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ʻO nā kumu o ka pyelonephritis i nā wahine
ʻO ke kumu o ka pyelonephritis i nā wahine he flora opportunistic, aia i loko o ke kino o kēlā me kēia kanaka a hōʻike iā ia iho me ke kaumaha a me ka emi ʻana o ka pale. Ma ke ala, ua loaʻa nā wahine i ka pyelonephritis 4-5 mau manawa ma mua o nā kāne ma muli o nā ʻano o ka ʻōnaehana genitourinary: ʻo ka lōʻihi o ka urethra i loko o ka wahine he 3-4 mau kenimika wale nō, a kokoke loa i ka rectum, no laila. He mea maʻalahi ka hiki ʻana o nā pathogens i ka ʻāpana genitourinary a laila hiki i nā puʻupaʻa. ʻO ka pinepine, ʻo ka pyelonephritis i nā wahine ke kumu e Escherichia coli, a me staphylococci, enterococci a me Pseudomonas aeruginosa.
- Me ka pyelonephritis o nā puʻupaʻa i loko o nā wahine, ʻo ka ʻōnaehana pelvicalyceal, tubules a me ka epithelial tissue e lilo i inflamed, ʻoiai ʻo ka glomeruli ʻaʻole i hoʻopilikia ʻia e ka mumū. Ma ke ʻano maʻamau, hoʻopili ʻia kekahi okana, akā hiki mai ka bilateral pyelonephritis, - wahi a urologist Ivan Kuvin.
Nā hōʻailona o ka pyelonephritis i nā wahine
ʻO ka pyelonephritis nui i nā wahine:
- ka piʻi nui o ka mahana o ke kino i 39-40 degere;
- ke anu, ke poo, nawaliwali;
- ka wela nui, ʻoi aku i ka pō;
- mimi wikiwiki a ʻeha;
- ʻO ka mimi ʻeleʻele me nā flakes, me kahi hui o ka pus a me kahi ʻala maikaʻi ʻole;
- ʻili maloʻo, pehu ma lalo o nā maka;
- nā ʻeha ʻeha ma ka ʻāpana lumbar, hiki ke hoʻoikaika i ka wā e hele ai.
Hiki i ka mea maʻi ke hoʻopiʻi no ka nele o ka ʻai a me ka makewai nui. Hiki ke hoʻopilikia ʻia ka hiamoe - ʻeha ka insomnia i ka pō, a ʻo ka nāwaliwali a me ka hiamoe i ke ao. E maloʻo ka ʻili a me ka mucous membranes, hiki ke pehu iki nā lihilihi (ʻo nā "ʻeke" kaulana ma lalo o nā maka), wahi a ke kauka.
ʻO ka maʻi pyelonephritis i nā wahine hiki ke aneane asymptomatic. Hiki ke piʻi iki ka mahana, me ke anuanu a me ka wela nui, e ʻike ʻia nā ʻeha ʻeha a i ʻole ke kaumaha ma ka ʻāpana lumbar. Hoʻomaopopo ka poʻe maʻi i ka pō e ʻike mau lākou i ka makemake e urinate. Piʻi pinepine ke koko, ʻike ʻia ka anemia.
ʻO ka hōʻailona o ka pyelonephritis i nā wahine
Me kekahi o nā hōʻailona i luna, pono ʻoe e hoʻopili koke i kahi urologist a i ʻole nephrologist. I ka manawa koho, e hoʻolohe mua ke kauka i nā hoʻopiʻi a ka mea maʻi, e hōʻiliʻili i kahi anamnesis, a laila e hana i kahi hoʻokolokolo.
- Ka hoʻoholo ʻana i ka hōʻailona o Pasternatsky - kahi ʻano diagnostic e hoʻohana ai ke kauka i ka wā e nānā ai inā kānalua ʻia ka hana ʻino ʻana. Ke kū nei ka mea maʻi, kau ke kauka i kona lima hema ma ka ʻāpana lumbar, a me ka lihi o kona lima ʻākau e paʻi ʻo ia i kona ʻaoʻao hope. Inā manaʻo ka mea maʻi i ka ʻeha, a laila maikaʻi ka hōʻailona a aia kahi pilikia me nā puʻupaʻa. Hoʻonohonoho pū ʻia kahi hoʻokolohua kūpono - nā hoʻāʻo koko, nā hoʻāʻo mimi, ultrasound o nā puʻupaʻa, wahi a ke kauka urologist.
ʻO nā ala no ka ʻike ʻana i ka pyelonephritis:
- ka nānā 'ana i ka mimi ma'amau;
- nā ho'āʻo mimi e like me Nechyporenko, e like me Zimnytskyi;
- nā hōʻike koko maʻamau a me ka biochemical;
- moʻomeheu bacteria o ka mimi e ʻike ai i ka pathogen a me kona ʻike i nā lāʻau antibiotic;
- Ultrasound o nā puʻupaʻa;
- inā pono, CT a MRI paha.
Ka mālama ʻana i ka pyelonephritis i nā wahine
I ka mālama ʻana i ka pyelonephritis i nā wahine, pono ka hoʻomaha moe. No ka hoʻopau ʻana i ke kumu kumu o ka maʻi, e pili ana i nā hopena o ka antibiogram, ua kuhikuhi ʻia kahi papa o nā lāʻau lapaʻau ākea ākea (penicillin, cephalosporin, carbapenem, quinolone). I nā hihia koʻikoʻi, hiki i ka urologist ke kuhikuhi i ka hui pū ʻana o kekahi mau lāʻau. Ma hope o nā lāʻau antibiotic, ua kuhikuhi ʻia kahi papa o uroseptics. No ka hoʻomaha ʻana i ka ʻeha a me ka ʻeha, e kuhikuhi ke kauka i nā antispasmodics.
I ka lā 5-7, i ka wā e hoʻomaka ai ke kaʻina hana inflammatory, ua kuhikuhi ʻia ka lāʻau hōʻailona: nā lāʻau anti-inflammatory non-steroidal, nā lāʻau e hoʻomaikaʻi ai i ke kahe koko i loko o nā puʻupaʻa, nā huaora.
- Kōkua pū nā lāʻau lapaʻau i ka mālama ʻana i ka pyelonephritis i nā wahine. Hiki iā ʻoe ke brew teas herbal you yourself, herbal teas - lingonberry lau, field horsetail, bearberry. A no ka maʻalahi, hiki iā ʻoe ke koho i nā lāʻau lapaʻau ma ke ʻano o nā papa e pili ana i kēia mau mea kanu - Cyston, Canephron, Fitolizin. Hoʻohana pinepine ʻia lākou i ka lāʻau paʻakikī, hoʻomaha maikaʻi lākou i ka ʻeha a pale i ka hoʻi hou ʻana o ka maʻi, wahi a ka urologist.
Inā ʻoe e hahai i nā ʻōlelo aʻoaʻo a ke kauka, hiki mai ka hōʻoluʻolu ma mua o 2-3 mau lā o ka mālama ʻana, ʻo ke kaʻina hana hoʻōla holoʻokoʻa ʻelua pule. Ma hope o kēlā, pono ʻoe e kipa i kahi urologist i hoʻokahi manawa i ka makahiki, e lawe i kahi hōʻike mimi a me ke koko.
Ka pale ʻana i ka pyelonephritis i nā wahine
He mea maʻalahi ka pale ʻana i ka pyelonephritis i nā wahine. Ua lawa ka hahai ʻana i kekahi mau lula maʻalahi a nānā pono i kou olakino.
- pale i ka hypothermia, ʻoi aku ma ka ʻāpana lumbar;
- mai haʻalele i nā lula o ka hoʻomaʻemaʻe pilikino;
- mai hoʻomaka i ka mālama ʻana i ka cystitis a me nā maʻi ʻē aʻe o ka ʻōnaehana genitourinary;
- e hoʻopaʻa mau ʻia e ka gynecologist;
- alakaʻi i ke ola olakino: mai hōʻino i ka paʻakai, ka mea ʻala, nā meaʻai puhi a me ka waiʻona;
- e nānā i ka inu ʻana - e hoʻomaʻamaʻa iā ʻoe iho e inu ma kahi o 1,5 lita o ka wai maʻemaʻe i kēlā me kēia lā;
- no nā hōʻailona hoʻopilikia, mai hoʻoponopono iā ʻoe iho, akā e nīnau koke i ke kauka.