Inguqulelo papillary papillary

I-renal papillary necrosis kukuphazamiseka kwezintso apho yonke okanye inxenye yepalillae yezintso ifa khona. Ipapailla yezintso yindawo apho ukuvuleka kwemijelo yokuqokelela kungena kwizintso kwaye apho umchamo ungena khona kwi-ureters.

I-renal papillary necrosis ihlala ivela nge-analphic nephropathy. Lo ngumonakalo kwenye okanye zombini izintso ezibangelwa kukugqithisa kakhulu kumayeza entlungu. Kodwa, ezinye iimeko zinokubangela i-necrosis ye-renal papillary, kubandakanya:

• I-nephropathy yeswekile
• Usulelo lwezintso (pyelonephritis)
• Ukhatywa kwezintso
• I-Sickle cell anemia, unobangela oqhelekileyo we-necrosis ye-renal papillary ebantwaneni
• Ukuvalwa kwendlela yokuchama

Iimpawu zepillary necrosis ye-renal inokubandakanya:

• Umqolo obuhlungu okanye iintlungu zomlenze
• Igazi, ifu, okanye umchamo omnyama
• Iziqwenga zeethambo kumchamo

Ezinye iimpawu ezinokuthi zenzeke kwesi sifo:

• Umkhuhlane kunye nokubanda
• Ukuchama kabuhlungu
• Ukufuna ukuchama rhoqo kunesiqhelo (ukuchama rhoqo) okanye ngesiquphe, umnqweno onamandla wokuchama (ukungxamiseka)
• Unzima ukuqala okanye ukugcina umjelo womchamo (ukuthandabuza urinary)
• Ukungahambi kakuhle komchamo
• Ukuchama izixa ezikhulu
• Ukuchama rhoqo ebusuku

Indawo engaphezulu kwezintso ezichaphazelekayo (kwi-flank) inokuziva ithenda ngexesha loviwo. Kunokubakho nembali yosulelo lomchamo. Kukho iimpawu zokuhamba komchamo okanye ukuvinjelwa kwezintso.

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lomchamo
• Uvavanyo lwegazi
• I-Ultrasound, i-CT, okanye olunye uvavanyo lweentso

Akukho lonyango oluthile lwe-necrosis ye-renal papillary. Unyango luxhomekeke kwisizathu. Umzekelo, ukuba nephropathy ye-analgesic ingunobangela, ugqirha wakho uya kukucebisa ukuba uyeke ukusebenzisa iyeza eliyibangelayo. Oku kunokuvumela ukuba izintso ziphilise ngokuhamba kwexesha.

Usebenza kakuhle kangakanani umntu, kuxhomekeke kwinto ebangela imeko. Ukuba unobangela unokulawulwa, imeko inokuthi ihambe yodwa. Ngamanye amaxesha, abantu abanale meko bahlakulela ukungaphumeleli kwezintso kwaye baya kufuna i-dialysis okanye ukufakelwa kwezintso.

Iingxaki zempilo ezinokubangelwa yi-renal papillary necrosis zibandakanya:

• Usulelo lwezintso
• Amatye eentso
• Umhlaza wezintso, ngakumbi kubantu abathatha amayeza eentlungu

Biza ixesha lokubonana nomboneleli wakho wezempilo ukuba:

• Unomchamo wegazi
• Uphuhlisa ezinye iimpawu ze-necrosis yamaphepha e-renal, ngakumbi emva kokuthatha amayeza eentlungu

Ukulawula isifo seswekile okanye i-sickle cell anemia kunokunciphisa umngcipheko. Ukuthintela i-renal papillary necrosis kwi-analgesic nephropathy, landela imiyalelo yomboneleli wakho xa usebenzisa amayeza, kubandakanya nokunciphisa iintlungu ekhawuntareni. Musa ukuthatha ngaphezulu kwethamo elicetyiswayo ngaphandle kokucela umboneleli wakho.

I-Necrosis - i-papillae yezintso; I-necrosis ye-renal yamayeza

• I-anatomy yezintso
• Izintso - ukuhamba kwegazi kunye nomchamo

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Landry DW, Bazari H. Indlela eya kwisigulana esinesifo sezintso. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.

ISchaeffer AJ, iMatulewicz RS, iKlumpp DJ. Usulelo lwe-urinary tract. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 12.