Teeb Meem Lub Raum Hauv Cov Miv

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Tus Kab Mob Ntshav Qab Zib hauv Miv

Ib qho ntawm lub cev txoj kev tseem ceeb rau kev pov tseg cov khoom pov tseg yog los ntawm kev tsim thiab tsim cov zis. Tus txheej txheem no tshwm sim nyob rau hauv lub raum, qhov twg nkag ntawm pawg ntawm cov hlab ntsha hu ua glomeruli muaj nuj nqi los lim cov ntshav pov tseg los ntawm cov ntshav, yog li tsim cov zis. Thaum pom qog hlwb (podocytes) hauv lub raum lub ntsej muag ua rau lub cev puas, ua rau lub cev tiv thaiv kab mob hauv cov ntshav (hu ua glomerulonephritis), lossis rau ntom ntom ntawm cov protein nyuaj (amyloid) - qhov txawv txav ntau ntawm uas yog hu ua amyloidosis - kev tsis zoo ntawm lub raum tubular system tshwm sim. Qhov ua rau mob hlab ntsha ua paug no yog txoj kev kho rau tus mob nephrotic syndrome. Cov neeg mob uas muaj tus mob nephrotic poob ntau cov protein tsim nyog rau hauv cov zis; ib qho kev kho mob ua tau hais tias cov proteinuria. Ob qho ntawm cov protein yog albumin, uas pab tswj ntshav siab thiab ua kom cov ntshav hauv cov hlab ntshav, thiab antithrombin III, uas txwv tsis pub cov ntshav txhaws.

Thaum cov roj ntau tshaj 3.5g ntawm cov protein raug ploj txhua hnub, ntshav siab poob, thiab cov ntshav qis ntxiv hauv cov hlab ntshav. Thiaj li, lub raum ua haujlwm los ua kom cov dej sodium nyob rau hauv lub cev, uas ua rau o ntawm cov nqaj, ntshav thiab txhaws ntau ntxiv nyob hauv plab zom mov.

Thaum tseem ceeb heev ntawm cov thyroid protein, uas tswj lub cev hauv lub cev metabolism, kuj tseem poob rau hauv cov zis, cov cim qhia ntawm hypothyroidism kuj tuaj yeem pom. Muaj qhov txo qis ntawm cov roj hauv lub cev tawm, thiab tus miv uas cuam tshuam yuav feem ntau qhia cov leeg tsis muaj zog. Tsis tas li ntawd, lub siab kuj nce nws cov khoom tsim cov protein thiab lipids, ntxiv kev nce qib ntawm cov roj (cholesterol) lipids muaj ntau nyob rau hauv cov ntshav. Qhov no tuaj yeem ua rau mob arteriosclerosis, ploj zuj zus mus rau cov ntshav txaus vim yog cov thickening, thiab cov tawv ntawm cov phab ntsa arterial. Tsis tas li, vim cov protein ua haujlwm txhawm rau txhawm rau cov ntshav txhaws mus rau hauv cov zis, cov ntshav coagulates yooj yim dua thiab cov ntshav txhaws tuaj yeem nyob hauv cov hlab ntshav, ua rau tuag tes tuag taw lossis hlab ntsha tawg.

Yog tias tsis kho, cov kab mob caj pas glomerular tuaj yeem ua rau urea nitrogen thiab creatinine (cov khoom lag luam zom zaub mov) ua kom muaj ntau ntxiv hauv cov hlab ntshav. Ntawd yog, kev txuam nrog cov khoom lag luam hauv cov zaub mov hauv cov ntshav, uas tuaj yeem ua rau lub raum tsis ua haujlwm ntev. Tus kab mob no muaj tsawg hauv miv.

Cov tsos mob thiab Hom

• O rau cov nqua
• Kev nkag mus rau hauv lub plab, ua kom plab plab
• Retinal: detachment lossis hemorrhage vim muaj ntshav siab
• Kev o ntawm lub qhov muag ntsig (nyob tom qab ntawm lub qhov muag) vim tias muaj ntshav siab
• Ua kom lub plawv tsis sib xws vim tsis zoo los ntawm sab laug ventricle ntawm lub plawv
• Ua pa nyuaj
• Bluish-liab daim tawv nqaij xim

Ua rau

Lub sij hawm ntev mob uas yuav ua rau mob miv los txhim kho glomerulonephritis lossis amyloidosis:

• Kab mob
• Mob Cancer
• Kev tiv thaiv kab mob-sib kis

Kev kuaj mob

Koj tus kws kho tsiaj yuav ua ib qho kev soj ntsuam lub cev kom txaus rau koj tus miv, nrog rau daim ntawv qhia txog ntshav, nrog rau daim ntawv qhia ntshav tshuaj, suav cov ntshav tiav (CBC), ib lub ntsuas hluav taws xob, thiab tso zis. Koj yuav tsum tau muab keeb kwm keeb kwm ntawm koj tus miv noj qab haus huv, suav nrog keeb kwm keeb kwm ntawm cov tsos mob. Cov keeb kwm koj muab tej zaum yuav qhia koj tus kws kho tsiaj cov kab ke uas raug cuam tshuam thib ob.

Protein electrophoresis yuav pab txheeb xyuas seb cov protein twg tau poob rau hauv cov zis los ntawm ob lub raum kom thiaj li tau txais kev mob tshwm sim. Xoo hluav taws xob thiab xoo duab thaij duab yuav qhia tau yog tias muaj qhov ploj ntais ntawm hauv plab plab vim muaj kua txia mus rau hauv cov plab plab zom mov (effusion). Yog hais tias tus kab mob glomerular yog qhov ua rau tus mob nephrotic, kev kuaj mob me me ntawm lub raum kuj tseem pom.

Kev Kho Mob

Feem ntau ntawm cov neeg mob tuaj yeem kho tau qhov mob sab nrauv, tab sis yog tias koj tus miv tau qhia cov pa roj ntsha loj hauv cov hlab ntsha (azotemia), ntshav siab (ntshav siab), lossis thaiv cov hlab ntsha vim tias txhaws (mob thromboembolic), nws yuav tsum tau pw tsev kho mob. Tus kws kho tsiaj tuaj yeem sau tshuaj noj kom txo cov protein kom txaus rau koj cov miv cov zis thiab nce ntshav siab.

Nyob thiab Tswj

Koj yuav tsum tau txwv koj tus miv cov kev ua ub no txhawm rau txhawm rau tiv thaiv tus kabmob thromboembolic. Qhov muaj protein ntau, cov zaub mov muaj ntsev tsawg, tej zaum yog ib qho tshwj xeeb uas tau tsim tshwj xeeb rau kev ntxiv dag zog rau lub raum, yuav tsum pub rau koj tus miv. Tus kws kho tsiaj yuav pab koj tsim cov phiaj xwm kev noj haus zoo tshaj rau koj tus miv.

Tus kws kho tsiaj yuav teem caij rov qab mus ntsib koj tus miv ntawm ib hlis tom qab thawj zaug kev kho mob, thiab tom qab ntawv rov tuaj rau peb lub hlis sib law rau xyoo tom qab. Txhua lub sijhawm tuaj ntsib, tshuaj lom neeg cov ntshav, mob tso zis, thiab ntsuas cov ntshav hluav taws xob. Daim ntawv qhia txog tshuaj lom neeg muaj txiaj ntsig pab rau kev saib xyuas lub raum kev ua haujlwm, thiab qhov tso zis yuav qhia tias muaj protein ntau npaum li cas rau hauv cov zis. Koj tus kws kho mob yuav tseem noj koj tus miv cov ntshav siab thiab ntsuas nws qhov hnyav txhua zaus mus ntsib.

Glomerulonephritis thiab amyloidosis kuj tshwm sim. Yog tias qhov pib mob tsis tuaj yeem daws tsis tau, koj tus miv yuav kawg poob tag nrho lub raum ua haujlwm. Kev kwv yees rau kev mob raum mus txog qib kawg yog pluag.