Poststreptococcal glomerulonephritis (GN)

Poststreptococcal glomerulonephritis (GN) waa cillad dhanka kalyaha ah oo dhacda kadib infekshan ku dhaca noocyo kamid ah bakteeriyada streptococcus.

Poststreptococcal GN waa nooc ka mid ah glomerulonephritis. Waxaa sababa infakshan wata nooc ka mid ah bakteeriyada streptococcus. Infekshanku kuma dhaco kelyaha, laakiin wuxuu ku dhacayaa qayb ka mid ah jirka, sida maqaarka ama cunaha. Cillada ayaa laga yaabaa inay soo ifbaxdo 1 ilaa 2 toddobaad kadib infakshanka cunaha ee aan la daaweyn, ama 3 ilaa 4 toddobaad kadib maqaarka infekshinka.

Waxay ku dhici kartaa dadka da 'kasta ha ahaadeene, laakiin waxay badanaa ku dhacdaa carruurta da'doodu tahay 6 illaa 10. Inkasta oo infekshannada maqaarka iyo cunaha ay ku badan yihiin carruurta, poststreptococcal GN dhif iyo naadir ayaanay ka tahay dhibaatooyinka cudurradan. Poststreptococcal GN wuxuu sababaa xididdada dhiiga ee yar yar ee kujira unugyada kala sifeynta kilyaha (glomeruli) inuu bararo. Tani waxay ka dhigeysaa kilyaha mid aan awood u laheyn inay sifeeyaan kaadiheysta.

Xaaladda maanta maahan mid caadi ah maxaa yeelay infekshannada u horseedi kara khalkhalka waxaa lagu daaweeyaa antibiyootiko.

Waxyaabaha halista keena waxaa ka mid ah:

• Dhuunta cunaha
• Infekshinka maqaarka ee loo yaqaan 'Stptoptoccal' (sida impetigo)

Calaamadaha waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Kaadida oo yaraatay
• Kaadi midab miridh ah leh
• Barar (edema), barar guud, barar caloosha, wajiga ama indhaha oo barara, cagaha oo barara, anqawyada, gacmaha
• Dhiig muuqda oo kaadida ku jira
• Xanuun wadajir ah
• Madax adayg ama barar

Baadhitaanka jirka ayaa muujinaya barar (edema), gaar ahaan wajiga. Dhawaaqyo aan caadi ahayn ayaa la maqli karaa marka lagu dhageysanayo wadnaha iyo sambabaha oo leh stethoscope. Cadaadiska dhiiggu badanaa wuu sarreeyaa.

Tijaabooyinka kale ee laga yaabo in la sameeyo waxaa ka mid ah:

• Anti-DNase B
• Serum ASO (iyo streptolysin O)
• Heerarka dhammaystirka serum
• Kaadida
• Qalitaanka kelyaha (badanaa looma baahna)

Ma jiro daaweyn gaar ah oo ku saabsan cilladan. Daaweyntu waxay diirada saareysaa yareynta astaamaha.

• Antibiyootikada, sida penicillin, waxay u badan tahay in loo isticmaali doono in lagu baabi'iyo wixii bakteeriyada ah ee ku jira jirka jirka.
• Daawooyinka cadaadiska dhiigga iyo daawooyinka lagu durayo ayaa loo baahan karaa si loo xakameeyo bararka iyo dhiig karka.
• Corticosteroids iyo dawooyinka kale ee anti-bararka guud ahaan waxtar ma leh.

Waxaa laga yaabaa inaad u baahato inaad xaddido cusbada ku jirta cuntadaada si aad u xakameyso bararka iyo dhiig karka.

Poststreptococcal GN badanaa wuu iska baxdaa asbuucyo dhawr ilaa bilo kadib.

Tiro yar oo qaan-gaar ah, way ka sii dari kartaa waxayna u horseedi kartaa kelyo-xanuun muddo dheer ah (daba-dheeraaday). Mararka qaarkood, way u sii gudbi kartaa cudurka kelyaha ee marxaladda ugu dambeeya, oo u baahan sifayn iyo kelyo-beddelid.

Dhibaatooyinka caafimaad ee ka dhalan kara cilladan waxaa ka mid ah:

• Shaqada kelyaha oo ba'an (kelyaha oo si dhakhso leh u lumiya 'awooda in ay ka saaraan qashinka oo ay ka caawiyaan isu dheelitirka dareerayaasha iyo elektaroolka jirka)
• Xanuunka 'glomerulonephritis' daba-dheer
• Cudurka kelyaha ee joogtada ah
• Wadnaha oo istaaga ama barar sambabka (dheecaan ku dhaca sambabada)
• Cudurka kelyaha ee heer-dhamaadka ah
• Hyperkalemia (heer aan caadi ahayn oo ka sarreeya dhiigga dhiigga ku jira)
• Dhiig kar (dhiig kar)
• Cudurka nephrotic syndrome (koox calaamado ah oo ay ku jiraan borotiinka ku jira kaadida, heerarka borotiinka dhiigga oo hooseeya ee dhiiga ku jira, heerarka kalastaroolka oo sareeya, heerarka triglyceride ee sareeya, iyo barar)

Wac daryeel caafimaad bixiyaha haddii:

• Waxaad leedahay astaamaha poststreptococcal GN
• Waxaad leedahay poststreptococcal GN, waxaadna yaraatay soosaarkii kaadi ama astaamo kale oo cusub

Daaweynta infekshinka la yaqaan ee loo yaqaan 'streptococcal infections' ayaa laga yaabaa inay ka hortagto ka hortagga 'poststreptococcal GN'. Sidoo kale, ku celcelinta nadaafadda wanaagsan sida gacmaha oo la dhaqdo badanaa waxay ka hortagtaa faafitaanka cudurka.

Glomerulonephritis - poststreptococcal; Glomerulonephritis-ka faafa

• Anatomy kilyaha
• Glomerulus iyo nephron

Flores FX. Cudurrada glomerular ee go'doonsan ee la xiriira hematuria guud ee soo noqnoqda. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: baab 537.

Saha MK, Pendergraft WF, Jennette JC, Falk RJ. Cudurka glomerular ee aasaasiga ah. Gudaha: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner iyo Raktarka kilyaha. 11aad. Philadelphia, PA: Elsevier; 2020: cutubka 31.