{"nowTime30":1785137395913,"lyBarModerator":null,"metaSearch":{"description":"女,35岁。半年前吃有毒性中药导致肝肾损伤，引起过敏反应，ige高，肾小管损伤。之后三个月又肾感染肾盂肾炎三个月前刚感染是右肾增大，现在两个肾都增大了。,现在上眼皮有点肿了。三个月前肾活检感染了很多耐药菌。烦死了","keywords":"肾小管损伤和肾感染_洞医","title":"肾小管损伤和肾感染_洞医","channels":null},"identificate":{"id":"5e13ee2eec7311e6a61c00163e04584d","isDel":0,"createAt":1486389092508,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","realName":"sdafsdf","certifiedStatus":2,"phone":"sadfasdfasdfsdf","email":"756954943@qq.com","hospitalId":"30cb97bf453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1486826616752.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1696","isDel":0,"createAt":1483439342218,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院肾内科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供:北京协和医院肾内科电话、北京协和肾内科专家、协和医院肾脏内科病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京协和医院肾内科电话_北京协和肾内科专家_协和医院肾脏内科_洞医\",\"title\":\"北京协和医院肾内科电话_北京协和肾内科专家_协和医院肾脏内科_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"3977","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"糖分过高易导致肾结石 肾结石可多吃点西瓜","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　肾结石虽然是一种良性疾病，但有时候可能堵塞尿路阻碍尿液的排出，造成疼痛、肾积水，严重的可能造成尿毒症甚至肿瘤。那么，肾结石是怎么形成的呢？下面就让小编来介绍一下吧。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　肾结石是怎么形成的？</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　一、糖分过高。糖是人体的重要养分，也是人们主要能源物质要经常适量增补，但一下子增加太多，尤其是乳糖，也会使结石形成创造条件。专家们发现：不论正常人或结石病人，在食用100克蔗糖后，过2小时去检查他们的尿，发现尿中的钙和草酸浓度均上升，若是服用乳糖，它更能促进钙的吸收，更可能导致草酸钙在体内的积存而形成尿结石。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　二、草酸积存过多。体内摄入太多的草酸盐是导致肾结石的常见原因。菠菜、豆类、葡萄、可可、茶叶、桔子、番茄、土豆、李子、竹笋等这些人们普遍爱吃的东西，正是含草酸较高的食物。医生通过研究发现：200克菠菜中，含草酸725.6毫克，如果一人一次将200克菠菜全部吃掉，食后8小时，检查尿中草酸排泄量为20-25毫克，相当于正常人24小时排出的草酸平均总量。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　三、嘌呤代谢失常。如果体内摄入嘌呤，进行新陈代谢，它代谢的最终产物是尿酸。尿酸可促使尿中草酸盐沉淀，如果太多，那会导致嘌呤的代谢又失常，草酸盐便在尿中沉积而形成尿结石。动物内脏、海产食品、花生、豆角、菠菜等，均含有较多的嘌呤成分。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　四、脂肪摄取太多。如果控制各种动物的肉类，尤其是肥猪肉，都是脂肪多的食品的摄入。因为多吃了体内脂肪必然增高，脂肪会减少肠道中可结合的钙，因而引起对草酸盐的吸收增多，如果一旦出现排泄功能故障，如出汗多、喝水少，尿量少，肾结石很可能就在这种情况下形成。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　五、蛋白质过量。经过调查研究发现，肾结石的中的草酸钙的成为占87.5%。这么大比重的草酸钙的来源就是因为蛋白质里除含有草酸的原料&mdash;&mdash;甘氨酸、羟脯氨酸之外，蛋白质还能促进肠道功能对钙的吸收。如果经常过量食用高蛋白质的食物，便使肾脏和尿中的钙、草酸、尿酸的成分普遍增高。如果不能及时有效地通过肾脏功能把多余的钙、草酸、尿酸排出体外，这样，得肾脏结石、输尿管结石症的条件就形成了。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　患有肾结石应该吃什么？</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1、勿吃富含草酸盐的食物：大约60%的结石属于草酸钙结石。因此，应限量摄取富含草酸的食物，包括豆类、甜菜、芹菜、巧克力、葡萄、青椒、香菜、菠菜、草莓及甘蓝菜科的蔬菜。也避免酒精、咖啡因、茶、巧克力、无花果干、羊肉、核果、青椒、红茶、罂粟子等。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2、吃富含维生素A的食物：维生素A是维持尿道内膜健康所必要的物质，它也有助于阻碍结石复发。健康的成年人，一天需摄取5，O00单位（Iu）的维生素A。一杯胡萝卜便能提供10，055Iu的维生素A。其他富含维生素A的食物尚有绿花椰菜、杏果、香瓜、南瓜、牛肝。（维生素A在高剂量时有毒。故欲补充维生素A之前，应先经由医师同意。）</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3、注意蛋白质的摄取：肾结石与蛋白质的摄取量有直接的关联。蛋白质容易使尿液里出现尿酸、钙及磷，导致结石的形成。假使你曾患过钙结石，应特别注意是否摄取过量蛋白质，尤其假使你曾有尿酸过多或胱胺酸结石的病历。每天限吃180克的高蛋白食物，这包括肉类、干酪、鸡肉和鱼肉。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4、多吃西瓜：西瓜是天然的利尿剂。要经常吃西皿，且要单独吃，不与其他食物并用。西瓜有清净体内的作用，但勿与其他食物同时食用。</p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":null,"topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"4191","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"得了肾结石后的护理措施有哪些","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　日常生活当中会有较多的原因引发肾结石的出现，发病后就会危害患者的肾脏健康，同时带给他们相当多的痛苦，大家必须要将肾结石引起高度的重视，而且相关的护理工作必须要加强起来，带朋友们了解一下此病的护理方法有哪些呢。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　<strong style=\"color: #333333;\">肾结石的护理：</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1、多喝水。预防肾结石，第一步是多喝水(也可能只需要这一步)。240毫升的杯子，每天至少喝六到八杯。尽管喝水一直是不错的选择，但其他无咖啡因、无酒精的饮料也不错(如果尿液中草酸盐浓度过高，医生会提醒您不要喝太多去咖啡因茶)。每天喝大量的水是预防肾结石症状最好的方法之一，每天至少六到八杯。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2、多吃奶制品。大多数肾结石(大约90%)的成分为钙和草酸盐。由于奶制品中富含钙质，医生过去曾建议所有肾结石患者少吃这类食品。但最近的研究显示，食用奶制品实际上可以降低患肾结石的风险，因为其中的钙质可以帮助机体清除其他容易形成结石的物质。但是，医生可能会建议您不要吃钙质补充药物。如果您患有肾结石，请咨询医生，肾结石的饮食中含有多少钙质是安全的。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3、多摄入维生素a。维生素a对维护尿路整体健康是必需的。富含维生素a的食物包括：红薯、南瓜、笋瓜、椰菜，以及胡萝卜。健康成年人维生素a的建议每日供给量(rda)为5000国际单位，平衡的多样化饮食可轻松满足这一要求。您不要急于服用维生素a补充药物，如果摄入过多维生素a，机体无法将其排出，会积累产生毒性。增加维生素b的摄入量。科学家发现，维生素b6可降低血液中草酸盐的含量，从而预防肾结石的形成。镁似乎也可以预防结石。医生可能会建议每日补充维生素b6或镁(或两者的混合制剂)。补充维生素b6时，每天不要超过25毫克。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　当我们了解上述的介绍之后，大家清楚的认识到了肾结石的主要护理方法有哪些了，肾结石会影响较多的朋友，因此会严重的伤害患者肾脏的健康，各位朋友应当提防肾结石的出现，对于患者的护理工作也应当加强起来才可以。</p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":null,"topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"2198","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"狼疮肾炎并发高血尿酸症","content":"<p><span style=\"color: #333333; font-family: 'Hiragino Sans GB', Helvetica, 'microsoft yahei', simsun, arial; font-size: 14px; line-height: 32px; background-color: #fcfcfc;\">女,36岁。06年在解放军301医院确诊为系统性红斑狼疮，肾活检狼疮性肾炎IV，08年和11年复发两次住院。06-08年强的松和骁悉维持治疗，后因反复感染带状疱疹停用骁悉改为ctx静滴，用药两年后，改为每日强的松+纷乐维持至今。11年后由于国外工作当地的医生交流有限和看病的繁琐复杂一直没有复查，只是每年回国化验一次重要指标，14年发现尿酸偏高，肌酐升高肾功能开始下降，医生开了苯溴马龙和碳酸氢钠用药两年无缓解，期间痛风反复发作，关节疼痛以为是狼疮活动，没有规范治疗和重视高尿酸症状，去年开始大量小颗粒的痛风石出现在手上，关节有点变形，时常疼痛，而且手已经不能弯曲自由活动，有时疼痛起来浑身没有力气发烧昏迷，不能行走也无法工作，严重影响了我的生活。想起这些年一直在吃降压药和利尿剂，没有复查及时调整用药，是痛风石形成的主要原因，悔之莫及！年前检查尿酸560，肌酐150，无蛋白尿补体正常，请问刘教授如何在不诱发狼疮活动、肾功能不会进一步恶化的前提下更好的降尿酸溶解痛风石？肾功能恶化是否和高尿酸有关系？我这种情况痛风石比较多会不会已经沉积在肾脏？</span></p>","barId":"1696","topicTypeId":null,"topicThemeId":"1020","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"3893","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"药物性肾损伤导致的肾衰竭","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">女,57岁。患肾病十年，08年肌酐130当时诊断是因为药物性肾损伤，在中日友好医院做了肾穿，病理结果记不太清只是说肾小管间质性病变。每年肌酐都在逐步上升，现在的指标给您传过去，本地医院建议透析治疗，我们很没有方向，不知这种情况应该怎么办？</span></p>","barId":"1696","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":3},{"id":"4760","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肾病的早期症状 10个身体信号预示肾脏出毛病","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　肾是人们非常重要的器官之一，如果肾脏出现了问题对人们是一种非常大的伤害，而最近几年肾病的发病率也是逐年的提高，有些人就是因为忽略了生活中肾病发出的一些小症状而耽误了最佳的治疗时间，那么肾病早期有哪些症状呢，下面我就给大家介绍一下这方面的内容：</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1.没劲儿：肾功能不好时，很多废物难以从尿里排泄出去，会出现精神不振、疲劳、乏力等没劲儿的感觉。北京中医药大学东方医院肾病科主任王暴魁指出，肾脏有病，蛋白质等营养物质从肾脏漏出，通过尿液排出体外，也会有没劲儿的表现。有些患者会以为是过于劳累，或是其他原因，而忽视肾脏问题。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2.胃口不好：病人会出现多种消化道症状，尤其是因为胃肠道水肿，常有不思饮食、腹胀等消化功能紊乱的症状。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3.恶心呕吐：当糖尿病患者发生肾功能衰竭时，血中尿素氮增高，肠道中细菌的尿素酶会将尿素分解为氨，氨能刺激胃肠道黏膜，引起恶心、呕吐。加之此时的肾脏对尿的浓缩功能减退，就会增加患者的夜尿量，而人体水分在夜间会大量丢失、血液浓缩，晨起血尿素氮水平相对升高。所以，晨起时容易恶心、呕吐加重。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4.小便有泡沫：尿里有泡沫的原因有很多，肾病也会引发这一现象。如果蛋白质从肾脏漏到了尿里，尿就会起许多泡沫。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　5.排尿量不正常：健康的人每天排尿次数大约为4&mdash;6次，尿量约800&mdash;2000毫升，如果排尿次数和尿量过多或过少，就要注意了。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　6.尿蛋白和尿潜血：尿里有蛋白或者潜血，是肾脏有病的重要指征，尿常规就可以查出。但有时非肾病专业的医生会忽视这一点，建议最好找肾病专业医师咨询。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　7.贫血：贫血的患者经常会去血液科就诊。其实，肾脏除了有排泄废物等功能外，还有分泌造血激素的功能，也是肾功能损害的一大信号。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　8.高血压：高血压可以引起高血压肾病，也叫高血压肾损害，所以有高血压病的人要多加注意。当然，肾脏病也会导致高血压。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　9.痛风、高尿酸血症：痛风、高尿酸血症都是血液中尿酸过多造成的，血液尿酸高的人，尿酸会沉积在肾脏里，使肾功能受损。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　10.尿路感染：经常尿路感染的人，时间长了，有可能造成肾功能不全。</p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"3642","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"iga肾炎的具体病因有哪些呢","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　iga肾炎的危害是相当严重的，此病在出现后将会给肾部的健康带来了极其严重的伤害，这种疾病的病因复杂，应当引起各位朋友的关注，我们要正确的去了解此病的发病因素才行，会有哪些原因引发iga肾炎的出现呢，一起往下看认识一下吧。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　由于本病病人皮肤和肝脏中都能检测到iga沉积，提示为系统性疾病。由于在肾小球系膜区和毛细血管均可有颗粒状iga和c3沉积，提示其免疫复合物性发病机理。现时的研究围绕着抗原通过粘膜的能力、粘膜屏障是否存在缺陷;iga结构是否有缺陷和免疫调节功能是否有缺陷等方面展开。早年的研究曾提示本病所沉积的iga可能是粘膜源性的。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　然而近年的研究使用了高度专一性的技术，证实本病所沉积的是iga1，主要是系统源性的，主要由骨髓和淋巴系统所产生;粘膜源性的iga2则主要见于肝源性肾小球硬化症中的iga沉积中。在本病病人循环中也可见到总iga1和含iga1的免疫复合物增高，骨髓中产生iga1的浆细胞增多并形成多聚体为主。在本病的肾组织中可发现存在j链，故提示沉积的iga是多聚体;而分泌块则十分罕见。尽管如此，现有资料尚不能最终确定本病的iga沉积物的来源。众多的抗原，包括多种病毒和多种食物的抗原可在本病病人的系膜区中被检出，并常常伴有iga1沉积。这些抗原的抗体也属iga1。由于这些抗体也可存在于正常人的循环中，上述抗原并无专一性或特征性。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　有证据提示本病存在免疫调节异常。本病的含iga1循环免疫复合物中，发现有多聚的iga1类风湿因子;抗&alpha;重链fab片断的igg抗体增多而igm抗体减少。有趣的是hiv感染者也存在类似的抗免疫球蛋白模式，却不发生肾脏iga沉积。这证明单单这些循环的自身抗体存在，并不是系膜iga沉积的原因。此外目前还发现了二种抗内皮细胞的自身抗体(属igg)。本病肾组织中常有c3沉积，提示激活了补体旁路途径。然而iga本身无激活补体的能力，iga免疫复合物虽可激活补体旁路途径，但它结合补体和c3b的能力很弱。通常认为在肾脏发生补体激活和形成膜攻击复合物，需有igg-iga复合物，但是本病肾组织中有iga和c3沉积而没有igg或igm沉积却很常见。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　因此，本病补体激活的机制尚不清楚。细胞免疫也参与了发病机制。已发现本病可有t辅助细胞(cd4)增加和t抑制细胞(cd8)减少;具有转换igm合成为iga合成的ta4细胞增加，与之有关的sa1等位基因的频度也增加;引起iga同型转换的tgf&beta;、促进产生iga的b淋巴细胞分化的il-5和介导iga产生的il-4形成均有增加。虽然t细胞和b细胞均参与了增加iga合成的过程，但iga合成增多并不是系膜区iga沉积的原因，因为在iga多发性骨髓瘤病人中罕见有组织iga沉积。因此，结构-免疫学/理化异常才可能是系膜iga沉积的原因。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　本病病人血清和系膜中可检出抗牛血清白蛋白多克隆基因型抗体，其滴度与血尿相关。最近，有人用从病人肾皮质和肾小球中获得的iga得到了5种单克隆抗基因抗体，它们与病人血清或浆细胞反应差，而与其肾脏组织有很高的反应率，提示肾脏的沉积是与这些多克隆iga抗体的异常性质有关。此外，在本病病人中发现有&beta;1，3-半乳糖转移酶缺陷，改变了iga1或含iga1的复合物清除率，导致iga1在系膜区沉积。</p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":null,"topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"4966","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"77岁老汉绑妻求医  我又相信爱情,得如此夫，夫复何求！ ","content":"<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;<img title=\"77岁老汉绑妻求医  我又相信爱情,得如此夫，夫复何求！ \" src=\"http://01luntan.com/ly_img/uimgs/1496981600471.jpg\" alt=\"77岁老汉绑妻求医  我又相信爱情,得如此夫，夫复何求！ \" width=\"422\" height=\"283\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">武汉</span><span style=\"font-size: 19px; line-height: 200%;\">77</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">岁的刘登炎老伴吴奶奶在十多年前查出患有糖尿病，至</span><span style=\"font-size: 19px; line-height: 200%;\">2010</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年又被确诊了肾衰竭，随时都有生命危险。刘登炎老人需要从村里骑车到达镇上，再转乘两趟公交到汉阳医院做透析，整个路程至少需要两个小时。这样的求医路，每周三次，老人一坚持就是七年，不离不弃，风雨无阻，行程至少六万公里。在社会上引起了广泛关注。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"77岁老汉绑妻求医  我又相信爱情,得如此夫，夫复何求！ \" src=\"http://01luntan.com/ly_img/uimgs/1496981651280.jpg\" alt=\"77岁老汉绑妻求医  我又相信爱情,得如此夫，夫复何求！ \" width=\"420\" height=\"278\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">刘登炎老人带着老伴求医，引起不少网友的关注：为何不在蔡甸区附近的医院治疗，而是要舍近求远呢？刘登炎老人解释说，从镇上到蔡甸区医院需要与人拼车，一个人要</span><span style=\"font-size: 19px; line-height: 200%;\">5.5</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">元，两个人来回就得</span><span style=\"font-size: 19px; line-height: 200%;\">22</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">元，如果坐公交去汉阳医院的话，虽然远了一点，但是两人都有老年证，车费可以省下来买午饭。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"77岁老汉绑妻求医  我又相信爱情,得如此夫，夫复何求！ \" src=\"http://01luntan.com/ly_img/uimgs/1496981485294.jpg\" alt=\"77岁老汉绑妻求医  我又相信爱情,得如此夫，夫复何求！ \" width=\"420\" height=\"246\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">关于此事，且看网友是如何评论的：</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">情话百阙：嫁给了真正的爱情</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">怀浅：没有人知道家里有人得尿毒症的那种苦</span><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">请不要为了抢热门各种无关痛痒的评论</span><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;&nbsp;&nbsp;&nbsp; </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">真正应该反省的关于高额透析费用报销问题</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">作者</span><span style=\"font-size: 19px; line-height: 200%;\">TT</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">国产大熊猫：没有山盟海誓，他们用行动告诉了大家。什么是爱情。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">雅格生活家：无论生老病死，富贵贫穷，你都愿意和她永远在一起吗？是的，我愿意</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">华君</span><span style=\"font-size: 19px; line-height: 200%;\">summer</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">：这就是爱！不离不弃，生死相依！希望老人家早日康复。中国好老伴</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">无论美丑贫富</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">真要过日子</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">必须找一个心心相印的人共度余生</span></p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":null,"topicThemeId":"1013","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"2604","isDel":0,"createAt":1486745174030,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","title":"肾小管损伤和肾感染","content":"<p><span style=\"color: rgb(51, 51, 51); 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