Ciwan nephritis

Interstitial nephritis cuta ce ta koda wanda ke tsakanin kumburin koda ya kumbura (kumbura). Wannan na iya haifar da matsala game da yadda kododonka suke aiki.

Ciwan nephritis na farko na iya zama na ɗan lokaci (m), ko kuma zai iya zama mai ɗorewa (mai ɗorewa) kuma ya daɗa muni a kan lokaci.

Babban nau'in cututtukan nephritis mafi yawancin lokuta ana haifar da su ne ta hanyar tasirin wasu ƙwayoyi.

Mai zuwa na iya haifar da nephritis ta tsakiya:

• Maganin rashin lafia ga magani (mai saurin kamuwa da cutar nephritis).
• Rashin lafiyar kansa, kamar cututtukan membrane na ƙasa, cutar Kawasaki, Ciwon Sjögren, tsarin lupus erythematosus, ko granulomatosis tare da polyangiitis.
• Cututtuka.
• Amfani da magunguna na dogon lokaci kamar su acetaminophen (Tylenol), asfirin, da kuma cututtukan da ke kashe kumburi marasa amfani (NSAIDs). Wannan shi ake kira analgesic nephropathy.
• Sakamakon sakamako na wasu maganin rigakafi kamar penicillin, ampicillin, methicillin, da sulfonamide magunguna.
• Sakamakon sakamako na wasu magunguna kamar furosemide, thiazide diuretics, omeprazole, triamterene, da allopurinol.
• Karancin sinadarin potassium a cikin jininka.
• Yawan alli ko uric acid a cikin jininka da yawa.

Nephritis na tsakiya zai iya haifar da matsalolin koda mai sauƙi zuwa mai tsanani, gami da gazawar koda mai tsanani. A cikin kusan rabin al'amuran, mutane za su rage fitowar fitsari da sauran alamomin rashin nasarar koda.

Kwayar cutar wannan yanayin na iya haɗawa da:

• Jini a cikin fitsari
• Zazzaɓi
• Urineara yawan fitsari
• Halin tunanin mutum ya canza (bacci, rikicewa, suma)
• Tashin zuciya, amai
• Rash
• Kumburin kowane yanki na jiki
• Rage nauyi (daga riƙe ruwa)

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Wannan na iya bayyana:

• Hannun da ba na al'ada ba ko sautin zuciya
• Hawan jini
• Ruwa a cikin huhu (huhu na huhu)

Gwaje-gwaje na yau da kullun sun haɗa da:

• Gas na jini
• Jikin sunadarai
• BUN da matakan halittar jini
• Kammala lissafin jini
• Koda biopsy
• Koda duban dan tayi
• Fitsari

Jiyya ya dogara da dalilin matsalar. Guji magunguna waɗanda ke haifar da wannan yanayin na iya sauƙaƙe alamun bayyanar.

Iyakance gishiri da ruwa a cikin abinci na iya inganta kumburi da hawan jini. Iyakance furotin a cikin abinci zai iya taimakawa sarrafa haɓakar kayayyakin ɓarnatarwa a cikin jini (azotemia), wanda zai haifar da alamun rashin saurin koda.

Idan wankin koda ya zama dole, yawanci ana bukatar sa ne dan karamin lokaci.

Corticosteroids ko magunguna masu ƙarfi masu saurin kumburi kamar su cyclophosphamide na iya zama wani lokaci taimako.

Mafi yawancin lokuta, cututtukan cikin jiki na rikicewa na ɗan gajeren lokaci. A wasu lokuta ba safai ba, zai iya haifar da lalacewar dindindin, gami da gazawar koda na dogon lokaci (na kullum).

Ciwan maratuttuttukan ciki na yau da kullun na iya zama mafi tsananin kuma zai iya haifar da lalacewar koda ko na dindindin ga tsofaffi.

Metabolism na rayuwa zai iya faruwa saboda kodan basu iya cire isashshen acid. Rashin lafiyar na iya haifar da ciwan koda mai tsanani ko ciwan koda na ƙarshe.

Kirawo mai ba ku sabis idan kuna da alamun rashin lafiyar nephritis.

Idan kana da cutar nephritis a tsakanin mahaifa, kirawo mai ba ka idan ka samu sabbin alamomi, musamman idan ba ka da hankali sosai ko kuma ka samu raguwar fitar fitsari.

Sau da yawa, ba za a iya hana cuta ba. Gujewa ko rage amfani da magungunan da zasu iya haifar da wannan yanayin na iya taimakawa rage haɗarin ka. Idan ana buƙata, mai ba da sabis ɗinku zai gaya muku magungunan da za ku daina ko rage su.

Tubulointerstitial nephritis; Nephritis - tsaka-tsakin yanayi; Erstwararren ƙwayar cuta (rashin lafiyan) nephritis

• Ciwon jikin koda

Neilson EG. Tubulointerstitial nephritis. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 122.

Perazella MA, Rosner MH. Cututtukan farko na Tubuloint. A cikin: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner da Rector na Koda. 10 ed. Philadelphia, PA: Elsevier; 2020: babi na 35.

Tanaka T, Nangaku M. Tsarin nephritis na yau da kullum. A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: babi na 62.