Ichi chirwere chinoratidzirwa neyakagumbuka maitiro muitsvo semhedzisiro yekuonekwa kwehutachiona muurinary turakiti.[1]… Zvinoitika, sekutonga, nekuda kwemhedzisiro yehutachiona microflora. Kana iwe ukasatanga kurapa chirwere munguva yakakodzera, inogona kukura kuita chisingaperi fomu.
Zvinokonzera pyelonephritis
Utachiona hweitsvo hunokonzerwa nehutachiona kana hutachiona. Masayendisiti anotenda kuti hutachiona hwakawanda hunotangira mune yepazasi weti. Mabhakitiriya anopinda mumuviri kuburikidza nererethra otanga kuwanda uye kutandavara kuenda padundira. Kubva ipapo, ivo vanofamba nepakati pemvura kusvika kuitsvo. Kazhinji kazhinji, hutachiona hunokonzerwa nehutachiona hwemukati, kashoma - streptococcus, staphylococcus.
Mune zvimwe zviitiko, mabhakitiriya kana hutachiona hunogona kutakurwa kubva kune dzimwe nhengo kuenda kuitsvo kuburikidza neropa[5].
Zviratidzo zve pyelonephritis
Zviratidzo zvinowanzoonekwa mukati memazuva maviri ehutachiona. Zviratidzo zvakajairika zvinosanganisira:
- Kuwedzera kwekushisa kwemuviri. Chiratidzo ichi hachiwanzovapo, asi dzimwe nguva tembiricha yemuviri wemurwere inogona kukwira kusvika pa39 - 39,5 degrees.
- Musana, iyo inogona kuve nemasimba akasiyana. Semutemo, inowanikwa munzvimbo ine itsvo inobatwa nehutachiona, asi iyo yese yepazasi kumashure inogona kukuvadza.
- Nausea uye / kana kurutsa Ichowo chiratidzo, kuomarara kwacho kunogona kubva pakushaikwa zvachose kusvika pakukomba.
- Hemorrhagic cystitis - Urwu ndirwo rudzi rwecystitis umo ropa rinoonekwa mumuguta. Izvi imhaka kuzvimba mucous Kamudzira pamusoro dundira rusvingo. Ichi chiratidzo chinowanzoitika kune vakadzi kupfuura varume.[2].
- Marwadzo mudumbu, musana, parutivi, kana kugomera.
- Kunorwadza weti, dzimwe nguva zvinogona kuwanda kupfuura zvakajairwa. Weti inogona kunge iine hunhu husingafadzi[3].
Zvimwe zviratidzo zvinogona zvakare kusanganisira:
- kuzunza kana kutonhora;
- nausea;
- kurutsa;
- kuneta.
- kuwedzera kudikitira.
Sezvo mutemo, mapoka akasiyana evanhu, semuenzaniso, vana nevakuru, vanogona kunge vaine zviratidzo zvakasiyana. Mune vanhu vane chirwere chisingaperi chechirwere, zviratidzo zvinogona kunge zvakanyanyisa kana kusavapo zvachose mukuratidzwa kwekunze. Kana iwe ukaona chero zviratidzo zvekunyevera, ita shuwa kubvunza chiremba wako kuti akupe mazano.[3].
Mhando dze pyelonephritis
Mhando mbiri huru dzechirwere ichi acute uye zvisingaperi mafomu… Primary acute pyelonephritis kuzvimba kwechiropa parenchyma uye kunokanganisa imwe kana mbiri itsvo. Iyo iri nyore fomu yechirwere uye ndiyo yakanyanya kuwanda.
Aya mamiriro anogona kuunza nemarwadzo ekudzokera kumashure akaiswa padivi, kupisa kwakanyanya, kuwedzera kudikitira, kurwadziwa nemusoro, kuda kurutsa, kurutsa, general malaise, uye itsvo edema. Mukuwedzera, zviratidzo zvehutachiona hwehutachiona hwehutachiona hungave huripo. Zviratidzo zviri pachena zvechirwere zvinogona kukura nekukurumidza zvakakwana - mukati mezuva rimwe chete kana maviri.
Secondary chakakomba pyelonephritis zvinogona kuitika kune vakadzi vane urinary turakiti zvisina kujairika, vakadzi vane nhumbu, vana, uye varume, uye inowanzoonekwa seyakakomba kupfuura acute primary pyelonephritis. Kufungidzira zvinogona kusanganisira catheterization yedundira, zvinodhaka zvinodzivirira muviri, kuisirwa itsvo, chirwere cheshuga mellitus, chirwere cheitsvo che polycystic, uye mamwe mamota.
Zviratidzo zvechipiri chakanyanya pyelonephritis (dzimwe nguva inonzi yakaoma yakaoma pyelonephritis) yakafanana nehutachiona hwekutanga, kunyange hazvo chirwere ichi chingave chisina chiratidzo.
Chisingaperi pyelonephritis inopararira, yepakati yekuzvimba yeitsvo chirwere chisingagari chinotapukira mumavambo. Emphysematous pyelonephritis yakakomba necrotizing renal parenchymal hutachiona. Iyo isingagumi, inoparadza granulomatous maitiro anomuka kubva kune atypical, isina kukwana immune mhinduro kune subacute hutachiona hutachiona inozivikanwa se xanthogranulomatous pyelonephritis[6].
Matambudziko e pyelonephritis
Chinhu chinogoneka cheacute pyelonephritis chirwere chisingaperi cheitsvo. Kana ikasarapwa nekukasira, hutachiona hweitsvo hunogona kutungamira kuzvinetso zvakakomba, senge:
- Itsvo kuzvimba. Izvi zvinogona kutungamira kuchirwere chetsvo chisingaperi, kuwedzerwa kweropa, uye kukundikana kweitsvo.
- Sepsis. Itsvo dzinosefa tsvina kubva muropa uye dzinoendesa iro rakanatswa ropa kune iro rese muviri. Kuva nehutachiona hweitsvo kunogona kukonzera kuti mabhakitiriya apararire kuburikidza neropa kune dzimwe nhengo. Izvi zvinogona kuve zvinouraya.
- Matambudziko panguva yekuzvitakura. Vakadzi vanokudziridza hutachiona hweitsvo panguva yekuzvitakura vanogona kuve nenjodzi yekuwedzera yekuva nehuremu hwekuzvarwa mwana[4].
- Zvirwere zveitsvo.
- Yakakomba itsvo kutadza.
Kudzivirira pyelonephritis
Iwe unogona kudzikisa njodzi yako yekurwara nekuyedza kuchengetedza hutachiona kuti usapinda mune yako weti turakiti. Vakadzi, kunyanya, vanogona kudzikisa njodzi yavo yehutachiona hwehutachiona kana vakanwa zvinwiwa zvakakwana. Ichabatsira kuburitsa mabhakitiriya kunze kwemuviri uchiita weti. Izvo zvakakoshawo kuburitsa dundira mushure mekusangana kuti ubatsire kujekesa mabhakitiriya kubva murethra, zvichideredza njodzi yekutapukirwa. Zvinokurudzirwa kuti usanonoka kuita weti kana iwe uchinzwa chishuwo chakadai uye kuti usatsungirire kwenguva refu[4].
Risk Factors
Vakadzi vari panjodzi yekuvandudza pyelonephritis nekuti urethra yavo ipfupi pane yevarume, izvo zvinoita kuti zvive nyore kubhakitiriya kufamba kubva kunze kwemuviri kuenda kudundira. Iko kuswedera kweiyo urethra kumukadzi uye anus zvakare kunogadzira mikana yakawanda yebhakitiriya yekupinda mudundira.[4]… Zvakare, vanhu vane:
- yakadzivirirwa immune system (inotambura neAIDS, cancer, chirwere cheshuga);
- vanotambura ne vesicoureteral reflux (mamiriro umo huwandu hwushoma hwemurini hunoyerera hudzoka kubva ku bladder kuenda kune ureters)[3];
- kuve nekuvharika kweiyo weti (chero chinhu chinononoka kuyerera kweweti kana kudzikisira kugona kuburitsa dundira paunenge uchiita weti - kusanganisira itsvo matombo, kusagadzikana mukuumbwa kweiyo weti turakiti, kana kuwedzerwa kweprostate muvarume)[4].
Zvirwere zvisingaperi zvechirwere zvinowanzoitika kune vanhu vane urinary kusagadzikana. Inogona kukonzerwa ne UTI, vesicoureteral reflux, kana kusanzwisisika kwemaatomical. Chirwere pyelonephritis chinowanzoitika muvana kupfuura muvakuru[3].
Kurapa kwe pyelonephritis mumushonga unoshanda
Kurapa kwakanyanya mishonga inorwisa mabhakitiriya. Chitarisiko chavo chinoenderana nekuti zvinokwanisika here kuona mhando yebhakitiriya yakamutsa chirwere. Kana zvisina kudaro, ipapo mabhaisikopo akapararira anotsanangurwa. Kunyangwe mushonga wacho uchigona kujekesa pyelonephritis mumazuva matatu kana mana, inowanzo kurudzirwa kwenguva yese yekunyorera yemazuva gumi.
Mune zvimwe zviitiko, kurapwa kwezvinodhaka hakubatsiri. Kana paine chirwere chakakomba, chiremba anogona kupa murwere chipatara. Kureba kwekugara muchipatara kunoenderana nekuomarara kwemamiriro acho uye nemabatiro anoita muviri kurapwa. Inogona kusanganisira intravenous hydration nemishonga inorwisa mabhakitiriya kwemaawa makumi maviri nemana kusvika makumi mana. Panguva iyo murwere ari muchipatara, vanachiremba vanoongorora ropa ravo uye weti kuti vaone zviitiko zvehutachiona. Mushure mekubuda, iwe ungangodawo kutora nzira yemishonga inorwisa mabhakitiriya.
Mune zvimwe zviitiko, hosha yeitsvo inogona kunge iri mhedzisiro yedambudziko rekurapa. Mumamiriro ezvinhu akadaro, kuvhiyiwa kunogona kudikanwa kubvisa chero zvipingaidzo kana chero matambudziko ehurongwa muitsvo. Kuvhiya kunogona zvakare kudikanwa kubvisa bundu risingapindure kumishonga inorwisa mabhakitiriya[3].
Zvishandiso zvinobatsira zve pyelonephritis
Ne pyelonephritis, zvinofanirwa kunamatira kuchikafu. Zvinangwa zvaro zvakajairika ndezvekugadzira mamiriro akakodzera, akapfava ekuti itsvo dzishande, kudzikira kweropa, kuderedza edema, kuita alkalinize weti (nekuti mabhakitiriya anowanda zvirinani munzvimbo ine acidic), pamwe nekubviswa kwakachengeteka kwehupfu, munyu uye zvinhu zvine nitrogen. kubva mumuviri. Izvo zvakakosha kudzikamisa mapuroteni zvishoma, uye siya mafuta uye makabhohaidhiretsi padanho rinoenderana neyakajairwa chimiro chemunhu. Panguva imwecheteyo, zvakakosha kuti upe chikafu chine mavitamini. Chikafu chinofanira kuve chakareruka. Zvinokurudzirwa kubika chikafu kana kuchipisa. Ramba zvakakangwa kana kudzikisa mashandisiro ayo padiki. Zvinokurudzirwa kuisa chikafu chakadai mukudya.
- 1 Fluid - huwandu hwayo hwese pazuva hunofanirwa kuwedzerwa kuitira kuburitsa urineni uye kubvisa hutachiona uye chepfu kubva kuitsvo. Zvinwiwa senge isina kusviba nhema, girini kana mishonga tii, rosehip muto unobatsira panyama. Kana iwe ukanwa zvicherwa mvura, zvino zviri mukati mune sodium munyu mairi inofanira kuderedzwa.
- 2 Zvakakosha kuisa zvigadzirwa zvemukaka mukudya kwako, sezvo zvichibatsira kufambisa weti pH yakananga kudivi realkaline.
- 3 Zvinodikanwa kudya chingwa chanezuro chisina munyu.
- 4 Dairy kana soup yemuriwo inobvumidzwa.
- 5 Masaladhi akagadzirwa kubva mumiriwo senge squash (ane diuretic athari), mbatatisi, manhanga, karoti, beet, parsley nedhiri.
- 6 Zvakakosha kunatsiridza kudya nemavhitamini, nekuti unogona kudya miriwo miriwo nemichero, majusi, macompote, michero mousses uye jelly. Iwe unogona kudya huchi mune zvishoma zvishoma.
Chikafu hachidi kutemwa, nekuti ne pyelonephritis, basa remudumbu harivhiringidzike. Kudya kunofanirwa kuve kuitiswa kubvisa iyo yekuzvimba maitiro uye kurerutsa nzira yechirwere. Ndokusaka zvakakosha kunamatira kuchikafu uye kusabvisa chikafu chakarambidzwa, iwo runyorwa rwunopihwa pazasi.
Chinyakare mushonga wepyelonephritis
Izvo zvinofanirwa kucherechedzwa kuti muzviitiko zvakawanda, kurapwa kwechirwere ichi kunoitwa mune inpatient department kana pasi pekutarisirwa kwakasimba kwechiremba aripo. Maitiro echinyakare ekurapa haasi akakosha, asi ebetsero, uye anounza mhedzisiro kana akabatana nachiremba, pamwe nekuteerera kwakasimba kurapa kwakatemwa nachiremba. Muchikamu chakaoma chechirwere, nzira dzose dzinoitirwa kubvisa kuzvimba.
- Gadzirira decoction yemashizha etsoka. Dzinoda kuomeswa, kukanywa kuita hupfu, kudira mombe uye kubika kwemaminitsi mashanu pamusoro pemoto wakadzika. Wobva watonhoresa muto, svinura kuburikidza cheesecloth yakapetwa mumatanho akati wandei, uye unwe 5/1 mukombe katatu pazuva paawa imwe usati wadya. Chikamu: 3 tbsp. mashizha e1 litita. mvura.
- Unganidzo yemakwenzi yekubvisa iyo yekudzivirira inogona kugadzirirwa kubva kune zvirimwa zvirinyore. Zvinotora 1 tbsp. dioecious nettle, calendula maruva, horsetail, birch mashizha, millennials, uye 2 tbsp. fennel mbeu uye magirazi maviri emvura. Dururira mvura inodzika pamusoro peunganidzwa, rega iite kweawa, uyezve tora 2 ml 50-3 kanomwe pazuva panguva dzekuwedzera kwechirwere.
- Iyo infusion yemakwenzi uye elderberries inogadzirwa seinotevera. Zvese zvinhu zvinotorwa muchiyero che25 gramu. Izvo zvinodikanwa kusanganisa maruva e black elderberry, chamomile, linden perforatum uye St. John's wort. Dururirai musanganiswa uyu negirazi remvura irikufashaira, rega iite kweawa, pasi pechivharo, wozomenya uye utore girazi usati warara.
- Kuiswa kwebhuruu cornflower kune antimicrobial uye anti-kupisa maitiro. Unoda 2 tsp. maruva ebhuruu cornflower anodira magirazi maviri emvura irikufashaira, rega iite kwehafu yeawa, simbisa uye inwe hafu yegirazi katatu pazuva usati wadya[1].
Chikafu chine njodzi uye chinokuvadza che pyelonephritis
Munguva dzese dzakaoma uye dzisingaperi nhanho dzepyelonephritis, kune huwandu hwezvirambidzo zvekudya kune varwere. Zvinorambidzwa kushandisa chero zvigadzirwa zvinotsamwisa urinary turakiti kana kutsamwisa excitation of the nervous system. Zvokudya zvinorambidzwa zvinosanganisira:
- Munyu. Nekuda kwekuzvimba muitsvo, kwavo kusefa uye kwekunyanyisa mabasa kwakanganiswa. Izvi zvinotungamira mukubviswa kwakaomarara kwehupfu uye munyu wakawandisa. Izvi zvinomutsa kuwedzera kwekumanikidza, kuumbwa kweedema, uye mabwe eitsvo. Saka zvinokurudzirwa kuti murwere abike chikafu chisina munyu. Pakuona kwechiremba aripo, anogona kupihwa huni shoma yemunyu wekuzvigovanisa wega.
- Doro. Zvinwiwa zvinodhaka zvinopikiswa zvakanyanya muchirwere ichi, sezvo zvichishungurudza zvakanyanya itsvo. Nekuda kweizvi, kubviswa kwezvigadzirwa zvemetabolism kubva mumuviri kunowedzera, mvura inochengetwa mukati mayo, kubva kune iyo edema inoonekwa uye nzira yechirwere inowedzera zvakanyanya.
- Izvo zvakakosha kuti udzikise huwandu hwemapuroteni emhuka anowanikwa mune chero nyama, hove, mazai, nekuti chinhu ichi chinosanganisa weti, uye nharaunda iyi inokodzera kukura kwebhakitiriya. Nechinangwa chimwe chete, zvakakosha kudzikisa huwandu hweanokurumidza makabhohaidhiretsi anodyiwa, pamwe nebhinzi.
- Zvakakosha kuramba zvokudya zvinogumbura: zvokudya zvomumagaba, soseji, zvinhu zvinopfungaira, nyama ine mafuta nehove, gariki, radish, radish, howa, chingwa uye zvigadzirwa zveupfu nemunyu wakawedzerwa, tii yakasimba, kofi, mvura ine sodium munyu, zvihwitsi, mafuta. kirimu yakasviba, mafuta emhuka, sosi, horseradish, mustard.
- Mutsva mutsva mushonga. Kurapa kwezvirwere zvakajairika. - M.: Ripol classic, 2007 -544 p.
- Chinyorwa: "Acute Pyelonephritis", mabviro
- Chinyorwa: "Pyelonephritis", mabviro
- Chinyorwa: "Utachiona hweitsvo", mabviro
- Chinyorwa: "Zviratidzo & Zvinokonzeresa Utachiona hweItsvo (Pyelonephritis)" Kunobva
- Chinyorwa: "Chii chinonzi Pyelonephritis?", Kunobva
Kushandiswa kwechinhu chero chipi zvacho pasina mvumo yedu yakanyorwa kare kunorambidzwa
Iwo manejimendi haakonzere chero kuyedza kushandisa chero nzira yekubikisa, kuraira kana chikafu, uye zvakare haivimbise kuti iyo yakatarwa ruzivo ichakubatsira kana kukukuvadza iwe pachako. Iva akangwara uye gara uchitsvaga chiremba akakodzera!
Chenjerera!
Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!