Esinye sezifo eziqhelekileyo ze-urinary system kubasetyhini i-pyelonephritis, iimpawu kunye nophatho olufuna ukunyuselwa kwenyuka, kuba phantse ngokungapheliyo isigulane, kunokukhokelela ekuphuhlisweni kweengxaki ezinobungozi.
I-Pyelonephritis - Izizathu
Ngaloo ntsholongwane, iinjongo zibandakanyeka kwinkqubo yokuvuvukala - isitya sayo-i-pelvic zixhobo kunye ne-parenchyma, oko kukuthi, izinto ezisisiseko zomsebenzi zelungu. Ngokuqhelekileyo, i-lesion esiswini esisuka kubangelwa ukungena kwintsholongwane engangena ngaphakathi kwilungu ngenye yeendlela ezilandelayo:
- kunyuka - ukusuka kwizitho eziseduze (ibladder, urethra, njl);
- i-hematogenous - ngegazi ukusuka kugxininiso oluchaphazelekayo olukuyo naziphi na izitho (i-gall bladder, indlebe ephakathi, i-sinilla maxillary njalo njalo);
- I-lymphogenous - kwiinqwelo zellimfu ngokuchasene nemvelaphi yesifo sesisu.
I-renal pyelonephritis, ngenxa yeempawu zayo ze-anatomiki, isona sifo sisifo seesifazana, kuba umdaka ogqitywa ngawo umchamo ungaphantsi kunezo zindoda, kwaye i-genital tract and rectum sisondele. Ukongezelela, umzimba wesetyhini unyanzelekile utshintsho lwe-hormone olwenzela ukuncipha kwintsholongwane yommandla kunye nokuphulwa komsebenzi we-microflora. Ezi zilandelayo zincinci zibhekwa njengezona zifo eziqhelekileyo zentsholongwane kwesi sifo (ezininzi zazo zimeli ze-microflora eziqhelekileyo zomzimba):
- E. coli ;
- Pseudomonas aeruginosa ;
- enterococci;
- Klebsiella;
- streptococci;
- staphylococci;
- Iiprotheni;
- Abaviwa.
Izinto ezimbi ezingakhokelela ukuphuhliswa kwezintso zi:
- ukungasebenzi kwebladder ("neurogenic bladder");
- nephrolithiasis;
- izicubu zomchamo;
- reflux ye-vesic-pelvic-ureteral;
- ukuxilongwa kweentso;
- indawo engaqhelekanga ye-anatomical indawo yeentso;
- izifo ezinxulumene neetyuwa emzimbeni (i-phosphates, urates, njl.);
- isifo sikashukela;
- uviwo lweempawu zephepha lomchamo;
- ukuthatha imithi ethile (i-sulfonamides, i-cytostatics, njl);
- ukuboniswa kwemitha;
- ukuxiliswa komzimba;
- i-supercooling;
- ukuhluleka kwehomoni ;
- uxinzelelo;
- ukuhlambululeka kococeko lwezitho zangasese.
I-pyelonephritis eyiyo
Kwinqanaba eliphambili le-pyelonephritis kubasetyhini libonakaliswe ngokukhawuleza kunye neklinikhi ekhethiweyo kunye nokwanda kweempawu. Ngokuqhelekileyo le yinkqubo ephambili yokusuleleka, engazange ilandelwe umonakalo wembutho ngaphambili, iquka enye yeentso. Ubungakanani beli fomu yesifo lu malunga neentsuku ezili-10 ukuya kwi-20 (kunye nocwangco oluhlelekile).
Pyelonephritis engapheliyo
I-pyelonephritis engapheliyo yabasetyhini, abaneempawu kunye nonyango abafani nakwezinye iinkqubo ezinzima, zibonakalisa ukuhamba ngokukhawuleza ngokuphindaphindiweyo. Kancinci, ngale ndlela yokukhubazeka, izicubu eziqhelekileyo zelungu zithatyathwa yinyama edibeneyo engasebenzi. Ngokuqhelekileyo, isifo esingapheliyo sisiphumo se-pyelonephritis engaphelelanga. Kwiimeko ezininzi, i-pyelonephritis engapheliyo ifunyanwe ngexesha lokukhulelwa, okwangoku ngeli xesha linokubangela ukucima amandla.
Iyintoni ingozi ye-pyelonephritis?
Ukungabikho kwonyango olufanelekileyo ngexesha elifanelekileyo kwaye elifanelekileyo, isifo sifaka ingozi enkulu yempilo. Ngenxa yesifundo esiqhubekayo esi sifo, iinjongo zingakwazi ukulahlekelwa ngokupheleleyo amandla okusebenza, okuthi, kunye nokulimala kwamanye amazwe, kubangela ukungaphumeleli kwindlala engapheliyo kunye nesidingo se-hemodialysis. Ukongezelela, ezinjalo iingxaki ziyakhula:
- ukungakwazi ukuphelelwa ngumlomo;
- paranephritis;
- Ukunyuka okuqhubekayo kwingcinezelo yegazi;
- papillitis enomdla;
- imbumbulu yeentso ;
- urosepsis;
- tshutshiswa kwebhakteria.
Ngokwahlukileyo kuyafaneleka ukuphawula ukuba yintoni ingozi eqhutyelwa yi-pyelonephritis ye-gestational-flowing during the bearing of the child. I-Pathology inokuphuhlisa ngisho nakwizibhinqileyo ezikhuselekileyo ezikhuselekileyo zisebenza ngamazinyo, ngaphandle kokutshintshwa kwezakhiwo kwiphepha le-urinary. Kule meko, ngokuthe rhoqo isifo sihlasela abafazi abaqala ukukhulelwa, kwi-trimester yesibini kwaye kunokubangela ukuphulwa kwekhosi yokukhulelwa, ukubeletha nokubuya emva kokuzalwa. Imiphumo emibi kukuba:
- ukuhanjiswa kwangethuba;
- gestosis;
- i-fetp hypotrophy;
- ukungaqiniseki kwamaplaza angapheliyo;
- usulelo lwe-intrauterine lomntwana;
- Ukukhipha isisu sokukhulelwa.
I-Pyelonephritis - iimpawu kubasetyhini
Iimpawu ze-pyelonephritis, ezenzeka kwifom elula, zihlala zilandelayo:
- ukwanda kweqondo lomzimba;
- ukuphosa, ukunyuka kweemeko;
- ukujuluka okukhulu;
- intlungu eninzi kwingingqi ye-lumbar ukusuka kwicala le-lesion, elingaphaya, indawo engaphansi komhlaba, ingingqi ye-inguinal, iyachithwa;
- isicupunu, ukuhlanza;
- ukuvuthwa okubuhlungu rhoqo kunye nokukhuthaza;
- ukuvuvukala emilenzeni;
- buthathaka;
- intloko, intlungu yomzimba.
I-pyelonephritis engapheliyo, iimpawu ezininzi kwizigulane eziye zacinywa. Kuphawulwe ukuba:
- ukhathala okwandisiweyo;
- bu thathaka;
- kulala;
- intlungu yesimo esingenakuqinisekiswa esilungileyo ukusuka kwicala lokutshatyalaliswa;
- i-malaise kunye nentlungu eyongezelelekileyo emva kwe-hypothermia, kwimvula yamanzi;
- ngxamele ukutya;
- intloko;
- ukuvuthwa rhoqo.
Ukushisa nge pyelonephritis
Ifomu elibi le sifo kunye nokunyanzeliswa kwe-pyelonephritis kuhambelana nokunyuka kwamacebo okushisa, anokufikelela kuma-38-40 ° C. Ngokuqhelekileyo iqondo lokushisa lihamba ngokukhawuleza, lihamba kunye nokunyuka kwesithuthuthu, utshintsho lweentsholongwane kunye nokukhupha, ubuthathaka obuthathaka. Oku kubonisa ukuxhatshazwa komzimba kunye nemveliso yokutshatyalaliswa kwezilwanyana-zifo, okubangela ukuba inyathelo elichaphazelayo liyichukumise. Emva kokuqala kwonyango, izinga lokushisa lihla, lihlala ixesha elingaphakathi kwe-37-37.5 ° C.
Urine nge pyelonephritis
Ukuba ibhinqa ivelisa i-pyelonephritis, umchamo utshintsha iiparitha zayo eziqhelekileyo, i-turbid, ngamanye amaxesha-amnyama, ukufumana i-odorous odorous odor. Ngokuqhelekileyo ngeso lesiso, lityhila iziphumo zegazi, izidumba. Ngexesha lokuvuthwa, ukuphawulwa, ukuvutha, ukunyamezela, izigulane ezininzi zichaza ukubonakaliswa kwesi sifo njengokungabikho kwamanzi, ukungafuni ukunyuka.
I-Pyelonephritis - ukuxilongwa
Ukuqinisekisa ukuxilongwa kwe "pyelonephritis" kwabasetyhini, xa iimpawu zichazwa kwaye unyango lufuneka ngokukhawuleza, ukuxilongwa kwe-ultrasound kuyimfuneko. Ugqirha obhekene nolwazi oluthile luya kufumana ngokukhawuleza iimpawu zentsholongwane: ukungahambelani kwamalungu omzimba, ukwandisa ubungakanani, i-asymmetry, ukunyuka kokuhamba, ukunyuka kwe-echogenicity ye-parenchyma,
Ukubonakalisa kwesi sifo iimvavanyo zelabhoratri, ezibonisa izikhombisi-ndlela:
- uvavanyo olufanayo lwegazi - ukwanda kwe-ESR, i- leukocytosis ;
- Uhlalutyo lomchamo jikelele - ubukho beeprotheni kunye neebhaktheriya;
- Uhlalutyo lwe-bacteriological umchamo - ukuzimisela kwenani kunye nohlobo lwezilwanyana eziphilayo.
Enye indlela yokuxilonga esetyenziswa ngokuqhelekileyo i-urrography. Olu luhlolo lwe-X-ray, leyo leyo, kwinkqubo enzima, ayinikezeli iimpawu ezicacileyo zesifo, kodwa ngexesha elingapheli linika umfanekiso weenguqu kwizakhiwo zezintso. Ukuba i-pyelonephritis ikhunjulwa kwabasetyhini abakhulelweyo, uvavanyo lwe-X-ray aluqhutyelwa ngenxa yengozi yokungena emzimbeni kwintsana. Ezinye iinkqubo zokuxilonga zinokumiselwa ngaphantsi rhoqo:
- CT, i-MRI;
- iinjongo zeengqondo;
- u kucalulo;
- iinguqu zengqondo, njl
Pyelonephritis - unyango
Indlela yokuphatha i-pyelonephritis, i-urologist okanye i-nephrologist iya kulandela emva kokuphumeza yonke uphando oluyimfuneko ebonisa iinkalo zezifo. Kwiimeko ezinzima, ukulaliswa esibhedlele kwenziwa. Ngokuqhelekileyo unyango oluphambili lwe-pyelonephritis luyalondolozwa, ngokusekelwe kunyango lwonyango. Kwiimeko ezininzi, unyango olungapheliyo lwe-pyelonephritis lufana, kodwa lufuna ixesha elide.
Unyango lwe-pyelonephritis - iziyobisi
Yiphumelele unyango lwe-pyelonephritis kunye ne-antibiotics, eyona ndlela yonyango. Kukulungele ukufumanisa ukuvavanya kwamagciwane okukhusela izidakamizwa ezithile ze-antibacterial. Ngaphambi kokufumana iziphumo zokuhlalutya, i-antibiotics ye-pyelonephritis imiselwe ngokomthetho, kwaye iqala ngokuqala ngezidakamizwa kwiqela le-fluoroquinolones (Levofloxacin, i-Ofloxacin). Ukongeza, ii-antibiotics zinokumiselwa unyango:
- i-aminopenicillins (i-Amoxicillin, i-Penicillin);
- cephalosporins (Cefalexin, Cefepime);
- aminoglycosides (Gentamicin, Amikacin);
- i-carbopenems (Imipenem, iMeropenem);
- i-sulfonamide (i-Co-trimoxazole).
Ukunyuka, ixesha lokunyanga, indlela yokulawulwa kweziyobisi ikhethwe ngabanye. Kwakhona, i-pyelonephritis yabasetyhini, iimpawu kunye nokonyango olufuna isimo sengqondo esinoxanduva, siphathwa ngokusetyenziswa kweziyobisi ukusuka kwamanye amaqela:
- i-diuretics (Furosemide);
- iziyobisi ezingekho-steroidal ezichasayo (Voltaren, Movalis);
- i-anticoagulants (i-Heparin, iTroxevasin);
- iivithamini, amaminerali (iivithamini A, E, C, β-carotene, selenium, njl.).
I-Pyelonephritis - izilwanyana zomntu
Ukongeza kwonyango, kudla ngokucetyiswa ukuba i-phytotherapy - ukusetyenziswa kwemifuno kunye neziqhamo ezinomdla wokulwa ne-antimicrobial, anti-inflammatory and diuretic effects. Unyango lwe-pyelonephritis kubasetyhini lunokuqhutywa ngoncedo lwezityalo ezinjalo:
- bhabheli;
- yarrow;
- iranberry;
- ephakanyisiweyo;
- ierranberries;
- iqhosha;
- calendula;
- isinki;
- iqela le-birch njalonjalo.
Ukutya kunye ne-pyelonephritis
Izigulana kufuneka zikwazi ukuba i-pyelonephritis ingasetyenziselwa iimveliso ezithile ukusuka kwisidlo esiqhelekileyo esisetyenziswe ngaphambili. Ezinye izitya emva kwe-pyelonephritis ziya kufuneka zishiywe:
- iziqholo, ukutshisa iziqholo;
- ukutshaya;
- ukukhethwa;
- kubhaka;
- ukutya okunamafutha;
- ukutya okuthosiweyo;
- i zihlunu ezizityebi.
Sincoma i-milk-milk-food diet with the inclusion of eggs, meat meat and fish. Imifuno kunye neziqhamo zilandelayo zi luncedo:
- iifatata;
- beet;
- zucchini;
- ukhukhamba;
- iivambo;
- iipulo;
- i-strawberries;
- i melon;
- iibrenade kunye nabanye.