I-Pyelonephritis

-Delile

• Ziyini izimpawu?
• Ziyini izimbangela?
• Ingabe zikhona izinto eziyingozi?
• I-pyelonephritis enamandla
• I-pyelonephritis engapheli
• Ukuhlonza i-pyelonephritis
• Ukuhlolwa komchamo
• Ukuhlola ukuhlolwa
• Ukucabanga ngemisebe
• Ukwelapha i-pyelonephritis
• Imithi elwa namagciwane
• Ukwamukelwa esibhedlela
• Ukuhlinzwa
• I-Pyelonephritis kwabesifazane abakhulelwe
• I-Pyelonephritis ezinganeni
• Izinkinga ezingaba khona
• Ukuvimbela i-pyelonephritis
• Amathiphu okuvimbela
  

Ukuqonda i-pyelonephritis

I-acel pyelonephritis ukutheleleka okungazelelwe futhi okunzima kwezinso. Kubangela izinso ukuvuvukala futhi kungazilimaza unomphela. I-Pyelonephritis ingasongela impilo.

Lapho ukuhlaselwa okuphindaphindiwe noma okuphikelelayo kwenzeka, lesi simo sibizwa nge-chronic pyelonephritis. Ifomu elingapheli alivamile, kepha kwenzeka kaningi ezinganeni noma kubantu abanezithiyo zomchamo.

Ziyini izimpawu?

Izimpawu zivame ukuvela ezinsukwini ezimbili zokutheleleka. Izimpawu ezijwayelekile zifaka:

• umkhuhlane omkhulu kuno-102 ° F (38.9 ° C)
• ubuhlungu esiswini, emuva, ohlangothini, noma ekubunjweni
• ukuchama kabuhlungu noma okushisayo
• umchamo onamafu
• ubomvu noma igazi emchameni
• ukuchama okuphuthumayo noma okuvamile
• umchamo onuka izinhlanzi

Ezinye izimpawu zingabandakanya:

• ukuqhaqhazela noma ukubanda
• isicanucanu
• ukuhlanza
• ukuqaqamba noma ukugula okujwayelekile
• ukukhathala
• isikhumba esimanzi
• ukudideka kwengqondo

Izimpawu zingahluka ezinganeni nakubantu abadala abadala kunakwabanye abantu. Isibonelo, ukudideka kwengqondo kuvamile kubantu abadala asebekhulile futhi imvamisa kuyisibonakaliso sabo kuphela.

Abantu abane-pyelonephritis engapheli bangathola izimpawu ezincane kuphela noma bangase bangabi nazo izimpawu ezibonakalayo ngokuphelele.

Ziyini izimbangela?

Ukutheleleka kuvame ukuqala emgodini ophansi we-urinary njenge-urinary tract infection (UTI). Amagciwane angena emzimbeni nge-urethra bese eqala ukwanda futhi asakazekele esinyeni. Ukusuka lapho, amabhaktheriya ahamba phakathi kwama-ureters aye ezinso.

Amagciwane anjenge E. coli kuvame ukudala ukutheleleka. Kodwa-ke, noma yikuphi ukutheleleka okungathi sína egazini kungasakazeka nasezinsweni futhi kudale i-acute pyelonephritis.

Ingabe zikhona izinto eziyingozi?

I-pyelonephritis enamandla

Noma iyiphi inkinga ephazamisa ukugeleza okuvamile komchamo idala ingozi enkulu ye-pyelonephritis enamandla. Isibonelo, umgudu womchamo osayizi noma umumo ongajwayelekile kungenzeka uholele ku-acute pyelonephritis.

Futhi, ama-urethra abesifazane mancane kakhulu kunawamadoda, ngakho-ke kulula ukuthi amabhaktheriya angene emzimbeni wabo. Lokho kwenza abesifazane bathambekele kakhulu ekuthelelekeni ngezinso futhi kubabeka engcupheni ephezulu ye-acute pyelonephritis.

Abanye abantu abasengozini enkulu bafaka:

• noma ngubani onamatshe ezinso angalapheki noma ezinye izimo zezinso noma zesinye
• abantu abadala asebekhulile
• abantu abanamasosha omzimba acindezelwe, njengabantu abanesifo sikashukela, i-HIV / AIDS, noma umdlavuza
• abantu abane-vesicoureteral reflux (isimo lapho umchamo omncane uphakama usuka esinyeni uye ezingubeni nasezinsweni)
• abantu abane-prostate enwetshiwe

Ezinye izinto ezingakwenza ube sengozini yokutheleleka zibandakanya:

• ukusetshenziswa kwepayipi
• ukuhlolwa kwe-cystoscopic
• ukuhlinzwa komgudu womchamo
• imithi ethile
• ukulimala kwemizwa noma komgogodla

I-pyelonephritis engapheli

Izinhlobo ezingapheli zesimo zivame kakhulu kubantu abanezithiyo zomchamo. Lokhu kungabangelwa ama-UTIs, ama-vesicoureteral reflux, noma ama-anatomical anomalies. I-pyelonephritis engapheli ivame kakhulu ezinganeni kunabantu abadala.

Ukuhlonza i-pyelonephritis

Ukuhlolwa komchamo

Udokotela uzohlola umkhuhlane, ubumnene esiswini, nezinye izimpawu ezivamile. Uma besola ukutheleleka kwezinso, bazo-oda ukuhlolwa komchamo. Lokhu kubasiza ukubheka amabhaktheriya, ukugxila, igazi, nobomvu emchameni.

Ukuhlola ukuhlolwa

Udokotela futhi anga-oda i-ultrasound ukuthi ibheke ama-cysts, izicubu, noma ezinye izithiyo ezitholakala kumchamo.

Kubantu abangaphenduli ekwelashweni kungakapheli amahora angama-72, kungahlolwa i-CT scan (enedayi engenawo umjovo). Lokhu kuhlolwa kungathola nokuvinjelwa ngaphakathi komgudu wokuchama.

Ukucabanga ngemisebe

Ukuhlolwa kwe-dimercaptosuccinic acid (DMSA) kungahle ku-elwe uma udokotela wakho esola ukuthi kunesilonda ngenxa ye-pyelonephritis. Lena inqubo yokuthwebula elandela umjovo wento enemisebe.

Isazi sezempilo sijova okokusebenza ngomthambo engalweni. Okubalulekile bese kuya ezinso. Izithombe ezithwetshulwe lapho okokusebenza okukhipha imisebe kudlula ezinso zibonisa izindawo ezinegciwane noma ezibaziweyo.

Ukwelapha i-pyelonephritis

Imithi elwa namagciwane

Imithi elwa namagciwane iyindlela yokuqala yokulwa ne-acute pyelonephritis. Kodwa-ke, uhlobo lwe-antibiotic udokotela wakho alukhethayo kuncike ekutheni amabhaktheriya angabonakala yini noma cha. Uma kungenjalo, kusetshenziswa isibulala-magciwane esibanzi.

Yize izidakamizwa zingakwelapha ukutheleleka kungakapheli izinsuku ezi-2 kuye kwezi-3, umuthi kufanele uphuzwe sonke isikhathi sencwadi kadokotela (imvamisa izinsuku eziyi-10 kuye kwezi-14). Lokhu kuyiqiniso ngisho noma uzizwa ungcono.

Izinketho zama-antibiotic yilezi:

• umagazine
• ciprofloxacin
• co-trimoxazole
• ampicillin

Ukwamukelwa esibhedlela

Kwezinye izimo, ukwelashwa ngezidakamizwa akusizi. Ngokutheleleka okukhulu kwezinso, udokotela wakho angakwamukela esibhedlela. Isikhathi sokuhlala kwakho sincike ebucayi besimo sakho nokuthi uphendula kahle kangakanani ekwelashweni.

Ukwelashwa kungafaka ukufakwa emithanjeni emithanjeni namagciwane amahora angama-24 kuye kwangama-48. Ngenkathi usesibhedlela, odokotela bazobheka igazi lakho nomchamo wakho ukulandelela ukutheleleka. Kungenzeka uthole ama-antibiotic omlomo abiza izinsuku eziyi-10 kuya kwezingu-14 ozowathatha ngemuva kokuphuma kwakho esibhedlela.

Ukuhlinzwa

Ukutheleleka okuvamile kwezinso kungahle kuvele enkingeni yezokwelapha eyisisekelo. Kulezo zimo, ukuhlinzwa kungadingeka ukususa noma yiziphi izithiyo noma ukulungisa noma yiziphi izinkinga zesakhiwo ezinso. Ukuhlinzwa kungadingeka futhi ukukhipha ithumba elingaphenduli kuma-antibiotic.

Ezimweni zokutheleleka okukhulu, i-nephrectomy ingadingeka. Kule nqubo, udokotela ohlinzayo ususa ingxenye yezinso.

I-Pyelonephritis kwabesifazane abakhulelwe

Ukukhulelwa kubangela izinguquko eziningi zesikhashana emzimbeni, kufaka phakathi nezinguquko zomzimba kupheshana lomchamo. Ukwanda kweprogesterone kanye nengcindezi eyengeziwe kuma-ureters kungaholela engozini eyandayo ye-pyelonephritis.

I-Pyelonephritis kwabesifazane abakhulelwe imvamisa idinga ukwamukelwa esibhedlela. Kungasongela impilo yomama nengane. Kungakhuphula nobungozi bokulethwa ngaphambi kwesikhathi. Abesifazane abakhulelwe baphathwa ngama-antibiotics e-beta-lactam okungenani amahora angama-24 kuze kube yilapho izimpawu zabo sezithuthuka.

Ukuvimbela i-pyelonephritis kwabesifazane abakhulelwe, isiko lomchamo kufanele lenziwe phakathi kweviki le-12 nele-16 lokukhulelwa. I-UTI engenazo izimpawu ingaholela ekwakhiweni kwe-pyelonephritis. Ukuthola i-UTI kusenesikhathi kungavimbela ukutheleleka kwezinso.

I-Pyelonephritis ezinganeni

Ngokwe-American Urological Association, e-United States, kwenziwa uhambo olungaphezu kwesigidi esisodwa kudokotela wezingane unyaka nonyaka kuma-UTIs ezingane. Amantombazane asengozini enkulu uma engaphezu konyaka owodwa ubudala. Abafana basengozini enkulu uma bengaphansi koyedwa, ikakhulukazi uma bengasokile.

Izingane ezine-UTIs zivame ukuba nomkhuhlane, ubuhlungu, nezimpawu ezihlobene nomgudu wokuchama. Udokotela kufanele abhekane nalezi zimpawu ngokushesha ngaphambi kokuba zikhule zibe yi-pyelonephritis.

Iningi lezingane lingelashwa ngama-antibiotic omlomo ngendlela yokugula. Funda kabanzi ngama-UTIs ezinganeni.

Izinkinga ezingaba khona

Inkinga engaba khona ye-pyelonephritis ebukhali isifo esingapheliyo sezinso. Uma ukutheleleka kuqhubeka, izinso zingalimala unomphela. Yize kuyivelakancane, kungenzeka nokuthi ukutheleleka kungene egazini. Lokhu kungaholela ekutheleleni okungenzeka kube yingozi okubizwa ngokuthi i-sepsis.

Ezinye izinkinga zifaka:

• ukutheleleka kwezinso okuqhubekayo
• ukutheleleka kusakazeka ezindaweni ezizungeze izinso
• ukwehluleka okukhulu kwezinso
• ithumba lezinso

Ukuvimbela i-pyelonephritis

I-Pyelonephritis ingaba yisimo esibi kakhulu. Xhumana nodokotela wakho ngokushesha uma usola ukuthi une-pyelonephritis noma i-UTI. Lesi simo sidinga ukwelashwa ngokushesha, ngakho-ke lapho uqala ukwelashwa kusenesikhathi, kungcono.

Amathiphu okuvimbela

1. Phuza uketshezi oluningi ukwandisa ukuchama futhi ususe amabhaktheriya kwi-urethra.
2. Chama ngemuva kocansi ukusiza ukukhipha amagciwane.
3. Sula kusuka phambili uye emuva.
4. Gwema ukusebenzisa imikhiqizo engacasula i-urethra, njengama-douches noma izifutho zabesifazane.