Matenda Berger a (IgA-nephropathy): amachititsa, chithandizo

matenda aimpso zimachitika nthawi zambiri. Zikuphatikizapo matenda monga pielo- ndi glomerulonephritis. Kuwonjezera izi, pali matenda ena a dongosolo mkodzo. Mmodzi wa iwo ndi matenda Berger a. kudwala Izinso, amatanthauza anomalies pafupipafupi. Iwo matenda pafupifupi 20% milandu ya matenda a impso anthu. kuphwanya Izi ntchito osati mavuto a nephrology, monga chitukuko cha limagwirira cha m'thupi. Akuganiza kudwala zingakhale pa chizindikiro chachikulu - aakulu hematuria.

matenda Berger a - ndichiyani?

matenda ndi mtundu wa glomerulonephritis aakulu. Poyerekeza ndi hypertensive ndi nephrotic chimake panopa, matenda Berger uli ndi madokotala ananena zawo zabwino. Ngakhale kuti matenda adakali oyambirira (zaka 15-30), sangafanane amakhala woopsa aimpso insufficiency. Mawonetseredwe waukulu matenda - ili ndi aakulu hematuria ndi kusapeza m'dera lumbar. kudwala Izi akhoza zimachitika ana. Amuna kumachitika nthawi 4 zambiri kuposa akazi. Mofanana ndi pathologies onse, matenda ndi mayiko gulu la Matenda (ICD). Nephropathy Berger N02 ali code, kutanthauza "khola ndi kobwereza hematuria."

Zimayambitsa matenda

Wochititsa matenda ndi ndondomeko opatsirana. Nthawi zambiri za kudwala aimpso akufotokozera pambuyo matenda ndi tizilombo toyambitsa matenda. Komanso, chifukwa akhoza kukhala matenda a mafangasi. Zizindikiro zimakhala masiku angapo pambuyo matenda kuchepa mu chapamwamba kupuma thirakiti (matenda pachimake kupuma tizilombo, zilonda zapakhosi, pharyngitis). Chifukwa mwamsanga matenda ndi kudzikundikira maofesi m'thupi mu aimpso makoma mtima. Nthawi zina, kugwirizana kwa kudwala ndi akuthodwa mbiri kumtundu (banja IgA-nephropathy). Komanso, matenda amagwirizana ndi kutengera za kumtundu. Kuonetsetsa ndi akapsa zotsatirazi:

1. Hypothermia.
2. Utachepa chitetezo chokwanira.
3. njira aakulu tizilombo toyambitsa mu Airways chapamwamba.

Limagwirira matenda Berger a

The pathogenesis matenda kugwirizana ndi mafunsidwe a maofesi m'thupi mwa makoma chotengera. Mu yachibadwa impso glomerular zida ndi udindo imathandiza magazi. Amakhala ndi kuchuluka kwa ziwiya nephrotic. Pambuyo zinthu yapita matenda a kutupa - maofesi m'thupi - m'thupi ndipo waikamo mwa zida za glomerular. Chifukwa, osauka glomerulonephritis. ziwiya aimpso akhoza silingayende bwinobwino chifukwa maofesi m'thupi, ndi magazi kusefera kusokonezedwa. Komanso, ndondomeko yotupa amachititsa madzimadzi kudzikundikira (edema parenchyma) ndipo kumachepetsa permeability wa chapansi Kakhungu. Chifukwa, osauka macro- ndi tosaoneka hematuria. Chifukwa njira izi ndi kuwonongeka glomerular ndi malowedwe a madzi (magazi) kudzera chapansi Kakhungu.

Kodi zizindikiro za matenda omwe anati mu Berge?

Chithunzi matenda a matenda Berger a akufanana pachimake glomerulonephritis. Komabe, nkofunika kusiyanitsa matenda awa pamodzi. Chifukwa cha glomerulonephritis zambiri matenda staph. Ndipo njira zosiyanasiyana zochizira matenda amenewa. Zizindikiro zazikulu za Ig A-nephropathy ndi:

1. Hematuria. Nthawi zambiri, ichi ndi chizindikiro cha kukakamiza odwala kufuna chithandizo. Gross hematuria zikutanthauza maonekedwe a magazi mu mkodzo. Izi kawirikawiri limodzi ndi zomverera zosasangalatsa.
2. Microhematuria - ndi chizindikiro kuti ndi imperceptible kwa anthu ndipo anamuuza okha zitsanzo wapadera.
3. Ululu m'dera lumbar. Nthawi zambiri, iwo m'molema kupweteka m'chilengedwe. Mosiyana ndi njira zina yotupa mu impso (pyelonephritis), kusapeza anati mbali zonse.
4. Pamaso pa matenda chapamwamba kupuma thirakiti isanafike.
5. Kuchuluka thupi kutentha.
6. General kufooka.
7. Proteinuria - kuoneka mapuloteni mu mkodzo. Iwo taonera milandu kawirikawiri pamene atypical Inde matendawa.

Matendawa Ig A-nephropathy

Waukulu matenda muyezo matenda Berger ndi njira aakulu. Zizindikiro wodwalayo zambiri imaona 2-3 chaka matenda. M'pofunikanso kukumbukira kuti matenda ndi mtima wabwino. Ngakhale nthawi akuwonetseredwa hematuria, aimpso amakhalabe yachibadwa. Mosiyana ndi njira zina yotupa (pielo-, glomerulonephritis), matenda CRF Berger ndi osowa.

Laboratory matenda zikuphatikizapo KLA OAM wapadera ndi zitsanzo mkodzo (nechyporenko, Zimnitsky). Iwo ayenera kudziwa maselo ofiira ndi maselo oyera. Malinga ili yaying'ono kumasuka ndi aakulu hematuria. Ambiri, kusanthula mkodzo mapuloteni akhoza kukhala pano. Kuti muone ngati pali kuphwanya ntchito aimpso, wodwala ayenera apereke magazi mtsempha mu sayansi. Mu kusanthula izi, ndikofunika kudziwa mlingo wa creatinine, omwe si zachilendo pamene matenda Berger. Kuika matenda komaliza, kafukufuku amene anachitika pamaso pa Ig A m'magazi. Nthawi zina impso biopsy, imene maofesi m'thupi opezeka chipangizo mtima. Ultrasound ndi anachita kwa matenda masiyanidwe.

Immunological aimpso kutupa: chithandizo

Ngakhale chosaopsa njira ya matenda pa mankhwala muyambirenso chofunika. M'pofunika osati kuti tisaletse zizindikiro za matenda, komanso ndi view kuti tipewe mavuto ndiponso kupulumutsa impso ntchito. Chithandizo akuyamba ndi akonzere foci matenda. Nthawi zambiri izi Maantibayotiki (mankhwala "amoxicillin", "Cefazolin") ndi wothandizila mavairasi oyambitsa (medicaments "Viferon", "Genferon"). Komanso, kutupa m'malo olumikizirana mafupa mu NSAIDs impso glomerular zida zofunika. mankhwala "Kanefron" Kawirikawiri ntchito, "ibuprofen". Pamene matenda a impso ndi mankhwala ogwira mtima zochokera zitsamba. Akulu teas wapadera ndi infusions (knotweed, masamba birch, bearberry).

Ngati matenda ndi zovuta kuchitira, ndi recurrences kawirikawiri kapena mavuto, ndiye amathera timadzi mankhwala. Kawirikawiri mankhwala mankhwala "Prednisolone" kapena wothandizila cytostatic. Mu zina, antiplatelet mankhwala njira kusintha magazi (mankhwala "Kurantil").

Kupewa matenda Berger a

Tiyenera kukumbukira kuti matenda Berger limanena kuti pathologies ndi aakulu. Choncho, pofuna kupewa exacerbations, zodzitetezera ayenera kuchitika. nthawi yofunika kuti sanitize ndi foci matenda (zilonda zapakhosi, sinusitis), akumane ndi hypothermia. Komanso, odwala akhale nthawi mankhwala mankhwala maphunziro, kuthandiza chitetezo cha m'thupi.