Analgesic nephropathy

Analgesic nephropathy cuam tshuam rau kev puas tsuaj rau ib lossis ob lub raum los ntawm kev siv ntau dhau rau kev sib xyaw ua ke ntawm cov tshuaj, tshwj xeeb tshaj yog cov tshuaj yuav tom khw tsis zoo (tshuaj loog).

Kev mob hlwb tsis ua hauj lwm (analgesic nephropathy) yuav puas rau sab hauv lub raum. Nws tshwm sim los ntawm kev siv tshuaj loog ntev ntev (tshuaj mob), tshwj xeeb tshaj yog cov tshuaj dhau los (OTC) uas muaj phenacetin lossis acetaminophen, thiab nonsteroidal anti-inflammatory drugs (NSAIDs), xws li tshuaj aspirin lossis ibuprofen.

Tus mob no feem ntau tshwm sim los ntawm kev kho tus kheej, feem ntau rau qee yam mob mob.

Yam txaus ntshai muaj xws li:

• Kev siv tshuaj OTC ua kom loog uas muaj ntau dua ib qho khoom xyaw
• Noj 6 lossis ntau dua cov tshuaj ib hnub rau 3 xyoos
• Mob taub hau ntev, mob khaub ncaws, mob nraub qaum, lossis mob leeg
• Kev xav hauv lub siab lossis tus cwj pwm hloov
• Keeb kwm kev coj cwj pwm xws li haus luam yeeb, haus dej haus cawv, thiab siv cov yees kom ntau

Tej zaum yuav tsis muaj tsos mob thaum pib. Sij hawm dhau mus, raws li lub raum tau raug mob los ntawm cov tshuaj, cov tsos mob ntawm lub raum yuav pib mob, suav nrog:

• Qaug zog, qaug zog
• Txhawb cov zis ntau npaum li cas lossis nrawm dua
• Cov ntshav hauv cov zis
• Ntshav mob los sis mob nraub qaum
• Kev tso zis tsawg ntxiv
• Tsis tshua meej nrawm dua, suav nrog tsaug zog, tsis meej pem, thiab nkees
• Txo tsis hnov ​​qhov muag, loog (tshwj xeeb hauv ob txhais ceg)
• Xeev siab, ntuav
• Ua kom doog ntshav yooj yim lossis los ntshav
• O o (edema) thoob plaws lub cev

Tus kws kho mob yuav kuaj xyuas koj thiab nug koj cov tsos mob. Thaum lub sijhawm kuaj mob, koj tus kws khomob yuav pom:

• Koj cov ntshav siab yog siab.
• Thaum mloog nrog lub mloog stethoscope, koj lub siab thiab lub ntsws muaj lub suab tsis meej.
• Koj muaj o, tshwj xeeb tshaj yog nyob rau hauv qis ceg.
• Koj daim tawv nqaij ua qhia kev laus ua ntej.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Ua kom tiav cov ntshav suav
• CT scan ntawm lub raum
• Tso cov tshuaj pyelogram (IVP)
• Toxicology npo
• Mob Lub Hlaus
• Lub raum ultrasound

Lub hom phiaj tseem ceeb ntawm kev kho mob yog txhawm rau tiv thaiv lub raum ntxiv thiab ua kom lub raum tsis ua haujlwm. Koj tus kws khomob yuav qhia koj kom tsis txhob noj tag nrho cov tshuaj tua kab mob, tshwj xeeb tshaj yog cov tshuaj OTC.

Txhawm rau kho lub raum tsis ua hauj lwm, koj tus kws kho mob yuav qhia kom hloov mus rau qhov ua kom muaj pluas noj thiab lub cev txwv. Thaum kawg, yuav raug lim ntshav los yog lub raum pauv.

Cov kev txhawb tswv yim yuav pab koj txhim kho lwm txoj hauv kev tswj tus mob mob.

Kev puas tsuaj rau lub raum tej zaum yuav tshwm sim mob thiab ib ntus, lossis mob ntev thiab ntev.

Cov teeb meem uas yuav tshwm sim los ntawm kev mob hlwb analgesic muaj xws li:

• Mob raum tsis ua hauj lwm
• Mob raum tsis ua hauj lwm
• Lub raum tsis zoo nyob rau qhov chaw uas nyob nruab nrab ntawm lub raum tubules ua rau mob tuaj (mob interstitial nephritis)
• Cov nqaij mos ua kom tuag nyob hauv thaj chaw uas qhib cov quav mus rau hauv lub raum thiab qhov twg tso zis rau ntawm cov hlab zis (lub raum papillary necrosis)
• Cov mob txeeb zig muaj txuas ntxiv lossis pheej rov qab los
• Ntshav siab
• Mob raum lossis tso zis

Hu rau koj tus kws kho mob yog tias koj muaj tej yam hauv qab no:

• Cov tsos mob ntawm tus mob analgesic nephropathy, tshwj xeeb yog tias koj tau siv cov tshuaj loog mob ntev
• Ntshav lossis cov khoom tawv nyob hauv koj cov zis
• Cov koj cov zis puas tsawg dua

Ua raws li koj tus kws kho mob cov lus qhia thaum siv tshuaj, suav nrog tshuaj OTC. Tsis txhob noj ntau tshaj li cov koob tshuaj uas tsis tau nug koj tus kws kho mob.

Phenacetin nephritis; Tus mob leeg ntshav - tshuaj loog

• Raum anatomy

Aronson JK. Paracetamol (acetaminophen) thiab kev sib txuam. Hauv: Aronson JK, eds. Meyler Qhov tshwm sim los ntawm Cov TshuajCov. 16th ed. Waltham, MA: Elsevier; 2016: 474-493.

Parazella MA, Rosner MH. Tubulointerstitial kab mob. Hauv: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner thiab Rector's RaumCov. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 35.

Segal MS, Yu X. Tshuaj ntsuab thiab tshuaj ntau dhau thiab lub raum. Hauv: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Cov Chaw Kho Mob Tshaj LojCov. 6 tus ed. Philadelphia, PA: Elsevier; 2019: chap 76.