Nguyên nhân gây bệnh suy thận cấp
Nguyên nhân gây bệnh suy thận cấp là gì
Một điều cần chú ý đặc biệt là suy
thận cấp nếu không phát hiện và điều trị đúng cách và kịp thời có thể đe dọa đến
tính mạng
Khác với tổn thương thận mạn tính, tổn thương
thận cấp tính có thể hồi phục hoàn toàn, hoặc không hoàn toàn nếu điều trị
nguyên nhân hiệu quả và kịp thời. Vì vậy cần phát hiện sớm các triệu chứng tổn
thương của bệnh suy thận cấp để kịp thời điều trị
Nguyên nhân
Chức năng chính của thận là Loại bỏ
muối, nước và sản phẩm chuyển hóa từ máu nhưng khi tổn thương thận xảy ra, cơ
thể sẽ tích tụ các độc chất lại, mất cân bằng điện giải dẫn đến tổn thương thận
cấp, đe dọa tính mạng. Tổn thương thận cấp có thể xảy ra vì nhiều lý do, trong
đó phổ biến nhất là:
Mất nước, máu nghiêm trọng hoặc đột
ngột
Sử dụng các thuốc giảm đau thuộc
nhóm có ảnh hưởng xấu trên thận (Ibuprofen...) kéo dài, liều cao
Bệnh thận tự miễn, chẳng hạn như hội
chứng thận viêm cầu thận diễn tiến nhanh và viêm thận mô kẽ
Ngộ độc thận từ các chất độc hoặc một
số loại thuốc như rượu, kim loại nặng và cocaine, thuốc đông y không rõ nguồn gốc
Nhiễm khuẩn huyết và sốc nhiễm khuẩn
huyết, gây suy đa tạng
Một số rối loạn gây ra tình trạng
đông máu trong mạch máu và có thể dẫn đến tổn thương thận cấp như:
Hội chứng huyết tán tăng ure máu
(hemolytic uremic syndrome)
Xuất huyết giảm tiểu cầu miễn dịch
(Immune thrombocytopenic purpura - ITP)
Tăng huyết áp ác tính
Phản ứng truyền máu
Xơ cứng bì
Các bệnh và tình trạng ngăn chặn nước
tiểu ra khỏi cơ thể và có thể dẫn đến tổn thương thận cấp tính bao gồm:
Ung thư bàng quang
Cục máu đông trong đường tiết niệu
Ung thư cổ tử cung
Ung thư ruột kết
Bệnh phì đại tiền liệt tuyến,
Sỏi thận
Tổn thương thần kinh liên quan đến các dây thần kinh kiểm soát bàng quang
Nguyên nhân khác:
Lupus ban đỏ, đây là bệnh tự miễn
gây viêm cầu thận
Các loại thuốc, chẳng hạn như một số
loại thuốc hóa trị, thuốc kháng sinh và thuốc cản quang được sử dụng trong các xét
nghiệm chẩn đoán hình ảnh
Tiêu cơ vân dẫn đến tổn thương thận
do độc tố từ sự phá hủy cơ
Hội chứng tiêu khối u (Tumor Lysis
Syndrome - TLS) là một bệnh cảnh lâm sàng xảy ra do sự tan vỡ nhanh chóng các tế
bào ác tính của khối u trong cơ thể, liên quan đến việc điều trị tiêu diệt tế
bào ác tính bằng thuốc nội tiết tố, bằng hóa chất hay tia xạ, dẫn đến việc giải
phóng các độc tố có thể gây tổn thương thận
Một số bệnh nhiễm trùng, như nhiễm
trùng máu và viêm bể thận cấp tính có thể trực tiếp làm tổn thương thận.
Trên đây là nguyên nhân gây nên tình trạng suy thận cấp mà thuốc tây đặc trị sưu tầm từ bài viết của các bác sĩ hệ thống vinmec giúp chia sẻ kiến thức đến độc giả hiểu và có những nhận thức tốt trong việc phòng tránh và ngăn chặn bệnh suy thận cấp.
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