Hlaus papillary necrosis

Cov hlaus papillary necrosis yog qhov tsis zoo ntawm lub raum uas txhua yam lossis ib feem ntawm lub raum tau tuag. Lub raum papillae yog thaj chaw uas qhib cov kua roj mus rau hauv lub raum thiab qhov twg tso zis rau ntawm qhov zis.

Cov hlaus papillary necrosis feem ntau tshwm sim nrog analgesic nephropathy. Qhov no yog kev puas tsuaj rau ib lossis ob lub raum los ntawm overexposure rau cov tshuaj mob. Tab sis, lwm yam mob kuj tseem tuaj yeem ua rau cov hlaus papillary necrosis, suav nrog:

• Ntshav qab zib nephropathy
• Kab mob raum (pyelonephritis)
• Kev tso tseg lub raum
• Sickle cell anemia, uas ib qho muaj feem los ua hlaus papillary necrosis rau menyuam yaus
• Mob lub raj ntshav txhaws

Cov tsos mob ntawm lub raum papillary necrosis yuav suav nrog:

• Mob nraub qaum los yog flank mob
• Ntshav, pos huab, lossis tso zis tsaus nti
• Cov ntaub so ntswg hauv cov zis

Lwm tus tsos mob uas yuav tshwm sim nrog tus kab mob no:

• Ua npaws thiab ua daus no
• Kev mob tso zis heev
• Xav tso zis ntau dua li niaj zaus (tso zis heev) lossis cia li tso zis sai heev (tso zis ceev)
• Nyuaj pib los tswj kev tso zis cov zis (tso zis tsis txaus ntseeg)
• Kev tso zis tsis tso zis
• Tso zis ntau ntau
• Zis feem ntau thaum hmo ntuj

Thaj tsam li lub raum cuam tshuam (hauv nruab nrog) yuav muaj kev sib tw thaum kuaj mob. Tej zaum muaj keeb kwm ua mob txeeb zig. Nws yuav muaj cov cim ntawm qhov tso zis tsis zoo los yog lub raum tsis ua haujlwm.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Tso zis kuaj
• Kuaj ntshav
• Ua xaim hluav taws xob, CT, lossis lwm yam kev ntsuas ntawm lub raum

Nws tsis muaj ib txog kev kho rau lub raum papillary necrosis. Kev kho yog nyob ntawm qhov laj thawj. Piv txwv, yog tias qhov mob hlwb ua kom tsis haum yog qhov ua rau, koj tus kws kho mob yuav qhia koj kom tsis txhob siv cov tshuaj uas ua rau nws. Qhov no yuav ua rau lub raum zoo sijhawm ntev mus.

Tus neeg mob zoo li cas, nyob ntawm dab tsi ua rau tus mob. Yog tias qhov tsim nyog tuaj yeem tswj tau, qhov mob yuav ploj mus ntawm nws tus kheej. Qee zaum, cov neeg muaj tus mob no lub raum tsis ua haujlwm lawm thiab yuav tau lim ntshav lossis hloov raum.

Cov teeb meem kev noj qab haus huv uas tuaj yeem yog los ntawm lub raum papillary necrosis suav nrog:

• Mob raum
• Raum pob zeb
• Mob raum, tshwj xeeb tshaj yog nyob rau cov neeg uas noj tshuaj mob ntau heev

Hu teem sijhawm nrog koj tus kws khomob yog:

• Koj muaj ntshav zis
• Koj tsim muaj lwm cov tsos mob ntawm lub raum papillary necrosis, tshwj xeeb tshaj yog tom qab noj cov tshuaj mob tom khw

Kev tswj ntshav qab zib lossis ntshav muaj ntshav ua kom ntshav khov tuaj yeem txo koj txoj kev pheej hmoo. Txhawm rau tiv thaiv lub raum papillary necrosis los ntawm analgesic nephropathy, ua raws li koj tus kws kho mob cov lus qhia thaum siv tshuaj, nrog rau cov tshuaj yuav tom khw los rau. Tsis txhob noj ntau tshaj li cov koob tshuaj uas tsis tau nug koj tus kws kho mob.

Necrosis - lub raum papillae; Cov hlwv medullary necrosis

• Raum anatomy
• Raum - ntshav thiab zis txaus

Chen W, Monk RD, Bushinsky DA. Nephrolithiasis thiab nephrocalcinosis. Hauv: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Cov Chaw Kho Mob Tshaj LojCov. 6 tus ed. Philadelphia, PA: Elsevier; 2019: chap 57.

Landry DW, Bazari H. Tshaj tawm rau tus neeg mob lub raum. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 106.

Schaeffer AJ, Matulewicz RS, Klumpp DJ. Muaj mob ntawm cov mob txeeb zig. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 12.