Txhua Yam Koj Yuav Tsum Tau Paub Txog Tus Mob Ntshav Qab Zib

Zoo Siab

• Txheej txheem cej luam
• Cov tsos mob Nifaisrotic
• Cov mob siab ntsws ua rau mob ntsws
• Thawj qhov ua rau tus mob nephrotic syndrome
• Secondary ua rau nephrotic syndrome
• Nifaisrotic mob ntshav qab zib
• Kev kho tus kab mob siab ntsws
• Tus mob Nifaisrotic hauv cov menyuam yaus
• Tus mob Nifaisrotic rau cov neeg laus
• Kev kuaj mob tus kab mob siab ntsws
• Lwm yam mob uas muaj mob nephrotic syndrome
• Tus kab mob siab ntsws muaj teeb meem txaus ntshai
• Lub ntsws ntawm tus kab mob siab ntsws

Txheej txheem cej luam

Tus mob Nifaisrotic tshwm sim thaum kev puas tsuaj rau koj ob lub raum ua rau cov kabmob no tso cov protein ntau rau koj cov zis.

Kab mob siab ntsws tsis yog nws tus kheej. Cov kab mob ua kev puas tsuaj rau cov hlab ntsha hauv koj lub raum ua rau tus mob no.

Cov tsos mob Nifaisrotic

Cov leeg ntshav muaj yam ntxwv li hauv qab no:

• cov qib protein ntau hauv cov zis (proteinuria)
• cov roj (cholesterol) thiab triglyceride ntau hauv cov ntshav (hyperlipidemia)
• cov ntshav uas muaj protein tsawg nyob ntawm ntshav hu ua albumin hauv cov ntshav (hypoalbuminemia)
• o (o), tshwj xeeb hauv koj pob taws thiab taw, thiab ib ncig ntawm koj lub qhov muag

Ntxiv rau cov tsos mob saum toj no, cov neeg uas muaj tus mob nephrotic kuj tseem tuaj yeem:

• ua npuas ncauj zis
• hnyav ntxiv los ntawm kua buildup hauv lub cev
• nkees
• qab los noj mov poob

Cov mob siab ntsws ua rau mob ntsws

Koj lub raum muaj cov ntshav me me hu ua glomeruli. Raws li koj cov ntshav txav los ntawm cov hlab ntsha no, cov dej ntxiv thiab cov khoom pov tseg tau lim rau hauv koj cov zis. Protein thiab lwm yam tshuaj uas koj lub cev xav tau yuav nyob hauv koj cov hlab ntshav.

Tus mob Nifaisrotic tshwm sim thaum lub glomeruli raug puas ntsoog thiab ua tsis tau ntshav koj cov ntshav. Kev puas tsuaj rau cov hlab ntshav no tso cai rau cov protein rau hauv koj cov zis.

Albumin yog ib qho ntawm cov protein ploj hauv koj cov zis.Albumin pab rub tawm cov kua dej ntxiv ntawm koj lub cev mus rau hauv koj ob lub raum. Cov dej no yog muab tshem tawm hauv koj cov zis.

Tsis muaj albumin, koj lub cev tuav rau cov kua dej ntxiv. Qhov no ua rau o (tsaus muag) ntawm koj ob txhais ceg, ko taw, pob taws, thiab ntsej muag.

Thawj qhov ua rau tus mob nephrotic syndrome

Qee yam mob uas ua rau mob nephrotic tsuas cuam tshuam rau lub raum. Cov no yog hu ua qhov tseem ceeb ntawm kev puas hlwb nephrotic. Cov mob no suav nrog:

• Focal segmental glomerulosclerosis (FSGS). Qhov no yog qhov mob uas ua rau lub glomeruli dhau los ua kev txaus ntshai los ntawm kab mob, kev mob caj ces, lossis qhov tsis paub tseeb.
• Membranous nephropathyCov. Hauv cov kab mob no, cov tawv nqaij hauv lub glomeruli tuab. Vim li cas qhov tuab tuab tsis tau paub txog, tab sis nws yuav tshwm sim nrog rau mob lupus, kab mob siab B, mob npaws lossis mob cancer.
• Tsawg hloov tus kabmob. Rau tus neeg muaj tus kab mob no, lub raum lub ntsej muag zoo li lub ntsej muag me me. Tab sis vim qee yam tsis paub, nws tsis lim nws zoo.
• Hlab ntsha leeg ntshav hlab ntshaCov. Hauv kev tsis zoo no, cov ntshav txhaws hauv cov hlab ntshav tawm qhov ntshav tawm ntawm lub raum.

Secondary ua rau nephrotic syndrome

Lwm yam kab mob uas ua rau mob nephrotic cuam tshuam rau tag nrho lub cev. Cov no yog hu ua yam thib ob ua rau tus mob nephrotic syndrome. Xws li cov kab mob tuaj yeem suav nrog:

• Mob ntshav qab zibCov. Hauv cov kab mob no, kev tswj tsis tau ntshav qab zib cov ntshav tuaj yeem ua kev puas tsuaj rau cov hlab ntshav thoob koj lub cev, suav nrog hauv koj lub raum.
• LupusCov. Lupus yog ib tus kabmob autoimmune uas ua rau mob pob qij txha, ob lub raum, thiab lwm yam kabmob.
• Mob AmyloidosisCov. Tus mob tsis tshua muaj mob tshwm sim los ntawm kev tsim cov protein amyloid hauv koj cov plab hnyuv siab raum. Amyloid tuaj yeem tsa hauv koj ob lub raum, tej zaum ua rau lub raum puas.

Qee cov tshuaj, suav nrog cov tshuaj tua kab mob thiab nonsteroidal anti-inflammatory drugs (NSAIDs), kuj tau txuas nrog tus mob nephrotic syndrome.

Nifaisrotic mob ntshav qab zib

Kev noj haus yog qhov tseem ceeb rau kev tswj cov mob nephrotic syndrome. Txwv txiav cov ntsev koj noj kom tsis txhob o thiab tswj hwm koj cov ntshav siab. Koj tus kws kho mob tseem yuav hais kom koj haus dej tsawg kom txo qhov o.

Tus mob Nifaisrotic tuaj yeem ua rau koj cov roj (cholesterol) thiab triglyceride ntau ntau, yog li sim noj cov khoom noj uas muaj cov rog thiab roj cholesterol tsawg. Qhov no tseem tuaj yeem pab txo qis koj li kev pheej hmoo ntawm kev mob plawv.

Txawm hais tias tus mob no ua rau koj poob protein nyob hauv koj cov zis, kev noj zaub mov kom zoo tshaj yog qhov tsis pom zoo. Kev noj zaub mov muaj protein ntau tuaj yeem ua rau cov ntshav tsis muaj zog ntxiv. Txuas ntxiv nyeem ntawv kom paub ntau ntxiv txog cov khoom noj kom noj thiab zam thaum koj muaj nephrotic syndrome.

Kev kho tus kab mob siab ntsws

Koj tus kws kho mob tuaj yeem kho tus mob uas ua rau mob nephrotic, nrog rau cov tsos mob ntawm tus mob no. Muaj ntau hom tshuaj tuaj yeem siv los ua kom tiav qhov no:

• Cov tshuaj ntshav siab. Cov no tuaj yeem pab txo cov ntshav siab thiab txo cov protein tsis txaus hauv cov zis. Cov tshuaj no suav nrog angiotensin-hloov enzyme (ACE) inhibitors thiab angiotensin II receptor blockers (ARBs).
• Kev tshuaj ntsuabCov. Diuretics ua rau koj ob lub raum tso cov dej ntxiv, uas ua rau o tuaj. Cov tshuaj no suav nrog cov khoom zoo li furosemide (Lasix) thiab spironolactone (Aldactone).
• StatinsCov. Cov tshuaj no txo ​​cov roj (cholesterol) tsawg. Qee cov qauv ntawm cov stains suav nrog atorvastatin calcium (Lipitor) thiab lovastatin (Altoprev, Mevacor).
• Ntshav thinnersCov. Cov tshuaj no txo ​​koj cov ntshav txhaws thiab tej zaum yuav muab tshuaj yog tias koj muaj ntshav txhaws hauv koj lub raum. Piv txwv li suav cov kabmob heparin thiab warfarin (Coumadin, Jantoven).
• Kev tiv thaiv kab mob hauv lub cevCov. Cov tshuaj no pab tiv thaiv kom lub cev tiv thaiv kab mob thiab tuaj yeem pab tau rau kev kho mob ib qho mob li mob lupus. Ib qho piv txwv ntawm kev siv tshuaj tiv thaiv kab mob hauv lub cev yog corticosteroids.

Koj tus kws kho mob kuj tseem xav ua cov kauj ruam los txo koj txoj kev pheej hmoo kis mob. Txhawm rau ua qhov no, lawv yuav qhia kom koj mus txhaj tshuaj tiv thaiv mob ntsws thiab txhaj tshuaj mob npaws txhua xyoo.

Tus mob Nifaisrotic hauv cov menyuam yaus

Ob tus thawj thiab theem nrab nephrotic syndrome tuaj yeem tshwm sim hauv cov menyuam yaus. Thawj tus nephrotic syndrome yog yam tshwm sim feem ntau ntawm cov menyuam yaus.

Qee tus menyuam yaus tuaj yeem muaj qee yam hu ua congenital nephrotic syndrome, uas tshwm sim hauv thawj 3 lub hlis ntawm lub neej. Qhov no tuaj yeem tshwm sim los ntawm cov mob caj ces los ntawm caj ces tsis xws lossis ib qho kev kis tau sai tom qab yug tau. Cov menyuam yaus uas muaj tus mob no yuav xav hloov lub raum.

Hauv cov menyuam yaus, tus mob nephrotic ua rau cov tsos mob no:

• kub taub hau, qaug zog, txob taus, thiab lwm yam cim ntawm kev sib kis
• tsis qab los noj mov
• cov ntshav hauv cov zis
• zawv plab
• ntshav siab

Cov menyuam yaus nrog cov menyuam yaus mob nephrotic mob sib kis ntau dua li ib txwm. Qhov no yog vim tias cov proteins uas ib txwm tiv thaiv lawv los ntawm kev kis tau ploj hauv lawv cov zis. Tej zaum lawv tseem yuav muaj cov ntshav siab hauv cov ntshav siab.

Tus mob Nifaisrotic rau cov neeg laus

Zoo li hauv cov menyuam yaus, tus mob nephrotic mob siab hauv cov neeg laus tuaj yeem ua cov hauv paus thiab lwm yam ua rau. Hauv cov laus, cov thawj coj ua rau tus mob nephrotic yog focal segmental glomerulosclerosis (FSGS).

Tus mob no cuam tshuam nrog kev ua tsis tau zoo. Qhov muaj protein ntau hauv cov zis yog qhov tseem ceeb hauv kev txiav txim siab tus mob ntawm cov neeg no. Li ntawm ib nrab ntawm cov neeg uas muaj FSGS thiab nephrotic syndrome vam meej mus txog rau mob raum mus txog qib kawg hauv 5 txog 10 xyoo.

Txawm li cas los xij, cov kab mob thib ob ua rau tus mob nephrotic kuj tseem ceeb rau cov neeg laus. Nws tau kwv yees tias ntau tshaj 50 feem pua ​​ntawm cov neeg muaj mob nephrotic syndrome rau cov neeg laus muaj mob lwm yam xws li mob ntshav qab zib lossis mob ntshav qab zib.

Kev kuaj mob tus kab mob siab ntsws

Txhawm rau txheeb xyuas nephrotic syndrome, koj tus kws kho mob yuav siv koj li keeb kwm kev kho mob tshiab. Luag yuav nug koj txog koj tus mob, yam tshuaj koj siv, thiab seb koj muaj mob dabtsi.

Koj tus kws kho mob tseem yuav kuaj lub cev. Qhov no tuaj yeem suav cov khoom xws li ntsuas koj cov ntshav siab thiab mloog koj lub plawv.

Ob peb kuaj tau siv los pab kuaj cov tsos mob nephrotic syndrome. Lawv suav nrog:

• Tso zis kuajCov. Luag yuav hais kom koj muab ib cov qauv qhia txog kev tso zis. Qhov no tuaj yeem xa mus rau qhov chaw kuaj ntshav kuaj ntsuas seb koj puas muaj protein ntau nyob hauv koj cov zis. Muaj qee kis, yuav hais kom koj mus tso zis li 24 teev.
• Kuaj ntshav. Hauv cov kev sim no, cov ntshav ntsuas yuav coj los ntawm txoj hlab ntsha hauv koj txhais caj npab. Qhov qauv no tuaj yeem txheeb xyuas los kuaj lub cim ntshav ntawm txhua lub raum kev ua haujlwm, cov ntshav ntawm albumin, thiab cov qib roj cholesterol thiab triglyceride.
• UltrasoundCov. Tus duab hluav taws xob siv cov suab sib xyaw los tsim cov duab ntawm koj ob lub raum. Koj tus kws kho mob tuaj yeem siv cov duab tsim los ntsuas qhov qauv ntawm koj ob lub raum.
• Raug meCov. Thaum kuaj me me, cov hnoos qeev me yuav raug khaws. Qhov no tuaj yeem xa mus rau qhov chaw kuaj ntshav kuaj sim ntxiv thiab tuaj yeem pab txiav txim siab txog dab tsi tuaj yeem ua rau koj tus mob.

Lwm yam mob uas muaj mob nephrotic syndrome

Kev poob ntawm cov protein los ntawm koj cov ntshav nrog rau kev puas tsuaj rau lub raum tuaj yeem ua rau ntau qhov kev nyuaj. Qee cov piv txwv ntawm cov kev pheej hmoo uas ib tug neeg uas mob nephrotic yuav muaj xws li:

• Cov ntshav txhawsCov. Proteins uas tiv thaiv kom ntshav txhaws tuaj yeem ploj los ntawm cov ntshav, nce koj qhov kev pheej hmoo ntawm cov ntshav txhaws.
• Cov roj (cholesterol) thiab triglyceridesCov. Ntau cov roj (cholesterol) thiab triglycerides tuaj yeem tso rau hauv koj cov ntshav. Qhov no tuaj yeem ua rau koj muaj kev pheej hmoo ntawm kab mob plawv.
• Ntshav siabCov. Kev mob raum tuaj yeem ua rau cov khoom pov tseg ntau hauv koj cov ntshav. Qhov no tuaj yeem nce ntshav siab.
• Khoom noj khoom haus tsis muaj zogCov. Kev poob ntawm cov protein nyob hauv cov ntshav tuaj yeem ua rau poob phaus, uas yuav ua kom ntsej muag o (edema).
• Mob Kev PlabCov. Koj tsis muaj cov ntshav liab txaus kom cov pa oxygen ua haujlwm rau cov nruab nrog cev thiab cov nqaij ntawm koj lub cev.
• Mob raumCov. Koj lub raum yuav plam lawv txoj haujlwm ua haujlwm mus ntau lub sijhawm, xav kom lim ntshav lossis hloov raum.
• Mob raum tsis ua hauj lwmCov. Kev mob raum tuaj yeem ua rau koj ob lub raum nres cov lim dej, uas yuav tsum muaj kev cuam tshuam thaum muaj xwm ceev los ntawm kev lim ntshav.
• Kab mob. Cov neeg muaj tus mob nephrotic muaj kev pheej hmoo kis mob yooj yim, xws li mob ntsws thiab mob hlwb.
• Kev ua tsis zoo li cov qog (hypothyroidism)). Koj cov thyroid tsis muaj cov thyroid hormones txaus.
• Kab mob rau cov hlab ntshavCov. Txoj kev nqaim ntawm cov hlab ntshav txwv cov ntshav kev mus rau lub plawv.

Tus kab mob siab ntsws muaj teeb meem txaus ntshai

Muaj qee yam tuaj yeem ua rau koj muaj kev pheej hmoo ntxiv ntawm kev tsim mob nephrotic syndrome. Cov no tuaj yeem suav nrog:

• Qhov mob hauv qab uas tuaj yeem ua rau lub raum puas tsuaj. Piv txwv ntawm cov mob zoo li no muaj xws li mob ntshav qab zib, mob ntshav qab zib, lossis lwm yam mob raum.
• Cov mob tshwj xeeb. Muaj qee qhov kis mob uas tuaj yeem ua rau koj tus mob nephrotic syndrome, suav nrog HIV, kab mob siab B thiab C, thiab mob npaws.
• Cov Tshuaj Kho Mob. Qee cov tshuaj tiv thaiv kab mob thiab NSAIDs tuaj yeem ua rau muaj kev pheej hmoo ntawm tus mob nephrotic syndrome.

Nco ntsoov tias tsuas yog vim tias koj muaj ib qho ntawm cov kev pheej hmoo no tsis txhais tau tias koj yuav muaj tus kab mob nephrotic syndrome. Txawm li cas los xij, nws yog qhov tseem ceeb los saib xyuas koj li kev noj qab haus huv thiab mus ntsib koj tus kws kho mob yog tias koj tau pom cov tsos mob uas muaj nrog nephrotic syndrome.

Lub ntsws ntawm tus kab mob siab ntsws

Qhov pom kev ntawm tus mob nephrotic yuav sib txawv. Nws nyob ntawm dab tsi ua rau nws tshwm sim nrog rau koj kev noj qab haus huv tag nrho.

Qee cov kabmob uas ua rau tus mob nephrotic zoo dua lawv tus kheej lossis nrog kho. Thaum kho tau tus kab mob hauv qab lawm, nephrotic syndrome yuav tsum txhim kho.

Txawm li cas los xij, lwm yam kev mob thaum kawg tuaj yeem ua rau lub raum tsis ua haujlwm, txawm tias muaj kev kho mob. Thaum qhov no tshwm sim, lim ntshav thiab tso cov raum pauv yuav tsum ua.

Yog tias koj muaj cov tsos mob uas ua haujlwm lossis koj xav tias koj yuav muaj tus mob nephrotic, teem sijhawm nrog koj tus kws kho mob tham txog koj cov kev txhawj xeeb.