IPyelonephritis

Umxholo

• Ziintoni iimpawu?
• Yintoni unobangela?
• Ngaba zikhona izinto ezinobungozi?
• Pyelonephritis Acute
• I-pyelonephritis engapheliyo
• Ukuchonga i-pyelonephritis
• Uvavanyo lomchamo
• Ukujonga iimvavanyo
• Ukucinga ngemitha
• Ukunyanga i-pyelonephritis
• Amayeza okubulala iintsholongwane
• Ukwamkelwa esibhedlele
• Ugqirha
• I-Pyelonephritis kubafazi abakhulelweyo
• I-Pyelonephritis kubantwana
• Iingxaki ezinokubakho
• Ukuthintela i-pyelonephritis
• Iingcebiso zokuthintela
  

Ukuqonda i-pyelonephritis

Acute pyelonephritis sisifo sezintso ngesiquphe kwaye sibukhali. Ibangela ukuba izintso zidumbe kwaye zingabonakalisa umphelo. IPyelonephritis inokusongela ubomi.

Xa uhlaselo oluphindaphindiweyo okanye oluqhubekayo lwenzeka, imeko ibizwa ngokuba yi-pyelonephritis engapheliyo. Ifom engapheliyo inqabile, kodwa iyenzeka rhoqo kubantwana okanye kubantu abanezithintelo zomchamo.

Ziintoni iimpawu?

Iimpawu zihlala zivela kwiintsuku ezimbini zosulelo. Iimpawu eziqhelekileyo zibandakanya:

• umkhuhlane ongaphezulu kwe-102 ° F (38.9 ° C)
• iintlungu esiswini, ngasemva, kwicala, okanye ekuthini
• ukuchama kabuhlungu okanye ukutshisa
• umchamo onamafu
• ubofu okanye igazi kumchamo
• Ukuchama ngokukhawuleza okanye rhoqo
• Umchamo onuka iintlanzi

Ezinye iimpawu zingabandakanya:

• ukungcangcazela okanye ukubanda
• isicaphucaphu
• ukugabha
• ukuqaqanjelwa ngokubanzi okanye ukugula
• ukudinwa
• ulusu olumanzi
• ukudideka engqondweni

Iimpawu zinokwahluka kubantwana nakubantu abadala abadala kunakwabanye abantu. Umzekelo, ukudideka kwengqondo kuqhelekile kubantu abadala kwaye kuhlala kuyimpawu yabo kuphela.

Abantu abanesifo esinganyangekiyo se-pyelonephritis banokufumana kuphela iimpawu ezibuthathaka okanye banokungabikho mpawu ezibonakalayo ngokupheleleyo.

Yintoni unobangela?

Usulelo luhlala luqala kumchamo ongezantsi wokuchama njengosulelo lomchamo (UTI). Iibhaktheriya zingena emzimbeni nge-urethra kwaye ziqala ukuphindaphinda kwaye zisasaze kwi-bladder. Ukusuka apho, iibhaktheriya zihamba zingena kwizintso.

Iintsholongwane ezinje E. coli kaninzi kubangela usulelo. Nangona kunjalo, naluphi na usulelo olubi egazini lunokusasazeka kwizintso kwaye lubangele i-pyelonephritis etsolo.

Ngaba zikhona izinto ezinobungozi?

Pyelonephritis Acute

Nayiphi na ingxaki ephazamisa ukuhamba okuqhelekileyo komchamo ibangela umngcipheko omkhulu we-pyelonephritis. Umzekelo, i-urinary tract enobungakanani engaqhelekanga okanye imilo kunokwenzeka ukuba ikhokelele kwi-pyelonephritis etsolo.

Kwakhona, i-urethras yabasetyhini imfutshane kakhulu kunamadoda, ke kulula ukuba iibhaktheriya zingene kwimizimba yazo. Oko kwenza ukuba abasetyhini bathambekele ngakumbi kusulelo lwezintso kwaye kubabeka kumngcipheko ophezulu we-pyelonephritis ebukhali.

Abanye abantu abasemngciphekweni omkhulu babandakanya:

• nabani na onamatye anganyangekiyo zezintso okanye ezinye izintso okanye imeko yesinyi
• abadala abadala
• abantu abanamajoni omzimba acinezelweyo, njengabantu abanesifo seswekile, i-HIV / AIDS, okanye umhlaza
• abantu abane-vesicoureteral reflux (imeko apho umchamo omncinci ubuya umva kwisinyi uye kwii-ureters kunye nezintso)
• abantu abane-prostate eyandisiweyo

Ezinye izinto ezinokukwenza ube sengozini yosulelo zibandakanya:

• ukusetyenziswa kwepayipi
• iimviwo cystoscopic
• uqhaqho lomchamo
• amayeza athile
• umonakalo okanye intambo yomgogodla

I-pyelonephritis engapheliyo

Iifom ezingapheliyo zale meko zixhaphake kakhulu kubantu abanezithintelo zomchamo. Oku kunokubangelwa zii-UTIs, i-vesicoureteral reflux, okanye i-anatomical anomalies. I-pyelonephritis engapheliyo ixhaphake kakhulu ebantwaneni kunabantu abadala.

Ukuchonga i-pyelonephritis

Uvavanyo lomchamo

Ugqirha uya kujonga umkhuhlane, ukuthamba esiswini, kunye nezinye iimpawu eziqhelekileyo. Ukuba barhanela usulelo lwezintso, baya kuyala ukuba bavavanywe. Oku kubanceda ukuba bajonge iibhaktheriya, uxinzelelo, igazi kunye nobofu kumchamo.

Ukujonga iimvavanyo

Ugqirha unokuyalela i-ultrasound ukuba ijonge i-cysts, tumors, okanye ezinye izithintelo kwindawo yokuchama.

Kubantu abangaphenduliyo kunyango kwisithuba seeyure ezingama-72, kunokuhlolwa i-CT scan (ngedayi engenayo okanye ngedayi). Olu vavanyo lunokufumana ukuphazamiseka ngaphakathi kwendlela yokuchama.

Ukucinga ngemitha

Uvavanyo lwe-dimercaptosuccinic acid (DMSA) lunoku-odolwa ukuba ugqirha wakho ukrokrela ukonzakala ngenxa ye-pyelonephritis. Le yindlela yokucinga ekhangela inaliti yezinto ezinemitha yeathom.

Unonophelo lwempilo ujoba izinto ngomthambo engalweni. Izinto eziphathekayo zihamba ziye kwizintso. Imifanekiso ethathwe xa izinto ezinemitha yeathomathi zidlula kwizintso zibonisa indawo ezosulelekileyo okanye ezinesibetho.

Ukunyanga i-pyelonephritis

Amayeza okubulala iintsholongwane

Amayeza okubulala iintsholongwane ayindlela yokuqala yokulwa ne-pyelonephritis etsolo. Nangona kunjalo, uhlobo lwe-antibiotic ugqirha oyikhethayo luxhomekeke ekubeni ingaba ibhaktheriya ingachongwa. Ukuba akunjalo, kusetyenziswa isibulala-zintsholongwane esibanzi.

Nangona amachiza enokulunyanga usulelo ngaphakathi kweentsuku ezi-2 ukuya kwezi-3, amayeza kufuneka athathwe lonke ixesha elimiselweyo (ngesiqhelo iintsuku ezili-10 ukuya kwezi-14). Oku kuyinyaniso nokuba uziva ubhetele.

Izinketho zentsholongwane zezi:

• yeeplexacin
• ciprofloxacin
• co-trimoxazole
• ampicillin

Ukwamkelwa esibhedlele

Ngamanye amaxesha, unyango lweziyobisi alusebenzi. Usulelo olukhulu lwezintso, ugqirha wakho unokukungenisa esibhedlele. Ubude bokuhlala kwakho buxhomekeke kubuzaza bemeko yakho kunye nendlela osabela ngayo kunyango.

Unyango lunokubandakanya ukufakwa ngaphakathi kunye ne-antibiotics iiyure ezingama-24 ukuya kuma-48. Ngelixa usesibhedlele, oogqirha baya kubeka esweni igazi lakho kunye nomchamo ukulandela usulelo. Uyakufumana i-10 ukuya kwi-14 yeentsuku ze-antibiotics yomlomo oza kuyithatha emva kokuba ukhululwe esibhedlele.

Ugqirha

Ukuphindaphindeka kosulelo lwezintso kunokubangelwa yingxaki yonyango. Kwiimeko ezinjalo, utyando kungafuneka lususe naziphi na izithintelo okanye ukulungisa naziphi na iingxaki kulwakhiwo kwizintso. Utyando lunokuba yimfuneko ukukhupha ithumba elingaphenduliyo kwii-antibiotics.

Kwiimeko zosulelo kakhulu, nephrectomy kunokuba yimfuneko. Kule nkqubo, ugqirha osusa ugqirha ususa inxalenye yezintso.

I-Pyelonephritis kubafazi abakhulelweyo

Ukukhulelwa kubangela utshintsho oluninzi okwethutyana emzimbeni, kubandakanya utshintsho lomzimba kwindlela yokuchama. Ukonyuka kweprogesterone kunye noxinzelelo olwandayo kwii-ureters kunokubangela umngcipheko owandayo we-pyelonephritis.

I-Pyelonephritis kubafazi abakhulelweyo ifuna ukwamkelwa esibhedlele. Ingasongela ubomi bomama nomntwana. Inokonyusa umngcipheko wokuhanjiswa kwangoko. Abafazi abakhulelweyo baphathwa ngamayeza okubulala iintsholongwane i-beta-lactam ubuncinci iiyure ezingama-24 de iimpawu zabo ziphuculwe.

Ukuthintela i-pyelonephritis kubafazi abakhulelweyo, inkcubeko yokuchama kufuneka iqhutywe phakathi kweveki ye-12 neye-16 yokukhulelwa. I-UTI engenazo iimpawu inokukhokelela kuphuhliso lwe-pyelonephritis. Ukufumanisa i-UTI kwangethuba kunokuthintela usulelo lwezintso.

I-Pyelonephritis kubantwana

Ngokwe-American Urological Association, e-United States, ngaphezulu kwesigidi esiya kugqirha wabantwana senziwa minyaka le kwii-UTIs zabantwana. Amantombazana asemngciphekweni omkhulu ukuba ngaphezulu konyaka. Amakhwenkwe asemngciphekweni omkhulu ukuba aphantsi komnye, ngakumbi ukuba awalukanga.

Abantwana abane-UTIs bahlala benomkhuhlane, iintlungu kunye neempawu ezinxulumene nomchamo. Ugqirha kufuneka ajongane nezi mpawu kwangoko ngaphambi kokuba zibe yi-pyelonephritis.

Uninzi lwabantwana banokuphathwa ngamayeza okubulala iintsholongwane ngomlomo. Funda ngakumbi nge-UTIs ebantwaneni.

Iingxaki ezinokubakho

Ingxaki enokwenzeka ye-pyelonephritis ebukhali sisifo sezintso esinganyangekiyo. Ukuba usulelo luyaqhubeka, izintso zinokonakala ngokusisigxina. Nangona kunqabile, kunokwenzeka ukuba usulelo lungene egazini. Oku kunokubangela usulelo olunokubulala olubizwa ngokuba yi-sepsis.

Ezinye iingxaki zibandakanya:

• usulelo lwezintso oluqhubekayo
• usulelo lusasazeka kwiindawo ezijikeleze izintso
• ukusilela kwezintso
• ithumba

Ukuthintela i-pyelonephritis

I-Pyelonephritis ingaba yimeko embi. Nxibelelana nogqirha wakho ngokukhawuleza xa ukrokrela ukuba une-pyelonephritis okanye i-UTI. Le meko ifuna unyango olukhawulezileyo, ke kwangoko uqala unyango, kungcono.

Iingcebiso zokuthintela

1. Sela amanzi amaninzi ukwandisa ukuchama kunye nokususa iintsholongwane kwi-urethra.
2. Ukuchama emva kwesondo ukunceda ukukhupha iintsholongwane.
3. Sula ukusuka ngaphambili uye ngasemva.
4. Kulumkele ukusebenzisa iimveliso ezinokucaphukisa i-urethra, enjengeedouches okanye i-sprays yabasetyhini.