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.