I-lupus (lupus) nephritis: kuyini, izimpawu, ukuhlukaniswa kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Yelashwa kanjani
• Ukuhlukaniswa nezinhlobo ze-lupus nephritis

I-Lupus nephritis ivela lapho i-systemic lupus erythematosus, okuyisifo esizimele, ithinta izinso, ibangele ukuvuvukala nokulimala ezitsheni ezincane ezibhekele ukuhlunga ubuthi emzimbeni. Ngakho-ke, izinso azikwazi ukusebenza ngokujwayelekile nezimpawu ezinjengegazi emchameni, umfutho wegazi ophakeme noma ubuhlungu obungapheli emalungeni, isibonelo.

Lesi sifo sithinta ngaphezu kwengxenye yeziguli ze-lupus futhi sivame kakhulu kwabesifazane eminyakeni eyishumi yesithathu yokuphila, yize singathinta nabesilisa nabantu kanye neminye iminyaka, njengesinye sezimbangela ezinkulu zokufa kwe-lupus.

Yize kuyinkinga ebucayi ye-lupus, i-nephritis ingalawulwa ngokwelashwa okufanele futhi, ngakho-ke, kubaluleke kakhulu ukuthi abantu abahlushwa i-lupus babe nokuxhumana nokuhlolwa okujwayelekile ukuhlola ubukhona bezinkinga. Uma ungelashwa kahle, i-lupus nephritis ingadala ukwehluleka kwezinso.

Yazi izimpawu ze-lupus erythematosus nokuthi ukwelashwa kwenziwa kanjani.

Izimpawu eziyinhloko

Izimpawu ze-lupus nephritis zingahluka kakhulu kumuntu nomuntu, noma kunjalo, ezivame kakhulu yilezi:

• Igazi emchameni;
• Umchamo ngegwebu;
• Ukuvuvukala okweqile kwemilenze, izinyawo, ubuso noma izandla;
• Ubuhlungu obuhlala njalo emalungeni nasemisipha;
• Ukwanda komfutho wegazi;
• Umkhuhlane ngaphandle kwesizathu esisobala;

Uma une-lupus futhi kuvela eyodwa noma ngaphezulu yalezi zimpawu, kubaluleke kakhulu ukuxhumana nodokotela owelapha lesi sifo, ukuze enze izivivinyo ezinjengokuhlolwa komchamo noma ukuhlolwa kwegazi nokuqinisekisa ubukhona, noma cha, be-nephritis , ukuqala ukwelashwa.

Kwezinye izimo, kungadingeka ngisho nokuba ne-biopsy yezinso ukuqinisekisa ukuxilongwa. Ukwenza lokhu, udokotela usebenzisa i-anesthesia esizeni futhi, esebenzisa inaliti, ususa isiqeshana sesicubu ezinso, bese sihlaziywa elabhorethri. I-renal biopsy kufanele yenziwe kuzo zonke iziguli ezine-lupus, kanye nakulabo abanezinguquko emiphumeleni yokuhlolwa, njengokukhuphuka kwe-creatinine, ukuncipha kokuhlunga kwe-glomerular nokuba khona kwamaprotheni negazi emchameni.

I-renal ultrasound iqukethe ucwaningo lwesithombe somugqa wokuqala ekuhloleni isiguli ngezimpawu zesifo sezinso, ngoba ivumela ukukhomba ushintsho olufana nokuvinjelwa futhi ivumele nokuhlola ukwakheka kwesitho.

Yelashwa kanjani

Ukwelashwa kwe-lupus nephritis kuvame ukuqala ngokusetshenziswa kwemithi, ebekwe ngudokotela, ukunciphisa ukuphendula kwamasosha omzimba nokunciphisa ukuvuvukala kwezinso. Eminye yale mithi ngama-corticosteroids, njenge-prednisone kanye ne-immunosuppressants. Ukwelashwa okuhlangene kusebenza kakhulu kunalokho okusetshenziswa kuphela i-corticosteroids.

Ngaphezu kwalokho, ngokuya ngezimpawu, kusengadingeka ukuthi usebenzise ama-diuretics ukwehlisa umfutho wegazi nokuqeda ubuthi oketshezi oketshezi emzimbeni.

Kwezinye izimo, kungabuye kunconywe ukuthi uthintane nesazi sokudla ukuze ushintshe indlela yokudla ukuze wenze umsebenzi wezinso futhi unciphise ukuqhubekela phambili kwe-lupus. Nawa amanye amathiphu avela kusazi sethu sokudla:

Ezimweni ezinzima kakhulu, lapho i-lupus ibangele ukulimala kwezinso eziningi, ukwehluleka kwezinso kungaqala ukuvela futhi, ngakho-ke, ukwelashwa kungafaka ukusetshenziswa kwe-hemodialysis noma ukufakelwa kwezinso.

Bheka okuningi mayelana nokuthi ukudla kufanele kube njani kulabo abanezinkinga zezinso.

Ukuhlukaniswa nezinhlobo ze-lupus nephritis

I-Lupus nephritis ingahlukaniswa ngezigaba ezi-6. Ekilasini I no-II kunezinguquko ezincane kakhulu ezinso, ezingase zingabangeli izimpawu noma zibangele izimpawu ezincane, ezifana nomchamo onegazi noma ukuba khona kwamaprotheni esivivinyweni somchamo.

Kusukela ku-Class III, izilonda zithinta indawo ekhula kakhulu ye-glomeruli, iba namandla ngokwengeziwe, okuholela ekwehliseni ukusebenza kwezinso. Isigaba se-lupus nephritis sihlala sikhonjwa ngemuva kokwenza izivivinyo zokuxilonga, ukusiza udokotela anqume ukuthi iyiphi indlela yokwelashwa engcono kakhulu, ecaleni ngalinye. Ngaphezu kwalokho, udokotela kufanele futhi abheke iminyaka yomuntu nesimo sempilo jikelele.