Nephritis na nwamba: mgbaàmà na ọgwụgwọ
Prevention

Nephritis na nwamba: mgbaàmà na ọgwụgwọ

O akụrụ

Akụrụ na-arụ ọtụtụ ọrụ dị mkpa n'ime ahụ: ha na-enyocha ọbara, na-ewepụ nsị na mmamịrị, na-achịkwa ọkwa nke electrolytes, calcium, glucose, phosphorus, na-ekere òkè na hematopoiesis na nhazi nke nrụgide. Ya mere, nephritis bụ ọrịa dị ize ndụ, na-abụkarị ọrịa siri ike.

N'ụdị nnukwu ọrịa ahụ, mmebi akụrụ na-eme ngwa ngwa na enweghị mgbaàmà ọ bụla akọwapụtara nke mpụga.

Ụdị na-adịghị ala ala nwere ike ịbụ asymptomatic ruo ogologo oge. Dị ka a na-achị, ruo mgbe ọrụ akụrụ na-ebelata nke ukwuu, na mgbagwoju anya na-etolite: akpịrị ịkpọ nkụ na urination, mbelata agụụ na ibu, anaemia, ọbara mgbali elu (mmụba mgbali).

Jadedị nke jed

Dị ka ọdịdị nke usoro ọrịa ahụ si dị, a na-ekewa ha:

  • Nnukwu nephritis - na-etolite n'okpuru mmetụta nke ihe dị iche iche pathological: chemicals (ethylene glycol), osisi (lilies), ọgwụ ndị nwere ike na-egbu egbu na akụrụ (aminoglycosides, ndị na-abụghị steroidal anti-inflammatory drugs, fosfomycin).

    Ọzọkwa, nnukwu mmebi akụrụ nwere ike ime megide ndabere nke ọnọdụ ndị ọzọ dị njọ: sepsis, ọnwụ ọbara, akpịrị ịkpọ nkụ, trauma, wdg.

  • nephritis na-adịghị ala ala – Ọtụtụ na-ahụkarị na ndị okenye. Ọrịa nwere ike ịmalite megide ndabere nke ogologo ọbara mgbali elu, oncological Filiks (lymphoma), ugboro ugboro (na-emekarị) ọrịa: pyelonephritis, urolithiasis (urolithiasis), cystitis (mbufụt nke eriri afo).

    Ihe kpatara nephritis dị otú ahụ nwere ike ịbụ ọrịa ndị a mụrụ. Dịka ọmụmaatụ, ọrịa polycystic na Persian, exotic, British shorthair, nwamba Scottish (na ogologo) nwamba, amyloidosis na nwamba Abyssinian.

N'agbanyeghị usoro nke ọnya akụrụ malitere, a ga-emetụta ọrụ ya niile, n'ihi na. akụkụ niile nke akụrụ nwere njikọ chiri anya. Ma dị ka localization nke pathological usoro (mpaghara nke ọnya), anyị nwere ike ke conditionally ịmata ọdịiche:

  • pyelonephritis – Ihe butere ya site na nje nje. pelvis na parenchyma nke akụkụ ahụ na-etinye aka na usoro mkpali. Bacteria nwere ike ịbanye na akụrụ site na ureters (akpa akpa na-ejikọta akụrụ na eriri afo) site na eriri afọ urinary ala ma ọ bụ site na ọbara. Pyelonephritis nwere ike ịmalite nke abụọ na ọrịa ndị ọzọ, dị ka ọrịa nje na-adịghị ala ala (ọrịa leukemia ma ọ bụ immunodeficiency), ọrịa shuga.

  • Interstitial nephritis (fibrosis) - na ụdị ọrịa a na nwamba, a na-emetụta parenchyma. Enwere ọtụtụ ihe na-akpata pathological nwere ike ibute nke a: nje bacteria, ọrịa nje, ọrịa na-adịghị ala ala (ọrịa shuga mellitus, hyperthyroidism, wdg). Nke nta nke nta, a na-eji anụ ahụ fibrous dochie anụ ahụ na-arụ ọrụ nkịtị nke akụrụ - anụ ahụ dị arọ, nke na-adịghị arụ ọrụ. Akụrụ na-ebelata nha, na-ebelata.

  • Tubulointertitial nephritis - mgbanwe na-adịghị ala ala na parenchyma nke akụrụ na usoro tubular (vaskụla, nzacha) n'okpuru mmetụta dị iche iche, mgbe ụfọdụ amaghị, ihe. A na-ahụkarị na nwamba ochie. Ọ nwere ike ịmalite megide ndabere nke nnukwu nephritis bufee na mbụ.

  • glomerulonephritis - mbufụt nke glomeruli - nzacha vaskụla glomeruli nke akụrụ. Na nwamba, ọrịa ahụ na-adịkarị obere ma na-ejikọta ya na ọrịa nje na-adịghị ala ala: feline leukemia virus, feline immunodeficiency, viral peritonitis.

  • necrosis tubular - na-eduga na ọnwụ nke tubules nzacha - tubules na nhazi nke akụrụ. Ọtụtụ mgbe site na nsị na nsị: lilies, ethylene glycol.

  • Hydronephrosis - pathological distension nke renal pelvis n'ihi mmebi nke outflow nke mmamịrị si akụrụ. Ihe kpatara ya bụ nkwụsị nke ureter na mgbako (nkume), mkpụkọ nke imi. Ọzọkwa, ihe kpatara mgbochi nwere ike ịbụ neoplasm nke akụrụ na anụ ahụ gburugburu ureter, trauma, njehie ịwa ahụ n'oge arụ ọrụ na oghere abdominal.

mgbaàmà

Dị ka e kwuru n'elu, isi ihe ize ndụ nke nephritis na nwamba bụ enweghị nke ọ bụla kpọmkwem mpụga mgbaàmà ma ọ bụ ha nwayọọ nwayọọ, imperceptible mmepe na mbụ ogbo nke ọrịa.

N'ime usoro siri ike, a na-ahụta ya: enweghị mmasị, ọjụjụ inye nri, vomiting, ahụ ọkụ. N'ihe banyere mmebi akụrụ siri ike, enwere ike ịbelata mmepụta mmamịrị (oliguria) ma ọ bụ nkwụsị ya zuru oke (anuria).

N'ụzọ dị mwute, n'ọtụtụ ọnọdụ na nnukwu mmerụ ahụ akụrụ, pusi na-abanye n'ụlọ ọgwụ ugbua na ọkwa mgbe mmebi nke anụ ahụ akụrụ na-adịghị agbanwe agbanwe, ọnụọgụ ndụ nke ndị ọrịa dị otú ahụ dị ala.

N'ime usoro na-adịghị ala ala, a na-ahụkarị ihe ndị a: akpịrị ịkpọ nkụ na urination na-abawanye, oke ibu, agụụ, vomiting oge, afọ ntachi, ọrụ mbelata. N'ọtụtụ ọnọdụ, na ọrịa na-adịghị ala ala nke ọrịa ahụ, ndị nwe ya na-aṅa ntị na mgbaàmà ahụ naanị mgbe ha pụtara ìhè, nke pụtara na ọtụtụ n'ime anụ ahụ akụrụ anaghịzi arụ ọrụ.

nchọpụta nsogbu

Iji chọpụta nephritis na pusi, a chọrọ ọtụtụ ọmụmụ ihe:

  • Nyocha ọbara biochemical maka urea, creatinine, phosphorus, electrolytes. Na-enyere aka ịghọta ọrụ nke akụrụ.

  • A chọrọ nyocha ọbara ụlọ ọgwụ n'ozuzu iji chọpụta mbufụt na anaemia (mbelata ọnụ ọgụgụ ọbara uhie) - ihe mgbagwoju anya nke ọrịa na-adịghị ala ala.

  • SDMA bụ nyocha nke bụ ụzọ mbụ iji chọpụta ọrụ akụrụ karịa creatinine, n'ihi na. ọkwa ya na-ebili n'ọbara na mbụ. A na-eji ya dị ka usoro nke ọzọ ma ọ bụ isi nchoputa nke nephritis na mmalite nkebi nke usoro na-adịghị ala ala.

  • Nnyocha nke ultrasound nke sistemu urinary. Ọ dị mkpa maka nyocha anya nke nhazi nke akụrụ na nchọpụta nke mgbanwe ya.

  • Nyocha nke mmamịrị. Achọrọ iji nyochaa ọrụ akụrụ. Nnyocha mmamịrị maka oke protein/creatinine na-ekpughe mfu protein site na akụrụ.

    Ọ bụrụ na a na-enyo enyo ọrịa nje, dị ka pyelonephritis, enwere ike ịchọ omenala mmamịrị.

  • Tonometry. Ntụle nrụgide dị mkpa iji wepụ ọbara mgbali elu, nke nwere ike ịmalite megide ndabere nke ọrịa na-adịghị ala ala nke ọrịa a, yana ọrịa ndị ọzọ. Nnukwu nrụgide na-emetụta ụbụrụ, anya, obi, akụrụ na-adịghị mma ma na-eduga ná mmebi ha.

Ọgwụgwọ nke nephritis na nwamba

Na nnukwu mmerụ ahụ akụrụ, nzọụkwụ dị mkpa ga-abụ ịnakọta anamnesis (akụkọ ahụike) iji ghọta ihe kpatara ọrịa ahụ. N'ọnọdụ ụfọdụ, dị ka nsị ethylene glycol, ọ ga-ekwe omume inye ọgwụ mgbochi (antidote). A na-agwọ anụmanụ nwere nnukwu mmerụ ahụ akụrụ n'ụlọ ọgwụ, n'ihi na. Ndị a bụ ndị ọrịa chọrọ nlekọta ahụike mgbe niile.

N'ihe banyere nnukwu nephritis na pusi, a na-eji hemodialysis mee ihe dị ka ihe mberede mberede - usoro nke a na-ehichapụ ọbara site na nsị na ngwá ọrụ pụrụ iche, na akụrụ n'oge a nwere ohere ịgbake.

Akụrụngwa maka hemodialysis na nwamba bụ nke a kapịrị ọnụ ma dị naanị na nnukwu ụlọ ọgwụ anụmanụ ole na ole na mba ahụ.

Ọzọkwa, a na-enye anụmanụ ahụ ọgwụgwọ infusion, a na-enye ọgwụ antiemetic, na-edozi nguzozi electrolyte.

Pyelonephritis chọrọ ọgwụgwọ ọgwụ nje. A na-ahọrọkarị ọgwụ nje na-adabere na omenala mmamịrị.

N'ime ọrịa na-adịghị ala ala nke ọrịa ahụ, ọgwụgwọ ga-adabere na ọkwa nke usoro ahụ. A na-eme usoro ọgwụgwọ na mgbochi ndị a: mgbazi nri, ọkwa nke phosphorus n'ime ọbara site n'enyemaka nke mgbakwunye pụrụ iche, nguzozi mmiri na electrolyte, yana mbelata protein protein site na akụrụ. A na-edozikwa anaemia na ọbara mgbali elu.

Prevention

  • Ebe nchekwa dị mma: ahapụla kemịkalụ ezinụlọ, ọgwụ nwere ike na-egbu egbu n'ebe nwamba ga-eru.

  • Zere oke n'efu.

  • Ejila ọgwụ ndị nwere ike igbu nwamba: aminoglycosides, ụfọdụ ọgwụ mgbochi mkpali na-abụghị steroidal, fosfomycin, wdg.

  • Ekwela ka pusi bata n'ime ụlọ osisi na okooko osisi na bouquets.

  • Chọpụta ma na-agwọ ọrịa nke ala urinary tract: cystitis, urolithiasis, urethritis.

  • N'ime nwamba ndị karịrị afọ 10, na-eme nyocha mgbochi mgbe niile 1-2 ugboro n'afọ na nyocha nke ọrụ akụrụ: ultrasound, ule ọbara maka urea, creatinine, nyocha ụlọ ọgwụ n'ozuzu.

Jade na nwamba - isi ihe

  1. Nephritis bụ mbufụt nke akụrụ na nwamba. O nwere ike ịbụ nnukwu na adịghị ala ala.

  2. N'otu oge, enwere ike kewaa nephritis dị ka mpaghara mmebi akụrụ si dị: glomerulonephritis, tubular necrosis, wdg. akụkụ nke akụrụ na-ejikọta ya na ibe ya, usoro pathological nwere ike gbasaa na akụkụ ahụ dum.

  3. Ihe na-akpata nnukwu nephritis na-abụkarị nsị na ọdịdị; Ejikọtara ya na ntinye nke nephrotoxic (na-egbu egbu na akụrụ) n'ime ahụ. Ihe ndị ọzọ na-ebute nnukwu mmerụ ahụ akụrụ ga-abụ: nkwụsị nke eriri afọ urinary site na nkume, mmebi nje na-emebi akụrụ, ọbara ọgbụgba, akpịrị ịkpọ nkụ, wdg.

  4. Mgbaàmà nke nnukwu nephritis na-agụnyekarị: enweghị mmasị, ọjụjụ iri nri, vomiting, ahụ ọkụ. N'ọnọdụ ndị siri ike, mbelata ma ọ bụ enweghị mmamịrị.

  5. Ụdị ọrịa na-adịghị ala ala na-amalite nwayọọ nwayọọ. Mgbaàmà ugboro ugboro ga-abụ: ịbelata ibu, akpịrị ịkpọ nkụ na mmamịrị na-abawanye, agụụ na-ebelata, vomiting mgbe ụfọdụ, afọ ntachi.

  6. Nchọpụta nke nephritis dị mgbagwoju anya na-agụnye: ultrasound nke akụrụ na eriri afo, urinalysis, izugbe ụlọ ọgwụ na biochemical ọbara ule, mgbali mgbali.

  7. Ọgwụgwọ nke nnukwu nephritis na nwamba dabere na enwere ike iwepụ nsị na hemodialysis. A na-eme ọgwụgwọ infusion, mwepụ nke vomiting, mgbazi nke electrolytes na phosphorus.

  8. Ọgwụgwọ nke ụdị ọrịa na-adịghị ala ala na-adabere na ọkwa nke usoro ahụ ma na-agụnye mgbazi nri, nguzozi mmiri, electrolytes, phosphorus, hypertension, anaemia.

Sources:

  1. Elliot D, Groer G. Nephrology na Urology na Nkịta na nwamba, 2014

  2. Ọrịa Upperurinarytractin (pyelonephritis), ISCAID 2019 // Akwụkwọ akụkọ Veterinary, (Pyelonephritis nke nkịta na nwamba - sitere na ntuziaka ISCAID, nke Vasiliev A.V. tụgharịrị), 2019.

  3. Chandler EA, Gaskell RM, Gaskell KJ Ọrịa nke nwamba, 2011

  4. Gary D. Norsworthy deziri ya. Onye ọrịa feline, mbipụta nke ise, (Cat ndidi, mbipụta nke ise), 2018

  5. Osisi na-egbu egbu. Osisi na-egbu egbu // Isi mmalite: www.aspca.org/pet-care/animal-poison-control/toxic-and-non-toxic-plants.

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