Interstitial nephritis: cututtuka da kuma lura da koda kumburi

Interstitsionalny nephritis ne mai kumburi koda cuta, wanda ya auku, yafi shafar tsaka-tsaki nama da koda tubules.

Cutar na iya faruwa a lokacin jiyya da magani (mafi maganin rigakafi, zuwa karami diuretics, sulfonamides), kazalika da lokacin da fallasa su ƙwayoyin cuta, cututtuka a rigakafi cuta. A Pathology dogara ne lymphohistiocytic infiltration aiki a kan matsakaici koda nama lalacewar faru bayan ginshiki membrane na tubules. A wannan nau'i na rigakafi da gidaje da kuma autoantibodies zuwa matattarar sunadaran. A sakamakon cerebral edema da kuma kumburi daga koda nama Layer ne mai inji matsawa na jini da kuma tubular, rage koda jini ya kwarara, karuwa matsa lamba vnutrikanaltsevoy, ƙarshe tasowa oliguria.

Lokacin da ganewar asali interstitial nephritis cututtuka su ne kamar haka. Farko da cutar - wani m, wucewa zazzabi, polyuria, ko hematuria tasowa koda gazawar, akwai sha raɗaɗin a cikin ƙananan baya. A farko alamun da sashi siffofin na m interstitial nephritis protrude sake kara jiki da yawan zafin jiki, wanda za a iya hade da eosinophilia da kuma fata eruptions. Domin da cutar halin matsakaici proteinuria, hematuria, a rare lokuta, oliguria.

M interstitial nephritis kwayar siffofin sau da yawa daukan wuri tare da hemorrhagic zazzabi da kuma na koda ciwo.

Ganewar asali na cutar da ake yi tare da koda cuta, m glomerulonephritis. Idan tasowa koda gazawar ya kamata a cire wasu abubuwa da dama.

Yana da wuya da kuma wani lokacin ba zai yiwu ba domin sanin hanyar kullum tubulointerstitial nephritis hade da miyagun ƙwayoyi daukan hotuna, kwayan kamuwa da cuta, rigakafi da cuta.

Bayyanar cututtuka na kullum interstitial nephritis kunshi a tubular cuta, da sauri tasowa ruwa-ruwa electrolyte disturbances (hyperkalemia, acidosis) Abuse taro kodan. A rare lokuta, zai yiwu hauhawar jini da kuma proteinuria. A misali yanayi nephrotic ciwo ba a nan, amma idan cuta ci gaban interstitial nephritis kusan neolichim na glomerulonephritis. A mafi hatsari kwayoyi, abu zuwa kullum nau'i na cutar ne analgesics phenacetin, analgin, asfirin.

Wani lokaci mata 35-40 shekara, migraine, ciki, ciki ulcers, ya lura analgesic interstitial nephritis. A wannan hali hade tare da aseptic leukocyturia resistant koda colic aukuwa da babban hematuria, koda size raguwa, polyuria, anemia.

Haka kuma cutar tasowa a tare da sauran cututtuka, da mai bayyana rigakafi pathogenesis (aiki kullum hepatitis, lupus tsari lupus erythematosus).

Interstitial nephritis a yara za a iya ci gaba a dizembriogeneza koda nama, urinary fili anomalies, take hakki na uric acid da alli oxalate metabolism.

Don magance cutar suna amfani etiological jiyya na kwayan raunuka a fara kawar da mayar da hankali da kamuwa da cuta. Lokacin da sashi fom - daina shan miyagun kwayoyi, rubũta a rage cin abinci wadãtar da bitamin da kuma wuce kima sha. A babu kyau sakamakon wajabta glucocorticoids yi hemodialysis, ware da yin amfani da diuretics a cikin ci gaban da m na koda gazawar. Shi ne kuma dole su kauce wa kara yin amfani da analgesics kuma sha more.