Nkebi nke akụkụ glomerulosclerosis

Akụkụ focal nke glomerulosclerosis bụ anụ ahụ anụ ahụ na nzacha nke akụrụ. A na-akpọ ihe owuwu a glomerulus. Ihe glomeruli bu nzacha nke na enyere ahu mmadu aka iwepu ihe ojoo. Akụrụ ọ bụla nwere ọtụtụ puku glomeruli.

"Focal" pụtara na ụfọdụ n'ime glomeruli na-acha. Ndị ọzọ na-adị ka ndị nkịtị. "Segmental" pụtara na naanị akụkụ nke ihe glomerulus onye mebiri emebi.

A naghị amakarị ihe kpatara akụkụ akụkụ nke akụkụ glomerulosclerosis nke glomerulosclerosis.

Ọnọdụ a na-emetụta ma ụmụaka ma ndị okenye. Ọ na-eme obere oge karịa ụmụ nwoke na ụmụ nwoke. Ọ dịkwakarịara na ndị Africa America. Akuku akụkụ nke glomerulosclerosis na-ebute ihe ruru otu ụzọ n'ụzọ anọ nke ọrịa nephrotic.

Ihe ndị ama ama gụnyere:

• Ọgwụ dịka heroin, bisphosphonates, anabolic steroid
• Ofufe Ọrịa
• Nsogbu mkpụrụ ndụ ihe nketa
• Ibu
• Reflux nephropathy (ọnọdụ nke mmamịrị na-aga azụ site na eriri afọ ahụ akụrụ)
• Ọrịa Sickle cell
• Medicinesfọdụ ọgwụ

Mgbaàmà nwere ike ịgụnye:

• Mmamịrị mmiri ụfụfụ (site na oke protein na mmamịrị)
• Agụụ na-adịghị mma
• Ọzịza, akpọrọ edema izugbe, site na mmiri mmiri dị n'ime ahụ
• Ibu ibu

Onye nlekọta ahụike ga-eme nyocha anụ ahụ. Ule a nwere ike gosiputa ọzịza anụ ahụ (edema) na ọbara mgbali elu. Ihe ịrịba ama nke akụrụ (akụrụ) ọdịda yana oke mmiri nwere ike ịmalite ka ọnọdụ ahụ na-akawanye njọ.

Ule nwere ike ịgụnye:

• Akụrụ biopsy
• Nnwale akụrụ ọrụ (ọbara na mmamịrị)
• Urinalysis
• Mmamịrị microscopy
• Mmamịrị fitsin

Ọgwụ nwere ike ịgụnye:

• Ọgwụ iji belata mmeghachi ahụ nke ahụ.
• Ọgwụ iji belata ọbara mgbali. Offọdụ n’ime ọgwụ ndị a na-enye aka ebelata protin na-agbasa n’ime mmamịrị.
• Ọgwụ iji kpochapụ oke mmiri (diuretic ma ọ bụ "pill mmiri").
• Obere nri sodium iji belata ọzịza na iweda ọbara mgbali elu.

Ebumnuche nke ọgwụgwọ bụ ịchịkwa mgbaàmà nke nephrotic syndrome na gbochie ala ala akụrụ odida. Usoro ọgwụgwọ ndị a nwere ike ịgụnye:

• Ọgwụ nje iji chịkwaa ọrịa
• Mgbochi mmachi
• Nri abụba
• Nri dị obere ma ọ bụ nke na-adịchaghị ala
• Vitamin D na-agbakwunye
• Ọrịa
• Akụrụ transplant

Akụkụ buru ibu nke ndị na-elekwasị anya ma ọ bụ nkewa glomerulosclerosis ga-etolite ọdịda akụrụ na-adịghị ala ala.

Nsogbu nwere ike ịgụnye:

• Adịghị ala ala akụrụ
• Ọgwụgwụ akụrụ
• Ofufe Ọrịa
• Erighị nri na-edozi ahụ
• Ọrịa Nephrotic

Kpọọ onye na-eweta gị ma ọ bụrụ na ị mepee mgbaàmà nke ọnọdụ a, ọkachasị ma ọ bụrụ:

• Ahụ ọkụ
• Mgbu na urination
• Mbelata mmepụta mmamịrị

Enweghị mgbochi a maara.

Segmental glomerulosclerosis; Focal sclerosis na hyalinosis

• Usoro urinary nwoke

Appel GB, D'Agati VD. Isi na nke abụọ (na-abụghị mkpụrụ ndụ ihe nketa) na-akpata isi na mpaghara glomerulosclerosis. Na: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Comprehensive Clinical Nephrology. Nke isii. Philadelphia, PA: Elsevier; 2019: isi 18.

Rịba GB, Radhakrishnan J. Nsogbu Glomerular na ọrịa nephrotic. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil.Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 121.

Pendergraft WF, Nachman PH, Jennette JC, Falk RJ. Ọrịa glomerular bụ isi. Na: Skorecki K, Taal MW, Chertow GM, Marsden PA, Yu ASL, eds. Brenner na Rector nke akụrụ. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 32.