Nephrotic vs Nephritic Syndrome
Nephrotic thiab nephritic syndromes yog ib qho mob me me uas tshwm sim nrog edema thiab proteinuria. Txawm li cas los xij, muaj qhov sib txawv ntawm nephrotic syndrome thiab nephritic syndrome hauv qhov chaw kho mob. Kab lus no yuav tham txog nephritic syndrome thiab nephrotic syndrome thiab qhov sib txawv ntawm lawv hauv kev nthuav dav qhia txog lawv qhov chaw kho mob, ua rau, kev tshawb nrhiav, kev kuaj mob, thiab kev kho mob uas lawv xav tau.
Nephrotic Syndrome Neb
Nyob rau hauv nephrotic syndrome, muaj protein ntau poob hauv cov zis ua rau qis plasma albumin thiab lub cev o. Qhov ua rau ntawm nephrotic syndrome tsis paub. Qee qhov xwm txheej tshwm sim vim yog henoch schonlein purpura (HSP), kab mob lupus erythematosus, ua xua thiab kis kab mob. Nephrotic syndrome muaj qhov o nyob ib ncig ntawm lub qhov muag, scrotum, qhov chaw mos thiab qis qis vim yog cov kua dej sau. Cov kua dej accumulates hauv plab (ascites) thiab pleural kab noj hniav (effusion). Daim ntawv qhia txog cov zis, zis microscopy, kab lis kev cai, zis sodium, suav ntshav suav, ntshav urea, ntshav ntshav electrolytes, creatinine, albumin, ntxiv qib, ASOT, caj pas swab, thiab kab mob siab B antigen yog niaj hnub ua kev tshawb nrhiav rau nephrotic syndrome.
Muaj peb hom nephrotic syndrome: steroid rhiab heev, steroid kuj thiab congenital. Steroid rhiab heev nephrotic syndrome suav txog li 85-90% ntawm cov neeg mob. Nws tshwm sim hauv cov tub hluas Asian dua li cov ntxhais. Kev ua xua thiab bronchial hawb pob yog xoob txuam nrog steroid rhiab heev nephrotic syndrome. Raws li lub npe implies txoj kev kho steroid daws cov protein poob. Lub raum tsis ua haujlwm tsis paub nyob rau hauv steroid rhiab heev nephrotic syndrome. Cov kab mob ua pa feem ntau ua ntej nws.
Yog tus neeg mob muaj hnub nyoog 1 txog 10 xyoo, thiab tsis muaj ntshav stains tso zis, ntshav siab, ib txwm ua kom tiav, thiab lub raum ua haujlwm nephrotic syndrome yuav zoo dua li nephritic syndrome. Kev poob dej tag nrho, txhaws ntshav, kab mob, cov roj cholesterol siab hauv cov ntshav yog paub zoo txog cov teeb meem ntawm nephrotic syndrome. Cov keeb kwm ntawm tus kab mob no tshwm sim rov qab los thiab tshem tawm.
Kev tshuaj xyuas Pediatric nephrological yog xav tau nyob rau hauv rooj plaub ntawm steroid resistant nephrotic syndrome. Diuretics tshem tawm cov kua dej ntau dhau. ACE inhibitors thiab noj ntsev tsawg pab tswj ntshav siab. NSAIDs tuaj yeem txo qis protein ntau hauv cov zis.
Congenital nephrotic syndrome tsis tshua muaj thiab muaj nyob rau hauv thawj peb lub hlis ntawm lub neej. Nws qhia txog autosomal recessive qub txeeg qub teg. Nws feem ntau tshwm sim hauv Finns. Qhov kev cia siab tsis zoo. Sever albumin poob yog xav tias muaj feem xyuam rau kev tuag siab. Lub raum tsis ua haujlwm tsis tshua muaj nyob hauv cov neeg mob no. Ob lub raum yuav tsum tau muab tshem tawm kom tswj tau qhov mob hnyav heev.
Nephritic Syndrome
Streptococcal pharyngitis lossis kab mob ntawm daim tawv nqaij feem ntau ua ntej nephritis hauv cov menyuam yaus. Post streptococcal glomerulonephritis yog tam sim no tsis tshua muaj nyob rau hauv UK tab sis nquag nyob rau hauv cov teb chaws tsim. Henoch Schonlein purpura (HSP), polyarteritis nodosa, microscopic polyarteritis, Wegenr's granulomatosis, systemic lupus erythematosus, IgA nephropathy, Goodpasture's syndrome, thiab mesangiocapillary glomerulonephritis kuj ua rau mob nephritis. Mob nephritis txo glomerular filtration, txo cov zis tso zis, ua rau kom lub cev muaj kua, ua kom ntshav siab, thiab ua kom haum, hematuria, thiab proteinuria. Cov kua dej ntau dhau yuav tsum tau muab tshem tawm nrog diuretics nrog kev saib xyuas tshwj xeeb rau qib electrolyte. Lub raum ua haujlwm yuav poob qis heev hauv qee kis. Lub raum tsis ua haujlwm yog qhov kawg tshwm sim, yog tias tsis kho.
Qhov txawv ntawm Nephritic thiab Nephrotic Syndrome yog dab tsi?
• Nephrotic syndrome tshwm sim thaum muaj hnub nyoog yau dua nephritic.
• Nephrotic syndrome tsis nce ntshav siab thaum nephritic syndrome ua.
• Nephrotic Syndrome muaj cov qib zoo sib xws thaum nephritic syndrome muaj cov qib qis qis.
• Nephrotic syndrome tsis cuam tshuam rau lub raum ua haujlwm thaum nephritic syndrome txo lub raum ua haujlwm.
• Nephrotic syndrome tsis ua rau hematuria thaum nephritic syndrome ua.
Nyeem ntxiv:
1. Qhov txawv ntawm Ntshav Qab Zib Mellitus thiab Ntshav Qab Zib Insipidus
2. Qhov txawv ntawm Kab Mob Plab thiab raum
3. Qhov sib txawv ntawm Mob nraub qaum thiab mob raum
4. Qhov txawv ntawm lub raum sab laug thiab txoj cai
5. Qhov txawv ntawm Nephrologist thiab Urologist
