Pyelonephritis: kuyini, izimpawu eziyinhloko kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• I-Pyelonephritis ekukhulelweni
• Yelashwa kanjani
• Ukuxilongwa kwenziwa kanjani

I-Pyelonephritis yisifo se-urinary tract, esivame ukubangelwa amabhaktheriya avela esinyeni, afinyelela ezinso ezibangela ukuvuvukala. Lawa ma-bacteria ajwayele ukuba khona emathunjini, kepha ngenxa yesimo esithile anganda futhi afinyelele ezinso.

E. coli yigciwane eline-gram-negative elihlala emathunjini, elibhekele cishe ama-90% wamacala we-pyelonephritis.

Lokhu kuvuvukala kuvame kakhulu ezinganeni ezingaphansi konyaka owodwa ubudala, abesifazane, ngenxa yokusondela okukhulu phakathi kwe-anus ne-urethra, nakwabesilisa abane-benign prostatic hyperplasia, njengoba kukhona ukwanda kokugcinwa komchamo.

I-Pyelonephritis ingahlukaniswa njenge:

• I-pyelonephritis enamandla, lapho ukutheleleka kuvela ngokuzuma nangamandla, kunyamalala ngemuva kwamasonto noma izinsuku ezimbalwa;
• I-pyelonephritis engapheli, ebonakala ngokungenwa amagciwane okuvela kaningi futhi ayikelapheki kahle, okudala ukuvuvukala isikhathi eside ezinso nasekulimaleni okukhulu okungaholela ekuhlulekeni kwezinso.

Izimpawu eziyinhloko

Izimpawu zesici se-pyelonephritis ubuhlungu emhlane ongezansi, okhalweni, esiswini nasemhlane. Ezinye izimpawu yilezi:

• Ubuhlungu nokushisa lapho uchama;
• Isifiso esiqhubekayo sokuchama;
• Umchamo onukayo;
• Malaise;
• Imfiva;
• Ukugodola:
• Isicanucanu;
• Ukujuluka;
• Ukuhlanza;
• Umchamo onamafu.

Ngaphezu kwalokho, ukuhlolwa komchamo kukhombisa ukuba khona kwamagciwane amaningi kanye nama-leukocyte ngaphezu kokuba khona kwegazi, kwezinye izimo. Bona ukuthi yiziphi izimpawu zokutheleleka ngomgudu womchamo.

Ngaphezu kwamafomu abukhali nalawo angalapheki, i-pyelonephritis ingabizwa ngokuthi yi-emphysematous noma i-xanthogranulomatous ngokwezimpawu ezivelayo. E-emphysematous pyelonephritis kukhona ukuqoqwa kwamagesi akhiqizwa amabhaktheriya asezinso, okuvame kakhulu kubantu abanesifo sikashukela, kuyilapho i-xanthogranulomatous pyelonephritis ibonakala ngokuvuvukala okukhulu nokuqhubekayo kwezinso, okuholela ekubhujisweni kwayo.

I-Pyelonephritis ekukhulelweni

I-Pyelonephritis ekukhulelweni imvamisa ngenxa yokutheleleka kwesinye isikhathi isikhathi eside, imvamisa kubangelwa amagciwane noma isikhunta njenge,AmaCandida albicans.

Ekukhulelweni, izifo zezinso zivame kakhulu, ngoba ukwanda kwamazinga amahomoni afana ne-progesterone kuholela ekuphumuleni komgudu womchamo, okwenza lula ukungena kwamagciwane esinyeni nokuphindaphindeka kwawo. Lapho ukutheleleka kungatholakali noma kungalashwa, amagciwane ayanda futhi aqale ukukhuphuka emgudwini wokuchama, afinyelela ezinso futhi abangele ukuvuvukala kwawo.

Ukwelashwa kwe-pyelonephritis ekukhulelweni kungenziwa ngemithi elwa namagciwane, engenamthelela ekukhuleni kwengane, ngokusho kwephrofayili yokuzwela kwamagciwane futhi engenawo umthelela ekukhuleni kwengane.

Yelashwa kanjani

Ukwelashwa kwe-pyelonephritis kuvame ukwenziwa ngemithi elwa namagciwane ngokuya ngephrofayili yokuzwela kwe-microorganism futhi kufanele kuqale ngokushesha okukhulu ukuvimbela ukulimala kwezinso nokuvimbela amabhaktheriya ekusakazekeleni egazini elibanga i-septicemia. Ama-analgesics nemithi elwa nokuvuvukala ingasetshenziswa ukudambisa izinhlungu.

Lapho i-pyelonephritis ibangelwa ukuvinjelwa noma ukungasebenzi kahle kwezinso, ukuhlinzwa kungadingeka ukulungisa inkinga.

I-acel pyelonephritis, lapho iyekwa ingalashwa, ingavuna ukuvela kwe-septicemia, ithumba lezinso, ukwehluleka kwezinso, umfutho wegazi ophezulu kanye ne-pyelonephritis engapheli. Uma kwenzeka i-pyelonephritis engapheli, ukulimala okukhulu kwezinso nokuhluleka kwezinso, ngaphezu kokusetshenziswa kwama-antibiotic, i-dialysis ingadingeka masonto onke ukuhlunga igazi.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-pyelonephritis kwenziwa yi-urologist ngokuhlola izimpawu zesiguli, ukuhlolwa ngokomzimba njengokucindezelwa kwesifunda se-lumbar kanye nokuhlolwa komchamo ukukhomba ubukhona begazi, ama-leukocyte nama-bacteria emchameni. I-Ultrasound, i-x-ray ne-computed tomography noma izivivinyo zokufanekisa ngemagnificent resonance zingenziwa ukuqinisekisa ukuxilongwa, ngokuya ngecala ngalinye.

I-Uroculture ne-antibiogram nayo ingacelwa ngudokotela ukuze abone ukuthi iyiphi i-ejenti ebangela i-pyelonephritis futhi isungule umugqa wokwelashwa ongcono kakhulu. Qonda ukuthi isiko lomchamo lenziwa kanjani.

I-Pyelonephritis ingadidaniswa ne-urethritis ne-cystitis, ngoba konke kungukutheleleka komgudu womchamo. Kodwa-ke, i-pyelonephritis ihambelana nokutheleleka okuthinta izinso, kuyilapho ku-cystitis amagciwane afinyelela esinyeni nase-urethritis, i-urethra. Thola ukuthi yini i-urethritis nokuthi uyelapha kanjani.