Berger ka maʻi (IgA-nephropathy): ke kumu, lapaʻau

ʻaʻa puʻuwai maʻi ana loa pinepine. O nā mea nā mea palahēhē me pielo- a me ka glomerulonephritis. Ma waho mau, ma laila nā maʻi 'ē aʻe o ka urinary nenoaiu. Kekahi o ia mea Berger ka maʻi. Kēia pathology, hoi, pili ia i ka pinepine anomalies. Ua Ua diagnosed ma ka hola 20% o ka hihia o ka hakuʻala maʻi i loko o nā kānaka. Kēia 'aʻe' pili ole wale i na pilikia o ka nephrology, e like me ka ka hooulu ana o ka'ōnaehana paleʻeaʻano papa hana. Hāʻupu aʻe i kēia pathology hiki ia ma luna o ka papa kuhikuhiE symptom - loa hematuria.

Berger ka maʻi - He aha ka mea?

Kēia maʻi o keʻano o ka maʻi glomerulonephritis. Ke hoʻohālikelike me ka hypertensive a me ka nephroticʻikenaʻano, Berger ka maʻi i ka prognosis maikai. I loko nō o ka mea i ka mea, ua diagnosed ma kekahi kakahiaka nui kona mau makahiki (15-30 makahiki), ka mea kākaʻikahi i loaʻaʻa puʻuwai insufficiency. I ka papa kuhikuhiE hoike ana mai o ka maʻi - keia mea hookuli hematuria a me discomfort i loko o ka lumbar māhele 'āina. Kēia pathology hiki no hoi i hoʻomaka ai i nā keiki. Ma kane ia ia lŘlŘ 4 mau manawa hou ma mua o nā wāhine pinepine. E like me nā mea a pau i ka pathologies,ʻike, o ka International Mea Maluna o Nā Maʻi (ICD). Nephropathy Berger N02 i ke kuhi, a 'o ia hoʻi "ka paa a me ka recurrent hematuria."

Nā kumu o ka maʻi

Ke iniiaiie kumu o ka maʻi o ka infectious kaʻina. Ma ka hapanui o na hihia o kaʻaʻa puʻuwai pathology e hoʻomōhala ai ma hope o ka mea hoʻomaʻi a me ka mea koʻohune nā mea palahēhē. Nō hoʻi, ke kumu i e ka fungal maʻi. Symptoms pele hou i kekahi mau lā ma hope o ka maʻiʻaʻai emi i loko o ka luna naehana'āpana (huʻi naehana hanu mea hoʻomaʻi maʻiʻaʻai, nui puʻu, pharyngitis). Ke kumu koke o ka maʻi o ka hoʻomāhuahua o ka'ōnaehana paleʻea pono a pau o loko o kaʻaʻa puʻuwai vascular paia. I kekahi manawa, he pili i ka pathology kaumaha hereditary mōʻaukala (ʻohana IgA-nephropathy). Eia hou, i ka maʻi ua pili me ka aaiaoe predisposition. Līkaia no ka mea kēia triggers:

1. Hypothermia.
2. Ua hoʻemi e hoʻonele.
3. Maʻi mea hoʻomaʻi a me ka mea koʻohune keʻano o ka hanaʻana i loko o ka luna Air.

Keʻano papa hana o Berger ka maʻi

Ke pathogenesis o ka maʻi pili i palapala moʻopane o ka'ōnaehana paleʻea pono a pau o loko o ka moku paia. Ma maʻamau hakuʻala glomerular i hoʻomākaukauʻia mea kuleana no ka nihinihi i ke koko. Ua ninoieo o ka ai iiiaanoaa o nephrotic moku. Ma hope o mua maʻiʻaʻai oihana mua o ka li nui -'ōnaehana paleʻea eiiieaenu - i loko o ke kino, a ua waihoia ma ka glomerular i hoʻomākaukauʻia. E like me ka hopena, ulu glomerulonephritis. hiki oleʻaʻa puʻuwai moku Launch maʻamau ma muli o ka'ōnaehana paleʻea pono, a me ke koko kānana kupikipikio. Eia hou, i ka hoʻoʻino kaʻina a nā loli hoʻomāhuahua (edema parenchyma) a ho'ēmi i kā ka permeability o ka hale ilaloʻili lahilahi. E like me ka hopena, ulu macro- a me ka microscopic hematuria. Nā kumu no kēia mau keʻano o ka hanaʻana mea i glomerular poino a me ka anal o ke kinowai (koko) ma ka hale ilaloʻili lahilahi.

He aha i na symptoms o ka maʻi i malama ma Berge?

Ka lapaʻau kiʻi o Berger ka maʻi kohu huʻi glomerulonephritis. Aka hoi, ia mea nui e maopopo ma waena o kēia mau maʻi a pau. Ke kumu o ka glomerulonephritis He pinepine ka staph maʻiʻaʻai. A me kekahi mau ano o ka hana maikaʻiʻole o kēia mau maʻi. I ka papa kuhikuhiE symptoms o IG A-nephropathy mea:

1. Hematuria. Loa pinepine, keia mea ka hoailona o ka hoʻoikaika nā mea maʻi e imi mālama '. Loa hematuria o ia hoʻi, i ke ano o ke koko ma ka mimi. He ua pinepine pu ma kaʻawaʻawa loa ka waiʻona ma ke.
2. Microhematuria - ia mea he symptom i mea imperceptible i ke kanaka, a hōʻike wale nō i loko o kūikawā Eia kekahi laʻana.
3. Pain i loko o ka lumbar māhele 'āina. Loa pinepine, ka mea, he poe hookananuha aching ma ka ano. Akä naÿe i nā hoʻoʻino keʻano o ka hanaʻana i loko o nā puʻupaʻa (pyelonephritis), discomfort malama ma nāʻaoʻaoʻelua.
4. Ke alo aku o ke keena naehana'āpana maʻiʻaʻai mua.
5. Mahuahua kino ana wela.
6. General nawaliwali.
7. Proteinuria - i keʻano o ke kumuʻiʻo i loko o ka mimi. Ua Ua kaulana i loko o ka pohihihi keia hihia, i ka wa i atypical papa o ka maʻi.

ʻike, IG A-nephropathy

I ka papa kuhikuhiE PalekanaEND_LINK ana Berger ka maʻi o ka maʻi papa. ke hoʻomanawanui i ka symptoms i ana no e pili ana i 2-3 manawa o ka makahiki ma hope maʻiʻaʻai. Ua mea i nui, e hoailona oukou i ka maʻi mea benign. I loko nō kekahi manawa hoikeia hematuria,ʻaʻa puʻuwai koe maʻamau. Akä naÿe i nā hoʻoʻino keʻano o ka hanaʻana (pielo-, glomerulonephritis), CRF Berger ka maʻi mea pohihihi keia.

Keʻena hoʻokolohuaʻike, nā KLA kūikawā OAM a me ka mimi Eia kekahi laʻana (nechyporenko, Zimnitsky). Ka mea, Pono e hōʻike ulaula koko keena, a keʻokeʻo koko keena. Ke kaumaha ma muli o kēia kala anakahi iki a me hematuria loa. I mau, Ka Ikepili o ka mimi kumuʻiʻo hiki e ike. E nānā ina paha he nui he 'aʻe' ana i ʻaʻa puʻuwai papa, i ka hoʻomanawanui E lūlū mai ke koko mai ka aa koko ma ka biochemistry. Ma keia Ka Ikepili, ia mea pono e ike i ke kiʻekiʻe o ka creatinine, i mea maʻamau ka wā o ka maʻi Berger. E kau i kaʻike, hope loa, he ao lawe mai no ke alo o IG A i loko o ke koko. Ma pohihihi keia hihia i ka hakuʻala biopsy, ma i ka'ōnaehana paleʻea pono i loaʻa i loko o ka vascular hoʻoluku. Ultrasound ua kekahi hana no ka palena pauʻike.

Immunologicalʻaʻa puʻuwai aat i: lapaʻau

I loko nō o ka benign papa o ka maʻi iloko o relapse Inc ua pono. Ia mea e pono ai,ʻaʻole wale nō, e hooluolu aku au i na symptoms o ka maʻi, akā, no hoi me ka manao e pale complications a me ka hoopakele ana i hakuʻala kuleana pili i. Iapaau ana hoʻomaka me ka readjustment o ka foci o ka maʻiʻaʻai. Ma ka hapanui o na hihia i kēia Antibiotics (ai ' "amoxicillin", "Cefazolin") a me ka antiviral Luna (medicaments "Viferon", "Genferon"). Eia hou, e emi li nui i loko o ka hakuʻala glomerular nakeke pono NSAIDs. ai ' "Kanefron" e loa pinepine ia, "ibuprofen". I ka hakuʻala maʻi i ka hoʻokō lapaʻauʻia i i ka nānā 'ana ma luna o ka lau nahele. I hoonoho i kūikawā kī a me infusions (knotweed, birch nā'ōpuʻu, bearberry).

Inā i ka maʻi, ua hiki ole i ka hana, i pinepine recurrences paha complications, alaila, pana aku au i hōmona Inc. I hookuu i koi 'ia ka lāʻau "Prednisolone", a me ka cytostatic konohiki. I kekahi manawa, he antiplatelet Inc, he mea e ka hoʻoikaika 'ana i ke koko kahe (lāʻau "Kurantil").

Kāohiʻana o Berger ka maʻi

Ua hoʻomanaʻoʻia ai ia ia Berger ka maʻi pili i ka maʻi pathologies. No laila, i mea e pale aku exacerbations, e halihaliia oia iwaho kāohi ana. Nui manawa e sanitize i ka foci o ka maʻiʻaʻai (tonsillitis, sinusitis), e koiia mai e hypothermia. Nō hoʻi, nā mea maʻi e e kekahi manawa lāʻau lapaʻau lapaau papa, i ka'ōnaehana paleʻea nenoaia kākoʻo.