Interstitial nephritis: symptoms a me ka hana o ka hakuʻala li nui

Interstitsionalny nephritis mea hoʻoʻino hakuʻala maʻi, i mākaukau kaua paha maʻano nui ka heluna o ka palapala'aʻaʻa a me ka hakuʻala tubules.

I ka maʻi ke hana ana i lapaʻau ka lapaʻauʻia (hou antibiotics, a hiki i ka kaukaualiʻi diuretics, sulfonamides) e like me ka wā kokoke ana i koʻohune, nā mea hoʻomaʻi, ma ka'ōnaehana paleʻea kāna hana. Ke pathology Ua ma muli lymphohistiocytic infiltration hana ma ka waenaʻaʻa puʻuwai'aʻaʻa ka pōʻino mai ai ma hope o ka hale ilaloʻili lahilahi o tubules. Ma keia palapala'ōnaehana paleʻea eiiieaenu a me autoantibodies eʻili lahilahi nā polokina. E like me ka hopena o cerebral edema a me ka li nui o ka hakuʻala'aʻaʻa, ahu iho nei he ÿano mīkini'opihia o na moku i ke koko a me ka omo, hoemiiaʻaʻa puʻuwai koko, māhuahua puʻe vnutrikanaltsevoy, e ho'ōla e hoʻomōhala ana i oliguria.

A hiki i kaʻike, o interstitial nephritis symptoms e like penei. Hoouka kaua o ka maʻi - he huʻi, Eʻoi mai ana wela, polyuria, a hematuria e hoʻomōhala ana i hakuʻala e hemahema, he mau eha ma ka lalo hoʻi. Ka mua na hoailona o ka laʻau helunaʻano o ka huʻi interstitial nephritis nei iluna hou ulu kino wela, a hiki ke pili me ka eosinophilia a me ka ili pele. No ka mea maʻi wehewehe aku ma ka lōpū proteinuria, hematuria, ma ka pohihihi keia hoopii, oliguria.

Huʻi interstitial nephritis mea hoʻomaʻiʻano a pinepine e wahi me ka hemorrhagic kuni, a me kaʻaʻa puʻuwai maʻi pale.

ʻike, o ka mea maʻi ua i me ka hakuʻala maʻi, huʻi glomerulonephritis. Inā ulu hakuʻala hoʻokō 'ole' e 'ia ā nā kumu.

He loa paʻakikī a me kekahi manawa, hiki ole i ka hoʻoholo 'ana i ke kumu o ka maʻi tubulointerstitial nephritis pili me ka lāʻau waiū, mea koʻohune maʻiʻaʻai,'ōnaehana paleʻea kāna hana.

Symptoms o ka maʻi interstitial nephritis komo i loko o omo kāna hana, koke ulu koʻana koko electrolyte haunaele (hyperkalemia, acidosis) hainā lehulehu puʻupaʻaʻelua. Ma pohihihi keia hoopii, e hiki hypertension a me ka proteinuria. Ma maʻamau wahi, i hiki nephrotic maʻi pale kahi e, akā, inā maʻi Holomua interstitial nephritis kokoke neolichim o glomerulonephritis. Ka noho pilikia loa ai ', e alakai ana i kekahi maʻi ano o ka maʻi i analgesics phenacetin, analgin, aspirin.

I kekahi manawa, na wahine 35-40 makahiki o ka makahiki, migraine, kaumaha, opu ulcers, malama analgesic interstitial nephritis. Ma keia typical pu ana me ka aseptic leukocyturia hoʻopaleʻaʻa puʻuwai colic Episode me ka manoanoa hoi hematuria,ʻaʻa puʻuwai nui ka ho'ēmiʻana, polyuria, anaemia.

I ka maʻi e hoʻomōhala ana i loko o ka huipūʻana me nā illnesses, i ka ike'ōnaehana paleʻea pathogenesis (ʻeleu maʻi hepatitis, lupus systemic lupus erythematosus).

Interstitial nephritis i loko o nā keiki ke ke hoʻomohala i dizembriogenezaʻaʻa puʻuwai'aʻaʻa, urinary'āpana anomalies, aʻe 'o uricʻakika a me ka kalipuna oxalate pūnao.

I ka hakakāʻana o ka maʻi i hoʻohana etiological lapaʻau o ka mea koʻohune lesions hoʻomaka e hoʻopau i ka pulakaumaka o ka maʻiʻaʻai. I ka wa a ka laʻau heluna palapala - lawe ai 'ana, i koi' ia i kaʻai waiwai me nā wikamina a me excessive inu ana. I ka wa e kaawale aku o maikaʻi hualoaʻa hoakaka ia glucocorticoids hana hemodialysis, hookaawale ia i ka hoʻohana 'ana o diuretics i loko o ka ulu ana o ka huʻiʻaʻa puʻuwai ole. Ua mea no hoi e pono ai ke pale aku i ka mahuahua pono o analgesics, a inu hou.