Mob caj pas Glomerulonephritis (Qhov Ci Muaj Kab Mob)

Zoo Siab

• Dab tsi yog qhov ua rau GN?
• Mob GN
• Mob GN
• Cov tsos mob ntawm GN yog dab tsi?
• Mob GN
• Mob GN
• Raum tsis ua haujlwm
• Yuav kuaj li cas thiaj paub GN?
• Muaj kev kho mob dab tsi rau GN?
• Cov teeb meem cuam tshuam nrog GN yog dab tsi?
• Dab tsi yog qhov ntev ntawm kev saib xyuas?

Glomerulonephritis yog dab tsi?

Glomerulonephritis (GN) yog tus mob glomeruli, uas yog cov qauv hauv koj ob lub raum uas ua los ntawm cov hlab ntshav me. Cov pob ntawm cov hlab no pab lim koj cov ntshav thiab tshem tawm cov kua dej ntau dhau. Yog tias koj cov glomeruli raug mob, koj lub raum yuav ua haujlwm tsis zoo, thiab koj tuaj yeem mus rau lub raum tsis ua haujlwm.

Qee zaum hu ua nephritis, GN yog ib qho mob hnyav heev uas tuaj yeem tsim kev tuag taus thiab xav tau kev kho mob sai sai. GN tuaj yeem yog ob qho tib si mob hnyav, lossis sai sai, thiab mob ntev, lossis ntev. Tus mob no tau siv lub npe hu ua Bright's disease.

Nyeem rau kom paub tias dab tsi ua rau GN, nws kuaj li cas, thiab cov kev kho yog dab tsi.

Dab tsi yog qhov ua rau GN?

Cov teeb meem ntawm GN nyob ntawm seb nws puas tseem mob los yog mob ntev.

Mob GN

Mob GN tuaj yeem yog lo lus teb rau kev kis mob xws li mob caj pas tawm lossis mob hniav. Nws yuav yog vim muaj teeb meem nrog koj muaj zog tiv thaiv kab mob dhau ntawm kev kis tus kab mob. Qhov no tuaj yeem ploj mus yam tsis muaj kev kho mob. Yog tias nws tsis ploj mus, kev kho mob sai sai yog tsim nyog los tiv thaiv kev puas tsuaj mus ntev rau koj lub raum.

Muaj qee yam mob uas paub ua rau mob hnyav GN, nrog rau:

• mob caj pas
• systemic lupus erythematosus, uas tseem hu ua lupus
• Mob Goodpasture syndrome, yog ib yam kab mob autoimmune tsawg uas cov tshuaj tiv thaiv tua koj ob lub raum thiab lub ntsws
• amyloidosis, uas tshwm sim thaum cov protein tsis txaus uas tuaj yeem tsim kev puas tsuaj hauv koj cov plab hnyuv siab raum thiab cov ntaub so ntswg
• granulomatosis nrog polyangiitis (yav tas los hu ua Wegener's granulomatosis), yog ib tus kabmob uas tsis tshua muaj mob uas ua rau mob rau cov hlab ntshav.
• polyarteritis nodosa, ib yam kab mob hauv cov hlwb tua cov hlab ntsha

Kev siv tshuaj tiv thaiv mob hnyav uas tsis siv tshuaj, xws li ibuprofen (Advil) thiab naproxen (Aleve), kuj tseem yuav muaj kev phom sij. Koj yuav tsum tsis txhob ntau tshaj qhov ntau npaum li cas thiab ntev npaum li cas ntawm kev kho mob uas tau teev tseg rau hauv lub raj mis yam tsis tau nrhiav tswv yim los ntawm koj thawj tus kws saib xyuas mob.

Mob GN

Daim ntawv uas muaj mob ntev ntev ntawm GN tuaj yeem tsim nyob rau ntau xyoo uas tsis muaj lossis ob peb yam kev mob tshwm sim. Qhov no tuaj yeem ua kev puas tsuaj rau koj ob lub raum thiab qhov kawg ua rau lub raum tsis ua haujlwm.

Chronic GN tsis muaj ib qho ua rau pom tseeb. Cov kab mob caj hlav qee zaum tuaj yeem ua rau mob GN. Cov mob muaj keeb nephritis tshwm sim rau cov txiv neej hluas uas tsis pom kev zoo thiab hnov ​​lus tsis zoo. Lwm qhov ua tau muaj xws li:

• qee yam kab mob tiv thaiv kab mob
• keeb kwm mob qog
• raug rau qee cov kuab tshuaj hydrocarbon

Ib yam li ntawd, muaj cov mob yooj yim rau GN tej zaum yuav ua rau koj muaj kev pheej hmoo mob caj dab ntev hauv GN.

Cov tsos mob ntawm GN yog dab tsi?

Cov tsos mob tej zaum koj yuav muaj nyob ntawm seb daim ntawv GN twg koj muaj thiab qhov hnyav npaum li cas.

Mob GN

Cov tsos mob thaum ntxov ntawm tus mob GN muaj xws li:

• puffiness nyob rau hauv koj lub ntsej muag
• tso zis tsawg zaus
• cov ntshav hauv koj cov zis, uas hloov koj cov zis yog xim daj
• ntxiv kua dej hauv koj lub ntsws, ua rau hnoos
• ntshav siab

Mob GN

Daim ntawv ua qauv ntev ntawm GN tuaj yeem nkag mus uas tsis muaj cov tsos mob tshwm sim. Tej zaum yuav muaj kev loj hlob qeeb ntawm cov tsos mob zoo xws li cov mob huam. Qee cov tsos mob muaj xws li:

• ntshav lossis cov protein ntau nyob hauv koj cov zis, uas yuav yog microscopic thiab tshwm sim hauv kev kuaj zis
• ntshav siab
• o hauv koj pob taws thiab ntsej muag
• nquag nruab hnub hmo tso zis
• bubbly lossis foamy zis, los ntawm cov protein ntau dhau
• mob plab
• nquag los ntswg

Raum tsis ua haujlwm

Koj cov GN tej zaum yuav yog ib qho dhau los uas koj muaj lub raum tsis ua haujlwm lawm. Qee cov tsos mob ntawm qhov no suav nrog:

• nkees
• tsis qab los noj mov
• xeev siab thiab ntuav
• insomnia
• qhuav, khaus tawv nqaij
• hmo mob mob ntswj

Yuav kuaj li cas thiaj paub GN?

Thawj kauj ruam hauv kev paub mob yog kev kuaj mob urinalysis. Cov ntshav thiab cov protein nyob hauv cov zis yog qhov cim tseem ceeb rau tus kab mob. Kev niaj zaus kuaj xyuas lub cev rau lwm yam mob kuj tseem tuaj yeem ua rau kev tshawb pom ntawm GN.

Yuav tau kuaj ntshav ntxiv yog ntsuas seb puas muaj cov cim tseem ceeb ntawm lub raum mob, nrog rau:

• kev tshem tawm tus kheej
• tag nrho cov protein nyob hauv cov zis
• zis mob
• tso zis lub ntiajteb txawj nqus
• zis mob ntshav liab
• zis osmolality

Kev kuaj ntshav yuav qhia pom:

• anemia, uas yog theem qis ntawm cov ntshav liab
• qib peev xwm albumin
• ua tsis tau ntshav urea nitrogen
• siab kawg creatinine theem

Koj tus kws kho mob yuav xaj kuaj kev txhaj tshuaj los tshawb xyuas:

• antiglomerular qab daus membrane tiv thaiv
• antineutrophil cytoplasmic cov tshuaj tiv thaiv
• Cov tshuaj tiv thaiv kev tawm tsam
• ua tiav qib

Qhov tshwm sim ntawm kev sim no tuaj yeem ua rau pom koj lub cev tiv thaiv kab mob rau koj lub raum.

Yuav tso ib qho nqaij ntawm koj ob lub raum mus rau txoj kev kuaj mob. Qhov no cuam tshuam nrog kev soj ntsuam ib qho piv txwv me me ntawm lub raum lub cev raug coj los ntawm rab koob.

Yog xav paub ntxiv txog koj tus mob, koj kuj tuaj yeem ua cov kev sim ntsuas xws li cov hauv qab no:

• Iav scan
• raum ultrasound
• hauv siab Xoo hluav taws xob
• tso pob ntseg pyelogram

Muaj kev kho mob dab tsi rau GN?

Cov kev xaiv kho nyob ntawm hom GN uas koj tau ntsib thiab nws cov txiaj ntsig.

Ib txoj kev kho mob yog los tswj ntshav siab, tshwj xeeb yog qhov ntawd yog qhov pib ntawm GN. Ntshav siab yuav nyuaj rau koj tswj tau thaum koj ob lub raum tsis ua haujlwm zoo. Yog tias qhov no, koj tus kws kho mob tuaj yeem sau tshuaj noj ntshav siab, suav nrog angiotensin-hloov enzyme inhibitors, lossis ACE inhibitors, xws li:

• captopril
• lisinopril (Zestril)
• perindopril (Aceon)

Koj tus kws kho mob kuj tseem yuav sau cov tshuaj tiv thaiv angiotensin receptor blockers, lossis ARBs, xws li:

• losartan (Cozaar)
• Irbesartan (Avapro)
• valsartan (Diovan)

Corticosteroids kuj tseem siv tau yog tias koj muaj zog tiv thaiv koj lub raum tawm tsam. Lawv txo cov kev tiv thaiv kab mob.

Lwm txoj hauv kev los txo qhov mob tiv thaiv-mob tshwm sim yog plasmapheresis. Tus txheej txheem no tshem tawm cov kua dej ntawm koj cov ntshav, hu ua ntshav, thiab hloov nws nrog kua dej los yog ntshav pub uas tsis muaj cov tshuaj tiv thaiv.

Txog kev mob GN, koj yuav tsum txo cov protein, ntsev, thiab cov poov tshuaj ntau hauv koj cov zaub mov noj. Ib qho ntxiv, koj yuav tsum saib koj haus dej ntau npaum li cas. Kev noj tshuaj calcium ntau tuaj yeem pom zoo, thiab koj yuav tsum tau noj tshuaj diuretics los txo qhov o. Nug koj tus kws kho mob feem ntau lossis lub raum kom paub cov lus qhia txog kev txwv kev noj haus lossis tshuaj noj kom zoo. Lawv tuaj yeem tsim kho koj nrog kws kho mob kev noj haus kom qhia koj txog koj cov kev xaiv.

Yog tias koj tus mob hloov siab thiab koj ua raum tsis ua haujlwm lawm, koj yuav tsum muaj lim ntshav. Hauv cov txheej txheem no, lub tshuab lim koj cov ntshav. Nws thiaj li, koj yuav xav hloov lub raum.

Cov teeb meem cuam tshuam nrog GN yog dab tsi?

GN tuaj yeem ua rau tus mob nephrotic syndrome, uas ua rau koj poob protein ntau hauv koj cov zis. Qhov no ua rau kom muaj kua thiab ntsev khaws cia ntau hauv koj lub cev. Koj tuaj yeem tsim cov ntshav siab, ntshav siab, thiab o thoob plaws koj lub cev. Corticosteroids kho cov mob no. Nws thiaj li, cov kab mob nephrotic yuav ua rau mob raum ntu kawg yog tias nws tsis tuaj yeem tswj tau.

Cov xwm txheej hauv qab no tseem tuaj yeem tshwm sim vim GN:

• mob raum tsis ua hauj lwm
• mob raum
• electrolyte tsis txaus, xws li muaj ntau cov dej qab ntsev lossis potassium
• muaj mob txeeb zig
• congestive heart tsis ua haujlwm vim tswj cov kua dej lossis kua dej dhau los
• pulmonary edema vim tias yuav ceev cov kua lossis kua dej dhau
• ntshav siab
• malignant kub siab, uas yog ua rau nce ntshav siab
• nce kev pheej hmoo ntawm kev kis mob

Dab tsi yog qhov ntev ntawm kev saib xyuas?

Yog tias ntes tau thaum ntxov, mob GN tuaj yeem yog ib ntus thiab thim rov qab. Chronic GN tej zaum yuav maj mam nrog kho thaum ntxov. Yog tias koj qhov GN mob zuj zus, nws yuav ua rau lub raum tsis ua haujlwm, raum tsis ua haujlwm, thiab mob raum ntu kawg.

Kev puas raum, raum tsis ua hauj lwm, thiab mob raum ntu kawg yuav muaj kev lim ntshav thiab raum hloov raum.

Cov hauv qab no yog cov kauj ruam zoo kom rov zoo los ntawm GN thiab tiv thaiv cov ntu tom ntej:

• Tswj qhov hnyav.
• Txwv tsis pub ntsev rau hauv koj cov kev noj haus.
• Txwv tsis pub muaj protein ntau rau hauv koj cov khoom noj.
• Txwv tsis pub poov tshuaj ntau ntxiv hauv koj cov zaub mov noj.
• Txiav Luam Yeeb.

Ib qho ntxiv, kev sib ntsib nrog pawg txhawb nqa tuaj yeem yog txoj hauv kev zoo rau koj los daws txoj kev ntxhov siab ntawm kev mob raum.