Analgetichesky nefropatija. Own supervision

you in section: Analgetichesky nefropatija

In connection with that that changes in the kidneys, caused fenatsetinom and others analgetikami, are similar, recently was extended the term analgeticheskaja nefropatija.

At analgeticheskom a nephrite are observed polidipsija, poliurija, nikturija, nephritic kolika, the tendency to a hypertensia, changes of colouring of a skin, abacterial or microbic piurija, giperurikemija, decrease ekskretsii, small proteinurija, gematurija, caused papilljarnym nekrozom, an anaemia. At rentgenologicheskomissledovanii pyelonephritis signs, sometimes in a combination with papilljarnym nekrozom (ring shades and ekstretornyh urogrammah) are found out. In 20% of cases analgetiskaja nefropatija it is combined with a stomach ulcer.

Progressing, analgeticheskaja nefropatija results nephritic insufficiency. In early stages zabolevani the reception termination analgetikov can lead st CH bilizatsii or to return development of disease.

For an illustration we will result own supervision

The Patient X., 50 years, within 20 years suffered a headache to an occasion of that often accepted combined analgeticheskie means. Last 3 years arterial pressure has raised, the headache in this connection has been compelled regularly prini mother on 3-5 has amplified, and last year - to 10 tablets pentalgina in day of Research of urine was not made. Has addressed in nephrological branch with complaints to a headache, weakness, a weight loss, thirst At laboratory research are found out proteinurija (0 5 - 1РіСЃСѓС‚), lejkotsiturija, eritrotsiturija, tsilindrurija, gipohromnaja an anaemia (gem. - 96 gl), giperkreatininemija (0,27 mmoll).