Posttreptococcal glomerulonephritis (GN)

Ole faʻamaʻi ole gutu ole posttreptococcal glomerulonephritis (GN) ole faʻamaʻi ole fatu e tupu pe a maeʻa faʻamaʻi ma nisi ituaiga o siama ole streptococcus.

O le poststreptococcal GN o se ituaiga o glomerulonephritis. E mafua mai i se faʻamaʻi pipisi ma se ituaiga o siama streptococcus. E le tupu le faʻamaʻi i fatugaʻo, ae e eseʻese vaega ole tino, pei ole paʻu poʻo le faʻaʻi. E mafai ona tupu le faʻamaʻi 1 i le 2 vaiaso pe a maeʻa le faʻamaʻi o le faʻaʻi o le faʻaʻi, pe 3 i le 4 vaiaso pe a maeʻa le faʻamaʻi o le paʻu.

E mafai ona tupu i tagata o soʻo se tausaga, ae e masani ona tupu i tamaiti tausaga 6 e oʻo i le 10. E ui o le paʻu ma le faʻaʻi siama e masani ai i tamaiti, o le posttreptococcal GN e seasea avea ma faʻafitauli o nei faʻamaʻi. O le Posttreptococcal GN e mafua ai ona susunuina toto laiti o le toto i vaega faamama o fatugaʻo (glomeruli). Ole mea lea e le mafai ai e fatugaʻo ona faʻamama le miaga.

O le tulaga e le masani ai i aso nei ona o faʻamaʻi e mafai ona taitai atu ai i le maʻi ua togafitia i vailaʻau oona.

Mea lamatia aofia ai:

• Strep faai
• Siama paʻu ole Streptococcal (pei ole impetigo)

Faʻailoga mafai ono aofia ai soʻo se tasi o mea nei:

• Faʻaitiitia le gaʻo o le urine
• Uru lanu enaena
• Fulafula (edema), lautele fula, fulafula o le manava, fulafula o foliga po o mata, fulafula o vae, tapuvae, lima
• Toto vaaia i le miaga
• Tiga soʻoga
• Maʻa soʻoga poʻo le fulafula

O se suʻesuʻega faʻaletino e faʻaalia ai le fulafula (edema), aemaise lava i foliga. O leo e le masani ai e mafai ona lagonaina pe a faʻalogo i le fatu ma mama ma le stethoscope. Toto e masani ona maualuga.

O isi suʻega e ono faia e aofia ai:

• Aneti-DNase B
• Serum ASO (ma streptolysin O)
• Serum lagolago tulaga
• Urinalysis
• Biopsy fatugaʻo (e masani ona le manaʻomia)

E leai se faʻapitoa togafitiga mo lenei faʻamaʻi. Togafitiga e taulaʻi ile faʻamama avega.

• Antibiotics, pei o penicillin, e ono faʻaaogaina e faʻatamaia ai soʻo se siama streptococcal o loʻo totoe i le tino.
• Ole vailaʻau ole toto e tatau ai ma vailaʻau ole diuretic e manaʻomia e taofi ai le fulafula male toto maualuga.
• Corticosteroids ma isi vailaʻau e tetee ai i le mumusu e masani lava ona le aoga.

Atonu e manaʻomia lou faʻatapulaʻa le masima i au meaʻai e faʻatonutonu ai le fulafula ma le toto maualuga.

Posttreptococcal GN masani ona alu na o ia pe a maeʻa ni nai vaiaso i masina.

I nai numera o tagata matutua, atonu e atili leaga ma taitai atu ai i se taimi umi (tumau) fatugaʻo toilalo. O nisi taimi, e mafai ona alualu i luma i le iʻuga-tulaga fatugaʻo faʻamaʻi, lea e manaʻomia dialysis ma se totoga totoina.

O faʻafitauli tau soifua maloloina e ono aliaʻe mai lenei faʻamaʻi aofia ai:

• Ogaoga le faaletonu fatugaʻo (vave leiloa o fatugaʻo 'mafai e aveʻesea otaota ma fesoasoani paleni vai ma electrolytes i le tino)
• Glomerulonephritis faaumiumi
• Faamai o le fatugao faaumiumi
• Le lava fatu poʻo edema pulmonary (suavai faaputuputu i le māmā)
• Faʻamaʻi o le Fatugao-tulaga mulimuli
• Hyperkalemia (maualuga masani potassium tulaga i le toto)
• Toto maualuga (toto maualuga)
• Nimrotic syndrome (kulupu o faʻailoga e aofia ai polotini i le mimi, maualalo le toto polotini tulaga i le toto, maualuga kolisi tulaga, maualuga triglyceride tulaga, ma fulafula)

Valaʻau lau fomaʻi pe a fai:

• Oe i ai faʻailoga o poststreptococcal GN
• E i ai sau posttreptococcal GN, ma ua e faʻaititia suavai miti poʻo isi faʻailoga fou

Ole togafitia ole faʻamaʻi ole streptococcal e ono fesoasoani ile puipuia ole posttreptococcal GN. E le gata i lea, o le faʻamamaina o le tumama e pei o le fufuluina o lima e masani ona puipuia ai le sosolo o le faʻamaʻi.

Glomerulonephritis - poststreptococcal; Fomaʻi ole glomerulonephritis

• Anatomia fatugaʻo
• Glomerulus ma nephron

Flores FX. Tuʻufua faʻamaʻi glomerular faʻafesoʻotaʻi ma le faʻatupulaia o le hematuria. I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: chap 537.

Saha MK, Pendergraft WF, Jennette JC, Falk RJ. Muamua glomerular faʻamaʻi. 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: mata 31