I-Glomerulonephritis

I-Glomerulonephritis ukuvuvukala kwamayunithi okuhlunga izinso (glomeruli). Ama-glomeruli amayunithi amancane kakhulu okuhlunga ngaphakathi ezinso ahlunga igazi. I-Glomerulonephritis ingabangelwa izifo, izidakamizwa, noma ukuphazamiseka okwenzeka ngesikhathi noma ngemva nje kokuzalwa (okungajwayelekile kokuzalwa). Imvamisa iba ngcono iyodwa. Ezinye izinhlobo zisabela kahle ekwelashweni, kanti ezinye zingase zithuthukele esifweni sezinso esingamahlalakhona. Ukuqapha njalo kubalulekile ekulawuleni isimo ngempumelelo.

izimpawu:

• Igazi emchameni (hematuria)
• Umchamo onegwebu ngenxa yamaprotheni amaningi (i-proteinuria)
• Umfutho wegazi ophezulu
• Ukugcinwa kwamanzi okubangela ukuvuvukala (edema)
• Ukukhathala
• Ukuncipha kokuphuma komchamo ezimweni ezimbi kakhulu

Izindlela zokuxilonga:

• Ukuhlaziywa komchamo ukuhlola igazi namaprotheni
• Ukuhlolwa kwegazi ukuhlola ukusebenza kwezinso nokubheka izimpawu zokuvuvukala
• Izifundo zokucabanga ezifana ne-ultrasound ukuhlola usayizi wezinso nokwakheka
• I-biopsy yezinso ukuthola uhlobo oluthile lwe-glomerulonephritis

Izinketho Zokwelapha:

• Corticosteroids ukunciphisa ukuvuvukala
• Imithi ye-immunosuppressive kwezinye izimo
• Imithi yomfutho wegazi, ikakhulukazi ama-ACE inhibitors noma ama-ARB
• Ama-diuretics ukunciphisa ukugcinwa kwamanzi
• Ukwelashwa kwezimo ezingaphansi (isb, izifo, izifo ze-autoimmune)

Ukunakekelwa Kokulandelela:

• Ukuqapha njalo ukusebenza kwezinso namazinga amaprotheni omchamo
• Ukulawulwa komfutho wegazi
• Ukulungiswa kwemithi njengoba kudingeka
• Ukuqapha imiphumela emibi yemithi ye-immunosuppressive
• Ukushintsha ukudla, njengokunciphisa ukudla kukasawoti