mootrapind nikami hone

mootrapind nikami hone, jyala antim tappyatil mootrapind rog asehi mhanatat, hii eka vaidyakeey sthitee aahe jyamadhye mootrapind aata raktatil kachara utpadane pureshi filter karoo shakat naheet, jeey samanya patalichya 15 takkyanpeksha qamee karyarat asatat. mootrapind nikami hone heey ektar tivra mootrapind nikami hone, jeey vegane vikasit hote aanee nirakaran houu shakate; aanee dirghakalin mootrapind nikami hone, jeey haloohaloo vikasit hote aanee anekada aparivartaniy asoo shakate, asey vargikrut kele jaate. lakshananmadhye payala sooj yene, thakwa yene, ulatya hone, bhook naan lagane aanee gondhal yancha samavesh asoo shakato. tivra aanee dirghakalin apayashachya guntaguntinmadhye mutramargatil oot, hyperclemia aanee aakarmanacha atibhar yancha samavesh hoto. dirghakalin apayashachya guntaguntinmadhye hridayrog, uchch raktadab aanee raktakshay yancha dekhil samavesh hoto.
tivra mootrapind nikami honyachya karananmadhye qamee raktadab, mutramargat adthala, kahee aushadhe, snayu tutane aanee haemolitic euremic syndrome yancha samavesh hoto. dirghakalin mootrapind nikami honyachya karananmadhye madhumeh, uchch raktadab, nephrotic syndrome aanee polycystic mootrapind rog yancha samavesh hoto. tivra apayashache nidan heey anekada laghaviche utpadan qamee hone kinwa seeram creatininemadhye vaadh hone yasarkhya ghatakanchya sanyogavar aadharit asate. dirghakalin apayashache nidan heey 15 peksha qamee glomerular galan daravar (jee. eff. aar.) kinwa mootrapind punarsthapana upcharpaddhatichya garjevar aadharit aahe. heey 5 vya tappyatil dirghakalin mutrapindachya rogachya barobariche dekhil aahe.
tivra apayashacha upchar haah mool karanavar avalambun asato. dirghakalin apayashachya upcharanmadhye haemodialysis, peritoneal dialysis kinwa mootrapind pratyaropan yancha samavesh asoo shakato. haemodialysis sharirabaherche rakt filter karnyasathi eka yantra vaparte. peritoneal dialysismadhye vishisht drav potachya pokalit thewale jaate aanee nantar kadhoon takale jaate, hii prakriya divasatoon anek vela punaravrutti kelee jaate. mootrapind pratyaropanamadhye shastrakriya karoon karoon konakadun taree mootrapind thevane aanee nantar nakar talhanyasathi rogpratikarak shakti qamee karnyasathiche aushadh ghene samavisht aahe. junat aajarapasun itar shifaras kelelya upayanmadhye sakriy rahane aanee vishisht aaharatil badal samavisht aahet. mootrapind nikami jhalelya rugnanmadhye nairashya dekhil samanya aahe aanee mutrapindache karya qamee hone, rugnalayat dakhal hone aanee mrutyucha dhoka yasah kharab parinamanshi sambandhit aahe. bahyarugna haemodialysis prapt prapt mootrapind nikami jhalelya rugnanchya alikadil pii. see. aar.-anudanit abhyasat nairashyasathi bigger-aushadhashastriy aanee aushadhashastriy upcharanmadhye samaan parinamkarakta aadhalali.
americet tivra apayash varshala darr 1,000 lokanmage sumare 3 lokanna prabhavit karate. dirghakalin apayash 1,000 paiki 1 lokanna prabhavit karate aanee darr 10,000 lokanpaiki 3 lokanna darvarshi navyane hii sthitee vikasit hote. tivra apayash anekada ulat karata yete, tarr dirghakalin apayash anekada parat karata yet nahee. dirghakalin aajaar asalele anek jann yogya upchar kelyas kaam suru thevu shakatat.
vargikaran.
mootrapind nikami hone heey done prakarat vibhagale jaau shakateh tivra mootrapind nikami hone kinwa dirghakalin mootrapind nikami hone. mutrapindachya nikami honyacha prakar haah seeram creatininemadhil pravruttinusar vegala keela jaato; itar ghatak jeey tivra mootrapind nikami honyapasoon junat mootrapind nikami honyapasoon vegale karnyas madat karoo shakatat, tyamadhye raktakshay aanee sonographivaril mutrapindacha aakar yancha samavesh hoto kaaran junat mootrapind rogamule samanyatah raktakshay aanee mutrapindacha aakar lahan hoto.
tivra mootrapind nikami hone.
tivra mootrapind dukhapat (akee), jyala purvi tivra mootrapind apayash (aii. aar. eff.) mhatale jaat asey, heey mutrapindachya karyachi vegane honari pragatishil haanee aahe, samanyatah oliguria (laghaviche utpadan qamee hone, praudhanmadhye darroj 400 milipeksha qamee, mulanmadhye 0.5 miilii/kilo/tasapeksha qamee kinwa arbhakanmadhye 1 miilii/kilo/tasapeksha qamee); aanee drav aanee electrolyte asantulan. akee vividh karananmule houu shakate, samanyatah "prerenal", "intrinsic" aanee "postarenal" mhanoon vargikrut kele jaate. parackwatchya nasheche nidan jhalelya anek lokanna akicha anubhav yeto, kadhikadhi haemodialysischi aavashyakta asate. pragati rokhanyasathi antarnihit kaaran olakhane aanee tyavar upchar karane aavashyak aahe aanee yaa moolbhut karananvar upchar karnyasathi aavashyak asalele veleche antar qamee karnyasathi dialysis aavashyak asoo shakate.
dirghakalin mootrapind nikami hone.
dirghakalin mootrapind rog (see. keey. dii.) dekhil haloohaloo vikasit houu shakato aanee suruvatila kahee lakshane disu shakatat. see. keey. dii. haah aparivartaniy tivra rogacha dirghakalin parinam kinwa rogachya pragaticha bhag asoo shakato. see. keey. dii. andaje glomerular galan daranusar (eae. jee. eff. aar.) 5 vegvegalya tappyanmadhye (1-5) vibhagali gelee aahe. see. keey. dii. 1 madhye eae. jee. eff. aar. samanya aahe aanee see. keey. dii. 5 madhye eae. jee. eff. aar. 15 miilii./minitapeksha qamee jhaala aahe.
tivra-dirghakalin mootrapind apayash.
tivra mutrapindachya dukhapati junat mutrapindachya rogachya varr asoo shakatat, jyala tivra-dirghakalin mootrapind apayash (aii. oo. see. aar. eff.) mhanatat. aocrfcha tivra bhag ulat karata yenyajoga asoo shakato aanee akipramanech, upcharanche uddisht, vyaktila moolbhut mutrapindachya karyat parat aanane heey aahe, jeey samanyatah seeram creatinindware mojale jaate. jarr tyaa vyaktivar doctoranche laksh nasel aanee aadharrekha nasel (mhanje.eae., bhootkal) rakt karya tulana karnyasathi upalabdh aahe.
chinhe aanee lakshane.
lakshane vyaktinusar badaloo shakatat. mutrapindachya rogachya suruvatichya tappyat asalelya vyaktila aajari vatoo shakat nahee kinwa lakshane disu shakatat. jevha mutrapinde yogyaritya galanyat ayashasvi hotat, tevha rakt aanee sharirat kachara jamaa hoto, jyala azotemia mhanatat. azotemiachi patali khoop qamee asalyas, kahee lakshane udbhavu shakatat. rog vadhat asalyas, lakshane lakshat yetat (jarr apayash lakshanansathi purese asel tarr). lakshaniy lakshanansah mootrapind nikami hone yala euremia mhanatat.
mootrapind nikami honyachya lakshananmadhye khaleel goshtincha samavesh hotoh
karane.
mutrapindala tivra dukhapat.
mutrapindatil tivra dukhapat (purvi tivra mootrapind nikami hone mhanoon olakhali jaanari)-kinwa akee-sahasa jevha mutrapindanna honara raktpurvatha achanak thambato kinwa mutrapindanmadhye vishari padarthancha atibhar padato tevha udbhavate. mutrapindachya tivra dukhapatichya karananmadhye apghat, dukhapati kinwa shastrakriyanmule parinami guntagunti samavisht aahet jyamadhye mutrapinde dirgh kalavadhisathi samanya rakt pravahapasun vanchit rahatat. hriday-bipass shastrakriya heey ashach eka prakriyeche udaharan aahe.
aushadhanchya atipramanamule, apghati kinwa pratijaivike kinwa kemotherpisarkhya aushadhanchya rasayanik atibharamule, madhmashyanchya danshasah mutrapindala tivra dukhapat houu shakate. dirghakalin mutrapindachya rogachya ulat, mootrapind anekada tivra mutrapindachya dukhapatitun barey houu shakatat, jyamule akee asalelya vyaktila samanya jeevan punha suru karata yete. tivra mootrapind dukhapat asalelya lokanna tyanchya mutrapindanche karya purvavat hoiparyant sahayyak upcharachi aavashyakta asate aanee tyanna bhavishyat mootrapind nikami honyacha dhoka jaast asato.
mootrapind nikami honyachya apghati karananpaiki eka mhanje crush syndrome, jevha dirgh sankuchit anga achanak tyachya uutinmadhun rakt pravahat adthala adthala dabapasoon mukt jhalyanantar rakt parisancharanat mothya pramanat vishari padarth sodale jaatat, jyamule ischemia hoto. parinami parinami atibharamule mutrapinde bund houu shakatat aanee nasht houu shakatat. hii eka referfusion dukhapat aahe jee crushing daab sodalyanantar disun yete. hii yantrana snayu khandit utpadananchya-visheshtah myoglobin, potassium aanee phosphorus-raktpravahat sodane asalyache manale jaate-jee rabadomyolysischi (ischemic paristhitimule nuksan jhalelya hadanchya snayunche vighatan) utpadane aahet. mutrapindanvaril vishisht kriya purnapane samajali jaat nahee, parantu kahee pramanat myoglobinchya nephrotoxic metabolitesmule asoo shakate.
dirghakalin mootrapind nikami hone.
dirghakalin mootrapind nikami honyachi anek karane aahet. dirghakalin apayashachi sarvat samanya karane mhanje madhumeh aanee dirghakalin, aniyantrit uchch raktadab. polycystic mutrapindacha rog heey dirghakalin apayashache aanakhi eka suprasiddha kaaran aahe. polycystic mutrapindachya aajarane grast asalelya bahutansh lokancha yaa rogacha kautumbik itihas asato. itar anuvanshik aajaranmule mootrapind nikami hotat.
ibuprofen aanee acetaminophen (paracetamol) sarkhya samanya aushadhanchya ativaparamule dekhil mootrapind nikami houu shakate.
huntavirussarkhe kahee sansargjanya rog karak mutrapindanvar hallah karoo shakatat, jyamule mootrapind nikami houu shakatat.
anuvanshik purvadharana.
african vanshachya vyaktinmadhye madhumeh nasalelya mutrapindachya apayashachya varnpatasathi "epol 1" januk eka pramukh anuvanshik jokhim sthan mhanoon prastavit kele gele aahe, yamadhye etch. aay. vhee.-sambandhit nephropathy (hivan), phokal segmental glomerulosclerosiche prathamik nonmonogenic prakar aanee uchch raktadab sambandhit dirghakalin mootrapind rog yancha samavesh aahe, jeey itar karananmule hott nahee. african american aanee hyspanic american lokanmadhye epol 1 madheel done paschim african prakar antim tappyatil mutrapindachya rogashi sambandhit asalyache disun aale aahe.
nidanatmak drushtikon.
see. keey. dii. sathee mapan.
dirghakalin mootrapind nikami hone heey paach tappyanmadhye mojale jaate, jyaa vyakticha jee. eff. aar. kinwa glomerular galan darr vaparoon mojalya jaatat. pahila tappa see. keey. dii. mhanje kahee ughad lakshanansah mutrapindache karya kinchit qamee hone. tyanchya mutrapindachya apkriya qamee karnyasathi aanee tyanchyavar upchar karnyasathi, tappa 2 aanee 3 madhye tyanchya vaidyakeey pradatyankadun sahayyak sevechya vadhatya patalichi aavashyakta asate. chauthya aanee pachvya tappyatil mootrapind nikami jhalelya lokanna samanyatah jaganyasathi sakriy upcharansathi tayarichi aavashyakta asate. tappa 5 see. keey. dii. haah eka gambhir aajaar manla jaato aanee jevha shakya asel tevha kahee prakarchya mootrapind pratisthapan upcharpaddhatichi (dialysis) kinwa mootrapind pratyaropanachi aavashyakta asate.
samanya jee. eff. aar. ling, vay, shariracha aakar aanee vanshik parshvabhoomi yasah anek ghatakannusar badalate. mootrapind vyavsayik glomerular galan darr (jee. eff. aar.) haah mutrapindachya karyacha sarvottam ekandar nirdeshank manatat. national kidney foundation, jyanna tyancha glomerular galan darr jaanun ghenyat rus aahe asha konasathihi, online jee. eff. aar. ganakyantra vaparnyas sope dete. (ganakyantra vaparnyasathi seeram creatininchi patali, eka sadhee rakt chachani aavashyak aahe.)
euremia' yaa shabdacha vapar.
aadhunik aushadhachya pragatipurvi, mutrapindachya apayshala anekada mutramarg vishbadha asey sambodhale jaat asey. euria hii yuriyachya raktatil dushitatesathichi sandnya hotee. raktat yuriyache praman jaast asane mhanje teey hoy. 1847 chya sumaras, yamadhye laghaviche utpadan qamee hone samavisht hote, jeey mutramargatun baher padnyaivaji raktat misalalyamule hote asey manale jaat hote. mootrapind nikami honyachya aajarasathi aata 'euremia' haah shabd vaparla jaato.
guntagunt.
jyaa lokanna mutrapindachya antim tappyat apayash yete, jyanna haemodialysis hoto, tyanna samanya loksankhyepeksha (21.2%) aanee sarvasamaveshak nasalelya macenteric iskemiyapeksha (18.1%) otipotachya aat utsfurt raktastrav honyacha dhoka jaast asato. darmyan, peritoneal dialysismadhun dialysismadhun lokanmadhye peritonitis aanee jatharantra chhidra honyachi shakyata jaast asate. tathapi, tivra swadupindachya dahache praman samanya loksankhyepeksha vegale nasate.
upchar.
mutrapindachya tivra dukhapativar upchar heey karanavar avalambun asate. dirghakalin mootrapind nikami honyachya upcharanmadhye mootrapind pratisthapan upcharpaddhati samavisht asoo shakateh haemodialysis, peritoneal dialysis kinwa mootrapind pratyaropan.
aahar.
madhumehi nasalelya aanee type 1 madhumeh asalelya lokanmadhye, qamee prathinyukt aaharacha dirghakalin mutrapindachya rogachya pragativar pratibandhatmak parinam disun yeto. tathapi, haah parinam type 2 madhumeh asalelya lokanna lagoo hott nahee. sampoorn ann, vanaspati-aadharit aahar mutrapindacha aajaar asalelya kahee lokanna madat karoo shakato. prani kinwa vanaspati strotanmadhun strotanmadhun uchch prathinyukt aaharacha mutrapindachya karyavar kiman alpavadhimadhye nakaratmak parinam hoto asey disate.
pragati mandavane.
jyaa lokanna nephrology tadnyakade aadhiche sandarbh midatat, mhanje dialysis suru honyapurvi jaast vel lagato, tyanna prarambhik rugnalayat dakhal hone qamee hote aanee dialysis suru jhalyanantar mrutyucha dhoka qamee hoto. rogachi pragati qamee karnyachya itar paddhatinmadhye aine. ess. aii. dii. ess. aanee intravenous contrast sarkhya nephrotoxincha sampark qamee karane samavisht aahe.

