I-necrosis yama-papillary yezinso

I-renal papillary necrosis ukuphazamiseka kwezinso lapho kufela khona konke noma ingxenye ye-renal papillae. Ama-papillae ama-renal yizindawo lapho ukuvuleka kwamapayipi okuqoqa kungena khona ezinso nalapho umchamo ugelezela khona ku-ureters.

I-renal papillary necrosis ivame ukwenzeka nge-analgesic nephropathy. Lokhu kungukulimala kwesinye noma zombili izinso ezibangelwa ukuchayeka ngokweqile emithini yezinhlungu. Kepha, ezinye izimo zingadala necrosis ye-renal papillary, kufaka phakathi:

• I-nephropathy yesifo sikashukela
• Ukutheleleka kwezinso (pyelonephritis)
• Ukwenqatshwa kokufakelwa izinso
• I-Sickle cell anemia, imbangela ejwayelekile ye-renal papillary necrosis ezinganeni
• Ukuvinjelwa kwe-Urinary tract

Izimpawu ze-renal papillary necrosis zingafaka:

• Ubuhlungu beqolo noma izinhlungu eziseceleni
• Umchamo onegazi, onamafu, noma omnyama
• Izicucu zezicubu emchameni

Ezinye izimpawu ezingase zivele ngalesi sifo:

• Umkhuhlane namakhaza
• Ukuchama kabuhlungu
• Ukudinga ukuchama kaningi kunokujwayelekile (ukuchama kaningi) noma isifiso esisheshayo, esinamandla sokuchama (ukuphuthuma)
• Kunzima ukuqala noma ukugcina ukusakazwa komchamo (ukungabaza kwe-urinary)
• Ukungakwazi ukubamba umchamo
• Ukuchama amanani amakhulu
• Ukuchama kaningi ebusuku

Indawo engaphezulu kwezinso ezithintekile (ohlangothini) ingazizwa ithenda ngesikhathi sokuhlolwa. Kungaba nomlando wokutheleleka ngomgudu womchamo. Kungaba nezimpawu zokuhamba komchamo ovinjiwe noma ukwehluleka kwezinso.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa komchamo
• Ukuhlolwa kwegazi
• Ukuhlolwa kwe-Ultrasound, CT, noma okunye kwezinso

Akukho ukwelashwa okuqondile kwe-necrosis ye-renal papillary. Ukwelashwa kuya ngesizathu. Isibonelo, uma i-analgesic nephropathy iyimbangela, udokotela wakho uzokuncoma ukuthi uyeke ukusebenzisa umuthi obangela lokho. Lokhu kungavumela izinso ukuthi ziphole ngokuhamba kwesikhathi.

Umuntu wenza kahle kangakanani, kuya ngokuthi yini ebanga lesi simo. Uma imbangela ingalawulwa, isimo singahamba sodwa. Kwesinye isikhathi, abantu abanalesi simo baba nokuhluleka kwezinso futhi bazodinga i-dialysis noma ukufakelwa izinso.

Izinkinga zempilo ezingabangelwa yi-renal papillary necrosis zifaka:

• Ukutheleleka kwezinso
• Amatshe ezinso
• Umdlavuza wezinso, ikakhulukazi kubantu abaphuza imithi eminingi yezinhlungu

Shayela i-aphoyintimenti nomhlinzeki wakho wezokunakekelwa kwempilo uma:

• Unomchamo onegazi
• Uba nezinye izimpawu ze-renal papillary necrosis, ikakhulukazi ngemuva kokuthatha imithi yezinhlungu ezithengiswayo

Ukulawula isifo sikashukela noma i-sickle cell anemia kunganciphisa ubungozi bakho. Ukuvimbela i-renal papillary necrosis kusuka ku-analgesic nephropathy, landela imiyalo yomhlinzeki wakho lapho usebenzisa imithi, kufaka phakathi ukudambisa izinhlungu okuthengwa ekhawunteni. Ungathathi ngaphezu komthamo onconyiwe ngaphandle kokubuza umhlinzeki wakho.

I-necrosis - i-papillae yezinso; I-renal medullary necrosis

• Ukwakheka kwezinso
• Izinso - ukugeleza kwegazi nomchamo

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ISchaeffer AJ, iMatulewicz RS, iKlumpp DJ. Izifo zomgudu womchamo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 12.