Pyelonephritis

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa ndi chiyani?
• Kodi pali zoopsa?
• Pachimake pyelonephritis
• Matenda a pyelonephritis
• Kuzindikira pyelonephritis
• Mayeso amkodzo
• Kuyesa mayeso
• Kujambula kwama radioactive
• Kuchiza pyelonephritis
• Maantibayotiki
• Kulandilidwa kuchipatala
• Opaleshoni
• Pyelonephritis mwa amayi apakati
• Pyelonephritis mwa ana
• Zovuta zomwe zingakhalepo
• Kupewa pyelonephritis
• Malangizo popewa
  

Kumvetsetsa pyelonephritis

Pachimake pyelonephritis ndi matenda a impso mwadzidzidzi komanso owopsa. Zimayambitsa impso ndipo zitha kuziwonongeratu. Pyelonephritis ikhoza kupha moyo.

Zikachitika mobwerezabwereza kapena mosalekeza, vutoli limatchedwa matenda a pyelonephritis. Mawonekedwe osachiritsika ndi osowa, koma amapezeka nthawi zambiri mwa ana kapena anthu omwe ali ndi zotchinga zamikodzo.

Zizindikiro zake ndi ziti?

Zizindikiro nthawi zambiri zimawoneka pakadutsa masiku awiri mutadwala. Zizindikiro zodziwika ndizo:

• malungo opitilira 102 ° F (38.9 ° C)
• kupweteka pamimba, kumbuyo, mbali, kapena kubuula
• pokodza kapena kupweteka
• mkodzo wamtambo
• mafinya kapena magazi mkodzo
• kukodza mwachangu kapena pafupipafupi
• mkodzo wonunkha

Zizindikiro zina zitha kuphatikiza:

• kugwedezeka kapena kuzizira
• nseru
• kusanza
• kupweteka kapena kudwala
• kutopa
• khungu lonyowa
• kusokonezeka m'maganizo

Zizindikiro zitha kukhala zosiyana kwa ana komanso achikulire kuposa anthu ena. Mwachitsanzo, kusokonezeka kwamaganizidwe kumakhala kofala kwa achikulire ndipo nthawi zambiri chimakhala chizindikiro chawo chokha.

Anthu omwe ali ndi pyelonephritis osatha amatha kukhala ndi zizindikilo zochepa zokha kapena mwina sangakhale ndi zizindikilo zowonekeratu.

Zimayambitsa ndi chiyani?

Matendawa amayamba m'munsi mwa mkodzo ngati matenda amkodzo (UTI). Tizilombo toyambitsa matenda timalowa m'thupi kudzera mu mkodzo ndi kuyamba kuchulukana mpaka kufalikira m'chikhodzodzo. Kuchokera pamenepo, mabakiteriya amayenda kudutsa mu ureters kupita ku impso.

Mabakiteriya monga E. coli Nthawi zambiri zimayambitsa matendawa. Komabe, matenda aliwonse am'magazi amathanso kufalikira ku impso ndikupangitsa pachimake pyelonephritis.

Kodi pali zoopsa?

Pachimake pyelonephritis

Vuto lililonse lomwe limasokoneza mkodzo nthawi zambiri limayambitsa chiwopsezo chachikulu cha pyelonephritis. Mwachitsanzo, thirakiti lomwe ndi kukula kapena mawonekedwe achilendo limatha kubweretsa pachimake pyelonephritis.

Komanso, urethras ya amayi ndi yofupikirapo kuposa ya amuna, motero zimakhala zosavuta kuti mabakiteriya alowe mthupi lawo. Izi zimapangitsa azimayi kuti azitha kutenga matenda a impso ndikuwayika pachiwopsezo chachikulu cha pyelonephritis.

Anthu ena omwe ali pachiwopsezo chachikulu ndi awa:

• aliyense amene ali ndi miyala ya impso yosatha kapena impso zina kapena chikhodzodzo
• achikulire
• anthu omwe ali ndi chitetezo cha mthupi, monga anthu odwala matenda a shuga, HIV / AIDS, kapena khansa
• anthu omwe ali ndi vesicoureteral reflux (mkhalidwe womwe mkodzo wochepa umabwerera kuchokera ku chikhodzodzo kupita mu ureters ndi impso)
• anthu okhala ndi prostate wokulitsidwa

Zinthu zina zomwe zingakupangitseni kukhala pachiwopsezo cha matenda ndi awa:

• kugwiritsa ntchito catheter
• kufufuza kwa cystoscopic
• opaleshoni yamikodzo
• mankhwala ena
• kuwonongeka kwa mitsempha kapena msana

Matenda a pyelonephritis

Mitundu yanthawi yayitali imapezeka kwambiri mwa anthu omwe ali ndi zotchinga zamikodzo. Izi zimatha kuyambitsidwa ndi UTIs, vesicoureteral reflux, kapena anomomical anomalies. Matenda a pyelonephritis amapezeka kwambiri mwa ana kuposa achikulire.

Kuzindikira pyelonephritis

Mayeso amkodzo

Dokotala amayang'ana ngati ali ndi malungo, akumva kukoma m'mimba, komanso zizindikilo zina. Ngati akuganiza kuti ali ndi matenda a impso, ayitanitsa kukayezetsa mkodzo. Izi zimawathandiza kuwunika mabakiteriya, ndende, magazi, ndi mafinya mumkodzo.

Kuyesa mayeso

Dotolo amathanso kuyitanitsa ma ultrasound kuti ayang'ane zotupa, zotupa, kapena zopinga zina mumikodzo.

Kwa anthu omwe samvera chithandizo mkati mwa maola 72, CT scan (kapena yopanda utoto wa jakisoni) itha kuyitanidwa. Mayesowa amathanso kuzindikira zopinga mkati mwa mkodzo.

Kujambula kwama radioactive

Mayeso a dimercaptosuccinic acid (DMSA) atha kulamulidwa ngati dokotala akukayikira kuti zilonda zimachitika chifukwa cha pyelonephritis. Iyi ndi njira yojambulira yomwe imayang'ana jekeseni wa zinthu zowononga mphamvu.

Katswiri wa zamankhwala amabaya nkhaniyo kudzera mumitsempha ya m'manja. Zinthuzo zimapita ku impso. Zithunzi zomwe zimatengedwa ngati zinthu zowulutsa radioactive zimadutsa mu impso zikuwonetsa madera omwe ali ndi kachilombo kapena zipsera.

Kuchiza pyelonephritis

Maantibayotiki

Maantibayotiki ndiyo njira yoyamba yolimbana ndi pachimake pa pyelonephritis. Komabe, mtundu wa maantibayotiki omwe dokotala wanu amasankha zimatengera ngati mabakiteriyawa sangadziwike kapena ayi. Ngati sichoncho, mankhwala opha tizilombo amagwiritsidwa ntchito.

Ngakhale mankhwala amatha kuchiza matendawa pakadutsa masiku awiri kapena atatu, mankhwalawa ayenera kumwa nthawi yonse yomwe mumalandira (nthawi zambiri masiku 10 mpaka 14). Izi ndi zoona ngakhale mutakhala bwino.

Mankhwala omwe mungasankhe ndi:

• kutchfuneralhome
• ciprofloxacin
• co-trimoxazole
• ampicillin

Kulandilidwa kuchipatala

Nthawi zina, mankhwala osokoneza bongo amakhala osagwira ntchito. Pa matenda akulu a impso, dokotala wanu akhoza kukulandirani kuchipatala. Kutalika kwa nthawi yomwe mudzakhale kumadalira kukula kwa matenda anu komanso momwe mumayankhira chithandizo.

Chithandizochi chimatha kuphatikizira ma intravenous hydration ndi maantibayotiki kwa maola 24 mpaka 48. Mukakhala mchipatala, madokotala amayang'anira magazi anu ndi mkodzo kuti muwone momwe matendawa alili. Mwinanso mungalandire mankhwala opatsirana pakamwa masiku 10 mpaka 14 oti mutenge mukatuluka kuchipatala.

Opaleshoni

Matenda a impso omwe amabwera chifukwa cha vuto la zamankhwala. Zikatero, pamafunika kuchitidwa opaleshoni kuti athetse zovuta zilizonse kapena kukonza zovuta zilizonse mu impso. Kuchita opaleshoni kungakhale kofunikanso kutulutsa chotupa chomwe sichimayankha maantibayotiki.

Pakakhala matenda akulu, nephrectomy itha kukhala yofunikira. Pochita izi, dotolo wa opaleshoni amachotsa gawo la impso.

Pyelonephritis mwa amayi apakati

Mimba imayambitsa kusintha kwakanthawi mthupi, kuphatikiza kusintha kwakanthawi kwam'mimba. Kuchuluka kwa progesterone komanso kuchuluka kwa ma ureters kumatha kubweretsa chiopsezo chachikulu cha pyelonephritis.

Pyelonephritis mwa amayi apakati amafunikira kulandila kuchipatala. Ikhoza kuopseza miyoyo ya mayi ndi mwana. Ikhozanso kuwonjezera chiopsezo chotumiza msanga. Amayi apakati amathandizidwa ndi ma beta-lactam maantibayotiki kwa maola osachepera 24 mpaka matendawa atayamba.

Pofuna kupewa pyelonephritis mwa amayi apakati, chikhalidwe cha mkodzo chiyenera kuchitika pakati pa masabata a 12 ndi 16 a mimba. UTI yomwe ilibe zizindikiro imatha kubweretsa chitukuko cha pyelonephritis. Kuzindikira UTI koyambirira kumatha kuteteza matenda a impso.

Pyelonephritis mwa ana

Malinga ndi American Urological Association, ku United States, maulendo opitilira miliyoni miliyoni amapita kukachipatala kwa ana chaka chilichonse ku UTIs ya ana. Atsikana ali pachiwopsezo chachikulu atapitirira chaka chimodzi. Anyamata amakhala pachiwopsezo chachikulu ngati ali pansi pa m'modzi, makamaka ngati sanadulidwe.

Ana omwe ali ndi UTIs nthawi zambiri amakhala ndi malungo, kupweteka, komanso zizindikilo zokhudzana ndi kwamikodzo. Dokotala amayenera kuthana ndi izi nthawi yomweyo asanakhale pyelonephritis.

Ana ambiri amatha kuthandizidwa ndi mankhwala opha tizilombo pakamwa. Dziwani zambiri za UTIs mwa ana.

Zovuta zomwe zingakhalepo

Vuto lomwe lingakhalepo la pyelonephritis pachimake ndimatenda a impso. Matendawa akapitilira, impso zitha kuwonongeka mpaka kalekale. Ngakhale ndizosowa, ndizotheka kuti matendawa azilowa m'magazi. Izi zitha kubweretsa matenda owopsa omwe amatchedwa sepsis.

Zovuta zina ndizo:

• matenda obwerezabwereza a impso
• matendawa amafalikira kumadera ozungulira impso
• pachimake impso kulephera
• impso abscess

Kupewa pyelonephritis

Pyelonephritis itha kukhala vuto lalikulu. Lumikizanani ndi dokotala mukangokayikira kuti muli ndi pyelonephritis kapena UTI. Vutoli limafunikira chithandizo chamsangamsanga, chifukwa chake mukayamba kulandira chithandizo chamankhwala bwino.

Malangizo popewa

1. Imwani madzi ambiri kuti muwonjezere pokodza ndi kuchotsa mabakiteriya mu urethra.
2. Kodzani mutagonana kuti muthandize kutulutsa mabakiteriya.
3. Pukutani kuchokera kutsogolo kupita kumbuyo.
4. Pewani kugwiritsa ntchito zinthu zomwe zingakwiyitse mtsempha, monga ma douches kapena opopera achikazi.