Interstitial nephritis: cov tsos mob thiab kev kho mob ntawm lub raum o

Interstitsionalny nephritis yog inflammatory mob raum, uas tshwm sim mas rau lub intermediate cov ntaub so ntswg thiab cov raum tubules.

Tus kab mob yuav tshwm sim thaum lub sij hawm kev kho mob tshuaj (ntau tshuaj tua kab mob, mus rau ib tug tsawg diuretics, sulfonamides) raws li thaum raug rau cov kab mob, kab mob, nyob rau hauv lub cev mob. Lub pathology yog raws li lymphohistiocytic infiltration kuj nyob rau intermediate raum cov ntaub so ntswg kev puas tsuaj tshwm sim tom qab lub qab daus membrane ntawm tubules. Nyob rau hauv daim ntawv no tiv thaiv kab mob ceg thiab autoantibodies rau daim nyias nyias proteins. Raws li ib tug tshwm sim ntawm cerebral edema thiab o ntawm lub raum cov ntaub so ntswg txheej yog ib cov neeg kho tshuab compression ntawm cov hlab ntsha thiab tubular, txo lub raum ntshav txaus, nce siab vnutrikanaltsevoy, nws thiaj li muaj oliguria.

Thaum lub mob ntawm interstitial nephritis cov tsos mob muaj raws li nram qab no. Pib ntawm tus kab mob - ib tug mob, dua kub taub hau, polyuria, los yog hematuria npaj raum tsis ua hauj lwm, muaj kev mob kev nkeeg nyob rau hauv lub qis rov qab. Cov thawj cov cim qhia ntawm lub ntau npaum ntaub ntawv ntawm cov mob interstitial nephritis protrude dua ua lub cev kub, uas tej zaum yuav txuam nrog eosinophilia thiab daim tawv nqaij eruptions. Rau cov kab mob yus muaj los ntawm ntsis proteinuria, hematuria, nyob rau hauv uas tsis tshua muaj mob, oliguria.

Mob interstitial nephritis kis ntaub ntawv feem ntau yuav siv sij hawm qhov chaw nrog hemorrhagic fever thiab raum syndrome.

Mob ntawm tus kab mob no yog ua los nrog raum tus kab mob, mob glomerulonephritis. Yog hais tias tsim raum tsis ua hauj lwm yuav tsum tsis muaj lwm yam ua.

Nws yog nyuaj heev thiab tej zaum kuj tsis yooj yim sua los mus txiav txim qhov ua rau ntawm tus kab mob tubulointerstitial nephritis txuam nrog yeeb tshuaj raug, kab mob tus kab mob, tiv thaiv kab mob mob.

Cov tsos mob ntawm tus kab mob interstitial nephritis muaj nyob rau hauv tubular mob, sai sai tsim aqueous ntsha teeb (hyperkalemia, acidosis) Abuse concentration ob lub raum. Nyob rau hauv tsawg zaus, tau tawg thiab proteinuria. Nyob rau hauv tus txheej txheem lub sijhawm nephrotic syndrome tsis tuaj kawm ntawv, tab sis, yog hais tias tus kab mob mob interstitial nephritis suab neolichim ntawm glomerulonephritis. Cov feem ntau txaus ntshai cov tshuaj, ua rau ib tug mob hauv daim ntawv ntawm tus kab mob no yog analgesics phenacetin, analgin, cov tshuaj aspirin.

Tej zaum cov poj niam 35-40 xyoo ntawm lub hnub nyoog, migraine, kev nyuaj siab, mob plab, mob rau sab hauv, pom analgesic interstitial nephritis. Nyob rau hauv no raug ua ke nrog aseptic leukocyturia resistant raum Colic sijhawm uas nws nrog tag nrho cov hematuria, raum loj yuav txo tau, polyuria, anemia.

Tus kab mob muaj nyob rau hauv nrog lwm yam kev mob, muaj ib tug meej tiv thaiv kab mob pathogenesis (active tus kab mob siab, lupus mauj lupus erythematosus).

Interstitial nephritis nyob rau hauv cov me nyuam muaj peev xwm yuav tsim nyob rau hauv dizembriogeneza raum ntaub so ntswg, mob txeeb zig anomalies, kev ua txhaum ntawm uric acid thiab calcium oxalate metabolism.

Yuav kom tshwj kom txhob muaj tus kab mob yog siv etiological kev kho mob ntawm cov kab mob txhab pib tshem tawm tsom xam cov uas kab mob. Thaum ntau npaum daim ntawv - tsis txhob noj cov tshuaj, muab ib tug noj cov zaub mov enriched nrog cov vitamins thiab ntau haus. Nyob rau hauv lub qhaj ntawv ntawm zoo tau kho glucocorticoids ua hemodialysis, cais kev siv ntawm diuretics nyob rau hauv txoj kev loj hlob ntawm mob raum tsis ua hauj lwm. Nws tseem yog tsim nyog yuav tsum tsis txhob muaj zog siv ntawm analgesics thiab haus dej ntau.