Pauku Tubulointerstitial, puka whakapeka, me te ma'i: tohu, Take me te rongoā

no pauku Tubulointerstitial ki noa mate tākihi me pāpaka takere ārahi ki te ino o te okana mahi. huru no te mate e huringa whānui i roto i te hanganga o te kiko tākihi interstitial. E rua ngā momo o te mate - whakapeka, me te mau tonu. I roto i te ako o maha rongoā e haere mai ana ki te tinana tangata, kua whakahuatia ai e te raau taero whakakorea mā te whatukuhu. A hoatu rongoā fariiraa whakaarokore whakakeke ara ki te mate e tika ana ki te mate pāwera ki etahi rongoa therapy otaota ranei. puta hoki te mate rite te tupu oho mate.

Ki te tāutu i pauku tubulointerstitial, te whakamahi o ngā tūāhua rangahau hou o te tinana, ara, ultrasound, mimi, me ngā whakamātautau toto, hītori hauora kohinga raraunga, te unuhanga tākihi. hāngai Opaniraa e pā ana i te ànui o te mate kei runga i te pakeke o te whara, me te wā o te rapu āwhina hauora.

Ko te take o te mate

I te tahi taime totoro fariiraa o paturopi ranei te tahi atu raau taero anti-inflammatory te mo te wa roa. Na puta kino tākihi i muri i te poisoning matū kaha, konganuku taimaha. He te waihā kohu Rawa kino. Ka taea e pauku Tubulointerstitial puta tika ki ngā take maha:

• i muri i pangia te mate viral - i roto i te 46% o ngā take;
• faaiteraa paitini whakapataritari mate pāwera i roto i 28.3%;
• disorders pūkoro i roto i te tinana whakatairanga takanga o te mate i roto i 13.9%;
• disorders o circulatory mahi ureters - 8.8%;
• take ira me te ārai mate - 0.9% o te mate;
• maha ngā take i kotahi kitea i roto i te 2.5% o te wā.

E meinga ana momo ma'i o te mate maumaui nui o cytomembranes tapatahi, huringa pūkoro dysplasia kiko tākihi, kōhikohiko congenital me ureters riro.

tātaritanga

whakahaere te reira i te maha o rangahau o huru tinana, me te taiwhanga. Na reira anake ko tika te tātaritanga. tūmanakohia e pauku ana Tubulointerstitial te i roto i te manawanui ki e pāngia te putanga o ngā tohu ngangahau faaiteraa tinana motuhake.

te āhua ma'i o te mate ko te hua o te kookuhutanga me atrophy o te awa i roto i te tinana tangata mo te wa roa. aukati okana mahi te āta - i runga i te maha o nga tau. haere te manawanui ki te tākuta, ka i reira he tohu kino, pērā i te mamae i roto i te whatukuhu, rashes kiri, me ētahi atu. tukua ratou ki a ia nui hūhi. pānga mate noa e rua ranei tākihi kino anake.

I roto i te ako taiwhanga, mimi uric hohenga mārama kitea ki te ihirangi tiketike o erythrocytes me leukocytes. I te wa ano i reira he he ngaro oti o te momo erythrocytes dismorfnogo me anake te faaiteraa iti o hematuria. E kore te te aroaro o eosinophils i roto i te mimi āhuatanga e te aroaro o te mate, mai i% 50 anake o te wā ko ratou te hopearaa o te mate. Ki te kore ratou e te tīariari i te katoa, na tenei kī e ko ngaro te mate. kitea Proteinuria mahi iti, engari ki te kua kua whakawhanakehia te tinana māuiuitanga glomerular meinga e te whakamahi o paturopi, te mea i tenei ahua tae taumata nephrotic.

I roto i te tātari o te toto e pauku ana tubulointerstitial whakapeka faaite ake hypercalcemia. Tūkinotanga o teihana mahi arahi ki acidosis pūkoro. A, no te te nui haere nui ultrasound auau echogenicity no o te tinana huamo me te tukanga kookuhutanga. E whakaatu ana US te hua i roto i te rahi tākihi hua taupū gallium iraruke me leukocytes rēhita i roto i radionuclides. He hua pai scan tohu pauku tubulointerstitial. Tātaritanga, whakakitea te hua kino, me ngā atu tikanga.

tohutanga o te mate

I roto i te tīmatanga o te mate i kahore tohumate. e kore e mōhio o te māuiuitanga whakawhanake ētahi tūroro. Ko te wāhanga i muri mai o te akoranga mate i te pānga āhuatanga ngangahau:

• puta wāhanga ranei i runga i te mata katoa o te tinana e mau ana i te patito pūāhua rashes;
• piki iti i roto i te whānuitanga pāmahana, kua tohua take kino i te kirika;
• Ua ite mamae tākihi te tonu auau ranei patua haere;
• nui haere ngenge, mana'o te manawanui rārangi hiamoe;
• ngaahi ongo pēhanga puta hoki kahore take kitea;
• reira he polyuria.

He maha faaiteraa kanorau tohua pauku tubulointerstitial. Tohu kitea i roto i te puka o te kirika, me te hikaka, engari e kore te mea etahi o enei huringa i roto i te tinana rawaka mō te tātaritanga. puta te hunga ponana kotahi marama i muri i te mahi o te tāoke mō te 3-6 ra ranei. tei tenei i runga i te āhua o te rauropi, me tona whakautu ki te whakapāwera. mate taimaha i tohua, te mamae i roto i te puku, me te i roto i te hoki ki runga ake i nga papa.

Te mate, haere i roto i te wā tonu, rerekē i roto i te wā o tohu ngawari, haapuai ki te wā. whakawhanake ētahi iwi polyuria me nocturia. pēhanga toto High me ngawhatanga o nga wahi e kitea rite te roa noa he reira täkihi. Ko te tohu whakaahuatia i roto i te rārangi, he āhuatanga o te atamira whakapeka o te mate.

brightism

riro ma'i i muri i te akoranga whakapeka te mate. Ko e onge take pera. Nuinga o ngā wā, whakawhanake pauku ma'i i muri i pangia mate, tamau disorders pūkoro i roto i te tinana, auau haurangi rongoā. Tubuloinsterstitsialnye pauku ma'i i runga i ultrasound whakakitea glomeruli i roto i te huru noa ngaro ranei. kua noho Tubules mea rawa ranei hauā. Mau nota i te āputa rerekē o takere - i whāiti ki te kiriuhi ōrite te whanui.

Ko te haria ki te kakakīrehe me te mumura kiko tākihi. Ki te he ngaro maha kakakīrehe, titiro tata hauora te parenchyma. tākihi Atrophied whai te rahi iti me tohu o karawhiti. Tohu o te pauku ma'i e rite ki te hunga e wātea ana i roto i te wā whakapeka, engari i te faaiteraa iti oraora. Leukocytosis me nui haere erythrocytes e onge. Ko te tino kino akoranga ma'i o te mate, na e hiahia ana koe ki te āta whakarongo ki te tohu i roto i te tīmatanga o te mate. Roa i roto i te maimoatanga arahi ki hēnga o ōna whatukuhu, e, he mahi wehe ki te rota o te he.

Ko te akoranga whakapeka o te mate

E mea pinepine puta reira e tika ana ki hē whaiaro rongoā-, kahore kōrero i tō tākuta. Ko te ngoikore o nga whatukuhu ki te mahi, puta ahua o ngā tukanga inflammatory whakapeka i muri i te whakamahi wā roa i roto i te maimoatanga o paturopi beta-laktamidnyh.

āhuatanga nephropathy whakapeka e te aroaro o te edema piringa, me te kookuhutanga inflammatory. whakawhānui ratou ki te kiko tākihi. ētahi wā e te reira i te wiki torutoru i mua i te ahua o tohu ohorere. Na ka whakawhanake täkihi whakapeka, nā nei i tomokanga mea mate o te maimoatanga me te haere tonu te rongo ki te tumu.

jades tamariki

Ko te kaha ki te karo i te whanaketanga o te mate i roto i te kōhungahunga riro te haerenga wā ki te tākuta i te take o tetahi ma'i, mai i maremare. Ki, anake mahi tākuta tamariki whaiaro-taea e whiriwhiri rongoā kore e e kino i te tamaiti e kore e hanga e o te pūnaha ārai mate.

pauku Tubulointerstitial i roto i ngā tamariki peratia i raro i te mātakitaki o te mātanga. Tahitia whakaritea kai whakaora, kahore nei e tutuki hua pai uaua atu. I roto i te take o te rere pauku tākihi mate rongoa kore e taea, ka haere ki te okana transplantation. Hoki pediatric akoranga tāwakawaka āhuatanga o te mate ki te wā roa torohūtanga.

waitohunga

A, no te waimaero tākihi mahi e tika ana ki te whakamahi o te raau taero, puta pauku tubulointerstitial. hiahiatia maimoatanga i roto i te wā ngawari te. Kāti tango i te rongoā, ka timata i te puku mahi noa i roto i 2-2.5 marama. I te tahi taime te āhuatanga wäriu ko te aroaro o te scarring. A, no te whakakore i te mate o tetahi atu etiology te take, engari he reversible te mate. I roto i ngā take kino he mate täkihi me te kakakīrehe.

Matapae momo ma'i o te pauku tei runga i te tere o te kite, me te whakaiti i māuiuitanga i mua ka hanga i kakakīrehe tina heke. Ki te kore koe e taea e fakatonutonu i te huringa ira, paitini, me te pūkoro tinana, haere mate ki täkihi waiariki.

maimoatanga mate

A, no te Me nga tohu tuatahi o te mate ki te kite i te tākuta. Anake ka tangohia e ia ake te maimoatanga tika me te mātau. Therapy hoki ia manawanui ko te takitahi. Ko, hei tauira, ki te whakatere i te ora i te wā whakapeka o mate, me te whakamahi glucocorticoid ētahi wā ma'i. inhibits tukanga fariiraa inhibitors angiotensin.

He unuhanga tākihi

pā ana te tukanga ki ngā wawaotanga tātaritanga ki te tautuhi i mate tākihi. Ko reira te tango o poro kikokiko mo te whakamātautau mōkitokito. Na roto i te ngira pūwero angiangi haere nui iti rauemi tākihi. āwhina ana tēnei ako ki tōtika whakatau te hanganga matū o te kikokiko, me te pai rawa o te maimoatanga tino arotau.

Tuhinga mō te unuhanga tukanga

whakaritea te tikanga ako unuhanga e i roto i te wā e whai ake nei:

• Tae noa te mutunga kore ki te kitea i roto i te take o mate mau whakapeka ranei.
• He pauku whakapae.
• Tere ahu whakamua täkihi.
• He he he aetiology hopuhopu matatini.
• I roto i te taiwhanga kitea rangahau o mimi he hawhekaihe o te toto, me te pūmua.
• E whakaatu ana whakamātautau toto te nui nui o mua, creatinine, Urea.
• matepukupuku whakapae.
• Whakatokia raruraru mahi tākihi.
• He he he hiahia ki te whakatau i te whānuitanga o te kino.
• Ki te aroturuki i te ahunga whakamua o te maimoatanga.

momo unuhanga

meatia te tukanga e i roto i te kiri. Kei te kawea te reira i roto i na werohia o nga whatukuhu, me te e whakahaeretia e te X-ray ultrasound ranei. Hei whakahaere i te wāhi o te tinana kua whakaurua ki roto ki te rua o te rerekē i roto i te taonga kūpapa tae. āhuatanga Open tukanga unuhanga e te taiepa o te nui iti o te kikokiko tika i roto i te pokanga. Hei tauira, ka tango i whitinga neoplasms Cancer. E whakaatu ana te reira e founga te hunga e kua toto ranei ki reira he kotahi anake tākihi te mahi. meatia tenei e ki te whakaiti i te tūpono o te rongo ki a reira.

kawea cystoscopy Tahi ki unuhanga i roto i te take o te aroaro o kohatu i roto i te awa mimi papatoiake tākihi ranei. Kua mahi te reira i roto i te ruma whakahaere me whakarato te introduction o te ngongo hangore mo te tirohanga ā-o te awa mimi. Transjugular unuhanga view ko te whakataki o te pū tōngāmimi ki te rua tākihi tīpakohia. Kei te whakamahia te reira i roto i te tūroro ki te mōmona, ma'i iti hoki romahā me te upoo- toto rawakore, no te kore te kahore o nga tikanga i runga ake kawea i roto i te mea o te riri ki te ora, me te kore e kitea e pauku ana tubulointerstitial.

I roto i te whakamutunga, me mea ai, e te mate ngali asymptomatic, e kore whakararuraru i te manawanui mau me te wā ki te tāutu i. A uaua ki pauku kāore aukati tākihi mahi, me te meinga hopearaa tina heke.