Kuchiza kwa matenda a Impso kapena Pyelonephritis

Azimayi okwana 50 mpaka 80 mwa amayi 100 alionse amapanga matenda opatsirana m'makina (UTI) panthawi inayake pamoyo wawo. (Kawirikawiri, amayi ndi ovuta kwambiri kusiyana ndi amuna kuti apange UTI.) Matenda omwe amapezeka m'mitsempha amatha kukhala ochuluka ndipo amatanthauza matenda omwe amayamba chifukwa cha mabakiteriya omwe amapezeka pamtundu uliwonse wa mkodzo: urethra, chikhodzodzo, chikhodzodzo, kapena impso.

The Infection Spectrum

Matenda a m'magulu a urinary alipo pamtundu wina. Pamapeto pake pamakhala makina a bacteriuria , omwe mabakiteriya amapezeka mumtsinje koma palibe zizindikiro za matenda omwe alipo. Ndi mafupipafupi ambiri a bacteriuria, palibe mankhwala oyenera.

Pa mapeto ena a masewerawa mumakhala pyelonephritis kapena matenda a impso, omwe ndi ovuta kwambiri komanso mutu wa nkhaniyi. Pakati pa masewerawa pali bacteriuria kapena symptomatic symptomatic, kapena kuti cystitis , zomwe anthu ambiri amaganiza akamakambirana za UTIs. Zizindikiro za cystitis zimaphatikizapo kupweteka pa kukodza, mvula yamtambo, ndi changu.

Ndi pyelonephritis, mabakiteriya amayenda kuchokera ku chiberekero kudzera mu chikhodzodzo ndi kusakaniza ndi impso. Mwamwayi, pyelonephritis imakhudza impso zonsezo.

Zizindikiro

Nazi zizindikiro zina za pyelonephritis:

• ululu wamphuno
• malonda otsika mtengo
• malingaliro a impso pa palpation yozama

• kunyoza
• kusanza
• malungo
• zovuta
• kupweteka

Kudziwa

Kufufuza kwachipatala kwa pyelonephritis kumadalira mbiri yakale ndi zofufuza za thupi komanso zofufuza za ma laboratory kuchokera ku mayesero a matenda monga urinalysis ndi chikhalidwe cha mkodzo. Mosiyana ndi zovuta zedi zovuta cystitis, kukayikira kwa pyelonephritis kumafuna mkodzo chikhalidwe.

Kujambula zojambula sikufunika kuti mudziwe zambiri za pyelonephritis. Komabe, ultrasound ndi CT zingagwiritsidwe ntchito poyerekezera ndi pyelonephritis.

Zowopsa

Zowopsa za pyelonephritis zimakhala zofanana ndi zoopsa za mtundu uliwonse wa UTI ndipo zimakhala ndi zibwenzi zambiri zogonana, kuwonjezeka kwa kugonana, wogonana naye watsopano komanso mbiri ya UTIs yowonongeka.

Chithandizo

Mankhwala a pyelonephritis ndi ofanana ndi mankhwala a pachimake cystitis. Komabe, pyelonephritis ndizovuta kwambiri kuposa khungu la cystitis limene limayambitsidwa ndi mabakiteriya osagwira ntchito kuphatikizapo mavuto a E. coli omwe amakana ndi Bactrim (TMP-SMX). Motero, chithandizo cha pyelonephritis chimayamba ndi ma antibayotiki ochuluka monga ciprofloxacin, ndipo, malinga ndi momwe mabakiteriya amachititsira matendawa, zimaphatikizapo kuphatikiza mankhwala opha tizilombo kapena mabakiteriya amphamvu kwambiri monga carbapenem.

Anthu ambiri omwe ali ndi pyelonephritis osavuta akhoza kuchipatala kuchipatala (kunja). mawu osavuta amatanthauza kuti wodwalayo sakusonyeza kuti ali ndi vuto la anatomic, ndipo alibe chida chokhala ngati malo okhala mumtsinje wamakono ndipo alibe pakati. Anthu omwe amachiritsidwa kuchipatala kwa pyelonephritis osavuta ayenera kulekerera kumwa mankhwala ndi kumwa mankhwala.

Anthu omwe ali ndi pyelonephritis yovuta, pyelonephritis yosalekeza kapena zovuta, monga matenda a shuga kapena matenda a ngodya, amachiritsidwa bwino kuchipatala. Ali m'chipatala, anthuwa amalandira mankhwala opha tizilombo.

Kuphatikiza pa maantibayotiki, munthu amene ali ndi pyelonephritis akhoza kulandira mankhwala opweteka (aganizire opioids) kuti amve ululu ndi promethazine pofuna kunyoza ndi kusanza.

Chithandizo cha mankhwala osadziwika bwino a pyelonephritis chimakhala pafupifupi masiku asanu ndi awiri. Matenda ovuta kapena ovuta kwambiri a pyelonephritis amachiritsidwa kwa masiku 14.

Pyelonephritis imakhala yovuta kwambiri kuposa yochuluka ya cystitis, ndipo pakati pa 20 ndi 30 peresenti ya anthu omwe ali ndi pyelonephritis amakhalanso ndi matenda a magazi, nawonso.

Zovuta zina za pyelonephritis zimaphatikizapo cortical necrosis ndi emphysematous pyelonephritis, kumene impso zikuwonongeka ndi mpweya womwe umagwira mu impso, Zonsezi zimayambitsa matenda a impso.

Kupewa

Pamapeto omaliza, apa pali njira zomwe inu (mkazi) mungatenge kuti muteteze pyelonephritis ndi UTIs:

• imwani madzi ambiri
• Musatenge chikhodzodzo pambuyo pa kugonana
• Pukuta kutsogolo kupita kumbuyo kuti musapewe kulandira mabakiteriya mu chikazi
• konzani kawirikawiri
• peŵani mankhwala oyeretsa omwe amagwiritsidwa ntchito kumalo opatsirana monga douches ndi sprays

_Zotsatira:

_{Gupta K, Trautner BW. Matenda a Mitsempha ya Urinary, Pyelonephritis, ndi Prostatitis. Mu: Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. eds. Mfundo za Harrison za Internal Medicine, 19e . New York, NY: Hill ya McGraw; 2015.}

_{Kodi DS, Bogner MP. Chaputala 94. Matenda a Urinary Tract and Hematuria. Mu: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Mankhwala Odzidzimutsa a Tintinalli: Buku Lophunzira Loyamba, 7e . New York, NY: Hill ya McGraw; 2011.}