Neprocalcinosis

Nephrocalcinosis o se faʻaletonu o loʻo matua tele ai le calcium tuʻuina i totonu o fatugaʻo. E taatele i pepe vave

Soʻo se faʻaletonu e oʻo atu i le maualuga o le calcium i le toto poʻo le mimi e mafai ona oʻo atu ai i le nephrocalcinosis. I lenei faaletonu, kalisiu teu i le fatugaʻo aano lava ia. Ole tele ole taimi, e afaina uma fatugaʻo.

Nifarocalcinosis e fesoʻotaʻi i, ae le tutusa pei, fatugaʻo fatu (nephrolithiasis).

Tulaga e ono mafua ai nephrocalcinosis aofia ai:

• Alport syndome
• Bartter syndrome
• Glomerulonephritis faaumiumi
• Famomial hypomagnesemia
• Fatugaʻo omomi omomi
• Hyperoxaluria muamua
• Teteʻe ile tuiina ole fatu
• Acidosis tubular renal (RTA)
• Necrosis o le tino faʻauma

Isi mafuaʻaga mafuaʻaga o nephrocalcinosis aofia ai:

• Ethylene glycol oona
• Hypercalcemia (ova calcium i le toto) ona o hyperparathyroidism
• Faʻaogaina o nisi vailaʻau, pei o acetazolamide, amphotericin B, ma le triamterene
• Sarcoidosis
• O le mamapala o le fatugaʻo ma faʻamaʻi e fesoʻotaʻi ma le AIDS
• Vitamini D oona

Tele o taimi, e leai ni vave faʻailoga o nephrocalcinosis i tua atu o na o le tulaga mafua ai le faʻafitauli.

Tagata e iai foi maʻa fatugaʻo atonu ei ai:

• Toto i le miaga
• Fiva ma malulu
• Faanoi ma puaʻi
• Ogaoga tiga i le manava vaega, itu o le tua (flank), groin, po o testicle

Mulimuli ane faʻailoga fesoʻotaʻi ma nephrocalcinosis ono fesoʻotaʻi ma taimi umi (tumau) fatugaʻo toilalo.

E mafai ona maua le nefrocalcinosis pe a tupu aʻe ni faʻailoga o le le lava o le fatugaʻo, faaletonu o fatugaʻo, faʻalavelave uropathy, poʻo ni tamaitusi urinary.

O suʻega faʻataʻitaʻi e mafai ona fesoasoani e faʻailoaina lenei tulaga. O suʻega e mafai ona faia e aofia ai:

• Suʻega CT scan
• Ultrasound o le fatugaʻo

O isi suʻega e ono faia e suʻesuʻe ai ma faʻamautinoa le ogaoga o faʻafitauli e aofia ai:

• Toto faʻataʻitaʻiga e siaki le maualuga o le calcium, phosphate, uric acid, ma le parathyroid hormone
• Urinalysis e vaʻai tioata ma siaki mo mumu toto sela
• 24-itula urosa aoina e fua ai acidity ma maualuga o le calcium, sodium, uric acid, oxalate, ma citrate

O le faʻamoemoe o togafitiga o le faʻaititia o faʻailoga ma puipuia le tele o le calcium mai le faʻatuina i fatugaʻo.

Togafitiga o le a aofia ai metotia e faʻaititia ai le masani ai tulaga o le calcium, phosphate, ma oxalate i le toto ma miaga. Filifiliga aofia ai le faia o suiga i lau taumafataga ma inu vailaʻau ma supa.

Afai e te inuina vailaʻau e mafua ai le leiloa o le calcium, o le a taʻu atu e lau tausi soifua maloloina ia te oe taofi le aveina. Aua neʻi taofia le toe inuina o se vailaʻau ae e te leʻi talanoa i lau tautua.

Isi faʻailoga, e aofia ai maʻa fatugaʻo, tatau ona togafitia pe a talafeagai ai.

Ole mea e te faʻamoemoeina e faʻamoemoeina ile faʻafitauli ma mafuaʻaga ole faʻamaʻi.

O togafitiga saʻo e mafai ona fesoasoani e puipuia ai le toe faʻapipiʻiina o fatugaʻo. I le tele o tulaga, e leai se auala e aveʻese ai tupe teu ua uma ona fausiaina. Tele faaputuga kalisiu i fatugaʻo E LE o taimi uma o lona uiga ogaoga faʻaleagaina i fatugaʻo.

Faʻafitauli e ono aofia ai:

• Ogaoga fatugao
• Umi (tumau) fatugaʻo le aoga
• Maʻa fatugaʻo
• Faʻalavelave uropathy (matuitui poʻo tumau, unilateral poʻo lua)

Valaʻau lau tautua pe a e iloa o loʻo ia oe se faʻamaʻi e mafua ai le maualuga o le calcium i lou toto ma au mimi. Valaʻau foʻi pe a fai e te atiaʻe faʻailoga o nephrocalcinosis.

O le vave togafitia o faʻafitauli e mafua ai le nephrocalcinosis, e aofia ai le RTA, e ono fesoasoani e puipuia mai le atiaʻe. O le inuina o le tele o vai e faʻaalu ai fatugaʻo ma faʻamaligiina le vai e fesoasoani e puipuia pe faʻaititia foi maʻa faʻavaeina.

• Maa fatugaʻo - o le a le mea e te fesili ai i lau fomaʻi

• Lalolagi urinary faiga

Bushinsky DA. Maʻa fatugaʻo. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Tusitusiga o Endocrinology. 14th lomiga. Filatelefia, PA: Elsevier; 2020: chap 32.

Chen W, Monk RD, Bushinsky DA. Nephrolithiasis ma nephrocalcinosis. I le: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Faʻamatalaga auʻiliʻi 6th ed. Filatelefia, PA: Elsevier; 2019: chap 57.

Tublin M, Levine D, Thurston W, Wilson SR. Le fatugaʻo ma ala urinary. I totonu: Rumack CM, Levine D, eds. Diagnostic Ultrasound. 5th ed. Filatelefia, PA: Elsevier; 2018: mata 9.

Vogt BA, Springel T. O le fatugao ma urinary tamaitusi o le neonate. I le: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff ma Martin's Neonatal-Perinatal Faʻafomaʻi. 11th lomiga. Filatelefia, PA: Elsevier; 2020: chap 93.