Mate o Berger (iga-nephropathy): ai, maimoatanga

mate tākihi puta tino pinepine. Ēnei ngā taua mate rite pielo- me glomerulonephritis. Haunga enei, i reira e te tahi atu mate o te pūnaha mimi. Ko tētahi o ratou ko te mate o Berger. Tenei māuiuitanga, rawa, e pā ana ki te kōhikohiko auau. Kei te pāngia te reira i roto i āhua 20% o ngā take o te mate tākihi i roto i nga tangata. kore pā ana tēnei ofatiraa anake ki nga raruraru o te nephrology, rite ko te whanaketanga o te huarahi ārai. Whakapae e taea e tenei māuiuitanga i runga i te tohu matua - hematuria kerekere.

mate o Berger - he aha te mea te reira?

Tenei mate ko te ahua o te glomerulonephritis ma'i. Ina whakaritea ki hypertensive me nephrotic ahua o nāianei, mate a Berger he waitohunga pai. Ahakoa te meka e te pāngia reira i te tau wawe (15-30 tau), i te reira uaua riro nui iti hoki tākihi. Ko te faaiteraa matua o te mate - he hematuria kerekere me te hūhi i roto i te rohe lumbar tenei. Ka taea hoki i tēnei māuiuitanga puta i roto i ngā tamariki. I roto i te tane puta reira 4 wa atu pinepine atu i te wahine. Ka rite ki ki nga pathologies katoa, tātaritanga ko te International Whakarōpū o Diseases (ICD). Nephropathy Berger N02 kua he waehere, e te tikanga "he hematuria pūmau, me te recurrent."

Ko te take o te mate

Ko te take tuatahi o te mate ko te tukanga hopuhopu. I roto i te nuinga o te māuiuitanga tākihi take whakawhanake i muri i te mate viral, me te kitakita. Hoki, kia waiho te take he mate fungal. Tohu te tikanga puta i te ra torutoru i muri iti te mate i roto i te wahi o runga romahā (whakapeka mate viral romahā, nui korokoro, pharyngitis). Ko te take tonu o te mate ko te haaputuputuraa o complexes ārai i roto i te taiepa iaia tākihi. I roto i ētahi wā, he hononga ki te māuiuitanga taimaha hītori tupu (te utuafare, iga-nephropathy). I tua atu, e pā ana te mate e ki te predisposition ira. Tohatoha i te tāpae e whai ake nei:

1. Hauhauaitu.
2. Heke wātea i te mate.
3. tukanga viral me kitakita ma'i i roto i te Airways runga.

Ko te tikanga o te mate o Berger

Ko te pathogenesis o te mate e pā ana ki te waipara o complexes ārai i roto i te taiepa oko. I roto i te noa taputapu tākihi glomerular he kawenga mō te tātari i te toto. Kei a ia ko te plurality o oko nephrotic. I muri āhuatanga o mua mate o te mumura - complexes ārai - i roto i te tinana, a kua takoto i roto i te taputapu glomerular. Ka rite ki te hua, te whakawhanake glomerulonephritis. e kore e taea e oko tākihi mahi tikanga e tika ana ki complexes ārai, ka ohorere filtration toto. I tua atu, i te tukanga inflammatory ai whakaeminga inu (edema parenchyma) me te whakaiti i te uruhanga o te membrane basement. Ka rite ki te hua, te whakawhanake hematuria whänui, me te mōkitokito. Ko te take hoki enei tukanga e ki kino glomerular me te kătahi o te wai (toto) i roto i te membrane basement.

He aha e kua kitea nga tohu o te mate i roto i Berge?

Ko te pikitia haumanu o te mate o Berger rite glomerulonephritis whakapeka. Otiia, he mea nui ki te wehewehe i waenganui i enei mate tahi. Ko maha te take o te glomerulonephritis te mate staph. Na tikanga rerekē o te maimoatanga o enei mate. Ko te tohu matua o IG A-nephropathy e:

1. Hematuria. Nuinga o ngā wā, ko te tohu o te tūroro akina ki te rapu tiaki hauora tenei. tikanga hematuria kerekere te ahua o te toto i roto i te mimi. Kei te maha haere tahi tenei i sensations kino.
2. Microhematuria - Ko reira he tohumate e he äta ki te tangata, ka whakakitea anake i roto i ngā tauira motuhake.
3. Mamae i roto i te rohe lumbar. Nuinga o ngā wā, ko ratou ate puhoi i roto i te natura. Roto i te rerekē ki ētahi atu tukanga inflammatory i roto i te whatukuhu (pyelonephritis), kite hūhi i runga i ngā taha e rua.
4. Ko te aroaro o runga mate wahi romahā mua.
5. pāmahana tinana nui ake.
6. ngoikore General.
7. Proteinuria - te ahua o te pūmua i roto i te mimi. Kei te kï hoki, i roto i te wā onge ka te akoranga mohiotia o te mate.

Diagnosis IG A-nephropathy

Ko te paearu tātaritanga mate matua o Berger ko te akoranga ma'i. Kei te nuinga o āwangawanga tohu o te manawanui e pā ana ki te 2-3 wa o te tau i muri i te mate. He mea nui hoki ki te mōhio e he mārire te mate. Ahakoa hematuria wā whakakitea, tonu noa tākihi. Roto i te rerekē ki ētahi atu tukanga inflammatory (pielo-, glomerulonephritis), he onge mate CRF Berger o.

Laboratory tātaritanga ngā KLA OAM motuhake me ngā tauira mimi (nechyporenko, Zimnitsky). Me ratou ki te tāutu i ngā pūtau toto whero, me te ma ngā pūtau toto. Tei runga i tenei moroiti tuku me te hematuria kerekere. I roto i te whānui, te tātaritanga o te mimi pūmua e taea e reira. Hei taki mēnā i reira ko te takahi o te mahi tākihi, kia foaki te manawanui toto i te rua i roto i te matūora. I roto i tenei tātaritanga, he mea nui ki te mohio te taumata o creatinine, i te mea noa, i te te mate Berger. Hei hoatu i te tātaritanga whakamutunga, kawea he ako i mo te aroaro o IG A i te toto. I roto i te wā onge te unuhanga whatukuhu, i roto i nei kitea te complexes ārai i roto i te pūrere iaia. Kei te whakamana ano Ultrasound mo te tātaritanga pārōnaki.

mumura tākihi immunological: maimoatanga

Ahakoa te akoranga Koló o te mate i roto i therapy matahoki hiahiatia te. He mea tika e kore anake ki noho te tohu o te mate, engari ano hoki ki te tirohanga ki te ārai fifi, me te tiaki tākihi mahi. Tīmata Maimoatanga ki te whakatikatikaina o aronga o mate. I roto i te nuinga o te wā i tenei rongoā paturopi (taero "amoxicillin", "Cefazolin") me āpiha patu huaketo (medicaments "Viferon", "Genferon"). I tua atu, ki te whakaiti i mumura i roto i te NSAIDs tākihi glomerular taputapu e hiahiatia ana. raau taero "Kanefron" e tino maha whakamahia, "ibuprofen". A, no te he rongoā whai hua e kua hāngai i runga i otaota mate tākihi. whakarite hoki teas motuhake me infusions (knotweed, puku birch, bearberry).

Ki te he uaua ki te hamani i te mate, kua auau auau pōauautanga ranei, ka whakapau taiki therapy. Ko te tikanga whakahau i te tarukino "Prednisolone", me āpiha cytostatic. I roto i ētahi wā, ki te therapy antiplatelet, he tikanga whakapai ake i te rere toto (tarukino "Kurantil").

Prevention o mate o Berger

Kia mahara te reira e pā ana te mate o Berger ki te pathologies ma'i. Na reira, i roto i te tikanga ki te karo exacerbations, kia kawea āraihia atu. wa nui ki te sanitize te aronga o te mate (tonsillitis, Sinusitis), kia i raro ki te hauhauaitu. Hoki, kia tūroro akoranga rongoā ia wā otaota, tautoko te pūnaha ārai mate.