Nephrocalcinosis

Nephrocalcinosis ke lefu leo ​​ho lona ho nang le khalsiamo e ngata e kenngoeng liphio. Ho tloaelehile ho masea a tlang pele ho nako.

Boloetse bofe kapa bofe bo lebisang khalsiamo e phahameng maling kapa morong bo ka lebisa ho nephrocalcinosis. Bothateng bona, calcium e kenya lisele tsa liphio ka boeona. Boholo ba nako, liphio ka bobeli lia ameha.

Nephrocalcinosis e amana le, empa ha e tšoane le, majoe a liphio (nephrolithiasis).

Maemo a ka bakang nephrocalcinosis a kenyelletsa:

• Mokhatlo oa Alport
• Lefu la Bartter
• Glomerulonephritis e sa foleng
• Tloaelo ea hypomagnesemia
• Liphio tsa seponche tsa medullary
• Hyperoxaluria ea mantlha
• Ho hana ho kenyelletsa renal
• Renal tubular acidosis (RTA)
• Phetoho ea renal cortical necrosis

Lisosa tse ling tse ka bang teng tsa nephrocalcinosis li kenyelletsa:

• Chefo ea ethylene glycol
• Hypercalcemia (calcium e feteletseng maling) ka lebaka la hyperparathyroidism
• Ts'ebeliso ea meriana e meng, joalo ka acetazolamide, amphotericin B, le triamterene
• Sarcoidosis
• Lefuba la liphio le tšoaetso e amanang le AIDS
• Vithamine D chefo

Boholo ba nako, ha ho na matšoao a pele a nephrocalcinosis ho feta a boemo bo bakang bothata.

Batho ba nang le majoe a liphio ba ka ba le:

• Mali ka morong
• Feberu le ho bata
• Ho nyekeloa le ho hlatsa
• Ho opeloa haholo ka mpeng, mahlakoreng a mokokotlo (lehlakoreng), botenng kapa masaleng

Matšoao a morao-rao a amanang le nephrocalcinosis a ka amahanngoa le ho hloleha ha liphio nako e telele (e sa foleng).

Nephrocalcinosis e ka fumanoa ha matšoao a ho se sebetse hantle ha liphio, ho hloleha ha liphio, ho thibela uropathy, kapa majoe a moroto.

Ho nahana ka liteko ho ka thusa ho fumana boemo bona. Liteko tse ka etsoang li kenyelletsa:

• Tlhaloso ea mpa ea mpa
• Ultrasound ea liphio

Liteko tse ling tse ka etsoang ho fumana le ho fumana ho teba ha mathata a amanang le tsona li kenyelletsa:

• Liteko tsa mali ho lekola khalsiamo, phosphate, uric acid le hormone ea parathyroid
• Ho hlahloba urinal ho bona likristale le ho hlahloba lisele tse khubelu tsa mali
• Pokello ea moroto oa lihora tse 24 ho lekanya acidity le maemo a calcium, sodium, uric acid, oxalate le citrate

Morero oa kalafo ke ho fokotsa matšoao le ho thibela khalsiamo e ngata ho aha liphio.

Kalafo e tla kenyelletsa mekhoa ea ho fokotsa maemo a sa tloaelehang a calcium, phosphate le oxalate maling le morong. Khetho e kenyelletsa ho etsa liphetoho lijong tsa hau le ho noa meriana le litlatsetso.

Haeba u noa moriana o bakang tahlehelo ea khalsiamo, mofani oa tlhokomelo ea bophelo o tla u joetsa hore u khaotse ho e noa. Le ka mohla u se ke oa emisa ho noa moriana pele u bua le mofani oa litšebeletso.

Matšoao a mang, ho kenyeletsoa le majoe a liphio, a lokela ho tšoaroa ka mokhoa o loketseng.

Seo u ka se lebellang se ipapisitse le mathata le sesosa sa lefu lena.

Kalafo e nepahetseng e ka thusa ho thibela li-depositi tse ling liphio. Maemong a mangata, ha ho na mokhoa oa ho tlosa li-depositi tse seng li thehiloe. Likalimo tse ngata tsa khalsiamo liphio HA SE kamehla li bolelang tšenyo e mpe liphio.

Mathata a ka kenyelletsa:

• Ho hloleha ho matla ha liphio
• Ho hloleha ha liphio nako e telele (e sa foleng)
• Majoe a liphio
• Uropathy e thibelang (a hlobaetsang kapa a sa foleng, a le mong kapa a mabeli)

Bitsa mofani oa hau haeba u tseba hore u na le bothata bo bakang khalsiamo e ngata maling le morong oa hau. Hape letsetsa haeba u hlahisa matšoao a nephrocalcinosis.

Kalafo e potlakileng ea mathata a lebisang ho nephrocalcinosis, ho kenyeletsoa RTA, e ka thusa ho e thibela ho hola. Ho noa metsi a mangata ho boloka liphio li phaphalletse le ho ts'ila ho tla thusa ho thibela kapa ho fokotsa sebopeho sa majoe.

• Liphio tsa liphio - seo u lokelang ho se botsa ngaka ea hau

• Tsamaiso ea monna ea ho ntša metsi

Bushinsky DA. Majoe a liphio. Ka: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, bangoli. Buka ea Williams ea Endocrinology. La bo14 la ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 32.

Chen W, Monk RD, DA ea Bushinsky. Nephrolithiasis le nephrocalcinosis. Ho: Feehally J, Floege J, Tonelli M, Johnson RJ, bangoli. Kakaretso ea Nephrology ea Kliniki. La 6th. Philadelphia, PA: Elsevier; 2019: khaolo ea 57.

Tublin M, Levine D, Thurston W, Wilson SR. Liphio le mosese. Ka: Rumack CM, Levine D, eds. Tlhahlobo ea Ultrasound. La 5th. Philadelphia, PA: Elsevier; 2018: khaolo ea 9.

Vogt BA, Springel T. Liphio le mosese oa lesea le sa tsoa hlaha. Ka: Martin RJ, Fanaroff AA, Walsh MC, bangoli. Fanaroff le Phekolo ea Martin ea Neonatal-Perinatal. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 93.