Nephrology

Nephrology imagwira ntchito yozindikiritsa ndi kuyang'anira matenda a impso, monga kuthamanga kwa magazi ndi kusalinganika kwa electrolyte, komanso chithandizo cha anthu omwe akufunika kuthandizidwa ndi aimpso, monga dialysis ndi olandira impso. Pambuyo pofufuza mkodzo, odwala amatumizidwa kwa akatswiri a nephrology pazifukwa zosiyanasiyana, kuphatikizapo kuvulala kwakukulu kwa impso, matenda aakulu a impso, miyala ya impso, hematuria, proteinuria, matenda oopsa, ndi kusamvana kwa asidi / maziko kapena electrolyte.

Dongosolo lamanjenje lili ndi magawo awiri akulu:

• ·         Dongosolo lapakati la mitsempha, lomwe limaphatikizapo ubongo ndi msana
• ·         Dongosolo lamanjenje lapakati limaphatikizapo minyewa ndi ziwalo zomveka zomwe zimapezeka kunja kwa dongosolo lapakati.

Nephrologists amatha kupanga njira zosiyanasiyana monga impso biopsy, dialysis access access (kuphatikizapo tunneled, temporary, and peritoneal dialysis access lines), fistula management (kuphatikizapo opaleshoni ndi angiographic fistulograms ndi plasties), ndi mafupa a mafupa. Mafupa a biopsies akukhala achilendo.

Thandizo la Nephrology lingaphatikizepo mankhwala opangidwa ndi magazi, mankhwala, mankhwala obwezeretsa aimpso (dialysis kapena transplantation ya impso), kuchitapo opaleshoni (urology, mitsempha, kapena opaleshoni), ndi kusinthana kwa madzi a m'magazi. Nephrology imagogomezera kwambiri zakukonzekera chisamaliro chapamwamba, maphunziro azaumoyo, komanso chithandizo chamalingaliro chifukwa zovuta za impso zimatha kukhudza kwambiri moyo komanso nthawi yayitali. Immunosuppression ndi chithandizo chotheka cha matenda otupa komanso odziteteza ku impso, monga kukanidwa ndi kupatsirana ndi vasculitis. Prednisone, mycophenolate, cyclophosphamide, cyclosporin, tacrolimus, everolimus, thymoglobulin, ndi sirolimus ndi ena mwa mankhwala omwe amagwiritsidwa ntchito kawirikawiri.

Akatswiri a nephrologists nthawi zambiri amachita kafukufuku wojambula, kuyesa ntchito ya impso, dialysis, biopsies ya impso, chithandizo cha kuika impso, ndi maopaleshoni ena ndi mayesero.  Matenda (hepatitis B, hepatitis C), matenda autoimmune (systemic lupus erythematosus, ANCA vasculitis), paraproteinemias (amyloidosis, angapo myeloma), ndi matenda kagayidwe kachakudya (shuga, cystinosis), komanso matenda (hepatitis B, hepatitis C), akhoza onse amapezeka kapena okhudzana ndi kulephera kwa impso kudzera mu mayeso apadera kwambiri.