Nephritis Yelupus
Pfupiso
Itsvo yebvudzi inobvisa tsvina nemvura yakawandisa kubva muropa kuburikidza nezvikamu zvekuchunga zvinonzi nephrons. Nephron imwe neimwe ine chidzitiro, chinonzi glomerulus. Chidzitiro chega chega chine midziyo midiki yeropa inonzi capillaries. Kana ropa rikapinda glomerulus, zvidimbu zvidiki, zvinonzi molecules, zvemvura, maminerari nezvinovaka muviri, uye tsvina zvinopfuura nemapendekete e capillary. Molecules makuru, akadai semapuroteni nema cell matsvuku eropa, hazviiti. Chikamu chinoyerwa chinopfuura kune chimwe chikamu che nephron chinonzi tubule. Mvura, zvinovaka muviri uye maminerari anomutwa muviri anotumirwa kudzokera kuropa. Mvura yakawandisa netsvina inova weewee inoyerera kubladder.
Lupus nephritis inyaya inoitika kazhinji kune vanhu vane systemic lupus erythematosus, inonziwo lupus.
Lupus chirwere umo sisitimu yemuviri yekudzivirira inorwisa masero ayo nemiviri, inonzi autoimmune disease. Lupus inokonzera sisitimu yekudzivirira kuti iite mapuroteni anonzi autoantibodies. Mapuroteni aya anorwisa tishu nemiviri mumuviri, kusanganisira itsvo.
Zviratidzo
Zviratidzo nezviratidzo zve lupus nephritis zvinosanganisira: Ropa murini. Urini inopupira nekuda kweprotein yakawandisa. BP yakakwira. Kuzvimba mumakumbo, zviziso zvetsoka uye dzimwe nguva mumaoko nechiso. Mazinga akakwirira ezvinhu zvemarara zvinonzi creatinine muropa.
Zvinokonzera
Vanopfuura hafu yevanhu vakuru vane lupus ye systemic vanowana lupus nephritis. Systemic lupus inokonzera kuti sisitimu yemuviri yekudzivirira ikuvadze itsvo. Zvadaro itsvo hadzikwanisi kubvisa tsvina sezvazvinofanira.
Rimwe remabasa akakosha etsvo nderekuchenesa ropa. Sezvo ropa richifamba mumuviri, rinotora mvura yakawandisa, kemikari netsvina. Itsvo dzinoparadzanisa zvinhu izvi kubva kuropa. Zvinobviswa mumuviri ne weewee. Kana itsvo dzikasaite izvi uye mamiriro acho asingarapwi, matambudziko emutano akakomba anokonzerwa, nekurasikirwa nehupenyu pakupedzisira.
Zvinhu zvinokonzera njodzi
Zvinokonzera chete zvinozivikanwa zve lupus nephritis ndeizvi:
- Kuva murume. Vakadzi vanowanzo kuwana lupus, asi varume vanowana lupus nephritis kupfuura vakadzi.
- Rudzi kana rudzi. Vanhu vatema, vanhu veHispanic nevaAmerica vekuAsia vane mukana wakakura wekuve ne lupus nephritis kupfuura ma whites.
Matambudziko
Lupus nephritis inogona kukonzera:
- Kufuta kwepfupa retsinga (Hypertension).
- Kukundikana kweitsvo (Kidney failure).
- Njodzi yakakwira yekuwana kenza, kunyanya iyo inotanga muzera remasero ehurongwa hwekudzivirira muviri, inonzi B-cell lymphoma.
- Njodzi yakakwira yematambudziko emwoyo nemidziyo yeropa.
Kuongorora
Kuongorora chirwere cheitsvo nekuda kweLupus kunosanganisira:
- Kuongororwa kweropa nekwemukaka. Kunze kwekuongororwa kweropa nekwemukaka kunoita kazhinji, mukaka unounganidzwa maawa makumi maviri nemana ungangodaro uchiongororwa. Kuongororwa uku kunoratidza kuti itsvo dziri kushanda zvakanaka sei.
- Biopsy yeitsvo. Chikamu chidiki chetsvo chinobviswa uye chinotumirwa ku laboratori. Kuongororwa uku kunoratidza chirwere cheitsvo nekuda kweLupus. Zvinogonawo kubatsira kuratidza kuti chirwere chacho chakakomba sei. Zvinogona kuitwa biopsy inopfuura imwe panguva.
Kurapa
Hapana mushonga we lupus nephritis. Kurapa kunangisira ku:
- Kuderedza zviratidzo kana kuita kuti zviratidzo zviyambe, izvi zvinonzi remission.
- Kudzivirira chirwere kuti chisasawedzere kuipa.
- Kudzivirira zviratidzo kuti zvisauye zvakare.
- Kuchengeta itsvo dzichishanda zvakanaka zvakakwana zvekuti hazvidi muchina wekuchura tsvina kubva muropa, izvi zvinonzi dialysis, kana kupanwa itsvo.
Panyaya yose, aya marapirwo angabatsira vanhu vane chirwere cheitsvo:
- Kuchinja kudya. Kuganhurira huwandu hwe protein nemunyu mukudya kunogona kubatsira itsvo kuti dzishande zvakanaka.
Kurapa lupus nephritis yakakomba kungada mishonga inononotsa kana kumisa sisitimu yekudzivirira muviri kuti isarwi nemasero ane hutano. Mishonga kazhinji inoshandiswa pamwe chete. Dzimwe nguva mishonga yakatarwa pakutanga inoshandurwa kudzivirira zvinokonzerwa nechepfu.
Mishonga yekurapa lupus nephritis inogona kusanganisira:
- Steroids, senge prednisone (Rayos).
- Cyclosporine (Gengraf, Neoral, Sandimmune).
- Voclosporin (Lupkynis).
- Tacrolimus (Astagraf, Envarsus, Prograf).
- Cyclophosphamide (Cytoxan).
- Azathioprine (Azasan, Imuran).
- Mycophenolate (CellCept).
- Rituximab (Rituxan).
- Belimumab (Benlysta).
Kuedzwa kwezvipatara kuri kuongorora kurapwa kwatsva kwe lupus nephritis.
Kune vanhu vanofambira mberi kusvika pakukundikana kweitsvo, sarudzo dzekurapa dzinosanganisira:
- Kupandwa kweitsvo. Kana itsvo dzikarega kushanda, itsvo kubva kumupi, izvi zvinonzi kupandwa, zvingadiwa.
Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.
Yakagadzirwa muIndia, kune nyika