomerulonephritis, tus neeg zoo zoo, tsis pom muaj cov tsos mob. Txhawm rau txheeb tus kab mob latent ntawm tus kabmob pabcuam tsuas yog kuaj cov zis xwb. Nws qhia tau hais tias cov khoom siv ntawm cov keeb tshuaj thiab cov khoom ntshav.
Glomerulonephritis yog ib daim ntawv hematinic
Hom kab mob no txawv qhov hu ua Berger's disease. Thaum xub thawj, kev noj qab haus huv tseem nyob zoo, tab sis tom qab ntawd hematuric glomerulonephritis provokes o ntawm cov nqaij mos thiab nce ntshav siab. Tus symptomatology ntawm tus kab mob yog nonspecific, yog li ntawd yuav tsum kuaj kev ntsuam xyuas. Nws yog ib qho tsim nyog yuav tau kuaj zis los kuaj seb puas muaj glomerulonephritis - cov kev mob tshwm sim thiab kev kho mob raug pom tseeb thaum cov ntshav ntim qe tau pom nyob rau hauv cov roj ntsha:
- erythrocytes;
- cov zauv feem protein;
- trombocytes.
Glomerulonephritis yog ib daim ntawv hypertonic
Ib hom kab mob uas muaj ntau hom pathology, yog li 25% ntawm txhua qhov chaw glomerular. Cov tshuaj urinalysis tsis pab txiav txim siab ntev li no glomerulonephritis - hypertonic daim ntawv tsis tuaj yeem cuam tshuam txog kev lom neeg roj ntsha. Qhov tseem ceeb ntawm cov kab mob uas pom tau los ntawm cov kws paub hauj lwm yog qhov ua kom nce ntshav siab. Kub siab yog pom los ntawm thawj hnub ntawm kev mob ntawm pathology thiab tseem mus txog rau kev so. Diastolic Performance index (qis dua) yog ntau tshaj 95 hli Hg. Kos duab.
Nephrotic glomerulonephritis
Qhov no variant ntawm tus kab mob no mus nrog qhia tau tus neeg mob tshwm sim. Muaj ob yam kab mob thiab muaj zog glomerulonephritis nrog nephrotic syndrome. Nws yog tus cwj pwm ntawm cov nqaij tawv (subcutaneous) (cov pob txha), cov pob txha thiab cov nqaij mos, qee zaum ascites (dropsy). Nws yooj yim dua rau cov kws kho mob tshwj xeeb kom kuaj tau cov glomerulonephritis uas tau piav qhia - cov tsos mob thiab kev kho mob raug pom tseeb los ntawm kev soj ntsuam. Tom qab cov kev tshawb fawb ntxiv rau hauv cov zis lub ntsiab concentration fiber, thiab nyob rau hauv cov ntshav - deficiency ntawm albumin yog pom.
Mixed daim ntawv ntawm glomerulonephritis
Hom kab mob no yog ua ke ntawm hypertonic thiab nephrotic syndrome. Mixed glomerulonephritis tshwm sim nrog cov yam ntxwv cwj pwm ntawm ob hom pathology. Nws sai sai sai zuj zus thiab tuaj yeem ua rau muaj teeb meem loj heev, yog li ntawd nws muaj kev kho mob siab kho. Ua ke hom lesions ntawm lub ces kaum glomeruli yeej provokes cov kev hloov hauv cov muaj pes tsawg leeg ntawm cov zis (proteinuria thiab hematuria).
Glomerulonephritis - cov tsos mob
Daim duab saib mob ntawm tus kab mob nyob rau hauv nqe lus nug sib raug rau qhov xwm ntawm nws cov hom kawm thiab hom, nrog rau cov ntsiab lus ntawm kev kuaj sim. Zom nrog glomerulonephritis hloov nws cov qoob loo yuav luag txhua lub sij hawm (tshwj tsis yog daim ntawv latent). Nws pom cov roj ntsha thiab cov qe ntshav hauv ntau qhov sib txawv. Cov kev mob tshwm sim ntawm glomerulonephritis:
- visually pom tshwm ntawm cov ceg, qhov muag thiab cov nqaij mos;
- kev hloov hauv cov xim ntawm cov zis, qhov tshwm sim ntawm ua npuas ncauj nyob hauv;
- arterial hypertension, tshwj xeeb tshaj yog cov diastolic siab;
- ascites ntawm lub plab;
- ib qho kev txo qis hauv txhua txhua hnub zis ntawm kev tso zis;
- ntxiv zog kub cev;
- pallor ntawm daim tawv nqaij;
- tsis muaj zog;
- xeev siab;
- mob hauv thaj chaw lumbar;
- deterioration ntawm qab los noj mov.
Glomerulonephritis - Kev kuaj mob
Ua ntej, tus kws kho mob ua tib zoo tshuaj xyuas tus neeg mob thiab nug nws, tsim kom muaj cov yam tshwm sim ntawm tus kab mob. Rau qhov kawg kuaj yuav tsum kuaj - nrog glomerulonephritis yuav tsum tso zis thiab ntshav (biochemistry). Tsis tas li ntawd, cov kev tshawb fawb nram qab no raug xaiv:
- khoos phis tawj lossis lub nqus dej loj;
- X-ray;
- kev kuaj mob ultrasound;
- mob raum .
Glomerulonephritis - kev kho mob
Txoj kev kho kom ua rau lub glomeruli puas raug xaiv nyob ntawm daim ntawv ntawm tus kab mob thiab qhov hnyav ntawm nws cov hoob kawm. Kev kho mob glomerulonephritis ntev thaum lub sij hawm rov qab los, kev mob kheesxawj losyog subacute muaj xws li:
- nruj pw so;
- noj tshuaj;
- kev noj zaub mov ua raws;
- Hemodialysis (nyob rau hauv feem ntau txaus ntshai mob, tuag tib neeg lub neej).
Glomerulonephritis - kev kho, tshuaj
Txoj kev kho kom txuag tau kho yog tsuas yog los ntawm ib tug kws kho mob tshwj xeeb raws li cov txiaj ntsim ntawm kev ntsuas thiab kev tshawb nrhiav. Nws yog ib qho tseem ceeb rau kev txiav txim siab seb yog vim li cas glomerulonephritis - cov kev mob tshwm sim thiab kev kho mob ntawm tus kab mob mas nws zoo nkaus li nws ua rau. Yog hais tias tus kab mob ntawm tus mob yog microbes, kev siv cov tshuaj tua kab mob yog pom zoo. Hauv lwm cov xwm txheej, tus kws kho mob yuav tau sau cov tshuaj antiviral los yog cov tshuaj tiv thaiv kab mob.
Tsis tas li ntawd, cov tshuaj nram no yog cov tshuaj rau glomerulonephritis:
- hypotensive - Ramipril, Captopril, Cilazapril;
- immunosuppressants (xws li glucocorticosteroids) - Metipred, Solumedrol, Methylprednisolone;
- Diuretics - Brinaldiks, Triamuteren, Hygroton;
- anticoagulants - Pelentan, Heparin, Phenylin;
- statins - Imuron, Chlorbutin, Cyclophosphamide.
Glomerulonephritis - pejxeem txoj kev kho mob
Lwm cov tswv yim kho mob tsuas pub siv rau sab nraum lub caij nyoog ntawm cov kab mob pathology. Kev kho mob ntawm glomerulonephritis nrog pej xeem tshuaj pab tiv thaiv nrog qee cov tsos mob ntawm tus kab mob (o, qhov txo qis dua tso zis ib hnub). Tej zaub mov txawv tsis tua cov kev ua rau lub raum glomeruli thiab tsis txhob ua rau cov txheej txheem inflammatory, yog li ntawd lawv tuaj yeem siv los ua ib qho kev pabcuam.
Herbal sau los ntawm glomerulonephritis
Cov khoom xyaw:
- qhuav birch nplooj - 40-50 g;
- Flax noob - 60-80 g;
- crushed qhuav paus ntawm lub thawv teb - 45-50 g;
- dej - 500 ml.
Npaj, siv:
- Sib tov cov khoom xyaw rau hauv lub khob ntim quav.
- Ncuav tag nrho tov nrog dej npau npog thiab npog.
- Txias rau 2 teev.
- Lim tawm cov kua thiab ncuav mus rau hauv ib lub hwj huv.
- Noj ib lub khob thib peb ntawm cov tshuaj 3 zaug ib hnub twg.
Tshuaj yej los ntawm edema
Cov khoom xyaw:
- paj ntawm chemist lub chamomile - 10-15 g;
- nyom ntawm thawj zaug - 10-20 g;
- berries thiab nplooj ntawm dub currant - 30-35 g;
- boiling dej - 220 ml.
Npaj, siv :
- Muab cov khoom xyaw tso rau hauv ib lub hwj.
- Ncuav cov khoom siv raw nrog dej kub.
- Txhim kho qhov kev khwv nyob rau hauv lub hau rau ib nrab ib teev.
- Lim lub kua.
- Ncuav ib lub quarter ntawm ib khob ntawm kev daws thiab dilute nws nrog dej sov.
- Haus tshuaj raws li cov tshuaj yej (koj tuaj yeem ua tau) 4 zaug ib hnub twg.
Kev noj haus nrog glomerulonephritis
Cov khoom noj uas pom zoo (cov ntxhuav 7a los yog 7b rau Pevzner) nyob ntawm seb qhov ntawm cov kab mob pathology. Kev noj tshuaj zoo tshaj yog tau txais kev pab yog hais tias muaj tus kab mob glomerulonephritis yog - kev kho mob tsuas yog txwv txiav cov ntsev hauv cov zaub mov (tsis pub ntau tshaj 2 g ib hnub) thiab tsis suav cov khoom hauv qab no:
- rog cov nqaij, nqaij qaib, ntses;
- cereals;
- ntse zaub (radish, qej, dos, radish);
- txuj lom;
- carbonated dej;
- khov kas fes thiab tshuaj yej;
- zaub ntsuab;
- nplua nuj broths.
Tus nqi ntawm cov khoom noj protein tsis pub tshaj 40 grams ib hnub. Nws yog ib qho tsim nyog kom muaj xws li cov khoom noj tsis muaj hnub tso tawm:
- qab zib (0.5 kg ntawm qab zib nrog 550-600 ml ntawm txiv hmab txiv ntoo teas los yog juices);
- watermelon;
- qos yaj ywm;
- pob zeb;
- compote.
Tom qab tswj qhov mob, nres kev mob thiab tshem puffiness, rooj 7b los yog 7 raug cai rau Pevzner. Qhov kev noj haus no yog me ntsis ntxiv, kev noj qab haus huv txog 5 gram ntawm ib hnub twg yog tso cai, qhov tso cai ntawm cov nqaijrog thiab nqaijrog ntau zog. Txawm hais tias muaj kev txhim kho kom zoo hauv lub xeev txoj kev noj qab haus huv, nws yog ib qho tsim nyog yuav tau ua raws li kev noj haus, tsis kam roj, ntsim, haus thiab cov zaub mov kib.
Cov teeb meem ntawm glomerulonephritis
Thaum kuaj pom tus kab mob nyob rau hauv cov theem mob, nws yog kho kiag li tsis muaj kev cuam tshuam hauv feem ntau. Cov teeb meem tsis tshua muaj zog glomerulonephritis - cov tsos mob thiab kev kho mob kho tau txhais tau yuam kev los yog pathology tau kuaj pom hauv subacute los sis daim ntawv ntev. Qhov kev rau txim loj tshaj plaws ntawm tus glomerular lesion yog lub raum tsis ua haujlwm. Nws tau nce zuj zus xyoo thiab ua rau hloov cov ntaub so ntswg.
Lwm yam teeb meem uas ua rau muaj zog glomerulonephritis:
- ntsws muaj zog;
- ruaj khov ntshav siab;
- anemia;
- lub plawv tsis ua haujlwm;
- eclampsia;
- tsis pom kev;
- intracerebral hemorrhage;
- uremia;
- pulmonary edema.
Glomerulonephritis - kev tiv thaiv
Yuav kom tiv thaiv tau txoj kev mob ntawm tus kab mob mob, yog tias txoj kev tswj ntawm cov kab mob ntawm cov kab mob thiab kis kab mob, lawv tuaj yeem raug kho nrog cov tshuaj yeeb kom tsim nyog raws sij hawm. Kev tiv thaiv ntawm glomerulonephritis ntawm ib hom ntev yuav tsum tau kho ntawm txoj kev ua neej thiab khoom noj khoom haus thiaj li tiv thaiv tau rov qab ntawm txoj kev mob yws:
- Tsis kam haus luam yeeb thiab haus cawv.
- Saib xyuas kom noj cov zaub mov nrog kev txwv ntsev thiab protein ntau hauv kev noj haus.
- Ntsuas ntsuas ntshav siab, muab cov zis rau kev ntsuam xyuas.
- Txhua zaus mus ntsib tus kws kho mob nephrologist.
- Mus rau ntawm qhov chaw ua si.
- Tsis txhob supercooling.
- Tswj lub luag haujlwm ntawm kev txawj ntse thiab lub cev ua ub no.
- Hauv lub sijhawm, kho cov kab mob thiab kom tsis txhob muaj cov tsos mob.