Tus Sau: Gregory Harris
Hnub Kev Tsim: 7 Lub Plaub Hlis Ntuj 2021
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Poststreptococcal glomerulonephritis - causes, symptoms, treatment & pathology
Daim Duab: Poststreptococcal glomerulonephritis - causes, symptoms, treatment & pathology

Poststreptococcal glomerulonephritis (GN) yog lub raum tsis zoo uas tshwm sim tom qab kis mob nrog qee cov kab mob ntawm tus kab mob streptococcus.

Poststreptococcal GN yog ib hom mob ntawm glomerulonephritis. Nws mob los ntawm tus kabmob sib kis nrog hom kabmob streptococcus. Tus kab mob tsis tshwm sim hauv lub raum, tab sis nyob rau hauv qhov sib txawv ntawm lub cev, xws li tawv nqaij lossis caj pas. Qhov teeb meem no yuav pib li ntawm 1 mus rau 2 lub lim tiam tom qab tsis kho tus mob caj pas, lossis 3 mus rau 4 lub lis piam tom qab kis tau mob ntawm daim tawv.

Tej zaum nws yuav tshwm sim rau cov neeg ntawm txhua lub hnub nyoog, tab sis nws feem ntau tshwm sim rau cov menyuam yaus hnub nyoog 6 txog 10 xyoo. Txawm hais tias kis mob rau daim tawv nqaij thiab caj pas yog cov menyuam yaus, poststreptococcal GN Cov tshuaj Poststreptococcal GN ua rau cov ntshav me me hauv cov khoom siv ua haujlwm ntawm lub raum (glomeruli) ua rau mob rau cov leeg ntshav. Qhov no ua rau ob lub raum tsis muaj peev xwm lim cov zis.

Qhov xwm txheej tsis yog niaj hnub no vim tias kev kis kab mob tuaj yeem ua rau cuam tshuam yog kho nrog tshuaj tua kab mob.


Yam txaus ntshai muaj xws li:

  • Strep caj pas
  • Kab mob Streptococcal tawv nqaij (xws li mob qog ntshav)

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

  • Kev tso zis tsawg ntxiv
  • Xeb-xim zis
  • O o (o), o o, txhaws ntawm lub plab, o ntawm lub ntsej muag lossis lub qhov muag, o ntawm taw, pob taws, tes
  • Pom ntshav hauv cov zis
  • Mob tej pob txha
  • Ob leeg txhav txhav los yog o

Kev kuaj lub cev yuav qhia tias o (tshwj xeeb), tshwj xeeb yog ntsej muag. Lub suab tsis zoo tuaj yeem hnov ​​thaum mloog lub plawv thiab lub ntsws nrog lub stethoscope. Ntshav siab feem ntau.

Lwm yam kev xeem uas yuav muaj xws li:

  • Anti-DNase B
  • Ntshiab ASO (thiab streptolysin O)
  • Ntshav dej sib txuam ntau ntau
  • Mob Lub Hlaus
  • Siv raum (feem ntau tsis xav tau)

Tsis muaj kev kho tshwj xeeb rau yam kev mob no. Txoj kev kho yog tsom ntsoov rau cov mob tshwm sim.

  • Cov tshuaj tua kab mob, xws li penicillin, yuav raug siv los rhuav tshem cov kab mob streptococcal uas tseem nyob hauv lub cev.
  • Cov tshuaj ntshav siab thiab cov tshuaj diuretic tuaj yeem xav tswj kev o thiab ntshav siab.
  • Corticosteroids thiab lwm yam tshuaj tiv thaiv kev lag luam feem ntau tsis muaj txiaj ntsig.

Koj yuav tsum tau txwv ntsev rau hauv koj cov zaub mov kom tswj kev o thiab ntshav siab.


Poststreptococcal GN feem ntau ploj mus ntawm nws tus kheej tom qab ob peb lub lis piam mus rau lub hlis.

Ntawm cov neeg laus tsawg, nws yuav mob heev ntxiv thiab ua rau lub raum ntev (mob) lub raum tsis ua haujlwm. Qee zaum, nws tuaj yeem hloov kho mus txog thaum mob raum, uas yuav tsum tau lim ntshav thiab ua tiav lub raum.

Cov teeb meem kev noj qab haus huv uas tuaj yeem yog los ntawm tus mob no suav nrog:

  • Mob raum tsis ua haujlwm (poob sai ntawm lub raum muaj peev xwm tshem tawm cov khoom pov tseg thiab pab tswj kev muaj dej thiab roj hauv lub cev)
  • Tus mob glomerulonephritis mus ntev
  • Mob raum
  • Lub plawv tsis ua hauj lwm lossis hlab ntsws ntsws (ua kua hauv lub ntsws)
  • Mob raum ntu kawg
  • Hyperkalemia (ntshav tsis tseg ntshav qib siab ntau hauv cov ntshav)
  • Ntshav siab (tawg)
  • Cov ntshav muaj ntshav siab (cov tsos mob uas muaj protein nyob hauv cov zis, cov ntshav muaj protein tsawg hauv cov ntshav, cov ntshav siab ntau, qib triglyceride, thiab o)

Hu koj tus kws kho mob yog hais tias:

  • Koj muaj tsos mob ntawm poststreptococcal GN
  • Koj muaj poststreptococcal GN, thiab koj tau tso zis tsawg dua lossis lwm cov tsos mob tshiab

Kho cov kab mob streptococcal uas paub lawm yuav pab tiv thaiv poststreptococcal GN. Tsis tas li, kev coj ua huv si xws li kev ntxuav tes feem ntau tiv thaiv kev kis tus kab mob.


Glomerulonephritis - poststreptococcal; Kev kis tus kab mob glomerulonephritis Postinfectious

  • Raum anatomy
  • Glomerulus thiab nephron

Paj Ntsaim FX. Raug rho tawm cov kab mob glomerular uas cuam tshuam nrog kev tas nrho cov kab mob hematuria. 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: cha 537.

Saha MK, Pendergraft WF, Jennette JC, Falk RJ. Thawj tus kab mob glomerular. 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 31.

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