Nephrocalcinosis

Nephrocalcinosis bụ nsogbu nke enwere nnukwu calcium na akụrụ. Ọ bụ ihe a na-ahụkarị n'ahụ ụmụ aka akaghi aka.

Nsogbu ọ bụla nke na - eduga n'ọbara dị ukwuu nke calcium n'ime ọbara ma ọ bụ mmamịrị nwere ike ibute nephrocalcinosis. N'ime nsogbu a, calcium na-etinye n'ime akụrụ akụrụ n'onwe ya. Ọtụtụ mgbe, a na-emetụta akụrụ abụọ.

Nephrocalcinosis metụtara, ma ọ bụghị otu ihe ahụ, akụrụ akụrụ (nephrolithiasis).

Ọnọdụ ndị nwere ike ibute nephrocalcinosis gụnyere:

• Portlọ ọrụ Alport
• Ọrịa Bartter
• Adịghị ala ala glomerulonephritis
• Hypomagnesemia ezinụlọ
• Medullary ogbo akụrụ
• Isi hyperoxaluria
• Gbasara transplant jụrụ
• Gbasara tubular acidosis (RTA)
• Rinal cortical necrosis

Ihe ndị ọzọ nwere ike ibute nephrocalcinosis gụnyere:

• Ọrịa nke ethylene glycol
• Hypercalcemia (oke calcium na ọbara) n'ihi hyperparathyroidism
• Iji ụfọdụ ọgwụ, dị ka acetazolamide, amphotericin B, na triamterene
• Sarcoidosis
• Ubkwara nta nke akụrụ na-efe efe metụtara AIDS
• Vitamin D na-egbu egbu

Ọtụtụ oge, enweghi mgbaàmà izizi nke nephrocalcinosis karịrị nke ọnọdụ ahụ na-akpata nsogbu ahụ.

Ndị nwekwara nkume akụrụ nwere ike ịnwe:

• Ọbara na mmamịrị
• Ahụ ọkụ na akpata oyi
• Ọgbọ na ọgbụgbọ
• Oké ihe mgbu na mpaghara afọ, n'akụkụ azụ (flank), ukwu, ma ọ bụ testicles

Ihe mgbaàmà ndị ọzọ metụtara nephrocalcinosis nwere ike jikọta ya na akụrụ ogologo oge (ala ala).

Nephrocalcinosis nwere ike ịchọpụta mgbe mgbaàmà nke akụrụ erughị eru, akụrụ akụrụ, uropathy mgbochi, ma ọ bụ urinary tract tract.

Nyocha ule nwere ike inyere aka chọpụta ọnọdụ a. Ule nke enwere ike ime gunyere:

• Ime CT i scanomi
• Ultrasound nke akụrụ

Nyocha ndị ọzọ enwere ike ịme iji chọpụta ma chọpụta ogo nsogbu ndị metụtara ya gụnyere:

• Nyocha ọbara iji chọpụta ọkwa nke calcium, phosphate, uric acid, na parathyroid hormone
• Urinalysis iji lee kristal wee lelee mkpụrụ ndụ ọbara uhie
• Nchịkọta awa nke 24 iji tụọ acidity na ọkwa nke calcium, sodium, uric acid, oxalate, na citrate

Ebumnuche nke ọgwụgwọ bụ iji belata mgbaàmà ma gbochie ọtụtụ calcium ịbawanye na akụrụ.

Ọgwụgwọ ga-agụnye ụzọ iji belata ogo nsogbu calcium, phosphate, na oxalate na ọbara na mmamịrị. Nhọrọ ndị gụnyere gụnyere ịme mgbanwe na nri gị na ị medicinesụ ọgwụ na mgbakwunye.

Ọ bụrụ na ị na-a medicineụ ọgwụ na-akpata calcium, onye na-elekọta ahụike gị ga-agwa gị ka ị kwụsị ị itụ ya. Akwụsịla ị takingụ ọgwụ ọ bụla tupu gị na onye na-eweta ọrụ gị kwurịta okwu.

A ga-emeso mgbaàmà ndị ọzọ, gụnyere nkume akụrụ dị ka ihe kwesịrị ekwesị.

Ihe ị ga-atụ anya ya dabere na nsogbu na ihe kpatara ọgba aghara ahụ.

Usoro ọgwụgwọ kwesịrị ekwesị nwere ike inye aka gbochie nkwụnye ego ọzọ na akụrụ. N'ọtụtụ ọnọdụ, ọ nweghị ụzọ isi wepụ nkwụnye ego emegoro. Ọtụtụ nkwụnye nke calcium na akụrụ NT NOTGH mean pụtara mgbe niile nnukwu mmebi nke akụrụ.

Nsogbu nwere ike ịgụnye:

• Nnukwu akụrụ akụrụ
• Ogologo oge (adịghị ala ala) akụrụ akụrụ
• Nkume akụrụ
• Uropathy nke na - egbochi ya (nnukwu ma ọ bụ nke na-adịghị ala ala, otu akụkụ ma ọ bụ nke ọzọ)

Kpọọ onye na-enye gị ọrụ ma ọ bụrụ na ịmara na ị nwere ọrịa na-ebute oke calcium dị n’ọbara gị na mamịrị gị. Kpọọkwa ma ọ bụrụ na ị mepee mgbaàmà nke nephrocalcinosis.

Ngwọta ọgwụgwọ nke nsogbu na-eduga na nephrocalcinosis, gụnyere RTA, nwere ike inye aka gbochie ya ịmalite. Kingụ mmiri buru ibu iji mee ka akụrụ na-ehichapụ ma na-agbapụta mmiri ga-enyere aka igbochi ma ọ bụ belata mbadamba nkume.

• Nkume akụrụ - ihe ị ga-ajụ dọkịta gị

• Usoro urinary nwoke

Bushinsky DA. Nkume akụrụ. Na: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Akwụkwọ ọgụgụ Williams nke Endocrinology. Nke iri na anọ. Philadelphia, PA: Elsevier; 2020: isi 32.

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.

Tublin M, Levine D, Thurston W, Wilson SR. Akụrụ na urinary tract. Na: Rumack CM, Levine D, eds. Diagnostic Ultrasound. Nke 5. Philadelphia, PA: Elsevier; 2018: isi 9.

Vogt BA, Springel T. Akụrụ na urinary tract nke neonate. Na: Martin RJ, Fanaroff AA, Walsh MC, ụmụ. Fanaroff na Martin nke Neonatal-Perinatal Medicine. Nke 11. Philadelphia, PA: Elsevier; 2020: isi nke 93.