Nephropathy ea analgesic

Analgesic nephropathy e kenyelletsa tšenyo ea liphio tse le 'ngoe kapa ka bobeli tse bakoang ke ho pepesehela maikutlo ho tlola' meleng oa meriana, haholo-holo litlhare tse bohloko tsa thekeng (li-analgesics).

Analgesic nephropathy e kenyelletsa tšenyo kahare ho likarolo tsa ka hare tsa liphio. E bakoa ke ts'ebeliso ea nako e telele ea li-analgesics (meriana ea bohloko), haholo-holo li-over-the-counter (OTC) lithethefatsi tse nang le phenacetin kapa acetaminophen, le li-nonsteroidal anti-inflammatory drug (NSAIDs), joalo ka aspirin kapa ibuprofen.

Boemo bona hangata bo hlaha ka lebaka la ho iphekola, hangata bakeng sa mofuta o itseng oa bohloko bo sa foleng.

Mabaka a kotsi a kenyelletsa:

• Ts'ebeliso ea li-analgesics tsa OTC tse nang le metsoako e fetang e le 'ngoe e sebetsang
• Ho noa lipilisi tse 6 kapa ho feta ka letsatsi lilemo tse 3
• Ho opeloa ke hlooho e sa foleng, linako tse bohloko tsa ho ilela khoeli, ho opeloa ke mokokotlo, kapa bohloko ba mesifa
• Liphetoho maikutlong kapa boitšoarong
• Nalane ea boits'oaro bo itšetlehileng ka ho kenyelletsa ho tsuba, ts'ebeliso ea joala le ts'ebeliso e fetelletseng ea lithibelo

Ho kanna ha ba le matšoao qalong. Ha nako e ntse e ea, ha liphio li lemetse ke meriana, matšoao a lefu la liphio a tla hlaha, ho kenyelletsa:

• Mokhathala, bofokoli
• Ho eketsa makhetlo a ho ntša metsi kapa ho potlaka
• Mali ka morong
• Bohloko ba lehlakore kapa bohloko ba mokokotlo
• Ho fokotsa tlhahiso ea moroto
• Ho fokotsa ho fadimeha, ho kenyelletsa ho otsela, pherekano le botsoa
• Ho fokotseha ha maikutlo, ho senyeha (haholo-holo maotong)
• Ho nyekeloa ke pelo, ho hlatsa
• Ho loma habonolo kapa ho tsoa mali
• Ho ruruha (edema) 'meleng oohle

Mofani oa tlhokomelo ea bophelo o tla u hlahloba le ho botsa matšoao a hau. Nakong ea tlhahlobo, mofani oa hau a ka fumana:

• Khatello ea mali ea hau e phahame.
• Ha u mametse ka stethoscope, pelo ea hau le matšoafo li na le melumo e sa tloaelehang.
• U na le ho ruruha, haholo maotong a ka tlase.
• Letlalo la hao le bontša ho tsofala pele ho nako.

Liteko tse ka etsoang li kenyelletsa:

• Palo e felletseng ea mali
• CT scan ea liphio
• Pyelogram e kenang ka hare (IVP)
• Sesepa sa Toxicology
• Ho hlahloba urinal
• Liphio tsa ultrasound

Morero oa mantlha oa kalafo ke ho thibela tšenyo e eketsehileng ea liphio le ho phekola ho hloleha ha liphio. Mofani oa hau a ka u joetsa hore u khaotse ho noa lipilisi tsohle tse belaetsang, haholo-holo lithethefatsi tsa OTC.

Ho phekola ho hloleha ha liphio, mofani oa hau a ka fana ka maikutlo a liphetoho tsa phepo le thibelo ea mokelikeli. Qetellong, dialysis kapa ho kenya liphio ho ka hlokahala.

Keletso e ka u thusa ho theha mekhoa e meng ea ho laola bohloko bo sa foleng.

Tšenyo ea liphio e kanna ea ba ea nakoana ebile ea nakoana, kapa ea nako e telele le e telele.

Mathata a ka hlahang ka lebaka la nephropathy ea analgesic a kenyelletsa:

• Ho hloleha ho matla ha liphio
• Ho hloleha ha liphio ho sa foleng
• Bothata ba liphio moo libaka tse lipakeng tsa li-tubules tsa liphio li chesang (interstitial nephritis)
• Lefu la lisele libakeng tseo ho bulehileng liphaephe tsa ho bokella ho kenang liphio le moo moroto o phallelang ho li-ureters (renal papillary necrosis)
• Ts'oaetso ea mosese e ntseng e tsoela pele kapa e ntseng e khutla
• Khatello ea mali e phahameng
• Kankere ea liphio kapa ureter

Bitsa mofani oa hau haeba u na le tse ling tsa tse latelang:

• Matšoao a nephropathy ea analgesic, haholo-holo haeba u sebelisitse li-painkillers nako e telele
• Mali kapa thepa e thata morong oa hau
• Palo ea moroto oa hau e fokotsehile

Latela litaelo tsa mofani oa hau ha u sebelisa meriana, ho kenyeletsoa lithethefatsi tsa OTC. Se ke oa nka ho feta tekanyetso e khothalelitsoeng ntle le ho botsa mofani oa hau.

Phenacetin nephritis; Nephropathy - bohloko

• Anatomy ea liphio

Aronson JK. Paracetamol (acetaminophen) le metsoako. E ngotsoe ke: Aronson JK, eds. Litla-morao tsa Meyler tsa Lithethefatsi. 16th ed. Waltham, MA: Elsevier; 2016: 474-493.

Parazella MA, Rosner MH. Maloetse a Tubulointerstitial. Ka: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, li-eds. Brenner le Rector ea Liphio. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 35.

Segal MS, Yu X. Meriana ea litlama le e rekisoang ka bongata le liphio. Ho: Feehally J, Floege J, Tonelli M, Johnson RJ, bangoli. Kakaretso ea Nephrology ea Kliniki. La 6th. Philadelphia, PA: Elsevier; 2019: khaolo ea 76.