Ichi ndi matenda omwe amadziwika ndi kutupa kwa impso chifukwa cha mabakiteriya omwe amapezeka mumikodzo.[1]… Zimachitika, monga lamulo, chifukwa cha zovuta za microflora yamatenda. Ngati simumayamba kuchiza matendawa munthawi yake, amatha kukhala mawonekedwe osachiritsika.
Zimayambitsa pyelonephritis
Matenda a impso amayamba chifukwa cha mabakiteriya kapena mavairasi. Asayansi amakhulupirira kuti matenda ambiri amayamba m'munsi mwa mkodzo. Mabakiteriya amalowa m'thupi kudzera mu mtsempha wa mkodzo ndikuyamba kuchulukana ndikufalikira chikhodzodzo. Kuchokera pamenepo, amapyola ureters kupita ku impso. Nthawi zambiri, matendawa amayamba chifukwa cha mabakiteriya am'matumbo, mocheperako - streptococcus, staphylococcus.
Nthawi zina, mabakiteriya kapena ma virus amatha kunyamulidwa kuchokera ku ziwalo zina kupita ku impso kudzera m'magazi[5].
Zizindikiro za pyelonephritis
Zizindikiro nthawi zambiri zimawoneka pakadutsa masiku awiri mutadwala. Zizindikiro zodziwika ndizo:
- Kuchuluka kwa kutentha kwa thupi. Chizindikiro sichipezeka nthawi zonse, koma nthawi zina kutentha kwa thupi kwa wodwala kumatha kukwera mpaka 39 - 39,5 madigiri.
- Msana, Zitha kukhala zamphamvu zosiyanasiyana. Monga lamulo, imapezeka m'mbali mwa impso zomwe zakhudzidwa ndi matendawa, koma kumbuyo konseko kumatha kupwetekanso.
- Nausea ndi / kapena kusanza Ndichizindikiro, kuuma kwake komwe kumatha kusiyanasiyana mpaka kukafika pachimake.
- Kutuluka kwa cystitis - Ichi ndi mtundu wa cystitis womwe magazi amawonekera mkodzo. Ichi ndi chifukwa kutupa kwa mucous nembanemba wa chikhodzodzo khoma. Chizindikiro ichi chimapezeka kwambiri mwa amayi kuposa amuna.[2].
- Ululu m'mimba, kumbuyo, mbali, kapena kubuula.
- Kupweteka pokodza, nthawi zina zimatha kupezeka pafupipafupi kuposa masiku onse. Mkodzo ukhoza kukhala ndi fungo linalake losasangalatsa[3].
Zizindikiro zina zimaphatikizaponso:
- kugwedeza kapena kuzizira;
- chisokonezo;
- kusanza;
- kutopa.
- thukuta lowonjezeka.
Monga lamulo, magulu osiyanasiyana a anthu, mwachitsanzo, ana ndi okalamba, atha kukhala ndi zizindikilo zosiyana. Mwa anthu omwe ali ndi matenda amtunduwu, zizindikilo zimakhala zochepa kwambiri kapena sizipezeka m'mawonekedwe akunja. Mukawona zikwangwani zilizonse, onetsetsani kuti mwakumana ndi dokotala kuti akuthandizeni.[3].
Mitundu ya pyelonephritis
Mitundu ikuluikulu iwiri ya matendawa ndi zovuta ndi mawonekedwe osachiritsika… Pulayimale pachimake pyelonephritis ndikutupa kwa aimpso parenchyma ndipo kumakhudza impso imodzi kapena zonse ziwiri. Ndi mtundu wosavuta wa matendawa ndipo ndiofala kwambiri.
Vutoli limatha kupezeka ndikumva kupweteka kwakumbuyo komwe kumapezeka m'mbali, kutentha thupi, kutuluka thukuta, kupweteka mutu, mseru, kusanza, kufooka, komanso kupsyinjika kwa impso. Kuphatikiza apo, zizindikilo za matenda am'munsi mwa mkodzo zimatha kupezeka. Zizindikiro zodziwikiratu za matendawa zimatha kukula msanga - patangotha masiku awiri kapena awiri.
Secondary pachimake pyelonephritis Zitha kuchitika mwa amayi omwe ali ndi vuto la mkodzo, amayi apakati, ana, ndi amuna, ndipo zimawoneka kuti ndizovuta kwambiri kuposa pachimake choyambirira cha pyelonephritis. Zomwe zimapangidwiratu m'mbuyomu zimatha kuphatikizira kutsekemera kwa chikhodzodzo, mankhwala osokoneza bongo, kusintha kwa impso, matenda a shuga, matenda a impso a polycystic, ndi zotupa zina.
Zizindikiro za pachimake pachimake pyelonephritis (nthawi zina amatchedwa zovuta pachimake pyelonephritis) amafanana ndi matenda oyamba, ngakhale matendawa amathanso kukhala opanda chizindikiro.
Matenda a pyelonephritis ndi matenda opatsirana opatsirana, opatsirana opatsirana omwe nthawi zambiri samakhala opatsirana. Emphysematous pyelonephritis ndi vuto lalikulu la necrotizing aimpso parenchymal matenda. Njira yowonongeka yowonongeka yomwe imachokera ku matenda osokoneza bongo, osakwanira omwe amatenga kachilombo ka bakiteriya amadziwika kuti xanthogranulomatous pyelonephritis[6].
Zovuta za pyelonephritis
Vuto lomwe lingakhalepo la pyelonephritis pachimake ndimatenda a impso. Ngati sanalandire chithandizo mwachangu, matenda a impso atha kubweretsa zovuta zazikulu monga:
- Kutupa kwa impso. Izi zingayambitse matenda a impso, kuthamanga kwa magazi, ndi impso kulephera.
- Sepsis. Impso zimasefa zinyalala m'magazi ndikupereka magazi osefedwawo mthupi lonse. Kukhala ndi matenda a impso kungayambitse mabakiteriya kufalikira kudzera m'magazi kupita ku ziwalo zina. Izi zitha kupha.
- Zovuta pamimba. Azimayi omwe amatenga matenda a impso ali ndi pakati akhoza kukhala ndi chiopsezo chowonjezeka chokhala ndi mwana wochepa wobadwa naye[4].
- Matenda a impso omwe amapezeka pafupipafupi.
- Pachimake impso kulephera.
Kupewa pyelonephritis
Mutha kuchepetsa chiopsezo chodwala poyesa kuteteza matenda kuti asalowe mkodzo. Azimayi, makamaka, amachepetsa chiopsezo chotenga matenda amkodzo ngati atamwa madzi okwanira. Zithandizira kutulutsa mabakiteriya kunja kwa thupi mukakodza. Ndikofunikanso kutulutsa chikhodzodzo mutagonana kuti muthane ndi mabakiteriya ochokera mumchira, kuchepetsa chiopsezo chotenga matenda. Ndikofunika kuti musachedwe kukodza mukakhala ndi chikhumbo chotere komanso kuti musapitirire nthawi yayitali[4].
Zowopsa
Amayi ali pachiwopsezo chotenga pyelonephritis chifukwa mkodzo wawo ndi waufupi poyerekeza ndi wamwamuna, zomwe zimapangitsa kuti mabakiteriya asunthike kunja kwa thupi kupita chikhodzodzo. Kuyandikira kwa mkodzo kumaliseche ndi kumatako kumapangitsanso mipata yambiri kuti mabakiteriya alowe mu chikhodzodzo.[4]… Komanso, anthu omwe ali ndi:
- chitetezo chamthupi choponderezedwa (chodwala Edzi, khansa, matenda ashuga);
- odwala matenda a vesicoureteral reflux (vuto lomwe mkodzo pang'ono umabwerera kuchokera ku chikhodzodzo kupita ku ureters)[3];
- kukhala ndi kutsekeka kwa thirakiti (chilichonse chomwe chimachepetsa kutuluka kwa mkodzo kapena kumachepetsa kutulutsa chikhodzodzo mukakodza - kuphatikiza miyala ya impso, zovuta pamapangidwe amkodzo, kapena prostate wokulitsa mwa amuna)[4].
Matenda achilendowa amapezeka kwambiri kwa anthu omwe ali ndi vuto la mkodzo. Itha kuyambitsidwa ndi UTI, vesicoureteral reflux, kapena zovuta zamatomiki. Matenda a pyelonephritis amapezeka kwambiri mwa ana kuposa achikulire[3].
Chithandizo cha pyelonephritis mu mankhwala ovomerezeka
Chithandizo chofala kwambiri ndi maantibayotiki. Maonekedwe awo amatengera ngati ndizotheka kudziwa mtundu wa mabakiteriya omwe adayambitsa matendawa. Ngati sichoncho, ndiye kuti amapatsidwa mankhwala opha tizilombo. Ngakhale mankhwalawa amatha kuchotsa pyelonephritis m'masiku atatu kapena anayi, amalimbikitsidwa nthawi yonse yolembedwa masiku khumi.
Nthawi zina, mankhwala osokoneza bongo amakhala osagwira ntchito. Akadwala kwambiri, adokotala amatha kupatsa wodwalayo kuchipatala. Kutalika kwa nthawi yogonera kuchipatala kumadalira kuopsa kwa vutoli komanso momwe thupi limayankhira chithandizo. Itha kuphatikizira ma intravenous hydration ndi maantibayotiki kwa maola 24 mpaka 48. Pomwe wodwalayo ali mchipatala, madotolo amayang'anira magazi ndi mkodzo wawo kuti awone momwe matenda akuyendera. Mukatuluka, mungafunikenso kumwa maantibayotiki.
Nthawi zina, matenda a impso amatha kukhala chifukwa cha zovuta zamankhwala. Zikatero, opaleshoni imafunikira kuti ichotse zoletsa zilizonse kapena zovuta zilizonse mu impso. Kuchita opaleshoni kungafunikenso kukhetsa chifuwa chomwe sichimayankha maantibayotiki[3].
Zakudya zothandiza pa pyelonephritis
Ndi pyelonephritis, ndibwino kuti musamangokhalira kudya. Zolinga zake zonse ndikupanga mkhalidwe woyenera, wodekha kuti impso zizigwira ntchito, kutsitsa kuthamanga kwa magazi, kuchepetsa edema, kuchepetsa mkodzo (popeza mabakiteriya amachulukirachulukira m'malo amchere), komanso kuthetseratu poizoni, mchere ndi zinthu za nitrogeni. kuchokera mthupi. Ndikofunika kuchepetsa mapuloteni pang'ono, ndikusiya mafuta ndi chakudya pamlingo wofanana ndi momwe thupi limakhalira. Pa nthawi yomweyo, ndikofunikira kwambiri kuti chakudya chikhale ndi mavitamini. Chakudya chiyenera kukhala chopepuka. Ndikofunika kuwira chakudya kapena kuwotcha. Kukana yokazinga kapena kuchepetsa kugwiritsa ntchito kwake pang'ono. Ndibwino kuti muphatikize zakudya zoterezi.
- 1 Zamadzimadzi - voliyumu yake patsiku imafunika kuwonjezeredwa kuti isunthire kwamkodzo ndikuchotsa ma microbes ndi poizoni m'm impso. Zakumwa monga tiyi wofooka wakuda, wobiriwira kapena tiyi wazitsamba, rosehip msuzi zimathandiza thupi. Mukamwa madzi amchere, ndiye kuti mchere wa sodium mkati mwake uyenera kuchepetsedwa.
- 2 Ndikofunika kuphatikiza mkaka muzakudya zanu, chifukwa zimathandiza kusuntha pH mlingo wa mkodzo ku mbali ya alkaline.
- 3 Ndikofunika kudya mkate dzulo wopanda mchere.
- 4 Msuzi wamkaka kapena ndiwo zamasamba ndizololedwa.
- Masaladi opangidwa kuchokera ku masamba monga squash (ali ndi diuretic effect), mbatata, dzungu, kaloti, beets, parsley ndi katsabola.
- 6 Ndikofunikira kuti mukhale ndi mavitamini, chifukwa mutha kudya ndiwo zamasamba zosaphika ndi zipatso, timadziti, ma compote, mousses wazipatso ndi jelly. Ukhoza kudya uchi pang'ono.
Chakudya sichiyenera kudulidwa, chifukwa ndi pyelonephritis, ntchito yam'mimba sikulephereka. Zakudyazi ziyenera kukhala ndi cholinga chothetsa matendawa komanso kuchepetsa matendawa. Ndicho chifukwa chake ndikofunikira kutsatira zakudya ndikusala zakudya zoletsedwa, mndandanda womwe waperekedwa pansipa.
Mankhwala achikhalidwe a pyelonephritis
Tiyenera kukumbukira kuti nthawi zambiri, chithandizo cha matendawa chimachitika kuchipatala kapena moyang'aniridwa ndi dokotala yemwe amapezeka. Njira zamankhwala zochiritsira sizofunikira, koma ndizothandiza, ndipo zimabweretsa zotsatira ngati zingagwirizane ndi dokotala, komanso kutsatira mosamalitsa mankhwala omwe adalangizidwa ndi dokotala. Pakadutsa pachimake cha matendawa, njira zonse ndikuthandizira kuthetsa kutupa.
- Konzani decoction wa masamba coltsfoot. Ayenera kuyanika, kupukutidwa kukhala ufa, kutsanulira ng'ombe ndikuphika pafupifupi mphindi 5 kutentha pang'ono. Ndiye kuziziritsa msuzi, unasi kudzera cheesecloth apangidwe angapo zigawo, ndi kumwa chikho 1/3 katatu patsiku ola limodzi musanadye. Kuchuluka: 1 tbsp. masamba a 0,5 malita. madzi.
- Zosonkhanitsa zitsamba zochotsa kutupa zimatha kukonzedwa kuchokera kuzomera zosavuta. Kudzatenga 1 tbsp. dioecious nettle, calendula maluwa, horsetail, masamba a birch, millennials, ndi 2 tbsp. Mbeu za fennel ndi magalasi awiri amadzi. Thirani madzi otentha pamsonkhanowu, mulole uchere kwa ola limodzi, kenako mutenge 2 ml 50-3 pa tsiku panthawi yomwe matenda akukula.
- Kulowetsedwa kwa zitsamba ndi elderberries kumakonzedwa motere. Zida zonse zimatengedwa mulingo wa magalamu 25. Ndikofunika kusakaniza maluwa a blackberryberry wakuda, chamomile, linden perforatum ndi St. John's wort. Thirani izi osakaniza ndi kapu yamadzi otentha, asiyeni apange kwa ola limodzi, pansi pa chivindikiro, kenako nkumenya ndikumwa galasi musanagone.
- Kulowetsedwa kwa chimanga cha buluu chimakhala ndi ma antimicrobial ndi anti-inflammatory effect. Muyenera 2 tsp. maluwa a chimanga cha buluu amatsanulira magalasi awiri amadzi otentha, asiyeni apange kwa theka la ola, asokoneze ndikumwa theka la galasi katatu patsiku asanadye[1].
Zakudya zowopsa komanso zowopsa za pyelonephritis
Pa onse pachimake ndi aakulu magawo pyelonephritis, pali angapo zakudya zoletsa odwala. Ndikoletsedwa kugwiritsa ntchito mankhwala aliwonse omwe amakwiyitsa thirakiti la mkodzo kapena kuyambitsa manjenje. Zakudya zoletsedwa zikuphatikizapo:
- Mchere. Chifukwa cha kutupa mu impso, kusefa kwawo ndi ntchito zawo ndizosokonekera. Izi zimapangitsa kuti athetse poizoni komanso mchere wambiri. Izi zimayambitsa kuchuluka kwa kupanikizika, mapangidwe a edema, ndi miyala ya impso. Chifukwa chake ndikofunikira kuti wodwala aziphika chakudya chopanda mchere. Poganizira za dokotalayo, atha kupatsidwa mchere wochepa woti azigawira okha.
- Mowa. Zakumwa zoledzeretsa zimatsutsana kwambiri ndi matendawa, chifukwa zimasokoneza kwambiri impso. Chifukwa cha izi, kuchotsedwa kwa zinthu zama metabolic m'thupi kumakulirakulira, madzimadzi amasungidwa momwemo, momwe edema imawonekera ndipo njira ya matendawa imakulitsidwa kwambiri.
- Ndikofunika kuchepetsa kuchuluka kwa mapuloteni azinyama omwe amapezeka munyama iliyonse, nsomba, mazira, chifukwa izi zimathandizira mkodzo, ndipo malowa ndi abwino pakukula kwa mabakiteriya. Pachifukwa chomwechi, ndikofunikira kuchepetsa kuchuluka kwa chakudya chomwe chimadya, komanso nyemba.
- Ndikofunika kukana zakudya zosautsa: chakudya cham'chitini, soseji, zinthu zosuta, nyama yamafuta ndi nsomba, adyo, radish, radish, bowa, mkate ndi ufa wothira mchere, tiyi wamphamvu, khofi, madzi okhala ndi mchere wa sodium, maswiti, mafuta. kirimu wowawasa, mafuta a nyama, sauces, horseradish, mpiru.
- The mankhwala wowerengeka kwambiri. Chithandizo cha matenda ofala. - M.: Ripol classic, 2007 -544 p.
- Nkhani: "Acute Pyelonephritis", gwero
- Nkhani: "Pyelonephritis", gwero
- Nkhani: "Matenda a impso", gwero
- Nkhaniyi: "Zizindikiro & Zomwe Zimayambitsa Matenda a Impso (Pyelonephritis)" Gwero
- Nkhani: "Pyelonephritis ndi chiyani?", Gwero
Kugwiritsa ntchito chinthu chilichonse popanda chilolezo cholemba kale sikuletsedwa.
Oyang'anira sakhala ndiudindo pakayesedwe kalikonse kogwiritsa ntchito chinsinsi, upangiri kapena zakudya, komanso sikutsimikizira kuti zomwe zanenedwa zikuthandizani kapena kukuvulazani. Khalani anzeru ndipo nthawi zonse muzifunsira kwa dokotala woyenera!
Chenjerani!
Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!