Pyelonephritis: yintoni, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili
• I-Pyelonephritis ekukhulelweni
• Unyango lwenziwa njani
• Uxilongo lwenziwa njani

I-Pyelonephritis sisifo esivela kumchamo, esihlala sibangelwa ziintsholongwane ezivela kwisinyi, esifikelela kwizintso ezibangela ukudumba. Ezi bhakteria zihlala zikhona emathunjini, kodwa ngenxa yemeko ethile zinokwanda kwaye zifikelele kwizintso.

E. coli yibacteria ye-gram-negative ehlala ihlala emathunjini, inoxanduva malunga ne-90% yamatyala e-pyelonephritis.

Oku kudumba kuxhaphake kakhulu kwiintsana ezingaphantsi konyaka ubudala, abasetyhini, ngenxa yokusondela okukhulu phakathi kwe-anus kunye ne-urethra, nakumadoda ane-prostatic hyperplasia, njengoko kukho ukwanda kokugcinwa komchamo.

I-Pyelonephritis inokuhlelwa njenge:

• Pyelonephritis Acute, xa usulelo lubonakala ngesiquphe nangamandla, lunyamalale emva kweeveki okanye iintsuku ezimbalwa;
• I-pyelonephritis engapheliyo, ebonakaliswa kukosuleleka ziintsholongwane okwenzeka rhoqo kwaye ayinyangeki kakuhle, ibangela ukudumba okungapheliyo kwizintso kunye nokulimala okunokubangela ukusilela kwezintso.

Iimpawu eziphambili

Ezona mpawu ziimpawu zepyelonephritis ziintlungu kumqolo ongezantsi, i-pelvic, isisu kunye nasemva. Ezinye iimpawu zezi:

• Iintlungu kunye nokutsha xa uchama;
• Umnqweno oqhubekayo wokuchama;
• Umchamo onukayo;
• Malaise;
• Ifiva;
• Ukugodola:
• Isicaphucaphu;
• Ukubila;
• Ukuphalaza;
• Kufike umchamo.

Ukongeza, uvavanyo lomchamo lubonisa ubukho beentsholongwane ezininzi kunye neleukocyte ukongeza kubukho begazi, kwezinye iimeko. Jonga ukuba zithini iimpawu zosulelo lomchamo.

Ukongeza iifom ezibi kunye ezingapheliyo, i-pyelonephritis ingabizwa ngokuba yi-emphysematous okanye i-xanthogranulomatous ngokweempawu ezivelayo. Kwi-emphysematous pyelonephritis kukho ingqokelela yeegesi eziveliswa ziibhaktiriya ezikhoyo kwizintso, zixhaphake kakhulu kubantu abaneswekile, ngelixa i-xanthogranulomatous pyelonephritis ibonakaliswa kukudumba okukhulu kunye nokuqhubekayo kwezintso, oko kukhokelela ekutshatyalalisweni.

I-Pyelonephritis ekukhulelweni

I-Pyelonephritis ekukhulelweni ihlala ibangelwa kukosuleleka kwesinyi ixesha elide, kuhlala kubangelwa ziintsholongwane okanye ukungunda,ICandida albicans.

Ngexesha lokukhulelwa, usulelo lwezintso luqhelekile, kuba ukonyuka kwamanqanaba ehomoni afana neprogesterone kukhokelela ekuphumleni kwendlela yokuchama, ukuququzelela ukungena kwebhakteria kwisinyi kunye nokuphindaphinda kwayo. Xa usulelo lungafunyaniswanga okanye lunyangwa, iintsholongwane ziphindaphindeka kwaye ziqale ukunyuka kumchamo, zifikelela kwizintso kwaye zibangele ukudumba.

Unyango lwe-pyelonephritis ekukhulelweni lunokwenziwa ngamayeza okubulala iintsholongwane, angenachaphaza ekukhuleni komntwana, ngokweprofayili yobuntununtunu beentsholongwane kwaye ayinampembelelo ekukhuleni komntwana.

Unyango lwenziwa njani

Unyango lwe-pyelonephritis luhlala lwenziwa ngamachiza okubulala iintsholongwane ngokweprofayili yobuntununtunu be-microorganism kwaye kufuneka luqale ngokukhawuleza ukuthintela ukonzakala kwezintso kunye nokuthintela ibacteria ekusasazekeni kwegazi elibangela i-septicemia. I-analgesics kunye neziyobisi ezichasayo zingasetyenziselwa ukunciphisa iintlungu.

Xa i-pyelonephritis ibangelwa kukuphazamiseka okanye ukungalunganga kwezintso, kufuneka kwenziwe utyando ukulungisa ingxaki.

I-acute pyelonephritis, xa ingashiywanga inganyangwa, inokuthanda ukubonakala kwe-septicemia, ithumba lezintso, ukusilela kwezintso, uxinzelelo lwegazi kunye ne-pyelonephritis engapheliyo. Kwimeko ye-pyelonephritis engapheliyo, ukonzakala kwezintso kunye nokusilela kwezintso, ukongeza ekusebenziseni ii-antibiotics, i-dialysis inokufuneka veki nganye ukucoca igazi.

Uxilongo lwenziwa njani

Ukuxilongwa kwe-pyelonephritis kwenziwa yi-urologist ngovavanyo lweempawu zesigulana, uvavanyo lomzimba njengokucofa kwengingqi ye-lumbar kunye novavanyo lomchamo ukuchonga ubukho begazi, ii-leukocyte kunye neebhaktheriya kumchamo. I-Ultrasound, i-x-ray kunye nekhompyuter yecomputer okanye iimviwo zokujonga ngemagneti zinokwenziwa ukuqinisekisa ukuxilongwa, kuxhomekeke kwimeko nganye.

Uroculture kunye ne-antibiogram zinokucelwa ngugqirha ukuze kuchongwe ukuba yeyiphi i-arhente ebangela i-pyelonephritis kunye nokuseka olona nyango lulungileyo. Qonda ukuba yenziwa njani inkcubeko yomchamo.

I-Pyelonephritis inokudideka kunye ne-urethritis kunye ne-cystitis, kuba zonke izifo zentsholongwane. Nangona kunjalo, i-pyelonephritis ihambelana nosulelo oluchaphazela izintso, ngelixa kwi-cystitis ibhaktheriya ifikelela kwisinyi nakwire urethritis. Fumanisa ukuba yintoni urethritis kunye nendlela yokuyinyanga.