Embi nephritis: iimpawu kunye nonyango lwe kwezintso ukudumba

nephritis Interstitsionalny na ukudumba isifo sezintso, nto leyo ibuya echaphazela kakhulu inyama eliphakathi kunye tubules zezintso.

Esi sifo zenzeke ngexesha amayeza unyango (antibiotics ngakumbi, ukuba womchamo kangako, sulfonamides) kwakunye xa zibethwa iintsholongwane, iintsholongwane, enokuphazamisa omzimba. Le ngezifo isekelwe nokungena lymphohistiocytic ebambeleyo ekhankanyiweyo umonakalo eliphakathi izihlunu sezintso kwenzeka emva kokuba ongaphantsi inwebu of tubules. Kule fomu izakhiwo omzimba kunye autoantibodies ukuba ndizayo iiprothini. Ngenxa nokudumba yobuchopho kunye ukudumba kwezintso inyama maleko yinto ucinezelo ngomatshini kwemithambo kunye tubular, kunciphise ukuhamba kwegazi kwezintso, uxinzelelo ukunyuka vnutrikanaltsevoy, ekugqibeleni iphuhlisa oliguria.

Xa uxilongo iimpawu nephritis Embi hlobo. Ziqala izifo - yayiyazi, edlula ifiva, polyuria, okanye hematuria iphuhlisa ukusilela kwezintso, kukho iintlungu ezisezantsi umva. Iimpawu zokuqala iintlobo idosi ahlekise nephritis Embi ezivelileyo kwakhona ukwandisa lobushushu emzimbeni, nto leyo enokuthi ezinxulumene eosinophilia kunye nesikhumba kuqhume. Kuba sifo luphawulwa proteinuria ngcathu, hematuria, kwiimeko ezinqabileyo, oliguria.

nephritis Embi iifom wentsholongwane egazini kwingxakeko udla indawo ukopha kunye sezintso syndrome.

Lokufunyaniswa kwesifo wenziwa isifo sezintso, glomerulonephritis oyingozi. Ukuba ekuphuhliseni ukusilela kwezintso mabangezi ezinye izizathu.

Kunzima kakhulu kwaye ngamanye amaxesha kunzima ukwazi unobangela nephritis ezingapheliyo tubulointerstitial ezinxulumene exposure iziyobisi, igciwane, ukuphazamiseka omzimba.

Iimpawu nephritis ezingapheliyo Embi akumi ukuphazamiseka tubular, ngokukhawuleza ekuphuhliseni nokuphazamiseka electrolyte zolwelo (hyperkalemia, asidi) Abuse yoxinaniso nezintso. Kwiimeko ezinqabe kakhulu, hypertension kunokwenzeka kunye proteinuria. Kwiimeko eziqhelekileyo nephrotic syndrome ndingekho, kodwa ukuba ukuqhubela phambili kwesifo nephritis Embi Phantse neolichim of glomerulonephritis. Amachiza ayingozi, ekhokelela uhlobo ezingapheliyo ze zesifo analgesics phenacetin, analgin, aspirin.

Ngamanye amaxesha amabhinqa iminyaka 35-40 ubudala, migraine, ukudakumba, izilonda esiswini, wabona nephritis iintlungu Embi. Xa olu dibaniso eqhelekileyo nge leukocyturia aseptic ukumelana iziqephu sezintso yokulunywa kunye hematuria gross, ukuncitshiswa ubungakanani sezintso, polyuria, igazi.

Esi sifo senzeka xa kubanjiswene kunye nezinye izigulo, abe Pathogenesis ecacileyo omzimba (esebenzayo kohlobo, lupus systemic lupus zomzimba).

nephritis Embi yabantwana kuphuhliswa kwi izihlunu kwezintso dizembriogeneza, mgaqweni womchamo, Kukwaphula uric acid kunye calcium oxalate ukutya.

Ukuphelisa esi sifo zisetyenziswa unyango etiological of izilonda iintsholongwane baqalisa ukuphelisa ugxininiso usulelo. Xa ifomu idosi - ukuyeka iziyobisi, amisele ukutya ahlanganiswe iivithamini kunye nokusela ngokugqithiseleyo. Xa engekho iziphumo ezintle emiselweyo glucocorticoids ukwenza wehemodialysis, akukuthinteli ukusetyenziswa womchamo kuphuhliso ukusilela ahlekise kwezintso. Kuyimfuneko ukuba ukunqanda ukusetyenziswa okwandileyo kwe analgesics neziselo ngakumbi.