ʻO ka Glomerulonephritis kahi maʻi maʻi hōki hiki ke loaʻa nā kumu like ʻole. Hoʻopilikia ia i ka glomeruli, nā hale pono no ka hana pono o nā puʻupaʻa. Pono ia i ka nānā ʻana i ka lāʻau lapaʻau no ka mea hiki ke alakaʻi i ka hōʻino ʻana o ka kidney.

ʻO Glomerulonephritis, i kapa ʻia i kekahi manawa he nephritis a i ʻole nephrotic syndrome, he a ka maʻi o ka glomeruli i ka ka hope. Ua kapa ʻia hoʻi ʻo Malpighi glomerulus, he renal glomerulus kahi hale pono no ka hana pono o nā puʻupaʻa. Hoʻokumu ʻia me kahi hui o nā kīʻaha koko, hiki i ka glomerulus ke kānana i ke koko. ʻAʻole hoʻopau wale kēia ʻano hana i nā ʻōpala i loko o ke kahe koko akā mālama pū kekahi i ke koena maikaʻi o nā minerala a me ka wai i loko o ke kino.

Ma muli o ka lōʻihi a me ka ulu ʻana o ke aloha, hiki iā mākou ke hoʻokaʻawale:

• glomerulonephritis nui, i ike koke ia;
• glomerulonephritis mau loa, e ulu ana i kekahi mau makahiki.

Hiki iā mākou ke wehewehe:

• glomerulonephritis mua, ke hoʻomaka ke aloha i loko o nā puʻupaʻa;
• glomerulonephritis lua, i ka wā o ke aloha ka hopena o kekahi pathology.

He paʻakikī ka ʻike ʻana o ka glomerulonephritis no ka mea hiki i kēia ʻano ke kumu he nui:

• he kumu hoʻoilina ;
• nā hana metabolic ;
• he maʻi maʻi autoimmune, e like me ka systemic lupus (lupus glomerulonephritis) a i ʻole Goodpasture syndrome;
• he maʻi maʻi, e like me ka strep throat (poststreptococcal glomerulonephritis) a i ʻole ka ʻōpū niho;
• he puu ino.

Ma kahi kokoke i 25% o nā hihia, ʻōlelo ʻia ka glomerulonephritis he idiopathic, ʻo ia hoʻi ʻaʻole ʻike ʻia ke kumu kūpono.

Pono ʻo Glomerulonephritis i ka lāʻau lapaʻau wikiwiki e kaupalena i ka pilikia o nā pilikia. I ka loaʻa ʻole o ka lāʻau lapaʻau, ʻo kēia maʻi o ka renal glomeruli ke kumu:

• uila kaulike ʻole, me nā kiʻekiʻe o ka sodium i loko o ke kino, kahi e hoʻonui ai i ka pilikia o ka maʻi cardiovascular;
• paʻa wai i ke kino, ka mea e paipai i ka puka ana o ka edema;
• hana ʻino ʻino, hiki ke alakaʻi i ka hōʻino ʻana o ka puʻupaʻa.

Ke loaʻa ka glomerulonephritis i kahi maʻi, hiki ke laha i nā wahi ʻē aʻe o ke kino, ʻoi aku ka nui o ka ʻāpana mimi.

ʻO ka ulu ʻana o ka glomerulonephritis he loli. Hiki koke ia i ka glomerulonephritis nui a i ʻole ka lohi i ka glomerulonephritis mau loa. Hiki ke ʻokoʻa nā hōʻailona. ʻO ka glomerulonephritis maʻi hiki ke ʻike ʻole ʻia, asymptomatic, no kekahi mau makahiki ma mua o ka hōʻike ʻana i nā hōʻailona mua.

I ka wā e hōʻike ai iā ia iho, hele pū ʻia ka glomerulonephritis me kekahi mau hanana:

• ka emi ana o ka mimi;
• a haematuria, ʻike ʻia e ke ʻano o ke koko i loko o ka mimi;
• a proteinuria, i hōʻike ʻia e ka loaʻa ʻana o ka protein i loko o ka mimi, e hopena pinepine i ka albuminuria, ʻo ia hoʻi, ka hele ʻana o ka albumin i ka mimi;
• a hypertension arterial, ʻo ia ka hopena maʻamau o ka hāʻule ʻana o ke kīkī;
• un edema, nāna he hopena ʻē aʻe o ka hana ʻino ʻana o ka puʻupaʻa;
• o ka headaches, hiki ke hui pū ʻia me ka manaʻo o ka ʻeha;
• o ka abdominal eha, ma nā ʻano koʻikoʻi loa.

ʻO ka mālama ʻana no glomerulonephritis hilinaʻi ʻia i kona kumu a me kāna papa.

Ma ke ʻano he lālani mua, kau pinepine ʻia ka lāʻau lāʻau i wahi e hōʻemi ai i nā hōʻailona a me ka palena o ka pilikia o nā pilikia. Kauoha pinepine kahi ʻoihana mālama ola:

• antihypertensives e kaohi i ke kahe o ke koko a me ka palena i ke kiʻekiʻe o ke koko, kahi hōʻailona maʻamau o glomerulonephritis;
• nā diuretics e hoʻonui i ka puka mimi a me ke alapine o ka urination.

Hiki ke kuhikuhi ʻia nā lāʻau ʻē aʻe e mālama i ke kumu o ka glomerulonephritis. Kaukaʻi ʻia i ka ʻike, hiki i ka ʻoihana olakino, ʻo kahi laʻana, kuhikuhi:

• antibiotics, ʻoi loa i nā hihia o ka glomerulonephritis post-streptococcal, e hoʻōki i kahi maʻi i nā puʻupaʻa;
• ʻO nā corticosteroids a me nā immunosuppressants, keu hoʻi i nā hihia o ka lupus glomerulonephritis, e hoʻēmi i ka pane pale.

Ma waho o ka lāʻau lapaʻau, hiki ke hoʻokō ʻia kahi papaʻai kikoʻī i ka hihia o glomerulonephritis. Pau kēia papaʻai i ka protein a me ka sodium, a hele pū me ka kaohi o ka nui o ka wai i lawe ʻia.

Ke kiʻekiʻe ka hopena o ke kōpaʻa ʻole, hoʻohana ʻia paha ka dialysis e hōʻoia i ka hana kānana o nā puʻupaʻa. I nā ʻano koʻikoʻi loa, e noʻonoʻo ʻia kahi transplant kidney.