Pyelonephritis yog ib qho kab mob uas tsis yog kab mob ntawm lub raum. Thaum lub sij hawm exacerbation ntawm tus kab mob no, raws li zoo raws li nyob rau hauv tus txheej txheem ntawm rov qab, ib tug ua txhaum ntawm tso zis yog kuaj. Ntxiv nrog rau qhov tseeb tias qhov kev xav mus rau hauv chav dej yuav nquag, xim thiab muaj pes tsawg leeg ntawm cov zis hloov. Nws kuj tseem tuaj yeem ua tsis tau tso zis, mob thiab kub hnyiab hauv cov zis. Pyelonephritis raws li ICD-10 tau muab tus lej N10-N11.
Signs
thawj cov tsos mob ntawm pyelonephritis hauv cov menyuam yaus yog tus yam ntxwv heev. Lawv muaj nyob rau hauv cov nram qab no manifestations:
- nquag tso zis txawm tias lub zais zis tsis puv;
- Kev tso zis tsis tuaj yeem tshwm sim;
- thaum tso zis, qhov mob tshwm sim pib, txheej txheem nws tus kheej nyuaj heev;
- tso zis tuaj yeem ua rau ntshav thiab muaj qhov tsis xis nyob, feem ntau muaj ntxhiab tsw.
Lwm qhov cim tseem ceeb yog tus menyuam qhov kub ntawm 38.5. Yog nws tsisnrog los ntawm qhov ntswg qhov ntswg thiab mob caj pas, nws tuaj yeem qhia tau tias muaj kab mob raum. Cov no yog cov cim qhia tias cov txheej txheem microbial-inflammatory txaus ntshai rau kev noj qab haus huv tau tshwm sim hauv tus menyuam lub cev, thiab nws tau nce mus.
ntse zoo
Tus mob hnyav zuj zus:
- Tag nrho cov tsos mob ntawm kev lom ntawm lub cev tshwm sim: tus menyuam muaj qhov kub ntawm 38.5. Qee lub sij hawm nws tuaj yeem siab heev, txawm tias siab tshaj 40 degrees, tawm hws, ua daus no, tsaus muag, poob kev taw qhia hauv qhov chaw, mob taub hau, ntuav thiab xeev siab tshwm sim.
- Mob hauv cheeb tsam lumbar lossis sab. Lawv kuj yuav tshwm sim nyob rau lwm qhov chaw. Yog tus me nyuam yau, qhov mob tsis yog tshwj xeeb hauv zos, tsis zoo li cov menyuam yaus thiab cov hluas.
Tus mob pyelonephritis nyob rau hauv cov menyuam yaus loj hlob sai heev, thiab kev siv zog nce ntau ntau hnub, yog li kev kho mob tsis tuaj yeem ncua.
Chronic form
Yog tias pyelonephritis muaj daim ntawv mob ntev, ces cov kab mob sib txawv me ntsis. Hauv qhov no, cov tsos mob raug tshem tawm, uas ua rau kev kuaj mob nyuaj dhau, thiab yog li ua rau muaj ntau yam teeb meem tom qab. Kev kuaj zis yuav pab txheeb xyuas tus kab mob.
Tab sis daim ntawv mob tuaj yeem lees paub los ntawm cov yam ntxwv hauv qab no:
- Me nyuam yaus nkees sai. Txawm tias tom qab siv lub cev luv luv, nws xav tias tsis muaj zog thiab xav so, tsis kam noj.
- daim tawv nqaij muaj qhov pompallor.
- Me nyuam mob hauv cheeb tsam lumbar.
- Lethargy tshwm, tus me nyuam txav me ntsis, ua tsis taus pa thiab chim siab.
Thaum thawj qhov tshwm sim ntawm tus kabmob, nws yuav tsum tau sab laj nrog koj tus kws kho mob, vim tias tus kabmob no, kis tau sai, tuaj yeem ua rau tuag.
Cov tsos mob me me
Nyob rau hauv tus menyuam mos uas tsis tuaj yeem yws txog kev noj qab haus huv, qhov pom ntawm pyelonephritis tuaj yeem lees paub los ntawm kev ua tib zoo saib xyuas cov tsos mob hauv qab no:
- tus me nyuam tsis kam lees lub mis;
- regurgitation nce;
- xeev siab thiab gag reflex tshwm sim;
- plab hnyuv pib (qhov tsos mob no txawv tsuas yog hauv cov quav xoob);
- tus me nyuam tso zis tas li los ntawm kev quaj, kev ntxhov siab;
- tso zis tshwm sim hauv qhov me me;
- tso zis nws tus kheej hnov tsw ntxhiab tsw, nws cov xim yuav hloov;
- lub cev kub siab thiab tuaj yeem ncav cuag qhov tseem ceeb, tshwm sim febrile tshwm sim;
- nce tsaug zog tshwm;
- tus menyuam yau, qhov hnyav lub cev poob qis dua (qhov kab mob no tshwj xeeb tshaj yog pom tau yog tias qhov kub thiab txias);
- tus me nyuam ua tsis taus pa, quaj qw, tsis kam ua si, tsis tu ncua.
Cov tsos mob ntxiv
Tus me nyuam kuj yuav muaj cov tsos mob uas tsis qhia txog kev mob hauv lub raum. Qhov no tshwm sim vim qhov tseeb tiasCov kab mob pathogenic microflora uas ua rau pyelonephritis yog nquag ncig hauv cov ntshav.
Yog li ntawd, tej zaum yuav muaj cov tsos mob zoo li no:
- Lub cev kub poob qis rau tus nqi qis heev. Tab sis nws tseem tuaj yeem sawv nrog tib theem ntawm kev thuam.
- daim tawv daj.
- o tshwm sim hauv menyuam yaus.
- Nyob rau hauv cov menyuam mos-cov tub, tag nrho cov tsos mob ntawm hyponatremia thiab hyperkalemia raug kuaj pom. Tab sis cov ntxhais kuj tuaj yeem muaj cov xwm txheej zoo li no.
- Tus me nyuam kom meej meej muaj kev loj hlob qeeb.
tso zis tsis zoo
Kev tso zis hauv tus menyuam uas muaj pyelonephritis tshwm sim hauv cov xwm txheej hauv qab no:
- Yog muaj teeb meem thaum yug me nyuam los yog leej niam muaj tus kab mob no.
- Tus me nyuam yog lub raj mis pub.
- Tus me nyuam lub cev tsis muaj cov vitamins thiab minerals.
- Tus kab mob no tau los.
Cov kab mob ntev ntawm cov kab mob ENT ua rau muaj cov kab mob tsis zoo hauv lub cev. Cov yam ntxwv xws li tso zis tsis zoo, kuaj pom cov kab mob cab hauv lub cev ntawm tus menyuam, hypothermia ntawm lub cev, ua rau tus kab mob pyelonephritis.
Tus kab mob no nyob rau hauv nws daim ntawv thawj manifests nws tus kheej nyob rau hauv kev ua txhaum ntawm tso zis, ces muaj ib tug txawv txav ntawm lub raum. Cov kab mob no tuaj yeem cuam tshuam rau ob lub raum thiab ob lub raum tib lub sijhawm, qhov kev xaiv thib ob yog qhov txaus ntshai rau lub cev. Txhawm rau kuaj xyuas kom raug, ultrasound yog tsim nyog rau pyelonephritis hauv cov menyuam yaus. Ntxiv nrog rau incontinence, tus kab mob no tuaj yeem ua raustasis ntawm cov zis, nyob rau hauv uas tag nrho cov teeb meem tshuaj thiab kua dej tsis tawm ntawm lub cev.
Urine xim
Tsis yog ib qho kev soj ntsuam dav dav ntawm cov zis tuaj yeem qhia txog kev loj hlob ntawm pyelonephritis, tab sis nws cov xim. Txawm li cas los xij, nrog kev txhim kho me me ntawm tus kab mob hauv cov zis, tsis muaj qhov pom kev hloov pauv loj.
Nws yog ib qho tsim nyog yuav tsum tau xyuam xim rau cov xim ntawm cov zis hauv pyelonephritis hauv tus menyuam. Hauv cov theem hnyav dua, koj tuaj yeem pom pom kev hloov pauv hauv cov zis.
tso zis nrog cov tsos mob ntawm pyelonephritis hauv tus menyuam:
- Tig mus rau lub teeb daj heev thaum lub raum tsis ua haujlwm.
- Ua huab cua thiab tsw ntxhiab yog tias muaj kab mob hauv cov zis. Nyob rau hauv txoj kev, kub nce, muaj mob nyob rau hauv qis rov qab.
- Tig kua mis thaum muaj cov kua paug loj hauv nws.
- Txoj ntshav los yog zoo li cov xim ntawm cov nqaij slops. Nrog rau kev tso zis ntau zaus. Cov xim liab tshwm sim nrog tag nrho hematuria, liab qhia tias pob zeb lossis xuab zeb tau tshwm sim hauv ob lub raum.
- Muag. Tshwj xeeb yog tias nws yog me ntsis tawm. Flakes thiab lwm yam pathological impurities tshwm nyob rau hauv nws.
- Colorless - ib qho tsos mob txaus ntshai, vim tias lub raum tsis ua haujlwm. Cov zis kuj ua tuab hauv pyelonephritis vim muaj ntau yam tshuaj.
kev kho mob
Nyob rau hauv kev kho mob ntawm cov tsos mob ntawm pyelonephritis nyob rau hauv tus me nyuam, ib chav kawm ntawm cov tshuaj tua kab mob yog siv,nws raug sau los ntawm kws kho mob tom qab tus neeg mob me tau dhau tag nrho cov kev ntsuam xyuas tsim nyog. Ntawm cov tshuaj ntawm no spectrum ntawm kev txiav txim, Cefodox, Ceftriaxone, Cefotaxime, Cefuroxime mas yog sau. Ua ntej siv cov tshuaj, nws yog ib qho tsim nyog yuav tau kuaj xyuas cov kev tsis haum tshuaj thiab kev zam ntawm cov tshuaj no los ntawm tus menyuam lub cev. Tom qab ua cov qauv, cov tshuaj tau muab rau lub cev hauv daim ntawv ntawm kev txhaj tshuaj rau hauv cov leeg lossis cov leeg. Cov chav kawm ntawm kev kho mob nrog cov tshuaj no yuav siv sij hawm yuav luag ib hlis, tab sis qhov txawv nrog rau lwm txoj kev kho yog tias txhua txhua xya los yog kaum hnub ib tug tshuaj tua kab mob hloov mus rau lwm yam, thiab thiaj li mus txog rau thaum xaus ntawm cov kev kho mob.
Uroantiseptics tau muab tshuaj los rhuav tshem cov kab mob hauv lub raum ducts, cov tshuaj no tshem tawm cov kab mob hauv lub raum thiab nres kev loj hlob ntawm cov kab mob. Cov no yog cov tshuaj xws li Nevigramon, Palin thiab Nitroxoline. Ib qho ntawm cov tshuaj no yuav tsum tau noj tsis pub dhau ib lub lis piam, hauv cov xwm txheej nyuaj, ob lub lis piam. Tom qab chav kawm no tiav, nws yog ib qho tsim nyog los xaiv tus neeg mob "Canephron", ib chav kawm ntawm ib lossis ob lub hlis. Tsis tas li ntawd, nrog cov tsos mob ntawm pyelonephritis hauv menyuam yaus, koj tuaj yeem haus tshuaj yej los ntawm lub raum sau thiab nplooj lingonberry.
Yog tus neeg mob kub taub hau, koj yuav tsum haus cov tshuaj Paracetamol, Panadol, noj cov tshuaj tua kab mob thiab Ibuprofen. Yog tias tus neeg mob me me txhawj xeeb txog qhov mob hnyav, ces koj xav tau cov tshuaj uas tsis yog tshuaj tiv thaiv kab mob xws li Ortofen thiab Voltaren. . Hom kev kho notau ua ib hlis hauv tsev kho mob, vim tus menyuam xav tau kev saib xyuas kom zoo thiab noj tshuaj los ntawm ib teev.
"Flemoklav Solutab" - raws li kev tshuaj xyuas, cov tshuaj zoo heev uas muaj qee qhov kev phiv. Tab sis nws txoj haujlwm tsis muaj txiaj ntsig yog tias pyelonephritis tshwm sim los ntawm Pseudomonas aeruginosa. Tom qab ntawd cov aminoglycosides raug sau tseg, tab sis vim lawv cov tshuaj lom neeg loj heev, lawv tsis siv rau cov menyuam yaus. Yog tias tus neeg mob nyob hauv tsev kho mob sab nraud, ciprofloxacin yuav tsum tau siv, thaum nyob hauv tsev kho mob, trovafloxacin, gatifloxacin, moxifloxacin, gemifloxacin, sitafloxacin tau muab tshuaj hauv tsev kho mob.
Co-trimaxazole yog qhov zoo hauv kev tawm tsam qhov zoo thiab tsis zoo microflora, nrog chlamydia thiab microplasma, tab sis nws muaj ntau yam contraindications, yog li kev txhaj tshuaj vitamin B ib txhij nrog cov tshuaj tua kab mob no 6..
Nitrofurans yog cov nephrotoxic heev thiab muaj ntau yam kev phiv, kom tshem tawm qhov no, cov vitamins B raug chob nrog lawv. Cov tshuaj no tsuas yog noj ntawm qhov ncauj xwb, tam sim no lawv tau muab tshuaj tsawg heev.
Yog tias tus kab mob tsis zoo zuj zus thiab muaj qhov mob me me hauv daim ntawv ntawm cov tsos mob ntev thiab qee zaum nyob rau hauv daim ntawv ntawm exacerbation, cov kws kho mob pom zoo kom noj cov tshuaj ntuj xws li Urolesan, Canephron thiab Fitolizin. Cov tshuaj no tau xyaum tsis muaj kev phiv, tab sis lawv tsis muaj kev pab nyob rau hauv daim ntawv purulent ntawm tus kab mob no.
Nyob rau hauv daim ntawv mob hnyav, thaum ob lub raum mob, rheosorbilact yuav tsum tau siv los tshem tawm cov tshuaj lom ntawm lub cev, nws raug txhaj rau hauv cov hlab ntsha. Kuj hauvHauv cov xwm txheej zoo li no, Enterosgel tau sau tseg, tab sis nws yuav tsum tau noj hauv qhov ncauj thiab peb teev tom qab noj cov tshuaj, vim nws tshem tawm lawv cov txiaj ntsig ntawm lub cev. Hauv daim ntawv ntawm cov tshuaj tiv thaiv kab mob, koj yuav tsum siv "Nimesulide", haus rau xya hnub.
Thaum noj tshuaj uas tshem cov zis tawm ntawm lub cev, xws li Veroshpiron, Lasix thiab Furosemide, tib lub sijhawm koj yuav tsum haus Asparkam lossis Panangin, uas rov muaj cov poov tshuaj hauv lub cev. Tom qab tus neeg mob tawm hauv tsev kho mob, tus kws kho mob saib xyuas nws rau ib hlis, sau ntawv kho mob lossis saib xyuas kev ua raws li cov txheej txheem kho mob. Tsis tas li ntawd, nyob rau tib lub sijhawm, cov zis raug coj los tshuaj xyuas thiab ua tiav ultrasound ntawm lub raum. Yog tias cov neeg mob muaj cov kab mob hnyav thiab mob ntev, ces lawv tau muab tshuaj rau cov tshuaj tua kab mob thiab uroseptics, txhua hli rau ob lub lis piam.
kev kho neeg zoo
Kev kho neeg pej xeem muaj txiaj ntsig txhua lub sijhawm ntawm lub xyoo. Txhawm rau txhim kho kev kho mob pyelonephritis, pej xeem tshuaj yog siv. Qhov tseem ceeb tshaj plaws yog khaws lawv kom zoo.
Teas thiab infusions:
- fig. Boil figs hauv mis nyuj rau 20 feeb. Haus ob mus rau peb khob ib hnub.
- Cowberry tshuaj yej raws li prophylaxis kom tsis muaj exacerbation. Lingonberry nplooj (ib tablespoon) yuav tsum tau nchuav nrog ib khob ntawm boiling dej. Boil rau 5-10 feeb, lim los ntawm cheesecloth los yog ntaub qhwv. Siv ob los yog peb tbsp. l. peb los yog plaub zaug ib hnub.
- Elecampane. Sib tov elecampane hauv paus thiab sib tov nrog zib mu,xam ntawm kwv yees li 0.5 litres ib khob ntawm paus. Haus ob zaug ib hnub.
- Parsley cag. Koj yuav tsum noj ob tug parsley paus, txog xya mus rau yim millimeters, chop thiab muab tso rau hauv ib saucepan, ncuav 500 milliliters dej thiab 500 milliliters ntawm mis nyuj. Boil thiab txias. Haus ib nrab khob peb zaug ib hnub twg. Koj haus tau ib hlis.
- Aspen bark. Ib st. l. ncuav lub crushed bark rau hauv ib lub khob ntim thiab ncuav txog 1 khob ntawm boiling dej, ua noj rau kaum feeb. Tom qab lim thiab txias. Haus 100 grams 3 zaug ib hnub twg.
- YPropolis. Qhuav 10 grams ntawm propolis zoo thiab grind rau hmoov. Qhuav 100 g ntawm sunflower roj thiab ces sib tov ob yam khoom, do zoo kom txog thaum tus. Tom ntej no, kaw qhov loj thiab insist 20 feeb. Noj 1 teaspoon ntawm qhov sib tov 3 zaug ib teev ua ntej noj mov.
- Oats. 200 g ntawm oats yuav tsum tau boiled nyob rau hauv 1 liter ntawm mis nyuj kom txog thaum cov kua yog li ib nrab txo. Mis haus ib khob peb lub hlis twg peb zaug ib hnub.
- Yarrow. 2 tsp grind thiab ces ncuav ib khob dej kub. Ces insist rau ib teev. Haus tag nrho cov infusion hauv ib hnub.
- Pine txiv ntseej. Ib khob ntawm lub plhaub, tab sis tsuas yog cov tub ntxhais hluas, ncuav 500 ml ntawm vodka thiab tawm mus rau infuse nyob rau hauv ib qho chaw tsaus rau peb hnub. Siv hauv 1 tbsp. l. ua ntej noj mov 3 zaug hauv ib hnub. Rau txhua qhov kev pabcuam, koj yuav tsum tau ua noj nrog cov txiv ntoo tshiab.
- Highlander noog, tseem hu ua knotweed, noog buckwheat. Yaug cov nyom nplooj zoo heev nyob rau hauv dej ntws, ces grind nyob rau hauv ib tug nqaij grinder los yog tuav nyob rau hauv ib tug blender. Lub resulting sib tovdilute nrog purified dej kom cov slurry tawm los zoo li ib tug puree, thiab ces insist rau 5 feeb. Tom qab ntawd nyem cov nyom, nyem tawm tag nrho cov kua txiv hmab txiv ntoo. Cov tshuaj yuav tsum tau noj ib nrab khob ua ntej noj mov. Cov tshuaj no muaj txiaj ntsig zoo hauv kev tiv thaiv thiab kho cystitis thiab pyelonephritis.
- Kidney tea. Bearberry nplooj, calamus, licorice paus - sib tov tag nrho cov khoom xyaw thiab ncuav ntawm tus nqi ntawm 0.5 liv dej ib 3 tsp. sib tov, ces boil rau tsib feeb. Cov tshuaj txias, lim. Noj ib khob ib nrab teev ua ntej noj mov, peb zaug ib hnub rau ob peb hlis.
Juices:
- Cranberries. Cia cov kua txiv cranberry tshiab thiab haus txhua hnub.
- Hiav txwv buckthorn lossis viburnum. Noj cov txiv hmab txiv ntoo tshiab txhua hnub, sib xyaw nrog zib ntab. 1 st. l. mus txog peb zaug ib hnub.
- Nyob zoo ib tsoom phooj ywg. Nyem kua txiv los ntawm roob tshauv thiab sib tov nrog qos yaj ywm kua txiv nyob rau hauv ib tug sib npaug zos koob tshuaj. Tawm rau ib teev. Haus rau ib plab khoob thaum sawv ntxov rau ib nrab khob.
Kev Tiv Thaiv
Muaj kev tiv thaiv cov teeb meem hauv pyelonephritis hauv cov menyuam yaus, uas pab kom tsis txhob muaj kab mob thaum yau. Nws lub hom phiaj txhawm rau tshem tawm cov xwm txheej uas tuaj yeem ua rau muaj kev kis kab mob hauv cov zis:
- Tus menyuam yuav tsum ua raws li kev nyiam huv thiab kev txawj ntse, thiab cov haujlwm ntawm niam txiv yog los qhia nws.
- Yuav tsum ua kom tus menyuam tso zis ib ntus, tsis zam thaum lub sijhawm mus rau chav dej.
- Cov menyuam yaus yuav tsum haus kom txaus.
- Nws yog qhov tsim nyog los tsim kom muaj kev nyab xeeb rau tus menyuam,kom tsis txhob muaj cov ntawv sau hauv chav thiab pom qhov ntsuas kub kom raug.
- Kev phom sij rau lub raum hypothermia.
- Koj xav tau kev noj zaub mov kom zoo. Qhov phom sij yog ntsev, haus luam yeeb thiab kib.
- Koj yuav tsum kho tam sim ntawd txhua yam kev mob uas tuaj yeem ua rau muaj teeb meem rau lub raum. Ua ntej tshaj plaws, nws yog mob khaub thuas thiab tonsillitis. Lub sijhawm mus ncig mus rau tus kws kho hniav thiab kev kho mob raws sijhawm yog qhov tsim nyog. Yog tias muaj kab mob ntev, lawv yuav tsum tau saib xyuas los ntawm kws kho menyuam yaus.
- Nws yog ib qho tsim nyog yuav tsum ua kom lub cev muaj zog tas li nrog kev pab ntawm kev noj zaub mov kom zoo nrog cov zaub mov muaj cov vitamins thiab kab kawm, tsim kom muaj kev pw tsaug zog thiab so kom raug rau tus menyuam.
- Muaj kev kho mob spa.
Cov kab lus piav qhia cov tsos mob thiab kev kho mob pyelonephritis (ICD-10 code N10-N11).
