Nephritic syndrome yog ib qho tseem ceeb ntawm cov tsos mob thiab cov cim uas qhia tau hais tias muaj kev mob nkeeg hauv ob lub raum. Nws yog ntau dua nyob rau hauv cov neeg mob uas muaj glomerulonephritis. Hauv lub sijhawm, qhov kev tshawb fawb qhia tau tso cai rau kev kho mob sai sai thiab tsis txhob raug txim loj.
Qhov txawv ntawm tus mob nephrotic syndrome thiab tus mob nephritic syndrome no yog dab tsi?
Qee cov neeg mob tsis pom muaj qhov sib txawv ntawm ob kab mob, tab sis muaj ntau qhov sib txawv. Jade yog mob ntawm ob lub raum, thiab nephrosis yog lawv yeej. Lub tom kawg tau nthuav dav dua. Nephrosis muaj xws li ob leeg me me mob hauv ob lub raum thiab lawv tuag. Cov syndromes no ho txawv. Qhov txawv yog pom nyob rau hauv qhov ua rau thiab cov mechanisms ntawm kev loj hlob ntawm ailments.
Nephritic thiab nephrotic syndrome ntawm qhov sib txawv xws li:
- Cheeb tsam ntawm yeej. Nyob rau hauv nephritis, pathological phenomena yog concentrated nyob rau hauv lub renal glomeruli. Cov cheeb tsam no ua rau muaj mob, vim li ntawd, cov kua hauv lub cev lawm. Nyob rau hauv nephros, nce nyob rau hauv protein-lipid tebchaw hauv lub hlwb ntawm epithelium yog cai. Yog li ntawd, muaj ib qho kev ua txhaum ntawm cov txheej txheem metabolic.
- Hloov hauv cov qauv ntshav. Nrog nephrotic syndrome, qhov concentration ntawm albumin nyob rau hauv ib qho tseem ceeb heev dej txo. Ntxiv mus, ntshav coagulability nce.
- Hematuria. Tus mob nephritic syndrome yog nrog cov ntshav liab hauv cov zis. Qhov no, qhov tseeb, lub ntsiab lus tseem ceeb ntawm kev mob ntsws no.
Yog tias peb xav txog seb qhov mob nephrotic syndrome thiab nephritic syndrome no txawv li cas, qhov sib txawv ntawm lawv tshwm sim hauv nws txoj kev loj hlob ntawm tus kab mob. Nyob rau hauv rooj plaub thawj zaug, tus kab mob no muaj mob ceev ceev, sai sai momentum thiab sai sai no ua rau muaj mob ntsws raum. Nyob rau hauv lub thib ob variant, cov tsos mob ntawm tus kab mob tshwm sim tsuas yog tom qab 1-2 lub lis piam tom qab kev cuam tshuam ntawm lub causative yam nyob rau hauv lub cev.
Nephritic syndrome - qhov kev qaug zog ntawm nws lub ntsiab tshwm sim
Qhov ua rau ntawm tus kab mob pathological no muaj ntau ntau. Muab cov pathogenesis ntawm cov kev mob ntawm tus mob no:
- thawj - yog txuam nrog cov txheej txheem pathological uas tshwm sim hauv ob lub raum;
- theem nrab - qhov lesion tshwm sim nyob rau hauv ib tug xov tooj ntawm cov plab hnyuv siab raum, thiab tom qab ntawd ces mus rau lub glomerular apparatus.
Nephritic syndrome pathogenesis muaj qhov no:
- kis kab mob (kis kab mob siab, kab mob mononucleosis , herpes);
- autoimmune kab mob ( scleroderma , lupus erythematosus, vasculitis);
- kab mob bacterial infections (meningitis, typhoid ntawm plab, endocarditis );
- cov kab mob hauv cov kab mob khaub thuas mob nyhav;
- teb rau kev txhaj tshuaj tiv thaiv;
- irradiation ntawm lub cev;
- thrombosis ntawm cov kaus hniav hauv plab;
- ntshav qab zib mellitus ;
- feem ntawm lub cev ntawm cov tshuaj lom thiab tshuaj lom.
Tsis tas li ntawd, tus mob no muaj cov ntaub ntawv hauv qab no:
- ntse;
- mob ntev.
Mob nephritic syndrome
Daim ntawv no ntawm tus kab mob no yog tshwm sim los ntawm qhov loj heev deformation ntawm cov ntaub so ntswg glomerular apparatus. Tsis tas li, mob nephritic syndrome yog mob siab ntawm txoj kev loj hlob sai. Tag nrho nws cov tsos mob muaj peev xwm muab faib ua kev cai lij choj thiab tsis txawv. Rau thawj pab pawg neeg ntawm cov cim, uas mob nephritic syndrome no, tuaj yeem yog:
- muaj cov qe ntshav hauv cov ntshav;
- o ntawm lub ntsej muag thaum sawv ntxov thiab taw mus rau yav tsaus ntuj;
- Ua rau lub plawv dhia thiab ntshav siab;
- ib lub zog ntawm kev nqhis dej thiab oligoanuria;
- deterioration ntawm cov hlab ntsha.
Rau cov mob nephritic syndrome xws li cov tsos mob tsis muaj cwj pwm yog yam ntxwv:
- lumbar mob;
- ntsis nce hauv lub cev kub;
- kev txaj muag, nrog mob taub hau loj;
- phaus nce;
- txo kev ua haujlwm.
Mob nephritic syndrome
Qhov tseeb, qhov no yog qhov tshwm sim ntawm kev coj tus cwj pwm tsis zoo rau yus tus kheej. Yog tias tus mob nephritic pathology tsis nrhiav kev pab kho mob, tus mob yuav kis mus rau hauv ib daim ntawv ntev. Sib ntaus kab mob nyob rau theem no yog qhov nyuaj tshaj li ntawm thawj theem. Nyob rau hauv daim ntawv ntev ntawm tus kab mob, tus kws kho mob yuav tsis tas yuav tsum tshem tawm txoj kev mob ntsws no, tab sis kuj "ntxuav" nws lub txim. Vim li no, thaum thawj tus neeg paub meej tias tus nephritic syndrome pib tshwm, yog qhov tso quav tso zis, koj yuav tsum mus rau ib tus kws kho mob. Txoj kev tawm tsam yog txoj sia!
Nephritic Syndrome - kuaj mob
Ua ntej yuav xaiv ib txoj kev kho mob, tus kws kho mob yuav sau ntawv mus rau tus neeg mob ib qho kev kuaj mob thiab ua kev ntsuas. Nephrotic thiab nephritic syndrome sib txawv tshawb nrhiav qhov tseeb. Nws muaj xws li kev ua haujlwm xws li:
- biochemical ntshav kuaj;
- CT;
- Ultrasound;
- ib tus kais dej los ntawm caj pas;
- angiography;
- urinalysis;
- coagulogram;
- cov nqaij ntawm lub raum.
Nephritic syndrome - tso zis
Vim yog qhov pom meej ntawm ob lub raum, oiguria yog cim (tus nqi ntawm cov kua dej tawm txo yog 0.5 liv rau ib hnub). Nyob rau tib lub sij hawm, qhov ceev ntawm cov zis nce. Tsis tas li, yog tias muaj kev xav tsis zoo txog cov mob nephrotic thiab nephritic syndrome, muaj cov ntsiab lus muaj protein ntau nyob hauv cov kua dej tawm ntawm lub cev. Nyob rau hauv thawj hnub ntawm tus kab mob, qhov no qhia tau 40-90 g / l.
Tsis tas li ntawd, kom paub tseeb tias nephritic nephritic urinary syndrome, tus neeg mob yuav raug kuaj xyuas cov kev kuaj mob kuaj zis:
- Nechiporenko tsom;
- kuaj qhov kev sim ntawm lub caij nyoog;
- Reberg txoj kev kuaj;
- bacteriological kab lis kev cai;
- sim mus raws li Zimnitsky.
Nephritic syndrome - kev kho mob
Txoj kev kho yog nqa tawm hauv tsev kho mob, yog li ntawd tus kws kho mob tuaj yeem soj ntsuam qhov teeb meem. Tus mob nephritic syndrome yog kho, thiab tus neeg mob ntxov mus rau lub tsev kho mob, yuav yooj yim dua thiab sai dua qhov kev kho mob zoo. Kev kho tshuaj kho yog tib lub sijhawm ua tiav ntawm cov lus qhia hauv qab no:
- normalization ntawm protein nyob rau hauv cov ntshav;
- kev tiv thaiv ntawm tus kab mob;
- stabilization ntawm ntshav siab;
- normalization ntawm diuresis.
Nephritic urinary Syndrome tau txais kev kho mob xws li:
- Tshuaj tua kab mob (Erythromycin, Cephalosporin los yog Penicillin) yog siv los tiv thaiv cov kab mob ntawm tus kab mob.
- Los txhim kho lub microflora ntawm digestive ib ntsuj av, sau probiotics (Hilak forte, Acipol, Bifidumbacterin).
- Yuav kom txo tau cov txheej txheem autoimmune, glucocorticosteroids (feem ntau Prednisolone) siv.
- Ua rau lub cev tiv thaiv tsis tau cov kab mob kis tau yog pab los ntawm cov tshuaj tiv thaiv kab mob (Cytovir, Immunal).
- Yuav kom txo tau edema, diuretics yog siv (Hypothiazide, Trigrim, Furosemide).
- Ntxiv dag zog rau lub cev nrog vitamin complexes (Vitrum, Selmevit).
Nephritic syndrome nyob rau hauv cov ntshav qab zib mellitus
Hauv lub sijhawm, qhov kev ntsuam xyuas pathology tau yooj yim kho. Yog tias tom qab txoj kev kuaj xyuas pom tias muaj tus mob urinary Syndrome hauv ntshav qab zib, kev kho yog ua tiav raws li cov tswv yim tshwj xeeb. Kev kho nyob rau hauv cov ntaub ntawv no muaj xws li cov nram qab no:
- Kev hloov ntawm cov piam thaj hauv cov ntshav.
- Kev tswj kev kub siab.
- Kev ua rau cov roj (cholesterol).
- Kev kho nrog lub sij hawm ntawm Sulodexide (ob zaug ib xyoos).
Nephritic syndrome nrog glomerulonephritis
Nyob rau hauv kev sib ntaus tawm tsam tus kab mob no, tshuaj kho mob nrog ua ke nrog kev siv tshuaj yeeb. Lub tom kawg nrog kev ua raws cai nrog tsoom fwv thiab ib qho kev pabcuam tshwj xeeb. Qhov mob ntawm urinary nrog glomerulonephritis yuav swb yog tias ib qho adheres rau xws li kev noj haus:
- Txo tus nqi ntawm cov kua haus tau.
- Tsis txhob noj los ntawm kev noj haus ntawm ntsim tais diav, tshuaj lom, cawv, kas fes thiab muaj zog tshuaj yej.
- Tsawg pub cov ntsev.