Cudurka nephritis-ka

Cudurka nephritis-ka ee 'Interstitial nephritis' waa cillad kelyaha ah oo meelaha u dhexeeya tuubbooyinka kelyaha ay bararaan (bararaan). Tani waxay dhibaato ku keeni kartaa sida kelyahaagu u shaqeeyaan.

Cudurka nephritis-ka ee 'Interstitial nephritis' wuxuu noqon karaa mid ku meelgaar ah (daran), ama wuxuu noqon karaa mid muddo dheer soconaya (daba dheeraanaya) oo ka sii daraya waqti ka dib.

Qaabka degdega ah ee nephritis-ka Interstitial waxaa inta badan sababa waxyeelada daawooyinka qaarkood.

Kuwa soo socdaa waxay sababi karaan nephritis-ka interstitial:

• Dareen-celinta xasaasiyadda ee daroogada (nephritis-ka xasaasiyadda xasaasiyadeed ee degdegga ah).
• Xanuunada 'Autoimmune disorders', sida cudurka xuubka xuubka hoose ee antitubular, cudurka Kawasaki, Sjögren syndrome, lupus erythematosus systemic, ama granulomatosis oo leh polyangiitis.
• Caabuqyada.
• Isticmaalka muddada-dheer ee daawooyinka sida acetaminophen (Tylenol), asbiriin, iyo daawooyinka anti-bararka ee nonsteroidal (NSAIDs). Tan waxaa lagu magacaabaa nephropathy xanuun.
• Dhibaatada ay keento antibiyootikada qaarkood sida penicillin, ampicillin, methicillin, iyo sulfonamide.
• Waxyeelada daawooyinka kale sida furosemide, diuretics thiazide, omeprazole, triamterene, iyo allopurinol.
• Dhiigga ku yaraada potassium.
• Kaalshiyam badan ama uric acid dhiiggaaga kujira.

Cudurka nephritis-ka ee 'Interstitial nephritis' wuxuu sababi karaa dhibaatooyin kelyo oo fudud ama daran, oo ay ku jiraan kelyo xanuun daran Qiyaastii kalabar kiisaska, dadku waxay yaraanayaan soosaarka kaadida iyo calaamadaha kale ee kelyaha oo shaqeynaya.

Calaamadaha xaaladan waxaa ka mid noqon kara:

• Dhiig ku jira kaadida
• Qandho
• Kaadida kaadida oo kordhay ama yaraatay
• Isbedelada xaaladda maskaxda (lulmo, wareer, miyir beelid)
• Lalabbo, matagid
• Firiiric
• Barar ku dhaca meel kasta oo jirka ka mid ah
• Miisaanka oo kordha (laga bilaabo haynta dareeraha)

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Tani waxay muujin kartaa:

• Sambabada ama dhawaaqyada wadnaha oo aan caadi ahayn
• Dhiig kar
• Dheecaanka sambabaha (edema sambabaha)

Imtixaanada guud waxaa ka mid ah:

• Gaasaska dhiiga halbowlaha
• Kiimikada dhiigga
• BUN iyo heerarka creatinine ee dhiigga
• Tirinta dhiigga oo dhammaystiran
• Qalitaanka kelyaha
• Qalabka kelyaha
• Kaadida

Daaweyntu waxay kuxirantahay sababta dhibaatada. Ka fogaanshaha daawooyinka u horseeda xaaladan waxay si dhakhso leh u yareyn kartaa astaamaha.

Xaddidida cusbada iyo dareeraha cuntada waxay hagaajin kartaa barar iyo dhiig kar. Xaddididda borotiinka ku jira cuntada ayaa gacan ka geysan karta xakamaynta soo saarista waxyaabaha wasakhda ah ee dhiigga ku jira (azotemia), taas oo u horseedi karta calaamadaha kalyaha oo daciifa.

Haddii kaadi-sifeyn ay lagama maarmaan tahay, badiyaa waxaa loo baahan yahay oo keliya muddo gaaban.

Corticosteroids ama dawooyinka kahortaga bararka sida cyclophosphamide ayaa mararka qaar caawin kara.

Badanaa, nephritis-ka is-dhexgalka waa cillad muddo gaaban ah. Marar dhif ah, waxay sababi kartaa dhaawac joogto ah, oo ay ku jiraan kelyaha oo muddo dheer (daba dheeraada).

Cudurka nephritis-ka ee daran wuxuu noqon karaa mid aad u daran oo waxay u badan tahay inuu u horseedo dhaawac kelyaha muddo dheer ama joogto ah dadka da'da ah.

Cudurka dheef-shiid kiimikaadka ee 'metabolism' ayaa dhici kara maxaa yeelay kelyaha ma awoodaan inay ka saaraan aashito ku filan Cilladaan waxay u horseedi kartaa kilyo xanuun ba'an ama daba-dheer ama cudur kelyo oo heer-dhamaadka ah.

Wac adeeg bixiyahaaga haddii aad isku aragto astaamo xanuunka nephritis-ka 'interstitial nephritis'

Haddii aad qabtid nephritis-ka is-dhexgalka, wac daryeel bixiyahaaga haddii aad isku aragto astaamo cusub, gaar ahaan haddii aad ka feejignaan yar tahay ama ay yaraato soosaarka kaadida.

Badanaa, cillada lama hor istaagi karo. Ka fogaanshaha ama yareynta isticmaalka daawooyinka sababi kara xaaladan waxay kaa caawin kartaa yareynta halistaada. Haddii loo baahdo, takhtarkaaga ayaa kuu sheegi doona daawooyinka aad joojinayso ama yareyn karto.

Neefta oo loo yaqaan 'Tubulointerstitial nephritis'; Xanuunka neerfayaasha - isdhexgalka; Xanuun daran oo dhexdhexaad ah (xasaasiyad) nephritis

• Anatomy kilyaha

Neilson EG. Cudurka neerfaha ee 'Tubulointerstitial'. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 122.

Perazella MA, Rosner MH. Cudurada Tubulointerstitial. Gudaha: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner iyo Raktarka kilyaha. 10aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 35.

Tanaka T, Nangaku M. nephritis-ka isdaba-joogga ah. Gudaha: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Neefroloji Caafimaad oo dhameystiran. 6aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 62.