Ithumba le-Perirenal

Ithumba le-Perirenal liyiphakethe lobomvu elizungeze eyodwa noma zombili izinso. Kubangelwa ukutheleleka.

Amathumba amaningi okubangelwa i-perirenal abscess abangelwa izifo ezithinta umchamo eziqala esinyeni. Zibe sezisabalala ziye ezinso, nasendaweni ezungeze izinso. Ukuhlinzwa emkhakheni we-urinary noma uhlelo lokuzala noma ukutheleleka kwegazi nakho kungaholela ethumba le-perirenal.

Isici esikhulu sengcuphe ye-perirenal abscess ngamatshe ezinso, ngokuvinjelwa kokugeleza komchamo. Lokhu kunikeza indawo ukuthi isifo sikhule. Amagciwane avame ukunamathela ematsheni futhi ama-antibiotic awakwazi ukubulala amabhaktheriya lapho.

Amatshe atholakala kubantu abangu-20% kuya ku-60% abanethumba elenziwa nge-perirenal. Ezinye izinto ezinobungozi zamathumba e-perirenal zifaka:

• Isifo sikashukela
• Ukuba nomgudu womchamo ongajwayelekile
• Ukuhlukumezeka
• Ukusetshenziswa kwezidakamizwa ze-IV

Izimpawu zamathumba e-perirenal zifaka:

• Amakhaza
• Imfiva
• Ubuhlungu ohlangothini (ohlangothini lwesisu) noma esiswini, obungadlulela emgodini noma phansi emlenzeni
• Ukujuluka

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola. Ungaba nobumnene emuva noma esiswini.

Izivivinyo zifaka:

• Isiko legazi
• I-CT scan yesisu
• I-Ultrasound yesisu
• Ukuhlolwa komchamo
• Isiko lomchamo

Ukwelapha ithumba le-perirenal, ubomvu lungakhishwa nge-catheter ebekwa esikhunjeni noma ngokuhlinzwa. Ama-antibiotic nawo kufanele anikezwe, okokuqala ngomthambo (IV), bese engashintshela kumaphilisi lapho ukutheleleka kuqala ukuba ngcono.

Ngokuvamile, ukuxilongwa ngokushesha nokwelashwa kwethumba elibusayo kufanele kuholele emphumeleni omuhle. Amatshe ezinso kumele elashwe ukuze kugwenywe ukutheleleka okuqhubekayo.

Ezimweni ezingavamile, ukutheleleka kungasakazeka ngaphesheya kwendawo yezinso nasegazini. Lokhu kungabulala.

Uma unamatshe ezinso, ukutheleleka kungenzeka kungapheli.

Ungadinga ukuthi ukutheleleka kususwe ngokuhlinzwa.

Kungadingeka ukuthi ususwe izinso uma ukutheleleka kungenakususwa noma kuyenzeka kaningi. Lokhu akuvamile.

Shayela umhlinzeki wakho uma unomlando wamatshe ezinso futhi uthuthuke:

• Ubuhlungu besisu
• Ukushisa ngomchamo
• Amakhaza
• Imfiva
• Ukutheleleka ngomgudu womchamo

Uma unamatshe ezinso, buza umhlinzeki wakho mayelana nendlela engcono yokubaphatha ukuze bagweme ithumba elibusayo. Uma uhlinzwa ngomchamo, gcina indawo yokuhlinzwa ihlanzekile ngangokunokwenzeka.

Ithumba Perinephric

• Ukwakheka kwezinso
• Izinso - ukugeleza kwegazi nomchamo

Amakamelo HF. Ukutheleleka kwe-Staphylococcal. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 288.

UNicolle LE. Ukutheleleka ngomgudu womchamo kubantu abadala. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 37.

ISchaeffer AJ, iMatulewicz RS, iKlumpp DJ. Izifo zomgudu womchamo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 12.