Poststreptococcal glomerulonephritis (GN)

Poststreptococcal glomerulonephritis (GN) ke lefu la liphio le hlahang kamora ho tšoaetsoa ke mefuta e itseng ea baktheria ea streptococcus.

Poststreptococcal GN ke mofuta oa glomerulonephritis. E bakoa ke tšoaetso ea mofuta oa baktheria ea streptococcus. Ts'oaetso ha e hlahe liphio, empa e hlaha karolong e fapaneng ea 'mele, joalo ka letlalo kapa' metso. Lefu lena le ka hlaha libeke tse 1 ho isa ho tse 2 kamora tšoaetso ea 'metso e sa alafatsoang, kapa libeke tse 3 ho isa ho tse 4 kamora tšoaetso ea letlalo.

E kanna ea hlaha ho batho ba lilemo tsohle, empa hangata e hlaha ho bana ba lilemo li 6 ho isa ho tse 10. Le ha ts'oaetso ea letlalo le 'metso e atile ho bana, poststreptococcal GN ha se bothata ba mafu ana. Poststreptococcal GN e etsa hore methapo e menyenyane ea mali e liofising tsa liphio (glomeruli) e ruruhe. Sena se etsa hore liphio li se ke tsa khona ho sefa moroto.

Boemo bona ha boa tloaeleha kajeno hobane tšoaetso e ka lebisang moferefereng e phekoloa ka lithibela-mafu.

Mabaka a kotsi a kenyelletsa:

• Metso o otlang
• Matšoao a letlalo la Streptococcal (joalo ka impetigo)

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Ho fokotsa tlhahiso ea moroto
• Moroto o nang le mafome
• Ho ruruha (edema), ho ruruha ka kakaretso, ho ruruha ha mpa, ho ruruha ha sefahleho kapa mahlo, ho ruruha ha maoto, maqaqailana, matsoho
• Mali a bonahalang moroto
• Bohloko bo kopaneng
• Ho thatafala hoa manonyeletso kapa ho ruruha

Tlhahlobo ea 'mele e bontša ho ruruha (edema), haholo sefahlehong. Ho ka utloahala melumo e sa tloaelehang ha u mametse pelo le matšoafo ka stethoscope. Khatello ea mali hangata e phahame.

Liteko tse ling tse ka etsoang li kenyelletsa:

• Khahlano le DNase B
• Serum ASO (le streptolysin O)
• Maemo a tlatsetso ea Serum
• Ho hlahloba urinal
• Liphio biopsy (hangata ha ho hlokahale)

Ha ho na kalafo e khethehileng bakeng sa lefu lena. Kalafo e shebane le ho imolla matšoao.

• Lithibela-mafu, joalo ka penicillin, li kanna tsa sebelisoa ho senya libaktheria tsa streptococcal tse setseng 'meleng.
• Meriana ea khatello ea mali le lithethefatsi tsa diuretic li ka hlokahala ho laola ho ruruha le khatello e phahameng ea mali.
• Corticosteroids le meriana e meng e thibelang ho ruruha hangata ha e sebetse.

U kanna ua hloka ho fokotsa letsoai lijong tsa hau ho laola ho ruruha le khatello e phahameng ea mali.

Poststreptococcal GN hangata e ea itsamaisa kamora libeke tse 'maloa ho isa likhoeling.

Palo e nyane ea batho ba baholo, e ka mpefala mme ea baka ho hloleha ha liphio nako e telele (e sa foleng). Ka linako tse ling, e ka hatela pele ho isa qetellong lefu la liphio, le hlokang dialysis le ho kenella liphio.

Mathata a bophelo bo botle a ka bakoang ke lefu lena a kenyelletsa:

• Ho hloleha ha renal ka matla (tahlehelo e potlakileng ea liphio 'matla a ho tlosa litšila le ho thusa ho leka-lekanya maro le li-electrolyte' meleng)
• Glomerulonephritis e sa foleng
• Lefu le sa foleng la liphio
• Ho hloleha ha pelo kapa edema ea pulmonary (mokelikeli o hahang ka matšoafong)
• Boloetse ba renal
• Hyperkalemia (potasiamo e phahameng ka mokhoa o sa tloaelehang maling)
• Khatello ea mali e phahameng (hypertension)
• Nephrotic syndrome (sehlopha sa matšoao a kenyeletsang protheine ka har'a moroto, liprotheine tse tlase tsa mali maling, maemo a phahameng a k'holeseterole, maemo a phahameng a triglyceride le ho ruruha)

Bitsa mofani oa tlhokomelo ea bophelo haeba:

• O na le matšoao a poststreptococcal GN
• U na le poststreptococcal GN, 'me u fokotse tlhahiso ea moroto kapa matšoao a mang a macha

Ho phekola tšoaetso e tsebahalang ea streptococcal ho ka thusa ho thibela poststreptococcal GN. Hape, ho itlhoekisa joalo ka ho hlapa matsoho hangata ho thibela tšoaetso ea tšoaetso.

Glomerulonephritis - poststreptococcal; Glomerulonephritis e tšoaetsanoang

• Anatomy ea liphio
• Glomerulus le nephron

Makala FX. Mafu a bonojoana a ikhethileng a amanang le hematuria e feteletseng e iphetang. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 537.

Saha MK, Pendergraft WF, Jennette JC, Falk RJ. Lefu la mantlha la glomerular. 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 31.