Pyelonephritis: chii, zviratidzo zvikuru uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Pyelonephritis pakuzvitakura
• Kurapwa kunoitwa sei
• Maitiro ekuongororwa kunoitwa

Pyelonephritis chirwere chekuvhenekera, chinowanzo kukonzerwa nehutachiona hunobva mudundira, hunosvika kuitsvo dzinokonzera kuzvimba. Aya mabhakitiriya anowanzo kuve ari mumatumbu, asi nekuda kweimwe mamiriro anogona kuwedzera uye kusvika kuitsvo.

E. coli ibhakitiriya rine gramu-isina iro rinowanzogara mumatumbu, riine chekuita neanosvika 90% ezviitiko zve pyelonephritis.

Uku kuzvimba kunowanzoitika muvacheche vari pasi pegore rimwe chete, vakadzi, nekuda kwehukama hwepedyo pakati peanus uye urethra, uye mune varume vane benign prostatic hyperplasia, sezvo paine kuwedzera kwekuchengetedza weti.

Pyelonephritis inogona kusarudzwa se:

• Chenjera pyelonephritis, apo hutachiona hunoonekwa nekukasira uye zvakanyanya, huchi nyangarika mushure memavhiki mashoma kana mazuva;
• Chisingaperi pyelonephritis, iyo inozivikanwa nekudzokororwa kwehutachiona hutachiona uye isina kurapwa zvakanaka, zvichikonzera kuzvimba kwenguva refu muitsvo uye kukuvara kwakakomba uko kunogona kutungamira kukundikana kwetsvo.

Zviratidzo zvikuru

Zviratidzo zvakanyanya zve pyelonephritis marwadzo muzasi kumashure, pelvic, mudumbu uye musana. Zvimwe zviratidzo ndezvi:

• Kurwadziwa uye kupisa paunenge uchiita weti;
• Nguva dzose kuda kuita weti;
• Weti inonhuwa;
• Malaise;
• Kupindwa nechando;
• Kutonhora:
• Nausea;
• Kudikitira;
• Kusvipa;
• Makore ane weti.

Uye zvakare, iyo weti bvunzo inoratidza kuvepo kweakawanda mabhakitiriya uye leukocyte mukuwedzera kune kuvepo kweropa, mune dzimwe nguva. Ona kuti ndezvipi zviratidzo zvehutachiona hwehutachiona hutachiona.

Mukuwedzera kune mafomu akaomarara uye asingagumi, pyelonephritis inogona kunzi emphysematous kana xanthogranulomatous zvinoenderana nezviratidzo zvinomuka. In emphysematous pyelonephritis kune kuunganidzwa kwemagasi anogadzirwa nehutachiona huripo muitsvo, hunowanzo kuzivikanwa mune vanhu vane chirwere cheshuga, nepo xanthogranulomatous pyelonephritis inoratidzirwa nekutsamwa kwakasimba uye kunogara kuripo kweitsvo, uko kunotungamira mukuparadzwa kwayo.

Pyelonephritis pakuzvitakura

Pyelonephritis pakuzvitakura inowanzo kukonzerwa nehutachiona hwechiropa hwakareba, hunowanzo kukonzerwa nemabhakitiriya kana fungi senge,Candida albicans.

Mukuzvitakura, itsvo hutachiona hwakajairika, nekuti kuwanda kwemahormone akadai seprogesterone kunotungamira mukuzorora kweti weti, zvichiita kuti kupinda kwebhakitiriya mudundira nekuwanda kwayo. Kana hutachiona husingawanikwe kana kurapwa, hutachiona hunowanda uye hunotanga kusimuka mune weti turakiti, ichisvika kuitsvo uye zvichikonzera kuzvimba kwavo.

Kurapa kwe pyelonephritis pakuzvitakura kunogona kuitwa nemishonga inorwisa mabhakitiriya, iyo isingakoshese kukura kwemwana, zvinoenderana nehunyanzvi hwehutachiona uye husina simba mukukura kwemwana.

Kurapwa kunoitwa sei

Kurapa kwe pyelonephritis kunowanzoitwa nemishonga inorwisa mabhakitiriya maererano nehunyanzvi hwehutachiona uye hunofanira kutanga nekukurumidza kudzivirira kukuvara kwetsvo uye kudzivirira hutachiona kubva pakupararira muropa zvichikonzera septicemia. Analgesics uye anti-anogumbura zvinodhaka zvinogona kushandiswa kugadzirisa marwadzo.

Kana pyelonephritis inokonzereswa nekuvhiringidzwa kana kukanganisa kweitsvo, kuvhiya kunogona kudikanwa kugadzirisa dambudziko.

Acute pyelonephritis, kana ikasarapwa, inogona kufarira kuitika kwe septicemia, itsvo kuputika, itsvo kutadza, neBP uye chisingaperi pyelonephritis. Kana pane chirwere chisingaperi che pyelonephritis, chakakomba itsvo kukuvara uye itsvo kutadza, pamusoro pekushandisa kwemishonga inorwisa mabhakitiriya, dialysis inogona kudikanwa vhiki rega-rega kusefa ropa.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwepyelonephritis kunoitwa nachiremba wezveuropi kuburikidza nekuongororwa kwezviratidzo zvemurwere, kuongororwa kwemuviri kwakadai sekuwandisa kwenzvimbo ye lumbar uye kuongorora weti kuti uone kuvapo kweropa, leukocyte uye mabhakitiriya mumugini. Ultrasound, x-ray uye computed tomography kana magnetic resonance imaging bvunzo dzinogona kuitiswa kusimbisa kuongororwa, zvichienderana nenyaya imwe neimwe.

Uroculture uye antibiogram inogona zvakare kukumbirwa nachiremba kuti aone kuti ndeipi mumiririri inokonzeresa pyelonephritis uye nekumisikidza yakanyanya mutsetse wekurapa. Nzwisisa kuti tsika yetsvina inogadzirwa sei.

Pyelonephritis inogona kuvhiringidzwa nererethritis uye cystitis, nekuti ese ari hutachiona hweurinary turakiti. Nekudaro, pyelonephritis inoenderana nehutachiona hunokanganisa itsvo, nepo mu cystitis mabhakitiriya anosvika mudundira uye mune urethritis, urethra. Tsvaga kuti urethritis chii uye maitiro ekurapa.