Nrog rau qhov pib ntawm huab cua txias, qhov kev pheej hmoo ntawm tus mob khaub thuas raum yuav nce ntxiv. Tsis muaj leej twg muaj kev nyab xeeb los ntawm kev kis kab mob, thiab kev kho mob feem ntau yog ntev thiab kim. Tab sis yog tias nws tsis tuaj yeem zam qhov mob, nws yog ib qho tsim nyog yuav tsum paub tias cov tshuaj twg pab tau zoo tshaj plaws rau kev mob ntawm lub raum. Kev xaiv txoj cai ntawm cov txheej txheem kev kho mob yuav pab txhawb ob qho tib si kev ua haujlwm ntawm tus kws kho mob thiab cov txheej txheem ntawm kev rov zoo rau tus neeg mob.
Cov lus qhia dav dav txog kev mob raum
Cov txheej txheem mob hauv lub raum muaj ntau hom thiab ua rau. Hom mob raum feem ntau yog pyelonephritis. Tus kab mob no cuam tshuam rau ob feem peb ntawm tag nrho cov neeg mob urological. Muaj lwm yam kab mob: glomerulonephritis, raum colic, raum pob zeb. Feem ntau ntawm cov kab mob txaus ntshai no xav tau kev kho mob ntev thiab nyuaj, thiab lawv qhov tshwm sim tsis yog ib txwm tuaj yeem tiv thaiv tau (piv txwv li, glomerulonephritis feem ntau yog kab mob sib kis thiab tuaj yeem ua rau tsis ua tiav ntawm ib lossis ob lub cev).
YPyelonephritis tuaj yeem tshwm simtawm tsam keeb kwm yav dhau los ntawm kev ua haujlwm lossis cov organic uas tiv thaiv cov zis tawm. Yog tias tus neeg mob feem ntau muaj cov txheej txheem inflammatory hauv ob lub raum lossis txo kev tiv thaiv kab mob, pyelonephritis yuav luag lav rau nws. Lwm yam tseem ceeb uas txhawb txoj kev loj hlob ntawm tus kab mob no tuaj yeem suav tias yog mob ntshav qab zib ntau, keeb kwm ntawm cystitis lossis ntshav qab zib mellitus.
Pyelonephritis tuaj yeem tsim ob qho tib si hauv daim ntawv mob hnyav thiab nyob rau hauv daim ntawv mob ntev. Daim ntawv mob ntev ntawm tus kab mob muaj tus cwj pwm rov qab los, thaum daim ntawv mob tshwm sim ib zaug thiab tom qab kev kho mob tsis tshwm sim dua. Tsis tas li ntawd, tus kab mob tuaj yeem cuam tshuam rau ib lossis ob lub raum ib zaug. Nws yuav tsum tsis txhob xav tias cov txheej txheem inflammatory ntawm ib lub cev yuav yooj yim dua li qhov mob ntawm ob qho tib si. Raws li txoj cai, yog tias ib lub raum raug cuam tshuam los ntawm tus kab mob, ces tus thib ob yuav kis sai sai.
Feem ntau, pyelonephritis pib kiag li asymptomatically, thiab cov lus nug ntawm yuav ua li cas haus nrog rau lub raum mob catches tus neeg mob nyob rau hauv lub midst ntawm lub pathological txheej txheem. Hauv lwm qhov xwm txheej, cov tsos mob pib nrog qhov mob ntawm lub nraub qaum, qee zaum lub cev kub nce mus rau 38-39 degrees. Hauv qhov no, cov tsos mob yuav nyob ntawm seb hom kab mob. Mob hnyav yog tus cwj pwm los ntawm qhov kub thiab txias, mob npub, qee zaum, xeev siab lossis ntuav. Tus neeg mob tso zis liab.
mob pyelonephritis feem ntau yog tshwm sim los ntawm kev kho tus mob pyelonephritis tsis zoo. Hauv 30% ntawm cov neeg mob, ib tus kab mob uas tsis tau txais qhov tsim nyogkev kho mob, ntws mus rau hauv daim ntawv mob ntev, ib ntus rov tshwm sim, ua rau mob rau tus neeg mob thiab yuav tsum tau siv cov tshuaj tua kab mob thaum txhua qhov exacerbation. Nws yog qhov nyuaj heev los kho lub raum mob, nws yuav siv sijhawm, siv zog thiab nyiaj txiag. Feem ntau tus neeg mob nres ntawm qhov tseeb tias thaum lub sijhawm exacerbations nws tau txais kev kho mob, hloov tus kab mob mus rau hauv kev zam txim thiab tseem nyob mus ntxiv.
Qee zaum, mob pyelonephritis tau tshawb pom los ntawm lub sijhawm hauv kev tshawb fawb ntawm cov zis, raws li tus neeg mob nyiam ntsib cov tsos mob tshwm sim thaum exacerbations yam tsis tau mus ntsib kws kho mob. Cov tsos mob ntawm tus kab mob pyelonephritis tuaj yeem tsis meej pem nrog lwm cov kab mob, vim nws muaj qhov tsis muaj zog, tsis qab los noj mov, mob taub hau thiab kub subfebrile. Qee zaum, ib tus neeg muaj qhov tso zis ntau ntxiv. Tag nrho cov tsos mob no tuaj yeem noj thaum pib mob khaub thuas, nrog rau cystitis lossis exacerbation ntawm lub raum colic. Yog li ntawd, yog tias cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd thiab mus rau cov txheej txheem kuaj mob.
Kev kuaj mob thiab kev kho mob pyelonephritis yog ua los ntawm kws kho mob nephrologist. Kev tswj hwm tus kheej ntawm cov tshuaj rau lub raum mob tuaj yeem ua rau muaj qhov tshwm sim loj heev, suav nrog abscesses, sepsis lossis raum tsis ua haujlwm. Koj kuj yuav tsum nco ntsoov tias cov tshuaj tua kab mob yog muag nruj me ntsis raws li cov tshuaj, thiab yog li ntawd nws yog ib qho tseem ceeb mus ntsib kws kho mob ua ntej pib kho.
Kev kho mob
Vim pyelonephritis yog kab mob ntawm cov kab mob, cov tshuaj tua kab mob yuav yog cov tshuaj xaiv. Cov pab pawg tshwj xeeb ntawm cov tshuaj yuav raug txiav txim raws li qhov rhiab heev ntawm cov kab mob hauv lub raum. Txawm li cas los xij, ntxiv rau cov tshuaj tua kab mob, lwm cov tshuaj siv hauv kev kho mob. Kev xaiv tshuaj rau lub raum mob yog qhov loj thiab koj yuav tsum ua tib zoo saib tag nrho cov kev xaiv uas muaj los ntawm lub khw muag tshuaj.
Qee zaum, tus neeg mob yuav sim kho cov txheej txheem inflammatory yam tsis siv tshuaj. Nyob rau hauv rooj plaub no, ntau txoj kev ntawm cov tshuaj ib txwm siv, nrog rau cov tshuaj ntsuab infusions thiab compresses. Kev ua tau zoo ntawm cov kev kho mob no yog cov lus nug, tab sis qee qhov ntawm lawv tuaj yeem siv los ua kev kho mob.
Cia peb mus saib cov tshuaj nrov tshaj plaws uas siv los kho lub raum mob. Ob pawg tshuaj uas ib txwm muaj nyob rau hauv kev kho mob yog tshuaj tua kab mob thiab tshuaj tua kab mob.
Tshuaj tua kab mob
Cov pab pawg tseem ceeb ntawm cov tshuaj tau xaiv rau kev kho mob pyelonephritis. Txhawm rau xaiv cov tshuaj tshwj xeeb, nws yog ib qho tsim nyog los kawm txog qhov rhiab heev ntawm cov kab mob tshwj xeeb. Tab sis feem ntau qhov no tsis tshwm sim, txij li cov txheej txheem ntawm kev txiav txim siab rhiab heev yuav siv sij hawm ntev. Tus kws kho mob sim nrhiav cov tshuaj uas yog, siv cov kev kho mob uas twb tau teev tseg lawm. Cov tshuaj feem ntau siv rau kev mob raum yog cov tshuaj tua kab mob Ciprofloxacin, Levofloxacin thiab Cephalexin.
Yog tias kuaj pom, tus kws kho mob yuav sau lwm yam tshuajantimicrobial ntau yam. Tshwj xeeb, nrog rau cov txheej txheem inflammatory hais tau zoo, kev xaiv cov tshuaj tua kab mob hauv kev txhaj tshuaj yog qhov zoo dua: Ceftriaxone lossis Cefotaxime. Tab sis kev qhia txog cov tshuaj no yuav tsum tau ua tib zoo kawm txog kev noj qab haus huv ntawm txhua tus neeg mob ib leeg. Txoj kev kho mob uas siv cov tshuaj intramuscular lossis txhaj tshuaj tuaj yeem sib txawv ntawm tus neeg mob mus rau tus neeg mob.
Y"Ciprofloxacin"
Ib tshuaj tua kab mob los ntawm pab pawg fluoroquinolones, muaj kev ua haujlwm hauv kev kho mob raum. Cov koob tshuaj "Ciprofloxacin" yog tsim los ntawm 500 mg thiab 750 mg. Hauv kev kho mob pyelonephritis, koob tshuaj 500 mg yog siv, uas tau noj ob zaug ib hnub rau ib lub lis piam.
Tab sis nyob rau hauv cov ntaub ntawv ntawm cov teeb meem pyelonephritis, "Ciprofloxacin" 500 mg yog hloov los ntawm ntau dua 750 mg, uas yog noj raws li tib lub tswv yim: ob zaug ib hnub twg rau ib lub lis piam.
Cov tshuaj muaj cov tshuaj tiv thaiv kab mob zoo heev, tab sis rau qee yam ntawm cov neeg mob, qhov kev pom zoo yuav ntau dua qhov zoo. Cov pab pawg ntawm fluoroquinolones muaj cov npe dav dav ntawm cov kev mob tshwm sim, ntau yam uas cuam tshuam rau kev noj qab haus huv.
Nws tsis pom zoo siv cov tshuaj rau cov poj niam cev xeeb tub thiab lactating, cov menyuam yaus (xws li cov menyuam yaus uas muaj cystic fibrosis), cov neeg mob pseudomembranous colitis, qaug dab peg thiab keeb kwm ntawm lub raum tsis ua haujlwm. Tsis tas li ntawd, "Ciprofloxacin" yog incompatible nrog cov tshuaj tizanidine. Yog li ntawd, cov neeg siv cov tshuaj no,Kev kho nrog Ciprofloxacin yuav tsum tau txiav tawm.
Tab sis, txawm tias tag nrho nws qhov tsis txaus, "Ciprofloxacin" tseem yog cov tshuaj zoo tshaj plaws rau kev mob raum. Tsis tas li ntawd, nws yog qhov pheej yig heev thiab tau muag hauv ntau lub npe lag luam: "Tsiprolet", "Tsiproks", "Sifloks" thiab lwm yam.
Levofloxacin
Cov tshuaj no koom nrog tib pab pawg xws li "Ciprofloxacin", thiab yog li ntawd muaj qhov cuam tshuam tsis zoo. Nws muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab nyob rau hauv daim ntawv ntawm kev txhaj tshuaj. Cov txheej txheem kev kho mob nrog Levofloxacin yog 200-700 mg ob zaug ib hnub. Tab sis yog tias tsim nyog, tus kws kho mob tuaj yeem kho cov tswv yim raws li qhov muaj zog hauv kev kho mob.
Cov tshuaj muaj cov kab mob bactericidal. Qhov no txhais tau hais tias thaum nws nkag mus rau hauv lub cev, nws tua cov kab mob ntawm tes, thiab tsis tsuas yog inhibits nws kev loj hlob. Lub spectrum ntawm kev ua ntawm "Levofloxacin" yog dav heev, nws muaj kev cuam tshuam rau cov kab mob gram-positive thiab gram-negative microorganisms.
Tab sis nrog rau ntau qhov kev ua haujlwm, Levofloxacin kuj muaj cov npe loj ntawm cov kev mob tshwm sim uas tau sau tseg los ntawm cov neeg mob thaum noj. Cov no yog kev tsis haum tshuaj, uas tshwm sim lawv tus kheej feem ntau ua pob khaus ntawm daim tawv nqaij, thiab teeb meem ntawm lub paj hlwb. Nyob rau ib feem ntawm txoj hnyuv, cov neeg mob nco ntsoov nquag ntuav thiab raws plab. Cov kab mob hematopoietic kuj tseem tuaj yeem teb qhov tsis zoo rau kev kho mob nrog Levofloxacin.
Levofloxacin yog tsim nyob rau hauvCov npe lag luam "Leflox", "Levofloxacin" thiab lwm yam.
Txawm tias lawv qhov kev poob qis, fluoroquinolones yog cov tshuaj tua kab mob feem ntau siv rau lub raum mob. Tab sis pab pawg no kuj tuaj yeem raug tshuaj rau lwm hom kab mob, suav nrog kev kis kab mob hauv plab hnyuv thiab ua pa sab saud. Qhov no yog ib pab neeg thoob ntiaj teb cov tshuaj uas, nrog kev saib xyuas, tuaj yeem pab tus neeg mob.
Cephalexin
"Cephalexin" yog cov tshuaj qub tshaj plaws rau kev mob raum. Nws belongs rau pawg thawj tiam cephalosporins. Tab sis nws lub hnub nyoog tsis tau txhais hais tias cov tshuaj tau poob nws txoj hauj lwm raws li ib tug ntawm cov thawj coj nyob rau hauv kev kho mob raum mob. Kev noj "Cefalexin" ua tiav qeeb qeeb ntawm lub raum tsis zoo thiab tiv thaiv kev hloov pauv ntawm tus kabmob mus rau theem nyuaj rau tus neeg.
"Cefalexin" yog tsim los ntawm cov npe hauv qab no: "Sporidex", "Cefalexin-AKOS", "Cefaklen", "Ospeksin"
Cov tshuaj yog coj raws li tus qauv raws li lub tswv yim peb zaug lossis ob zaug hauv ib hnub. Thaum noj ntawm ib koob ntawm 1 gram ntawm cephalexin, qhov ntau yog peb zaug hauv ib hnub, thaum 3 grams xav tau ob koob.
Tab sis hauv pawg cephalosporins, koj tuaj yeem pom lwm cov tshuaj tua kab mob uas tuaj yeem siv los kho cov mob raum. Qhov no yog ib tiam tom qab ntawm cov tshuaj ntawm pab pawg neeg, nyob rau hauv cov khw muag tshuaj lawv muaj peev xwm nrhiav tau nyob rau hauv lub npe Zinnat, Klarofan, Cefalotin. Tag nrho cov tshuaj no muaj tib yam qhia thiab contraindications xws li Cefalexin. Tab sis koj yuav tsum paub tias nrog txhua tiam neeg tshiab, cov tshuaj no tau dhau los ua qhov tshwj xeeb thiab qhov kawg ntawm cov tshuaj tsim tawm ua rau cov kab mob me me.
painkillers
Txawm tias cov tshuaj tua kab mob rau lub raum ua haujlwm tsuas yog kho cov tsos mob, tsis cuam tshuam rau kev loj hlob ntawm tus kab mob nws tus kheej, lawv yog ib feem tseem ceeb ntawm cov txheej txheem kho. Nrog rau cov kab mob inflammatory ntawm ob lub raum, qhov mob mob tuaj yeem hais tau tias tus neeg tsis tuaj yeem nyob thiab kho tau ib txwm.
Hauv cov xwm txheej no, rau qhov mob hauv lub raum, ib qho tshuaj antispasmodic yog cov tshuaj yooj yim tshaj plaws. Nws tso cai rau ib tug neeg rov qab mus rau lawv lub neej li qub thiab kho tus kab mob tsis muaj kev ntxhov siab. Tsis tas li ntawd, thaum noj tshuaj los ntawm pab pawg ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory, tshuaj kho mob pab txo qhov mob thiab ua kom rov zoo dua.
Tab sis yuav tsum nco ntsoov tias cov tshuaj tua kab mob rau lub raum tsuas yog txhawb kev kho mob xwb, thiab kev kho mob ntawm tus kab mob yuav tsum tau nqa nrog lwm cov tshuaj.
Cov kws kho mob nyiam sau cov tshuaj tshwj xeeb uas suav tias yog kev nyab xeeb thiab zoo tshaj plaws rau cov neeg mob raum mob. Cov tshuaj no muaj lub sijhawm tseem ceeb ntawm kev siv hauv kev kho mob. Cia wb mus saib lawv txhua tus.
Ketorolac
Ketorolac ntsiav tshuaj paub txog lawv cov txiaj ntsig zoo tshaj plawsfeem ntau lwm yam tshuaj los ntawm pab pawg ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory. Tab sis qhov zoo no kuj muaj qhov cuam tshuam tsis zoo: ntxiv rau qhov muaj zog mob nyem, cov tshuaj tsis muaj lwm yam kev cuam tshuam cov yam ntxwv ntawm pab pawg: anti-inflammatory thiab antipyretic. Tias yog vim li cas Ketorolac ntsiav tshuaj tsuas yog siv tau los ua tshuaj loog, lwm qhov tsis muaj qhov cuam tshuam rau kev noj cov tshuaj no.
Nws tsis pom zoo kom noj cov tshuaj hauv ib chav kawm vim tias cov tshuaj tsis zoo los ntawm pawg NSAID ntawm lub cev mus ntev. Nws raug nquahu kom noj ib ntsiav tshuaj ntawm "Ketorolac" rau qhov mob, tab sis tsis pub ntau tshaj peb ntsiav tshuaj ib hnub twg. Kev siv NSAIDs ntev tuaj yeem ua rau lub plab, hnyuv, thiab daim siab.
Thaum muaj mob hnyav, qhov kev txwv no tuaj yeem tshem tau ib ntus. Yog hais tias tus kws kho mob tau tso cai rau noj cov tshuaj nyob rau hauv ib chav kawm, qhov ntau npaum thiab zaus ntawm kev tswj xyuas yuav tsum tau soj ntsuam. Cov chav kawm ntawm NSAIDs yuav tsum tsis txhob ntev tshaj kaum hnub, vim hais tias nrog lub sij hawm ntev, kev puas tsuaj los ntawm cov tshuaj rau lub cev pib ntau dua cov txiaj ntsig ntawm kev noj.
Papaverine hydrochloride
Ib qho ntawm cov laus tshaj plaws tab sis tseem muaj txiaj ntsig zoo antispasmodics. Nws kuj yog siv rau lub raum colic, ua tau zoo relieving spasm ntawm du nqaij nyob rau hauv lub cev. Papaverine muaj nyob rau hauv cov tshuaj uas yuav tsum tau txhaj.
Taw qhia yog ua ob mus rau plaub zaug hauv ib hnub. Nkag mus rau 1 ml ntawm cov tshuaj los yog 2 ml, nyob ntawm seb lub zog ntawm spasm. Qee zaum, kev tswj hwm ntawm cov tshuaj tau tso caiintravenously, nyob rau hauv cov ntaub ntawv no nws yuav tsum tau yaj nyob rau hauv 20 ml ntawm saline thiab muab nyob rau hauv daim ntawv yaj.
Vim tias cov tshuaj muaj kev nyab xeeb siab, nws tuaj yeem siv tau ob qho tib si hauv cov neeg mob hnub nyoog tshaj 70 xyoo thiab cov menyuam yaus hnub nyoog 1 xyoos. Hauv qhov kawg, kev txhaj tshuaj papaverine hydrochloride yuav tsum tau txhaj tshuaj raws li qhov hnyav ntawm tus menyuam.
Tab sis cov tshuaj kuj muaj qee qhov tsis zoo. Lawv feem ntau cuam tshuam nrog cov kab mob dyspeptic: xeev siab, raws plab, tab sis tsis tshaj tawm. Hauv cov xwm txheej tsis tshua muaj, papaverine tuaj yeem cuam tshuam tsis zoo rau cov hlab plawv thiab cov hlab plawv.
YDrotaverine hydrochloride
Kuj hu ua "No-shpa". Cov tshuaj muaj npe nrov nrog cov tshuaj antispasmodic, nws tuaj yeem siv los txo qhov mob hauv pyelonephritis lossis raum colic. Generics ntawm cov tshuaj no yog pheej yig, yog li cov neeg mob uas muaj ntau theem ntawm kev yuav tshuaj siv tau.
No-shpa kuj tau noj rau qhov mob, tab sis nws kuj raug tso cai noj ib ntsiav tshuaj peb zaug hauv ib hnub yog tias mob hnyav.
Cov tshuaj kuj yog ib qho kev nyab xeeb tshaj plaws, nws tuaj yeem siv rau cov menyuam yaus hnub nyoog ib xyoos. Nws tsis pom zoo kom noj "No-shpu" tsuas yog rau cov neeg uas muaj lub plawv tsis ua hauj lwm, rhiab rau cov khoom ntawm cov tshuaj thiab cov neeg uas muaj keeb kwm ntawm lub raum tsis ua haujlwm.
Ntxiv rau cov tshuaj teev rau kev mob raum, muaj lwm yamcov tshuaj uas siv los kho cov teeb meem zoo li no. Tab sis nws yog cov tshuaj tua kab mob thiab tshuaj tua kab mob uas nrov tshaj plaws thiab nrov ntawm cov kws kho mob thiab cov neeg mob.
