Tsawg hloov tus kabmob

Tsawg hloov tus kab mob yog lub raum mob tuaj yeem uas ua rau mob nephrotic syndrome. Tus mob Nifaisrotic yog ib cov kev mob tshwm sim uas muaj protein nyob hauv cov zis, cov ntshav muaj protein tsawg nyob hauv cov ntshav, cov ntshav muaj roj cholesterol siab, triglyceride qib siab, thiab o tuaj.

Txhua lub raum ua tau ntau dua ib plhom qhov hu ua nephron, uas lim ntshav thiab tsim cov zis.

Hauv kev hloov kho tus kab mob tsawg, muaj kev puas tsuaj rau lub glomeruli. Cov no yog cov hlab ntshav me me rau sab hauv nephron uas cov ntshav tau lim kom tso zis thiab pov tseg tau muab tshem tawm. Tus kab mob tau txais nws lub npe vim tias qhov kev puas tsuaj no tsis tuaj yeem pom hauv lub tshuab tsom kab ntsig. Nws tsuas yog pom hauv qab lub tshuab tsom iav uas muaj zog heev hu ua lub tshuab hluav taws xob.

Tsawg hloov tus kab mob yog qhov nquag tshwm sim ntawm tus mob nephrotic mob rau menyuam yaus. Nws kuj tseem pom muaj rau cov neeg laus uas muaj tus mob nephrotic, tab sis tsis tshua muaj tshwm sim.

Qhov tsis paub meej, tab sis tus kab mob yuav tshwm sim tom qab lossis cuam tshuam nrog:

• Kev ua xua tsis haum
• Kev Siv Cov NSAIDs
• Lub pob hlav
• Kev txhaj tshuaj (khaub thuas thiab mob ntsws, txawm tias tsawg)
• Tus kab mob kis

Tej zaum yuav muaj cov tsos mob ntawm tus mob nephrotic, suav nrog:

• Foamy tsos ntawm cov zis
• Tsis qab los noj mov
• O o (tshwj xeeb nyob ib ncig ntawm lub qhov muag, txhais taw, thiab pob taws, thiab hauv plab)
• Qhov hnyav nce (los ntawm kev rov ua kua)

Tsawg hloov kab mob tsis txo cov zis ua tau. Nws tsis tshua muaj kev vam meej rau lub raum tsis ua haujlwm.

Tus kws kho mob yuav tsis tuaj yeem pom txog cov tsos mob ntawm tus kabmob, uas tsis yog o. Kuaj ntshav thiab zis qhia tawm cov tsos mob ntawm tus mob nephrotic, suav nrog:

• Cov roj (cholesterol) siab
• Theem ntau ntawm cov protein nyob hauv cov zis
• Cov qe ntshav qis hauv cov ntshav tsawg

Kev kuaj lub raum thiab kuaj cov ntaub so ntswg nrog lub tshuab hluav taws xob tsom tuaj yeem pom cov tsos mob hloov tsawg heev.

Cov tshuaj hu ua corticosteroids tuaj yeem kho cov mob hloov me me hauv feem ntau ntawm cov menyuam yaus. Qee tus menyuam yaus yuav tsum nyob hauv cov tshuaj steroids txhawm rau ua kom tus mob rov qab los.

Cov tshuaj steroid yog qhov zoo rau cov neeg laus, tab sis tsawg dua rau cov menyuam. Cov neeg laus yuav rov huam mob dua ib zaug thiab ua rau lawv tas zog tshuaj.

Yog tias cov tshuaj steroid tsis ua haujlwm, tus kws kho mob yuav pom zoo rau lwm cov tshuaj.

Kev o tuaj yeem kho nrog:

• ACE inhibitor tshuaj
• Tswj ntshav siab
• Diuretics (dej tshuaj)

Tej zaum koj yuav raug qhia kom txo ntsev ntau ntxiv hauv koj cov zaub mov noj.

Cov menyuam yaus feem ntau teb rau corticosteroids zoo dua li cov laus. Cov me nyuam feem ntau teb nyob hauv thawj lub hlis.

Kev rov huam mob tuaj yeem tshwm sim. Tus mob yuav zoo tuaj tom qab kev kho mob mus ntev nrog corticosteroids thiab tshuaj uas ua kom lub cev tiv thaiv tsis muaj zog (tshuaj tiv thaiv kab mob).

Hu rau koj tus kws khomob yog:

• Koj tsim cov tsos mob ntawm kev hloov pauv tsawg heev
• Koj muaj kab mob no thiab koj cov tsos mob mob heev ntxiv
• Koj muaj cov tsos mob tshiab, suav nrog kev phiv los ntawm cov tshuaj siv los kho tus mob

Tsawg tshaj plaws hloov nephrotic syndrome; Tus kab mob Nil; Lipoid nephrosis; Idiopathic nephrotic syndrome thaum yau

• Glomerulus thiab nephron

Appel GB, Radhakrishnan J, D'Agati VD. Kab mob glomerular Secondary. 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 32.

Erkan E. Nephrotic syndrome. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 545.