I-Acel Pyelonephritis: Ingabe Usuyidlulile Ingozi?

-Delile

• Ziyini izimpawu ze-pyelonephritis?
• Yiziphi izinkinga ze-pyelonephritis?
• Ihlonza kanjani i-pyelonephritis?
• Kufanele iphathwe kanjani i-pyelonephritis?

Kuyini i-acute pyelonephritis?

I-acel pyelonephritis ukutheleleka kwamagciwane kwezinso ezithinta abesifazane abakhulelwe. Ezimweni eziningi, ukutheleleka kuqala kuvela kumgudu ophansi womchamo. Uma kungatholakali futhi kungelashwa kahle, ukutheleleka kungasakazeka kusuka emthanjeni nasezitho zangasese kuya esinyeni bese kuya ezinso elilodwa noma zombili.

Abesifazane abakhulelwe banamathuba amaningi okuthuthukisa i-pyelonephritis kunabesifazane abangakhulelwe. Lokhu kungenxa yezinguquko zomzimba ngesikhathi sokukhulelwa ezingaphazamisa ukugeleza komchamo.

Imvamisa, ama-ureters akhipha umchamo kusuka ezinso ungene esinyeni nangaphandle komzimba nge-urethra. Ngesikhathi sokukhulelwa, ukuminyana okuphezulu kwe-hormone progesterone kungavimbela ukusikwa kwale mibhobho yamanzi. Futhi, njengoba isibeletho sikhula ngesikhathi sokukhulelwa, singacindezela ama-ureters.

Lezi zinguquko zingaholela ezinkingeni ngokudonsa kahle umchamo kusuka ezinso, okwenza umchamo uhlale umile. Ngenxa yalokhu, amabhaktheriya esinyeni angathuthela ezinsweni kunokuba akhishwe ohlelweni. Lokhu kudala ukutheleleka. Amagciwane Escherichia coli (E. coli) kuyimbangela ejwayelekile. Amanye amabhaktheriya, afana UKlebsiella pneumoniae, UProteus izinhlobo, futhi I-Staphylococcus, futhi kungadala ukutheleleka kwezinso.

Ziyini izimpawu ze-pyelonephritis?

Imvamisa, izimpawu zokuqala ze-pyelonephritis imfiva ephezulu, amakhaza nobuhlungu ezinhlangothini zombili zengezansi.

Kwezinye izimo, lesi sifo sibangela isicanucanu nokuhlanza. Izimpawu ze-Urinary nazo zivamile, kufaka phakathi:

• imvamisa yokuchama, noma isidingo sokuchama kaningi
• ukuphuthuma komchamo, noma isidingo sokuchama ngokushesha
• i-dysuria, noma ukuchama okubuhlungu
• hematuria, noma igazi emchameni

Yiziphi izinkinga ze-pyelonephritis?

Ukwelashwa okufanele kwe-pyelonephritis kungavimbela izinkinga ezinkulu. Uma ingalashwa, ingaholela ekuthelelekeni kwegciwane egazini elibizwa nge-sepsis. Lokhu kungasakazeka kwezinye izingxenye zomzimba futhi kudale izimo ezimbi ezidinga ukwelashwa okuphuthumayo.

I-pyelonephritis engalashwa nayo ingaholela ekucindezelekeni okukhulu kokuphefumula njengoba uketshezi luhlangana emaphashini.

I-Pyelonephritis ngesikhathi sokukhulelwa iyimbangela ehamba phambili yokusebenza kwangaphambi kokubeletha, okubeka ingane engozini enkulu yezinkinga ezinkulu ngisho nokufa.

Ihlonza kanjani i-pyelonephritis?

Ukuhlolwa komchamo kungasiza udokotela wakho ukuthi anqume ukuthi ngabe izimpawu zakho zingumphumela wokutheleleka kwezinso. Ukuba khona kwamaseli amhlophe egazi namabhaktheriya emchameni, okungabukwa ngaphansi kwesibonakhulu, kuyizimpawu zombili zokutheleleka. Udokotela wakho angenza ukuxilongwa okuqondile ngokuthatha amasiko amagciwane omchamo wakho.

Kufanele iphathwe kanjani i-pyelonephritis?

Njengomthetho ojwayelekile, uma uba ne-pyelonephritis ngesikhathi sokukhulelwa, uzolaliswa esibhedlela ukuze welashwe. Uzonikezwa ama-antibiotic emithanjeni, mhlawumbe izidakamizwa ze-cephalosporin ezifana ne-cefazolin (Ancef) noma i-ceftriaxone (i-Rocephin).

Uma izimpawu zakho zingathuthuki, kungenzeka ukuthi amabhaktheriya abangela ukutheleleka amelana ne-antibiotic oyithathayo. Uma udokotela wakho esola ukuthi i-antibiotic ayikwazi ukubulala amabhaktheriya, bangafaka i-antibiotic enamandla kakhulu ebizwa ngokuthi i-gentamicin (Garamycin) ekwelashweni kwakho.

Ukuvinjelwa ngaphakathi komgudu wokuchama kungenye imbangela enkulu yokwehluleka kokwelashwa. Ngokuvamile kubangelwa itshe lezinso noma ukucindezelwa komzimba kwe-ureter ngesibeletho esikhulayo ngesikhathi sokukhulelwa. Ukuvinjelwa kwe-Urinary tract kutholakala kangcono nge-X-ray noma nge-ultrasound yezinso zakho.

Lapho isimo sakho sesiqala ukuba ngcono, ungavunyelwa ukuphuma esibhedlela. Uzonikezwa ama-antibiotics omlomo izinsuku eziyi-7 kuya kwezingu-10. Udokotela wakho uzokhetha imithi yakho ngokuya ngokusebenza kwayo, ubuthi kanye nezindleko zayo. Izidakamizwa ezinjenge-trimethoprim-sulfamethoxazole (Septra, Bactrim) noma i-nitrofurantoin (Macrobid) zivame ukubekwa.

Ukutheleleka okuphindaphindiwe kamuva ekukhulelweni akuvamile. Indlela engabizi kakhulu yokwehlisa ubungozi bokuphindeka ukuthatha isilinganiso sansuku zonke semithi elwa namagciwane, efana ne-sulfisoxazole (Gantrisin) noma i-nitrofurantoin monohydrate macrocrystals (Macrobid), njengendlela yokuvimbela. Khumbula ukuthi imithamo yezidakamizwa ingahluka. Udokotela wakho uzokunika okulungele wena.

Uma uthatha imithi yokuvimbela, kufanele futhi uhlolwe umchamo wakho ngamagciwane njalo uma ubona udokotela wakho. Futhi, qiniseka ukuthi utshela udokotela wakho uma kukhona izimpawu ezibuyayo. Uma izimpawu zibuya noma uma ukuhlolwa komchamo kukhombisa ukuba khona kwamagciwane noma amaseli amhlophe egazi, udokotela wakho angancoma elinye isiko lomchamo ukunquma ukuthi ukwelashwa kuyadingeka yini.