Pyelonephritis: chimene icho chiri, zizindikiro zazikulu ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Pyelonephritis ali ndi pakati
• Momwe mankhwalawa amachitikira
• Momwe matendawa amapangidwira

Pyelonephritis ndimatenda amikodzo, omwe nthawi zambiri amayambitsidwa ndi mabakiteriya ochokera m'chikhodzodzo, omwe amafikira impso kuyambitsa kutupa. Mabakiteriyawa amapezeka m'matumbo, koma chifukwa cha chikhalidwe china amatha kuchuluka ndikufika impso.

E. coli ndi bakiteriya wopanda gramu yemwe nthawi zambiri amakhala m'matumbo, omwe amakhala ndi vuto la 90% ya milandu ya pyelonephritis.

Kutupa uku kumafala kwambiri kwa ana osakwana chaka chimodzi, azimayi, chifukwa choyandikira kwambiri pakati pa anus ndi urethra, komanso mwa amuna omwe ali ndi benign prostatic hyperplasia, popeza pali kuwonjezeka kwakusungidwa kwamikodzo.

Pyelonephritis ikhoza kusankhidwa ngati:

• Pachimake pyelonephritis, nthendayo ikawoneka mwadzidzidzi komanso mwamphamvu, ikutha patatha milungu kapena masiku ochepa;
• Matenda a pyelonephritis, yomwe imadziwika ndi matenda obwera chifukwa cha bakiteriya ndipo sinachiritsidwe, kuyambitsa kutupa kwanthawi yayitali mu impso komanso kuvulala koopsa komwe kumatha kuyambitsa impso.

Zizindikiro zazikulu

Zizindikiro zodziwika bwino za pyelonephritis ndikumva kuwawa m'munsi msana, m'chiuno, m'mimba ndi kumbuyo. Zizindikiro zina ndi izi:

• Kupweteka ndi kutentha pamene mukukodza;
• Kufuna kukodza nthawi zonse;
• Mkodzo wonunkha;
• Malaise;
• Malungo;
• Kuzizira:
• Nseru;
• Kutuluka thukuta;
• Kusanza;
• Mkodzo wamvula.

Kuphatikiza apo, kuyesa kwamkodzo kumawonetsa kupezeka kwa mabakiteriya ambiri ndi ma leukocyte kuphatikiza pakupezeka kwa magazi, nthawi zina. Onani zizindikiro za matenda amkodzo.

Kuphatikiza pa mitundu yayikulu komanso yayikulu, pyelonephritis itha kutchedwa emphysematous kapena xanthogranulomatous malinga ndi zomwe zimachitika. Mu emphysematous pyelonephritis pali kuchuluka kwa mpweya wopangidwa ndi mabakiteriya omwe amapezeka mu impso, pofala kwambiri kwa odwala matenda ashuga, pomwe xanthogranulomatous pyelonephritis imadziwika ndikutupa kosalekeza komanso kosalekeza kwa impso, komwe kumabweretsa kuwonongedwa kwake.

Pyelonephritis ali ndi pakati

Pyelonephritis ali ndi pakati nthawi zambiri amayamba chifukwa cha matenda a chikhodzodzo, omwe nthawi zambiri amayamba chifukwa cha mabakiteriya kapena bowa,Candida albicans.

Mimba, matenda a impso amapezeka ponseponse, chifukwa kuchuluka kwa mahomoni monga progesterone kumabweretsa kupumula kwamikodzo, ndikulowetsa mabakiteriya mu chikhodzodzo ndi kuchulukitsa kwake. Matendawa akapanda kupezeka kapena kuchiritsidwa, tizilombo timachulukana ndipo timayamba kutuluka mumkodzo, kufikira impso ndikupangitsa kutupa.

Mankhwalawa a pyelonephritis ali ndi pakati atha kuchitidwa ndi maantibayotiki, omwe sangakhudze kukula kwa mwana, kutengera mawonekedwe am'magazi omwe alibe mphamvu ndipo samakhudza kukula kwa mwana.

Momwe mankhwalawa amachitikira

Chithandizo cha pyelonephritis nthawi zambiri chimachitidwa ndi maantibayotiki molingana ndi kuzindikira kwa tizilombo tating'onoting'ono ndipo tiyenera kuyamba mwachangu kwambiri kupewa kuwonongeka kwa impso ndikuletsa mabakiteriya kuti asafalikire m'magazi omwe amachititsa septicemia. Ma analgesics ndi mankhwala oletsa kutupa amatha kugwiritsidwa ntchito kuti athetse ululu.

Pamene pyelonephritis imayambitsidwa ndi kuphwanya kapena kusokonekera kwa impso, kuchitidwa opaleshoni kumafunika kuti vutoli lithe.

Pachimake pyelonephritis, ngati sichichiritsidwa, chitha kuthandizira kupezeka kwa septicemia, abscess ya impso, kulephera kwa impso, kuthamanga kwa magazi komanso matenda a pyelonephritis. Pankhani ya pyelonephritis yanthawi yayitali, kuwonongeka kwa impso koopsa komanso kufooka kwa impso, kuwonjezera pa kugwiritsa ntchito maantibayotiki, dialysis ingafunike sabata iliyonse kusefa magazi.

Momwe matendawa amapangidwira

Matenda a pyelonephritis amapangidwa ndi urologist kudzera pakuwunika kwa wodwalayo, kuwunika thupi monga kupindika kwa dera lumbar ndikuwunika mkodzo kuti mudziwe kupezeka kwa magazi, leukocyte ndi mabakiteriya mumkodzo. Ultrasound, x-ray ndi computed tomography kapena maginito oyeserera oyeserera amatha kuchitidwa kuti atsimikizire matendawa, kutengera mulimonsemo.

Uroculture ndi antibiogram zingathenso kupemphedwa ndi dokotala kuti adziwe chomwe chimayambitsa pyelonephritis ndi kukhazikitsa njira yabwino kwambiri yothandizira. Mvetsetsani momwe chikhalidwe cha mkodzo chimapangidwira.

Pyelonephritis imatha kusokonezedwa ndi urethritis ndi cystitis, chifukwa onse ndi matenda am'mimba. Komabe, pyelonephritis imafanana ndi matenda omwe amakhudza impso, pomwe mu cystitis mabakiteriya amafikira chikhodzodzo komanso urethritis, urethra. Dziwani za urethritis ndi momwe mungachiritsire.