Kutuluka kwapadera

Phulusa la Perirenal ndi thumba la mafinya mozungulira impso imodzi kapena zonse ziwiri. Amayambitsidwa ndi matenda.

Ziphuphu zambiri zotuluka m'mimba zimayambitsidwa ndi matenda am'mikodzo omwe amayamba mu chikhodzodzo. Kenako amafalikira ku impso, komanso kudera lozungulira impso. Kuchita opaleshoni mumikodzo kapena njira yoberekera kapena matenda am'magazi kumathandizanso kuti pakhale chotupa.

Choopsa chachikulu chotulutsa phulusa ndi miyala ya impso, potsekeka kwa mkodzo. Izi zimapereka malo oti matenda azikula. Mabakiteriya amakonda kumamatira pamiyala ndipo maantibayotiki sangathe kupha mabakiteriya pamenepo.

Miyala imapezeka mwa 20% mpaka 60% ya anthu omwe ali ndi abscess ya perirenal. Zina mwaziwopsezo zochotsa phulusa ndi monga:

• Matenda a shuga
• Kukhala ndi thirakiti yachilendo
• Zowopsa
• Kugwiritsa ntchito mankhwala osokoneza bongo a IV

Zizindikiro za kutuluka kwapadera zimaphatikizapo:

• Kuzizira
• Malungo
• Zowawa pambali (pamimba) kapena pamimba, zomwe zimatha kupitilira kubuula kapena mwendo
• Kutuluka thukuta

Wothandizira zaumoyo adzakufunsani. Mutha kukhala ndichisoni kumbuyo kapena pamimba.

Mayeso ndi awa:

• Chikhalidwe chamagazi
• CT scan pamimba
• Ultrasound pamimba
• Kupenda kwamadzi
• Chikhalidwe cha mkodzo

Pofuna kutulutsa phulusa, mafinya amatha kukhetsedwa kudzera mu catheter yomwe imayikidwa kudzera pakhungu kapena kuchitidwa opaleshoni. Maantibayotiki ayeneranso kuperekedwa, poyamba kudzera mu mtsempha (IV), kenako amatha kusintha mapiritsi pamene matenda ayamba kutukuka.

Mwambiri, kuzindikira mwachangu komanso kuchiza kwa phulusa kumabweretsa zotsatira zabwino. Miyala ya impso iyenera kuthandizidwa kuti mupewe matenda ena.

Nthawi zambiri, matendawa amatha kufalikira kudera la impso mpaka m'magazi. Izi zitha kupha.

Ngati muli ndi miyala ya impso, matendawa satha.

Mungafunike kuchotsedwa matenda.

Muyenera kuchotsedwa impso ngati matenda sangathe kuchotsedwa kapena kubwereza. Izi ndizochepa.

Itanani omwe akukuthandizani ngati muli ndi mbiri ya miyala ya impso ndikukula:

• Kupweteka m'mimba
• Kutentha ndi kukodza
• Kuzizira
• Malungo
• Matenda a mkodzo

Ngati muli ndi miyala ya impso, funsani omwe akukuthandizani za njira yabwino kwambiri yowathandizira kuti apewe chotupitsa. Mukachitidwa opaleshoni ya m'mitsempha, sungani malo opaleshonimo moyera momwe mungathere.

Kuphulika kwa perinephric

• Matenda a impso
• Impso - kutuluka magazi ndi mkodzo

Zipinda HF. Matenda a Staphylococcal. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 288.

Nicolle LE. Matenda a mkodzo mwa akuluakulu. Mu: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, olemba. Brenner ndi Rector a Impso. 10th ed. Philadelphia, PA: Elsevier; 2016: chap 37.

Schaeffer AJ, Matulewicz RS, Klumpp DJ. Matenda a thirakiti. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 12.