Renal papillary necrosis

Renal papillary necrosis cuta ce ta koda wanda duka ko ɓangaren ƙwayar papillae na koda suka mutu. Babbar papillae sune wuraren da buɗaɗɗun hanyoyin tara hanyoyin shiga cikin koda kuma inda fitsari ke kwarara zuwa cikin fitsarin.

Renal papillary necrosis sau da yawa yakan faru tare da analgesic nephropathy. Wannan lalacewa ne ga koda ɗaya ko duka biyun da aka haifar da yawan bayyana ga magungunan ciwo. Amma, wasu yanayi na iya haifar da ƙwayar papillary necrosis, gami da:

• Ciwon sukari nephropathy
• Koda kamuwa da cuta (pyelonephritis)
• Jectionin yarda dashi
• Ana fama da cutar sikila, sababin sanadiyyar cutar necrosis a cikin yara
• Tsananin fitsarin

Kwayar cututtukan ƙwayoyin cuta na necrosis na koda na iya haɗawa da:

• Ciwon baya ko ciwon mara
• Jinin jini, girgije, ko fitsari mai duhu
• Issuan tsoka a cikin fitsari

Sauran alamun da zasu iya faruwa tare da wannan cuta:

• Zazzabi da sanyi
• Fitsari mai zafi
• Bukatar yin fitsari fiye da yadda aka saba (yawan yin fitsari akai-akai) ko kwatsam, karfi mai karfi don yin fitsari (gaggawa)
• Matsalar farawa ko kiyaye rafin fitsari (jinkirin urinary)
• Rashin fitsari
• Fitsari mai yawa
• Yin fitsari da daddare

Yankin kan koda da abin ya shafa (a cikin flank) na iya jin taushi yayin gwaji. Zai iya zama tarihin cututtukan cututtukan urinary. Zai yiwu a sami alamun toshewar fitsari ko gazawar koda.

Gwajin da za a iya yi sun hada da:

• Fitsarin fitsari
• Gwajin jini
• Duban dan tayi, CT, ko wasu gwajin hoto na kodan

Babu takamaiman magani don koda papillary necrosis. Jiyya ya dogara da dalilin. Misali, idan analgesic nephropathy ne musababbin, likitanka zai ba da shawarar ka daina amfani da maganin da ke haifar da shi. Wannan na iya bawa koda damar warkar da lokaci.

Yaya mutum yake yi, ya dogara da abin da ke haifar da yanayin. Idan ana iya shawo kan musababbin, yanayin na iya tafiya da kansa. Wani lokaci, mutanen da suke da wannan yanayin suna samun matsalar gazawar koda kuma suna buƙatar wankin koda ko dashen koda.

Matsalolin kiwon lafiya waɗanda ke iya haifar da cututtukan ƙwayoyin cuta na ƙwayoyin cuta sun haɗa da:

• Ciwon koda
• Dutse na koda
• Ciwon koda, musamman ga mutanen da ke shan magunguna masu zafi sosai

Kira don alƙawari tare da mai ba da lafiyar ku idan:

• Kuna da fitsarin jini
• Kuna haɓaka wasu alamun bayyanar cututtukan neprosis na koda, musamman ma bayan shan magunguna masu ciwo

Kula da ciwon sukari ko sikila na rashin lafiya na iya rage haɗarin ka. Don hana ƙwayoyin cutar papillary necrosis daga analgesic nephropathy, bi umarnin mai ba ka lokacin amfani da magunguna, gami da masu ba da taimako na ciwo mai sauƙi. Kar ka ɗauki fiye da shawarar da aka ba da shawara ba tare da tambayar mai ba ka ba.

Necrosis - papillae na koda; Renal medullary necrosis

• Ciwon jikin koda
• Koda - jini da fitsari suna gudana

Chen W, Monk RD, Bushinsky DA. Nephrolithiasis da nephrocalcinosis. A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: babi na 57.

Landry DW, Bazari H. Kusanci ga mai haƙuri da cutar koda. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi 106.

Schaeffer AJ, Matulewicz RS, Klumpp DJ. Cututtuka na hanyoyin fitsari. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: sura 12.