Poststreptococcal glomerulonephritis (GN)

Poststreptococcal glomerulonephritis (GN) cuta ce ta koda wanda ke faruwa bayan kamuwa da wasu nau'ikan ƙwayoyin cuta na streptococcus.

Poststreptococcal GN wani nau'i ne na glomerulonephritis. Rashin kamuwa da cuta ne tare da nau'in kwayar cuta ta streptococcus. Rashin kamuwa da cutar ba ya faruwa a cikin koda, amma a wani ɓangare na jiki, kamar fata ko maƙogwaro. Rashin lafiyar na iya bunkasa makonni 1 zuwa 2 bayan kamuwa da cutar makogwaro, ko makonni 3 zuwa 4 bayan kamuwa da cutar fata.

Yana iya faruwa a cikin mutane na kowane zamani, amma mafi yawanci yakan faru ne a cikin yara masu shekaru 6 zuwa 10. Kodayake cututtukan fata da na makogwaro sun zama ruwan dare a cikin yara, poststreptococcal GN ba safai yake wahalar da waɗannan cututtukan ba. Poststreptococcal GN yana haifar da ƙananan magudanar jini a cikin sassan adana kodan (glomeruli) su zama kumburi. Wannan ya sa kodan ba su da ikon tace fitsarin.

Yanayin ba gama gari bane a yau saboda ana kula da cututtukan da zasu iya haifar da cutar ta hanyar maganin rigakafi.

Hanyoyin haɗari sun haɗa da:

• Strep makogwaro
• Streptococcal cututtukan fata (kamar impetigo)

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Rage fitowar fitsari
• Fitsari mai launin tsatsa
• Kumburi (edema), kumburi gabaɗaya, kumburin ciki, kumburin fuska ko idanu, kumburin ƙafa, idon sawun hannu, hannaye
• Ganin jini a cikin fitsari
• Hadin gwiwa
• Starfin haɗin gwiwa ko kumburi

Binciken jiki yana nuna kumburi (edema), musamman a fuska. Za a iya jin sautunan da ba na al'ada ba yayin sauraron zuciya da huhu tare da stethoscope. Hawan jini yana da yawa.

Sauran gwaje-gwajen da za'a iya yi sun haɗa da:

• Anti-DNase B
• Maganin ASO (da streptolysin O)
• Mahimman matakan ci gaba
• Fitsari
• Koda biopsy (galibi ba a buƙata)

Babu takamaiman magani don wannan cuta. Jiyya yana mai da hankali kan sauƙaƙe bayyanar cututtuka.

• Magungunan rigakafi, kamar su penicillin, da alama za a yi amfani da su don lalata duk wani kwayar cuta ta streptococcal da ta rage a jiki.
• Ana iya buƙatar magungunan hawan jini da magungunan baƙar fata don sarrafa kumburi da hawan jini.
• Corticosteroids da sauran magungunan anti-inflammatory gaba ɗaya basa tasiri.

Kila buƙatar iyakance gishiri a cikin abincinku don sarrafa kumburi da hawan jini.

Gst Poststreptococcal GN yakan tafi da kansa bayan makonni da yawa zuwa watanni.

A cikin ƙananan manya, yana iya zama mafi muni kuma ya haifar da gazawar koda na dogon lokaci (na yau da kullum). Wani lokaci, yana iya ci gaba zuwa ƙarshen cutar koda, wanda ke buƙatar dialysis da dashen koda.

Matsalolin kiwon lafiya waɗanda ke iya haifar da wannan cuta sun haɗa da:

• Failurearamar ƙwayar koda (saurin asarar kodarwar don cire sharar gida da taimakawa daidaita ruwaye da lantarki a cikin jiki)
• Na kullum glomerulonephritis
• Ciwon koda na kullum
• Ciwon zuciya ko ciwon huhu (haɓakar ruwa a cikin huhu)
• Diseasearshen-gama cutar koda
• Hyperkalemia (matsanancin matakin potassium a cikin jini)
• Hawan jini (hauhawar jini)
• Ciwon ƙuruciya (rukunin alamun da suka haɗa da furotin a cikin fitsari, ƙarancin furotin na jini a cikin jini, matakan cholesterol mai girma, matakan triglyceride mai girma, da kumburi)

Kira mai ba da sabis na kiwon lafiya idan:

• Kuna da alamun cutar GN poststreptococcal
• Kuna da GN poststreptococcal, kuma kun rage fitowar fitsari ko wasu sabbin alamomi

Yin maganin cututtukan cututtukan streptococcal da aka sani na iya taimakawa hana GN poststreptococcal Hakanan, yin tsafta mai kyau kamar wanke hannu yakan hana yaduwar cutar.

Glomerulonephritis - poststreptococcal; Ciwon cututtukan zuciya na glomerulonephritis

• Ciwon jikin koda
• Glomerulus da nephron

Flores FX. Rashin cututtukan cututtukan da ke tattare da cututtukan hematuria. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 537.

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.