Pyelonephritis hauv kev coj ua uronephrological tshwm sim hauv ntau dua li ib nrab ntawm cov neeg mob uas tau hloov mus rau tus kws kho mob tshwj xeeb uas muaj teeb meem raum. Cov txheej txheem inflammatory feem ntau tshwm sim vim kev nkag mus ntawm tus kab mob sib kis nrog cov ntshav, lymph lossis los ntawm cov kabmob hauv qab ntawm cov zis. Kev kho mob ntawm obstructive pyelonephritis yog ib txoj kev ntev thiab nyuaj.
kab mob
Tsis muaj ib qho kev lees paub dav dav ntawm pyelonephritis hauv tshuaj. Hauv kev kho mob, raws li qhov xwm txheej ntawm chav kawm, pyelonephritis tau muab faib ua:
- mob thiab mob ntev;
- obstructive thiab tsis-obstructive;
- primary and secondary.
Pyelonephritis, uas tshwm sim los ntawm ib qho uas twb muaj lawm urological pathology, suav hais tias yog obstructive. Kev kho mob ntawm daim ntawv ntawm tus kab mob no yog qhov nyuaj tshwj xeeb, vim tias nws yog ib qho tsim nyog tsis yog los tiv thaiv kev txhim kho ntawm o ntawm lub raum pelvis, tab sis kuj nyob rau hauv lub ureter thiab urinary ib ntsuj av.npuas. Uronephrology tseem faib cov pyelonephritis ntawm cov menyuam yaus, cov poj niam cev xeeb tub, cov neeg laus (senile pyelonephritis), kab mob uas tshwm sim nrog ntshav qab zib mellitus, thiab lwm yam. Nyob ntawm seb tus kab mob thiab tus yam ntxwv ntawm txhua tus neeg mob, kev kho yuav txawv.
Cov ntawv ntawm obstructive pyelonephritis
Uronephrology paub qhov txawv ntawm ob hom kab mob:
- mob hnyav, uas yog tus cwj pwm los ntawm qhov kub siab nce mus txog 39-40 degrees, kub taub hau, tsis nco qab, muaj ntshav thiab sediment (epithelium) hauv cov zis, mob hauv cheeb tsam lumbar thiab ntse. kub hnyiab thaum tso zis;
- mob ntev, uas yog tus yam ntxwv ntawm qhov kub thiab txias (37-37.5 degrees), qaug zog, asthenia, ntshav siab qis, mob nraub qaum thiab kub hnyiab thaum tso zis.
Tus mob obstructive pyelonephritis yuav tsum tau mus pw hauv tsev kho mob tam sim ntawm tus neeg mob. Thaum tsis muaj kev cuam tshuam kev kho mob raws sijhawm, qhov tshwm sim ua rau tuag taus.
Symptomatics
Cov tsos mob ntawm tus mob obstructive pyelonephritis:
- mob nkees;
- kev loj hlob ntawm vegetovascular dystonia;
- hypotension;
- kiv taub hau;
- tsis ua tiav txawm tias tom qab siv zog me ntsis;
- qhov kub tsis tu ncua subfebrile;
- hlawv thaum tso zis;
- cystitis;
- qhov me me ntawm cov zis uas tso zis ntau zaus.
Tus kab mob no tuaj yeem haunt tus neeg mob rau lub hlis,ua ntej nws txiav txim siab mus kuaj tag nrho. Ntev npaum li tus neeg mob ncua sijhawm nrog kev kuaj mob, cov ntaub so ntswg ntawm cov kab mob urinary system ua kom puas tsuaj ntau dua.
Tus kab mob hnyav tsis tuaj yeem tsis pom: kub taub hau, ua npaws thiab ua daus no ua rau tus neeg mob tsis muaj peev xwm. Tus mob tseem ceeb yuav tsum yog vim li cas thiaj mus rau lub tsheb thauj neeg mob thiab mus pw hauv tsev kho mob hauv nephrology lossis urology department.
Vim li cas thiaj tsim tau tus kab mob
Yog vim li cas vim li cas obstructive pyelonephritis tshwm sim hauv cov menyuam yaus thiab cov neeg laus:
- congenital lossis kis tau pathologies ntawm urinary system;
- ib zaug ntsib cov kab mob pyelonephritis ntev li ib txwm;
- nquag mob plab kab mob;
- cev xeeb tub tuaj yeem ua rau muaj kev cuam tshuam rau kev loj hlob ntawm obstructive pyelonephritis;
- adenoma hauv txiv neej;
- hypothermia ntawm sab nraub qaum lossis tag nrho lub cev;
- mob ntshav qab zib feem ntau provokes kev txhim kho cov kab mob inflammatory ntawm ob lub raum thiab zais zis;
- gout;
- siv sijhawm ntev thiab tswj tsis tau tshuaj tua kab mob;
- kev cuam tshuam kev phais;
- kev nyuaj siab-kev ntxhov siab thiab kev ntxhov siab ntev;
- kis kab mob ntawm lwm yam kabmob.
Qhov tshwm sim thiab teeb meem ntawm tus kab mob
Vim li cas koj yuav tsum tsis txhob cia cov tsos mob ntawm obstructive pyelonephritis mus tsis kho? Qhov tseeb yog tias tus kab mob no feem ntau uaua rau lub raum ua tsis tiav, bacteriotoxic shock, necrotic papillitis, arterial hypertension.
- Lub raum tsis ua haujlwm (CRF) yog ib yam mob uas tshwm sim los ntawm kev cuam tshuam ntawm cov kab mob pathogenic, uas muaj kev ua haujlwm tsis zoo thiab tuag ntawm cov ntaub so ntswg. Tus cwj pwm los ntawm kev ua tiav ntawm lawv lub luag haujlwm los ntawm lub raum. Yog tsis muaj ntshav, ib tug neeg tuag nyob rau hauv tsib mus rau xya hnub. Yog li ntawd, thaum kuaj mob CRF, tus neeg mob raug yuam kom mus koom cov txheej txheem hemodialysis rau tas nws lub neej thiab sawv ntsug hauv kab rau kev hloov lub raum (qee zaum, ob qho yuav tsum tau ua ib zaug). Hauv peb lub tebchaws, tsis tuaj yeem tos txog kev hloov pauv hauv nruab nrog cev, yog li qee kis tib neeg tuag yam tsis tau tos kev ua haujlwm.
- Bacteriotoxic shock tshwm sim yog tias obstructive pyelonephritis nrog cov kua paug. Qhov teeb meem ntawm pyelonephritis nrog rau ob sab raum puas yog qhov txaus ntshai heev. Kwv yees li ib nrab ntawm cov neeg mob tuag taus. Nrog unilateral obstructive pyelonephritis, qhov tshwm sim ntawm kev tuag nyob rau hauv kev loj hlob ntawm bacteriotoxic shock yog 35%. Thaum cev xeeb tub, bacteriotoxic shock ua rau tus menyuam hauv plab tuag yuav luag txhua tus neeg mob.
- Necrotizing papillitis yog qhov tsis tshua muaj teeb meem ntawm obstructive pyelonephritis. Nws tshwm sim feem ntau vim yog kev ua txhaum ntawm cov txheej txheem ntawm kev tsim khoom thiab tso zis tawm ntawm lub zais zis. Muaj kev nce siab hauv intrarenal. Qhov no ua rau muaj kev cuam tshuam ntawm cov ntshav khiav mus rau lub cev. Muaj kev puas tsuaj rau papillae ntawm ob lub raum thiab lawv cov pa ntxivkev tshaib kev nqhis. Tom qab ntawd necrosis ntawm cov ntaub so ntswg ntawm lub zais zis thiab lub raum tsim.
Txoj kev kuaj mob
Obstructive pyelonephritis yog kuaj tau (raws li ICD 10 code - N11.1) tom qab cov kev tshawb fawb hauv qab no:
- tso zis kab lis kev cai (tso cai rau koj los txiav txim seb hom kab mob pathogenic uas ua rau muaj kev txhim kho ntawm o - feem ntau nws yog E. coli, staphylococcus aureus, enterococcus);
- kuaj mob ultrasound (ultrasound) tso cai rau koj los tshuaj xyuas cov ntaub so ntswg ntawm lub raum thiab txiav txim seb muaj cov kua paug, pob zeb, xuab zeb;
- xam tomography (CT) tsis muaj qhov zoo dua ntawm ultrasound. Feem ntau pab tau rau kev sib txawv ntawm pyelonephritis los ntawm cov txheej txheem qog.
YAntibacterial therapy
Kev kho mob ntawm cov txheej txheem inflammatory tsis ua tiav yam tsis tau noj tshuaj tua kab mob. Tsuas yog cov tshuaj no tuaj yeem cuam tshuam cov kev ua ntawm cov kab mob pathogenic thiab ua kom lawv cov spores. Yog hais tias pyelonephritis ntawm ib daim ntawv tsis kho nrog tshuaj tua kab mob, nws yuav mus rau hauv lub sij hawm ntev thiab provoke necrosis ntawm cov ntaub so ntswg ntawm lub urinary system.
Ntxiv rau, yog tias tsis muaj kev kho tshuaj tua kab mob txaus, qhov kev cuam tshuam thib ob ntawm pyelonephritis feem ntau tshwm sim. Hauv cov menyuam yaus, cov txheej txheem no tuaj yeem ua rau muaj kev tsim thiab tawm ntawm cov kua paug, uas thaum kawg yuav ua rau bacteriotoxic shock thiab, qee zaum, tuag.
Lub sijhawm kho thiab hom tshuaj tua kab mob yog muab los ntawm uronephrologist tom qab kawm txog cov txiaj ntsig ntawm kev sim. Cov hauv qab no yog qhov ua tau zoo tshaj plawskev npaj:
- "Cefixime" - tuaj yeem siv tau ob qho tib si hauv daim ntawv ua kua rau kev txhaj tshuaj thiab hauv daim ntawv ntsiav tshuaj;
- "Ceftibuten" hauv daim ntawv tshuaj ntsiav lossis ntsiav tshuaj;
- "Cefuroxime" ob leeg nyob rau hauv daim ntawv ntawm cov kua rau kev txhaj tshuaj thiab nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj.
Surgery
Kev kho phais yog qhia yog tias kev kho tshuaj tua kab mob ua tsis tiav.
Lawv ua haujlwm feem ntau ntawm cov ntaub ntawv purulent ntawm obstructive pyelonephritis. Hauv nws cov chav kawm classic, feem ntau tsis tas yuav muaj kev cuam tshuam. Kev ua haujlwm feem ntau yog ceev thiab tsis muaj teeb meem. Lub hom phiaj tseem ceeb ntawm kev phais mob rau obstructive pyelonephritis yog kom nres cov txheej txheem purulent-inflammatory hauv lub raum lossis zais zis. Nws tseem yog ib qho tseem ceeb los kho cov zis tawm ntawm cov zis los ntawm cov zis sab sauv.
Kev kho mob nrog tshuaj homeopathic
Lub khw muag tshuaj niaj hnub no muaj ntau yam tshuaj rau kev kho mob raum kab mob. Muaj ntau cov tshuaj homeopathic ntawm lawv, qhov kev txiav txim ntawm cov tshuaj yog raws li tshuaj ntsuab:
- "Canephron";
- Y "Phytolysin";
- "Renel";
- "Monral".
Uronephrologists hais txog tias cov tshuaj no tuaj yeem siv los kho cov kab mob pyelonephritis (popo M 10 code - N11.1) tsuas yog ua ib feem ntawm txoj haujlwm.kev kho mob. Tsuas yog cov tshuaj tua kab mob tuaj yeem tua cov kab mob microflora. Yog lawm, qee zaum lawv muaj tshuaj lom thiab ua rau muaj teeb meem ntawm cov kab mob hauv plab hnyuv. Tab sis yog tsis muaj lawv siv, pyelonephritis tsis tuaj yeem kho.
Tom qab kev sim rov ua kom tiav qhov kev puas tsuaj tag nrho ntawm cov kab mob ua rau mob, koj tuaj yeem rov tso zis nrog kev pab ntawm "Canephron" lossis "Monural". Thiab raws li txoj kev ywj pheej ntawm kev kho mob, cov tshuaj no tsis muaj txiaj ntsig.
Tiv thaiv kev ua rau mob hnyav ntawm pyelonephritis
Yog tias muaj tsawg kawg ib kis ntawm kev kuaj mob pyelonephritis nyob rau hauv tus neeg mob keeb kwm, ces nws yuav zoo li tias qee zaus nws yuav rov tshwm sim nyob rau hauv daim ntawv ntev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov cai tiv thaiv hauv qab no txhawm rau tswj lub raum noj qab haus huv:
- zam kev tsis haum ntawm tag nrho lub cev thiab nws tus kheej qhov chaw (tshwj xeeb yog ob txhais ceg thiab sab nraub qaum);
- saib xyuas khoom noj khoom haus: qee lub sijhawm teem sijhawm yoo mov yam tsis muaj ntsev thiab carbohydrates ib leeg (txiv apples, mov, buckwheat porridge);
- tsis txhob haus cawv thiab tsis haus luam yeeb (nicotine thiab tar ua rau lub raum puas tsuaj);
- ua raws li kev tswj hwm dej: rau lub raum, tsis yog qhov tsis muaj dej huv tsuas yog ua rau muaj kev puas tsuaj, tab sis kuj tseem muaj ntau dhau;
- kev pw tsaug zog zoo thiab so yog qhov tsim nyog: txhua hmo koj yuav tsum tau pw tsawg kawg yim teev, yog tias tsim nyog, sim pw ib teev lossis ob hnub thaum nruab hnub.
Kev ntxhov siab yuav tsum zamthiab tiv thaiv kev txhim kho ntawm kev qaug zog ntev: lub xeev kev puas siab puas ntsws yog qhov tseem ceeb rau cov kab mob ntawm cov zis. Ntau cov kab mob raum yog psychosomatic nyob rau hauv qhov xwm txheej. Raws li qhov tshwm sim ntawm kev puas siab puas ntsws, tsis yog tsuas yog neurons raug kev txom nyem, tab sis tag nrho lub cev.
