Pyelonephritis mwa amayi - zizindikiro ndi chithandizo cha mitundu yonse ya matenda

Imodzi mwa matenda omwe amapezeka kwambiri m'makina a abambo ndi pyelonephritis, zizindikiro ndi chithandizo chomwe chimafuna chidwi chowonjezeka, chifukwa pafupifupi mosazindikira kwa wodwala, izo zingayambitse kukula kwa mavuto oopsa.

Pyelonephritis - Zimayambitsa

Pogwiritsa ntchito matendawa, impso imakhudza njira yotupa - mbale yake-zipangizo zamakono ndi parenchyma, ndiko kuti, zida zogwirira ntchito za limba. Kawirikawiri, zilonda zamtunduwu zimayambitsidwa ndi kutuluka kwa matenda omwe angaloŵe mu liwalo mwa njira izi:

• kukwera - kuchokera ku ziwalo zozungulira (chikhodzodzo, urethra, etc.);
• amadzimadzi - kudzera m'magazi kuchokera kumalo opatsirana omwe ali ndi ziwalo zina (ndulu, ndodo yapakati, maxillary sinuses ndi zina zotero);
• Mankhwala opatsirana pogonana - kudzera m'zombo zamatenda kumbuyo kwa matenda opatsirana m'mimba.

Manyowa a pyelonephritis, chifukwa cha maonekedwe ake, makamaka ndi matenda azimayi, chifukwa mtsinje umene umatulutsidwa umakhala waufupi kuposa wa amuna, ndipo chiwalo cha chiberekero ndi chigoba chiri pafupi. Kuwonjezera apo, thupi lachikazi limakhala lotheka kwambiri ndi kusintha kwa mahomoni komwe kumapangitsa kuchepa kwa chitetezo chakumidzi komanso kuphwanya kwa microflora. Tizilombo toyambitsa matendawa timagwiritsidwa ntchito kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda (ambiri mwa iwo ndi oimira tizilombo toyambitsa matenda).

• E. coli ;
• Pseudomonas aeruginosa ;
• enterococci;
• Klebsiella;
• streptococci;
• staphylococci;
• Mapuloteni;
• Olemba.

Zowononga zomwe zingayambitse chitukuko cha kutupa kwa impso ndi:

• Kutsekemera kwa chikhodzodzo ("chikhodzodzo cha neurogenic");
• nephrolithiasis;
• zotupa zamakono;
• reflux zowonongeka;
• hyperplasticity ya impso;
• malo osadziwika bwino a impso;
• Matenda osokoneza bongo omwe amapezeka ndi mchere wambiri mu thupi (phosphates, urates, etc.);
• shuga;
• chida chofufuzira;
• kutenga mankhwala ena (sulfonamides, cytostatics, etc.);
• kuwonetsedwa kwa radiation;
• kuledzera thupi;
• chithunzi;
• kupweteka kwa hormonal ;
• chisokonezo;
• kusamba koyenera kwa mazira.

Pachimake pyelonephritis

Mu njira yovuta ya pyelonephritis mwa amayi amadziwika ndi chiwombankhanga chodzidzimutsa komanso chithunzi chodziwika bwino chachipatala ndi kuwonjezeka kwa zizindikiro. Kawirikawiri izi ndizopatsirana kwambiri, zomwe sizinayambidwe ndi kuwonongeka kwa thupi poyamba, kuphatikizapo imodzi ya impso. Kutalika kwa mtundu uwu wa matendawa ndi pafupi masiku 10-20 (ndi chithandizo chokonzedwa bwino).

Pyelonephritis yambiri

Pyelonephritis yambiri mwa amayi, omwe zizindikiro ndi chithandizo chawo ndi zosiyana kwambiri ndi zomwe zimakhala zovuta, zimakhala zocheperapo pang'onopang'ono. Pang'onopang'ono, ndi mtundu uwu wa matenda, chiwalo chachibadwa cha liwalo chimaloledwa ndi minofu yogwirizana yomwe siili yogwira ntchito. Kawirikawiri, matenda aakulu ndi chifukwa cha pyelonephritis yovuta kwambiri. Nthaŵi zambiri, pyelonephritis yosachiritsika imapezeka pa nthawi ya mimba, yomwe nthawiyi imakhala yovuta kwambiri.

Kodi ngozi ya pyelonephritis ndi yotani?

Ngati palibe mankhwala oyenera komanso oyenera, matendawa amawopsa kwambiri. Chifukwa cha matenda a nthawi yayitali, impso zingathenso kugwira ntchito, zomwe zimawonongeka, zimayambitsa kulephera kwa nthendayi ndi kusowa kwa hemodialysis. Kuwonjezera pamenepo, mavuto ngati amenewa angapangidwe:

• kuperewera kwamtambo kosavuta;
• paranephritis;
• kuwonjezereka kosalekeza kwa kuthamanga kwa magazi;
• papillitis yamagazi;
• abscess ya impso ;
• urosepsis;
• mantha a bakiteriya.

Mosiyana ndizidziwitse kuti ndi chiani chomwe chimayambitsidwa ndi pyelonephritis - yomwe ikuyenda panthawi yomwe mwanayo akubala. Mafupa angapangitse ngakhale amayi omwe ali ndi thanzi labwino omwe ali ndi impso zomwe zimagwira bwino ntchito, popanda kusintha kwa kayendedwe kake. Pankhaniyi, nthawi zambiri matendawa amachititsa amayi omwe amayamba kutenga mimba, m'miyezi itatu yachiwiri ndipo amachititsa kuti pakhale mimba yowonongeka, kubereka ndi kubereka pambuyo pa nthawi. Zotsatira zoipa ndi izi:

• kubereka msanga;
• gestosis;
• chiwonongeko;
• kuperewera kwapadera kwapadera;
• matenda a intrauterine a fetus;
• Kuchotsa mimba kwa mimba.

Pyelonephritis - zizindikiro zazimayi

Zizindikiro za pyelonephritis, zomwe zimapezeka mu mawonekedwe ovuta, ndizo zotsatirazi:

• kutentha kwa thupi;
• ziwombankhanga, chizolowezi;
• thukuta lalikulu;
• Kumva kupweteka kwambiri m'derali kumbali ya chilonda, chomwe chimabwezeretsanso, chigawo cha inguinal, chimatayika;
• kunyoza, kusanza;
• kumangokhalira kukodza komanso kumalimbikitsa;
• kuphulika m'mapazi;
• kufooka kwakukulu;
• mutu, kupweteka kwa minofu.

Pyelonephritis yosatha, zizindikiro zomwe odwala ambiri amachotsa, nthawi zambiri zimanyalanyazidwa. Zindikirani kuti:

• kufooka kwakukulu;
• kulephera;
• kugona;
• ululu wa khalidwe losalimba la kupweteka kuchokera kumbali ya kugonjetsedwa;
• Matenda ndi kuwonjezereka pambuyo pa hypothermia, m'nyengo yamvula;
• kusala kudya;
• kupweteka kwa mutu;
• kukodza nthawi zambiri.

Kutentha ndi pyelonephritis

Mtundu wambiri wa matendawa ndi kuchulukitsidwa kwa pyelonephritis ikuphatikizapo kuwonjezeka kwa zizindikiro za kutentha, zomwe zingathe kufika 38-40 ° C. Kawirikawiri kutentha kukudumpha modabwitsa, kuphatikizapo kuchuluka kwa thukuta, kusintha kwa kutentha ndi kuzizira, kufooka kotchulidwa. Izi zikuwonetsa kuledzera kwa thupi ndi zinthu zomwe zimagwiritsidwa ntchito polekanitsa tizilombo toyambitsa matenda, zomwe zinayambitsa njira yothetsera matenda. Pambuyo pa mankhwalawa, kutentha kumatsika, kumakhala kwa nthawi ndithu mkati mwa 37-37.5 ° C.

Mitsempha ndi pyelonephritis

Ngati mkazi akupanga pyelonephritis, mkodzo umasintha magawo ake, nkukhala wotopa, nthawi zina - mdima, kupeza phokoso losasangalatsa. Kawirikawiri ndi diso lakuda, limawulula inclusions ya magazi, zitsulo. Panthawi ya kukodza, chizindikiro, kuyaka, kupweteka, odwala ambiri amafotokoza kuwonetsetsa kwa matendawa ngati kusakaniza koyambitsa mkodzo, zilakolako zamakono ndi zonyenga zowononga.

Pyelonephritis - matenda

Kuti atsimikizidwe kuti "pyelonephritis" imapezeka mwa amayi, pamene zizindikirozo zimatchulidwa ndipo chithandizo chikufunika mwamsanga, chithandizo cha ultrasound chimaperekedwa. Dokotala wodziwa bwino uuzist adzazindikira nthawi yomweyo zizindikiro zosokoneza: kusagwirizana kofanana kwa thupi, kuwonjezeka kwa kukula kwake, kupuma kwapadera, kuwonjezeka kwa kuyenda, kuwonjezereka kwachidziwitso cha parenchyma,

Zizindikiro za matendawa ndi mayesero a ma laboratory, omwe amasonyeza zizindikiro zotere:

• kafukufuku wamagazi - kuwonjezeka kwa ESR, leukocytosis ;
• Kusanthula mkodzo kawirikawiri - kupezeka kwa mapuloteni ndi mabakiteriya;
• kachipatala kamene kamayambitsa mkodzo - kukhazikitsa chiwerengero ndi mtundu wa tizilombo toyambitsa matenda.

Njira ina yochiritsira yomwe amagwiritsidwa ntchito kawirikawiri ndi kulemba. Izi ndi phunziro la X-ray, lomwe, mwachidziwitso, sichisonyeza zizindikiro za matendawa, koma ndizomwe zimapereka chithunzi cha kusintha kwa kapangidwe ka impso. Ngati pulogalamu ya pyelonephritis ikuwoneka kuti ili ndi amayi apakati, kuyesera kwa X sikukuchitika chifukwa cha kuopsa kwa kutentha kwa dzuwa kwa mwana. Njira zina zogwiritsira ntchito zikhoza kuperekedwa mobwerezabwereza:

• CT, MRI;
• malingaliro a impso;
• zojambula;
• renal angiography, ndi zina zotero.

Pyelonephritis - mankhwala

Momwe mungachitire mankhwala a pyelonephritis, wa urologist kapena wa nephrologist adzathamanga pambuyo pochita kufufuza konse koyenera kufotokozera za matenda. Pa milandu yoopsa, kuchipatala kumachitika. Kawirikawiri mankhwala oopsa a pyelonephritis ndi owongolera, motengera mankhwala. Nthaŵi zambiri, mankhwala ochizira a pyelonephritis ndi ofanana, koma amafuna nthawi yaitali.

Kuchiza kwa pyelonephritis - mankhwala

Chitani chithandizo cha pyelonephritis ndi mankhwala opha tizilombo, omwe ndi othandizira. Ndibwino kudziwa kuti mphamvu ya tizilombo toyambitsa matenda timayambitsa matenda enaake. Musanalandire zotsatira za kufufuza, maantibayotiki a pyelonephritis ali ovomerezeka, ndipo nthawi zambiri amayamba ndi mankhwala kuchokera ku gulu la fluoroquinolones (Levofloxacin, Ofloxacin). Kuphatikiza apo, maantibayotiki angaperekedwe kwa chithandizo:

• aminopenicillins (Amoxicillin, Penicillin);
• cephalosporins (Cefalexin, Cefepime);
• aminoglycosides (Gentamicin, Amikacin);
• carbopenems (Imipenem, Meropenem);
• sulphonamides (Co-trimoxazole).

Kusankha, nthawi ya chithandizo, njira ya kayendetsedwe ka mankhwala imasankhidwa payekha. Ndiponso, pyelonephritis mwa amayi, zizindikiro ndi chithandizo chimene chimafuna kukhala ndi udindo wodalirika, amachizidwa pogwiritsa ntchito mankhwala ochokera kwa magulu ena:

• diuretics (Furosemide);
• mankhwala osakanikirana ndi otsekemera (Voltaren, Movalis);
• anticoagulants (Heparin, Troxevasin);
• mavitamini, mchere (vitamini A, E, C, β-carotene, selenium, etc.).

Pyelonephritis - mankhwala ochiritsira

Kuwonjezera pa mankhwala, nthawi zambiri amalimbikitsa phytotherapy - kugwiritsa ntchito zitsamba ndi zipatso zomwe zili ndi antimicrobial, anti-inflammatory and diuretic zotsatira. Chithandizo cha pyelonephritis mwa amayi chikhoza kuchitidwa mothandizidwa ndi zokolola za zomera zotere:

• tchire;
• yarrow;
• kiranberi;
• ananyamuka m'chiuno;
• cranberries;
• chamamile;
• kalendula;
• timbewu;
• tsamba la birch ndi zina zotero.

Kudya ndi pyelonephritis

Odwala ayenera kudziŵa ngati pyelonephritis ingagwiritsidwe ntchito pazinthu zina kuchokera ku zakudya zomwe nthawi zambiri zimagwiritsidwa ntchito kale. Zakudya zina pambuyo pa pyelonephritis zidzasiyidwa:

• zonunkhira, zonunkhira;
• kusuta;
• pickling;
• kuphika;
• zakudya;
• chakudya chokazinga;
• wolemera broths.

Timalimbikitsa mkaka wamafuta ndi kuphatikiza mazira, nyama yowonda ndi nsomba. Zotsatira zamasamba ndi zipatso ndi zothandiza:

• mbatata;
• beets;
• zukini;
• nkhaka;
• mavwende;
• maapulo;
• strawberries;
• vwende;
• mabomba, ndi ena.