Faʻaleagaina o le mafaufau

O le analgesic nephropathy e aafia ai le faʻaleagaina o le tasi poʻo le lua foʻi fatugaʻo e mafua mai i le soʻona faʻailoa o vailaʻau, aemaise o vailaʻau tiga (analgesics).

Analgesic nephropathy aofia ai faʻaleagaina i totonu o le totonu fausaga o le fatugaʻo. E mafua mai i le umi ona faʻaaogaina vailaʻau (vailaʻau tiga), ae maise vailaʻau (OTC) fualaʻau o loʻo iai phenacetin poʻo le acetaminophen, ma fualaʻau e le faʻaaogaina o le anti-inflammatory (NSAIDs), pei o le aspirin poʻo le ibuprofen.

O lenei tulaga e masani ona tupu o se faʻaiuga o oe lava vailaʻau, masani mo nisi ituaiga o tumau tiga.

Mea lamatia aofia ai:

• Faʻaogaina o OTC analgesics o loʻo iai sili atu ma le tasi mea aoga e fai
• Faʻaaogaina 6 pe sili atu fualaʻau ile aso mo le 3 tausaga
• Maʻi tiga le ulu, tiga masina o le masina, tiga o le tua, poʻo musculoskeletal tiga
• Suiga lagona pe amio
• Talaʻaga o faʻalagolago amioga e aofia ai le ulaula, faʻaaogaina o le 'ava malosi, ma le soona faʻaoga o vailaʻau

Atonu e leai ni faʻailoga i le amataga. I le aluga o taimi, a o manuʻa ua manunuʻa i le vailaʻau, auga o faʻamaʻi fatugaʻo o le a tupu, aofia ai:

• Le lavava, vaivaiga
• Faʻateleina urinary taimi poʻo le faʻanatinati
• Toto i le miaga
• Paʻu tua poʻo le tiga i tua
• Faʻaitiitia le gaʻo o le urine
• Faʻaitiitia le mataala, e aofia ai le fia moe, le mautonu, ma le le mautonu
• Faʻaitiitia lagona, leai se mafaufau (aemaise i vae)
• Faanoi, puaʻi
• Faigofie gagala pe puna toto
• Fula (edema) i le tino atoa

O le a suʻesuʻe oe e le tausi soifua maloloina ma fesili e uiga i ou faʻailoga. I le taimi o le suʻega, e ono maua e lau tautua:

• O lou toto maualuga e maualuga.
• A faʻalogo ma se stethoscope, o lou fatu ma mama e i ai leo le masani ai.
• E iai lou fulafula, ae maise i vae maualalo.
• O lou paʻu faʻaalia le matua oʻo.

O suʻega e mafai ona faia e aofia ai:

• Faitau atoa le toto
• CT tilotilo i le fatugaʻo
• Intravenous pyelogram (IVP)
• Lau oona
• Urinalysis
• Ultrasound fatugaʻo

O manulauti autu o togafitiga o le puipuia o le atili faʻaleagaina o fatugaʻo ma togafitia fatugaʻe le lelei. E ono taʻu atu e lau kamupani ia te oe e taofi le inuina uma o masalosalo tiga, aemaise lava fualaʻau OTC.

Ina ia togafitia le faaletonu fatugaʻo, e ono fautuaina e lau tautua le suia o meaʻai ma le faʻatapulaaina o vai. E iʻu lava ina manaʻomia le dialysis poʻo le tuiina o fatugaʻo.

Fautuaina ono fesoasoani ia oe e atiaʻe isi metotia o le faʻatonutonuina o tiga tumau.

O le faʻaleagaina o le fatugao ono matuitui ma le tumau, pe tumau ma umi.

Faʻafitauli e ono aliaʻe mai analgesic nephropathy aofia ai:

• Ogaoga fatugao
• Paʻu fatugaʻo
• Faʻaletonu fatugaʻo lea o le avanoa i le va o le fatuga tubules avea faʻamafanafana (interstitial nephritis)
• Fuafua oti i eria o le avanoa o le aoina alavai ulu atu i le fatugaʻo ma le mea o loʻo tafe le miaga i le ureter (renal papillary nekrosis)
• O faʻamaʻi pipisi o loʻo oso pea pe toe foʻi mai
• Toto maualuga
• Kanesa o le fatugaʻo poʻo ureter

Valaʻau lau tautua peʻa iai sau mea nei:

• Faʻailoga o le analgesic nephropathy, aemaise lava pe afai ua leva na e faʻaaogaina fualaʻau
• Toto poʻo mea mautu i lau miaga
• Aofai o lau miaga ua faʻaititia

Mulimuli i faʻatonuga a lau tautua peʻa faʻaaogaina vailaʻau, e aofia ai ma vailaʻau OTC. Aua le sili atu nai lo le fualaʻau fautuaina e aunoa ma le fesili i lau tautua.

Phenacetin nephritis; Nefofoa - faʻamalosi

• Anatomia fatugaʻo

Aronson JK. Paracetamol (acetaminophen) ma tuʻufaʻatasiga. I totonu: Aronson JK, eds. Meyler's Side Effects o Fualaʻau. 16th lomiga. Waltham, MA: Elsevier; 2016: 474-493.

Parazella MA, Rosner MH. Faʻamaʻi o le tubulointerstitial I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner ma Rector's Le Fatugaʻo. 11th lomiga. Filatelefia, PA: Elsevier; 2020: chap 35.

Segal MS, Yu X. Laʻau ma vailaʻau ma vailaʻau ma vailaʻau. I le: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Faʻamatalaga auʻiliʻi. 6th ed. Filatelefia, PA: Elsevier; 2019: chap 76