Ciwon nephropathy

Nephropathy na Analgesic ya haɗa da lalacewa ga koda ɗaya ko duka biyu sakamakon lalacewar haɗuwa da haɗakar magunguna, musamman magunguna masu ciwo masu ciwo (analgesics).

Maganin nephropathy na rashin kuzari ya shafi lalacewa a cikin kayan cikin koda. Hakan na faruwa ne ta hanyar amfani da maganin cutar cikin lokaci mai tsawo (magunguna masu zafi), musamman magungunan kan-kan-kan (OTC) wadanda ke dauke da sinadarin phenacetin ko acetaminophen, da kuma kwayoyin da ba su da kumburi a jikin mutum (NSAIDs), kamar su aspirin ko ibuprofen.

Wannan yanayin yana faruwa sau da yawa sakamakon maganin kai, sau da yawa don wani nau'in ciwo na kullum.

Hanyoyin haɗari sun haɗa da:

• Amfani da OTC analgesics mai ɗauke da sinadarin aiki sama da ɗaya
• Shan kwaya 6 ko fiye a rana tsawon shekara 3
• Ciwon kai na yau da kullun, lokuta masu zafi na al'ada, ciwon baya, ko ciwon musculoskeletal
• Canjin motsin rai ko halayya
• Tarihin halaye masu dogaro da suka hada da shan sigari, shan giya, da yawan amfani da nutsuwa

Zai yiwu babu alamun bayyanar a farkon. Yawancin lokaci, yayin da kodan suka ji rauni ta hanyar maganin, alamun cututtukan koda za su ci gaba, gami da:

• Gajiya, rauni
• Frequencyara yawan fitsari ko gaggawa
• Jini a cikin fitsari
• Flank zafi ko ciwon baya
• Rage fitowar fitsari
• Rage faɗakarwa, gami da bacci, rudani, da kasala
• Rage ji, rashin nutsuwa (musamman a kafafu)
• Tashin zuciya, amai
• Easyarami mai sauƙi ko zub da jini
• Kumburi (edema) a ko'ina cikin jiki

Mai ba da sabis na kiwon lafiya zai bincika ku kuma ya yi tambaya game da alamunku. Yayin gwajin, mai ba da sabis naka na iya samun:

• Hawan jininka yayi yawa.
• Lokacin saurara tare da stethoscope, zuciyarka da huhunka suna da sauti mara kyau.
• Kuna da kumburi, musamman a ƙananan ƙafafu.
• Fatar jikinka ta nuna tsufa bai yi ba.

Gwajin da za a iya yi sun hada da:

• Kammala lissafin jini
• CT scan na koda
• Pyelogram na jijiyoyin jini (IVP)
• Allon toxicology
• Fitsari
• Koda duban dan tayi

Manufofin farko na jiyya shine hana ci gaba da lalata koda da magance gazawar koda. Mai ba ka sabis na iya gaya maka ka daina shan duk wanda ake zargi da yin maganin ba da jin zafi, musamman magungunan OTC.

Don magance gazawar koda, mai ba da sabis naka na iya ba da shawarar canjin abinci da hana ruwa. Daga ƙarshe, ana iya buƙatar wankin koda ko dashen koda.

Shawara na iya taimaka maka ƙirƙirar wasu hanyoyi don magance ciwo na kullum.

Lalacewar koda na iya zama mai saurin gaske da na ɗan lokaci, ko na dogon lokaci.

Matsalolin da zasu iya haifar da cututtukan cututtuka sun haɗa da:

• Ciwon koda
• Rashin ciwon koda
• Rashin lafiyar koda wanda ke tsakanin kumburin koda ya zama kumburi (nephritis na tsakiya)
• Mutuwar nama a wuraren da buɗewar hanyoyin shigar da kaya suka shiga koda kuma inda fitsari ke kwarara zuwa cikin ureters (renal papillary necrosis)
• Cututtukan fitsari masu gudana ko ci gaba da dawowa
• Hawan jini
• Ciwon daji na koda ko mafitsara

Kira mai ba ku sabis idan kuna da ɗayan masu zuwa:

• Alamomin cutar nephropathy na analgesic, musamman idan ka dade kana amfani da magungunan rage zafin ciwo
• Jini ko abu mai ƙarfi a cikin fitsarinku
• Adadin fitsarinku ya ragu

Bi umarnin mai ba da sabis lokacin amfani da magunguna, gami da magungunan OTC. Kar ka ɗauki fiye da shawarar da aka ba da shawara ba tare da tambayar mai ba ka ba.

Phenacetin nephritis; Ciwon ƙwayar cuta - analgesic

• Ciwon jikin koda

Aronson JK. Paracetamol (acetaminophen) da haɗuwa. A cikin: Aronson JK, eds. Hanyoyin Meyler na Magunguna. 16th ed. Waltham, MA: Elsevier; 2016: 474-493.

Parazella 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. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 35.

Segal MS, Yu X. Magunguna da magungunan kanti da kodar. A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: babi na 76.