Cov tsos mob thiab kev kho mob ntawm glomerulonephritis. Kev lig kev cai thiab pej xeem txoj kev

Cov txheej txheem:

Cov tsos mob thiab kev kho mob ntawm glomerulonephritis. Kev lig kev cai thiab pej xeem txoj kev
Cov tsos mob thiab kev kho mob ntawm glomerulonephritis. Kev lig kev cai thiab pej xeem txoj kev

Video: Cov tsos mob thiab kev kho mob ntawm glomerulonephritis. Kev lig kev cai thiab pej xeem txoj kev

Video: Cov tsos mob thiab kev kho mob ntawm glomerulonephritis. Kev lig kev cai thiab pej xeem txoj kev
Video: Muas Lauj - Ib Ntsiav Tshuaj FULL SONG 2024, Lub Xya hli ntuj
Anonim

Kev kho mob glomerulonephritis - kab mob raum - tsuas yog ua raws li kev saib xyuas nruj ntawm tus kws kho mob. Cov tshuaj thiab cov tshuaj ib txwm muaj nyob sib ze, tab sis lawv cov kev siv tau raug tshuaj los ntawm tus kws kho mob tshwj xeeb. Kev kho tus kheej tuaj yeem ua rau qhov xwm txheej hnyav dua.

Yog vim li cas

Qhov laj thawj tseem ceeb ntawm glomerulonephritis suav nrog:

  1. kab mob sib kis.
  2. kab mob sib kis.
  3. Qhia tshuaj tiv thaiv thiab ntau yam tshuaj rau hauv tib neeg lub cev.
  4. Kev cuam tshuam ntawm cov tshuaj lom.
  5. Irradiation thiab khoom.

Kab mob tshwm sim xya mus rau peb caug hnub tom qab kis rau lwm yam.

Cov tsos mob thiab kev kho mob ntawm glomerulonephritis hauv cov menyuam yaus thiab cov neeg laus raug txiav txim siab tom qab tsim qhov ua rau tus kabmob.

Glomerulonephritis - cov tsos mob thiab kev kho mob rau cov me nyuam
Glomerulonephritis - cov tsos mob thiab kev kho mob rau cov me nyuam

Cov tsos mob dav dav

Glomerulonephritis tshwm sim ib lub lim tiam tom qab tus kab mob nkag mus rau hauv lub cev. Thaum nws pom cov tsos mob xws li mob taub hau, tsis qab los noj mov, mob hauv thaj tsam lumbar thiab xeev siab, tsis muaj zog thoob plaws hauv lub cev. Tus kab mob no feem ntau tshwm sim vim tonsillitis thiab lwm yam khaub thuas.

Ntse los ntawm pawg

Glomerulonephritis pib tsim nyob rau hauv lub raum. Tus kab mob no tau muab faib ua peb pawg raws li cov tsos mob:

  1. thawj pab pawg ntawm cov tsos mob tso zis. Nyob rau hauv pab pawg no, qhov kub thiab txias feem ntau nce, qhov ntim ntawm cov zis uas ua rau txo qis. Qee zaum cov zis yuav liab. Qhov no qhia tias cov ntshav nkag mus rau hauv cov zis. Nyob rau hauv thaum yau, tus kab mob no tshwm sim sai heev thiab tsis tau ib tug ntev daim ntawv, tab sis nyob rau hauv cov neeg laus, ntawm qhov tsis tooj, tus kab mob no maj mam mus thiab yuav ua tau ntev. Tseem muaj lwm yam tsos mob.
  2. Pab pawg thib ob ntawm cov tsos mob yog edema. Cov tsos mob zoo li no tshwm sim los ntawm qhov tshwm sim ntawm qhov o ntawm lub ntsej muag thaum sawv ntxov, uas ploj mus rau yav tav su.
  3. Pab pawg thib peb suav nrog cov tsos mob hnyav. Yog tias tus neeg mob muaj ib hom kab mob ntawm pab pawg no, cov kab mob thiab cov teeb meem hauv cheeb tsam ntawm lub plawv tau pom. Cov tsos mob muaj xws li cov tsos mob ntshav siab.

Cov tsos mob thiab kev kho mob ntawm glomerulonephritis hauv cov menyuam yaus yog tib yam li cov neeg laus. Tsuas yog thaum noj tshuaj, cov koob tshuaj yog xam raws hnub nyoog.

Kev kho mob ntawm mob glomerulonephritis
Kev kho mob ntawm mob glomerulonephritis

Shapes

Raws li etiology thiab pathogenesis, lawv txawv:

  1. YPrimary glomerulonephritis.
  2. YSecondary glomerulonephritis.

Downstream:

  1. Acute poststreptococcal glomerulonephritis (OSGN).
  2. Tus mob uas tsis yog-streptococcal glomerulonephritis cuam tshuam nrog foci ntawm mob ntev.
  3. YChronic glomerulonephritis.

Cov ntaub ntawv kho mob sib txawv ntawm tus mob glomerulonephritis:

  • hematuria, uas tej zaum yuav qeeb-loj hlob lossis rov tshwm sim;
  • edematous-proteinuric lossis nephrotic, uas yog nrog los ntawm cov mob urinary hnyav;
  • mob ntshav siab, nrog rau kev nce siab hauv cov ntshav siab;
  • mixed - ib txhij tshwm sim ntawm nephrotic thiab hypertensive cov ntaub ntawv;
  • latent or sluggish;
  • nrawm nrawm lossis ua tiav.

Raws li cov yam ntxwv morphological, lawv txawv:

  • membranous-proliferative daim ntawv;
  • focal segmental glomerulosclerosis;
  • IgA-nephropathy;
  • membranous nephropathy.

Los ntawm theem, glomerulonephritis muab faib ua:

  • glomerulonephritis yam tsis muaj lub raum tsis ua haujlwm;
  • glomerulonephritis nrog lub sijhawm ncua lossis ib ntus ntawm lub raum tsis ua haujlwm;
  • mob raum tsis ua haujlwm.

Cov tsos mob thiab kev kho mob ntawm glomerulonephritis hauv cov neeg laus thiab menyuam yaus nyob ntawm tus kab mob.

Kev kho mob glomerulonephritis ntev
Kev kho mob glomerulonephritis ntev

Kev kho mob

Kev kho yog ua nrog kev pab los ntawm ntau pawg tshuaj. Feem ntau siv tau hu ua:

YGlucocorticoids. Qhia rau mesangioproliferative mus sij hawm ntev thiab mob glomerulonephritis nrog mesangioproliferative hloov. Nyob rau hauv membranous mus sij hawm ntev glomerulonephritis, qhov tshwm sim yog indistinct. Nyob rau hauv cov ntaub ntawv ntawm membranoproliferative chronic glomerulonephritis thiab focal segmental glomerulosclerosis, glucocorticoids tsis zoo

"Prednisolone". Teemib mg / kg / hnub. sab hauv rau 6-8 lub lis piam. nrog kev txo qis ntxiv mus rau peb caug mg / hnub. (tsib mg / lis piam), thiab tom qab ntawd maj mam (ob thiab ib nrab mus rau ib thiab ib nrab mg / lub lis piam) kom txog rau thaum qhov kev tshem tawm kiag li

Pulse therapy nrog "Prednisolone" yog ua nrog cov haujlwm tseem ceeb CGN thaum pib kho - ib txhiab mg intravenously, ib r / hnub. peb hnub ua ke. Tom qab txo qis hauv kev ua haujlwm ntawm cov kab mob glomerulonephritis ntev, kev kho cov mem tes txhua hli tau txais kom txog thaum kev tso tawm tiav.

Cov no yog cov tshuaj siv ntau tshaj plaws los kho cov tsos mob ntawm glomerulonephritis hauv cov laus. Kev kho mob thiab ntau npaum li cas tsuas yog kws kho mob tau sau tseg.

YCytostatics

"Cyclophosphamide" ob mus rau peb mg / kg / hnub. sab hauv lossis hauv / m lossis hauv / hauv, "Chlorambucil" ib feem kaum mus rau ob feem kaum ntawm mg / kg / hnub. sab hauv.

Raws li lwm yam tshuaj:

  • "Cyclosporine" - ob thiab ib nrab mus rau peb thiab ib nrab mg / kg / hnub. sab hauv,
  • "Azathioprine" ib thiab ib nrab rau peb mg / kg / hnub. sab hauv.

Lawv tau pom zoo nyob rau hauv cov kev teeb tsa uas twb muaj lawm ntawm cov mob glomerulonephritis uas muaj kev pheej hmoo tseem ceeb ntawm kev mob raum tsis ua haujlwm, thiab, ntxiv rau, nyob rau hauv lub xub ntiag ntawm contraindications rau kev teem caij ntawm glucocorticoids, tsis muaj txiaj ntsig lossis teeb meem thaum siv tom kawg (hauv huab. Cov xwm txheej, kev siv ua ke raug xaiv, uas tso cai rau txo qhov koob tshuaj ntawm glucocorticoids).

Pulse therapy nrog "Cyclophosphamide" nthuav tawm nrog cov mob ntev heevglomerulonephritis los yog ua ke nrog kev kho mem tes "Prednisolone" (los yog tawm tsam keeb kwm ntawm nws cov khoom noj txhua hnub), los yog sib cais thaum tsis muaj kev pab cuam ntawm "Prednisolone". Hauv qhov xwm txheej hnyav, ib feem ntawm "Cyclophosphamide" yuav tsum yog kaum tsib mg / kg (los yog 0.6-0.8 g / m 2ntawm lub cev ntawm lub cev) hauv / hauv txhua lub hlis.

Kev kho mob ntawm glomerulonephritis hauv cov laus
Kev kho mob ntawm glomerulonephritis hauv cov laus

Muaj ntau txoj hauv kev los kho glomerulonephritis. Tab sis, yog tias ua tau, ua ntej pib kho nrog pej xeem cov kev kho mob, sab laj nrog kws kho mob muaj peev xwm. Tsis tas li ntawd, lwm txoj kev kho mob feem ntau yog tsom rau kev kho lub raum thiab txo cov tsos mob ntawm tus kab mob, nrog rau kev txhim kho kev tiv thaiv.

  • Decoction ntawm pob kws stigmas tau ntev tau siv los kho glomerulonephritis nrog pej xeem tshuaj. Sib tov sib npaug qhov chaw crushed pob kws txhob lo lo ntxhuav thiab cherry tails. Brew 0.4 liv ntawm boiling dej thiab txias tag nrho. Tom qab ntawd lim thiab noj 1/2 khob plaub zaug ib hnub.
  • Decoction ntawm elderberry. Ntsuas ib st. l. dub elderberry paj (tws). Ncuav lawv nrog 0.2 liv ntawm boiling dej thiab tawm mus infuse, raws li nyob rau hauv daim ntawv qhia dhau los. Haus ib nrab khob thaum sawv ntxov thiab yav tsaus ntuj.
  • Infusion nrog qus strawberries. Ob teaspoons ntawm birch nplooj, 1 tsp. strawberry nplooj, 3 tbsp. l. noob flax. Brew qhov sib tov nrog 0.8 liv ntawm boiling dej thiab boil rau tsib feeb. Cia sawv ntsug rau ib nrab ib teev, ces lim. Noj 2-4 zaug hauv ib hnub, 100 g ua ntej noj mov lossis ob tsom iav kom ncab thaum nruab hnub.
  • Nyob ntawmsawv hips. Txog kaum qus rose berries yog tshem ntawm cov noob, ncuav 0.4 liv ntawm boiling dej thiab insist. Koj tuaj yeem ua noj hauv lub thermos. Haus dej cawv txhua hnub.
  • raum tshuaj yej nrog tshuaj ntsuab. Sib tov peb tbsp. diav: raum tshuaj yej (orthosyphon staminate), nplooj ntawm ib txoj hlua, aub sawv, plantain, ob tbsp. diav: horsetail, yarrow thiab 4 tbsp. diav ntawm calendula. Brew nyob rau hauv ib lub teapot thiab haus txhua hnub. Yog tias ntshav pom nyob rau hauv cov zis, nws yog qhov zoo uas yuav tsum tau muab ob tbsp. Nettle nplooj diav.
  • Schisandra tincture. Lub tsev muag tshuaj tincture haus 2-3 zaug ib hnub twg rau 10-20 tee.
  • Infusion ntawm hawthorn. Brew 0.3 liv ntawm boiling dej ib tablespoon. ib diav ntawm hawthorn paj. Kaum tsib feeb rau insist, ces lim. Haus 1/3 khob ib nrab ib teev ua ntej noj mov peb zaug ib hnub.
  • Decoction ntawm Oak bark yog dav siv los kho mob glomerulonephritis. Los ntawm peb st. spoons ntawm qhuav oak bark ntxiv ib khob dej kub thiab cua sov rau 20-25 feeb nyob rau hauv ib tug da dej. Muab cov nyhuv anti-inflammatory zoo. Nws yuav tsum tau noj hauv 0.1 litres ua ntej noj mov.
  • Glomerulonephritis - cov tsos mob thiab kev kho mob rau cov neeg laus
    Glomerulonephritis - cov tsos mob thiab kev kho mob rau cov neeg laus

kub

Ntxiv rau cov decoctions thiab infusions, cov kua txiv hmab txiv ntoo tshiab yog qhov tseem ceeb hauv kev kho mob glomerulonephritis.

  • Carrot kua txiv yog npaj los ntawm 300 g ntawm peeled txiv hmab txiv ntoo. Koj yuav tsum rub thiab nyem. Haus kua txiv hmab txiv ntoo ua ntej noj mov.
  • kua txiv lws suav kuj tseem siv tau, tab sis nws cov koob tshuaj txhua hnub yuav tsum tsis txhob ntau tshaj li ib nrab khob ib hnub.
  • Pumpkin pulp kua txiv yuav tsum haus peb zaug ib hnub twg, 1 tbsp. l.

Kho raulingonberry pab

Kev kho mob glomerulonephritis ntev tshwm sim nrog kev pab los ntawm pej xeem cov tshuaj, siv tshuaj ntsuab thiab kev noj haus. Ib qho ntawm cov tshuaj ntsuab no yog hom lingonberry. Cov nroj tsuag muaj diuretic, anti-inflammatory, astringent, antiseptic, sedative zog. Ob leeg lingonberry nplooj thiab berries yog siv. Ncuav 100 ml ntawm boiling dej tshaj 10 g ntawm qhuav lingonberry nplooj, tawm rau 2 teev, ces lim thiab haus li tshuaj yej thaum nruab hnub 4 zaug ib hnub twg. Ncuav 200 g ntawm cranberries nrog boiling dej nyob rau hauv tus nqi ntawm ob khob, tawm rau 6 teev, haus 4 zaug ib hnub twg, 100 ml ua ntej noj mov rau 20 feeb.

Yuav ua li cas txo qhov o?

Y Koj yuav xav tau hop cones 10 g, parsley noob 25 g, motherwort 20 g, hawthorn 20 g. Sib tov tag nrho cov khoom xyaw, ncuav boiling dej tshaj nws thiab muab tso rau hauv ib da dej rau 30 feeb. Haus ib tablespoon thaum sawv ntxov, tav su thiab yav tsaus ntuj.

sim da dej kho mob rau tus mob glomerulonephritis siv cov noob flax thiab St. John's wort. Brew lub composition nrog boiling dej. Infuse rau 3 teev, ces lim, dilute nrog dej thiab txaws me ntsis rau ntawm pob zeb kub. Ua pa ncu thiab haus xws li tshuaj yej los ntawm strawberries, siv qhuav berries thiab nplooj: rau 200 g ntawm boiling dej, 20 g ntawm crushed sib tov. Infuse rau ib teev, lim thiab haus ib nrab khob.

Glomerulonephritis - cov tsos mob thiab kev kho mob
Glomerulonephritis - cov tsos mob thiab kev kho mob

Kev noj haus

Glomerulonephritis yog ib yam kab mob loj uas lub raum ua rau mob thiab tus neeg lub cev tiv thaiv kab mob cuam tshuam loj heev. Thaum kho glomerulonephritis hauv cov menyuam yaus thiab cov neeg laus, koj yuav tsum ua raws li kev noj zaub mov tshwj xeeb. Thaum lub cev mob - nws yog txaus ntshai, vim hais tiaskoj yuav tsum txwv koj tus kheej hauv ntau txoj hauv kev, tsis txhob cia koj tus kheej qab zib, hmoov txhuv nplej siab lossis lub rooj zaum xovxwm. Nrog rau qhov kev kuaj mob no, tus neeg yuav tsum ua raws li kev noj haus nruj tshaj plaws.

Yuav ua li cas noj qab thaum noj zaub mov? Cia peb muab tso rau ntawm lub txee, dab tsi noj, thiab dab tsi yuav tsum tau categorically cais tawm ntawm cov khoom noj. Nco ntsoov tias thaum muaj mob, kev noj zaub mov thib tsib yog siv, uas suav nrog zaub mov nrog tag nrho cov calories, tab sis thaum tsis muaj rog hauv cov zaub mov tsis zoo, thiab cov zaub mov kib kuj tsis tso cai. Tseem muaj ntau yam txiv hmab txiv ntoo thiab zaub. Tag nrho cov tais diav yuav tsum tau siav los ntawm boiling los yog ci, stewing yog tsis tshua muaj siv.

Nws yog ib qho tseem ceeb heev uas tsis txhob hnov qab txog cov tais diav, nrog rau cov zaub mov no tsuas yog kev xyiv fab, thiab muaj pes tsawg cov zaub khov tam sim no, uas yuav ua rau muaj zog thiab muaj zog rau tag nrho hnub. Tsis txhob hnov qab txog zaub kua zaub, noj borscht, tsev cheese thiab cov kua mis, tsuas yog nco ntsoov tias cov tais diav txias thiab kub heev tsis tso cai.

YKoj tuaj yeem ua cutlets los ntawm zaub: beets, carrots, qos yaj ywm, zaub qhwv thiab lwm yam, mus txog rau txiv ntoo. Sim noj thiab noj qab nyob zoo, thiab cia lub raum tsis thab ntxiv lawm.

Kev Tiv Thaiv

Kev tiv thaiv kab mob suav nrog:

  1. Kev txwv kev tawm dag zog.
  2. Kev tsis suav nrog cov xwm txheej ntxhov siab uas cuam tshuam rau lub xeev kev puas siab puas ntsws.
  3. Kev zam kev tawm tsam, hypothermia.
  4. Txoj kev tu cev ntawm lub genitalia sab nraud kom tiv thaiv kev kis kab mob.
  5. tso zis thiab tso zis ua ntej thiab tom qab kev sib deev.
  6. Sib ntaus rog rog.
  7. Kev tiv thaiv cem quav.
  8. kev tawm dag zog.
  9. Kev ua haujlwm tsis tu ncua ntawm lub hauv caug-lub luj tshib - ib qho kev tawm dag zog uas pab txhawb cov ntshav tawm hauv cov hlab ntsha. Kev tawm dag zog yog pab tau thaum cev xeeb tub, pab tiv thaiv kom tsis txhob tso zis hauv lub raum pelvis.
  10. Kev xaiv cov khoom noj muaj txiaj ntsig zoo uas suav nrog cov teeb meem metabolic hauv lub cev. Cov khoom noj rog, ntsim, kib thiab cawv tsis suav nrog cov khoom noj. Kev txwv ntsev.
  11. Kev haus dej txaus: tsawg kawg 1.5 litres dej ib hnub; haus dej ntxhia.
  12. Kev txheeb xyuas thiab rov kho tus mob foci ntawm tus kab mob.
  13. Kev kho tus kab mob tsis tu ncua.
  14. Kev kho mob ntawm comorbidities.
  15. Tsis txhob noj tshuaj nephrotoxic, kho cov tshuaj vitamin ntau dhau, immunoglobulins thiab cov khoom siv ntshav.
  16. Kev tshuaj xyuas kev noj qab haus huv tsis tu ncua nrog kev tso zis txhua xyoo.
  17. Tshuaj tshuaj ntsuab los yog tshuaj ntsuab tshuaj ntxuav cov zis 1-2 zaug hauv ib xyoos.
  18. Sanatorium kev kho mob hauv qhov chaw qhuav thiab kub.
  19. Kev kho mob ntawm glomerulonephritis nrog pej xeem tshuaj
    Kev kho mob ntawm glomerulonephritis nrog pej xeem tshuaj

Clinics

Daim ntawv teev cov chaw kho mob rau kev kho mob glomerulonephritis yog dav heev. Cov tsev kho mob nrov tshaj plaws uas lawv tawm tsam tus kab mob yog:

  1. IAKI tsev kho mob, nyob rau hauv Moscow, ntawm Pobedy txoj kev, 2, bldg. 1. Ua haujlwm txhua hnub tshwj tsis yog hnub Sunday. Kev teem caij ntawm tus kws kho mob tshwj xeeb raug nqi txog ob txhiab rubles. Kev tshuaj xyuas kho muaj los ntawmglomerulonephritis qhia tias cov kws kho mob sau ntawv kho mob pheej yig dua li lwm lub tsev kho mob.
  2. ProfMedLab yog lwm lub chaw kho mob uas pab kho glomerulonephritis rau cov neeg laus thiab menyuam yaus. Nws yog nyob rau hauv Moscow, nyob ze lub chaw nres tsheb Vystavochnaya metro, 1st Krasnogvardeisky pr., 12, p. 3. Hnub so - Hnub Sunday. Cov neeg uas tig mus rau qhov kev pab sai sai kov yeej tus kab mob hnyav.
  3. "Inpromed" muaj ob peb ceg, uas ntiav cov kws tshaj lij hauv lawv daim teb. Rau kev kho mob ntawm glomerulonephritis, nws raug nquahu kom siv lub chaw kho mob nyob ze ntawm Molodezhnaya metro chaw nres tsheb, uas yog ntawm Elninskaya txoj kev, 20, lub tsev 2.

Pom zoo: