ʻO Pyelonephritis

Anter

• He aha nā hōʻailona?
• He aha nā kumu?
• Aia kekahi mau kumu pilikia?
• ʻO pyelonephritis huehue
• Pyelonephritis maʻi
• ʻIke i ka pyelonephritis
• Nā hoʻāʻo mimi
• Nā hoʻāʻo kiʻi
• Kiʻi Radioactive
• Ke mālama nei i ka pyelonephritis
• Nā Antibiotics
• Ke komo ʻana i ka haukapila
• ʻOki kino
• ʻO Pyelonephritis i nā wahine hāpai
• ʻO Pyelonephritis i nā keiki
• Nā pilikia kūpono
• Kāohi ʻana i ka pyelonephritis
• ʻLelo aʻoaʻo pale
  

Ka hoʻomaopopo ʻana i ka pyelonephritis

ʻO ka pyelonephritis huehue kahi hōʻeha hōʻeha a koʻikoʻi loa. Hiki iā ia ke pehu i nā puʻupaʻa a hōʻino mau paha iā lākou. Hiki i ka Pyelonephritis ke hoʻoweliweli i ke ola.

Ke hana hou a kūpikipiki paha ka hoʻouka ʻana, kapa ʻia ke ʻano he pyelonephritis maʻi. He kākaʻikahi ke ʻano mau, akā pinepine pinepine ia i nā keiki a i ʻole nā ​​kānaka me nā mea urinary.

He aha nā hōʻailona?

Hōʻike pinepine ʻia nā ʻōuli ma waena o ʻelua mau lā o ka maʻi. ʻO nā ʻōuli maʻamau ka:

• kahi kuni i ʻoi aku ma mua o 102 ° F (38.9 ° C)
• ʻeha i loko o ka ʻōpū, hoʻi, ʻaoʻao, a ʻūhā paha
• ʻeha a wela paha
• mimi ʻōpua
• pāʻū a i ʻole koko i ka mimi
• urination a i ʻole ka urination pinepine
• mimi ʻaʻala ʻaʻano

Hiki i nā ʻōuli ʻē aʻe ke hoʻopili pū me:

• hoʻoluliluli a haʻalulu paha
• nausea
• ka luaʻi
• ʻeha ʻeha a manaʻo ʻino ʻole paha
• luhi
• ʻili momona
• huikau noʻonoʻo

ʻOkoʻa paha nā ʻōuli i nā keiki a me nā mākua makua ma mua o kā lākou i nā poʻe ʻē aʻe. ʻO kahi laʻana, ʻike pinepine ʻia ka huikau noʻonoʻo i nā mākua makua a ʻo ko lākou hōʻailona wale nō ia.

ʻO ka poʻe me ka pyelonephritis maʻi mau ke ʻike i nā ʻōuli mālie a i ʻole nele paha i nā ʻōuli ʻike ʻia.

He aha nā kumu?

Hoʻomaka ka hoʻomaka ʻana o ka maʻi i ka maʻi urinary haʻahaʻa ma ke ʻano he maʻi urinary tract (UTI). Komo ke koʻohune i ke kino ma o ka urethra a hoʻomaka e hoʻomāhuahua a hohola i ka ʻōpū. Mai laila aku, hele nā ​​koʻohune ma o nā ureter i nā puʻupaʻa.

ʻO nā koʻohune e like me E. coli kumu pinepine i ka maʻi. Eia nō naʻe, hiki i kekahi maʻi nui i ke kahe ke laha i nā puʻupaʻa a hana i nā pyelonephritis huʻihu.

Aia kekahi mau kumu pilikia?

ʻO pyelonephritis huehue

ʻO nā pilikia e hōʻoki ana i ke kahe maʻamau o ka mimi e hoʻonui i kahi makaʻu nui o ka pyelonephritis huʻupuʻu. ʻO kahi laʻana, ʻo kahi urinary kahi ʻano ʻokoʻa a ʻano ʻole paha e alakaʻi i ka pyelonephritis huʻupuʻu.

Eia kekahi, ʻoi aku ka pōkole o ka urethras wahine ma mua o nā kāne, no laila ua maʻalahi ka maʻalahi o ke komo ʻana o ka bacteria i loko o ko lākou kino. ʻO ia ka mea e maʻalahi ai nā wahine i nā maʻi puʻupaʻa a hoʻokau iā lākou i kahi kiʻekiʻe o ka maʻi pyelonephritis.

ʻO nā kānaka ʻē aʻe i hoʻonui i ka makaʻu e komo pū me:

• ʻo kēlā me kēia mea me nā pōhaku hakuʻala mau a i ʻole nā ​​ʻano ʻōpala a i ʻole nā ​​ʻaʻa
• makua makua
• ka poʻe me nā ʻōnaehana pale pale i kāohi ʻia, e like me ka poʻe me ka maʻi diabetes, HIV / AIDS, a i ʻole ka maʻi ʻaʻai
• nā kānaka me ka reflux vesicoureteral (kahi kūlana i hoʻi mai ka liʻiliʻi o ka mimi mai ka puhā i loko o nā ureter a me nā puʻupaʻa)
• poʻe me ka prostate hoʻonui

ʻO nā kumu ʻē aʻe e hiki ai iā ʻoe ke hoʻoweliweli i ka maʻi pū me:

• hoʻohana catheter
• ninaninau cystoscopic
• ʻoki lāʻau urinary
• kekahi mau lāʻau
• ʻino nā nerve a i ʻole ke kuamoʻo

Pyelonephritis maʻi

ʻO nā ʻano maʻamau o ke ʻano i ʻike pinepine ʻia i ka poʻe me nā pale urinary. Hiki ke kumu ʻia kēia mau mea e nā UTI, vesicoureteral reflux, a i ʻole anatomical anomalies. ʻOi aku ka maʻamau o ka pyelonephritis maʻi i nā keiki ma mua o nā mākua.

ʻIke i ka pyelonephritis

Nā hoʻāʻo mimi

E nānā ke kauka no ke kuni, ka palupalu o ka ʻōpū, a me nā ʻōuli maʻamau ʻē aʻe. Inā manaʻo lākou he maʻi kīnā, e kauoha lākou i kahi hōʻoia mimi. Kōkua kēia iā lākou e nānā no ka bacteria, ka noʻonoʻo, ke koko, a me ka pā i ka mimi.

Nā hoʻāʻo kiʻi

Kauoha paha ke kauka i kahi ultrasound e nānā no nā cista, nā tumors, a i ʻole nā ​​mea kūpale ʻē aʻe i ka maʻi urinary.

No ka poʻe pane ʻole i ka lāʻau lapaʻau ma loko o 72 mau hola, e kauoha ʻia kahi CT scan (me ka ʻole o ka wai iniki i hoʻohewa ʻia). Hiki i kēia hoʻāʻo ke ʻike i nā ālai i loko o ka urinary tract.

Kiʻi Radioactive

E kauoha ʻia kahi hoʻokolohua dimercaptosuccinic acid (DMSA) inā manaʻo kāu kauka he scarring ma muli o ka pyelonephritis. ʻO kēia kahi ʻenehana kiʻi e nānā i kahi i hoʻokomo ʻia o ka mea radioactive.

Hoʻokomo kahi ʻoihana olakino i ka mea ma o ka uaua i ka lima. Hele ka mea i nā puʻupaʻa. ʻO nā kiʻi i lawe ʻia i ka wā o ka mea radioactive e hele ma waena o nā puʻupaʻa e hōʻike i nā wahi maʻi a wali paha.

Ke mālama nei i ka pyelonephritis

Nā Antibiotics

ʻO nā Antibiotics ka papa mua o ka hana e kūʻē iā pyelonephritis huʻi. Eia nō naʻe, ʻo ka ʻano antibiotic i koho ʻia e kāu kauka e pili ana inā hiki ke ʻike ʻia ka bacteria. Inā ʻaʻole, hoʻohana ʻia kahi antibiotic ākea ākea.

ʻOiai hiki i nā lāʻau ke hoʻōla i ka maʻi i loko o 2 a 3 mau lā, pono e lawe i ka lāʻau no ke kau kuhikuhi holoʻokoʻa (maʻamau 10 a 14 mau lā). He ʻoiaʻiʻo kēia inā ʻoe e ʻoi aku ka maikaʻi.

ʻO nā koho antibiotic:

• levofloxacin
• ciprofloxacin
• co-trimoxazole
• ampicillin

Ke komo ʻana i ka haukapila

I kekahi mau hihia, kūpono ʻole ka lāʻau lapaʻau. No kahi maʻi puʻupaʻa koʻikoʻi, e ʻae paha kāu kauka iā ʻoe i ka haukapila. Pili ka lōʻihi o kou noho ʻana i ka paʻakikī o kou ʻano a pehea kou pane ʻana i ka lāʻau.

Hiki i ka mālama ʻana ke hoʻopili i ka hydration intravenous a me nā antibiotic no 24 a 48 mau hola. ʻOiai ʻoe i ka haukapila, e nānā nā kauka i kou koko a me ka mimi e nānā i ka maʻi. E loaʻa paha iā ʻoe he 10 a 14 mau lā o nā lāʻau ʻalopika waha e lawe ma hope o kou hoʻokuʻu ʻia ʻana mai ka haukapila.

ʻOki kino

Hiki ke hopena i nā maʻi puʻupaʻa hou mai kahi pilikia olakino. I kēlā mau hihia, koi ʻia ke ʻoki e wehe i nā mea ālai a i ʻole e hoʻoponopono i nā pilikia kūkulu i nā puʻupaʻa. Pono paha ke ʻoki kino e hoʻokahe i kahi abscess e pane ʻole i nā lāʻau ʻino.

I nā hihia o ka maʻi nui, pono paha kahi nephrectomy. I kēia kaʻina hana, wehe kahi lākōkō i kahi ʻāpana o ke kākiho.

ʻO Pyelonephritis i nā wahine hāpai

Hāpai ka hāpai i nā loli kūlohelohe i ke kino, e like me nā hoʻololi o ka physiological i ka urinary tract. ʻO ka hoʻonui ʻia o ka progesterone a me ka hoʻonui ʻana o ke kaomi ma luna o nā ureter hiki ke hopena i ka nui o ka hopena o ka pyelonephritis.

ʻO ka Pyelonephritis i nā wahine hāpai e koi pinepine i ke komo ʻana i ka haukapila. Hiki iā ia ke hoʻoweliweli i nā ola o ka makuahine a me ka pēpē. Hiki iā ia ke hoʻonui i ka makaʻu o ka lawe manawa. Mālama ʻia nā wahine hāpai me nā antibiotic beta-lactam no 24 mau hola a hiki i ka hoʻomaikaʻi ʻana o kā lākou hōʻailona.

I mea e pale aku ai i ka pyelonephritis i nā wahine hāpai, pono e mālama ʻia kahi moʻomeheu mimi ma waena o nā hebedoma 12th a me 16th o ka hāpai keiki. ʻO kahi UTI i loaʻa ʻole nā ​​hōʻailona hiki ke alakaʻi i ka ulu ʻana o ka pyelonephritis. Ke ʻimi nei i ka UTI hiki wawe ke pale i ka maʻi ʻaʻai.

ʻO Pyelonephritis i nā keiki

Wahi a ka American Urological Association, ma ʻAmelika Hui Pū ʻIa, ʻoi aku ma mua o hoʻokahi miliona mau huakaʻi i ka pediatrician e hana ʻia i kēlā me kēia makahiki no ka UTI pediatric. Hoʻonui ka makaʻu o nā kaikamahine inā ʻoi aku ma mua o hoʻokahi makahiki. ʻOi aku ka makaʻu o nā keikikāne inā ma lalo o hoʻokahi, keu hoʻi ke ʻoki poepoe ʻole ʻia lākou.

Loaʻa pinepine nā keiki me ka UTI i ke kuni, ka ʻeha, a me nā ʻōuli e pili ana i ka maʻi urinary. Pono ke kauka e kamaʻilio koke i kēia mau hōʻailona ma mua o ka hiki iā lākou ke hoʻomohala i pyelonephritis.

Hiki ke mālama ʻia ka hapa nui o nā keiki me nā lāʻau ʻaloʻalo waha ma ke ʻano o ka outpatient. E aʻo hou aʻe e pili ana i nā UTI i nā keiki.

Nā pilikia kūpono

ʻO kahi komplication kūpono o ka pyelonephritis huehue he maʻi maʻi maʻi mau. Inā hoʻomau ka maʻi, hiki ke hōʻino mau ʻia nā puʻupaʻa. ʻOiai laha ʻole, hiki nō i ka maʻi ke komo i ke kahe o ke koko. Hiki i kēia ke hopena i kahi maʻi weliweli i kapa ʻia sepsis.

ʻO nā pilikia ʻē aʻe:

• nā maʻi ʻōpū hou
• ka maʻi e hohola ana i nā wahi a puni nā puʻupaʻa
• hōʻeha kīwī koʻikoʻi
• abscess hakuʻala

Kāohi ʻana i ka pyelonephritis

Hiki i ke Pyelonephritis ke kūlana koʻikoʻi. E kāhea koke aku i kāu kauka ke manaʻo ʻoe he pyelonephritis a i ʻole he UTI. Pono kēia ʻano i ke olakino wikiwiki, no laila ke hoʻomaka mua ʻoe i ka lāʻau, ʻoi aku ka maikaʻi.

ʻLelo aʻoaʻo pale

1. Inu i ka nui o nā wai e hoʻonui i ka urination a hemo i nā bacteria mai ka urethra.
2. Urination ma hope o ka moekolohe e kōkua i ka holoi ʻana i nā bacteria.
3. E holoi mai mua a i hope.
4. Hōʻalo i ka hoʻohana ʻana i nā huahana i hiki ke hoʻonāukiuki i ka urethra, e like me nā douches a i ʻole nā ​​wahine sprays.