Txhua tus neeg mob muaj keeb kwm kho mob sib txawv. Pyelonephritis, raws li tau pom los ntawm cov ntaub ntawv kho mob, muaj nyob rau qee lub sijhawm hauv ntau. Tus kab mob no tsis yog tshwj xeeb. Lo lus hais txog qhov muaj kab mob raum kab mob. Hauv qhov no, cov ntaub so ntswg parenchymal raug kev txom nyem, feem ntau interstitial, nrog rau calyces, pelvis ntawm lub cev. Nyob rau hauv keeb kwm ntawm tus kab mob, tus kws kho mob yuav tsum sau seb tus kab mob no cuam tshuam rau ib sab los yog symmetrically, thawj los yog tshwm sim tawm tsam keeb kwm ntawm lwm yam kab mob, tshwm sim nyob rau hauv ib tug mob los yog mob, yog nrog los ntawm serous paug los yog suppuration. Yog tias muaj kev xav rov qab los, qhov tseeb no kuj yuav raug sau tseg.
Ntse ntawm pathology
Tus kws kho mob ib txwm hais txog qhov ua rau ua rau mob pyelonephritis hauv tus neeg mob cov keeb kwm kho mob, yog tias tsim nyog los tsim kom muaj qhov tseeb ntawm lawv. Nws paub tias nyob rau hauv feem pua ntawm cov neeg mob feem ntau, tus mob tau piav qhia los ntawm kev kis tus kab mob strepto-, staphylo-, enterococcus, Proteus lossis Escherichia. Txog ib feem peb ntawm cov neeg mob uas muaj daim ntawv mob hnyav tswj tautxheeb xyuas ntau yam kab mob ib zaug. Ntawm cov neeg mob hnyav, qhov no muaj tseeb rau ob feem peb ntawm txhua tus neeg mob.
Cov txheej txheem kho mob yog qhov nyuaj los ntawm kev siv cov kab mob pathological hauv lub neej rau cov tshuaj tua kab mob siv, uas tseem yuav tsum tau sau tseg los ntawm tus kws kho mob hauv daim ntawv qhia thiab cov ntaub ntawv keeb kwm. Pyelonephritis yog ib yam kab mob uas rov tso zis ntau zaus los txheeb xyuas cov tshuaj uas muaj txiaj ntsig zoo rau qee kis. Coj mus rau hauv tus account tias kab lis kev cai tsis nthuav tawm cov protoplass uas tuaj yeem ua rau rov muaj dua.
Nuances of state
Raws li txoj cai, qhov rov tshwm sim tom ntej ntawm pyelonephritis hauv keeb kwm kev kho mob tau hais thaum tus neeg lub cev tiv thaiv kab mob txo qis vim qee yam lossis qhov xwm txheej ntawm lub cev hnyav rau lwm yam. Kev loj hlob ntawm tus kab mob no feem ntau nyob ntawm tus neeg mob. Tus kab mob kis tau lub sijhawm nkag mus rau hauv lub raum pelvis los ntawm cov ntshav lossis cov qog ntshav, raws cov phab ntsa ureteral los ntawm cov zis qis. Nyob rau hauv lub xub ntiag ntawm retrograde reflux, pathological microflora tuaj yeem nkag mus rau hauv lub raum los ntawm lumen ntawm lub ureter.
tso zis stasis, ua txhaum ntawm cov qog ntshav tawm, ntshav los ntawm cov leeg ntawm lub raum - xws li cov kab mob pathological feem ntau hais txog cov tsos mob hauv xp. pyelonephritis nyob rau hauv keeb kwm ntawm tus kab mob. Feem ntau, ua ntej qhov kev kuaj pom thawj zaug, tus neeg mob twb tau tig mus rau cov kws kho mob nrog interstitial cystitis, uas kuj tau hais hauv tus neeg mob cov ntaub ntawv tus kheej. Muaj qhov ua tau tias cystitis tshwm sim hauv daim ntawv latent. Thaum xaiv qhov kev kho mob tsim nyog, nws yog qhov tsim nyogcoj mus rau hauv tus account tias daim ntawv mob hnyav yam tsis muaj kev pabcuam raws sijhawm tuaj yeem ua rau nephritis, raum carbuncle.
Yuav ceeb toom li cas?
Txhua cov tsos mob uas tus neeg mob mus ntsib kws kho mob yuav tsum tau sau tseg rau hauv daim npav thaum sau cov anamnesis (sib sau keeb kwm kho mob). Mob pyelonephritis hauv cov menyuam yaus thiab cov neeg laus feem ntau pib ua npaws - qee zaum ua npaws nce mus txog 40 degrees. Tus neeg mob yog tshee, tawm hws profusely, sab nraub qaum mob. Nyob rau sab uas muaj tus kab mob tshwm sim, lub anterior phab ntsa ntawm lub peritoneum yog nruj, lub costal-vertebral cheeb tsam yog muab los ntawm ib tug ntse thiab mob hnyav. Ib tug neeg xav tias qaug zog, kev txhawj xeeb txog kev ntxhov siab, nqhis dej. Possible pollakiuria, dysuria.
Sijhawm dhau mus, daim ntawv mob hnyav lossis hnyav dua ntawm pyelonephritis raws li cov tsos mob ntxiv ua rau mob taub hau thiab xeev siab. Qee zaum tus neeg mob ntuav. Cov kev tshwm sim no qhia tau hais tias kev lom ntawm lub cev tshwm sim sai heev. Ua tau leukocytosis, aneosinophilia, muaj nyob rau hauv cov zis ntawm purulent secretions, ntshav thiab protein inclusions. Yog tias qhov mob hnyav zuj zus, leukocytosis tuaj yeem ua rau leukopenia. Cov tsos mob Pasternatsky hauv feem pua ntawm cov neeg mob feem ntau yog qhov zoo. Nrog rau cov txheej txheem kis mob ob sab, lub cev tsis ua haujlwm raug pom. Cov teeb meem nquag nyob rau hauv daim ntawv ntawm cov txheej txheem necrotic, paranephritis.
xwm txheej hloov tshiab
Nws yog ib qho tseem ceeb heev rau tus kws kho mob kom paub meej txog keeb kwm ntawm tus kab mob pyelonephritis. Kev kuaj mob sib txawv rau tus kab mob no thiabDaim ntawv mob hnyav yog ib theem tseem ceeb thiab tseem ceeb heev, vim tias qhov tshwm sim zoo ib yam li lwm yam kev mob. Raws li txoj cai, qhia tus neeg mob tus mob, tus kws kho mob ua ntej ntawm tag nrho cov sau ua tiav anamnesis. Qhov muaj feem ntau ntawm pyelonephritis yog qhia los ntawm qee cov kab mob ntev, cov kab mob purulent tau ntsib yav dhau los.
Qee zaum qhov kev kuaj pom ua ntej yog qhov tseeb txawm tias nyob ntawm cov ntaub ntawv tau los ntawm kev kuaj xyuas thiab nug tus neeg mob. Raws li paub los ntawm ntau cov ntaub ntawv keeb kwm sau tseg hauv kev coj ua ntawm cov kws kho mob tshwj xeeb hauv urology, pyelonephritis feem ntau nrog purulent, protein, ntshav suav nrog hauv cov zis. Cov kua muaj cov kab mob, yog heev ntom. Tus neeg mob yog kub taub hau, sab nraub qaum mob. Muaj oliguria, dysuria.
Txhawm rau kom paub meej qhov xwm txheej, nws yog qhov yuav tsum tau ua ntau qhov kev sim tshwj xeeb. Kev kuaj mob sib txawv yog ua tiav, muab cov kab mob sib xyaw ua ke tuaj yeem piav qhia los ntawm foci ntawm kev kis tus kab mob tsis yog ntawm ob lub raum, tab sis kuj ntawm lwm lub cev los ntawm cov zis ntws. Raws li txoj cai, tus neeg mob raug xa mus rau x-ray - nrog pyelonephritis, lub raum mob loj dua hauv ntim; ntawm urography, qhia txog kev txwv kev txav ntawm lub cev thaum ua pa. Carbuncle tuaj yeem xav tias yog compression ntawm lub plab mog, calyx.
Kuv pab tau li cas?
Thaum tus neeg mob tau kuaj pom tus mob pyelonephritis nyob rau theem mob hnyav hauv keeb kwm kev kho mob, tus kws kho mob tsis tsuas yog sau tag nrho cov neeg mob cov lus tsis txaus siab, cov txiaj ntsig kuaj, tab sis kuj qhia meej tias qhov kev kho mob twg raug xaiv rau ib rooj plaub tshwj xeeb. Tshwj xeeb, qhov no yog khoom noj tshwj xeeb. Tus mob theem ntawm tus kab mob hu ua noj raws li lub rooj zaum xya(subtype A). Koj yuav tsum haus dej tsawg kawg yog ob litres dej ib hnub, yog tias ua tau ntau dua. Tus kws kho mob tswj tus neeg mob tus mob, raws li nws txhim kho, nthuav cov zaub mov, ua kom cov protein saturation thiab rog cov ntsiab lus ntawm cov khoom noj. Yog tias pom cov kab mob metabolic acidosis, sodium bicarbonate yuav tsum tau siv. Noj 5 g ntawm qhov ncauj los yog txhaj rau hauv cov hlab ntsha mus txog 60 ml ntawm cov tshuaj (tsis ntau saturated tshaj 5%).
Txhua yam haujlwm uas tau xaiv, tshuaj, lawv cov koob tshuaj yuav tsum tau sau tseg hauv keeb kwm kho mob. Kev kho mob pyelonephritis yuav tsum tau siv cov kev ntsuas los txhawb cov ntshav khiav hauv ob lub raum thiab txo qhov mob. Cov txheej txheem cua sov tau qhia. Tus kws kho mob yuav piav qhia yuav ua li cas ua compresses, cua sov pads. Cov txheej txheem nrov yog diathermy. Yog tias qhov mob tseem hnyav, cov nyhuv thermal tsis ua rau nws tsis muaj zog, nws yuav tsum tau noj tshuaj. Antispasmodics - "Papaverine" thiab "Platifillin" yuav pab tau. Lawv tau npaj rau kev siv sijhawm luv luv, lawv pab txhawm rau txo tus mob, tab sis koj tsis tuaj yeem noj cov tshuaj no tas li - lawv yog cov tsos mob tshwm sim.
Tshuaj: dab tsi yuav pab tau?
Txhua cov tshuaj xaiv los ntawm tus kws kho mob yuav tsum tau kho - qhov no yuav tso cai rau kev soj ntsuam lawv cov txiaj ntsig, thiab yog tias kuaj pom cov kab mob pathological, hloov lawv nrog cov txiaj ntsig zoo dua. Cov tshuaj siv thiab ntau npaum li cas, tag nrho cov yam ntxwv ntawm chav kawm, tus kws kho mob kho hauv keeb kwm kho mob. Kev kho mob ntawm pyelonephritis ntev nyob rau theem ntawm exacerbation, mob hnyav yog siv cov tshuaj tua kab mob. Lawv feem ntau pib nrog nalidixic acid. Hauv khw muag tshuaj, nws tau nthuav tawm nyob rau hauv lub npe lag luam Negram thiab Nevigramon. Lub sijhawm ntawm qhov kev zov me nyuam yog ib lub lis piam lossis ob zaug, qhov ntau npaum li cas yog 0.5-1 g, zaus yog plaub zaug ib hnub.
Lwm yam tshuaj nitrofuran. Lawv qhov ua tau zoo hauv ib kis yuav tsum tau sau tseg hauv keeb kwm kho mob. Kev kho mob ntawm pyelonephritis nyob rau theem ntawm kev rov qab los, mob hnyav yog siv "Furadonin" rau ib lub lis piam plaub zaug hauv ib hnub, 0.15 g lossis "Nitroxoline", qhov ntau npaum li cas tsis pub tshaj 0.2 g, thiab lub sijhawm ntawm chav kawm nce mus txog. peb lub lis piam. Nitroxoline noj plaub zaug ib hnub twg.
Nuances of treatment
Nyob rau hauv cov ntaub ntawv ntawm exacerbation ntawm pyelonephritis, cov tshuaj teev yog siv nyob rau hauv lem. Nyob rau tib lub sijhawm, nitrofuran derivatives thiab nalidixic acid yog nruj me ntsis txwv tsis pub siv, txij li ob cov tshuaj no sib sib zog nqus cov nyhuv. Tsis tas li ntawd, qhov tshwm sim ntawm kev txhim kho tsis kam ntawm pathological microflora nce.
Feem ntau, thaum tswj qhov xwm txheej ntawm qhov mob hnyav ntawm pyelonephritis nyob rau hauv keeb kwm kho mob, tus kws kho mob qhia tias tus neeg mob tau txais tshuaj hexamethylenetetramine. Cov tshuaj no yog muag raws li lub npe Urotropin. Tus neeg sawv cev yog siv nyob rau hauv thawj rau hnub ntawm ib tug mob, yog hais tias tus pathological microflora qhia tau hais tias muaj zog tiv thaiv cov tshuaj tiv thaiv kab mob. "Urotropin" noj txhua hnub plaub zaug. Dosage - txog li ib gram ntawm qhov ncauj los yog tso rau hauv lub cev txog li 10 ml txhaj tshuaj.
Kev sib xyaw kom muaj txiaj ntsig zoo
Kev saib xyuas tshwj xeeb yog them rau mob pyelonephritis hauvkws kho mob. Muaj ntau cov ntaub ntawv keeb kwm - ntawm cov menyuam yaus, pathology yog qhov dav heev, thiab muaj ntau qhov laj thawj rau qhov no - txoj kev ua neej, kev tiv thaiv qis, thiab ntau yam ntawm tus kheej. Los ntawm cov kev paub ntawm cov kws kho mob, nws paub tias nyob rau hauv cov ntaub ntawv ntawm relapses, feem ntau qhov zoo tshaj plaws mus kom ze yog kev koom ua ke tshuaj kho, nyob rau hauv uas tus neeg mob tau ib txhij muab tshuaj antibacterial tebchaw thiab sulfonamides. Cov tshuaj tua kab mob raug xaiv los ntawm kev tshuaj xyuas ntawm cov kab mob tiv thaiv kab mob rau ntau yam tshuaj.
Feem ntau, kev kho mob yog xyaum nrog penicillin formulations - lawv muaj ntau heev nyob rau hauv mob pyelonephritis nyob rau hauv pediatrics. Cov ntaub ntawv keeb kwm ntawm ntau tus menyuam yaus muaj cov lus hais txog tus kabmob no thiab kev siv "Benzylpenicillin" ntawm koob tshuaj 1-2 lab units ib hnub, lossis "Oxacillin" ntawm koob tshuaj 2-3 g ib hnub. Koj tuaj yeem siv "Ampicillin" ntau txog 10 g ib hnub twg, ampicillin ntsev thiab "Streptomycin" - ob zaug ib hnub rau ib nrab ib gram lossis tsawg dua.
Kev xaiv thiab lwm yam
Qhia txog kev ua xua rau cov tshuaj tua kab mob penicillin tsis tshua muaj tshwm sim, tshwj xeeb tshaj yog cov menyuam yaus keeb kwm. Tus kab mob pyelonephritis nyob rau hauv cov ntaub ntawv no, koj tuaj yeem sim kho nrog tetracycline. Cov tshuaj "Tetracycline" yog siv nyob rau hauv qhov ncauj mus txog rau 6 zaug ib hnub twg, qhov ntau npaum li cas mus txog 0.3 g. Koj tuaj yeem siv cov derivatives ntawm cov tshuaj uas tau teev tseg - "Metacycline" lossis "Morphocycline".
Macrolides muaj cov nyhuv me me thiab tsis muaj qhov cuam tshuam tsis zoo, yog li lawv kuj tau siv ntau zaus yog tias xav tau kev kho mobmenyuam. Dav dav "Tetraolean", "Oletetrin" nyob rau hauv cov me nyuam. Hauv keeb kwm ntawm tus mob pyelonephritis nyob rau hauv ntau tus neeg mob, nws tau qhia tias cov tshuaj tau muab tshuaj nyob rau hauv ib lub quarter ntawm ib gram mus txog rau lub sij hawm ib hnub twg, thiab cov kev kho mob no qhia tau hais tias ib tug pronounced tshwm sim.
Ib txoj hauv kev ua tau rau kev kho mob pyelonephritis yog kev siv aminoglycosides. Ntawm cov npe tsev muag tshuaj, nws tsim nyog hais txog "Kanamycin", txhaj rau hauv cov leeg nqaij ob zaug lossis peb zaug ib hnub rau ib nrab ib gram, nrog rau "Gentamicin", siv zoo ib yam, tab sis qhov ntau npaum li cas - 0.4 mg.
Yuav ua li cas ntxiv?
Y Hauv pyelonephritis, cephalosporins zoo. Siv "Tseporin" thiab "Cefaloridin". Dosage - txog li ob grams tauj ib hnub.
tshuaj tiv thaiv kab mob hloov pauv txhua kaum hnub, siv cov tshuaj me me. Cov kws kho mob uas sau ntawv rau cov neeg mob uas mob raum tsis ua haujlwm yuav tsum ceev faj tshwj xeeb.
Sulfanilamide tshuaj siv tau. Ntawm lub tsev muag tshuaj npe, qhov no yog "Etazol", "Urosulfan". Qhov ntau npaum li cas mus txog ib gram, qhov zaus ntawm kev siv yog mus txog rau 6 zaug ib hnub twg. Kev ua haujlwm ntev sulfonamides tau ua pov thawj lawv tus kheej zoo. Cov no yog Sulfapyridazine, siv nyob rau hauv ib koob ob-gram ntawm thawj hnub, thiab tom qab ntawd ib nrab li ntau rau ob lub lis piam, thiab Sulfadimethoxin, Sulfamonomethoxin.
Kev tsom xam
Hauv feem pua ntawm cov neeg mob feem ntau, tsis ntev tom qab pib kho cov kev kho mob, cov zis hauv cov neeg mob tau zoo li qub, tsis muaj cov kab mob pathological.suav nrog. Qhov no tsis yog vim li cas rau kev tshem tawm - tshuaj tua kab mob yuav tsum tau noj ntxiv, raws li txoj cai - ib hlis. Yog tias kev kho mob tsis pom qhov xav tau, yuav tsum tau phais sai. Qhov no feem ntau tsim nyog rau carbuncle, nephritis.
Yog tus mob pyelonephritis raug tso tseg yam tsis tau saib xyuas lossis tsis kho, tus kab mob yuav mob ntev. Cov kab mob tseem ceeb tseem tuaj yeem ua tau, tab sis qhov no tsis tshua muaj - qhov no tau kuaj pom yog tias txij thaum pib cov kab mob tsis tshwm sim nws tus kheej li cov tsos mob hnyav.
Tus kab mob pyelonephritis muaj ntau dua rau cov menyuam yaus, muaj kev pheej hmoo siab dua rau cov ntxhais. Thaum kuaj xyuas ib feem ntawm ib feem peb ntawm tag nrho cov neeg mob, nws tsis tuaj yeem txiav txim siab tam sim ntawd cov cim qhia uas tso cai rau kev kuaj mob kom raug. Tab sis lub xeev febrile yam tsis muaj laj thawj rau nws yog ib qho kev tshwm sim uas qhia tias muaj kev rov qab los thiab pab tus kws kho mob ua qhov tseeb. Raws li tuaj yeem pom los ntawm kev txheeb cais, nyob rau xyoo tas los no, cov kab mob sib xyaw ua ke tau dhau los ua ntau zaus - pyelonephritis thiab glomerulonephritis cuam tshuam tus neeg mob tib lub sijhawm, ob qho tib si txuas mus rau hauv daim ntawv ntawm tus kab mob.
YUnilateral pyelonephritis: nta
Tus kab mob no tshwm sim los ntawm qhov mob npub ntawm thaj chaw lumbar ntawm ib sab (qhov chaw tsom mus rau kis kab mob). Qhov mob tsis tu ncua. Dysuria feem ntau tsis tuaj. Nrog exacerbation, kub taub hau yog pom nyob rau hauv txhua tus neeg mob thib tsib. Muaj ntau leukocytes nyob rau hauv cov zis sediment dua lwm yam qauv. Nrog rau wrinkling ntawm lub raum kab mob, lub urinary syndrome yuav ua tau tsawg pronounced. Cov zis ceev tsis hloov.
Thaum kuaj mob, nws yog ib qho tseem ceeb los txiav txim siab qhov concentration ntawm cov leukocytes nquag. Nrog ib daim ntawv latent ntawm tus kab mobKoj yuav tsum tau kuaj nrog prednisolone. 30 mg ntawm cov tshuaj yog yaj nyob rau hauv 10 ml ntawm cov kua thiab txhaj rau hauv cov hlab ntsha nyob rau hauv tsib feeb, tom qab uas ob peb feem ntawm cov zis raug coj mus kuaj - ib teev tom qab tus txheej txheem, ob thiab peb teev tom qab. Qhov kev sim no suav hais tias yog qhov zoo yog tias tom qab ib teev muaj 400 txhiab lossis ntau dua leukocytes hauv cov zis, ntawm qhov feem pua ntawm cov ntsiab lus tseem ceeb. Thaum kuaj pom cov qauv Sternheimer-Malbin, nws tuaj yeem kuaj xyuas qhov tseeb ntawm qhov mob, txawm tias qhov no tsis yog qhov qhia tsis tau ntawm pyelonephritis.
Tus yam ntxwv ntawm cov tsos mob
Feem ntau, cov kws kho mob sau tseg hauv cov ntaub ntawv keeb kwm ntawm gestational pyelonephritis (raws li, qhov tseeb, lwm yam) uas tau kuaj pom cov kab mob siab hauv tus neeg mob cov zis. Yog tias tus naj npawb ntawm cov kab mob hauv 1 ml ntawm cov kua yog 100 txhiab lossis ntau dua, cov qauv ntawm cov kua yuav tsum tau coj los txiav txim siab tiv thaiv cov tshuaj tua kab mob thiab tshuaj tua kab mob.
Feem ntau, tsis ncaj, pyelonephritis yog qhia los ntawm kev nce siab hauv cov hlab ntsha. Rau qhov ntau dua, qhov no yog tus yam ntxwv ntawm cov txheej txheem ob sab, daim ntawv ntev.
txhawm rau txheeb xyuas cov yam ntxwv ntawm tus mob, nws yog qhov yuav tsum tau ua chromocystoscopy, urography, ntsuas creatinine tshem tawm rau txhua lub raum. Lawv coj x-ray siv hippuran, scan lub raum. Nyob rau hauv lub sijhawm ntev, lub peev xwm concentration ntawm lub cev raug cuam tshuam sai, tab sis kev tso tawm nitrogen tuaj yeem ua tau ntev.
Vim hauv pyelonephritis cov tubules ntawm lub cev tsis tuaj yeem ua haujlwm ib txwm, maj mam pomacidosis. Hauv qee cov neeg mob, pyelonephritis yog qhia los ntawm parathyroidism, osteodystrophy ntawm lub raum, vim yog cov leaching ntawm phosphate tebchaw thiab calcium los ntawm cov ntaub so ntswg organic.
Kev mob nkeeg
Raws li pyelonephritis tshwm sim, nws ua rau tawv nqaij qhuav, pallor. Tus neeg mob ntuav thiab mob. Nosebleeds yog ua tau. Raws li txoj cai, cov neeg mob poob phaus, anemia raug pom, hlau concentration txo, thaum tso zis tsis muaj cov kab mob pathological.
YPyelonephritis tuaj yeem ua rau cov txheej txheem necrotic, suppuration, nephrolithiasis.
Nuances of Clinical practice: chronicle
Cov teeb meem tshwj xeeb yog cuam tshuam nrog kev qhia meej txog tus mob: mob pyelonephritis muaj ntau txoj hauv kev zoo ib yam li mob glomerulonephritis. Txhawm rau kom paub meej qhov mob, nws yog ib qho tseem ceeb uas yuav tsum ua tib zoo txheeb xyuas cov tsos mob ntawm cov zis, ntsuas cov ntsiab lus ntawm ntau yam hauv cov zis, thiab tseem txheeb xyuas tag nrho cov yam ntxwv ntawm kev ua haujlwm ntawm lub cev los ntawm urography. Glomerulonephritis yog qhia los ntawm nephrotic cider.
Hypertension, vasorenal hypertension thiab kab mob raum nyob rau hauv nqe lus nug yuav tsum tau txiav txim siab rau cov ntshav siab. Txhawm rau txhawm rau txheeb xyuas qhov sib txawv kom muab qhov tseeb tshaj plaws, nws yog ib qho tsim nyog los soj ntsuam cov tsos mob ntawm cov zis, x-ray, thiab cov txiaj ntsig ntawm kev tshawb fawb radionuclide. Pyelonephritis yuav raug qhia los ntawm asymmetry ntawm lub excretion ntawm cov xim thaum lub sij hawm chromocystoscopy.
Nws muaj peev xwm paub qhov txawv ntawm cov kab mob ntawm vasorenal hypertension los ntawm urography, renography, aortoarteriography.
Tus nuances of chronic disease therapy
Nyob rau hauv daim ntawv mob ntawm tus kab mob, kev kho mob stretches rau ntau xyoo. Raws li txoj cai, chav kawm pib nrog kev siv nitrofurans, ua ke nrog nalidixic acid thiab sulfonamides. Cov npe tshwj xeeb tau teev saum toj no. Tag nrho cov pab pawg ntawm cov nyiaj no hloov mus rau ib leeg. Txhawm rau txhim kho kev ua tau zoo, tus neeg mob tau sau cranberry extract rau kev siv tas li.
Yog tias cov kev kho no tsis pom qhov xav tau, cov tshuaj tiv thaiv kab mob uas muaj cov txiaj ntsig dav dav tuaj rau kev cawm. Cov zis kuaj tau coj mus kuaj ua ntej pib kev tswj hwm los txiav txim siab qhov tsis kam ntawm cov ntawv hauv lub neej. Cov kev kho mob feem ntau yog kaum hnub, txawm hais tias qee zaum, tom qab qhov kev pab cuam zoo li no, cov tsos mob tseem tuaj yeem kuaj pom hauv cov zis. Cov neeg mob uas muaj tus kab mob no tau pom tias noj tshuaj tua kab mob tsis tu ncua, hloov pauv ntawm cov ntaub ntawv txhua lub lim tiam.
