Glomerulosclerosis e shebaneng le karolo
Focal segmental glomerulosclerosis ke lisele tse bohale sehlopheng sa ho sefa ea liphio. Sebopeho sena se bitsoa glomerulus. Li-glomeruli li sebetsa e le li-filters tse thusang 'mele ho felisa lintho tse kotsi. Phio ka 'ngoe e na le glomeruli e likete.
"Focal" e bolela hore tse ling tsa glomeruli li ba le mabali. Tse ling li lula li tloaelehile. "Segmental" e bolela hore ke karolo feela ea glomerulus ka bomong e senyehileng.
Lebaka la glomerulosclerosis e shebaneng haholo le likarolo hangata ha le tsejoe.
Boemo bona bo ama bana le batho ba baholo. E hlaha hangata hanyane ho banna le bashanyana. E boetse e atile haholo ho batho ba Afrika Boroa. Focal segmental glomerulosclerosis e baka kotara ea linyeoe tsohle tsa lefu la nephrotic.
Lisosa tse tsebahalang li kenyelletsa:
- Lithethefatsi tse kang heroin, bisphosphonates, anabolic steroids
- Tšoaetso
- Mathata a liphatsa tsa lefutso
- Botenya
- Reflux nephropathy (boemo boo moroto o phallelang morao ho tloha senya ho ea liphio)
- Boloetse ba sele
- Meriana e meng
Matšoao a ka kenyelletsa:
- Motsoako oa foam (ho tsoa liprotheine tse ngata morotong)
- Takatso e fosahetseng ea lijo
- Ho ruruha, ho bitsoang edema e akaretsang, ho tsoa maro a tšoaroang 'meleng
- Boima ba 'mele
Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Teko ena e kanna ea bontša ho ruruha hoa lisele (edema) le khatello e phahameng ea mali. Matšoao a ho hloleha ha liphio (renal) le mokelikeli o feteletseng li ka hlaha ha boemo bo ntse bo mpefala.
Liteko li ka kenyelletsa:
- Liphio biopsy
- Liteko tsa ts'ebetso ea liphio (mali le moroto)
- Ho hlahloba urinal
- Microscopy ea moroto
- Protheine ea moroto
Kalafo e ka kenyelletsa:
- Meriana e fokotsang karabelo ea 'mele ea ho ruruha.
- Meriana ea ho theola khatello ea mali. E meng ea meriana ena e boetse e thusa ho fokotsa bongata ba protheine e tšolohelang ka morong.
- Meriana ea ho felisa mokelikeli o feteletseng (diuretic kapa "pilisi ea metsi").
- Lijo tse tlase tsa sodium ho fokotsa ho ruruha le khatello e tlase ea mali.
Morero oa kalafo ke ho laola matšoao a nephrotic syndrome le ho thibela ho hloleha ha liphio ho sa foleng. Litlhare tsena li ka kenyelletsa:
- Lithibela-mafu ho laola tšoaetso
- Thibelo ea metsi
- Lijo tse se nang mafura a mangata
- Lijo tse tlase kapa tse itekanetseng tsa protheine
- Vithamine D e tlatsetsa
- Dialysis
- Ho kenyelletsa liphio
Karolo e kholo ea batho ba nang le glomerulosclerosis e tsepameng kapa e arohaneng e tla ba le ho hloleha ho sa foleng ha liphio.
Mathata a ka kenyelletsa:
- Ho hloleha ha liphio ho sa foleng
- Boloetse ba liphio qetellong
- Tšoaetso
- Khaello ea phepo e nepahetseng
- Lefu la Nephrotic
Bitsa mofani oa hau haeba u ba le matšoao a boemo bona, haholo haeba ho na le:
- Feberu
- Bohloko ba ho ntša metsi
- Ho fokotsa tlhahiso ea moroto
Ha ho thibelo e tsejoang.
Karolo ea glomerulosclerosis; Focal sclerosis le hyalinosis
- Tsamaiso ea monna ea ho ntša metsi
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Appel GB, mafu a Radhakrishnan J. Glomerular le li-syndromes tsa nephrotic. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil.La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 121.
Pendergraft WF, Nachman PH, Jennette JC, Falk RJ. Lefu la mantlha la glomerular. Ka: Skorecki K, Taal MW, Chertow GM, Marsden PA, Yu ASL, li-eds. Brenner le Rector ea Liphio. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 32.