IgA nephropathy

IgA nephropathy cuta ce ta koda wanda ƙwayoyin cuta da ake kira IgA suke tashi a cikin ƙwayar koda. Nephropathy cuta ce, cuta, ko wasu matsaloli tare da koda.

IgA nephropathy kuma ana kiransa cutar Berger.

IgA furotin ne, wanda ake kira antibody, wanda ke taimakawa jiki yaƙar cututtuka. IgA nephropathy yana faruwa yayin da yawancin wannan furotin aka saka a cikin kodan. IgA yana ginawa a cikin ƙananan jijiyoyin jini na kodar. Gine-gine a cikin koda da ake kira glomeruli sun zama kumbura sun lalace.

Rashin lafiyar na iya bayyana ba zato ba tsammani (mai tsanani), ko ya zama sannu a hankali a cikin shekaru da yawa (na kullum glomerulonephritis).

Hanyoyin haɗari sun haɗa da:

• Tarihin mutum ko na iyali na IgA nephropathy ko Henoch-Schönlein purpura, wani nau'i ne na cutar vasculitis da ke shafar sassan jiki da yawa
• Farin launin fata ko Asiya

IgA nephropathy na iya faruwa a cikin mutane na kowane zamani, amma galibi yana shafar maza a cikin samartaka zuwa ƙarshen 30s.

Zai yiwu babu alamun bayyanar shekaru da yawa.

Lokacin da akwai alamun bayyanar, zasu iya haɗawa da:

• Fitsarin jini wanda yake farawa yayin ko ba da daɗewa ba bayan kamuwa da cutar numfashi
• Maimaitattun lokuta na fitsari mai duhu ko jini
• Kumburin hannaye da kafafu
• Kwayar cututtukan cututtukan koda

IgA nephropathy galibi ana gano shi lokacin da mutumin da ba shi da sauran alamun alamun matsalolin koda yana da yanayi ɗaya ko fiye na fitsari mai duhu ko jini.

Babu takamaiman canje-canje da aka gani yayin gwajin jiki. Wani lokaci, karfin jini na iya zama babba ko kuma akwai kumburin jiki.

Gwajin sun hada da:

• Gwajin urea nitrogen (BUN) don auna aikin koda
• Gwajin jini na Creatinine don auna aikin koda
• Koda biopsy don tabbatar da ganewar asali
• Fitsari
• Fitsarar rigakafin fitsari

Manufar magani ita ce a sauƙaƙe alamomin kuma a hana ko jinkirta ciwan koda.

Jiyya na iya haɗawa da:

• Angiotensin-converting enzyme (ACE) inhibitors da angiotensin receptor blockers (ARBs) don sarrafa hawan jini da kumburi (edema)
• Corticosteroids, wasu kwayoyi waɗanda ke hana tsarin rigakafi
• Man kifi
• Magunguna don rage cholesterol

Za'a iyakance gishiri da ruwaye don sarrafa kumburi. Ana iya ba da shawarar ƙarancin furotin mai matsakaici zuwa matsakaici a wasu yanayi.

A ƙarshe, dole ne mutane da yawa su bi da cutar koda mai tsanani kuma suna iya buƙatar dialysis.

IgA nephropathy yana ƙara zama sannu a hankali. A lokuta da yawa, ba ya ta'azzara sam. Yanayinku zai iya zama mafi muni idan kuna da:

• Hawan jini
• Babban furotin a cikin fitsari
• Bara BUN ko matakan halitta

Kira wa mai ba da lafiyar ku idan kuna da fitsarin jini ko kuma idan kuna yin fitsari ƙasa da yadda kuka saba.

Ciwon zuciya - IgA; Berger cuta

• Ciwon jikin koda

Feehally J, Floege J. Immunoglobulin A nephropathy da IgA vasculitis (Henoch-Schönlein purpura). A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: babi na 23.

Saha MK, Pendergraft WF, Jennette JC, Falk RJ. Cutar farko ta glomerular. A cikin: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner da Rector na Koda. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 31.