Purulent pyelonephritis yog ib yam kab mob txaus ntshai thiab mob hnyav, uas yog nrog los ntawm cov kab mob tsis tshwj xeeb ntawm lub raum. Lub pelvis, calyces thiab parenchyma feem ntau koom nrog hauv cov txheej txheem pathological. Thaum tsis muaj kev kho mob, qhov mob kis mus rau glomeruli thiab cov hlab ntsha, thaum cov pob txha purulent pib mus rau hauv cov ntaub so ntswg.
Tau kawg, ntau tus neeg xav paub ntxiv. Vim li cas purulent pyelonephritis ntawm lub raum tsim? Cov tsos mob thiab kev kho mob, kev kuaj mob thiab kev pheej hmoo yog cov ntaub ntawv tseem ceeb uas yuav tsum tsis txhob raug ignored. Yog li cas tus kab mob no txaus ntshai thiab nws puas tuaj yeem zam nws txoj kev loj hlob?
Purulent pyelonephritis: ICD-10 thiab cov yam ntxwv tseem ceeb
Pib nrog, nws tsim nyog nkag siab cov ntaub ntawv tseem ceeb ntawm cov kab mob no. Qee zaum, o ntawm cov ntaub so ntswg ntawm lub raum yog txuam nrog kev tsim thiab tsub zuj zuj ntawm purulent masses - nws yog nyob rau hauv cov ntaub ntawv no uas kws kho mob tham txog mob purulent.pyelonephritis mob. ICD-10 hais txog cov kab mob no rau cov pab pawg ntawm tubulointerstitial nephritis, uas tau qhia los ntawm txoj cai N10. Yog tias tsim nyog los txheeb xyuas tus neeg sawv cev kis, siv cov lej ntxiv - B95-B98.
Tus kab mob feem ntau tshwm sim tawm tsam keeb kwm ntawm cov kab mob ua haujlwm. Feem ntau, purulent pyelonephritis cuam tshuam rau tib lub raum, cov mob ntawm ob sab o yog qhov tsawg heev.
Ua rau kev loj hlob ntawm pathology
Purulent pyelonephritis yog ib yam kab mob txaus ntshai heev, uas yog nrog rau lub raum puas tsuaj loj. Cov txheej txheem inflammatory nyob rau hauv cov ntaub ntawv no yog provoked los ntawm kev ua ntawm nonspecific opportunistic microorganisms, tshwj xeeb tshaj yog staphylococci, streptococci, Escherichia coli, enterococci, Pseudomonas aeruginosa. Qee zaum cov kab mob nkag mus rau hauv lub raum cov ntaub so ntswg los ntawm txoj hlab zis, thiab qee zaum nrog rau cov ntshav los ntawm lwm cov foci ntawm qhov mob.
Nws tsim nyog sau cia tias qee tus neeg mob muaj kev pheej hmoo ntau dua los tsim cov kab mob zoo li no. Cov npe ntawm cov xwm txheej txaus ntshai yog raws li hauv qab no:
- urolithiasis;
- ntau yam tsis xws luag hauv kev loj hlob ntawm cov kab mob excretory;
- Neurogenic zais zis syndrome;
- STDs;
- immunodeficiency xeev;
- mob ntshav qab zib mellitus;
- kab mob ntawm endocrine system;
- lub raum mus ntev;
- Nyob rau hauv lub zais zis nrog lub catheter;
- kev hloov raum ua ntej;
- mob rauminsufficiency;
- vesicoureteral reflux;
- kev phais gynecological yav dhau los (rau cov poj niam);
- benign prostatic hyperplasia;
- kev puas tsuaj rau lub raum;
- muaj foci ntawm cov mob ntev hauv lub cev.
Cov ntaub ntawv tseem ceeb ntawm cov txheej txheem inflammatory
Tus kab mob tuaj yeem ua rau ntau hom - ntau nyob ntawm theem ntawm kev loj hlob ntawm cov txheej txheem inflammatory thiab lwm yam.
- Feem ntau yog apostematous (pustular) pyelonephritis. Hauv qhov no, ntau lub pustules me me, hu ua apostemes, tsim nyob rau hauv cov ntaub so ntswg ntawm lub raum.
- Hauv kwv yees li 40% ntawm cov neeg mob, pustular o yog qhov nyuaj los ntawm kev tsim cov carbuncle. Hauv qhov xwm txheej no, peb tab tom tham txog kev tsim ib qho kev txwv nyob rau hauv lub cortex ntawm lub raum, nyob rau hauv uas purulent masses accumulate.
- Abscess yog daim ntawv nyuaj tshaj plaws ntawm purulent pyelonephritis. Nrog rau cov kab mob zoo sib xws, kab noj hniav yog tsim nyob rau hauv cov ntaub so ntswg ntawm lub raum, tiv thaiv los ntawm cov tshuaj ntsiav, nyob rau hauv cov kua paug thiab lwm yam kua. Cov abscess maj mam nce hauv qhov loj thiab tuaj yeem qee zaum tawg (txawm tias tsis muaj laj thawj), tso tawm cov ntsiab lus purulent.
YPurulent pyelonephritis: cov tsos mob
Daim duab kho mob nyob ntawm theem ntawm kev loj hlob ntawm tus kab mob thiab muaj cov kab mob sib kis. Thaum pib, muaj cov cim qhia dav dav ntawm cov txheej txheem inflammatory, tshwj xeeb yog kub taub hau, mob lub cev, ua daus no, tsis muaj zog, xeev siab, thiab tsaug zog. OQhov tseeb hais tias muaj teeb meem nrog rau lub raum yog pov thawj tsuas yog los ntawm qhov mob nyob rau hauv lub qis rov qab - tej zaum nws yog heev pronounced. Cov no yog thawj cov tsos mob ntawm purulent pyelonephritis nyob rau hauv cov poj niam thiab cov txiv neej.
Yog tias qhov tso zis ntawm cov zis cuam tshuam, cov tsos mob yuav tshwm sim. Ntshav siab poob qis, tus neeg mob lub xeev ntawm kev noj qab haus huv tsis zoo, muaj qhov hais tawm tachycardia.
Nrog rau cov kua paug tseem ceeb, cov tsos mob ntawm lub raum tsis ua haujlwm tshwm sim - o tau pom, lub sclera ntawm lub qhov muag thiab tus neeg mob daim tawv nqaij daj. Cov txheej txheem ntawm cov zis tsim qeeb. Hauv cov zis nws tus kheej, cov ntshav impurities feem ntau tuaj yeem pom. Tsis muaj teeb meem koj yuav tsum tsis quav ntsej purulent pyelonephritis. Kev phais qee zaum yuav tsum tau ua tam sim.
Tus kab mob txaus ntshai npaum li cas?
Purulent pyelonephritis ntawm lub raum yog ib yam kab mob loj heev. Tsis muaj teeb meem koj yuav tsum tsis kam kho lossis tsis quav ntsej cov tsos mob. Raws li twb tau hais lawm, tawm tsam keeb kwm ntawm cov txheej txheem inflammatory, purulent foci yog tsim nyob rau hauv cov ntaub so ntswg ntawm lub raum, thiab tej zaum tag nrho-fledged abscesses. Qee lub sij hawm ib qho abscess ruptures, ua rau purulent mass nkag mus rau hauv lub plab kab noj hniav - qhov no tuaj yeem ua rau kev loj hlob ntawm peritonitis, thiab tshwj xeeb tshaj yog mob hnyav, mus rau sepsis, uas yog fraught nrog kev tuag.
Ntxiv rau, tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem inflammatory, cov ntaub so ntswg ntawm lub raum raug puas ntsoog, lub hauv nruab nrog cev shrinks thiab ib feem, thiab qee zaum tag nrho, poob functionality. Hauv qhov no, tus neeg mob yuav tsum tau sau npe tas li nrog tus kws kho mob nephrologist - nrog rau kev nce ntxiv ntawm tus kab mob,yuav tsum tau hloov pauv.
ntsuas ntsuas
Purulent pyelonephritis yog ib yam kab mob uas yuav tsum tau kuaj xyuas kom sai li sai tau. Raws li txoj cai, tom qab kev tshuaj xyuas dav dav thiab keeb kwm noj, tus kws kho mob xa tus neeg mob mus rau kev kawm ntxiv.
- Kev soj ntsuam ntawm cov zis yog cov ntaub ntawv - tawm tsam keeb kwm ntawm cov txheej txheem inflammatory, qib ntawm cov protein nce. Tsis tas li ntawd, erythrocytes thiab leukocytes tshwm nyob rau hauv cov zis.
- Kev kuaj ntshav qhia pom tias muaj foci ntawm qhov mob hauv lub cev.
- Ultrasound ntawm lub raum tau ua, nrog rau urography (suav nrog qhov sib txawv).
- Cov ntaub ntawv tshaj plaws yog kev sib nqus resonance imaging.
- Qee zaus angiography tseem ua tau - qhov no tso cai rau koj los ntsuas cov ntshav rau lub raum.
kev kho mob
Kev kho mob purulent pyelonephritis ntawm lub raum yuav tsum suav nrog kev noj tshuaj tua kab mob, txij li cov txheej txheem inflammatory yog ib txwm cuam tshuam nrog kev ua haujlwm ntawm qee cov kab mob. Hauv qhov no, cov tshuaj xws li Amoxicillin, Ceftazidime, Gentamicin, Ofloxacin yog siv. Ob lub ntsiav tshuaj thiab cov tshuaj intramuscular / intravenous daws yuav siv tau.
Nws tsim nyog sau cia tias nrog daim ntawv no ntawm pyelonephritis, yuav tsum tau kho mus ntev. Cov neeg mob feem ntau noj tshuaj tua kab mob rau 4-6 lub lis piam, nrog rau qhov siab tshaj plaws yuav tsum tau txhaj thawj zaug. Qhov kev txiav txim siab tso tseg kev kho tshuaj tua kab mob yog ua los ntawm tus kws kho mob raws li cov txiaj ntsig ntawm kev sim.
Qee zaum cov kev kho mob suav nrogCov tshuaj tiv thaiv kab mob, tshwj xeeb tshaj yog Nystatin, Levorin (ib kab mob feem ntau cuam tshuam los ntawm cov kab mob fungal). Antihistamines, vitamin complexes, tshuaj tiv thaiv kab mob thiab lwm yam tshuaj pab tau siv.
kev noj haus kom raug
Kev kho mob purulent pyelonephritis yuav tsum muaj xws li kev noj zaub mov zoo.
- Tus neeg mob xav tau kev noj zaub mov kom tiav, tab sis cov zaub mov yuav tsum yog lub teeb thiab nqus tau sai.
- Nws yog ib qho tseem ceeb kom tsis txhob noj ntsev, vim tias cov khoom no cuam tshuam ncaj qha rau kev ua haujlwm ntawm lub raum. Qhov siab tshaj plaws txhua hnub ntsev yog 6 g.
- khoom noj ntsim, khoom noj haus, tshuaj tsw qab yog txwv tsis pub.
- Cov dej haus uas muaj cawv yog txwv tsis pub.
- Cov txiv hmab txiv ntoo tshiab thiab zaub, khoom noj siv mis, nqaij ntshiv yuav pab tau. Cov tais diav tuaj yeem boil, ci, steamed, tab sis tsis txhob kib.
- Nws yog ib qho tseem ceeb kom tswj tau txoj kev haus dej kom raug - yam tsawg 1.5 litres dej huv ib hnub twg (tseem, purified).
Nws tseem ceeb heev uas yuav tsum ua raws li cov cai saum toj no. Qhov no yuav pab daws kev ntxhov siab ntawm cov kab mob excretory thiab ua kom cov txheej txheem kho kom zoo.
Thaum twg yuav tsum tau phais?
Purulent pyelonephritis yog ib yam kab mob loj. Hmoov tsis zoo, kev phais yog kev zam tsis tau hauv qhov no. Thaum lub sij hawm tus txheej txheem, tus kws kho mob dissects lub fibrous capsule, tom qab uas nws ua tib zoo tshuaj xyuas cov ntaub so ntswg ntawm lub raum, xyuas seb lub xub ntiag ntawm purulent kab noj hniav. Abscesses yuav tsum tau qhibntxuav los ntawm purulent masses thiab ua tib zoo kho nrog tshuaj tua kab mob thiab tshuaj tua kab mob.
Vim tias txoj kev kho kom zoo yog cuam tshuam nrog cov kua paug thiab cov kua dej serous, ib ntus tso tawm. Txhawm rau tso zis, tus kws phais yuav muab lub raj tshwj xeeb - nephrostomy. Cov dej ntws tawm tom qab tus neeg mob rov zoo - fistulas kho tau sai sai ntawm lawv tus kheej.
Los ntawm txoj kev, cov qauv kua paug feem ntau xa mus rau kev soj ntsuam kuaj - txoj kev tshawb no ua rau nws muaj peev xwm txiav txim siab tus kab mob thiab xaiv cov tshuaj tua kab mob zoo.
kev kho neeg zoo
Tam sim no tsim nyog hais tias txhua yam tshuaj siv tau tsuas yog nrog kev tso cai los ntawm kws kho mob.
- Rose hips tau hais tawm cov tshuaj tua kab mob thiab tshuaj tua kab mob. 150 g ntawm txiv hmab txiv ntoo tshiab (khov kuj haum) yuav tsum tau muab tso rau hauv ib liter hub thiab ncuav boiling dej, ces npog nrog ib tug hau thiab cia nws brew. Los ntawm txoj kev, nws yog zoo dua rau pre-txiav txiv hmab txiv ntoo - txoj kev no ntau pab tau tshuaj yuav tau mus rau hauv lub infusion. Koj yuav tsum haus ib khob nyiaj 3-4 zaug hauv ib hnub, tom qab noj mov.
- Ib decoction ntawm cowberry txiv hmab txiv ntoo yuav zoo cuam tshuam rau lub xeev ntawm excretory system thiab tiv thaiv kab mob.
- Rau purulent pyelonephritis, ib qho decoction ntawm St. John's wort kuj siv.
- Chamomile paj muaj zog tiv thaiv kab mob - lawv tuaj yeem brewed es tsis txhob tshuaj yej.
Cov tshuaj saum toj no tsis tuaj yeem hloov kho cov tshuaj uas muaj tag nrho. Kev noj tshuaj rau tus kheej nrog tus mob hnyav yog qhov tsim nyog thiab siv tsis tau.
Kev Ntsuas rau cov neeg mob. Kev tiv thaiv
Purulent pyelonephritis yog ib yam kab mob txaus ntshai heev, kev kho mob uas cuam tshuam nrog ntau yam teeb meem. Hmoov tsis, tsis muaj kev tiv thaiv tshwj xeeb. Tab sis koj tuaj yeem txo qhov kev pheej hmoo ntawm kev mob o los ntawm kev ua raws li cov cai yooj yim.
- Nws yog ib qho tseem ceeb uas yuav tsum tau sim kom tsis txhob muaj kev kub ntxhov (tshwj xeeb tshaj yog thaum nws los txog rau sab nraub qaum thiab lub duav), ib txwm hnav rau huab cua.
- Nws tsim nyog ua raws li kev haus dej kom raug, haus tsawg kawg ib liter ntawm dej ntshiab, tsis muaj carbonated nyob rau ib hnub - qhov no tswj kev ua haujlwm ntawm ob lub raum ntawm qhov xav tau.
- Txhua tus mob khaub thuas thiab mob inflammatory yuav tsum tau kho raws sijhawm, vim tias pyelonephritis feem ntau yog ib qho teeb meem ntawm lwm yam kab mob.
- Cov kws kho mob pom zoo ua raws li cov cai ntawm kev tu tus kheej, zam kev sib deev xws li.
- Nws yog ib qho tseem ceeb uas yuav tsum tau muaj kev kuaj mob tsis tu ncua, txawm tias tsis muaj cov tsos mob ntawm ib qho kev mob, txhawm rau txhawm rau kuaj pom tus kab mob nyob rau theem pib ntawm kev loj hlob.
- khoom noj kom raug, zam cawv thiab haus luam yeeb, ua si lub cev - tag nrho cov no yuav cuam tshuam zoo rau kev ua haujlwm ntawm lub cev tiv thaiv kab mob thiab ua rau lub cev tsis tshua muaj kev cuam tshuam los ntawm ntau yam kev pheej hmoo.
Tau kawg, qhov tshwm sim ntawm thawj cov cim qhia yuav tsum raug qhia rau tus kws tshaj lij. Txoj kev kho sai dua yog pib, qhov muaj feem ntau dua ntawm kev ua tiav thiab kho tiav.
