Chimwe chezvirwere zvakajairika zvekuvhenekera kwevakadzi mune pyelonephritis, zviratidzo uye kurapa izvo zvinoda kuwedzera kunyanya kukoshesa, nokuti zvinenge zvisingazivikanwi kune murwere, zvinogona kutungamirira kukura kwezvinetso zvinokuvadza.
Pyelonephritis - Zvinokonzera
Nehutachiona ichi, tsono inobatanidzwa mukuvhiringidza kwehutachiona - iyo ndiro ye-pelvic-apparatus uye parenchyma, ndiko kuti, izvo zvinokosha zvinoshanda zvechirongwa. Kakawanda, chironda chinoparadzaniswa chinokonzerwa nekupinda kwehutachiona hunogona kupinda muchirongwa mune imwe yenzira dzinotevera:
- achikwira - kubva kune nhengo dziri pedyo (bladder, urethra, nezvimwewo);
- rinotyisa - kuburikidza neropa kubva kune chinotapukira chinotapurika chiri mune chero chipi chezvikamu (nduru bladder, pakati pekunze, maono maxillary nezvakadaro);
- Lymphogenous - kuburikidza nemidziyo yemakirini inopesana nemamiriro ekurwa kwepachivi.
Renal pyelonephritis, nemhaka yezvinhu zvayo zvemaitiro, inowanzova chirwere chechikadzi, sezvo chironga chinowanikwa mumuguta chiri shoma kupfuura chevarume, uye chikamu chebonde uye rectum chiri pedyo zvikuru. Mukuwedzera, muviri wemadzimai unowanzotarisa kuchinja kwehomoni kunokonzera kuderera kwekudzivirirwa kwemukoko uye kuputsa kwehuwandu hwe microflora. Izvi zvinotevera zvipembenene zvinoonekwa sezvirwere zvinowanzozivikanwa zvehutachiona mune chirwere ichi (vazhinji vavo vari vamiririri vechidiki chinonzi microflora yemuviri):
- E. coli ;
- Pseudomonas aeruginosa ;
- enterococci;
- Klebsiella;
- streptococci;
- staphylococci;
- Proteins;
- Vadzidzi.
Zvinhu zvakashata zvinogona kukanganisa kukura kwekutsvoka ndezvi:
- kusagadzikana kwebhanhire ("neurogenic bladder");
- nephrolithiasis;
- urinary tract tumors;
- vesical-pelvic-ureteral reflux;
- hyperplasticity of the kidneys;
- chimiro chechimiro chechimiro chemazino;
- Matambudziko emagetsi anokonzerwa neyakawandisa munyu mumuviri (phosphates, urates, etc.);
- chirwere cheshuga mellitus;
- shingairira kuongororwa kwemashoko emuguta;
- kutora mamwe mishonga (sulfonamides, cytostatics, nezvimwe);
- kusvibiswa kwemahara;
- kudhakwa kwomuviri;
- supercooling;
- hormonal failure ;
- kushungurudzika;
- kusakwana kwehutano hwemadzimai.
Acute pyelonephritis
Munzira yakaoma ye pyelonephritis muvakadzi inoratidzirwa kamwe kamwe-kamwe uye chirevo chechirwere chechifananidzo chine kuwedzera kwezviratidzo. Kazhinji izvi ndizvo zvinotapurirana zvinotapukira, izvo zvisati zvamboitwa nhengo inoparadza kare, inosanganisira imwe yeitsvo. Nguva yechimiro chechirwere chacho inenge mazuva gumi nemazana makumi maviri nematanhatu (uye kurapa kwakarongeka zvakanaka).
Chronic pyelonephritis
Chronic pyelonephritis muvakadzi, vane zviratidzo uye kurapwa zvakasiyana neavo vari muhutano hwakaoma, hunoratidzwa nekuderera kunonoka nekudzokazve kwenguva. Zvishoma nezvishoma, nerudzi urwu rwehutachiona, hutachiona hwechigadziko hunotsiviwa nehutachiona hunoshandiswa husingaiti. Kakawanda, chirwere chisingaperi chinokonzera kusakwana kwepelononephritis. Muzviitiko zvizhinji, chirwere chisingaperi chine pyelonephritis chinoratidzwa munguva yekubata, iyo iyo panguva ino inowanzokonzera kuwedzera.
Ndeipi ngozi ye pyelonephritis?
Kana kusina nguva yakakodzera uye kurapa kwakakodzera, chirwere chinokonzera utano hwakakomba hutano. Somugumisiro wenguva yakareba yechirwere, inso inogona kukanganisa zvachose kukwanisa kwayo kushanda, iyo iyo, nekukuvara kwepasi, inokonzera kusagadzikana kwechirwere chisingaperi nekudiwa kwe hemodialysis. Mukuwedzera, zvinetso zvakadaro zvinogona kuitika:
- acute renal insufficiency;
- paranephritis;
- kuramba kuchiwedzera kuwedzerwa kweropa;
- necrotic papillitis;
- kidyo abscess ;
- urosepsis;
- bhakitiriya kushamiswa.
Zvisizvo zvakakodzera kucherechedza njodzi inotakurwa ne gestational pyelonephritis - inoyerera panguva yekutakura kwomwana. Chirwere chekurapa chinogona kukura kunyange mumadzimai ane pamuviri ane hutano ane maitiro anowanzoshanda, uye asina kuchinja maitiro mumugwagwa. Muchiitiko ichi, kazhinji chirwere chinotambudza vakadzi vanotanga kutora pamuviri, mumutatu wechipiri uye zvinogona kukonzera kuputsa kwekamuviri kamuviri, kuberekwa uye shure kwekuberekwa. Zvakaipa zvinokonzerwa ndezvi:
- kutanga kusununguka;
- gestosis;
- fetal hypotrophy;
- chisingaperi chisina kukwana;
- intrauterine chirwere che fetus;
- Kubvisa pamuviri kuberekwa.
Pyelonephritis - zviratidzo zvevakadzi
Zviratidzo zve pyelonephritis, iyo inowanikwa mune chimiro chakaoma, kazhinji inotevera:
- kuwedzera kwekushisa kwemuviri;
- chills, febrile mamiriro;
- kutuka kukuru;
- kurwadziwa kwakanyanya munharaunda yeguruva kubva kune rumwe rutivi rwechiremera, chinogona kudzorera, subcostal, nzvimbo inguinal, inopera;
- kushungurudza, kurutsa;
- kazhinji kunorwadza kunyorera nekukukurudzira;
- kuzvirumbidza pamakumbo;
- general weak;
- musoro, kurwadziwa kwemisonda.
Chronic pyelonephritis, zviratidzo zvinowanikwa nevarwere vakawanda, zvinowanzorambwa. Inonzi ichiti:
- kuwedzera kuneta;
- utera, utera;
- kugona;
- kurwadziwa kwekusagadzikana kwekunyengera kunobva kune rumwe rutivi rwekukundwa;
- malaise uye kurwadziwa kwakawedzera mushure mekushaya mhepo, mumvura ine mvura;
- kusada kudya;
- rinowedzera misoro;
- kugara uchidzoka.
Kutya ne pyelonephritis
Iyo yakaoma chimiro chechirwere uye kuwedzera kwepelelonephritis inoperekedzwa nekuwedzera kwekushisa zviratidzo, zvinogona kusvika 38-40 ° C. Kazhinji kutonhora kunokwira zvinoshamisa, pamwe nekuwedzera kwekutuka, kushandura kwekupisa uye chills, chirevo chakasimba. Izvi zvinoratidza kudhakwa kwemuviri nemishonga yekuparadzana kwezvirwere, izvo zvakashungurudza chirwere chinotapukira. Mushure mokutanga kwemishonga, kutonhora kunodonha, kusara kwenguva yakati mukati ma37-37.5 ° C.
Urine ne pyelonephritis
Kana mukadzi akawedzera pyelonephritis, urinha inoshandura mararamiro ayo akaenzana, kuve kunetseka, dzimwe nguva - rima, kuwana chirevo chekunhuhwirira kwakashata. Kakawanda neziso rakashama, rinoratidzira inclusions yeropa. Munguva yekudzora, kuratidzwa, kupisa, kuora, varwere vazhinji vanorondedzera zviratidzo zvakadai zvechirwere se urinary incontinence, nguva dzose uye zvido zvenhema zvekutora.
Pyelonephritis - kuongororwa
Kuti kusimbise kuongororwa kwe "pyelonephritis" kuvakadzi, apo zviratidzo zvinotaurwa uye kurapwa kunodiwa pakarepo, inonzi ultrasound diagnosis inorondedzerwa. Chiremba ane ruzivo uuzist achaona pakarepo zviratidzo zvepfungwa: kusagadzikana kusina kukodzera kwechirongwa, kukura muhukuru, asymmetry, kuwedzera kwekufamba, kuwedzera kwechikonzero cheparenchyma,
Zvinoratidza kuti chirwere ichi ndechekuongorora kwebhakato, izvo zvinoratidza zviratidzo zvakadaro:
- kuongororwa kwakafanana neropa - kuwedzera mune ESR, leukocytosis ;
- ruzivo rwekuronga urine - kuvapo kweprotheni uye mabhakitiriya;
- bacteriological kuongorora urini - kusarudza kwenhamba uye rudzi rwezvirwere.
Imwe inowanzoshandiswa yekutsvaga nzira ndeyekurography. Ichi ndicho chidzidzo che-X-ray, icho, nenzira yakaoma, isingaratidzi zviratidzo zvakajeka zvechirwere, asi nehupenyu husingagumi inopa mufananidzo wekuchinja muhutano hwetsvo. Kana pyelonephritis inofungidzirwa muvakadzi vane pamuviri, chirongwa che X-ray hachina kuitwa nekuda kwekuda kwemazuva ano kusvika kune fetus. Zvimwe zviratidzo zvekuongorora zvinogona kunyorwa zvishoma nezvishoma:
- CT, MRI;
- kidney biopsy;
- kunyatsorodza;
- renal angiography, nezvimwewo.
Pyelonephritis - kurapwa
Nzira yekurapa pyelonephritis, urologist kana nephrologist ichakurumidza mushure mokuita tsvakurudzo dzose dzinofanirwa kujekesa zviitiko zvekurwara. Mumatambudziko akaoma, hospitali inoitwa. Kakawanda chirwere chinonzi pyelonephritis chinotarisirwa, chinobva pakurapa. Muzviitiko zvakawanda, chirwere chisingaperi chine pyelonephritis chakafanana, asi chinoda nguva refu.
Kurapa kwe pyelonephritis - madhiragi
Ita mushonga we pyelonephritis nemishonga inorwisa mabhakitiriya, iyo ndiyo nzira yekurapa. Zvakakosha kugadzirisa kunzwisisika kwezvirwere zvinokonzera mishonga kune zvimwe zvinodhaka zvekare. Usati wagamuchira mhinduro dzekuongorora, antibiotics ye pyelonephritis inonyatsorongedzerwa, uye kazhinji inotanga nemishonga kubva kune boka re fluoroquinolones (Levofloxacin, Ofloxacin). Mukuwedzera, mishonga inorwisa mabhakitiriya inogona kurongerwa kurapwa:
- aminopenicillins (Amoxicillin, Penicillin);
- cephalosporins (Cefalexin, Cefepime);
- aminoglycosides (Gentamicin, Amikacin);
- carbopenems (Imipenem, Meropenem);
- sulfonamides (Co-trimoxazole).
Kusarura, nguva yekurapa, nzira yekutungamira kwemishonga inosarudzwa mumwe nomumwe. Uyewo, pyelonephritis muvakadzi, zviratidzo uye kurapwa zvinoda kuti munhu ave nemafungiro akazvimirira, anobatwa nekushandisa zvinodhaka kubva kune mamwe mapoka:
- diuretics (Furosemide);
- kwete-steroidal anti-inflammatory drugs (Voltaren, Movalis);
- anticoagulants (Heparin, Troxevasin);
- vitamini, maminera (vitamini A, E, C, β-carotene, selenium, etc.).
Pyelonephritis - mishonga yevanhu
Mukuwedzera pakurapa, inowanzokurudzirwa phytotherapy - kushandiswa kwemishonga yemichero uye michero ine antimicrobial, anti-inflammatory and diuretic effects. Kurapa kwe pyelonephritis muvakadzi kunogona kuitwa kuburikidza nekubatsirwa kwezvinyorwa zvezvirimwa zvakadai:
- bearberry;
- yarrow;
- cranberry;
- akasimuka mahudyu;
- cranberries;
- chamomile;
- calendula;
- mintini;
- bhizha rebirch nezvimwe zvakadaro.
Kudya ne pyelonephritis
Varwere vanofanira kuziva kana pyelonephritis inogona kushandiswa kune zvimwe zvibereko kubva pane kudya kwemazuva ose kunoshandiswa kare. Zvimwe zvekudya pashure pe pyelonephritis zvinotofanira kusiyiwa:
- nezvinonhuwira, zvinonhuhwira zvinonhuhwira;
- kusvuta;
- pickling;
- kubika;
- mafuta ekudya;
- fried food;
- rich broths.
Tinokurudzira chikafu chemukaka wezvinomera pamwe nekuiswa mazai, nyama yakaonda uye hove. Izvi zvinotevera miriwo nezvibereko zvinobatsira:
- mbatata;
- beet;
- zucchini;
- makungu;
- watermelons;
- maapuro;
- strawberries;
- melon;
- grenades, nevamwe.