I-Acute Pyelonephritis: Ngaba Uyidlulile Ingozi?

Umxholo

• Ziintoni iimpawu ze-pyelonephritis?
• Zeziphi iingxaki zepyelonephritis?
• Isifo pyelonephritis
• Njani unyango pyelonephritis?

Yintoni i-pyelonephritis ebukhali?

Acute pyelonephritis - usulelo lwebacteria lwezintso ezichaphazela abasetyhini abakhulelweyo. Kwiimeko ezininzi, usulelo kuqala lukhula kumchamo ongezantsi womchamo. Ukuba alufunyaniswanga kwaye lunyangwe ngokufanelekileyo, usulelo lunokusasazeka ukusuka kwi-urethra nakwindawo yesini ukuya kwisinyi kwaye emva koko kuye nakwezinye izintso zombini.

Abafazi abakhulelweyo banamathuba okuphuhlisa i-pyelonephritis kunabasetyhini abangakhulelwanga. Oku kungenxa yotshintsho lomzimba ngexesha lokukhulelwa olunokuphazamisa ukuhamba komchamo.

Ngokwesiqhelo, i-ureters iyawucoca umchamo kwizintso ukuya kwisinyi nangaphandle komzimba nge-urethra. Ngexesha lokukhulelwa, uxinzelelo oluphezulu lwehommone progesterone lunokuthintela ukucuthwa kwale mibhobho yokuhambisa amanzi. Kwakhona, njengoko isibeleko sisanda ngexesha lokukhulelwa, sinokucinezela ii-ureters.

Olu tshintsho lunokukhokelela kwiingxaki ngomjelo ofanelekileyo womchamo kwizintso, obangela ukuba umchamo uhlale umile. Ngenxa yoko, iibhaktheriya kwisinyi zinokufudukela kwizintso kunokuba zikhutshelwe ngaphandle kwenkqubo. Oku kubangela usulelo. Iibhaktheriya Escherichia coli (E. coliIsizathu esiqhelekileyo. Ezinye iintsholongwane, ezifana UKlebsiella pneumoniae, Iproteus iintlobo, kunye I-Staphylococcus, kunokubangela nosulelo lwezintso.

Ziintoni iimpawu ze-pyelonephritis?

Ngokwesiqhelo, iimpawu zokuqala zepyelonephritis ngumkhuhlane omkhulu, ukugodola kunye nentlungu kumacala omabini asezantsi.

Ngamanye amaxesha, olu sulelo lubangela isicaphucaphu nokugabha. Iimpawu ze-Urinary ziqhelekile, kubandakanya:

• Ukuchama rhoqo, okanye isidingo sokuchama rhoqo
• ukungxamiseka komchamo, okanye isidingo sokuchama kwangoko
• i-dysuria, okanye ukuchama okubuhlungu
• hematuria, okanye igazi kumchamo

Zeziphi iingxaki zepyelonephritis?

Unyango olufanelekileyo lwe-pyelonephritis lunokuthintela iingxaki ezinzulu. Ukuba ayinyangwa, inokukhokelela kusulelo lwebacteria kwigazi elibizwa ngokuba yi-sepsis. Oku kunokusasazeka kwamanye amalungu omzimba kwaye kubangele iimeko ezinzulu ezifuna unyango olungxamisekileyo.

I-pyelonephritis enganyangekiyo nayo inokubangela uxinzelelo olukhulu lokuphefumla njengoko ulwelo luqokelela emiphungeni.

I-Pyelonephritis ngexesha lokukhulelwa ingunobangela ophambili womsebenzi ngaphambi kwexesha, obeka umntwana emngciphekweni omkhulu wokufumana iingxaki ezinzulu kunye nokufa.

Isifo pyelonephritis

Uvavanyo lomchamo lunokunceda ugqirha wakho abone ukuba iimpawu zakho ziziphumo zosulelo lwezintso. Ubukho beeseli ezimhlophe zegazi kunye neebhaktheriya kumchamo, ezinokujongwa phantsi kwemicroscope, zombini ziyimpawu zosulelo. Ugqirha wakho unokwenza isifo esichanekileyo ngokuthatha iinkcubeko zebhaktiriya zomchamo wakho.

Njani unyango pyelonephritis?

Njengomgaqo oqhelekileyo, ukuba ukhula nge-pyelonephritis ngexa lokukhulelwa, uya kulaliswa esibhedlele ukuze ufumane unyango. Uya kunikwa i-antibiotics efakwa ngaphakathi, mhlawumbi iziyobisi ze-cephalosporin ezinje nge-cefazolin (Ancef) okanye i-ceftriaxone (Rocephin).

Ukuba iimpawu zakho aziphucuki, kusenokwenzeka ukuba ibacteria ebangela usulelo ayanyangeki kwi-antibiotic oyithathayo. Ukuba ugqirha wakho ukrokrela ukuba iyeza lokubulala iintsholongwane alikwazi ukubulala iintsholongwane, banokongeza isibulala-zintsholongwane esomeleleyo esibizwa ngokuba yi-gentamicin (Garamycin) kunyango lwakho.

Ukuvaleka ngaphakathi kumchamo womchamo sesinye sezizathu eziphambili zokusilela kunyango. Ngokwesiqhelo kubangelwa lilitye lezintso okanye uxinzelelo lomzimba we-ureter ngesibeleko esikhulayo ngexesha lokukhulelwa. Ukuphazamiseka kwendlela yokuchama kuchaphazeleka kakhulu kwi-X-ray okanye kwi-ultrasound yezintso zakho.

Nje ukuba imeko yakho iqale ukuba ngcono, unokuvunyelwa uphume esibhedlele. Uya kunikwa i-antibiotics yomlomo kwiintsuku ezisi-7 ukuya kwezi-10. Ugqirha wakho uya kukhetha amayeza akho ngokujonga ngokusebenza kwawo, inetyhefu, kunye neendleko. Iziyobisi ezinje nge-trimethoprim-sulfamethoxazole (Septra, Bactrim) okanye i-nitrofurantoin (Macrobid) zihlala zimiselwe.

Izifo eziphindaphindiweyo kamva ekukhulelweni aziqhelekanga. Eyona ndlela ineendleko zokunciphisa umngcipheko wokuphindaphinda kukuthatha idosi yemihla ngemihla yesibulala-zintsholongwane, njenge-sulfisoxazole (Gantrisin) okanye i-nitrofurantoin monohydrate macrocrystals (Macrobid), njengenyathelo lokuthintela. Khumbula ukuba iidosi zamachiza zinokwahluka. Ugqirha wakho uya kukunika into ekufaneleyo.

Ukuba uthatha amayeza othintelo, kuya kufuneka umchamo wakho uhlolwe iibhaktheriya ngalo lonke ixesha ubona ugqirha. Kananjalo, qiniseka ukuxelela ugqirha wakho ukuba zikhona iimpawu ezibuyayo. Ukuba iimpawu ziyabuya okanye ukuba uvavanyo lomchamo lubonisa ubukho beebhaktiriya okanye iiseli ezimhlophe zegazi, ugqirha wakho unokucebisa enye inkcubeko yokuchama ukumisela ukuba ngaba luyimfuneko na unyango.