Kev kuaj mob ntawm pyelonephritis ntev: tus kws kho mob lub sij hawm, cov yam ntxwv ntawm kev kuaj mob, qhia, contraindications, txheeb xyuas cov kab mob thiab lawv cov kev kho mob

Cov txheej txheem:

Kev kuaj mob ntawm pyelonephritis ntev: tus kws kho mob lub sij hawm, cov yam ntxwv ntawm kev kuaj mob, qhia, contraindications, txheeb xyuas cov kab mob thiab lawv cov kev kho mob
Kev kuaj mob ntawm pyelonephritis ntev: tus kws kho mob lub sij hawm, cov yam ntxwv ntawm kev kuaj mob, qhia, contraindications, txheeb xyuas cov kab mob thiab lawv cov kev kho mob

Video: Kev kuaj mob ntawm pyelonephritis ntev: tus kws kho mob lub sij hawm, cov yam ntxwv ntawm kev kuaj mob, qhia, contraindications, txheeb xyuas cov kab mob thiab lawv cov kev kho mob

Video: Kev kuaj mob ntawm pyelonephritis ntev: tus kws kho mob lub sij hawm, cov yam ntxwv ntawm kev kuaj mob, qhia, contraindications, txheeb xyuas cov kab mob thiab lawv cov kev kho mob
Video: Tsua Muas: Nej Puas Thooj Li Ntawv_Full Audio 2024, Lub Xya hli ntuj
Anonim

Cov yam ntxwv ntawm tus poj niam lub cev yog vim li cas kev sib deev ncaj ncees yog 6 npaug ntau dua yuav raug mob pyelonephritis dua li txiv neej. Qhov no yog ib qho kab mob raum tsis tshwj xeeb uas tshwm sim los ntawm cov txheej txheem inflammatory los ntawm cov kab mob. Thaum lub sijhawm mob, lub raum parenchyma thiab lub raum pelvis puas lawm.

Muaj ntau yam kab mob: cov txheej txheem inflammatory yog provoked los ntawm Pseudomonas aeruginosa, Escherichia coli, Enterococcus, Staphylococcus, Proteus. Yog hais tias ib tug neeg muaj teeb meem nrog cov zis tawm, nws tau muab pov rau hauv lub raum, thiab cov kab mob tau txais nrog nws. Tsis tas li ntawd, qhov ua rau cov zis reflux mus rau hauv lub raum tej zaum yuav intravesical siab vim hypertonicity nrog ib tug structural anomaly, muaj pob zeb, los yog banal overflow ntawm lub zais zis. Tib yam teeb meem tshwm sim thaumEnlarged prostate nyob rau hauv cov txiv neej.

Dab tsi yog qhov phom sij ntawm pyelonephritis ntev

Cov txheej txheem rau kev kuaj mob pyelonephritis
Cov txheej txheem rau kev kuaj mob pyelonephritis

Cov kab mob ntev yog cov uas tus neeg yuav tau nyob mus tas nws lub neej. Cov no yog cov ntaub ntawv kho tsis tau ntawm tus kab mob, uas qee zaus ua rau nco txog lawv tus kheej, thiab tus neeg mob xav tau kev pab kho mob thaum lub sijhawm no. Nyob rau hauv cov ntaub ntawv ntawm pyelonephritis, txhua qhov exacerbation tshiab kis tus txheej txheem inflammatory rau cov cheeb tsam noj qab haus huv ntawm lub raum cov ntaub so ntswg. Nyob rau ntawm qhov chaw ntawm qhov txhab, cov ntaub so ntswg noj qab haus huv tuag thiab cov caws pliav, yog li dhau sijhawm, cov haujlwm ua haujlwm ntawm cov ntaub so ntswg txo qis. Txhua yam ua rau qhov tseeb tias, thaum kawg, lub raum tsis ua haujlwm. Yog tias mob pyelonephritis tau cuam tshuam rau ob lub raum, tom qab ntawd lub raum tsis ua haujlwm tshwm sim thiab tus neeg mob xav tau kev pab tas li los ntawm "lub raum cuav" khoom siv.

Kev kuaj mob li cas?

txhawm rau kuaj xyuas kom raug, nws yog qhov yuav tsum tau siv cov txheej txheem ntsuas. Kev kuaj mob ntawm pyelonephritis ntev yog ua raws li kev kuaj mob anamnesis thiab kuaj mob, thiab tus kws kho mob urologist kuj suav nrog daim duab kho mob.

Ib qho lossis ntau dua ntawm cov hauv qab no siv:

- Kev tshuaj ntsuam dav dav ntawm cov zis thiab ntshav.

- Kab mob tso zis kab mob.

Cov zis yog kuaj hauv chav kuaj, nrog tus kab mob no koj tuaj yeem pom tias nws yog huab, nag lossis daus tshwm. Tus kws pab kuaj mob sau tseg tias muaj cov kab mob, ntsev, protein thiab epithelium hauv cov khoom siv kuaj, qib ntawm leukocytes tau nce.

Thaum ntsev thiab protein tshwm hauv cov zis, qhov no twb yog lawmib qho cim qhia tias muaj cov txheej txheem inflammatory hauv ob lub raum thiab cov ntshav pom cov txheej txheem tawg. Kev kuaj mob ntawm pyelonephritis ntev yog ua los ntawm urologist, thiab thaum kuaj pom zoo li no, ces qhov teeb meem yuav tsum tau tswj xyuas thiab tso zis yuav tsum raug coj mus kuaj txhawm rau saib xyuas kev ua haujlwm ntawm lub raum. Qhov no yuav tsum tau ua tas li. Kuj tseem siv tau:

- Ultrasound ntawm lub raum. Thaum lub sijhawm o, PCS (pyelocaliceal system) feem ntau nthuav, thiab qhov no tuaj yeem pom ntawm ultrasound.

- X-ray kuaj.

- Radioisotope renography. Qhov no yog ib txoj hauv kev zoo rau qhov txawv. Kev kuaj mob pyelonephritis. Cov khoom siv hluav taws xob sib xyaw ua ke hauv lub cev ntawm cov zis, nws tuaj yeem siv los taug qab cov zis sai npaum li cas los ntawm ob lub raum, ntsuas kev ua haujlwm ntawm ob lub raum, kev ua haujlwm ntawm lub raum.

Ntawm tus mob pyelonephritis

Dif. Kev kuaj mob pyelonephritis
Dif. Kev kuaj mob pyelonephritis

Nyob rau hauv daim ntawv mob ntawm tus kab mob no, ib los yog ob lub raum yuav raug cuam tshuam, yog li pyelonephritis muab faib ua unilateral thiab ob sab. Nws kuj tau muab faib ua hom, nyob ntawm qhov hnyav ntawm chav kawm ntawm tus kab mob. Hauv daim ntawv latent, tus neeg mob muaj kev tsis xis nyob me ntsis, yog li lawv yuav tsis quav ntsej qhov teeb meem tag nrho.

Nyob rau hauv pyelonephritis rov tshwm sim, lub sij hawm ntawm kev txo qis ntawm tus kab mob thiab exacerbation hloov pauv. Qhov zaus ntawm relapses nyob ntawm ntau yam. Txo cov qib hemoglobin thiab ntshav ntshav tau pom nyob rau hauv cov mob pyelonephritis. Kev kuaj mob sib txawv tso cai rau kev kuaj mob uas cov tsos mob sib tshooj nrog lwm cov kab mob raum. NtawmNyob rau hauv daim ntawv azothemic, twb muaj lub raum tsis ua haujlwm, thiab hauv daim ntawv hypotensive, ntshav siab nce.

Qee yam ntawm cov tsos mob no nrog rau lwm yam kab mob, tab sis nws yog ib qho tseem ceeb rau tsim kom muaj kev kuaj mob kom raug, vim tias cov kab mob sib txawv tau kho sib txawv.

Thaum thawj theem, muaj cov txheej txheem inflammatory uas muaj cov tsos mob hnyav. Cov theem latent muaj cov duab kho mob uas tau tshem tawm. Hauv qhov no, tus kab mob tuaj yeem kuaj tau los ntawm kev kuaj sim. Qhov thib peb theem yog kev zam txim, thaum lub sij hawm no tag nrho cov tshwm sim ntawm tus kab mob yog tsis tuaj. Yog hais tias tsis muaj exacerbations rau 5 xyoos, ces tus kws kho mob pom zoo kom rov zoo tag.

Kev mob rau tus kab mob ntev

Nws yog qhov nyuaj rau kev twv seb lub neej ntawm tus neeg mob pyelonephritis yuav tshwm sim li cas thiab nws lub sijhawm yuav zoo li cas. Yog tias koj ua raws li txhua tus kws kho mob cov lus pom zoo, ces txawm tias muaj kev kuaj mob zoo li no, koj tuaj yeem ua neej nyob kaj siab lug thiab ntev. Thaum tus neeg mob haus luam yeeb, tsis ua raws li kev kho mob tsim nyog, haus cawv thiab tsis quav ntsej cov lus pom zoo kho mob, ces nws lub neej tuaj yeem txo qis. Cov txheej txheem rau kev kuaj mob pyelonephritis ua rau nws muaj peev xwm tsim kev kuaj mob nrog 100% tseeb, yog li ntawd, kev kho mob tuaj yeem ua tiav raws sijhawm thiab tau txais txiaj ntsig zoo.

Txhawm rau tiv thaiv tus kab mob, nws yuav tsum tau teb raws sijhawm rau txhua qhov kev tshwm sim tsis zoo, tshwj xeeb tshaj yog tias lawv txhawj xeeb txog cov kab mob genitourinary. Hauv urology, koj tsis tas yuav kho tus kheej, koj xav tau cov lus pom zoo los ntawm kws kho mob. Lub raum tsis nyiam hypothermia, qhov no yuav tsum tau saib xyuas thiab, zoo dua, tsis txhob siv cov tshuaj steroid altshuaj kho mob. Ib tug neeg noj qab haus huv yuav tsum haus tsawg kawg 2 litres dej ib hnub twg thiaj li tiv thaiv kom tsis txhob muaj cov tshuaj phem ntau hauv cov zis, txwv tsis pub txoj kev pheej hmoo ntawm cov kab mob pathological nce ntxiv.

Thaum cev xeeb tub, muaj kev pheej hmoo ntau ntxiv ntawm kev tsim pyelonephritis. Kev kuaj mob thiab kev kho mob yuav tsum tau ua tam sim ntawd. Thaum cev xeeb tub, tshwj xeeb tshaj yog nyob rau theem tom ntej, cov zis tawm zuj zus zuj zus, yog li koj yuav tsum tau saib xyuas koj txoj kev noj qab haus huv. Nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej, ua raws li kev noj qab haus huv ntawm kev noj qab haus huv thiab kev ua si ntawm lub cev.

Kab mob tsis tshwm sim ntawm xiav

Lo lus "hloov" qhia tias tus kab mob no nyob hauv tib neeg lub neej mus ntev. Tab sis qhov kev hloov mus rau hauv daim ntawv mob pib nrog ib qho mob hnyav, thaum kho cov tshuaj tua kab mob tsis raug lossis kev kho mob luv luv thiab tsis ncav cuag nws qhov laj thawj. Qhov laj thawj ntawm kev noj qab haus huv tsis zoo tuaj yeem yog qhov kev kuaj mob lig thiab kho tus mob pyelonephritis.

Tus kab mob no tsis tshwm sim los ntawm xiav, feem ntau muaj cov khoom sib txuam: lub raum pob zeb, prostatitis lossis prostate adenoma, nqaim ntawm cov zis los yog prolapse ntawm lub raum. Cov kab mob uas muaj kab mob tuaj yeem ua rau muaj kev tiv thaiv ntau dua rau kev cuam tshuam sab nraud tom qab kev kho mob cuam tshuam. Zoo li tus neeg mob tau txais kev pab, tab sis tom qab ib ntus tus kab mob rov qab los.

Ntau yam ua rau muaj kev loj hlob ntawm tus kab mob. cev xeeb tub thiab yug me nyuam, congenital anomalies nyob rau hauv kev loj hlob ntawm lub raum los yog cov yam ntxwv ntawm lub genitourinary system,rau qhov uas ib txwm urodynamics hloov, tuaj yeem ua haujlwm rau qhov pib ntawm tus kab mob. Nrog rau qhov pib ntawm kev sib deev, kuj muaj kev pheej hmoo.

Cov txheej txheem rau kev kuaj mob pyelonephritis
Cov txheej txheem rau kev kuaj mob pyelonephritis

Cov tsos mob uas tuaj yeem txheeb xyuas tus kab mob

Tus kab mob no tsis yooj yim rau kuaj pom. Cov tsos mob feem ntau yog mob me, mob me, lossis tsis muaj nyob. Kev kuaj mob sib txawv ntawm pyelonephritis tso cai rau koj txheeb xyuas tus kab mob raws li ntau yam. Cov qib ntawm hemoglobin hauv cov ntshav tau qis dua, tab sis qhov no yuav yog nrog rau lwm yam kev kuaj mob, cov leukocytes hauv cov zis thiab cov qe ntshav liab kuj nce ntxiv.

Cov tsos mob nyob ntawm theem ntawm tus kab mob. Tus kab mob pyelonephritis yog nrog los ntawm kev mob hauv lub nraub qaum nrog qis qis, qhov mob yog asymmetric. Yog tias tus neeg mob tau prolapsed raum, qhov mob yuav tshwm sim hauv plab.

mob pyelonephritis yuav tsum tau kuaj thiab kho los ntawm kws kho mob. Txawm hais tias ib tug neeg pom cov tsos mob zoo sib xws hauv nws tus kheej, qhov no tsis txhais hais tias nws muaj tus kab mob no. Tom qab taug kev ntev lossis sawv hauv qhov chaw tom qab, qhov tsis xis nyob tshwm. Thaum sawv ntxov, o ntawm lub ntsej muag, ko taw thiab txhais tes yuav pom tau, thaum hmo ntuj muaj kev tso zis ntau zaus. Tus neeg mob lub siab nce siab, kub dhia nce mus txog 38 degrees, tshwj xeeb tshaj yog yav tsaus ntuj.

Thaum ib tug neeg xav tias phem, ib txwm, nws lub siab yuav ploj mus, lub xeev ntawm kev qaug zog thiab qaug zog tuaj, mob taub hau yuav tshwm sim. Nws zoo nkaus li tias txhua yam qhuav hauv lub qhov ncauj thiab koj pheej xav haus. Yog tias tus neeg mob muaj mob pyelonephritis ntev, kev kuaj mob sib txawv yuav tso caiqhia tawm.

Kev kho mob los ntawm kev sau ntawv nkaus xwb

Kev kuaj mob thiab kho tus mob pyelonephritis
Kev kuaj mob thiab kho tus mob pyelonephritis

Cov neeg ua haujlwm kho mob siv sijhawm ntau dua ib xyoos kom tau txais qhov tshwj xeeb, thiab cov kws kho mob nqaim tas li txhim kho lawv cov txuj ci, tab sis txawm tias lawv ua yuam kev kho mob. Peb yuav hais li cas txog thaum ib tug neeg muab tshuaj kho rau nws tus kheej? Qhov no tuaj yeem ua tsis tau zoo xwb, tab sis kuj txaus ntshai. Thaum tus kws kho mob tau siv txhua txoj hauv kev los kuaj xyuas tus mob pyelonephritis, nws tau sau ntawv kho mob.

Nyob rau hauv lub sijhawm teem tseg tej zaum yuav muaj tshuaj tua kab mob ntawm pab pawg penicillin, lawv muaj ib tug dav spectrum ntawm kev txiav txim thiab maj mam li ua tau rau lub raum. Cov tiam tshiab cephalosporins feem ntau yog siv intramuscularly thiab tau siv dav hauv tus kab mob no. Yog tias ib tug neeg nyob hauv tsev kho mob, cov neeg ua haujlwm kho mob tau txhaj tshuaj rau ntawm qhov chaw.

Hauv kev kho mob, koj yuav tsum siv cov tshuaj uas muaj qhov tsis zoo rau lub raum, cov tshuaj tua kab mob xws li fluoroquinolones, lawv tua cov kab mob uas cuam tshuam rau cov zis. Tab sis cov poj niam cev xeeb tub thiab menyuam yaus yuav tsum tsis txhob muab tshuaj. Thaum lawv siv, koj yuav tsum tiv thaiv koj tus kheej los ntawm kev raug ultraviolet rays ntau li ntau tau. Lub solarium thiab lub puam yuav tau tos.

Thaum tus kws kho mob siv dif. Kev kuaj mob ntawm pyelonephritis ntev, nws tuaj yeem sau tshuaj oxyquinolines, lawv feem ntau siv hauv urology. Nitrofurans tsis tshua siv, txawm tias lawv cov txiaj ntsig zoo, vim tias lawv tau hais tawm cov kev mob tshwm sim.

Kev kho mob tau ua 14 hnub, thaum kawg ntawm qhov nosij hawm rov ntsuam xyuas. Ua ke nrog cov tshuaj tiv thaiv kab mob, cov tshuaj antispasmodics tuaj yeem muab tshuaj, lawv tsis tsuas yog txo qhov mob, tab sis kuj txhim kho cov zis ntws.

Nyob rau hauv lub sij hawm teem tseg muaj cov tshuaj uas txhim kho venous outflow thiab raum cov ntshav khiav. Nyob rau hauv lub complex, tus neeg mob tau txais physiotherapy, electrophoresis thiab magnetotherapy. Tag nrho cov kev ua no tso cai kom ua tiav qhov kev tso cai ruaj khov thiab kov yeej pyelonephritis ntev. Etiology, chaw kho mob, kuaj mob thiab kev kho mob yuav tsum nyob rau hauv tus kws kho mob tswj.

Instrumental method rau kev kuaj mob ntawm pyelonephritis ntev
Instrumental method rau kev kuaj mob ntawm pyelonephritis ntev

Thaum tus neeg mob muaj cov kab mob sib kis, lwm cov tshuaj siv los kho cov kab mob pyelonephritis. Tus neeg mob yuav tau muab tshuaj antipyretic. Yog tias tus kab mob tsis nyob rau theem mob hnyav, ces cov tshuaj ntsuab siv tau. Kev kho tshuaj ntsuab yuav tsum nyob rau hauv kev saib xyuas ntawm kws kho mob.

Kev noj zaub mov yog yuav tsum

Thaum kuaj mob pyelonephritis ntev, tus neeg mob yuav tsis hnov qhov tsis xis nyob, tab sis qhov tseeb cov txheej txheem inflammatory twb tab tom ua. Lub cev muaj kab mob yuav tsum tsis txhob thauj khoom ntxiv rau lub sijhawm no. Tias yog vim li cas tus kws kho mob muab cov lus pom zoo ntawm kev noj zaub mov thiab haus dej haus. Yog tias tsis muaj edema thiab ntshav siab, ces tus nqi ntawm cov dej koj haus yuav nce mus rau 3 litres ib hnub twg. Yog tias o, ces koj yuav tsum haus li 2 litres dej.

Hais txog cov zaub mov, koj yuav tsum tsim nyog: cov kua qab ntsev thiab ntsim yuav tsis muaj txiaj ntsig rau tus neeg mob. Kev haus kas fes zoo tshaj yog khaws cia kom tsawg. Tag nrhoCov zaub mov noj yuav tsum yog qhov tseeb ntawm cov protein, carbohydrates thiab cov rog. Cov khoom noj mis nyuj tuaj yeem noj txhua qhov ntau, lawv tseem yuav pab txhim kho plab hnyuv, uas tuaj yeem cuam tshuam vim kev ua ntawm cov tshuaj tua kab mob. Nqaij nyuj, nqaij qaib, luav, boiled ntses, boiled qe, zaub thiab cereals - tag nrho cov no yuav tsum nyob rau hauv cov zaub mov. Txhua yam zaub mov uas yooj yim digestible tom qab kuaj mob pyelonephritis yog txais tos.

Cov menyuam yaus tau txais pyelonephritis ib yam

Cov menyuam yaus tsis muaj qhov tshwj xeeb thaum nws los txog rau pyelonephritis. Nws manifests nws tus kheej nyob rau hauv tib txoj kev raws li ib tug kis tau tus mob, thaum lub functionality ntawm lub raum yog cuam tshuam. Kev kuaj mob pyelonephritis hauv cov menyuam yaus yog ua los ntawm kev yug menyuam, thiab cov menyuam mos ntxov ntxov yuav raug mob los ntawm tus kabmob no ntau dua li cov menyuam yug thaum lub sijhawm. Tus kab mob no tuaj yeem ua rau lub raum tsis zoo lossis khaws cia ua haujlwm. Txhawm rau kuaj mob pyelonephritis hauv cov menyuam yaus txog li 3 lub hlis, kev tshuaj xyuas yog siv. Kev kuaj mob yog nyob ntawm bacteriuria thiab leukocyturia. Ntxiv nrog rau kev sim kuaj, tus kws kho mob tau saib xyuas cov tsos mob ntawm tus menyuam xws li kub taub hau, ua npaws.

Yog tias tus kws kho mob xav tias pyelonephritis hauv tus menyuam, ces yuav tsum tau ua cov kab mob tso zis thiab microsporia, kev kho tshuaj tua kab mob raug muab tshuaj raws li cov txiaj ntsig kev sim.

Kev kuaj mob pyelonephritis
Kev kuaj mob pyelonephritis

Tus kws kho mob ua txhua yam kev ntsuas tsim nyog ntawm cov zis thiab ntshav, ua qhov kev kuaj pom sab nraud ntawm qhov chaw mos, ntsuas ntshav siab. Cov quav yuav tsum tau kuaj xyuasdysbacteriosis. Kev kuaj mob ntawm tus mob pyelonephritis yog nqa tawm siv lub tshuab ultrasound.

Kev kho mob suav nrog kev noj zaub mov zoo ib yam li cov neeg laus. Rau lub sijhawm ua npaws - pw so. Tus kws kho mob saib xyuas qhov tso zis ntawm tus menyuam, lawv yuav tsum tsis tu ncua, raws li hnub nyoog. Yuav tsum tau ua raws li cov cai ntawm kev nyiam huv. Thaum kho, kev kho tshuaj tua kab mob yog nqa tawm. Hauv thawj peb hnub, cov tshuaj tua kab mob thiab tshuaj tua kab mob tau muab tshuaj.

Cov kab mob zoo sib xws, yuav ua li cas paub qhov txawv?

Kab mob raum tuaj yeem tshwm sim nws tus kheej hauv tib txoj kev, muaj qhov sib txawv me ntsis ntawm cov tsos mob. Kev kuaj mob sib txawv ntawm pyelonephritis ntev thiab glomerulonephritis yog ua los ntawm cov kws tshaj lij. Glomerulonephritis yog kab mob immunoinflammatory. Nrog rau qhov kev kuaj mob no, lub glomerular apparatus ntawm lub raum raug cuam tshuam, cov ntaub so ntswg interstitial thiab tubules kuj koom nrog cov txheej txheem inflammatory. Tus kab mob no tshwm sim nyob rau hauv mob thiab mob ntev. Tus neeg sawv cev ua rau feem ntau yog cov kab mob streptococcal, uas muaj nyob hauv lub cev tom qab tonsillitis, kab mob ua pa, kab mob dermatitis thiab lwm yam kab mob.

Ob lub lis piam tom qab muaj mob, tus kab mob no tshwm sim nws tus kheej yog kis kab mob hauv lub raum. Glomerulonephritis tuaj yeem tshwm sim nws tus kheej tsuas yog nrog edema, tib yam tuaj yeem nrog pyelonephritis. Yog li ntawd, txoj kev ntsuas ntsuas rau kev kuaj mob pyelonephritis yog qhov tseem ceeb heev. Yog hais tias cov ntaub so ntswg interstitial ntawm ob lub raum yog mob, ces nws tsis yooj yim sua kom paub qhov teeb meem. Thaum lub anamnesis tsis txaus, ces siv ib txoj kev kuaj ntsuas ntsuas. Nrog kev pab ntawm ultrasoundthiab lub tshuab x-ray, koj tuaj yeem pom qhov nthuav dav ntawm qhov tshwm sim ntawm lub cev, koj tuaj yeem pom yog tias lub raum tau deformed, koj tuaj yeem pom qhov tseeb qhov loj ntawm lub raum pelvis, yog tias muaj qhov txuas ntxiv, tus qauv yog dab tsi. ntawm parenchyma thiab yog tias muaj caws pliav thiab thinning ntawm nws. Radionuclide thiab endourological diagnostics tso cai rau koj los saib xyuas kev ua haujlwm ntawm ob lub raum. Nrog kev pab los ntawm ntau yam cuab yeej, nws muaj peev xwm tsim tau qhov kev kuaj mob kom raug, txawm tias cov tsos mob poob rau hauv cov kab mob sib txawv.

Txhim kho mob pyelonephritis

Yog tias ib tus neeg tsis muaj zog, mob taub hau, kub txog 40 degrees thiab tawm hws ntau ntxiv, peb tuaj yeem hais tias nws muaj mob pyelonephritis. Kev kuaj mob yog ua tiav ib yam li hauv cov kab mob ntev. Muaj xws li xeev siab ntawm xeev siab uas ib tug neeg tuaj yeem ntuav. Mob npub nyob rau hauv cheeb tsam lumbar, uas, txawm li cas los xij, tuaj yeem hloov kev siv. Feem ntau qhov mob yog nyob ntawm ib sab. Thaum tus kab mob nyob rau hauv daim ntawv mob tsis nyuaj los ntawm lwm yam kab mob, ces tsis muaj teeb meem nrog zis.

Mob pyelonephritis raug kuaj pom, kuaj zis, nws muaj huab sib xws, tej zaum yuav muaj xim liab, nws muaj cov kab mob. Kev tshuaj xyuas biochemical qhia tau hais tias ntau dhau ntawm cov qauv ntawm nitrogenous slags nyob rau hauv kwv yees li ib feem peb ntawm txhua kis. Kev kho mob tsuas yog ua nrog tshuaj, feem ntau hauv tsev kho mob, kom txog rau thaum cov tsos mob zoo li qub. Yog tias tus kab mob no kho tsis tau, ces tom qab ntawd nws yuav tshwm sim nyob rau hauv daim ntawv ntev thiab nws yuav nyuaj heev los tawm tsam nws.

Differential kev kuaj mob ntevpyelonephritis thiab glomerulonephritis
Differential kev kuaj mob ntevpyelonephritis thiab glomerulonephritis

Cov lus pom zoo los ntawm cov kws tshaj lij

Thaum tus neeg mob ntsib tus kab mob hnyav, nws ua tiav txhua tus kws kho mob cov lus pom zoo kom ntau li ntau tau txhawm rau txo cov tsos mob ntawm tus mob, txhim kho nws tus mob thiab rov qab mus rau nws txoj kev ua neej li qub sai li sai tau. ua tau. Tab sis koj yeej tsis xav txwv koj tus kheej rau yam koj tau siv thaum tsis muaj teeb meem pom tseeb. Cov neeg mob zam cov lus pom zoo, txawm tias thaum kuaj pom tus mob pyelonephritis ntev lawm. Cov lus pom zoo kho mob nyob ntawm daim ntawv ntawm tus kab mob.

Thaum lub sijhawm exacerbation, nws yog ib qho tsim nyog yuav tsum tau saib xyuas lub txaj so, pw tsaug zog yuav tsum muaj ntau txaus. Tus neeg mob chav yuav tsum tau ua pa, thiab thaum nws muaj zog txaus, nws yuav tsum siv sijhawm tsawg kawg 4 teev nyob rau hauv huab cua ntshiab. Qhov xwm zoo yog tias koj tsis tas yuav tso dej qab zib, compote thiab tshuaj yej tsis muaj zog tuaj yeem qaug cawv. Nyob ntawm lub hnub nyoog ntawm tus neeg mob, tus nqi ntawm cov kua dej ib hnub yog xam. tso zis yuav tsum tsis tu ncua kom cov concentration ntawm cov kab mob pathogenic tsis nce nyob rau hauv lub cev.

Thaum muaj mob, koj yuav tsum saib xyuas koj tus kheej, tsis txhob tso lub cev kom muaj zog. Tsuas yog ob lub lis piam tom qab qhov pib ntawm qhov tshwm sim ntawm pyelonephritis, koj tuaj yeem siv cov kev kho mob ntawm lub cev.

Tus neeg mob yuav tsum noj 4-5 zaug hauv ib hnub zaub mov, steamed lossis boil. Cov khoom siv mis nyuj tuaj yeem noj tau. Koj tsis tas yuav tshaib plab, nws tsuas yog tsim nyog hloov mus rau cov zaub mov uas yooj yim digestible thiab tsis tsim lub nra ntxiv rau lub cev tsis muaj zog. Koj tuaj yeem noj cov kua zaub thiab cov tais diav nrog nqaij ntshiv thiab nqaij qaib,pub zaub mov, zaub thiab qe mos.

Cov zaub mov txwv tsis pub suav nrog txhua yam ntawm cov nqaij haus luam yeeb, cov kaus poom, cov txuj lom, mayonnaise, ketchup thiab qej. Koj tsis tuaj yeem noj cov kua zaub nplua nuj, legumes thiab zaub pickled. Cov dej qab zib muaj roj thiab dej cawv yog txwv nruj.

Nrog rau qhov kev kuaj mob no, kev saib xyuas tas li los ntawm tus kws kho mob nephrologist yog qhov tsim nyog, txhawm rau saib xyuas lub luag haujlwm ntawm lub raum, koj yuav tsum tso zis tsis tu ncua. Txhawm rau tiv thaiv tus kab mob, nws yog ib qho tsim nyog yuav tsum tau tshem tawm cov foci ntev ntawm kev kis kab mob hauv lub cev. Nws tuaj yeem yog sinusitis, caries, tonsillitis, thiab lwm yam.

txhawm rau ua kom lub raum ua haujlwm ib txwm muaj, koj xav tau cov dej haus sib npaug, siv txiv hmab txiv ntoo thiab zaub. Nws yog ib qho tsim nyog los txo qis kev siv cov khoom noj uas muaj oxalates siab, thiab cov no yog: txiv ntseej, cocoa, spinach, bran, tshuaj yej thiab lwm yam.

Yog tias muaj qhov ua rau lub raum pob zeb, ces koj cov zaub mov yuav tsum tau saib xyuas tas li. Nws yog qhov yooj yim dua los txwv koj tus kheej hauv qee yam khoom dua li tshem cov pob zeb ntawm lub raum tom qab. Qee lub pob zeb tsis tuaj yeem raug tshem tawm, lawv yuav tsum tau muab tshem tawm tsuas yog phais. Yog tias muaj pob zeb hauv ob lub raum, ces lub cev yuav tsis tuaj yeem ua haujlwm li qub, thiab cov txheej txheem inflammatory yuav dhau los ua ib tus neeg koom nrog ntau zaus.

Pom zoo: