Tus Sau: Frank Hunt
Hnub Kev Tsim: 13 Taug Kev 2021
Hloov Hnub: 12 Lub Kaum Ib Hli Ntuj 2024
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Cov tsos mob ntawm Hlawv Tubular Acidosis thiab kev kho yog ua li cas - Noj Qab Haus Huv
Cov tsos mob ntawm Hlawv Tubular Acidosis thiab kev kho yog ua li cas - Noj Qab Haus Huv

Zoo Siab

Renal Tubular Acidosis, lossis RTA, yog kev hloov pauv uas cuam tshuam nrog cov txheej txheem ntawm raum tubular reabsorption ntawm bicarbonate lossis kev tso tawm hydrogen hauv cov zis, uas ua rau muaj pH ntau ntxiv hauv lub cev hu ua acidosis, uas tuaj yeem ua rau kev loj hlob qeeb hauv menyuam yaus , nyuaj rau nce phaus, cov leeg tsis muaj zog thiab tsis thim rov qab, piv txwv.

Nws yog ib qho tseem ceeb tias RTA tau txheeb xyuas thiab kho tau sai dhau los ntawm kev noj bicarbonate raws li kws kho mob pom zoo kom tsis txhob muaj teeb meem, xws li pob txha caj qaum thiab poob ntawm lub raum kev ua haujlwm, piv txwv.

Yuav ua li cas qhia kom paub cov neeg lub plawv mob Acidosis

Tubular Renal Acidosis feem ntau yog asymptomatic, txawm li cas los xij tus kab mob loj zuj zus qee qhov tsos mob tuaj yeem tshwm sim, tshwj xeeb tshaj yog yog tias tsis muaj qhov loj hlob ntawm qhov kev tso tawm ntawm lub cev. Nws yog qhov muaj peev xwm xav tias tsam tus kabmob ART nyob rau hauv tus menyuam thaum tsis tuaj yeem pom kev loj hlob lossis nce phaus, thiab nws yog qhov tseem ceeb uas yuav coj tus menyuam mus rau tus kws khomob rau qhov kev kuaj mob thiab pib kho.


Cov cim tseem ceeb ntawm Cov Khaub Thuas Tubular Acidosis yog:

  • Kev loj hlob qeeb;
  • Nyuaj rau menyuam yaus ua kom hnyav;
  • Xeev siab thiab ntuav;
  • Pom ntawm lub raum pob zeb;
  • Hloov kho lub plab, muaj peev xwm ua tau cem quav lossis zawv plab;
  • Mob leeg tsis muaj zog;
  • Txo tsis kam hloov;
  • Ncua kev kawm lus.

Cov menyuam yaus kuaj mob ART yuav muaj lub neej zoo tag mus li yog lawv ua qhov kev kho mob kom tsis raug teeb meem. Txawm li cas los xij, nws muaj peev xwm ua rau lawv kis tau tus kab mob yooj yim dua vim yog qhov ua rau lub cev tsis muaj zog ntau dua.

Muaj qee kis, cov tsos mob ntawm Renal Tubular Acidosis tuaj yeem ploj ntawm 7 mus rau 10 xyoo vim lub caij nplooj zeeg ntawm lub raum, tsis tas kho tshuaj, tsuas yog kev tshuaj xyuas kom ntsuas seb lub raum puas ua haujlwm, qhov tseeb yog.

Kev ua kom muaj mob thiab kuaj pom tus mob ART

Tubular Renal Acidosis tuaj yeem tshwm sim vim kev hloov caj ces thiab keeb kwm kev hloov pauv, uas tus neeg tau yug los nrog kev hloov pauv ntawm cov txheej txheem thauj tub menyuam rov qab, raug cais raws li thawj, lossis vim muaj cov tshuaj tsis zoo, hloov lub cev ntawm lub raum thaum yug los lossis vim yog lwm yam. cov kab mob, xws li mob ntshav qab zib, kab mob cell mob lossis mob lupus, piv txwv, nyob rau hauv lub raum hloov tau tshwm sim lub sijhawm.


Kev kuaj mob ntawm tus mob ART yog tsim raws li cov tsos mob uas tau qhia los ntawm tus neeg thiab kuaj ntshav thiab tso zis. Hauv kev kuaj ntshav, qhov concentration ntawm bicarbonate, chloride, sodium thiab potassium yog qhov kev ntsuas, thaum nyob hauv cov zis cov concentration ntawm bicarbonate thiab hydrogen yog pom feem ntau.

Ntxiv rau, ultrasound ntawm lub raum tej zaum yuav qhia tau los kuaj seb puas muaj lub raum lub raum, lossis X-ray ntawm txhais tes lossis taw, piv txwv li, tus kws kho mob tuaj yeem kuaj xyuas cov pob txha pauv uas tuaj yeem cuam tshuam kev loj hlob ntawm tus menyuam.

Yuav kho tus mob li cas

Kev kho ntawm Renal Tubular Acidosis yog ua tiav raws li cov lus qhia ntawm tus kws kho mob hlwb lossis kws kho mob, hauv cov menyuam yaus, thiab koom nrog kev noj bicarbonate txhua hnub hauv kev sim txo qis acidosis hauv ob lub cev thiab zis, txhim kho lub cev ua haujlwm.

Txawm hais tias kev kho mob yooj yim, nws tuaj yeem mob hnyav rau lub plab, uas tuaj yeem ua rau mob plab zom mov, piv txwv li, tsim kev tsis xis nyob rau tus neeg.


Nws yog ib qho tseem ceeb tias kev kho mob yog ua raws li kws kho mob pom zoo kom tsis txhob tshwm sim ntawm cov teeb meem cuam tshuam nrog cov kua qaub ntau dhau hauv lub cev, xws li kev mob pob txha, qhov tshwm sim ntawm calcifications hauv lub raum thiab lub raum tsis ua haujlwm, piv txwv.

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