I-Nephrocalcinosis

I-Nephrocalcinosis yisifo lapho kune-calcium eningi efakwe ezinso. Kuvamile ezinganeni ezizalwe ngaphambi kwesikhathi.

Noma yikuphi ukuphazamiseka okuholela emazingeni aphezulu e-calcium egazini noma emchameni kungaholela ku-nephrocalcinosis. Kulesi sifo, i-calcium ifaka izicubu zezinso uqobo. Isikhathi esiningi, zombili izinso ziyathinteka.

I-Nephrocalcinosis ihlobene, kepha ayifani, namatshe ezinso (nephrolithiasis).

Izimo ezingadala i-nephrocalcinosis zifaka:

• I-Alport syndome
• Isifo seBartter
• I-glomerulonephritis engapheli
• I-hypomagnesemia ejwayelekile
• Izinso zesiponji zeMedullary
• I-hyperoxaluria eyinhloko
• Ukwenqatshwa kabusha kokufakelwa kabusha
• I-renal tubular acidosis (RTA)
• I-renal cortical necrosis

Ezinye izimbangela ze-nephrocalcinosis zifaka:

• Ubuthi be-Ethylene glycol
• I-Hypercalcemia (i-calcium eyeqile egazini) ngenxa ye-hyperparathyroidism
• Ukusetshenziswa kwemithi ethile, njenge-acetazolamide, i-amphotericin B, ne-triamterene
• I-Sarcoidosis
• Isifo sofuba sezinso nezifo ezihlobene nengculazi
• Uvithamini D ubuthi

Isikhathi esiningi, azikho izimpawu zokuqala ze-nephrocalcinosis ezedlula lezo zesimo esidala inkinga.

Abantu abanamatshe ezinso bangaba nalokhu:

• Igazi emchameni
• Umkhuhlane namakhaza
• Isicanucanu nokuhlanza
• Ubuhlungu obukhulu esiswini, ezinhlangothini zangemuva (ohlangothini), emgodini, noma kumasende

Izimpawu zakamuva ezihlobene nephrocalcinosis zingahlotshaniswa nokuhluleka kwezinso zesikhathi eside (okungapheli).

I-Nephrocalcinosis ingatholwa lapho kuvela izimpawu zokungasebenzi kahle kwezinso, ukwehluleka kwezinso, ukuvimbela i-uropathy, noma amatshe womgudu womchamo.

Ukuhlola izithombe kungasiza ukuxilonga lesi simo. Ukuhlolwa okungenziwa kufaka phakathi:

• Iskena se-CT esiswini
• I-Ultrasound yezinso

Ezinye izivivinyo ezingenziwa ukuxilonga nokunquma ubunzima bezinkinga ezihambisanayo zifaka:

• Ukuhlolwa kwegazi ukuhlola amazinga e-calcium, i-phosphate, i-uric acid, ne-hormone ye-parathyroid
• Ukuhlolwa komchamo ukubona amakristalu bese uhlola amaseli abomvu egazi
• Ukuqoqwa komchamo wamahora angama-24 ukukala i-asidi namazinga we-calcium, i-sodium, i-uric acid, i-oxalate ne-citrate

Inhloso yokwelashwa ukunciphisa izimpawu nokuvimbela i-calcium eningi ekwakheni ezinso.

Ukwelashwa kuzobandakanya izindlela zokwehlisa amazinga angajwayelekile we-calcium, i-phosphate, ne-oxalate egazini nasemchameni. Izinketho zifaka phakathi ukwenza ushintsho ekudleni kwakho nokuthatha imithi nezithasiselo.

Uma uthatha umuthi obangela ukulahleka kwe-calcium, umhlinzeki wakho wezokunakekelwa kwezempilo uzokutshela ukuthi uyeke ukuwudla. Ungalokothi uyeke ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho.

Ezinye izimpawu, kufaka phakathi amatshe ezinso, kufanele ziphathwe ngendlela efanele.

Yini ongayilindela kuncike ezinkingeni nasenkingeni yokuphazamiseka.

Ukwelashwa okufanele kungasiza ekuvikeleni okunye ukufakwa ezinso. Ezimweni eziningi, ayikho indlela yokususa amadiphozi asevele akha. Ukufakwa okuningi kwe-calcium ezinso akusho njalo ukulimala okukhulu ezinso.

Izinkinga zingafaka:

• Ukungasebenzi kahle kwezinso
• Ukuhluleka kwezinso isikhathi eside (okungapheli)
• Amatshe ezinso
• I-uropathy evimbelayo (ebucayi noma engapheli, engahlangani noma eyimbili)

Shayela umhlinzeki wakho uma wazi ukuthi unenkinga ebanga amazinga aphezulu e-calcium egazini nasemchameni wakho. Fonela futhi uma uba nezimpawu ze-nephrocalcinosis.

Ukwelashwa okusheshayo kwezifo eziholela ku-nephrocalcinosis, kufaka phakathi i-RTA, kungasiza ukuyivimba ukuthi ingakhuli. Ukuphuza amanzi amaningi ukugcina izinso zigeleza nokukhipha kuzosiza ekuvimbeleni noma ekwehliseni ukwakhiwa kwamatshe.

• Izinso zamatshe - okufanele ubuze udokotela wakho

• Uhlelo lwesilisa lomchamo

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UChen W, uMonk RD, uBushinsky DA. I-Nephrolithiasis nephrocalcinosis. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 57.

UTublin M, uLevine D, uThurston W, uWilson SR. Izinso kanye nomgudu womchamo. Ku: Rumack CM, Levine D, eds. Ukuxilongwa kwe-Ultrasound. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 9.

IVogt BA, Springel T. Izinso nomgudu womchamo wengane. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff kanye neMedicine's Neonatal-Perinatal Medicine. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 93.