ʻO Pyelonephritis Acute: Ua hala ʻoe i ka weliweli?

Anter

• He aha nā hōʻailona o ka pyelonephritis?
• He aha nā pilikia o ka pyelonephritis?
• Pehea e ʻike ʻia ai ka pyelonephritis?
• Pehea e mālama ai i ka pyelonephritis?

He aha ka pyelonephritis huehue?

ʻO ka pyelonephritis huehue kahi maʻi bacteria o nā puʻupaʻa e hoʻopili i nā wahine hāpai. I ka hapanui o nā hihia, ulu mua ka maʻi i ke kahe urinary lalo. Inā ʻaʻole ia e kuhikuhi pono ʻia a mālama pono ʻia, hoʻolaha paha ka maʻi mai ka urethra a me nā wahi genital i ka pūpū a laila i hoʻokahi a i ʻole nā ​​puʻupaʻa ʻelua.

ʻOi aku ka ulu o nā wahine hāpai i ka pyelonephritis ma mua o nā wahine hāpai ʻole. Loaʻa kēia i nā loli physiological i ka wā o ka hāpai ʻana e hiki ke hoʻopilikia i ke kahe o ka mimi.

ʻO ka maʻamau, hoʻokahe ka ureter i ka mimi mai ka puʻupaʻa i loko o ka pahu a mai waho o ke kino ma o ka urethra. I ka wā o ka hāpai ʻana, hiki i ka hoʻoliʻiliʻi kiʻekiʻe o ka hormone progesterone ke pale i ka hōʻemi ʻana o kēia mau kahe kahe. Eia kekahi, i ka hoʻonui ʻia ʻana o ka kōpū i ka wā hāpai, hiki iā ia ke kō i nā ureter.

Hiki i kēia mau hoʻololi ke alakaʻi i nā pilikia me ka kahe pono o ka mimi mai nā puʻupaʻa, e kū ana ka mimi. ʻO ka hopena, neʻe paha nā bacteria i loko o ka puhā i nā puʻupaʻa ma mua o ka holoi ʻia ʻana mai ka ʻōnaehana. ʻO kēia ke kumu o kahi maʻi. ʻO ka bacteria ʻO Escherichia coli (E. coli) ʻo ia ke kumu maʻamau. ʻO nā bacteria ʻē aʻe, e like me Klebsiella pneumoniae, ka Palaka laha, a ʻO Staphylococcus, hiki pū kekahi i nā maʻi ʻino.

He aha nā hōʻailona o ka pyelonephritis?

ʻO ka maʻamau, ʻo nā ʻōuli mua o ka pyelonephritis he kuni kiʻekiʻe, haʻalulu, a me ka ʻeha ma nā ʻaoʻao ʻelua o ka ʻaoʻao haʻahaʻa.

I kekahi mau hihia, hoʻokumu kēia maʻi i ka nausea a me ka luaʻi. Kūleʻa pū nā hōʻailona urinary, e like me:

• pinepine i ka mimi, a i ʻole ka pono e mimi pinepine
• urinary urgent, a i ʻole ka pono e mimi koke
• ka disuria, a i ʻole ka urination ʻeha
• hematuria, a i ʻole ke koko i ka mimi

He aha nā pilikia o ka pyelonephritis?

ʻO ka mālama kūpono ʻana i ka pyelonephritis hiki ke pale i nā pilikia koʻikoʻi. Inā mālama ʻole ʻia, hiki iā ia ke alakaʻi i kahi maʻi bacteria i ke kahe o ke koko i kapa ʻia he sepsis. Hiki i kēia ke pālahalaha aku i nā ʻāpana ʻē aʻe o ke kino a hana i nā kūlana koʻikoʻi e koi ana i ka hoʻoponopono ulia pōpilikia.

ʻO ka pyelonephritis i hoʻomaʻamaʻa ʻole ʻia hiki ke hopena i ka hanu hanu koʻikoʻi e like me ka hoʻonui ʻana o ka wai i nā akemāmā.

ʻO ke Pyelonephritis i ka wā o ka hāpai ʻana ke kumu nui o ka hana preterm, kahi e hoʻokau nui ai i ka pēpē no nā pilikia koʻikoʻi a me ka make pū kekahi.

Pehea e ʻike ʻia ai ka pyelonephritis?

Hiki i kahi hōʻoia mimi ke kōkua i kāu kauka e hoʻoholo inā ʻo kāu mau hōʻailona ka hopena o kahi maʻi maʻi maʻi. ʻO ke kū ʻana o nā hunaola keokeo a me nā koʻohune i ka mimi, i hiki ke ʻike ʻia ma lalo o kahi microscope, he hōʻailona ʻelua ia o ka maʻi. Hiki i kāu kauka ke hana i kahi hōʻailona kūpono ma ka lawe ʻana i nā moʻomeheu bacteria o kou mimi.

Pehea e mālama ai i ka pyelonephritis?

Ma ke ʻano he kaulike, inā hoʻomohala ʻoe i ka pyelonephritis i ka wā hāpai, e hōʻeha ʻia ʻoe i ka haukapila no ka lāʻau. E hāʻawi ʻia ʻoe i nā lāʻau antibiotic intravenous, paha lāʻau cephalosporin e like me cefazolin (Ancef) a i ʻole ceftriaxone (Rocephin).

Inā hoʻomaikaʻi ʻole kāu mau ʻōuli, malia paha ʻo nā bacteria e hoʻopuka nei i ka maʻi ke kūpaʻa i ka lāʻau antibiotic āu e lawe nei. Inā kānalua kāu kauka ʻaʻole hiki i ka antibiotic ke pepehi i ka bacteria, hoʻohui paha lākou i kahi antibiotic ikaika loa i kapa ʻia ʻo gentamicin (Garamycin) i kāu lāʻau.

ʻO ka paʻa ʻana ma loko o ka mimi ke kumu kumu ʻē aʻe o ka holo pono ʻole o ka lāʻau. Hoʻokumu pinepine ʻia ia e ka pōhaku hakuʻala a i ʻole ka hoʻoliʻiliʻi kino o ka ureter e ka ʻōpū ulu i ka wā hāpai. Hoʻomaopopo maikaʻi ʻia ka pale urinary tract ma o kahi X-ray a i ʻole kahi ultrasound o kāu mau puʻupaʻa.

Ke hoʻomaka nei kou kūlana e hoʻomaikaʻi, ʻae ʻia ʻoe e haʻalele i ka haukapila. Hāʻawi ʻia iā ʻoe nā antibiotic oral no 7 a 10 mau lā. E koho kāu kauka i kāu lāʻau e pili ana i ka pono, ka ʻino, a me ke kumukūʻai. Hoʻonohonoho pinepine ʻia nā lāʻau e like me trimethoprim-sulfamethoxazole (Septra, Bactrim) a i ʻole nitrofurantoin (Macrobid).

ʻO nā maʻi hou hou ma hope o ka hāpai ʻana ʻaʻole maʻamau. ʻO ke ala ʻoi loa ke kumu kūʻai e hoʻohaʻahaʻa ai i kāu makaʻi o ka hoʻi hou ʻana e lawe i kahi lāʻau o ka antibiotic i kēlā me kēia lā, e like me sulfisoxazole (Gantrisin) a i ʻole nitrofurantoin monrocate macrocrystals (Macrobid), ma ke ʻano he kaohi pale. E hoʻomanaʻo he ʻano ʻokoʻa nā lāʻau lāʻau. E kauoha ana kāu kauka i ka mea kūpono iā ʻoe.

Inā ʻoe e lawe i nā lāʻau pale, pono ʻoe e hoʻopaʻa i kou mimi no ka bacteria i kēlā me kēia manawa ke ʻike ʻoe i kāu kauka. Eia kekahi, e haʻi pono i kāu kauka inā hoʻi nā ʻōuli. Inā hoʻi nā ʻōuli a i ʻole inā hōʻike ka hōʻike mimi i ke kū ʻana o nā bacteria a i ʻole nā ​​hunaola keokeo, hiki i kāu kauka ke koi aku i kahi moʻomeheu mimi hou aʻe e hoʻoholo inā pono ka mālama ʻana.