Ithumba lesiphelo

Ithumba lePerirenal yingxowa yepus ejikeleze enye okanye zombini izintso. Kubangelwa usulelo.

Uninzi lwamathumba okubangelwa zizinto ezibangelwa ngumchamo oqala esinyini. Emva koko basasazeka kwizintso, nakwindawo ejikeleze izintso. Utyando kwindlela yokuchama okanye inkqubo yokuzala okanye usulelo lwegazi lunokukhokelela kwithumba elingaphakathi.

Eyona nto iphambili ekungcoleni kwamathumba, kukuvalwa kokuhamba komchamo. Oku kunika indawo yokuba usulelo lukhule. Intsholongwane ithanda ukunamathela ematyeni kwaye amayeza okubulala iintsholongwane akanakukuzibulala iintsholongwane apho.

Amatye afunyanwa kwiipesenti ezingama-20 ukuya kuma-60% zabantu abanethumba elibangelwa yiperirenal. Eminye imingcipheko yomngcipheko we-perirenal abscess iquka:

• Seswekile
• Ukuba nephepha lokuchama elingaqhelekanga
• Umonzakalo
• Ukusetyenziswa kweziyobisi nge-IV

Iimpawu zamathumba okuphela komzimba zibandakanya:

• Ukugodola
• Ifiva
• Ubuhlungu kwicala (kwicala lesisu) okanye isisu, esinokwandisa kwi-groin okanye phantsi komlenze
• Ukubila

Umboneleli wezempilo uyakukuvavanya. Unokuba nesisa ngasemva okanye esiswini.

Uvavanyo lubandakanya:

• Inkcubeko yegazi
• Ukuvavanywa kwe-CT kwesisu
• I-Ultrasound yesisu
• Uhlalutyo lomchamo
• Inkcubeko umchamo

Ukunyanga ithumba le-perirenal, ubofu bunokutsalwa nge-catheter ebekwe kulusu okanye ngotyando. Amayeza okubulala iintsholongwane nawo kufuneka anikwe, kuqala nge-vein (IV), emva koko anokutshintshela kwiipilisi xa usulelo luqala ukuphucula.

Ngokubanzi, ukuxilongwa ngokukhawuleza kunye nonyango lwe-perirenal abscess kufuneka kukhokelele kwisiphumo esihle. Amatye eentso kufuneka anyangwe ukunqanda ukosuleleka ngakumbi.

Kwiimeko ezinqabileyo, usulelo lunokusasazeka ngaphaya kwendawo yezintso nasegazini. Oku kunokuba yingozi.

Ukuba unamatye ezintso, usulelo alunakuphela.

Kuya kufuneka ukuba usulelo lususwe ngotyando.

Kuya kufuneka ususwe izintso ukuba usulelo alunakucocwa okanye luyenzeka rhoqo. Oku kunqabile.

Tsalela umnikezeli wakho ukuba unembali yamatye ezintso kwaye uphuhlise:

• Intlungu zesisu
• Ukutshisa ngokuchama
• Ukugodola
• Ifiva
• Usulelo lwe-Urinary tract

Ukuba unamatye ezintso, cela umboneleli wakho ngeyona ndlela yokubanyanga ukunqanda ithumba. Ukuba wenza utyando lomchamo, gcina indawo yotyando icocekile kangangoko.

Ithumba Perinephric

• I-anatomy yezintso
• Izintso - ukuhamba kwegazi kunye nomchamo

Amagumbi HF. Usulelo lweStaphylococcal. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 288.

UNicolle LE. Usulelo lwe-Urinary tract kubantu abadala. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-10. IPhiladelphia, PA: Elsevier; 2016: isahluko 37.

ISchaeffer AJ, iMatulewicz RS, iKlumpp DJ. Usulelo lwe-urinary tract. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 12.