Yankin yanki na glomerulosclerosis

Merwararren ɓangaren glomerulosclerosis yana da rauni a cikin ɓangaren tacewar koda. Wannan tsari shi ake kira glomerulus. A glomeruli yana matsayin matattara wacce ke taimakawa jiki wajen kawar da abubuwa masu cutarwa. Kowace koda tana da dubban glomeruli.

"Focal" yana nufin cewa wasu daga cikin glomeruli din suna da tabo. Sauran suna zama na al'ada. "Segmental" yana nufin cewa kawai wani ɓangare na ɗaukacin gwanon duniya ya lalace.

Ba a san dalilin musabbabin ɓangaren yanki na glomerulosclerosis.

Yanayin ya shafi yara da manya. Yana faruwa sau da yawa sau da yawa a cikin maza da yara maza. Hakanan ya fi zama ruwan dare gama gari a cikin Baƙin Amurkawa. Tsarin glomerulosclerosis na yanki yana haifar da kashi ɗaya cikin huɗu na duk cututtukan cututtukan nephrotic.

Sanannun sanadi sun hada da:

• Magunguna irin su heroin, bisphosphonates, anabolic steroids
• Kamuwa da cuta
• Matsalolin kwayoyin gado
• Kiba
• Reflux nephropathy (yanayin da fitsarin yake gudana daga baya daga mafitsara zuwa koda)
• Cutar sikila
• Wasu magunguna

Kwayar cutar na iya haɗawa da:

• Fitsarin fitsari (daga yawan furotin a cikin fitsari)
• Rashin cin abinci
• Busarewa, ana kiranta gama gari, daga ruwan da ake gudanarwa a jiki
• Karuwar nauyi

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Wannan jarrabawar na iya nuna kumburin nama (edema) da hawan jini. Alamomin gazawar koda (koda) da yawan ruwa mai yawa na iya bunkasa yayin da yanayin ya kara tabarbarewa.

Gwaje-gwaje na iya haɗawa da:

• Koda biopsy
• Gwajin aikin koda (jini da fitsari)
• Fitsari
• Fitsarin cikin fitsari
• Fitsarin fitsari

Jiyya na iya haɗawa da:

• Magunguna don rage yawan kumburin jiki.
• Magunguna don rage hawan jini. Wasu daga cikin wadannan magunguna kuma suna taimakawa rage yawan furotin da ke zubewa cikin fitsari.
• Magunguna don kawar da ruwa mai yawa (diuretic ko "kwayar ruwa").
• Dietaramin abinci na sodium don rage kumburi da ƙananan hawan jini.

Manufar magani ita ce sarrafa alamun cututtukan nephrotic da hana ciwan koda koda yaushe. Wadannan jiyya na iya haɗawa da:

• Maganin rigakafi don magance cututtuka
• Tionuntata ruwa
• Abincin mai ƙananan mai
• Abincin mai ƙarancin-matsakaici
• Kayan bitamin D
• Dialysis
• Dasa koda

Mafi yawan mutanen da ke da hankula ko ɓangaren yanki na glomerulosclerosis za su ci gaba da fama da cutar koda.

Matsaloli na iya haɗawa da:

• Rashin ciwon koda
• Kidneyarshen-koda cuta
• Kamuwa da cuta
• Rashin abinci mai gina jiki
• Ciwon Nephrotic

Kira mai ba ku sabis idan kun ci gaba bayyanar cututtuka na wannan yanayin, musamman ma idan akwai:

• Zazzaɓi
• Jin zafi tare da fitsari
• Rage fitowar fitsari

Babu rigakafin da aka sani.

Segmental glomerulosclerosis; Focal sclerosis tare da hyalinosis

• Tsarin fitsarin maza

Raba Raba GB, D'Agati VD. Na farko da na sakandare (wadanda ba kwayar halittar jini ba) suna haifar da mai da hankali da kuma kashi glomerulosclerosis. A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: babi na 18.

Raba GB, Radhakrishnan J. Rashin lafiyar Glomerular da cututtukan nephrotic. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil.25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 121.

Pendergraft WF, Nachman PH, Jennette JC, Falk RJ. Cutar farko ta glomerular. A cikin: Skorecki K, Taal MW, Chertow GM, Marsden PA, Yu ASL, eds. Brenner da Rector na Koda. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 32.