Berger ta cuta (IgA-nephropathy): Yanã, magani

Koda cuta faruwa quite sau da yawa. Wadannan sun hada da irin wannan cututtuka kamar pielo- da glomerulonephritis. Bayan wadannan, akwai wasu cututtuka na urinary tsarin. Daya daga cikinsu shi ne Berger ta cutar. Wannan Pathology, ma, tana nufin m anomalies. An kamu a kimanin 20% na lokuta na koda cuta a cikin maza. Wannan take hakkin ya shafi ba kawai ga matsaloli na nephrology, kamar yadda shi ne ci gaban da rigakafi da inji. Zargin wannan Pathology iya zama a kan babban alama - babban hematuria.

Berger ta cuta - abin da yake da shi?

Wannan cuta ne wani nau'i na kullum glomerulonephritis. Idan aka kwatanta da hawan jinni da kuma nephrotic halin yanzu embodiment, Berger ta cuta yana da kyau hangen nesa. Duk da cewa shi ne kamu a wani wuri shekaru (15-30 shekaru), shi da wuya ya zama mai tsanani na koda insufficiency. Babban manifestations da cutar - wannan shi ne babban hematuria da kuma rashin jin daɗi a cikin lumbar yankin. Wannan Pathology iya faruwa a yara. A maza da shi ya auku sau 4 more sau da yawa fiye da mata. Kamar yadda da dukan da pathologies, ganewar asali ne International Nau'in Cututtuka (ICD). Nephropathy Berger N02 yana da wani code, wanda ke nufin "mai karko da kuma maimaita hematuria."

A Sanadin cutar

A farko dalili da cuta ne wani dauke da kwayar cutar tsari. A mafi yawan lokuta na koda Pathology tasowa bayan wani kwayar kuma kwayan cututtuka. Har ila yau, a cikin hanyar iya zama wani fungal cutar. Alamun yawanci bayyana a 'yan kwanaki bayan da kamuwa da cuta ya kwanta a cikin sama numfashi fili (m na numfashi kwayar cutar, ciwon makogwaro, pharyngitis). Da nan da nan dalili da cuta ne da jari na rigakafi da gidaje a cikin koda jijiyoyin bugun gini katangu. A wasu lokuta, a dangane da Pathology nauyaya hereditary tarihi (iyalinmu IgA-nephropathy). Bugu da kari, cutar da ake dangantawa da wani kayyade predisposition. Ware wadannan triggers:

1. Hypothermia.
2. Rage rigakafi.
3. Kullum kwayar kuma kwayan matakai a cikin sama Airways.

Ginshikai na Berger ta cuta

A pathogenesis da cutar dangantawa da shaida na rigakafi da gidaje a cikin jirgin ruwa katangu. A al'ada koda glomerular inji shi ne alhakin tace da jini. Ya ƙunshi wani jam'i na nephrotic tasoshin. Bayan baya kamuwa da cuta abubuwa na kumburi - rigakafi gidaje - a cikin jiki da kuma aka ajiye a cikin glomerular na'ura. A sakamakon haka, masu tasowa, glomerulonephritis. Koda tasoshin ba zai iya aiki kullum saboda rigakafi gidaje, da kuma jini tacewa gaji da damuwa. Bugu da kari, da kumburi tsari yana sa ruwa jari (edema parenchyma) da kuma rage permeability na ginshiki membrane. A sakamakon haka, masu tasowa, da kuma macro- microscopic hematuria. A dalilai na wadannan matakai ne to glomerular lalacewa da kuma shigar azzakari cikin farji daga cikin ruwa (jini) ta cikin ginshiki membrane.

Mene ne bayyanar cututtuka da cutar suna lura a Berge?

The asibiti hoto na Berger ta cuta kama m glomerulonephritis. Duk da haka, yana da muhimmanci a rarrabe tsakanin wadannan cututtuka tare. A sabili da glomerulonephritis ne sau da yawa a staph kamuwa da cuta. Kuma hanyoyin daban-daban na lura da wadannan cututtuka. Babban bayyanar cututtuka na IG A-nephropathy ne:

1. Hematuria. Mafi sau da yawa, wannan ne alamar tilasta marasa lafiya da neman magani. Gross hematuria yana nufin bayyanar jini a fitsari. Wannan ne sau da yawa tare da m majiyai.
2. Microhematuria - shi ne mai alama cewa shi ne imperceptible ga mutum da saukar da shi kawai a musamman samfurori.
3. Pain a cikin lumbar yankin. Mafi sau da yawa, su ne maras ban sha'awa aching a yanayi. A bambanci zuwa wasu kumburi tafiyar matakai a kodan (pyelonephritis), rashin jin daɗi lura a garesu.
4. A gaban manya na numfashi fili kamuwa da cuta kafin.
5. Karuwan yanayin jiki.
6. Janar rauni.
7. Proteinuria - bayyanar gina jiki a cikin fitsari. An lura a cikin rare lokuta idan an atypical Hakika na cutar.

Ganewar asali IG A-nephropathy

Babban Hatsari rarrabẽwa Berger ta cuta ne a kullum hanya. haƙuri ta bayyanar cututtuka yawanci damu game 2-3 sau a shekara bayan kamuwa da cuta. Yana da muhimmanci a lura da cewa cutar ne benign. Duk lokaci zuwa lokaci bayyana hematuria, koda ya zauna al'ada. A bambanci zuwa wasu kumburi tafiyar matakai (pielo-, glomerulonephritis), CRF Berger ta cuta ne rare.

Laboratory ganewar asali hada KLA musamman OAM da fitsari samfurori (nechyporenko, Zimnitsky). Suna bukatar su gane ja jini Kwayoyin da farin jini Kwayoyin. Dangane da wannan saki micro kuma babban hematuria. A general, bincike na fitsari gina jiki na iya zama ba. Don duba ko akwai wani take hakkin koda aiki, da mãsu haƙuri kamata bada gudumawar jini daga jijiyar a Biochemistry. A wannan bincike, yana da muhimmanci a san matakin da creatinine, wanda shi ne na al'ada a lokacin da cutar Berger. Don sa karshe ganewar asali, a binciken da za'ayi domin gaban IG A cikin jini. A rare lokuta a koda biopsy, a cikin abin da rigakafi da gidaje samu a cikin jijiyoyin bugun gini na'urar. Duban kuma yi ga bambanci ganewar asali.

Immunological koda kumburi: magani

Duk da benign hanya da cutar a lokacin da komowa far da ake bukata. Wajibi ne ba kawai ga 'yanci da bayyanar cututtuka da cuta, amma kuma tare da wani ra'ayi zuwa hana rikitarwa da kuma tsare koda aiki. Jiyya farawa da readjustment na foci na kamuwa da cuta. A mafi yawan lokuta wannan Maganin rigakafi (kwayoyi "amoxicillin", "Cefazolin") da kuma antiviral jamiái (medicaments "Viferon", "Genferon"). Bugu da kari, don rage kumburi a koda glomerular na'ura da ake bukata NSAIDs. kwayoyi "Kanefron" an fi sau da yawa amfani, "ibuprofen". Lokacin da koda cuta ne tasiri magunguna da cewa su ne bisa ganyaye. Har ila yau nada musamman teas kuma infusions (knotweed, Birch buds, bearberry).

Idan da cuta ne da wuya mu bi, da m recurrences ko rikitarwa, sai ku ciyar da hormone far. Yawancin lokaci rubũta da miyagun ƙwayoyi "Prednisolone", da kuma cytostatic jamiái. A wasu lokuta, a antiplatelet far, a wajen inganta jini ya kwarara (miyagun ƙwayoyi "Kurantil").

Rigakafin Berger ta cuta

Ya kamata a tuna cewa Berger ta cutar da dangantaka da kullum pathologies. Saboda haka, domin kauce wa exacerbations, m matakan da ya kamata a za'ayi. Muhimmanci lokaci zuwa sanitize da foci kamuwa da cuta (tonsillitis, sinusitis), a hõre hypothermia. Har ila yau, marasa lafiya ya zama lokaci-lokaci na ganye magani Darussan, tallafawa tsarin na rigakafi.