Hauv kab lus, peb yuav xav txog cov tshuaj twg rau pyelonephritis yog qhov zoo tshaj plaws. Qhov no yog ib qho ntawm feem ntau nephrological pathologies. Tus kab mob tuaj yeem cuam tshuam rau lub raum pelvis nrog rau parenchyma, ua rau muaj kev ua txhaum ntawm kev tso zis nrog rau qhov mob hauv thaj tsam lumbar. Cov kab mob zoo li no tuaj yeem xaus rau hauv qhov abscess. Tsis yog qhov txiaj ntsig zoo tshaj plaws ntawm daim ntawv mob hnyav yog nws txoj kev hloov mus rau theem ntev, uas yog qhov nyuaj rau kho. Tias yog vim li cas nws yog ib qho tseem ceeb kom kuaj xyuas tus kab mob no nyob rau lub sijhawm thiab pib siv cov tshuaj tsim nyog rau pyelonephritis.
Kev kho mob mus li cas?
Tus kab mob no tau tawm tsam los ntawm kev siv tshuaj hauv qab no:
- Kev siv tshuaj tua kab mob. Feem ntau, cov no yog cov tshuaj ua ke uas suav nrog cov tshuaj tua kab mob thiab cov tshuaj antispasmodic. Cov tshuaj uas tsis yog-steroidal anti-inflammatory siv tshuaj tsis pom zoo vim lawv nephrotoxicity.
- Kev kho mob nrog tshuaj tua kab mob. Raws li txoj cai, Paracetamol tau sau tseg. Los ntawm txoj kev, hauv cov koob tshuaj txaus txaus (txog 1 txhiab milligrams), nws muaj peev xwm txo tau qhov mob.
Pyelonephritis Tshuaj Xyuas: Tshuaj tua kab mob
txhawm rau tshem tawm cov kab mob sib kis, cov tshuaj tua kab mob tau siv nrog rau cov tshuaj tua kab mob ntawm ntau pawg. Nyob rau hauv lub xub ntiag ntawm pyelonephritis, cov tshuaj yuav tsum tau xaiv raws li nyob rau hauv urinalysis cov ntaub ntawv, uas tsis yog tsuas yog lub causative tus neeg saib xyuas ntawm pathology, tab sis kuj yuav pab tau nyob rau hauv tsim nws rhiab heev rau ib yam tshuaj nyob rau hauv ib tug neeg mob..
Cov tshuaj dab tsi los noj rau pyelonephritis, nws yog qhov zoo dua mus nrog koj tus kws kho mob. Hmoov tsis zoo, hauv peb lub teb chaws, txoj kev xaiv cov tshuaj tua kab mob raws li qhov ua tau zoo lossis tsis muaj txiaj ntsig ntawm kev kho mob tau dhau los ua neeg nyiam dua, txawm hais tias qhov kev xaiv thawj zaug raug xaiv tuaj yeem ua kom kho tau sai. Cov tshuaj zoo li no rau pyelonephritis ntawm lub raum, xws li tshuaj tua kab mob, muaj nyob rau hauv pawg hauv qab no:
- txhais tau tias ntawm penicillin series (peb tab tom tham txog "Amoxicillin", "Ampicillin" thiab ntau dua), qhov no kuj suav nrog kev sib txuas ntawm penicillins nrog clavulanic acid, piv txwv li, "Amoxiclav". Nrog pyelonephritis, pawg ntawm cov tshuaj no tau siv ntev heev thiab ua tau zoo heev.
- Kev siv tshuaj tua kab mob cephalosporin tiam thib ob thiab thib peb (xws li Cefotaxime, Cefazolin).
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj tua kab mob nyob rau hauv lub xub ntiag ntawm pyelonephritis thiab cystitis, nrog rau lwm yam kab mob, yuav tsum tau noj yam tsawg kawg nkaus.cov kev kawm nyob rau hauv ib lub lis piam, thiab yog tias tsim nyog, lub sijhawm ntawm kev kho tshuaj tua kab mob tuaj yeem nce mus txog ob lub lis piam. Yam tshuaj twg rau pyelonephritis yog qhov zoo dua los yuav, qee zaum nyuaj rau kev txiav txim siab.
YCov tshuaj tua kab mob zoo
Lwm yam tshuaj uas tiv thaiv kab mob hauv cov kab mob ntawm cov zis yog cov tshuaj tua kab mob, uas yog cov khoom sib txuas ntawm cov tshuaj hauv qab no:
- Fluoroquinolones (piv txwv li, "Ciprofloxacin" nrog rau "Norfloxacin", "Ofloxacin" thiab lwm yam). Nws yuav tsum tau hais tias nyob rau hauv kev kho mob ntawm urological pathologies, Norfloxacin yog cov tshuaj ntawm kev xaiv.
- Siv nitrofurans ("Furadonina" lossis "Furamaga" thiab lwm yam). Cov no yog cov laus heev, tab sis tib lub sijhawm txhais tau tias siv tau.
- Kev siv oxyquinolines (piv txwv li, Nitroxoline). Cov tshuaj no tau paub ntev los lawm, tab sis vim nws nquag siv hauv kev kho mob ntawm cov kab mob urinary, qhov rhiab heev ntawm cov kab mob microscopic ntau rau lawv tau poob qis hauv xyoo tas los no.
- Kho nrog sulfonamides. Qhov no yog ib qho tshuaj paub zoo rau pyelonephritis hu ua "Biseptol", uas tam sim no tsis muaj qhov tsim nyog ua haujlwm hauv kev tawm tsam kev kis kab mob.
- Phosphonic acid derivatives. Txog rau hnub tim, qhov no tsuas yog tshuaj "Fosfomycin". Hauv khw muag tshuaj, nws raug tso tawm raws li lub npe lag luam qub "Monural". Nyob rau hauv lub xub ntiag ntawmpyelonephritis, xws li cov tshuaj tsis yog siv ntau zaus thiab, raws li txoj cai, nws tau raug sau tseg rau kev kho mob cystitis. Tab sis nws yog tsim nyog hais txog nws cov haib, thiab tib lub sij hawm sai sai antimicrobial nyhuv rau tag nrho cov zis. Cov tshuaj "Monural" yog ib qho tshuaj zoo rau cov mob pyelonephritis, uas tuaj yeem raug sau ua ib feem ntawm txoj kev kho mob ntawm tus kab mob. Nws feem ntau tau sau rau hauv txoj kev kho mob ntawm tus kab mob.
- Kev siv uroseptics yog qhov ntau heev. Lawv yog ib qho ntawm cov khoom tseem ceeb ntawm cov tshuaj, nrog rau cov tshuaj tua kab mob, vim tias lawv ua rau cov kab mob urinary. Yuav luag tag nrho cov tshuaj tua kab mob tuaj yeem raug ntaus nqi rau cov chav kawm no, vim lawv feem ntau dhau los ntawm ob lub raum, thiab lawv cov excretion yog nqa tawm nrog zis. Tab sis qhov zoo tshaj plaws uroseptic yuav yog ib qho uas tuaj yeem khaws cov tshuaj tua kab mob ntau li ntau tau tiv thaiv keeb kwm yav dhau los ntawm kev tso zis los ntawm cov ducts.
Cov khoom siv cog qoob loo
Cov tshuaj dab tsi haus rau pyelonephritis yog qhov txaus siab rau ntau tus neeg mob. Nyob rau hauv txoj kev kho mob ntawm o ntawm lub raum, tshuaj ntsuab tshuaj feem ntau yog siv. Cov no tuaj yeem, piv txwv li, yog cov tshuaj ntsuab ywj pheej xws li bearberry, lingonberry, birch buds thiab ntau cov khoom sau, lossis tshuaj raws li ntau yam nroj tsuag.
Fitolizin ua haujlwm tau zoo thaum muaj pyelonephritis. Cov tshuaj no yog cov tshuaj cog qoob loo uas yog diluted nrog dej thiab noj qhov ncauj. Cov tshuaj muaj pes tsawg leeg muaj extracts ntawm birch nplooj, horsetail nyom, pausparsley, knotweed, thiab lwm yam. Cov tshuaj yuav muaj cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob, tshuaj diuretic thiab antispasmodic.
Hnub no, muaj ntau yam tshuaj kho mob pyelonephritis. Tab sis tsuas yog ib tus kws kho mob tuaj yeem xaiv lawv kom raug, yog li ntawd, yog tias muaj cov tsos mob ntawm cov txheej txheem inflammatory hauv lub cev xws li ob lub raum lossis mob nraub qaum, koj yuav tsum sab laj nrog tus kws kho mob tshwj xeeb.
Cov lus qhia rau kev siv tshuaj diuretics
YDiuretics yog cov tshuaj diuretic. Lawv raug muab tshuaj rau pyelonephritis thaum, nyob rau hauv muaj cov tsos mob ntawm tus kab mob, kev noj zaub mov tsis pub noj ntsev thiab haus dej haus tsis ua rau lub zais zis zoo. Thiab tseem siv cov tshuaj no nrog mob hnyav heev kom tshem tawm cov kua dej ntau ntxiv. Furosemide thiab Lasix yog cov tshuaj ntau heev.
Furosemide tau muab tshuaj rau hauv cov tshuaj txhaj tshuaj tshwj xeeb rau cov kab mob sib kis uas cuam tshuam kev nqus ntawm cov tshuaj hauv cov hnyuv, thiab tseem yog qhov yuav tsum tau muaj kev cuam tshuam sai los ntawm kev tswj hwm cov tshuaj. Thawj koob tshuaj ntawm cov tshuaj tom qab txhaj tshuaj yog 40 milligrams, tom qab ntawd nws raug nquahu kom hloov mus rau hauv cov ntaub ntawv ntawm qhov ncauj ntawm cov tshuaj nyob rau hauv rooj plaub ntawm kev tso zis tsis txaus. Kev noj tshuaj yuav tsum tau muab los ntawm kws kho mob, vim tias nws nyob ntawm qhov xwm txheej ntawm qhov hnyav ntawm edema, arterial concomitant hypotension thiab lwm yam.
Ua ke nrog kev sivdiuretics nyob rau hauv lub xub ntiag ntawm pyelonephritis, cov kws txawj pom zoo kom mus rau hemodialysis nrog rau hemosorption, plasmapheresis, thiab kuj noj ib tug daws ntawm poov tshuaj, sodium thiab calcium ntsev los tiv thaiv kev cuam tshuam ntawm dej thiab electrolyte tshuav nyiaj li cas. Tawm tsam keeb kwm yav dhau los ntawm kev txhim kho kab mob, cov kws kho mob tau maj mam muab cov tshuaj diuretics tsis muaj zog rau cov neeg mob, piv txwv li, tom qab Furosemide, lawv pom zoo kom hloov mus rau cov tshuaj sib zog lossis lwm txoj hauv kev (parsley cag tincture).
Yuav noj tshuaj ntev npaum li cas?
Tshuaj rau pyelonephritis hauv cov neeg laus tau noj rau xya hnub, thiab tom qab ntawd muab cov kev sim, raws li cov txiaj ntsig ntawm tus kws kho mob txiav txim siab qhov xav tau ntawm lawv cov kev siv tom ntej. Nws tsis pom zoo kom siv cov tshuaj diuretics ntawm koj tus kheej, qee zaum koj tuaj yeem siv rau pej xeem cov zaub mov txawv thiab haus dej haus, piv txwv li, tshuaj yej ntsuab kom tso zis tawm, tab sis nws yog qhov zoo dua los koom tes nrog kev kho mob nrog tus kws kho mob. Puas yog ib txwm muaj peev xwm haus cov tshuaj rau pyelonephritis? Muaj ntau yam contraindications rau kev siv cov tshuaj no uas tib neeg yuav tsis paub txog ntawm lawv tus kheej.
YContraindications
Ntau zaus, cov tshuaj diuretic, nrog rau pom cov txiaj ntsig zoo, xws li tshem tawm puffiness, tuaj yeem ua mob rau lub cev. Muaj cov nram qab no contraindications rau lawv siv:
- Lub raum tsis ua haujlwm nrog anuria.
- Hepatic coma.
- Kev muaj qhov tsis txaus ntawm cov electrolyte hnyav.
- Presence of hypovolemia.
- Ntseeg tam sim ntawdpronounced ua txhaum ntawm cov zis tawm.
- Kev muaj tus kabmob digitalis.
Tshuaj rau lub raum pyelonephritis hauv cov poj niam
Kev kho mob pyelonephritis feem ntau pib nrog tshuaj tua kab mob. Tsis muaj lwm txoj hauv kev tuaj yeem kho lub cev ntawm cov kab mob pathogenic kom ntau li ntau tau. Tus neeg sawv cev ntawm tus kab mob no hauv cov poj niam feem ntau yog Escherichia coli, nrog rau qhov no, siv cov tshuaj uas nws nkag siab. Cov no suav nrog penicillins thiab cephalosporins nrog rau fluoroquinolones thiab ciprofloxacins. Piv txwv li, rau kev kho mob, cov poj niam feem ntau tau muab tshuaj Cefotaxime thiab Cefazolin. Tom qab kev teem caij tshuaj tua kab mob rau pyelonephritis, tus poj niam cov tsos mob tau ploj mus nyob rau thawj hnub.
Anspasmodics
Ntxiv rau kev kho tshuaj tua kab mob, kev kho mob ntxiv nrog cov tshuaj antispasmodics, nrog rau cov tshuaj diuretics, tshuaj tiv thaiv kab mob thiab uroseptics. Antispasmodics yuav tsum tau txhawm rau txhawm rau txhawm rau txhim kho cov zis tawm ntawm lub raum mob, thiab yog tias qhov no tsis pab, ureteral stenting yog siv. Diuretics thiab uroseptics tawm tsam cov kab mob microbes, thiab cov tshuaj tiv thaiv kab mob inhibit o hauv lub cev muaj kab mob. Yog tias muaj kev ua siab ntev ntawm cov khoom lag luam muv thiab tshuaj ntsuab los ntawm cov neeg mob, nws tuaj yeem siv los ua cov tshuaj ib txwm siv.
tshuaj tiv thaiv
Cov tswv yim thiab cov hau kev ntawm kev tiv thaiv tus kab mob no suav nrog kev noj zaub mov, thiab tib lub sijhawm haus dej haus cawv nrog rau kev noj urosepticsthiab cov tshuaj diuretic. Koj tseem yuav xav tau kev kho mob rau cov kab mob uas ua rau pyelonephritis (mob urinary kwj dej thiab cystitis).
YKev siv cov kab mob bacteriophages rau kev kho mob ntawm cov kab mob no
Qee zaum, thaum cov tshuaj tua kab mob tsis tuaj yeem ua rau muaj txiaj ntsig zoo rau lub hauv paus ntawm pathology lossis vim tsis kam ua rau cov txheej txheem niaj hnub no, nws tau thov kom siv cov kab mob bacteriophages, uas yog cov tshuaj tshwj xeeb uas tsim los xaiv cov kab mob hu ua kab mob, piv txwv li, streptococcus, Staphylococcus, kab mob dysentery bacillus thiab Klebsiella.
In xaus
Yog li, tshuaj yog cov cuab yeej tseem ceeb hauv kev kov yeej tus kab mob. Txhua daim ntawv thiab qhov hnyav ntawm chav kawm ntawm tus kab mob dictates nws tus kheej cov npe ntawm cov pab pawg sib txawv ntawm cov tshuaj uas yuav tsum tau siv yam tsis poob. Nrog rau kev loj hlob ntawm pyelonephritis, nws yog ib qho tsim nyog yuav tsum siv cov tshuaj tua kab mob uas ua rau cov kab mob pathology thiab rhuav tshem nws.
Muaj ntau ntau hom tshuaj tua kab mob uas siv rau tus kab mob no, feem ntau siv cov tshuaj dav dav, piv txwv li, cephalosporins ua ke nrog penicillins thiab lwm yam. Rau cov tsos mob ntawm ntau yam tshwm sim ntawm tus kab mob no, diuretics yog siv nrog antipyretic thiab anti-inflammatory tshuaj thiab lwm yam txhais tau tias tsim nyog rau kev kho mob. Peb tshuaj xyuas cov tshuaj twg zoo tshaj plaws rau pyelonephritis.
