간질 성 신염, 신장 세관 사이의 팽윤을 특징으로하는 신장 상태이다.
당신의 주요 기능 신장은 혈액을 필터링하고 몸에서 폐기물을 제거한다. 신장의 세뇨관은 여과 된 혈액에서 물과 중요한 유기 물질을 재 흡수하고 몸에서 제거 소변에 필요하지 않은 물질을 분비한다. 이러한 세관의 부종은 경증에서 중증까지 다양 신장 증상의 숫자가 발생할 수 있습니다.
간질 성 신염은 급성 (갑자기) 또는 만성 (장기)가 될 수 있습니다.
간질 성 신염의 가장 흔한 증상은 사람이 소변 양의 감소이다. 일부의 경우, 소변이 증가 할 수있다. 때때로, 사람들은 증상이 없습니다.
간질 성 신염의 다른 증상은 다음과 같습니다 :
Acute interstitial nephritis (AIN) is frequently the result of an allergic reaction. Most cases of AIN are from bad reactions to drugs. More than 100 different medications may trigger AIN. Many of these medications fall into the following categories:
- nonsteroidal anti-inflammatory drugs (NSAIDs), which are often used as pain relievers
- proton pump inhibitors, which are medications used to treat excess stomach acid
Allergic drug reactions are more severe in older adults. They’re also more likely to involve permanent kidney damage in this group.
The causes of nonallergic interstitial nephritis include:
- autoimmune disorders, such as lupus erythematosus
- low blood potassium levels
- high blood calcium levels
- certain infections
Nonallergic interstitial nephritis may be either chronic or acute. Chronic forms may last several months or longer. They’re usually caused by chronic underlying conditions.
Older adults are the main group that’s at risk for AIN. This is because they often take multiple medications. In addition, they may be confused about taking drugs in combination.
Other groups at high risk of interstitial nephritis include those who:
- chronically use over-the-counter (OTC) pain relievers
- have autoimmune diseases
- have sarcoidosis, which is an inflammatory disease of the lungs
If your doctor suspects your kidneys aren’t functioning properly, they’ll take a detailed medical history. They’ll ask you about your family’s history of medical problems. They’ll also ask you:
- which medications you take
- how often you take them
- how long you’ve been taking them
Make certain to tell your doctor about all drug use, including OTC pain relievers and dietary supplements. These drugs can have significant impact on the kidneys.
Your doctor will also listen to your heart and lungs. Fluid in your lungs is a common sign of kidney failure. It can be detected by changes in breath sounds. High blood pressure is also a potential sign of kidney problems, as well as weight changes.
The following blood tests are used to evaluate kidney function:
- a complete blood count
- a blood urea nitrogen test
- a blood creatinine test
- a blood gas test, used to check an acid-base imbalance and the levels of oxygen and carbon dioxide in the blood
Other tests that can be used to detect kidney problems include:
If your doctor suspects that your kidney problems are caused by a drug side effect or drug interaction, you may be asked to stop taking the suspected drug. In many cases, this measure will quickly return kidney function to normal.
Treatment for interstitial nephritis depends on the cause.
When AIN is caused by a drug allergy, the only treatment needed may be drug removal. Other cases of AIN can be treated with anti-inflammatory medications. Quick treatment often leads to a full recovery.
Sometimes interstitial nephritis causes permanent damage to the kidneys before you can be diagnosed. This damage requires treatment as well. Removing salt from your diet can improve water retention and high blood pressure. Following a low-protein diet may also help improve kidney function.
If you have a severe case, dialysis may be needed to support kidney function. People who experience kidney failure may need a transplant.
The outlook for interstitial nephritis depends on what type you have and if any kidney damage was caused.
In most cases, you’ll make a full recovery if the allergic reaction or underlying condition is treated and no permanent kidney damage has been caused.