Chirwere Berger raMwari (IgA-nephropathy): kunokonzera, kurapwa

Renal chirwere kuitika kazhinji. Izvi zvinosanganisira zvirwere zvakadai pielo- uye glomerulonephritis. Kunze izvi, pane dzimwe zvirwere nezvezvimwe zvinetso zvedundira. Mumwe wavo ari chirwere Berger raMwari. zvokurwara Izviwo rinoreva kakawanda anomalies. Zvinonzi chirwere mu anenge 20% nyaya kuti hosha yeitsvo nevanhu. kutyora ichi rinoshanda kwete chete matambudziko nephrology, sezvinoita kukura masoja mashandiro. Chifungidziro zvokurwara ichi vanogona kuva pamusoro huru chiratidzo - kwakakomba hematuria.

Berger nehosha - chii?

chirwere ichi inzira chirwere glomerulonephritis. Tichienzanisa vane chirwere cheBP uye nephrotic ano musimboti, chirwere Berger ane fungidziro yakanaka. Pasinei chokwadi kuti chirwere pazera duku (makore 15-30), hakumboiti inova kwazvo renal insufficiency. The chikuru zvinoratidza chirwere - ichi kwakakura hematuria uye kusagadzikana mune lumbar nharaunda. zvokurwara Izvi zvinogonawo kuitika kuvana. In vanhurume zvikaitika 4 nguva kakawanda kupfuura vakadzi. Sezvo vose pathologies, chirwere ndiye International kupatsanura kwezvirwere (ICD). Nephropathy Berger N02 ane code, rinoreva "mudanga uye idzokororo hematuria."

Zvinokonzera chirwere

Kukonzera chirwere chiri rwarisa chichingoitwa. Muzviitiko zvizhinji pamusoro renal zvokurwara nezvechinhu pashure akabatwa uye zvirwere zvinokonzerwa noutachiona. Uyewo, chikonzero chingava chinhu fungal chirwere. Zviratidzo kazhinji kuoneka mazuva mashoma mushure chirwere kwakanyarara chokumusoro kufema turakiti (chakasimba kufema chaikonzerwa noutachiona, hosha huro, pharyngitis). The pakarepo chinokonzera chirwere chacho kuunganidza masoja zvivako zviri renal vascular masvingo. Mune zvimwe zviitiko, kubatana kuti zvokurwara muremerwe nhoroondo nhaka (rwapedyo IgA-nephropathy). Mukuwedzera, maperembudzi chokuita nemagene kubatwa. Govera zvinotevera ude:

1. Hypothermia.
2. Ungaderedza kutapata.
3. Chirwere nemavhairasi uye kwemabhakitiriya pezvakaitwa chokumusoro Airways.

The mashandiro kuti Berger chirwere

The pathogenesis chirwere chokuita deposition kuti masoja zvivako zviri mudziyo masvingo. Chaiye itsvo glomerular midziyo iri basa inonzwika apo ropa. It rine muzvizhinji kuti nephrotic midziyo. Pashure yapfuura chirwere zvinhu kuzvimba - masoja zvivako - mumuviri uye iiswe glomerular midziyo. Somugumisiro, kukura glomerulonephritis. Renal midziyo haagoni kushanda kazhinji nokuda zvirwere zvivako, uye ropa filtration vachanetseka. Mukuwedzera, kushoma kunokonzera Urume kuwanda (edema parenchyma) uye akazoita permeability yacho zimba membrane. Somugumisiro, kukura macro- uye nemaziso hematuria. Zvikonzero azvaiitwa kuti glomerular kukuvadza uye kupinda nemvura (ropa) kuburikidza yepasi membrane.

Chii zviratidzo chirwere vari kuchengetwa Washington DC?

The kunotoda mufananidzo Berger nehosha afanane rikwanise glomerulonephritis. Kunyange zvakadaro, zvinokosha kuti kusiyanisa zvirwere izvi pamwe chete. Kazhinji mhosva glomerulonephritis chinhu staph hutachiona. Uye siyana nzira yokurapa zvirwere izvi. The chikuru zviratidzo IG A-nephropathy vari:

1. Hematuria. Kakawanda, izvi ndicho chiratidzo kumanikidza varwere kutsvaka kurapwa. Gross hematuria zvinoreva chimiro ropa weti. Izvi kunowanzoguma zvisingafadzi nezvekufadza.
2. Microhematuria - icho chiratidzo kuti imperceptible kuti munhu uye kwakaratidza chete chinokosha ivhu.
3. Kurwadziwa lumbar nharaunda. Kakawanda, ivo yakasindimara achirwadza zvakasikwa. Kusiyana nevamwe anogumbura pezvakaitwa mu itsvo (pyelonephritis), kusagadzikana akacherechedza kumativi ose.
4. Kuvapo yokumusoro kufema turakiti chirwere isati.
5. Inosimudzira muviri tembiricha.
6. General simba.
7. Proteinuria - kuonekwa mapuroteni iri weti. Zvinonzi munyaya zvisingawanzoitiki zviitiko apo ane atypical weboka chirwere.

Chirwere IG A-nephropathy

Huru chirwere chokuratidza chirwere Berger iri chirwere kosi. murwere zviratidzo kazhinji yainetseka 2-3 pagore pashure chirwere. Zvinokoshawo kuziva kuti chirwere chacho benign. Pasinei nguva nenguva akaratidza hematuria, renal anoramba zvakajairika. Kusiyana nemamwe anogumbura urongwa (pielo-, glomerulonephritis), chirwere CRF Berger ari kushoma.

Laboratory chirwere zvinosanganisira KLA chaiwo OAM weti (nechyporenko, Zimnitsky). Vanofanira kuziva ropa masero matsvuku uye ropa masero machena. Zvichienderana ichi vasunungurwe micro uye kwakakomba hematuria. Kazhinji, kuongorora weti mapuroteni kunogona kuvapo. Kuti aone kana paine kutyora renal basa, murwere vanofanira kupa ropa kubva tsinga iri nemakemikari omuviri. In ongororo iyi, zvakakosha kuziva padanho creatinine, izvo zvinoitika kana chirwere Berger. Kuisa wokupedzisira nechirwere, kudzidza kuitwa kuvapo IG A muropa. Mune zvisingawanzoitiki zviitiko itsvo biopsy, umo masoja zvivako dziri vascular mudziyo. Ultrassom iri akaita kuti differential zvawanikwa.

Immunological renal kuzvimba: kurapwa

Pasinei benign weboka chirwere panguva kuitazve kurapa kunodiwa. Zvakafanira kwete chete kuti asanyanya zviratidzo chirwere, asi nepfungwa wokudzivisa yematambudziko uye kuchengetedza itsvo chaitika. Treatment rinotanga kururamiswa pamusoro foci chirwere. Kazhinji ichi Mishonga inorwisa (zvinodhaka "amoxicillin", "Cefazolin") uye antiviral yomuchipatara (medicaments "Viferon", "Genferon"). Uyezve, kuderedza kuzvimba ari itsvo glomerular midziyo inodiwa NSAIDs. zvinodhaka "Kanefron" vari zvinowanzoshandiswa, "ibuprofen". Kana hosha yeitsvo vari mishonga inoshanda kuti anotorerwa yemakwenzi. Uyewo gadzai inokosha teas uye infusions (knotweed, Birch atwo, bearberry).

Kana chirwere zvakaoma kurapa, vane kakawanda recurrences kana matambudziko, zvino vanopedza kemikari mishonga. Kazhinji varayire mushonga "Prednisolone", uye cytostatic nevamiririri. Mune zvimwe zviitiko, rimwe antiplatelet kurapa, inzira kuvandudza ropa riyerere (zvinodhaka "Kurantil").

Kudzivirira Berger chirwere

Zvinofanira kurangarirwa kuti chirwere Berger inoti kune chirwere pathologies. Naizvozvo, kuitira kudzivisa exacerbations, matanho anofanira kuitwa. nguva inokosha sanitize ari foci chirwere (tonsillitis, sinusitis), kuva pasi hypothermia. Uyewo, varwere vanofanira kuva nenguva mishonga mushonga makosi, kutsigira zvirwere.