Ọrịa Nasrotic: akpata, ụlọ ọgwụ, ọgwụgwọ

Ọrịa Nasrotic na-ejikọta mgbagwoju anya nke mgbaàmà, nke egosiputara na oke protein na urine na protein (proteinuria), mmebi nke metabolism, electrolytes. Mfu buru ibu nke protein na mmamiri, na-eme ka hypoproteinemia, nke na - eduba n'igide mmiri na cavities na anụ ahụ, enwere ọganihu.

Ihe kpatara ọrịa nephrotic

E nwere ọtụtụ ọrịa ndị na-eduga ná mmalite nke ọrịa nephrotic. Amata abụọ iche nke nephrotic syndrome: isi na sekọndrị. The mbụ n'ụdị na-mepụtara gbasara akụrụ ọrịa: glomerulonephritis, amyloidosis, interstitial nephritis. Ụdị nke abụọ nke ọrịa ahụ na-ebute ọrịa na-edozi ahụ (vasculitis, lupus erythematosus, scleroderma, wdg), ọrịa na-ekesa ọrịa, ọrịa na-adịghị ala ala, na mmeghachi omume nrịanrịa siri ike na ọrịa ọgwụ. Ọrịa niile a dị n'elu nwere mmebi n'ime usoro ahụ ji alụso ọrịa ọgụ. N'okpuru mmetụta nke ihe kpatara ya, a na-emepụta ọgwụ ndị na-alụso ọrịa ọgụ, na-akụda akụkụ ahụ, gụnyere na akụrụ.

Na akụrụ ahụ ike, loops capillary loops of glomeruli in nephron bụ ụdị nza nke na-enye ihe ndị dị mkpa maka excretion site n'ahụ ma jide ndị bara uru, gụnyere ndị na-edozi ahụ. N'ihi na ọrịa ụfọdụ agbajikwa bandwit capillaries, ịba ụba ha permeability ka nnukwu ụmụ irighiri, gụnyere na-edozi. Nke a na-akpata protein buru ibu buru ibu na ọrịa nephrotic. N'ihi na nke oke proteinuria mbelata na osmotic mgbali nke plasma, e hypovolemia, belata inweta ọbara akụkụ, tinyere gbasara akụrụ ọbara. Mbelata nke ọbara na akụrụ na-eduga n'ịbawanye mmepụta nke aldosterone, renin, sodium mkpochapu ngwa ngwa na mmụba ìgwè na-ewere ọnọdụ n'ime ahụ. A na-etinye mgbanwe ndị a niile na ọrịa nịfrotic.

Ihe ngosi nke ọrịa nephrotic

Ọrịa Nasrotic, ihe mgbaàmà nke ngosipụta ya yiri otu maka ọrịa dị iche iche. N'ebe ndị ọrịa nọ, mmadụ nwere ike ịhụ oke ọkpụkpụ, mgbanwe na akpụkpọ ahụ na mucous membranes nke ọdịdị dị egwu. Fluid ìgwè a hụrụ bụghị naanị na anụ ahụ ma na serous cavities: pleural, peritoneal, pericardial. N'ọnọdụ ndị siri ike, ụlọ ọgwụ ahụ na-amalite edema nke ụbụrụ, anya nke anya. Nephrotic syndrome e mere ka a n'ihi nke gbasara akụrụ ọrịa nwere ike na-metụtara ndị ọbara mgbali. Ihe mgbaàmà ndị a dị n'elu bụ ihe ịrịba ama nke ọrịa ahụ na - akpata, na - eme ka ọ dịkwuo njọ.

Ihe nyocha

Nchọpụta nke ọrịa nephrotic adịghị eweta nsogbu pụrụ iche. N'ime ọbara, e nwere hypoproteinemia, dysproteinemia, hypercholeserinemia. Nyocha nke ọrịa na-akpata bụ nke dugara na mmepe nke ọrịa ahụ ka a na-egosipụta dịka nyocha ahụ na nyochaa onye ọrịa ahụ, nakwa n'oge mgbakwunye na usoro ụzọ nyocha. A na-enyocha ọkpụkpụ akụrụ site na akụrụngwa biopsy. Site na lupus erythematosus, a na-achọta mkpụrụ ndụ LE ndị dị na ọbara.

Ọrịa nephrotic kachasị njọ na-eme na glomerulonephritis, lupus nephritis. Ihe na-esi na ọrịa pụta nwere ike ịbụ nkwụsị aka na-adịghị ala ala.

N'ihe gbasara ọrịa nhụjuanya nke ọrịa na-adịghị mma ma ọ bụ ọgwụ ọjọọ, na mkpochapu ihe gbasara etiologic, ọ ga-ekwe omume iji nweta mgbatị ma ọ bụ ọgwụgwọ zuru ezu.

Ọgwụgwọ

Site na mmepe nke mmegide siri ike, dịka ọrịa ọrịa na-adịghị, na-agwọ ọrịa nke na-eduga ya, na-eme ya n'ọnọdụ ọnọdụ. Maka onye ọrịa, ọ dị mkpa ịdebe ihe oriri kwesịrị ekwesị, bụ iji mee ka protein ghara ịnwụ, na-ebelata nnu.

Usoro ọgwụgwọ ọgwụ na-agụnye ịṅụ ọgwụ ọjọọ hormonal, ọgwụ ndị na-adịghị na steroidal, na mgbaru ọsọ nke igbochi mmeghachi omume na-adịghị mma nke usoro ahụ ji alụso ọrịa ọgụ, usoro ọgwụgwọ. Iji wepu mmiri mmiri, a na-eji diuretics na-egbochi potassium. A na-eji ha eme ihe na nchịkwa nke albumin, nke na-eme ka nrụrụ osmotic nke plasma dịkwuo elu ma na-eme ka mgbapụ nke mmiri dị n'ahụ ahụ pụta.

Mmetụta nke ọgwụgwọ na-adabere n'oke na ụdị ọrịa ahụ.