Lupus Nephritis

Zoo Siab

• Cov tsos mob ntawm tus mob lupus nephritis zoo li cas?
• Kev kuaj mob lupus nephritis
• Kuaj ntshav
• Kev khaws zis 24 xuab moos
• Tso zis kuaj
• Iothalamate kev kuaj xyuas kom pom meej
• Raum raum
• Cov theem ntawm lupus nephritis
• Cov kev kho mob rau lupus nephritis
• Lwm yam mob ntawm lupus nephritis
• Lub zeem muag ncua ntev rau cov neeg muaj mob lupus nephritis

Lupus nephritis yog dab tsi?

Systemic lupus erythematosus (SLE) feem ntau hu ua lupus. Nws yog qhov xwm txheej uas koj lub cev tiv thaiv kab mob pib tawm tsam ntau qhov chaw ntawm koj lub cev.

Lupus nephritis yog ib qho teeb meem hnyav tshaj plaws ntawm lupus. Nws tshwm sim thaum SLE ua rau koj lub cev tiv thaiv kab mob mus tawm tsam koj ob lub raum - tshwj xeeb, seem ntawm koj lub raum uas lim koj cov ntshav rau cov khoom pov tseg.

Cov tsos mob ntawm tus mob lupus nephritis zoo li cas?

Lupus nephritis cov tsos mob zoo ib yam li lwm cov kab mob raum. Lawv suav nrog:

• tsaus zis
• ntshav hauv koj cov zis
• ua npuas ncauj zis
• muaj zis ntau zaus, tshwj xeeb tshaj yog thaum tsaus ntuj
• puffiness hauv taw, pob taws, thiab ob txhais ceg uas tsis zoo thaum lub sijhawm ua haujlwm nruab hnub
• nce phaus
• ntshav siab

Kev kuaj mob lupus nephritis

Ib qho ntawm thawj cov cim qhia ntawm lupus nephritis yog cov ntshav hauv koj cov zis lossis cov zis tso quav heev.Ntshav siab thiab o hauv koj txhais taw kuj yuav qhia tias lupus nephritis. Kev ntsuam xyuas uas yuav pab koj tus kws kho mob ua kev kuaj mob suav nrog cov hauv qab no:

Kuaj ntshav

Koj tus kws kho mob yuav saib rau qib siab ntawm cov khoom pov tseg, xws li creatinine thiab urea. Nquag, lub raum lim tawm cov khoom no.

Kev khaws zis 24 xuab moos

Qhov ntsuas no ntsuas lub raum lub peev xwm los xaiv cov nkim. Nws txiav txim siab seb muaj protein ntau npaum li cas tso zis hauv 24 teev dhau los.

Tso zis kuaj

Tso zis ntsuas ntsuas raum kev ua haujlwm. Lawv teev cov theem ntawm:

• muaj protein ntau
• cov ntshav liab
• ntshav dawb

Iothalamate kev kuaj xyuas kom pom meej

Qhov kev kuaj no yuav siv cov xim sib piv rau seb koj lub raum puas lim tau zoo.

Radioactive iothalamate txhaj rau hauv koj cov ntshav. Koj tus kws kho mob yuav txheeb xyuas sai npaum li cas nws tawm hauv koj cov zis. Lawv kuj yuav sim ntsuas seb nws tseg koj cov ntshav tau sai npaum li cas Qhov no yog suav tias yog qhov kev ntsuas siab tshaj plaws ntawm lub raum ua kom ceev.

Raum raum

Biopsies yog qhov tseeb tshaj plaws thiab tseem yog txoj kev lim hiam tshaj plaws los kuaj mob raum. Koj tus kws kho mob yuav ntxig rab koob ntev ntawm koj lub plab thiab rau hauv raum. Lawv yuav ua ib qho piv txwv ntawm lub raum coj los soj ntsuam rau cov cim puas tsuaj.

Cov theem ntawm lupus nephritis

Tom qab kuaj pom, koj tus kws kho mob yuav txiav txim siab qhov mob hnyav ntawm koj lub raum.

Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv (LEEJ TWG) tau tsim cov kab ke los cais tsib theem sib txawv ntawm kab mob lupus nephritis xyoo 1964. Cov qib kev faib tawm tshiab tau tsim nyob rau xyoo 2003 los ntawm International Society of Neesrology thiab Renal Pathology Society. Qhov kev faib tawm tshiab tau tshem tawm thawj chav kawm I uas tsis muaj pov thawj ntawm kab mob thiab ntxiv rau qib thib rau:

• Hoob I: Tsawg tshaj plaws mesangial lupus nephritis
• Hoob II: Mesangial proliferative lupus nephritis
• Chav Kawm III: Faj lupus nephritis (nquag thiab mob ntev, loj zuj zus thiab khaus)
• Chav Kawm IV: Diffuse lupus nephritis (nquag thiab mob ntev, loj zuj zus thiab txha caj dab, ntu thiab ntiaj teb)
• Chav Kawm V: Membranous lupus nephritis
• Chav VI: Advanced sclerosis lupus nephritis

Cov kev kho mob rau lupus nephritis

Tsis muaj ib yam tshuaj kho tau kom lupus nephritis. Lub hom phiaj ntawm txoj kev kho yog txhawm rau kho qhov teeb meem kom tsis txhob mob ntxiv lawm. Nres raum kev puas tsuaj thaum ntxov tuaj yeem tiv thaiv qhov xav tau hloov raum.

Kev kho mob tuaj yeem muab kev kho mob los ntawm kev mob zoo lupus.

Cov qauv muaj xws li:

• Txo koj kev nqus ntawm cov protein thiab ntsev kom tsawg
• noj ntshav siab tshuaj
• siv cov tshuaj steroids xws li prednisone (Rayos) kom txo qis thiab o
• noj tshuaj los txhawm rau tiv thaiv koj lub cev tiv thaiv kab mob xws li cyclophosphamide lossis mycophenolate-mofetil (CellCept)

Kev tshwj xeeb raug muab rau cov menyuam lossis cov poj niam cev xeeb tub.

Kev mob raum ntev heev yuav tau muaj kev kho ntxiv.

Lwm yam mob ntawm lupus nephritis

Qhov teeb meem loj tshaj uas cuam tshuam nrog lupus nephritis yog lub raum tsis ua haujlwm. Cov neeg muaj lub raum tsis ua hauj lwm yuav tau lim ntshav los yog lub raum pauv.

Kev lim ntshav feem ntau yog thawj qhov kev xaiv rau kev kho mob, tab sis nws yuav tsis ua haujlwm ib txwm. Feem ntau cov neeg lim ntshav feem ntau yuav tau hloov ntshav. Txawm li cas los xij, nws yuav siv sijhawm ntau lub hlis lossis xyoo ua ntej muaj kev pub khoom nruab nrog.

Lub zeem muag ncua ntev rau cov neeg muaj mob lupus nephritis

Qhov tsis pom kev rau cov neeg muaj mob lupus nephritis txawv. Feem ntau cov neeg pom tsuas yog sib quas ntus cov tsos mob. Tsuas yog pom tias lawv lub raum ua tau puas thaum kuaj zis.

Yog tias koj muaj cov tsos mob nephritis hnyav, koj yuav muaj kev pheej hmoo siab ua rau lub raum tsis ua haujlwm. Cov kev kho mob tuaj yeem siv los txo cov kev mob ntawm nephritis, tab sis lawv ib txwm tsis ua tiav. Tham nrog koj tus kws kho mob txog kev kho mob twg yog txoj kev yog rau koj.