Pyelonephritis Yovuta: Kodi Mudapitapo Pangozi?

Zamkati

• Zizindikiro za pyelonephritis ndi ziti?
• Kodi zovuta za pyelonephritis ndi ziti?
• Kodi pyelonephritis amapezeka?
• Kodi ayenera pyelonephritis?

Kodi pachimake pyelonephritis ndi chiyani?

Pachimake pyelonephritis ndi matenda a bakiteriya a impso omwe amakhudza amayi apakati. Nthaŵi zambiri, matendawa amayamba m'munsi mwa mkodzo. Ngati sichikupezeka ndikumalandira chithandizo choyenera, matendawa amatha kufalikira kuchokera kumtunda ndi kumaliseche mpaka chikhodzodzo kenako ku impso imodzi kapena zonse ziwiri.

Amayi oyembekezera amatha kukhala ndi pyelonephritis kuposa amayi omwe alibe pakati. Izi zimachitika chifukwa cha kusintha kwa thupi nthawi yapakati yomwe imatha kusokoneza mkodzo.

Nthawi zambiri, ureters amatulutsa mkodzo kuchokera mu impso kupita mu chikhodzodzo ndikutuluka mthupi kudzera mu mtsempha. Pakati pa mimba, kuchuluka kwa mahomoni otchedwa progesterone kumatha kuletsa kupindika kwa ngalandezi. Komanso, chiberekero chimakula pakakhala ndi pakati, chimatha kupondereza ureters.

Kusintha kumeneku kumatha kubweretsa mavuto ndikutsitsa mkodzo kuchokera mu impso, ndikupangitsa mkodzo kukhalabe wokhazikika. Zotsatira zake, mabakiteriya mu chikhodzodzo amatha kusamukira ku impso m'malo motayidwa. Izi zimayambitsa matenda. Mabakiteriya Escherichia coli (E. colindiye chifukwa chofala. Mabakiteriya ena, monga Klebsiella pneumoniae, Proteus mitundu, ndi Staphylococcus, amathanso kuyambitsa matenda a impso.

Zizindikiro za pyelonephritis ndi ziti?

Nthawi zambiri, zizindikiro zoyambirira za pyelonephritis zimakhala zotentha kwambiri, kuzizira, komanso kupweteka mbali zonse ziwiri zakumunsi.

Nthawi zina, matendawa amayambitsa nseru ndi kusanza. Zizindikiro za mkodzo ndizofala, kuphatikizapo:

• pafupipafupi, kapena kufunika kokodza nthawi zambiri
• kufunikira kwamikodzo, kapena kufunika kokodza nthawi yomweyo
• dysuria, kapena kukodza kopweteka
• hematuria, kapena magazi mkodzo

Kodi zovuta za pyelonephritis ndi ziti?

Mankhwala oyenera a pyelonephritis amatha kupewa mavuto akulu. Ngati sichichiritsidwa, imatha kubweretsa matenda a bakiteriya m'magazi otchedwa sepsis. Izi zitha kufalikira mbali zina za thupi ndikupangitsa zovuta zomwe zimafunikira chithandizo chadzidzidzi.

Pyelonephritis osachiritsidwa amathanso kupangitsa kupuma kwamphamvu ngati madzi amasonkhana m'mapapu.

Pyelonephritis panthawi yoyembekezera ndichomwe chimayambitsa matenda asanakwane, zomwe zimayika mwana pachiwopsezo chachikulu chazovuta ngakhale imfa.

Kodi pyelonephritis amapezeka?

Kuyezetsa mkodzo kumatha kuthandiza dokotala kudziwa ngati zizindikilo zanu zimadza chifukwa cha matenda a impso. Kupezeka kwa maselo oyera am'magazi ndi mabakiteriya mumkodzo, omwe amatha kuwonedwa pogwiritsa ntchito microscope, zonsezi ndi zizindikiro za matenda. Dokotala wanu amatha kudziwa motsimikiza ndikutenga zikhalidwe za bakiteriya mumkodzo wanu.

Kodi ayenera pyelonephritis?

Kawirikawiri, ngati mukudwala pyelonephritis panthawi yoyembekezera, mudzalandiridwa kuchipatala kuti mukalandire chithandizo. Mudzapatsidwa mankhwala opha tizilombo, mwina mankhwala a cephalosporin monga cefazolin (Ancef) kapena ceftriaxone (Rocephin).

Ngati zizindikiro zanu sizikusintha, ndiye kuti mabakiteriya omwe amayambitsa matendawa amalimbana ndi mankhwala omwe mumamwa. Ngati dokotala akukayikira kuti maantibayotiki sangathe kupha mabakiteriya, atha kuwonjezera mankhwala amphamvu kwambiri otchedwa gentamicin (Garamycin) kuchipatala chanu.

Kutsekedwa mkati mwa thirakiti ndi chifukwa china chachikulu cholephera kulandira chithandizo. Zimayambitsidwa ndi mwala wa impso kapena kupsinjika kwakuthupi kwa chiberekero ndi chiberekero chokula panthawi yapakati. Kutsekeka kwa kwamikodzo kumapezeka bwino kudzera mu X-ray kapena ultrasound ya impso zanu.

Matenda anu akangoyamba kusintha, mungaloledwe kutuluka m'chipatala. Mupatsidwa maantibayotiki apakamwa kwa masiku 7 mpaka 10. Dokotala wanu amasankha mankhwala anu kutengera mphamvu yake, kawopsedwe, ndi mtengo wake. Mankhwala monga trimethoprim-sulfamethoxazole (Septra, Bactrim) kapena nitrofurantoin (Macrobid) nthawi zambiri amapatsidwa.

Matenda obwerezabwereza pambuyo pathupi siwachilendo. Njira yotsika mtengo kwambiri yochepetsera chiopsezo chanu ndikubwezeretsanso mankhwala opatsirana tsiku ndi tsiku, monga sulfisoxazole (Gantrisin) kapena nitrofurantoin monohydrate macrocrystals (Macrobid), ngati njira yodzitetezera. Kumbukirani kuti mankhwala amasiyana. Dokotala wanu adzakupatsani zomwe zili zoyenera kwa inu.

Ngati mukumwa mankhwala oteteza, muyeneranso kuti mkodzo wanu uziyang'ana mabakiteriya nthawi iliyonse mukawona dokotala wanu. Komanso, onetsetsani kuti muuze dokotala ngati zizindikiro zilizonse zibwerera. Ngati zizindikirozo zibwerera kapena ngati kuyesa kwa mkodzo kukuwonetsa kupezeka kwa mabakiteriya kapena maselo oyera amwazi, dokotala wanu angakulimbikitseni chikhalidwe china cha mkodzo kuti muwone ngati akufunikira chithandizo.