Impso nephrosclerosis ( "kudwala impso"): zimayambitsa, zizindikiro, zizindikiro, matenda ndi mankhwala

matenda ndi nephrosclerosis, nthawi yaitali popanda thandizo la mankhwala. Mpaka m'ma XIX, panalibe kufotokoza zonse za izo. matenda pawokha, iye ankaona ngati makumi atatu kenaka, pamene panali nkhani etiology lapansi. Matendawa amayamba ndi kuwonongeka kwa mitsempha chapansipansi za kugonjetsedwa kwa mafuta awo. madokotala ananena zawo wake si nthawi yabwino. odwala ambiri pambuyo njira ya mankhwala kuthana ndi mavuto monga khungu, kukanika kwa ventricles mtima. Kukhala umoyo wa thupi, mu Zikatero pamafunika mwamsanga kuyeretsa magazi chongopeka.

Anatomical linati: impso nephrosclerosis

Ndi chiyani icho? matenda lino, m'mene zinthu yogwira m'malo limba (parenchyma) connective minofu. Yotsirizira atenge mbali ya munthu filler ndale, koma ntchito zofunika musaganize. Kuti timvetse tanthauzo lalikulu la ndondomeko pathological, chonde amatchula thandizo anatomical.

Impso ndi wophatikizidwa limba ndi mawonekedwe a nyemba. Mbali yaikulu ya amaona kuti parenchyma, kumene mkodzo aumbike. Komanso ankaona kuti ndi mbali yofunika ya chikho ndi lohanochki zomwe zimapanga dongosolo lonse la posungira ndi wotsatira excretion wa mkodzo. Zosefera zachitika nephrons parenchyma. thupi lonse aimpso ophatikizana maukonde kwambiri ziwiya ting'onoting'ono nthambi ku mtsempha wamagazi waukulu.

Impso ntchito ambiri, kuphatikizapo:

• Renin kaphatikizidwe - chinthu zokhudza chikhalidwe cha makoma chotengera;
• excretion zinthu zoipa;
• Kusunga mlingo wa asidi;
• ulimi wa erythropoietin, potsata mwachindunji pa ndondomeko hematopoiesis.

amagwiritsidwa ntchito mwanjira imeneyi zimathandiza impso musati mukaikire kufunika mu ntchito ya chamoyo wonse. Choncho, njira iliyonse pathological m'dera limeneli akhoza kungasokoneze thanzi la munthu.

Nephrosclerosis impso - ndichiyani?

mnjira motsatizana M'MALO parenchyma aimpso ndi minofu connective, chifukwa mu kuchepa (makwinya) Thupi kukula ndi kuchepetsa magwiridwe ake. Ngati sanalandire chithandizo, akhoza kubwera kutha wathunthu wa ntchito.

Poyamba ankakhulupirira kuti wochititsa matenda mutuluka glomerulonephritis. Masiku ano, madokotala akhala ndikusinthidwa maganizo amenewa liwulo waukulu instigators shuga ndi matenda oopsa.

Malinga limagwirira chitukuko kusiyanitsa za pulayimale ndi sekondale aimpso nephrosclerosis. Aliyense wa mitundu ya matenda ali preconditions yake kwa zikamera ndi makhalidwe. Pa nkhani imeneyi kuti m'pofunika kukhala mwatsatanetsatane.

nephrosclerosis chachikulu

Mawonekedwe chachikulu cha matenda akufotokozera mu wonongeka ziwiya magazi, kuchepetsa gawo ntchito ya mtsempha wamagazi ndi. Zotsatira za ischemia ndi infarcts angapo ndipo zipsera. Chinthu china ndondomeko pathological angathe kuonedwa monga kusintha obwera ndi ukalamba, ngati kukhala ndi stagnation magazi venous.

nephrosclerosis chachikulu cha mitundu yambiri: atherosclerotic, hypertensive, involution. Mbali yoyamba waukulu chifukwa kuchepetsa Mitsempha mu mtima mafunsidwe pa nyumba yawo ya mipukutuyi mafuta. Chifukwa cha kuchepa chilolezo, imbaenda ischemia a impso ndi. Thupi pamwamba motero amakhala nodular adalira kuonekera mosavuta zipsera mawonekedwe osasamba. mtundu uwu matenda akuti ndi otetezeka.

Hypertensive nephrosclerosis kumasonyeza ndi kuphipha amphamvu Mitsempha, omwe chifukwa cha dzina chomwecho ndi matenda. Zotsatira za ndondomeko pathological ndi kuchepetsa wa mitsempha ndi ischemia kwambiri. Aimpso hypertensive nephrosclerosis kungakhale chosaopsa kapena zilonda.

mtundu Involutive matenda kugwirizana ndi kusintha obwera ndi ukalamba. Mwachitsanzo, patatha zaka 50, anthu ambiri pa makoma a mitsempha akuyamba kudziunjikira calcium, amene amathandiza kuchepetsa chilolezo. Komano, zinthu zaka manja mkodzo tubules. Choncho, magwiridwe a thupi ukugwa.

nephrosclerosis Secondary

nephrosclerosis Secondary akufotokozera ndi maziko a ndondomeko yotupa ndi / kapena osachiritsika mu impso ndi. Zimayambitsa ndondomeko pathological angathe kutumikira zosiyanasiyana zochitika ndi matenda:

1. Shuga. Rise shuga magazi akapsa kusintha mu Mitsempha. Iwo ali osindikizidwa ndi kutupa, koma permeability wa kuwonjezeka. Chifukwa, mapuloteni anamasulidwa mu mwazi kumene azilipira kuwonjezeka clotting matenda. Pa nthawi yomweyo panopa kubweza pansi, zomwe kumatanthauza imfa osati impso kokha, komanso ziwalo zina.
2. Matenda glomerulonephritis. Pa matenda a maofesi m'thupi sizidzawonongedwa, ndipo usapite kwa impso. Zimawononga Kakhungu mtima mu glomerulus lapansi. Kukwaniritsa ndondomeko kupitirirabe akuyamba kaphatikizidwe wa zinthu zimene zimawonjezera magazi kuundana.
3. Pyelonephritis. Matendawa limodzi ndi malowedwe a nyama bakiteriya mu glomeruli ndi tubules, kumene thrombi anapanga. Owazungulira sequentially kudziunjikira leukocytes. Pambuyo kuchira m'madera kuonongeka ndi kupangidwa mabala kapena zilonda.
4. Urolithiasis. Pamene stagnation ya mkodzo mmenemo ayamba kawetedwe mabakiteriya. Pankhani ya n'zosiyana kuponyera mkodzo zomera tizilombo akhoza kuwononga khoma mkati mwa tubules mkodzo.
5. Lupus erythematosus. Kuchita izi, ndi zokhudza zonse matenda yodziwika ndi synthesizing ndi maofesi m'thupi kuti akhoza kukhazikitsa kuukira matupi awo.
6. Nephropathy pakati. Ponyamula mwana wamkazi dongosolo m'thupi amaloŵamo kusintha, tidzapeza malfunctions zosiyanasiyana. Mmodzi kuphwanya ngati amachita spasms capillaries. Motero, kuthamanga magazi, aimpso magazi ndi wathyoka. mkazi anasokonezeka kutupa ndi nephrons ayamba kufa.

Kuuzidwa operekedwa, n'zotheka mumakumbukira nthawi zingapo. Pulayimale nephrosclerosis impso zambiri akufotokozera pa maziko a matenda magazi m'thupi. Mawonekedwe yachiwiri ya ndondomeko pathological nthawi yoyamba matenda yotupa ndi osachiritsika.

Mwapadera ndi gulu la instigators zinthu zomwe zimakhudza chitukuko cha matenda Mwina ukuwonjezeka zayamba. Choyamba, kumwa mowa ndi chakudya zina, kusuta, kusalankhula ntchito mankhwala osokoneza bongo. Moyo wongokhala ndi matenda opatsirana komanso azitaya amamuyambitsa timabala aimpso. Choncho waukulu muyeso wa kupewa akuti ndi kuwonongedwa kwa zinthu izi.

Magawo chitukuko cha matenda

Zochitika za impso pang'onopang'ono kufa, choncho nthendayo akufotokozera pang'onopang'ono. Mu gawo loyamba pali chithunzi ndi matenda makamaka chikwiyire ndondomeko sclerotic. Ichi ndi gawo oyambirira a impso amamuyambitsa timabala aimpso. Kodi likuoneka ndi wodwala, kuneneratu kovuta, ngati inu amanyalanyaza mankhwala zotchulidwa dokotala.

Chotsatira ndi imfa ya nephrons, m'malo awo ndi minofu connective. The ndondomeko pathological kumathandiza kuti kulephera aimpso, amene akufotokozera pang'onopang'ono.

Choyamba, kuchepa mphamvu ndi kuwonongeka kwa umoyo pambuyo thupi. Nthawi zina akufotokozera polyuria. Wodwalayo mwina mumandizunza ludzu, kumverera kwa dryness mkamwa. Mu siteji yotsatira anakhalabe BP kuti si amenable kuti kukhudzana mankhwala. Odwala nkhawa za mutu kwambiri, ndiponso nseru. Ngati wodwala m'nthawi yake imene zakudya okhwima mu impso nephrosclerosis komanso mankhwala, zizindikiro zonse zosasangalatsa mofulumira kutha.

Mbali yachitatu ya ndondomeko pathological amakhala ndi kusafuna kudya, kufooka kwambiri. Munthu wotere ali ndi vuto matenda tizilombo. Against maziko a zonse ludzu mkodzo linanena bungwe yafupika kwambiri. Khungu amapeza khalidwe chikasu kulocha. Mu siteji wachinayi mkodzo nkomwe chionekera. Mofulumira kukula kuledzera, ndondomeko magazi clotting ndi akusokoneza. Pa nthawi imeneyi, zosintha zimenezi zili sizingasinthe.

chithunzi matenda

Nephrosclerosis, amatchedwanso "kudwala impso" mu magawo oyambirira kuzindikira kovuta chifukwa palibe zizindikiro khalidwe. Wodwala safuna kuona kusapeza kanthawi. Only kuwona dotolo madandaulo ena, ndipo pambuyo kuona matenda n'zotheka kudziwa njira nthenda.

Pamene matenda amakhala mosamala, chimasonyeza zizindikiro zotsatirazi:

• kutupa kwa nkhope ndi malekezero;
• kuchuluka kwa ukuwonjezeka pokodza, koma voliyumu ya allocated mkodzo yafupika;
• ululu m'dera lumbar;
• kwambiri ludzu;
• kuthamanga magazi;
• kutopa, kufooka;
• kuyabwa khungu.

zizindikiro za impso amamuyambitsa timabala aimpso akhale nthawi kuti ndimeyi wa kufufuza mwakuya zachipatala. Only atalandira zotsatira inu mukhoza kuyamba chithandizo.

A matenda mabuku a matenda a impso

Zizindikiro Nonspecific matenda kwambiri complicates matenda. Kawirikawiri, nkhani ngati sizitchulidwa ndi mu malo apadera nephrology. Iwo anagwiritsanso amawasonyeza mosiyanasiyana cha kapangidwe cha machitidwe a ndi kumuika limba.

Ngati mukukayikira kuti matenda ayenera kupempha thandizo ku ndendende malo kapena dokotala wamba. Last, Nditaphunzira chithunzi matenda akhoza kupereka kungapezeke kuti katswiri.

Matenda a matenda ikuyamba ndi kuphunzira madandaulo wodwala, mbiri yake ya udokotala zoona thupi. Pa upo nephrologist amathanso palpate pamimba. mwai awa likuonetsera matenda kuyambirira ndi kudziwa machenjerero zina loyang'anira.

Mu odwala lotsatira gawo Kwalamulidwa mayesero zasayansi. Mwachitsanzo, magazi sayansi zingasonyeze zizindikiro zotsatirazi impso:

• kuwonjezeka chiwerengero cha urea, creatinine;
• kachulukidwe kuchepetsa wa mapuloteni okhutira;
• kuchepa mu potaziyamu ndi kuwonjezeka mu phosphorous ndi magnesium.

Mkodzo kuwunika anaulula mapuloteni ndi maselo ofiira, koma osalimba yake kwambiri yafupika. Pa kusanthula magazi akusonyeza kuti madzi a hemoglobin ndi kupatsidwa zinthu za m'mwazi amachepetsa, ndipo zili kachulukidwe wa leukocytes ukuwonjezeka.

Kwa kuwunika bwino kwambiri ziwalo kugwiritsa ntchito njira malangizo a Kupenda odwala ndi matenda a "nephrosclerosis". Aimpso ultrasound, mwachitsanzo, kupenda kukula ndi chikhalidwe cha kotekisi lapansi. Ndi kuvomerezedwa kuikidwa urography. Angiography akutipatsa chithunzi thunzi chokwanira cha boma Mitsempha mu limba akhudzidwa.

Pamaziko a dokotala adalandira kafukufuku zotsatira amatsimikizira kapena wotsutsa matenda kuyambirira, ndi kuvumbitsira malangizo chithandizo zina.

Kugwiritsa ntchito mankhwala

Chithandizo cha matenda zikugwira malo apadera nephrology. Ndi kuchotsa waukulu chinthu provocateur. Kuyesa kubwezeretsa zotayika impso ntchito popanda poyamba zambiri sizinathandize.

Chithandizo zonse ndi mabuku ndi lakonzedwa yaitali. Malinga ndi chithunzi matenda ndi chikhalidwe ambiri wodwala angafunike mankhwala zotsatirazi:

1. Anticoagulants ( "Heparin") kwa kupewa magazi kuundana.
2. Mankhwala kuchepetsa magazi.
3. Ace zoletsa ( "Diroton", "Berlipril") kukuza ziwiya aimpso.
4. Okodzetsa kuti kuchotsa madzimadzi owonjezera m'thupi.
5. Kulimbikitsa kumatheka mtsempha wamagazi kashiamu muzikangana ( "Falipamil").
6. Multivitamin maofesi.

Pakuti matenda ena anachititsa impso kukanika mankhwala anasankha payekha.

ntchito alowererepo

3-4-TH siteji ya ndondomeko pathological cha mankhwala ndi zambiri sizithandiza. Zikatero, wodwalayo amasonyeza hemodialysis kapena impso kumuika. Akamanena za ndondomeko loyamba yafupika kutisambitsa mwazi wa poizoni. Chifukwa chaichi fyuluta wapadera kwa impso yokumba. Hemodialysis limanenedwa periodicity mmene wodwalayo, kuopsa kwa ndondomeko pathological. Ndondomeko ziyenera limodzi ndi mankhwala kuchipatala.

Opaleshoni chithandizo amatanthauza ndi kupatsidwa zina mwiniwake impso. Izi ndi za mtundu wina pang'ono wa ntchito, pamene limba akhoza kuchotsedwa monga munthu wamoyo, ndipo mtembo. Nthawi ayambe mtima ulipo ndi thandizo kwambiri mankhwala ndi lopuma.

mphamvu Features

The womuyenerera mayendedwe a mankhwala okwanira litsatidwe zakudya kwambiri. Zakudya kwa impso nephrosclerosis amasankha dokotala kwa wodwala aliyense payekha. Kawirikawiri kulemekeza mfundo zotsatirazi:

1. Kuchepetsa mapuloteni wambiri. Pankhaniyi, inu simungakhoze kwathunthu kusiya iye. Posankha mapuloteni chakudya zokonda ayenera nkhuku, nsomba ndi mkaka. Mbatata, dzinthu ndi mkate n'kofunika kwathunthu kuthetsa kwa chakudya.
2. The zakudya ayenera nthawi zonse monga nsomba, koma ntchito molakwika chifukwa cha okhutira mkulu wa phosphorous.
3. Kuchepetsa mchere wambiri. malangizo alionse nephrologist adzati pamisinkhu 1-2-TH amaloledwa kuti magalamu 15 a mchere patsiku, ndipo pa 3-4th kuchuluka izi halved. Kwathunthu kusiya zonunkhira izi sungakhoze, chifukwa kuwonjezera imabwera madzi m'thupi.
4. Onetsetsani kuti monga mu zakudya zakudya zokhala ndi potaziyamu. Mwachitsanzo, nthochi, apricots zouma zoumba.
5. Chakudya ayenera moyenera ngati kuli kotheka, muli chofunika kuchuluka kwa zopatsa mphamvu ndi mavitamini.

Chotero chakudya, odwala ambiri amakakamizidwa kuti asasiye mapeto a moyo.

kaonedwe

Nephrosclerosis impso - matenda. Mu masiteji koyamba chitukuko n'zotheka kukhala ntchito ziwalo, koma m'pofunika kutsatira malangizo adokotala ndi kutsatira malamulo ena. Mwachitsanzo, odwala matenda izi ndi zofunika kuchepetsa kudya mchere, zizindikiro kashiamu ndi mosalekeza kuunikira ndi phosphorous mu magazi. Ndi aliyense exacerbation la matenda ayenera kufunafuna chithandizo chilichonse nthawi kudutsa njira ya mankhwala.

Anaulula pa siteji 3-4th 'kudwala impso "amafuna njira ina pang'ono. Pankhaniyi, matenda onse ndi wosamalitsa kwambiri. Bwezerani zotayika limba minofu ndi zosatheka. Choncho, zinthu zimenezi, mankhwala ndi kuonetsetsa magwiridwe a nephrons otsala. Nthawi zina zimenezi si kokwanira.