Pyelonephritis sokukhulelwa ukukhulelwa. Unyango lwe pyelonephritis sokukhulelwa

Ngexa lokukhulelwa, abafazi abaninzi befumana iingxaki zempilo ezifana pyelonephritis sokukhulelwa. Le ngezifo kwenzeka ngenxa zokugula kwizintso. Ukudumba kunye ubuhlungu. Zimbalwa abafazi bafuna unyango ngexesha elifanelekileyo, esoyika iziphumo ezinobungozi iziyobisi ekukhuleni kosana olungekazalwa. Enyanisweni, lo honisa ezinokuchaphazela kakubi usana.

Overview

Pyelonephritis - yinkqubo yokukrala kwi kidney ukuvela ngenxa usulelo. Abasetyhini kwindawo babe susceptibility nangakumbi sifo ngenxa kwemali okulambathayo umchamo pinched zeemoto channel wesibeleko uyakhula. Pyelonephritis eyaboniswa kokunyuka elibukhali kwamaqondo obushushu, ubuhlungu esibuhlungu kummandla empontshwa. Ukuba ulwe usulelo, ngokuqhelekileyo oogqirha bacebisa antibiotics. Ngonyango olufanelekileyo yokuba umama okhulelweyo abe nethuba elihle lokuba umntwana onempilo.

Yintoni pyelonephritis eyahlukileyo sokukhulelwa? Xa ukukhulelwa yanda suku ngalunye isibeleko ibeka uxinzelelo amalungu ezingqongileyo. amaninzi kakhulu mna pinched ngokwam ureter. Yeyona lijelo elisetyenziswa umchamo ophuma ukusuka sezintso ukuya lwesinye ngokwayo. Njengengubo inkqubo kudale ngxi kunye kidney ukukhula. Loo imeko eqhelekileyo yokukhulelwa. Ngamanye amaxesha ngokusebenzisa usulelo isinyi lingena singene kidney, kunye nencindi amahlwempu amalungelo yolwelo le nkqubo.

Ukuba umama okhulelweyo phambi kokuba lokukhulelwa pyelonephritis wafunyaniswa kwifomu ezingapheliyo, yaye ngoku sele liphuhlise sokukhulelwa, umngcipheko ezinobuzaza kakhulu eliphezulu. abafazi ezinjalo kufuneka rhoqo babonwe likagqirha ngokungqongqo ulandele yonke imimiselo yawo.

Ukwahlukanisa pyelonephritis sokukhulelwa

Esi sifo kwenzeka nayiphi senyanga lokukhulelwa, ngexesha lokubeleka zikwimeko sinesifo kunqabile kakhulu. Ngokuqhelekileyo ngezifo senzeka kwixesha lokuqala isiqingatha. Iingcali abaninzi bathi oku yokungakwazi umzimba ukuba ukuziqhelanisa ngokukhawuleza iimeko ezintsha.

Bekela bucala ifomu acute kunye ezingapheliyo esi sifo. Amaninzi ngexesha lokukhulelwa kukho inguqulelo yesibini sifo, leyo zafunyanwa lutshintsho uphawu kwi nokwakheka ngumchamo. Yena kunzima kunyango, kwaye kwezinye iimeko sesona sizathu sokuba ukupheliswa yokukhulelwa.

Sokukhulelwa Acute pyelonephritis ubonakala ukunxila womeleleyo umzimba, kodwa uloyiko lokuba ubomi Umbungu ngaphakathi esiswini. Kuyo nayiphi na imeko, ukuba unyango lwesi sifo kufuneka ithathwe sina kakhulu. Isifo e kwiiveki 16-24 zokukhulelwa, kungakhathaliseki uhlobo lwangoku, kunokubangela kwezisu.

Oogqirha nabo bodwa pyelonephritis eziziprayimari nezizisekondari. Kwimeko yokuqala, esi sifo kwenzeka kwi imvelaphi kakuhle-ntle, oko kukuthi, ngaphandle nayiphi na imiqathango kwi yinxalenye yezinye iinkqubo omzimba. isifo lobeko yesibini luphawulwa phambi ekujoliswe ubovu ukusuka apho kwamagciwane skid hayi kuphela izintso, kodwa emiphungeni kunye esini yabafazi. Nge ukonakala elibukhali lezempilo uyakwazi ukuthetha malunga nophuhliso kweemeko nokulimala.

Ulwahlulo kwesi sifo sichaphazela kuphela ukhetho amaqhinga kunye namanyathelo nezinyangayo. Pathogenesis zalo ngokufanayo kuzo zonke iimeko.

Eyona eziphambili ezibangela izifo

Ibhinqa elikhulelweyo malunga ekupheleni igazi ezintathu na ukunyuka estradiol yoxinaniso first kakhulu, kunye namanqanaba dlala. Olu tshintsho hormone echaphazela ufe lwesinye izihlunu, neendebe isinqe zezintso. umchamo flow kuyehla, kukho reflux. Zonke ezi nguqu ukwandisa ukunyuka xi ubungakanani wesibeleko kwi womchamo, kungekho kukhula khona. Loo ipateni kunegalelo kwii iintsholongwane kunye ukwanda kwabo ezilandelayo. Ziibhaktheriya (iStreptococcus, Proteus, enterococci) ziye elinebaxiweyo i umgangatho sezintso ibangele ukudumba kwazo.

pyelonephritis sokukhulelwa une ngexesha lokukhulelwa akusoloko. Eyona nto ibaluleke ngokukodwa zezi: amajoni omzimba yomfazi, umahluko ngamnye hormone. Iingcali ukuchonga izinto ezininzi igalelo kuphuhliso sifo:

• bacteriuria ukukhulelwa Ngaphambi.
• Reflux.
• Ukungaqheleki ze izintso kwisinyi kwinqanaba ngokwemvelo.
• izifo ezondeleyo.
• Urolithiasis.

Ukongeza, phantsi iimpawu ezithile ezikhethekileyo lokukhulelwa (isinqe emxinwa, polyhydramnios, iziqhamo ezinkulu) umngcipheko pyelonephritis linyuke izihlandlo eziliqela.

Ziziphi iimpawu zibonisa ukuba zokugula?

1. izikhalazo abafazi abaninzi badla ngokungabikho, kwaye utshintsho zophendlo lwezifo ziye zafunyanwa ngexesha nokuvavanywa kweelebhu (iiseli zegazi ezimhlophe kunye neentsholongwane kwi umchamo). Xa lidla kumiselwa uhlwayelela kukukhula ngokukhawuleza E. coli, ubuncinane - aureus.
2. pyelonephritis sokukhulelwa kwi abasetyhini abakhulelweyo kufuneka sikhatshwe ziintlungu kakhulu kummandla empontshwa, ukunyuka kabi kunye ukuhlala ixesha elide ezinyaweni zakho.
3. Ngexesha exacerbation ubushushu.
4. Ukuchama rhoqo Zinjalo lokukhulelwa obuqhelekileyo. Kwimeko iminqweno pyelonephritis kungaba kunyanzelekile, uze ube Ukuchama buhlungu kakhulu.
5. Rhoqo izifo satellite - uxinzelelo oluphezulu lwegazi.
6. ekweneni neentungo abafazi urhulumente uthathwa eqhelekileyo. Oku akusoloko enxulumene ngezifo inkqubo womchamo. iimpawu ezinjalo kubonisa ukuphazamiseka lokuphuma lwemithambo. Ukudumba e pyelonephritis ngokuqhelekileyo kunyusa, kukho sivakale sidumbile yobuso.
7. Intloko, ukudinwa, kukho imvakalelo ubuthathaka kusasa - zonke ezi mpawu gqibezela kuphela umfanekiso lwezonyango.

Le pyelonephritis kuyingozi abafazi abakhulelweyo?

Esi sifo pyelonephritis sokukhulelwa, iimpawu esifunde ngazo ngasentla, engena ngokuzenzekelayo inenekazi okhulelweyo emngciphekweni. Kutheni? Inkqubo yokukrala emzimbeni kwandisa umthwalo kwinkqubo sentliziyo kunye nezintso. Ngowe-30% yabasetyhini unesifo yokuphuhlisa yokukhulelwa (toxemia mvanje).

Kule meko kuguga ngokubonakalayo igazi kwegazi nezintso, ingqondo, beendawo. Igazi liba obukhulu, yaye isixa oksijini kuyo kunciphisa. Konke oku kubonakala kwi imeko yesondlo sabo olungekazalwa kunye nomfazi.

Imiphumo eziphambili ezimbi ziquka iingcali zilandelayo kwesi sifo:

• Intsongelo kophazamiseko - i ingxaki uqhelekileyo pyelonephritis sokukhulelwa.
• sokuzalwa kwexesha.
• ukopha ezininzi.
• abruption Placental.
• Anemia.

Ukubonakala kwingxaki ixhomekeka isikakhulu kwindlela ubuzaza ukudumba kunye nonyango ngexesha kwagqirha.

pyelonephritis sokukhulelwa ku lokukhulelwa: ifuthe ekukhuleni kosana olungekazalwa

Inkqubo yokukrala kwi izintso uba nefuthe usana esibelekweni. Ukungabikho ezingapheliyo ioksijini kunye nezondlo kubalulekile neziphumo ukungondleki yosana olungekazalwa. Oku kuthetha ukuba umntwana uzelwe buthathaka kunye akathetheleleki. Malunga nesiqingatha amatyala oogqirha bathi hypoxia. Ngowe-30% yabasetyhini kunye nale unesifo azalwa iintsana ngaphambi kwexesha.

Phakathi kwezinye iingxaki akholisa ukubakho: emzimbeni foetal usulelo intrauterine, zizalwa ngoxa CNS.

isifo izifo

Uvavanyo ibaluleke kakhulu kwaye ulwazi kwesi sifo uvavanyo umchamo. Ubukho ukudumba ibonisa inani elikhulu leukocytes, ubukho eziphilayo yayintsholongwane eyosulela, imbonakalo protini.

Igazi nayo kuba iimpawu zosulelo (ukwanda leukocytes kunye ESR). Ukuchonga uhlobo iintsholongwane leyo eyenza ukuba ukudumba, ugqirha uthwala inkcubeko umchamo kwizityalo novakalelo nemithi ethile. Ngokutsho iziphumo zolu lweengcali ukuhlola amachiza efanelekileyo umfazi wanikwa.

Kwakhona, uphethwe kubandakanya ebambe ultrasound. Phezu uphando ngokuqhelekileyo ibonisa amalungu angaphakathi ukwanda kwandisa kwizintso omzimba ubukhulu. Ugqirha kufuneka nakanjani qiniseka ukuba pyelonephritis sokukhulelwa kungaboniswanga ngobume umntwana osesiswini esizalweni. Ukuze wenze oku, nika ultrasound ezingekazalwa, CTG kunye Doppler.

Indlela yokuphatha pyelonephritis amabhinqa akhulelweyo?

Ukuba umama okhulelweyo waqaphela iimpawu ezinxulumene ukudumba nezintso, kufuneka ngaphandle kokulibazisa ukuya kufuna uncedo evela kugqirha. isifo ngexesha unyango umgangatho lunciphisa ubungozi uphuhliso ezingaqhelekanga foetal, ukuvala amathuba isisu.

wakhuthaza bonke abasetyhini ukuba-ebizwa ngokuba unyango ngokokuma. Ijolise ukunciphisa ucinezelo le ureters kunye yokunyusa ukuhamba ngumchamo. Oomama abakhulelweyo bayakhuthazwa ukuba kucetyiswa ukuba balale ngomqolo, kungcono ukuba ukhethe ukhetho kwicala lasekhohlo. Ebudeni bemini, kufuneka ahlale Bozeman indawo size sihlale kweso sikhundla imizuzu eli-10 ubuncinane. Ngeli xesha, uyakwazi ukufunda incwadi, ukusebenza kwikhompyutha okanye udlala umntwana omdala.

Unyango pyelonephritis sokukhulelwa kukwabandakanya ukutshintsha nokusela umbuso. Ukuba akukho nokudumba kakhulu kunye noxinzelelo oluphezulu lwegazi, umlinganiselo wokubanzi zidliwe ngosuku kwandiswa ukuya iilitha ezimbini ukuya kwezintathu. Lo isenokuba yeyona ixhaphakileyo non-nezihlwahlwazayo amanzi, iziqhamo okanye ijeli. Ukususela iti eyomeleleyo nekofu Kulungile okwexeshana ukuba up.

imifuno abaninzi umchamo ngexesha lokukhulelwa nakanjani contraindicated. Akuvunyelwe ukusebenzisa bearberry, licorice, parsley. Best ukusela cranberry / iziselo iziqhamo cranberry, amagqabi utywala ezinde. A oyinto ngokwenene abafazi abaninzi zikarhulumente unesifo onjalo - a decoction of oats. Esi sixhobo asikusebenzeli ukwandisa nethoni isibeleko, kodwa inyathelo anti-ukudumba kwaye uthintele nokuqunjelwa. Lokulungiselela wayo kufuneka athathe cereals iglasi, ugalele ilitha yamanzi, nandawo ikuphekwa iphekwe kakuhle benkqangaza umzuzu omaxa mabini, ngoko some. Decoction kufuneka zasela kathathu ngemini phambi isidlo elililo.

Ziziphi iziyobisi usenokumisela ugqirha?

Therapy pyelonephritis sokukhulelwa kuquka antibacterial kunye nonyango anti-ukudumba. Ukusetyenziswa imithi emininzi kunye ethile uroseptikov ngexesha lokukhulelwa na ngokupheleleyo contraindicated, nto leyo ebangela kubenzima kakhulu ukhetho iziyobisi. Kuyo nayiphi na imeko, ezi Amaqhinga ukulwa esi sifo ukhetha ugqirha esibhedlele, njengoko bonke abafazi esibhedlele kunye nale uxilongo inyanzelekile.

Xa ngumkhaya ekhulelwe ekuthiwa umsebenzi umqobo kuvame eyenziwe de kube sekupheleni. Ngeli xesha, kukho nqanaba ebalulekileyo lweebhukmakhi iinkqubo eziphambili umntwana, ngoko isiphumo isiyobisi ayinqweneleki. Ukuba utshintsho zifumaneka kuphela ekuhlalutyeni umchamo, mhlawumbi, aya kuba nako ukunciphisa iziphakamiso ngasentla. Kwimeko ukudumba esebenzayo, nto leyo sikhatshwa nefiva kunye neentlungu, uvunyelwe ukusebenzisa penicillins (iziyobisi "amoxicillin", "Amoksiklav").

Ukususela ezintathu yesibini ukuba cephalosporin nemithi ( "Supraks", "Cefazolin"), macrolides ( "Vilprafen" "Sumamed"). Ngomhla ngenyanga yesihlanu lithetha "Gentamicin 'lisetyenziswa (ngenkqubo esebenzayo ukudumba) esokuba kwi kagqirha.

Treatment pyelonephritis sokukhulelwa nomthwalo a unyango disintoxication, ukusetyenziswa izakhiwo vitamin kunye nadlamkisayo. ingqalelo ekhethekileyo ihlawulwa yokuthintela hypoxia Palsy. Xa yondele kufuneka ukubuyisela ukuhamba umchamo ngokusebenzisa catheter kunye ureteral stenting.

Yintoni ekufuneka ukutshintsha kwizidlo?

ingqalelo ekhethekileyo ihlawulwa unyango lwezifo ze ezityiwa a abakhulelweyo. Oogqirha Siyaleza ukwahlula etsolo (ubulawu, igalikhi, itswele) kunye neemveliso zifakwa (yemixoxozi, iitumato, amakhowa). Kangangexesha elithile, kufuneka uyeke coffee utywala wavalwa ngokupheleleyo.

Ukunqanda ukugcinwa kwamanzi emzimbeni, oogqirha bacetyiswa ukuba ukunciphisa ukusetyenziswa ityiwa. Le isincomo kuyinyaniso ingakumbi kwabasetyhini kunye noxinzelelo lwegazi.

Diet for pyelonephritis sokukhulelwa ezahlukeneyo vitamin indalo. Abasetyhini kufuneka ibe kwindawo ukutya iziqhamo kunye nemifuno hlobo ekrwada, uzenze incindi. A ukhetho olungileyo zijongwa iimveliso zobisi (ephantsi-fat cottage sisi cream ezimuncu). Ngexesha recovery ukudla kufuneka indidi iimveliso meatless protein (ukuba iintlanzi ityuwa-amanzi, chicken lwebele).

amanyathelo othintelo

Ukuthintela uphuhliso pyelonephritis sokukhulelwa, oomama abakhulelweyo kubaluleke kakhulu ukubandakanya kwimisebenzi iingongoma zakho ngemihla embalwa:

1. umsebenzi ngokulinganisela. Oogqirha bacebisa ukuba iin- ezimfutshane yonke imihla (malunga Iyure e-1).
2. Imisebenzi olulodwa abafazi abakhulelweyo. Namhlanje, amaziko ezemidlalo ezininzi izifundo kubantu abangoomama kuzo urhulumente, ngenxa siyixhase izihlunu umva kwaye kuphucula nethoni zonke iinkqubo nezibilini.
3. Linembali izifo inkqubo wokuchama kuyimfuneko ukuba baphonononge ngokutya izinto ezikhethekileyo, ikhuthaza ukuhamba ngumchamo.
4. Usuku Kucetyiswa ukuba usele iziselo.
5. Empty esinyini kufuneka iiyure ubuncinane kanye ezintathu ukuya kwisine.

ingqalelo ngononophelo impilo yabo kunye nokuthintela pyelonephritis sokukhulelwa - isibambiso wokuzalwa elungileyo wosana. akufuneki ityeshelwe njengento sifo singanyangekiyo. Xa iimpawu zokuqala kufuneka udibane nogqirha kwaye athathe onke amanyathelo ayimfuneko ukuphelisa esi sifo. Hlala uphilile!