Lesi yisifo esivezwa yinqubo yokuvuvukala ezinso ngenxa yokuvela kwamagciwane asemgudwini wokuchama.[1]… Kwenzeka, njengomthetho, ngenxa yemiphumela ye-microflora yezifo. Uma ungaqali ukwelapha lesi sifo ngesikhathi esifanele, singakhula sibe yifomu elingalapheki.
Izimbangela ze-pyelonephritis
Ukutheleleka kwezinso kubangelwa amagciwane noma amagciwane. Ososayensi bakholelwa ukuthi izifo eziningi ziqala emgodini ophansi womchamo. Amagciwane angena emzimbeni nge-urethra bese eqala ukwanda futhi asakazeke esinyeni. Ukusuka lapho, badabula i-ureters baye ezinso. Ngokuvamile, ukutheleleka kubangelwa amagciwane emathunjini, kaningi - i-streptococcus, i-staphylococcus.
Kwezinye izimo, amabhaktheriya noma amagciwane angathathwa kusuka kwezinye izitho aye ezinso ngegazi[5].
Izimpawu ze-pyelonephritis
Izimpawu zivame ukuvela ezinsukwini ezimbili zokutheleleka. Izimpawu ezijwayelekile zifaka:
- Ukushisa komzimba okwandisiwe. Lesi sibonakaliso asihlali sikhona ngaso sonke isikhathi, kepha kwesinye isikhathi ukushisa komzimba kwesiguli kungakhuphukela kuma-39 - 39,5 degrees.
- Ubuhlungu emuva, ezingaba namandla amakhulu ahlukile. Njengomthetho, itholakala ohlangothini lapho izinso ezithintekile ukutheleleka zitholakala khona, kepha wonke umgogodla ongezansi nawo ungalimaza.
- I-nausea kanye / noma ukuhlanza Futhi kuyisibonakaliso, ubunzima baso obungasukela ekungabikho okuphelele kuye kokubi kakhulu.
- I-cystitis eyophayo - Lolu uhlobo lwe-cystitis lapho kuvela khona igazi emchameni. Lokhu kungenxa ukuvuvukala ulwelwesi lwamafinyila odongeni lwesinye. Lesi sibonakaliso sivame kakhulu kwabesifazane kunabesilisa.[2].
- Ubuhlungu esiswini, emuva, ohlangothini, noma emgodini.
- Ukuchama kabuhlungu, kwesinye isikhathi ingahle ivame ukwedlula okujwayelekile. Umchamo ungaba nephunga elithile elingathandeki[3].
Ezinye izimpawu zingafaka futhi:
- ukuqhaqhazela noma ukubanda;
- isicasuli;
- ukuhlanza;
- ukukhathala.
- ukujuluka okwandayo.
Njengomthetho, amaqembu ahlukene abantu, ngokwesibonelo, izingane nasebekhulile, angaba nezimpawu ezihlukile. Kubantu abanesifo esingalapheki sesifo, izimpawu zingase zingabi namandla kakhulu noma zingabi bikho ngokuphelele ekubonakalisweni kwangaphandle. Uma ubona noma yiziphi izimpawu eziyisixwayiso, qiniseka ukuthi uthintana nodokotela wakho ukuthola iseluleko.[3].
Izinhlobo ze-pyelonephritis
Izinhlobo ezimbili eziyinhloko zalesi sifo yilezi i-acute futhi amafomu angapheli… I-primary acute pyelonephritis ukuvuvukala kwe-parenchyma yezinso futhi kuthinta inso elilodwa noma zombili. Kuyindlela elula yesifo futhi yiyona evame kakhulu.
Lesi simo singabonisa ngezinhlungu ezisezingeni eliphansi ezisezindaweni eziseceleni, imfiva ephezulu, ukujuluka okukhulu, ikhanda elibuhlungu, isicanucanu, ukuhlanza, ukuwohloka okuvamile, kanye ne-edema yezinso. Ngaphezu kwalokho, izimpawu zokutheleleka okuphansi komchamo kungenzeka zibe khona. Izimpawu ezisobala zesifo zingakhula ngokushesha ngokwanele - kungakapheli usuku olulodwa noma ezimbili.
Secondary i-pyelonephritis enamandla kungenzeka kwabesifazane abanokungajwayelekile komgudu womchamo, abesifazane abakhulelwe, izingane namadoda, futhi ngokuvamile kubhekwa njengokubi kakhulu kune-pyelonephritis eyinhloko eyi-acute. Izinto ezibikezela kusengaphambili zingabandakanya i-catheterization yesinye, izidakamizwa zokuzivikela ezifweni, ukufakelwa izinso, isifo sikashukela, isifo sezinso se-polycystic, nezinye izicubu.
Izimpawu ze-acute pyelonephritis yesibili (kwesinye isikhathi ibizwa ngokuthi i-pyelonephritis eyinkimbinkimbi eyinkimbinkimbi) sifana nokutheleleka okuyisisekelo, noma ngabe lesi sifo singase singabonakali.
I-pyelonephritis engapheli sisifo sezinso esivuthayo esivela ngaphakathi, esingahlali sithathelana ngaso sonke isikhathi. I-emphysematous pyelonephritis isifo esibi se-necrotizing renal parenchymal. Inqubo engapheli, ebhubhisayo ye-granulomatous evela ekuphenduleni komzimba okungaphelele, okungaphelele ekuthelelekeni kwebhaktheriya okuyisifo esaziwa ngokuthi yi-xanthogranulomatous pyelonephritis[6].
Izinkinga ze-pyelonephritis
Inkinga engaba khona ye-pyelonephritis ebukhali isifo esingapheliyo sezinso. Uma ungelashwa ngokushesha, ukutheleleka kwezinso kungaholela ezinkingeni ezingaba yingozi, njenge:
- Ukuvuvukala kwezinso. Lokhu kungaholela ezifweni ezingamahlalakhona zezinso, umfutho wegazi ophakeme, nokwehluleka kwezinso.
- I-Sepsis. Izinso zihluza imfucuza egazini bese zihambisa igazi elihlungiwe kuwo wonke umzimba. Ukuba nokutheleleka kwezinso kungadala ukuthi amabhaktheriya asabalale ngegazi aye kwezinye izitho. Lokhu kungaba yingozi.
- Izinkinga ngesikhathi sokukhulelwa. Abesifazane abahlakulela ukutheleleka kwezinso ngesikhathi sokukhulelwa bangaba nengozi eyengeziwe yokuba nengane enesisindo esiphansi sokuzalwa[4].
- Ukutheleleka okuvamile kwezinso.
- Ukungasebenzi kahle kwezinso.
Ukuvimbela i-pyelonephritis
Unganciphisa ubungozi bokugula ngokuzama ukugcina ukutheleleka kungangeni kumgudu wakho wokuchama. Abesifazane, ikakhulukazi, banganciphisa ubungozi bokutheleleka ngomgudu womchamo uma bephuza uketshezi olwanele. Izosiza ukukhipha amagciwane emzimbeni ngenkathi uchama. Kubalulekile futhi ukukhipha isinye ngemuva kokwenza ucansi ukusiza ukususa amabhaktheriya avela ku-urethra, ukunciphisa ubungozi bokutheleleka. Kunconywa ukuthi ungalibali ukuchama lapho uzizwa unesifiso esinjalo futhi ungapheli isikhathi eside kakhulu[4].
Izingozi Zezingozi
Abesifazane basengozini enkulu yokuthola i-pyelonephritis ngoba umchamo wabo mfushane kunowesilisa, okwenza kube lula ukuthi amabhaktheriya asuke ngaphandle komzimba aye esinyeni. Ukusondelana komchamo wesitho sangasese sowesifazane kanye nendunu nakho kudala amathuba amaningi okuthi amabhaktheriya angene esinyeni.[4]… Futhi, abantu abane:
- amasosha omzimba acindezelwe (aphethwe yingculazi, umdlavuza, isifo sikashukela);
- abanesifo se-vesicoureteral reflux (isimo lapho inani elincane lomchamo ligeleza libuyele esinyeni liye kuma-ureters)[3];
- ukuvinjelwa komgudu womchamo (noma yini enciphisa ukugeleza komchamo noma kunciphise amandla okukhipha isinye lapho uchama - kufaka phakathi amatshe ezinso, ukungajwayelekile esakhiweni sepheshana le-urinary, noma i-prostate ekhulisiwe emadodeni)[4].
Izinhlobo ezingapheli zesifo zivame kakhulu kubantu abanezinkinga zomchamo. Kungabangelwa i-UTI, i-vesicoureteral reflux, noma ukungajwayelekile kwe-anatomical. I-pyelonephritis engapheli ivame kakhulu ezinganeni kunabantu abadala[3].
Ukwelashwa kwe-pyelonephritis emithini esemthethweni
Ukwelashwa okuvame kakhulu ngama-antibiotic. Ukubukeka kwazo kuncike ekutheni kungenzeka yini ukunquma uhlobo lwama-bacterium acasule lesi sifo. Uma kungenjalo, kuzobekwa ama-antibiotic ebanzi. Yize umuthi ungasusa i-pyelonephritis ezinsukwini ezintathu kuya kwezine, kuvame kakhulu ukunconywa kuso sonke isikhathi semithi esinezinsuku ezingaba yishumi.
Kwezinye izimo, ukwelashwa ngezidakamizwa akusizi. Uma kunesifo esibi, udokotela anganikeza isiguli isibhedlela. Isikhathi sokuhlala esibhedlela sincike ebucayi besimo nokuthi umzimba uphendula kahle kanjani ekwelashweni. Ingafaka i-intravenous hydration kanye nama-antibiotics amahora angama-24 kuye kwangama-48. Ngenkathi isiguli sisesibhedlela, odokotela bazobheka igazi nomchamo wabo ukuqapha umsebenzi wokutheleleka. Ngemuva kokukhishwa, ungadinga futhi ukuthatha inkambo yama-antibiotic.
Kwezinye izimo, ukutheleleka kwezinso kungaba ngumphumela wenkinga yezokwelapha eyisisekelo. Ezimweni ezinjalo, kungahle kudingeke ukuthi kuhlinzwe ukususa noma yiziphi izithiyo noma ezinye izinkinga zesakhiwo ezinso. Ukuhlinzwa kungadingeka futhi ukukhipha ithumba elingaphenduli kuma-antibiotic[3].
Ukudla okuwusizo kwe-pyelonephritis
Nge-pyelonephritis, kufanelekile ukunamathela ekudleni. Izinhloso zayo jikelele ukudala izimo ezifanele, ezimnene ukuze izinso zisebenze, ukwehlisa umfutho wegazi, ukunciphisa i-edema, ukwenza i-alkalinize umchamo (njengoba amabhaktheriya ephindaphindeka kangcono endaweni ene-asidi), kanye nokuqeda ngokuphephile ubuthi, usawoti kanye nezinto ezine-nitrogen. emzimbeni. Kubalulekile ukunciphisa amaprotheni kancane, futhi ushiye amafutha nama-carbohydrate ezingeni elihambelana nokujwayelekile komzimba womuntu. Ngesikhathi esifanayo, kubaluleke kakhulu ukucebisa ukudla ngamavithamini. Ukudla kufanele kube lula. Kunconywa ukuthi ukubilise ukudla noma ukufuthise. Ukwenqaba ukuthosiwe noma ukunciphisa ukusetshenziswa kwaso kube ubuncane. Kunconywa ukufaka ukudla okunjalo ekudleni.
- I-1 Fluid - umthamo wayo ophelele ngosuku udinga ukwandiswa ukuze ukhiphe umchamo bese ususa amagciwane kanye nobuthi ezinso. Iziphuzo ezinjengetiye elimnyama elibuthaka, eliluhlaza noma elenziwe ngamakhambi, umhluzi we-rosehip unomphumela omuhle emzimbeni. Uma uphuza amanzi amaminerali, khona-ke okuqukethwe kosawoti be-sodium kuwo kufanele kuncishiswe.
- 2 Kubalulekile ukufaka imikhiqizo yobisi ekudleni kwakho, njengoba isiza ukuhambisa izinga le-pH lomchamo ohlangothini lwe-alkaline.
- 3 Kuyinto efiselekayo ukudla isinkwa sayizolo ngaphandle kasawoti.
- 4 Kuvunyelwe isobho lobisi noma lemifino.
- 5 Amasaladi enziwe ngemifino efana no-squash (anethonya lomchamo), amazambane, ithanga, izaqathe, ama-beet, iparsley nedill.
- 6 Kubalulekile ukucebisa ukudla okunamavithamini, ngoba ungadla imifino eluhlaza nezithelo, amajusi, ama-compotes, ama-mousses ezithelo nejeli. Ungadla uju ngamanani amancane.
Ukudla akudingi ukusikwa, ngoba nge-pyelonephritis, umsebenzi wepheshana lesisu awuphazamiseki. Ukudla kufanele kuhloswe ekuqedeni inqubo yokuvuvukala nokunciphisa isifo. Yingakho kubalulekile ukunamathela ekudleni futhi ungafaki ukudla okungavunyelwe, uhlu lwalo olunikezwe ngezansi.
Umuthi wendabuko we-pyelonephritis
Kumele kuqashelwe ukuthi ezimweni eziningi, ukwelashwa kwalesi sifo kwenziwa emnyangweni wezokwelapha noma ngaphansi kokuqondiswa okuqinile kadokotela oya khona. Izindlela zokwelashwa zendabuko azisisekelo, kepha ziyasiza, futhi zizoletha umphumela uma zixhunyaniswa nodokotela, kanye nokunamathela ngokuqinile emithini yokwelashwa ebekwe ngudokotela. Esigabeni esibucayi sesifo, zonke izindlela zihloselwe ukuqeda ukuvuvukala.
- Lungiselela i-decoction yamaqabunga e-coltsfoot. Adinga ukomiswa, agaywe abe yimpuphu, uthele izinkabi bese upheka imizuzu engaba mi-5 emlilweni omncane. Bese upholisa umhluzi, hluka nge-cheesecloth eligoqwe ngezendlalelo eziningana, bese uphuza inkomishi engu-1/3 kathathu ngosuku ngehora elilodwa ngaphambi kokudla. Ingxenye: 1 tbsp. amaqabunga ngamalitha ayi-0,5. amanzi.
- Ukuqoqwa kwamakhambi okususa inqubo yokuvuvukala kungalungiswa kusuka ezitshalweni ezilula. Kuzothatha 1 tbsp. i-dioecious nettle, izimbali ze-calendula, i-horsetail, amaqabunga e-birch, izinkulungwane zeminyaka, ne-2 tbsp. imbewu yefennel nezingilazi ezimbili zamanzi. Thela amanzi abilayo phezu kweqoqo, liyeke liphuze ihora, bese uthatha ama-2 ml izikhathi ezingama-50-3 ngosuku ngesikhathi sokuqina kwesifo.
- Ukufakwa kwamakhambi nama-elderberries kulungiswa ngale ndlela elandelayo. Zonke izingxenye zithathwa ngesilinganiso sama-25 amagremu. Kuyadingeka ukuxuba izimbali ze-blackberryberry emnyama, i-chamomile, i-linden perforatum ne-St John's wort. Thela le ngxube ngengilazi yamanzi abilayo, yeka ibile ihora lonke, ngaphansi kwesembozo, bese uhlunga uthathe ingilazi ngaphambi kokulala.
- Ukufakwa kwe-cornflower eluhlaza okwesibhakabhaka kunomphumela we-antimicrobial kanye ne-anti-inflammatory. Udinga 2 tsp. izimbali ze-cornflower eluhlaza okwesibhakabhaka zithela izingilazi ezimbili zamanzi abilayo, ziyivumele iphuze isigamu sehora, ihlunge futhi iphuze isigamu sengilazi kathathu ngosuku ngaphambi kokudla[1].
Ukudla okuyingozi nokulimazayo kwe-pyelonephritis
Kuzo zombili izigaba ezinzima nezingamahlalakhona ze-pyelonephritis, kunemikhawulo eminingana yokudla ezigulini. Akuvunyelwe ukusebenzisa noma yimiphi imikhiqizo ecasula i-urinary tract noma ibangele ukuvuswa kwesimiso sezinzwa. Ukudla okungavunyelwe kuhlanganisa:
- Usawoti. Ngenxa yokuvuvukala ezinso, imisebenzi yabo yokuhlunga kanye neyokukhubazeka ayisebenzi kahle. Lokhu kuholela ekususweni okunzima kobuthi nosawoti okweqile. Lokhu kuvusa ukwanda kwengcindezi, ukwakheka kwe-edema, namatshe ezinso. Ngakho-ke kuyalulekwa ukuthi isiguli sipheke ukudla ngaphandle kasawoti. Ngokubona kukadokotela obekhona, anganikezwa usawoti omncane wokuzisabalalisa.
- Utshwala. Iziphuzo ezidakayo azivunyelwe ngokuphelele kulesi sifo, njengoba zicindezela kakhulu izinso. Ngenxa yalokhu, ukuhoxiswa kwemikhiqizo ye-metabolic emzimbeni kuya kuba kubi, uketshezi lugcinwa kulo, lapho kuvela khona i-edema futhi inkambo yesifo ibhebhetheka kakhulu.
- Kubalulekile ukunciphisa inani lamaprotheni ezilwane atholakala kunoma iyiphi inyama, inhlanzi, amaqanda, ngoba le nto ihlanganisa umchamo, futhi le ndawo izuzisa ukukhula kwamagciwane. Ngenhloso efanayo, kubalulekile ukunciphisa inani lama-carbohydrate asheshayo adliwe, kanye nobhontshisi.
- Kubalulekile ukwenqaba ukudla okucasulayo: ukudla okusemathinini, amasoseji, imikhiqizo ebhemayo, inyama enamafutha nenhlanzi, i-garlic, isithombo, isithombo, amakhowe, isinkwa nemikhiqizo kafulawa enosawoti owengeziwe, itiye elinamandla, ikhofi, amanzi anosawoti we-sodium, amaswidi, amafutha. ukhilimu omuncu, amafutha ezilwane, amasoso, i-horseradish, isinaphi.
- Umuthi omusha wesintu. Ukwelashwa kwezifo ezivame kakhulu. - M.: I-Ripol classic, 2007 -544 iphe.
- I-athikili: "I-Acute Pyelonephritis", umthombo
- I-athikili: "I-Pyelonephritis", umthombo
- I-athikili: "Ukutheleleka kwezinso", umthombo
- I-athikili: "Izimpawu Nezimbangela Zokutheleleka Kwezinso (Pyelonephritis)" Umthombo
- I-athikili: "Yini iPyelonephritis?", Umthombo
Ukusetshenziswa kwanoma iyiphi into ngaphandle kwemvume yethu ebhaliwe akuvunyelwe.
Abaphathi ababophezelekile kunoma imuphi umzamo wokusebenzisa noma iyiphi iresiphi, iseluleko noma ukudla, futhi futhi akuqinisekisi ukuthi imininingwane ebekiwe izokusiza noma ikulimaze wena uqobo. Hlakanipha futhi ngaso sonke isikhathi uthintane nodokotela ofanele!
Qaphela!
Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!