Ib qho ntawm cov kab mob nto moo tshaj plaws thiab ntau yam ntawm lub raum hu ua pyelonephritis. Pathogenic microflora nyob rau hauv daim ntawv ntawm Escherichia coli, chlamydia, staphylococcus los yog lwm yam kab mob uas nkag los ntawm cov urethra mus rau lub raum ua rau ib tug inflammatory txheej txheem nyob rau hauv lawv. Nws tuaj yeem cuam tshuam rau ib lossis ob lub raum ib zaug. Hauv cov poj niam, tus kab mob no tau kuaj pom ntau dua li cov poj niam cev xeeb tub.
YKev faib tawm ntawm pyelonephritis
Raws li cov xwm txheej tshwm sim, lawv paub qhov txawv:
- Pib. tshwm sim thaum tsis muaj lwm yam mob raum pathologies.
- Secondary. Nws tshwm sim los ntawm cov kab mob uas twb muaj lawm ntawm lub raum thiab cov zis.
Los ntawm tus lej ntawm lub cev puas:
- Ib sab. Tsuas yog ib lub raum raug cuam tshuam.
- ob sab. Hauv qhov no, ob lub raum raug cuam tshuam.
Nyob ntawm qhov ntws:
- ntsim;
- mob.
Raws li patencyurinary ib ntsuj av:
- Obstructive. Nws yog tsim tawm tsam keeb kwm ntawm cov kab mob hauv qab no: ureteral stenosis, urolithiasis, urovasal teeb meem.
- Tsis muaj kev cuam tshuam. Nws txoj kev loj hlob tsis cuam tshuam nrog kev ua txhaum ntawm cov zis tawm ntawm lub raum.
mob pyelonephritis
Cov hom hauv qab no yog qhov txawv:
- Serous yog thawj theem ntawm kev tsim cov txheej txheem kis mob hnyav. Cov tsos mob ntawm pyelonephritis yog tshwm sim los ntawm txias txias, kub taub hau, tsis muaj zog, bouts ntawm xeev siab, ntuav. Muaj qhov mob hnyav hauv thaj tsam lumbar, uas tuaj yeem piav qhia tias mob thiab npub. Rau kev kho mob, tshuaj tua kab mob, tshuaj tua kab mob yog siv, thiab detoxification kuj tau ua. Nrog rau kev kho kom raug, qhov kev cia siab yog qhov zoo, thiab thaum nws tsis tuaj, muaj teeb meem tshwm sim.
- Apostematous purulent yog theem tom ntej ntawm kev txhim kho pathology tom qab yav dhau los.
- raum carbuncle yog lwm hom purulent pyelonephritis. Nyob rau hauv tas li ntawd, ib tug dav purulent lesion yog pom nyob rau hauv lub cev. Tus neeg mob muaj qaug dab peg heev, uas yog tus cwj pwm los ntawm qhov kub thiab txias, mob taub hau, thiab lawv kuj muaj nyob rau hauv cov pob qij txha thiab cov leeg, tsis muaj zog, xeev siab lossis ntuav. Kev mob hnyav yog pom nyob rau hauv cheeb tsam lumbar thiab plab mog ntawm sablub raum cuam tshuam. Kev kho mob tsuas yog phais xwb. Raws li kev qhia txog kev kho mob, ob qhov txiaj ntsig tau ua tau: tshem tawm lub raum lossis qhib lub abscess thiab tshem tawm cov chaw tuag nrog cov kua dej ntxiv.
- Kidney abscess yog ib daim ntawv hnyav tshwj xeeb uas kuaj pom cov kab mob purulent hauv lub raum. Yog vim li cas rau tus mob no yog lub koom haum ntawm abscesses yam ntxwv ntawm apostematous pyelonephritis los yog kev txwv ntawm abscesses. Qhov txawv ntawm cov txheej txheem purulent no yog tias cov ntsiab lus purulent yog nyob rau hauv lub npe hu ua capsule thiab tsis kis mus rau cov ntaub so ntswg noj qab haus huv. Nyob rau tib lub sijhawm, nws dissolves thiab kab noj hniav. Cov tsos mob zoo ib yam li yav dhau los daim ntawv ntawm pathology. Kev kho yog nqa tawm tsuas yog nyob rau hauv ib lub tsev kho mob ib ncig ntawm lub moos, detoxification, kev kho mob nrog antibacterial, anti-inflammatory tshuaj yog nqa tawm. Yog tias nws tsis tuaj yeem kov yeej cov txheej txheem sib kis, ces kev kho phais raug qhia, piv txwv li tshem tawm lub raum.
- Emphysematous yog ib qho mob hnyav, txawm tias muaj kev phom sij rau lub neej, thiab hmoov zoo tsis tshua muaj daim ntawv ntawm pyelonephritis. Cov tsos mob ntawm cov poj niam pib zoo ib yam li kev loj hlob ntawm mob o, tab sis lawv tsis nres tom qab pib kho, tus neeg mob zoo li tus neeg mob septic. Nrog pathology ntxiv rau hauv daim ntawv ntawm hyperglycemia, ntshav qab zib ketoacidosis thiab lwm yam. Hauv cov xwm txheej tau piav qhia los ntawm kev kho mob, cov poj niam hnub nyoog nruab nrab lossis cov neeg laus uas muaj keeb kwm mob ntshav qab zib mellitus, kab mob urinary kab mob los yog mob pyelonephritis tau raug tus kab mob no. Ua rau cov tsos mob ntawm pyelonephritis hauv cov poj niamdag nyob rau hauv gas-forming microorganisms, siab qabzib cov ntsiab lus thiab txo cov ntaub so ntswg perfusion. Vim qhov mob hnyav, kev ntsuas ceev tau qhia, uas suav nrog kev txhaj tshuaj, tshuaj tua kab mob, kev kho mob ntshav qab zib mellitus kom raug, tshem tawm cov kab mob urinary, thiab kev txiav txim siab ntawm kev ua haujlwm ntawm lub raum cuam tshuam. Txawm li cas los xij, hauv kev xyaum, xws li kev kho mob tsis zoo. Yuav tsum tau nephrectomy lossis phais tso kua dej nrog rau kev kho mob.
Nrog rau daim ntawv ntawm tus kab mob no, ntau tus me me purulent foci raug tsim, lossis lawv tseem hu ua apostemes. Cov tsos mob ntawm pyelonephritis ntawm hom no zoo ib yam li chaw kho mob ntawm mob raum mob.
mob pyelonephritis hauv cov poj niam: cov tsos mob thiab kev kho mob
Cov kab mob hauv qab no yog qhov txawv:
- Pyonephrosis yog lub raum yaj hauv qab cov kua paug. Nyob rau tib lub sijhawm, nws tag nrho muaj cov ntsiab lus purulent, zis, calculi thiab parenchymal ntaub so ntswg. Daim ntawv no yog suav tias yog theem kawg ntawm cov txheej txheem purulent-inflammatory. Clinical manifestations yog qhia los ntawm qhov mob nyob rau hauv lub lumbar cheeb tsam. Nyob rau hauv kev siv, lawv yog me me los yog mus rau lub raum colic. Tag nrho cov cim ntawm intoxication yog tam sim no. Cov zis ua pos huab, sediment tshwm nyob rau hauv nws. Kev kho mob tsuas yog phais, thiab ceev. Tshem tawm ib lub raum los yog ua ke nrog lub ureter yog tias muaj pob zeb nyob hauv nws. Tej zaum subcapsular tshem tawm ntawm lub cev thiab nephrostomy. Qhov kawg yog ua thaum nws tsis tuaj yeem tshem lub raum.
- Xanthogranulomatous yog ib qho tsis tshua muaj hom pyelonephritis nyob rau hauv cov poj niam. Cov kev kho mob thiab cov tsos mob yog dab tsi? Tus kab mob no tshwm sim nws tus kheej feem ntau hauv cov poj niam hnub nyoog nruab nrab uas muaj keeb kwm ntawm lub raum pob zeb thiab cov kab mob urinary mus ntev. Nws tshwm sim los ntawm kev ua npaws ntev, poob phaus, anorexia, thiab mob ntev hauv thaj tsam lumbar thiab sab hauv plab ntawm lub raum mob. Kev kho mob suav nrog kev phais kom tshem tawm lub cev.
- Malacoplakia yog ib yam kab mob tsawg heev. Nws yog yus muaj los ntawm granulomatous o. Nodules los yog plaques muaj xws li macrophages thiab plasma hlwb tsim nyob rau hauv lub mucous daim nyias nyias ntawm lub urinary ib ntsuj av. Tus kab mob no tshwm sim tawm tsam keeb kwm ntawm pyelonephritis ntev. Cov tsos mob ntawm cov poj niam ncaj qha nyob ntawm qhov chaw ntawm nodules. Yog hais tias lub raum raug cuam tshuam, ces muaj mob nyob rau sab thiab sab nraub qaum, uas yog cramping nyob rau hauv cov xwm. Muaj kub taub hau thiab ntshav liab. Yog tias lub zais zis koom nrog cov txheej txheem, tom qab ntawd mob thiab tso zis ntau zaus, hematuria tau sau tseg. Yog hais tias lub raum thiab cov ureter raug cuam tshuam, nephrectomy yog ua tiav thiab kev kho tshuaj tua kab mob raug sau tseg. Yog tias tsuas yog lub raum raug cuam tshuam, kev kho mob yog nrog fluoroquinolones.
Pyelonephritis hauv menyuam yaus: cov tsos mob thiab kev kho mob
Yeej, tus kab mob no tshwm sim hauv tus menyuam yaus uas muaj teeb meem tom qab raug mob SARS. Tag nrho cov me nyuam hnub nyoog yog nyob rau hauv nws, pib ntawm cov me nyuam yug tshiab. Kev kho mob lig ua rau muaj kev cuam tshuam loj heev. Ntawm lawv, qhov tshwm sim ntawm qhov mob hnyav thiab mob ntev ntawm tus kab mob yog qhov txawv. Lub purulent abscess yog ib qho teeb meem ntawm mob pyelonephritis. Daim ntawv mob ntev ntawm cov kab mob pathology yog qhov nyuaj rau kev kuaj mob, txij li nws muaj cov duab kho mob tshem tawm. Lub sijhawm ntev inflammatory txheej txheem provokes necrosis, sclerosis ntawm lub raum cov ntaub so ntswg. Tsis tas li ntawd, mob pyelonephritis, uas tus me nyuam raug kev txom nyem, nyob rau hauvyav tom ntej yuav ua rau kev loj hlob:
- hlab ntshav siab;
- hydronephrosis, uas lub raum hloov pauv thiab, vim li ntawd, poob peev xwm ua nws txoj haujlwm ib txwm;
- mob raum tsis ua haujlwm ua rau tsis tu ncua hemodialysis lossis txawm tias hloov pauv.
Cov tsos mob ntawm pyelonephritis hauv cov menyuam yaus nyob ntawm theem ntawm tus kab mob:
- Spicy. Hauv qhov no, muaj tag nrho cov cim qhia ntawm kev qaug dab peg ntawm lub cev: kub taub hau, ua daus no, tawm hws ntau dhau. Cov me nyuam mos muaj kev ntxhov siab, xeev siab, ntuav, poob phaus. Mob nyob rau hauv lub nraub qaum los yog sab yog feem ntau pom nyob rau hauv cov me nyuam hnub nyoog kawm ntawv thiab cov tub ntxhais hluas. Hauv cov me me, tsis muaj qhov pom tseeb ntawm qhov mob. Kev tso zis tsis tso zis tau sau tseg, nquag tso zis yog nrog los ntawm qhov mob, ntshav blotches tshwm sim hauv cov zis, muaj cov ntxhiab tsw tsw qab, uas qhia tau tias muaj cov txheej txheem inflammatory. Tus kab mob no tshwm sim sai heev, cov tsos mob tshwm sim nce nyob rau hauv 48 teev. Yuav tsum muaj kev kho mob sai sai.
- Ntawm. Ib qho tshwj xeeb yog tias cov tsos mob ntawm lub raum pyelonephritis ntawm daim ntawv ntawm tus kab mob no raug tshem tawm, yog li kev kuaj mob nyuaj. Tus kws kho mob tuaj yeem kuaj xyuas qhov tseeb thaum lub sij hawm tshem tawm tsuas yog los ntawm kev soj ntsuam cov zis.
Kev kho mob pyelonephritis hauv cov menyuam yaus ntawm tus neeg mob sab nraud txhais tau tias:
- puag so.
- Siv lojkua, suav nrog dej ntxhia.
- khoom noj khoom haus. Thaum pib ntawm tus kab mob - qhov no yog mis nyuj noj. Tom ntej no - cov zaub mov muaj protein ntau nrog cov ntsiab lus ntawm cov txiv hmab txiv ntoo thiab zaub uas muaj cov nyhuv diuretic.
- Noj tshuaj tua kab mob, diuretic, tshuaj tua kab mob, tshuaj tiv thaiv kab mob, thiab tshuaj ntsuab.
- Tshuaj kho mob tau qhia rau qhov mob.
- Rau kev kho cov hnyuv - enzymes thiab probiotics.
- txhawm rau txhim kho kev tiv thaiv - immunomodulators thiab vitamin-mineral complexes.
Nrog exacerbation ntawm cov tsos mob ntawm pyelonephritis nyob rau hauv lub sij hawm ntev, kev kho mob spa yog pom zoo. Tsis tas li ntawd, raws li kev kho mob qhia, zaws thiab kho lub cev qoj ib ce yog muab.
Cov tsos mob ntawm pyelonephritis hauv cov poj niam
Qhov hnyav ntawm daim duab kho mob ntawm pyelonephritis nyob ntawm lub xeev ntawm lub cev tiv thaiv kab mob. Vim lub fact tias qhov ua rau ntawm nws txoj kev loj hlob yog ib tug kab mob, yuav tsum tau cov cim ntawm intoxication ntawm lub cev.
Cov tsos mob ntawm pyelonephritis hauv cov poj niam:
- txiav thaum tso zis;
- mob hnyav hauv cheeb tsam lumbar;
- polyuria;
- puag zis.
Qhov hnyav ntawm cov tsos mob nyob ntawm tus kab mob: mob lossis mob ntev. Lub sijhawm mob hnyav muaj cov tsos mob hnyav. Ntev - ib lub chaw kho mob zais thiab yuav tsis tshwm sim rau lub sijhawm ntev. Cov tsos mob ntawm tus mob pyelonephritis nyob rau hauv cov poj niam yog tus cwj pwm los ntawm cov tsos mob hauv qab no:
- fever;
- edema ntawm qis extremities thiab lub ntsej muag;
- tawm hws ntau dhau;
- mob hnyav hauv lub raum;
- nauseous;
- ntuav.
Cov poj niam nyob rau hauv txoj hauj lwm, nrog rau cov cim saum toj no, tau pom: nce siab, kub thaum yav tsaus ntuj, tsis tu ncua ntawm ob txhais ceg thiab lub ntsej muag.
Kev kho mob tshwm sim ntawm cov tsos mob tseem ceeb ntawm pyelonephritis:
- Paj. Nyob rau hauv daim ntawv mob ntawm pathology, nws yog ntse, mob. Nyob rau hauv mob - mob, tsis dhau mus ntev. Tsis tas li ntawd, qhov mob syndrome tuaj yeem hla lossis asymmetric. Qhov no txhais tau hais tias lub raum mob yog nyob rau sab xis, thiab qhov mob ntawm lub lumbar cheeb tsam nyob rau sab laug thiab vice versa.
- YDiuresis. Kev tso zis ntau zaus yog qhov tshwm sim ib ntus thiab tshwm sim nws tus kheej tsuas yog thaum lub sijhawm exacerbation. Hauv qhov no, kub hnyiab thiab mob nrog rau kev tso zis. Cov zis ua pos huab, tsaus, ntshav thiab purulent inclusions tshwm nyob rau hauv nws, thiab nws kuj kis tau tus ntxhiab tsw.
Cov tsos mob ntawm tus mob pyelonephritis nyob rau hauv cov poj niam:
- nquag tso zis;
- nausea;
- tsis muaj zog;
- Tshuaj mob hauv thaj tsam lumbar, uas nce huab cua phem.
Txhob Cia Siab
Tus kab mob no tshwm sim tawm tsam keeb kwm ntawm qee qhov pathologies, piv txwv li, otitis media, purulent mastitis, panaritium lossis lwm yam ua rau. Cov tsos mob ntawm pyelonephritis hauv cov poj niam provoke cov xwm txheej hauv qab no:
- overwork;
- kab mob plab;
- prolapsed uterus;
- kev nyuaj siab;
- hypothermia;
- xeeb tub;
- hnub nyoog hloov pauv;
- txo qis kev tiv thaiv;
- kab mob ntawm cov kab mob genitourinary;
- muaj ib tug catheter nyob rau hauv lub zais zis thiab lwm yam.
tshuaj ntsuab kho mob pyelonephritis
Herbalists pom zoo kom tshem tawm cov tsos mob ntawm pyelonephritis nrog cov tshuaj pej xeem. Rau cov hom phiaj no, ob qho tib si tshuaj ntsuab thiab lawv cov kev sib xyaw ua ke yog siv. Ntxiv nrog rau cov tshuaj tua kab mob, cov khoom siv tshuaj cog lus pom zoo rau hom kab mob no muaj cov txiaj ntsig zoo hauv qab no:
- fights o;
- txoov urinary spasm;
- txoov ntshav;
- relieves dyspepsia.
Cia peb saib ob peb yam zaub mov txawv:
- Yog tias muaj kua paug hauv zis. Dissolve 10 ml ntawm txiv apple cider vinegar hauv 200 ml dej. Cov tshuaj uas tshwm sim yog noj li peb zaug hauv ib hnub ua ntej noj mov.
- Nyob rau hauv kev kho mob ntawm cov tsos mob ntawm tus mob pyelonephritis thiab kev tiv thaiv ntawm cov teeb meem, nws muaj peev xwm siv ib tug infusion, uas muaj xws li walnut, rosehip, tricolor violet, verbena, burdock paus. Tag nrho cov khoom xyaw yog tov nyob rau hauv ib tug ratio ntawm 10:30:10:10:20 (grams). Peb dia ntawm qhov sib tov yog poured nrog boiling dej nyob rau hauv tus nqi ntawm ib nrab ib liter thiab ib tug infusion yog npaj. Zib ntab tuaj yeem ntxiv rau cov khoom tiav thiab noj txog tsib zaug hauv ib hnub rau ib nrab khob.
- tshuaj yej tshuaj tiv thaiv kab mob yog qhia rau exacerbation ntawm cov tsos mob ntawm pyelonephritis. Nws muaj xws li burdock, celandine, meadowsweet, birch, lingonberry, cetraria, dandelion, chamomile, raspberry, willow, elderberry, lingonberry. Xws li ib tug sau nyob rau hauv tiav daim ntawv yuav ua tauyuav ntawm lub tsev muag tshuaj. Brewed zoo li niaj zaus tshuaj yej thiab haus ob peb zaug ib hnub twg.
Herbalism yog qhia thaum tsis muaj kev fab tshuaj, thiab nws tsis suav nrog kev kho ib txwm muaj, tab sis yog qhov tseem ceeb ntxiv rau nws.
Drug therapy
Kev xaiv cov tshuaj tua kab mob hauv kev kho cov tsos mob ntawm pyelonephritis thiab kev tiv thaiv cov teeb meem yog ua tiav nyob ntawm qhov rhiab heev ntawm cov kab mob. Levofloxacin, Ciprofloxacin, Ofloxacin yog tshuaj rau cov kab mob pyelonephritis tsis yooj yim. Nyob rau hauv daim ntawv loj ntawm pathology, ntxiv rau kev kho cov kab mob tua kab mob.
Los ntawm nitrofurans, "Furadonin", "Furazolidone", "Furagin" raug pom zoo. Kev npaj sulfanilamide - "Urosulfan", "Groseptol", "Bactrim" tsis tshua siv. Lawv lub luag haujlwm tseem ceeb yog bacteriostatic, lawv inhibit gram-positive thiab gram-negative cocci, chlamydia thiab Escherichia coli, tsis muaj kev cuam tshuam rau enterococci, anaerobes thiab Pseudomonas aeruginosa. Cov tshuaj tiv thaiv alkaline ntawm cov zis txhim kho qhov kev ua ntawm sulfonamides. Ntawm cov natural uroantiseptics, qhov nrov tshaj plaws yog Canephron, Fitolizin, thiab Cyston.
kho mob hauv tsev yog qhia rau cov poj niam cev xeeb tub. Tsis tas li ntawd, nws raug nquahu kom cuam tshuam cov kabmob ntawm tus menyuam vim kev kho mob. Kev kho tshuaj rau cov kab mob hnyav thiab kev kho mob ntawm cov tsos mob ntawm tus kab mob pyelonephritis ntev nrog kev siv tshuaj los ntawm penicillin lossis cephalosporin pawg - Augmentin, Amoxicillin, Cefazolin, Ceftriaxone.
Cov me nyuammuab tshuaj tua kab mob thiab cov tsos mob kho. Ntawm cov tshuaj tua kab mob, Likatsin, Cefamandol, tshuaj tua kab mob - Nevigramon, Negram, Furadonin, diuretics - Furosemide, Veroshpiron tau ua pov thawj lawv tus kheej zoo.
Cov yam tseem ceeb ua rau kev loj hlob ntawm pyelonephritis hauv txiv neej
Nyob rau hauv pawg neeg no, tus kab mob ib txwm tsim los ntawm cov kab mob pathogenic nkag mus rau hauv lub raum tubules. Raws li qhov tshwm sim ntawm cov txheej txheem purulent-inflammatory, ob lub raum thiab tag nrho cov kab mob genitourinary tau kis, vim li ntawd, tus kab mob no tshwm sim thiab pom cov tsos mob ntawm pyelonephritis. Cov laj thawj uas ua rau muaj kev pheej hmoo ntawm pathology yog ib qho teeb meem ntawm cov txheej txheem metabolic, tsis muaj zog tiv thaiv kab mob, hnub nyoog tshaj 50 xyoo. Tsis tas li ntawd, cov kab mob hauv qab no yog qhov ua rau:
- urolithiasis;
- prostatitis;
- urinary tract cancer;
- chlamydia;
- gardnerellosis.
YPyelonephritis hauv txiv neej
Tus kab mob no nyob rau hauv ib nrab ntawm tib neeg muaj zog tau lees paub tsis tshua muaj, thiab qhov tseeb no cuam tshuam nrog cov peculiarities ntawm cov qauv ntawm cov kab mob genitourinary. Txawm li cas los xij, cov txiv neej hauv txhua lub hnub nyoog muaj kev cuam tshuam rau cov kab mob no, thiab feem ntau tom qab 50 xyoo. Cov tsos mob ntawm pyelonephritis hauv cov txiv neej yog tshwm sim los ntawm cov duab hauv qab no:
- pab siab;
- kev qaug zog;
- dag ntxias tso zis;
- nce diuresis thaum hmo ntuj;
- huab cua tso zis, muaj cov ntshav suav nrog hauv nws thiab tsw tsw ntxhiab;
- kub hnyiab thaum tso zis, tom qabua kom tiav - mob ntse;
- kub nce;
- shooting mob syndrome nyob rau hauv cheeb tsam lumbar.
- ua pa tob lossis hnoos ua rau mob.
Vim tias muaj cov kab mob nce nrawm, nkag mus ntawm lawv cov khoom pov tseg rau hauv cov hlab ntsha thiab ua rau lub raum parenchyma, cov tsos mob ntawm kev qaug dab peg pom meej:
- mob taub hau, tej zaum kiv taub hau;
- nausea;
- ntua;
- tsis muaj zog;
- mob plab.
Kev tsis tuaj lossis kev kho tsis raug ua rau muaj kev hloov pauv ntawm daim ntawv mob mus rau tus mob ntev. Hauv qhov no, cov tsos mob ntawm pyelonephritis hauv cov txiv neej yog:
- mob tsawg uas dhau mus tas li;
- subfebrile kub;
- tuav tsis xis nyob thaum kawg ntawm txhua qhov tso zis;
- kev txhim kho ntshav siab thiab edema, raws li cov kua dej ntau dhau tsis raug tshem tawm ntawm lub cev.
Kev tawm tsam tus kabmob yog ua los ntawm kev pabcuam kev noj qab haus huv thiab kev noj zaub mov zoo. Phytotherapy yog siv raws li ib tug adjuvant nyob rau hauv tsis muaj contraindications thiab kev tsis haum tshuaj rau kev kho mob ntawm cov tsos mob ntawm tus mob pyelonephritis. Txoj kev phais yog pom zoo tsuas yog rau cov theem siab thiab kev pheej hmoo ntawm lub raum tsis ua haujlwm.
