Secondary ndabatwa itsvo: zvinokonzera, zviratidzo, kurapwa, fungidziro

Varwere atarisana Urological pathologies kunzwa kubva vanachiremba rokuti renal parenchyma. Chii, angangodaro, nyanzvi hamukumbiri uye kuramba ruzivo.

Pfungwa uye chikuru mashandiro ari itsvo parenchyma

Parenchyma - Nde mutumbi jira. chinoumba nhengo dzaro dziri masero uropi (yomukati rukoko) uye cortex (rokunze rukoko) zvinhu. The nemamiriro rejira risina mvere, uye anotarisa sezvinoita Kamudzira umo muviri anoiswa, uye zvinhu nezvezvimwe zvinetso zvedundira.

The chikuru kushanda parenchyma - excretion pakati metabolic zvigadzirwa kubva mumuviri uye, naizvozvo, pakusikwa ezvinhu kuti richengetedzwe chaiwo mamiriro dzomunyika nenyere.

Pakukora ari renal zvinyama mune utano munhu avhareji yezera boka 15 kusvika 23 millimeters. Kana murwere kumboitwa Kutamiswa zvinotapuriranwa, apedza mushonga chisingaperi anogumbura pezvakaitwa uye nezvezvimwe zvinetso zvedundira, izvozvo zvichaita kuti rive dete yacho tishu. Zvisinei parenchyma anokwanisa zvishoma nezvishoma kupora.

Zvino hauchafi unozvidzinga rokuti renal parenchyma, chii uye chii zvayo basa yakanga isingazivikanwi.

The zvechadenga nesekondari siyana chirwere

Nesekondari ndabatwa itsvo Kusiyana zviduku. Ivo somunhu chinhu chagumbura kukura zvokurwara - akabatanidza chirwere.

Varwere vari nechirwere pokukundwa yayo nyama yacho arteries, kukura zvikuru vakabatwa itsvo. Chikuru Precursors chimiro ichi chirwere ari: zvakawedzera BP iro kuchengetwa vane chirwere cheBP nematambudziko, uye kupenya mwoyo chirwere uye vascular hurongwa.

Kana murwere ane zvokurwara pakati excretory ezvinhu, rwunotanga dzakaonda uye kurasikirwa kwavo dzichipfekeka vachikwanisa parenchyma ukuwo, anovandudza zvokurwara - yechipiri ndabatwa itsvo.

etiology

Kudzidza zvinhu zvokurwara, vanofanira kuziva zvikonzero, achifuridzirwa iyo kuva chirwere chakadai, sezvo yechipiri ndabatwa itsvo:

• hweHIV mumuviri mabhakitiriya tibhii;
• kwemabhakitiriya itsvo tubule kukuvara nonspecific hunhu;
• kurasikirwa glomeruli;
• nokuumbwa concretions mumuviri mhango;
• cheshuga.

All zvirwere izvi kukonzera matambudziko kweropa. Kushaikwa ropa kunotungamirira yaitsigira divi kana bilateral rakawunyana muviri. Izvi zvingatora kwemakore, uye simba nzvimbo yokutanga kukura connective zvinyama, uye mushure akaumba vanga.

Yandakapiwa yechipiri ndabatwa itsvo kunokonzera paumbwe chakasiyana uye anova nenguva yawo mamiriro itsvo kukundikana, urology chirwere ichi kwakajairika zvakakwana. Mumwe murwere anoda kugara mumuviri kuongororwa uye extrarenal ropa yokunatswa nzira kuti anobvumira kuti kuona kubva pamuviri zvine chepfu.

The kunotoda mufananidzo uye mashandiro ose inotungamirwa

At kuongororwa wokutanga, vanachiremba havagoni isa zvachose kuongorora chirwere. Zvisinei, pane vakawanda symptomatic kuratidzwa kuti vari mamirire kuvinga renal scarring. Chinonyanya unoshamisa kutyora weti risinganyatsozivikanwi kuti rakabva papi basa, sezvo murwere inoratidza kuunganidzwa nhoroondo yezvokurapa. Analysis kuti zvoutachiona zvinhu kunoratidza kuti nhamba daily vakapfuura. Panguva iyoyowo yakawanda weti goho usiku pane masikati.

Kuratidza zvishoma pachena dzinosanganisira:

1. Kuvapo mapuroteni iri weti.
2. Weti chaicho negiravhiti pazasi dzose.
3. BP stably ichiwedzerwa.
4. Paiva zviitiko vane chirwere cheBP dambudziko.
5. Present kurwadziwa lumbar nharaunda.

Secondary ndabatwa itsvo - macropreparations iro maitiro chikabviswa ndiye haasaruri chimiro chengetedzo, apo nokuderedza uremu uye kukura. With kuchinja kubva zvokurwara ruvara kuchinja. In kuchava kutanga kwekupwanyiwa itsvo ropa ane Hue yakajeka, apo muviri wayo anova wachena tinge mavanga zvinoonekwa kukwana rionekwe. ropa nzvimbo hadzina kuwanikwa.

The fungidzira mhaka zvekuchipatara zviratidzi anogona kunzi sezvo chikuru deposition uye blockage pamusoro renal midziyo Dombo, izvo zvakazoita kuti kukura neBP. Sezvo yechipiri zvinokonzera zvokurwara kazhinji kuita stroma, tubules uye glomeruli, semuenzaniso, kuzvimba kana degeneration.

Rokutanga mugumisiro kurapwa zvingabatsira, chero kuti murwere akabatwa chirwere chikuru ndabatwa itsvo. Treatment nokugaroratidzana dialysis kuchaita kuti pave chirwere suburemii mhando.

The mhedziso pavadzidzisi kazhinji anoratidza chokwadi akadai vasiri kuchinja parenchyma (kuberekwa patsva kunoitika muna connective tishu).

Akaora, nechirwere iri pachena: yechipiri ndabatwa itsvo.

Modern nzira diagnosing chirwere

Information yakawanikwa muzana pokuiswa rokuongorora uye migumisiro nemiedzo, zvakakwana kuti pakupedzisira kuisa chirwere kumurwere. In izvi, vanachiremba kushandisa ano chirwere unyanzvi, vachibvumira kuona chikonzero, chimiro nekuomarara chirwere.

Saka, murwere anogona kupiwa:

• mukuru uye kwakakwana ropa count;
• kuzodzosera kuzviongorora weti;
• Ultrasonic kuongorora chirwere itsvo;
• X-ray of lumbar;
• rinobva resonance kuri;
• achisiyanisa kombiyuta Diagnostics.

Kazhinji, nemiedzo inoverengeka uye mumwe Ongororo zvizere mumuviri, zvichida kushandisa kusiyana nevamiririri.

Panguva kwokutanga zano, chiremba anofanira kuitisa kurapwa nhoroondo kwazvo. Izvi zvichaita kuti vagadze mararamiro murwere, kana ane chirwere kana comorbidities, wakaitwa nokusingaperi mishonga urogenital hurongwa. Iva nechokwadi kuti aite palpation etsvo uye rokuongorora ganda mapundu nezvenyaya.

Ashandiswa varayire kurapwa uye chirwere kuti "yechipiri ndabatwa itsvo" anogona chete vanokodzera uye ruzivo chiremba wezvedundira.

Kuchirapa nzira kubvisa zvokurwara

The zvokurwara kuti "yechipiri ndabatwa itsvo" kurapwa kunonyanya kunosanganisira symptomatic uye zvainanga pakurwisa huru chikonzero uye kumutsa kukura chirwere.

Muzviitiko apo murwere zvokurwara kunoitika apo pamwe cheBP uye itsvo kutadza zviratidzo hadzina kwakaratidzwa, vanachiremba akarayira munyu-isina zvokudya.

Kana zviratidzo itsvo kukundikana inoziviswa, ari abolition sezvinokosha ushandiswe mishonga kuti kuderedza BP. Zvokudya kunosanganisira pakuzvinyima zvokudya kwose, kusanganisira kubva broths. Izvi zvichakubatsira kuderedza uwandu nitrogenous muchetura.

Kana kwokutanga kurapwa iri basa, kuvhiya kupindira zvakakodzera, achiperekedzwa hemodialysis uye transplantation yacho anyatsoronga nenyere.

Zvavakabvumirana Kudya kuti chirwere

Salt isina kudya kunopa kuti zvagara pakushandisa zvigadzirwa zvakadaro: nyama, hove, Citrus zvibereko. Wairambidza unopinza, yakashapa, wakawanda uye Spicy. Zvinokoshawo kuti zvakakwana kusiya kofi kunwa uye kofi yakaisvonaka, aisvuta nyama uye Sausages, chocolate, zvakarungwa, hanyanisi negariki, sipinachi uye asiparagasi.

Zvakakodzera kudzora nezuva huwandu emura. Hazvifaniri kupfuudza marita rimwe nehafu, kusanganisira rokutanga mapoka.

Kushandiswa mhuka mapuroteni inofanira kuchengetwa kushoma. Zvakanakisa, zvinofanira kutsiviwa miriwo kana Sou. Mafuta zvokudya zvinofanira kuva mukuru, ane zviri polyunsaturated mafuta acids. Kudyiwa zvokudya zvine phosphorus, potassium uye magnesium, zvinofanira kuderedzwa.

How kudzivirira kukura renal scarring

Matanho kudzivirira chirwere kwazvo zvakadzama, asi zvikuru vari nechinopiwa sezvinotevera:

1. Unoda nguva kurapa chirwere ane chirwere hunhu.
2. Rangarira Mishonga hwechiKomonisiti.
3. Control muviri.
4. Usabvumira kukura zvirwere genitourinary hurongwa.
5. Atungamirire basa mararamiro.
6. Dzivisa itsvo gumo.
7. Inwa kucheneswa nemvura chete.

Varwere vari anongoti kutanga cheitsvo, tinoratidza kugara uchiongororwa panguva nephrologist.

The for kupora

Kazhinji, zvokuongorora kuti "yechipiri ndabatwa itsvo" vanoshorwa for kupora. Chose kukurira chirwere haigoni, unogona chete uine mudanga mamiriro murwere.

Under zvimwe zvinhu uye kana zvichiita, unofanira kuvhiyiwa iri imwe itsvo nokuisazve.