Renal papillary necrosis
Renal papillary necrosis bụ nsogbu nke akụrụ nke ihe niile ma ọ bụ akụkụ akụrụngwa papillae na-anwụ. Akụrụ akwụkwọ papillae bụ ebe oghere oghere na-anakọta akụrụ na-abanye akụrụ na ebe mmamịrị na-asọba n'ime ureters.
Renal papillary necrosis na-apụtakarị na analgesic nephropathy. Nke a bụ mmebi otu akụrụ ma ọ bụ abụọ akụrụ sitere na ngosipụta dị egwu na ọgwụ mgbu. Ma, ọnọdụ ndị ọzọ nwekwara ike ibute necrosis akụrụngwa, gụnyere:
- Ọrịa nephropathy
- Akụrụ ọrịa (pyelonephritis)
- Akụrụ transplant ojuju
- Ọrịa Sickle cell anaemia, ihe na-ebutekarị papillary necrosis gbasara ụmụaka
- Urinary tract mkpọchi
Mgbaàmà nke akwara papillary necrosis nwere ike ịgụnye:
- Mgbu ma ọ bụ azụ mgbu
- Na-acha ọbara ọbara, urukpuru, ma ọ bụ na-amị mamịrị
- Mbekere anụ ahụ na mamịrị
Mgbaàmà ndị ọzọ nwere ike ịpụta na ọrịa a:
- Ahụ ọkụ na akpata oyi
- Urination na-egbu mgbu
- Chọ urinate karịa oge ọ bụla (urination ugboro ugboro) ma ọ bụ na mberede, ike siri ike urinate (ngwa ngwa)
- Nsogbu ịmalite ma ọ bụ jigide mmiri mmamịrị (urinary hesitancy)
- Urinary ekweghị
- Urinụ nnukwu ego
- Rinụbiga mmanya ókè n'abalị
Mpaghara akụrụ emetụta (na flank) nwere ike ịdị nro n'oge ule. Enwere ike ịbụ akụkọ ihe mere eme nke ọrịa urinary tract. Enwere ike inwe ihe iriba-ama nke mmamịrị amachibidoro ma ọ bụ ọdịda akụrụ.
Ule nke enwere ike ime gunyere:
- Mmamịrị ule
- Nyocha ọbara
- Ultrasound, CT, ma ọ bụ nyocha ndị ọzọ nke akụrụ
Enweghị ọgwụgwọ a kapịrị ọnụ maka akwara papillary necrosis. Ọgwụgwọ dabere n’ihe kpatara ya. Dịka ọmụmaatụ, ọ bụrụ na nephropathy analgesic bụ ihe kpatara ya, dọkịta gị ga-agwa gị ka ị kwụsị ị medicineụ ọgwụ na-akpata ya. Nke a nwere ike ikwe ka akụrụ gwọọ oge.
Otú mmadụ si eme nke ọma, na-adabere n’ihe na-akpata ọnọdụ ahụ. Ọ bụrụ na enwere ike ịchịkwa ihe kpatara ya, ọnọdụ ahụ nwere ike ịpụ n'onwe ya. Mgbe ụfọdụ, ndị mmadụ na-arịa ụdị ọrịa a na-ada ada akụrụ na-achọ ịrịa ọrịa ma ọ bụ akụrụ akụrụ.
Nsogbu ahụike nke nwere ike ibute papillary necrosis gbasara akụrụngwa gụnyere:
- Akụrụ ọrịa
- Nkume akụrụ
- Ọrịa akụrụ, ọkachasị ndị na-eji ọgwụ ọgwụ mgbu
Kpọọ maka oge nlekọta gị na onye nlekọta ahụike gị ma ọ bụrụ:
- I nwere mamiri obara
- Develop mepụtara mgbaàmà ndị ọzọ nke akwara papillary necrosis, ọkachasị mgbe ị nụsịrị ọgwụ mgbu
Chịkwa ọrịa shuga ma ọ bụ sickle cell anaemia nwere ike belata ihe egwu gị. Iji gbochie akwara papillary necrosis site na analgesic nephropathy, soro ntuziaka nke ndị na-eweta gị mgbe ị na-eji ọgwụ, gụnyere ihe mgbochi ihe mgbu. Ejila ihe karịrị ọgwụ a tụrụ aro na-enweghị ịjụ onye na-eweta gị.
Necrosis - gbasara akụrụ papillae; Renal medullary necrosis
- Akụrụ anatomi
- Akụrụ - ọbara na mmamịrị na-asọ
Chen W, Monk RD, Bushinsky DA. Nephrolithiasis na nephrocalcinosis. Na: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Comprehensive Clinical Nephrology. Nke isii. Philadelphia, PA: Elsevier; 2019: isi 57.
Landry DW, Bazari H. Agakwuru onye ọrịa nwere ọrịa akụrụ. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 106.
Schaeffer AJ, Matulewicz RS, Klumpp DJ. Ọrịa nke urinary tract. Na: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Ulology nke Campbell-Walsh. Nke 11. Philadelphia, PA: Elsevier; 2016: isi 12.