I-nephropathy ye-analgesic

I-analgesic nephropathy ifaka ukulimala kuzinso noma zombili izinso ezibangelwa ukuvezwa ngokweqile emixubeni yemithi, ikakhulukazi imishanguzo yezinhlungu ezithengiswayo (analgesics).

I-analphic nephropathy ifaka ukulimala ngaphakathi kwezakhiwo zangaphakathi zezinso. Kubangelwa ukusetshenziswa kwesikhathi eside kwama-analgesics (imithi yezinhlungu), ikakhulukazi imishanguzo ye-over-the-counter (OTC) equkethe i-phenacetin noma i-acetaminophen, kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-aspirin noma ibuprofen.

Lesi simo sivame ukuvela njengomphumela wokuzelapha, imvamisa ngohlobo oluthile lobuhlungu obungapheli.

Izici zobungozi zifaka:

• Ukusetshenziswa kwe-OTC analgesics equkethe izithako ezingaphezu kwesisodwa
• Ukuphuza amaphilisi ayisithupha noma ngaphezulu ngosuku iminyaka emithathu
• Ukuphathwa yikhanda okungapheli, ukuya esikhathini okubuhlungu, ubuhlungu beqolo, noma izinhlungu zemisipha
• Izinguquko ezingokomzwelo noma zokuziphatha
• Umlando wokuziphatha okuxhomekile kufaka phakathi ukubhema, ukusetshenziswa kotshwala, nokusetshenziswa ngokweqile kwezidakamizwa

Kungase kungabikho zimpawu ekuqaleni. Ngokuhamba kwesikhathi, njengoba izinso zilimala ngumuthi, izimpawu zesifo sezinso zizokhula, kufaka phakathi:

• Ukukhathala, ubuthakathaka
• Ukwanda kwemvamisa yomchamo noma ukuphuthuma
• Igazi emchameni
• Ubuhlungu beFlank noma ubuhlungu beqolo
• Ukwehla kokukhishwa komchamo
• Ukwehla kokuqapha, kufaka phakathi ukozela, ukudideka nobuthakathaka
• Ukwehla kwemizwa, ukuba ndikindiki (ikakhulukazi emilenzeni)
• Isicanucanu, ukuhlanza
• Ukulinyazwa okulula noma ukopha
• Ukuvuvukala (i-edema) emzimbeni wonke

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngezimpawu zakho. Ngesikhathi sokuhlolwa, umhlinzeki wakho angathola:

• Umfutho wegazi uphakeme.
• Lapho ulalele nge-stethoscope, inhliziyo yakho namaphaphu kunemisindo engajwayelekile.
• Unokuvuvukala, ikakhulukazi emilenzeni engezansi.
• Isikhumba sakho sikhombisa ukuguga ngaphambi kwesikhathi.

Ukuhlolwa okungenziwa kufaka phakathi:

• Qedela ukubalwa kwegazi
• I-CT scan yezinso
• I-pyelogram efakwa emithanjeni (IVP)
• Isikrini se-Toxicology
• Ukuhlolwa komchamo
• Izinso ultrasound

Izinhloso eziyinhloko zokwelashwa ukuvimbela ukulimala okuqhubekayo kwezinso nokwelapha ukwehluleka kwezinso. Umhlinzeki wakho angakutshela ukuthi uyeke ukuthatha wonke amaphilisi ezinhlungu asolwayo, ikakhulukazi izidakamizwa ze-OTC.

Ukwelapha ukwehluleka kwezinso, umhlinzeki wakho angaphakamisa izinguquko zokudla nokuvinjelwa koketshezi. Ekugcineni, i-dialysis noma ukufakelwa izinso kungadingeka.

Ukwelulekwa kungakusiza ukuthi wakhe ezinye izindlela zokulawula ubuhlungu obungapheli.

Ukulimala kwezinso kungaba yinto ebucayi neyesikhashana, noma yesikhathi esingelapheki nesikhathi eside.

Izinkinga ezingavela ku-nephropathy ye-analgesic zifaka:

• Ukungasebenzi kahle kwezinso
• Ukwehluleka kwezinso okungamahlalakhona
• Ukuphazamiseka kwezinso lapho izikhala eziphakathi kwamathambo ezinso zivutha khona (i-interstitial nephritis)
• Ukufa kwezicubu ezindaweni lapho ukuvuleka kwamapayipi okuqoqelwa kungena khona ezinso nalapho umchamo ugelezela khona ku-ureters (i-renal papillary necrosis)
• Ukutheleleka kwe-urinary tract okuqhubekayo noma okuqhubeka kubuya
• Umfutho wegazi ophezulu
• Umdlavuza wezinso noma we-ureter

Shayela umhlinzeki wakho uma unokunye kwalokhu okulandelayo:

• Izimpawu ze-analgesic nephropathy, ikakhulukazi uma ngabe usebenzisa i-painkillers isikhathi eside
• Igazi noma izinto eziqinile emchameni wakho
• Inani lomchamo wakho lehlile

Landela imiyalo yomhlinzeki wakho lapho usebenzisa imithi, kufaka phakathi izidakamizwa ze-OTC. Ungathathi ngaphezu komthamo onconyiwe ngaphandle kokubuza umhlinzeki wakho.

Phenacetin nephritis; I-nephropathy - i-analgesic

• Ukwakheka kwezinso

U-Aronson JK. I-Paracetamol (i-acetaminophen) nezinhlanganisela. Ku: Aronson JK, ama-eds. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 474-493.

UParazella MA, uRosner MH. Izifo ze-tubulointerstitial. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 35.

I-Segal MS, i-Yu X. Imithi ye-Herbal ne-counter-counter kanye nezinso. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 76.