ʻO kēia kahi maʻi i hōʻike ʻia e kahi hana hoʻomeamea i nā puʻupaʻa ma ke ʻano he hopena o nā bacteria i ke ala urinary.[1]… Kū ʻia ia, ma ke ʻano he rula, ma muli o nā hopena o ka microflora pathological. Inā ʻaʻole ʻoe e hoʻomaka i ka mālama ʻana i ka maʻi i ka manawa kūpono, hiki iā ia ke ulu i kahi ʻano mau.
Nā kumu o ka pyelonephritis
Hoʻokumu ʻia nā maʻi kīnā e ka bacteria a i ʻole nā virus. Manaʻo nā kānaka ʻepekema ʻo ka hapa nui o nā maʻi e hoʻomaka i ka urinary tract lalo. Komo ka bacteria i ke kino ma o ka urethra a hoʻomaka e hoʻomāhuahua a hohola i ka puhā. Mai laila aku, hele lākou ma waena o nā ureter i nā puʻupaʻa. ʻO ka pinepine, hoʻokumu ʻia ka maʻi e nā koʻohune ʻōpū, ʻoi aku ka liʻiliʻi - streptococcus, staphylococcus.
I kekahi mau hihia, hiki i nā bacteria a i ʻole nā virus ke lawe ʻia mai nā mea ʻē aʻe i nā puʻupaʻa ma o ke koko[5].
Nā ʻōuli o ka pyelonephritis
Hōʻike pinepine ʻia nā ʻōuli ma waena o ʻelua mau lā o ka maʻi. ʻO nā ʻōuli maʻamau ka:
- Hoʻonui i ka mahana o ke kino. ʻAʻole loaʻa kēia ʻōuli i nā manawa āpau, akā i kekahi manawa hiki ke piʻi aʻe ka mahana o ke kino o ka mea maʻi i 39 - 39,5 kekelē.
- Heʻe ʻana, ka mea hiki ke loaʻa nā ikaika ʻokoʻa. Ma ke ʻano he kūlana, hoʻokau ʻia ia ma ka ʻaoʻao kahi o ka puʻuwai e hoʻopili ʻia e ka maʻi, akā hiki nō hoʻi i ka ʻaoʻao lalo holoʻokoʻa ke ʻeha.
- Nausea a / aiʻole ka luaʻi He hōʻailona pū kekahi ia, ʻo ka paʻakikī e hiki ke hele mai ka hakahaka piha a i ke koʻikoʻi.
- Hemorrhagic cystitis - He ʻano cystitis kēia e hōʻike ai ke koko i ka mimi. ʻO kēia ma muli o ka mumū o ka membrane mucous o ka paia bladder. ʻOi aku ka maʻamau o kēia hōʻailona ma nā wahine ma mua o nā kāne.[2].
- ʻEha i loko o ka ʻōpū, hoʻi, ʻaoʻao, a ʻūhā paha.
- Urination ʻeha, i kekahi manawa lilo paha ia i mea pinepine ma mua o ka mau. He ʻaʻala maikaʻi ʻole paha ka mimi[3].
Hiki pū i nā ʻōuli ʻē aʻe ke:
- hoʻoluliluli a haʻalulu paha;
- nausea;
- ka luaʻi;
- luhi.
- hoʻonui sweating.
Ma ke ʻano he kūlana, he mau ʻōuli like ʻole nā hui like ʻole o nā poʻe, no ka laʻana, nā keiki a me nā ʻelemākule. I ka poʻe me kahi ʻano maʻi o ka maʻi, hiki i nā ʻōuli ke emi mai a ʻākoakoa loa i nā hōʻike kūwaho. Inā ʻike ʻoe i kekahi hōʻailona hōʻailona, e noʻonoʻo pono i kāu kauka no ka ʻōlelo aʻoaʻo.[3].
Nā ʻano o ka pyelonephritis
ʻO nā ʻano nui ʻelua o kēia maʻi ʻo nui a ʻano mau… ʻO ka pyelonephritis huʻi nui ke kuni o ka parenchyma renal a pili i hoʻokahi a i ʻole nā puʻupaʻa ʻelua. He ʻano maʻalahi ia o ka maʻi a ʻo ka mea maʻamau.
Hiki i kēia ʻano ke hōʻike me ka ʻehaʻeha o ka ʻaoʻao i hoʻonoho ʻia i ka ʻaoʻao, ke kuni kiʻekiʻe, hoʻonui i ka sweating, headache, nausea, luaʻi, malaise ākea, a me ka edema kidney. Hoʻohui ʻia, aia paha nā ʻōuli o kahi maʻi urinary tract lalo. Hiki i nā hōʻailona maopopo o ka maʻi ke ulu koke - i loko o hoʻokahi a ʻelua mau lā paha.
Secondary pyelonephritis huehue hiki ke hana i nā wahine me nā maʻi kīnā ʻole o ka urinary, nā wahine hāpai, nā keiki, a me nā kāne, a manaʻo ʻia he ʻoi aku ka koʻikoʻi ma mua o ka pyelonephritis mua. Hiki i nā kumu predisposing ke komo pū me ka catheterization o ka bladder, nā lāʻau immunosuppressive, transplants kidney, diabetes mellitus, polycystic kidney disease, a me kekahi mau tumors.
Nā ʻōuli o ke kiʻekiʻe lua pyelonephritis (i kapa ʻia i kekahi manawa paʻakikī pyelonephritis huikau) like me ka maʻi maʻi mua, ʻoiai ʻo kēia maʻi he asymptomatic kekahi.
Pyelonephritis maʻi he diffuse, interstitial inflammatory kidney disease ʻaʻole i maʻi mau i ke kumu. ʻO ka pyelonephritis Emphysematous kahi maʻi maʻi parrotymal ʻino nui ʻo nrotrotizing. ʻO kahi kaʻina granulomatous hoʻomau, luku e kū mai ana mai kahi ʻano atypical, piha ʻole o ka pale ʻana i kahi maʻi bacteria i kapa ʻia ʻo xanthogranulomatous pyelonephritis[6].
Nā pilikia o ka pyelonephritis
ʻO kahi komplication kūpono o ka pyelonephritis huehue ʻo ia ka maʻi maʻi maʻi mau. Inā ʻaʻole e mālama koke ʻia, hiki i kahi maʻi ʻaʻai ke alakaʻi i nā pilikia kūpilikiʻi paha, e like me:
- Pāhola ʻāʻī. Hiki i kēia ke alakaʻi i ka maʻi maʻi maʻi mau, ke koko kiʻekiʻe, a me nā kōpaʻa ʻole.
- Sepsis. Kānana nā puʻupaʻa i ka ʻōpala mai ke koko a hāʻawi i ke koko i kānana ʻia i ke koena o ke kino. ʻO ka loaʻa ʻana o kahi maʻi puʻupaʻa hiki ke hoʻolaha i nā maʻi bacteria ma o ke koko i nā meaola ʻē aʻe. He mea make kēia paha.
- Nā pilikia i ka wā hāpai. Hiki i nā wahine e hoʻomohala i kahi maʻi puʻupaʻa i ka wā o ka hāpai ʻana ke hoʻonui i ka makaʻu o ka hānau pēpē haʻahaʻa[4].
- Nā maʻi puʻupaʻa hou.
- Hewa kōwi koʻikoʻi.
Kāohi ʻana i ka pyelonephritis
Hiki iā ʻoe ke hōʻemi i kou makaʻu i ka maʻi ʻana ma ka hoʻāʻo ʻana e mālama i ka maʻi mai ke komo ʻana i kāu kaʻi mimi. Hiki i nā wahine, ke hoʻēmi i ko lākou makaʻu i ka maʻi urinary tract inā inu lākou i nā wai a lawa. E kōkua ia i ka holoi ʻana i nā koʻohune mai ke kino ʻoiai e mimiki ana. He mea nui nō hoʻi e hoʻokahe i ka pūpū ma hope o ka moekolohe e kōkua ai i ka hoʻomaʻemaʻe ʻana i nā maʻi bacteria mai ka urethra, e hoʻēmi nei i ka makaʻu o ka maʻi. He ʻōlelo aʻoaʻo ʻaʻole e hoʻopaneʻe i ka urination ke ʻike ʻoe i kahi makemake a ʻaʻole e hoʻolōʻihi[4].
NāʻAha Nino
ʻOi aku ka makaʻu o nā wahine i ka hoʻomohala ʻana i ka pyelonephritis no ka mea ʻoi aku ka pōkole o kā lākou urethra ma mua o nā kāne, kahi e maʻalahi ai ka neʻe ʻana o ka bacteria mai waho o ke kino a i ka maʻi ʻaʻai. ʻO ke kokoke o ka urethra i ka ʻōpala a me ka anus e hana hou i nā manawa kūpono no ke komo ʻana o ka bacteria i loko o ka puhā.[4]… Eia kekahi, ka poʻe me:
- kahi ʻōnaehana pale i kāohi ʻia (e loaʻa ana i ka maʻi maʻi maʻi ʻaʻai, maʻi ʻaʻai, diabetes);
- nā mea ʻeha o ka vesicoureteral reflux (kahi kūlana i kahe iki ʻia o ka mimi mai ka puhā i nā ureter)[3];
- ke loaʻa nei i ka blockage o ka mimi urinary (kekahi mea e lohi ai i ke kahe o ka mimi a hoʻoliʻiliʻi paha i ka hiki ke ninini i ka puhā i ka wā he mimi - me nā pōhaku hakuʻala, nā mea kūpono ʻole i ka hanana o ka mimi, a i ʻole ka prostate hoʻonui ʻia i nā kāne)[4].
ʻO nā maʻi maʻamau o ka maʻi ka mea maʻamau i ka poʻe me nā maʻi urinary. Hiki iā ia ke kumu ʻia e kahi UTI, vesicoureteral reflux, a i ʻole nā anatomical abnormalities. ʻOi aku ka maʻamau o ka pyelonephritis maʻi i nā keiki ma mua o nā mākua[3].
Ka mālama ʻana i ka pyelonephritis i ka lāʻau kūhelu
ʻO nā lāʻau lapaʻau maʻamau ka lāʻau maʻamau. Pili ko lākou helehelena i ka hiki ke hoʻoholo i ke ʻano o nā bacteria i hoʻonāukiuki i ka maʻi. Inā ʻaʻole, a laila kauoha ʻia nā antibiotic ākea ākea. ʻOiai hiki i ka lāʻau ke hoʻomaʻemaʻe i ka pyelonephritis i ʻekolu a i ʻehā mau lā, ua ʻōlelo pinepine ʻia ia no ka manawa kuhikuhi holoʻokoʻa ma kahi o 10 mau lā.
I kekahi mau hihia, kūpono ʻole ka lāʻau lapaʻau. Inā loaʻa i kahi maʻi koʻikoʻi, hiki i ke kauka ke hāʻawi i ka mea maʻi i ka haukapila. ʻO ka lōʻihi o ka noho haukapila e pili ana i ka paʻakikī o ke ʻano a pehea ke ʻano o ka pane ʻana o ke kino i ka lāʻau. Hiki iā ia ke hoʻopili i ka hydration intravenous a me nā antibiotic no 24 a 48 mau hola. ʻOiai ka mea maʻi ma ka haukapila, e nānā nā kauka i ko lākou koko a me ka mimi e nānā i ka hana o ka maʻi. Ma hope o ka hoʻokuʻu ʻana, pono paha ʻoe e lawe i kahi papa o nā antibiotic.
I kekahi mau hihia, hiki i nā maʻi kīnā ke hopena o kahi pilikia olakino kumu. I kēlā mau hihia, koi ʻia ke ʻoki e wehe i nā mea ālai a i ʻole nā pilikia kūkulu i nā puʻupaʻa. Pono paha ke ʻoki e ninini i kahi abscess e pane ʻole i nā lāʻau ʻino[3].
Nā meaʻai kūpono no ka pyelonephritis
Me ka pyelonephritis, pono ia e pili pono i ka papaʻai. ʻO kāna mau pahuhopu nui e hana i nā kūlana kūpono, akahai no nā puʻupaʻa e hana, hoʻohaʻahaʻa i ke kahe o ke koko, hoʻemi i ka edema, ka mimine alkalinize (ʻoiai ʻoi aku ka maikaʻi o ka bacteria i kahi wahi acidic), a me ka hoʻopau palekana ʻana o nā mea make, nā paʻakai a me nā mea nitrogenous. mai ke kino. He mea nui e kaupalena iki i nā protein, a waiho i nā momona a me nā momona i kahi pae e kūlike i ke ʻano physiological o ke kanaka. I ka manawa like, he mea nui loa ka hoʻonui ʻana i ka papaʻai me nā huaora. E māmā nā meaʻai. He ʻōlelo aʻoaʻo e hoʻolapalapa i ka meaʻai a i ʻole māhu ia. E hōʻole i ka palai ʻana a hoʻēmi paha i kāna hoʻohana ʻana i kahi liʻiliʻi. Paipai ʻia e hoʻokomo i kēlā mau meaʻai i ka papaʻai.
- 1 Fluid - pono e hoʻonui i kona nui o ka nui i kēlā me kēia lā i mea e hiki ai ke holoi i ke kahakaha urinary a hemo i nā microbes a me nā toxins mai nā puʻupaʻa. ʻO nā mea inu e like me ka nāwaliwali ʻeleʻele, ʻōmaʻomaʻo a kī kī paha, he hopena maikaʻi kā ka broth rosoth i ke kino. Inā inu ʻoe i ka wai mineral, a laila e hoʻemi ʻia ka ʻike o nā paʻakai paʻakai ma loko.
- 2 He mea nui e hoʻokomo i nā meaʻai waiu i kāu meaʻai, no ka mea, kōkua lākou i ka neʻe ʻana i ka pae pH mimi i ka ʻaoʻao alkaline.
- 3 Makemake ʻia e ʻai i ka berena o nehinei me ka paʻakai ʻole.
- ʻAe ʻia nā 4 waiū waiū a mea kanu paha.
- 5 mau saladi i hana ʻia mai nā mea kanu e like me ka palaʻai (he hopena diuretic kā lākou), kaʻuala, ʻumeke, kāloti, beets, pāhiri a me ka pi.
- 6 He mea nui e hoʻonui i ka papaʻai me nā wikamina, no ka mea hiki iā ʻoe ke ʻai i nā lau a me nā huaʻai, nā wai, nā compotes, nā mousses hua a me nā jelly. Hiki iā ʻoe ke ʻai i ka meli i nā mea liʻiliʻi.
ʻAʻole pono eʻokiʻoki i nā meaʻai, no ka mea me ka pyelonephritis, ʻaʻole hoʻohoka ʻia ka hana o ka gastrointestinal tract. Pono e hoʻopili i ka papaʻai i ka hoʻopau ʻana i ke kaʻina hana hōʻino a me ka hoʻēmi ʻana i ka holo o ka maʻi. ʻO ia ke kumu he mea nui e pili pono i ka papaʻai a kāpae i nā meaʻai i pāpā ʻia, ka papa inoa o ia mea i hāʻawi ʻia ma lalo.
ʻO ka lāʻau kuʻuna no ka pyelonephritis
Pono e hoʻomaopopo ʻia i ka hapanui o nā hihia, mālama ʻia ka mālama ʻana o kēia maʻi i loko o kahi keʻena maʻi maʻi a i ʻole ma lalo o ka kiaʻi koʻikoʻi a ke kauka e hele nei. ʻAʻole maʻamau nā hana kuʻuna o ka mālama ʻana, akā kōkua, a e hopena ʻia inā pili lākou me ke kauka, a me ka mālama pono ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka. I ke kahua koʻikoʻi o ka maʻi, pili nā ʻano āpau i ka hoʻopau ʻana i ka lī.
- E hoʻomākaukau i kahi decoction o nā lau coltsfoot. Pono lākou e hoʻomaloʻo, lepo i loko o ka pauka, ninini i nā bipi a kuke no 5 mau minuke i kahi ahi liʻiliʻi. A laila hoʻomaʻalili i ka palaʻai, kānana ma o cheesecloth i pelu ʻia i nā papa, a inu i ka 1/3 kīʻaha ʻekolu manawa i ka lā hoʻokahi i hoʻokahi hola ma mua o ka ʻai ʻana. Kūlike: 1 tbsp. lau no 0,5 liters. wai.
- Hiki ke hoʻomākaukau kahi hōʻiliʻili lāʻau no ka hoʻopau ʻana i ke kaʻina hana hōʻino mai nā mea kanu maʻalahi. E lawe ia i 1 tbsp. ʻupena dioecious, pua calendula, horsetail, lau birch, millennial, a me 2 tbsp. nā hua fennel a me 2 mau aniani o ka wai. E ninini i ka wai i hoʻolapalapa ma luna o ka hōʻiliʻili, e hoʻomoʻa ia no hoʻokahi hola, a laila lawe i 50 ml 3-4 manawa i ka lā i nā manawa o ka exacerbation o ka maʻi.
- Hoʻomākaukau ʻia kahi infusion o nā mea kanu a me nā elderberry penei. Lawe ʻia nā ʻāpana āpau i kahi kaulike o 25 gram. Pono pono e kāwili i nā pua o ka blackberryberry, chamomile, linden perforatum a me ka wort o St. E ninini i kēia hui ʻana me ke kīʻaha o ka wai e hoʻolapalapa ana, e hoʻolaki no hoʻokahi hola, ma lalo o ke poʻi, a laila kānana a lawe i ke kīʻaha ma mua o ka hiamoe.
- ʻO ka infusion o ka blue cornflower he hopena antimicrobial a me anti-inflammatory. Pono ʻoe i 2 tsp. e ninini nā pua o ka pua kulina ʻelua mau aniani o ka wai i hoʻolapalapa ʻia, e hoʻokuʻu iā ia no ka hapalua hola, kānana a inu i ka hapalua kīʻaha ʻekolu manawa i ka lā ma mua o ka ʻai[1].
Nā meaʻai weliweli a hoʻopōʻino hoʻi no ka pyelonephritis
I ka wā o ka maʻi a me ka maʻi o ka pyelonephritis, aia kekahi mau palena ʻai no nā maʻi. ʻAʻole pāpā ʻia ka hoʻohana ʻana i nā huahana e hoʻonāukiuki i ka ʻāpana urinary a i ʻole e hoʻonāukiuki i ka ʻōnaehana nerve. ʻO nā meaʻai i pāpā ʻia:
- Paakai. Ma muli o ka hoʻowahāwahā ʻana i nā puʻupaʻa, ua hōʻino ʻia kā lākou kānana a me nā hana excretory. ʻO kēia ke alakaʻi i kahi hoʻopau paʻakikī o nā toxins a me nā paʻakai ʻoi loa. Hoʻonāukiuki kēia i ka hoʻonui ʻana o ke kaomi, ka hoʻokumu ʻia ʻana o ka edema, a me nā pōhaku ʻino. No laila he ʻōlelo aʻoaʻo na ka mea hoʻomanawanui e kuke i ka meaʻai me ka paʻakai ʻole. I ka manaʻo o ke kauka e hele nei, hiki ke hāʻawi ʻia iā ia i kahi liʻiliʻi o ka paʻakai no ka puʻunaue ʻana iā ia iho.
- Waiʻona. Hoʻohālikelike ʻia nā mea inu ʻawaʻawa i kēia maʻi, no ka mea ke hoʻoikaika nui nei lākou i nā puʻupaʻa. Ma muli o kēia, ʻoi aku ka maikaʻi o ka haʻalele ʻana o nā huahana metabolic mai ke kino, mālama ʻia ka wai i loko, kahi e puka mai ai ka edema a hoʻonui nui ʻia ke ʻano o ka maʻi.
- He mea nui e hōʻemi i ka nui o nā protein o nā holoholona i loaʻa i loko o nā ʻiʻo, nā iʻa, nā hua manu, ʻoiai e hoʻoliʻiliʻi kēia mea i ka mimi, a ʻoluʻolu kēia wahi no ka ulu ʻana o ka bacteria. No ke kumu hoʻokahi, he mea nui e hōʻemi i ka nui o nā huehue wikiwiki i hoʻopau ʻia, a me nā pīni.
- He mea nui e hōʻole i nā meaʻai hoʻonāukiuki: nā meaʻai canned, sausages, nā mea i puhi ʻia, ka ʻiʻo momona a me nā iʻa, ke kālika, radish, radish, mushrooms, berena a me nā huahana palaoa me ka paʻakai paʻakai, kī ikaika, kofe, wai me nā paʻakai sodium, ʻono, momona. kirīmiʻawaʻawa, nā momona holoholona, nā meaʻai, ka horseradish, ka sinapi.
- ʻO ka lāʻau lāhui hou loa. Hoʻomaʻo i nā maʻi maʻamau. - M.: Ripol classic, 2007.-544 p.
- ʻAtikala: "Acute Pyelonephritis", kumu
- Paukū: "Pyelonephritis", kumu
- Paukū: "maʻi kīnā ʻole", kumu
- ʻAtikala: "Nā ʻōuli a me nā kumu o ka maʻi ʻino (Pyelonephritis)" Puna
- ʻAtikala: "He aha ka Pyelonephritis?", Puna
Hoʻohana ʻia nā mea āpau me ka ʻole o kā mākou ʻae palapala mua ʻia.
ʻAʻole kuleana ke alakaʻi no nā hoʻāʻo ʻana e noi i kahi papa kuhikuhi, ʻōlelo aʻo a papaʻai paha, a ʻaʻole nō hoʻi e hoʻohiki i ka ʻike i kuhikuhi ʻia e kōkua a hōʻeha paha iā ʻoe iho. E akahele a nīnau mau i ke kauka kūpono.
E nānā!
ʻAʻole kuleana ke alakaʻi no nā hoʻāʻo e hoʻohana i ka ʻike i hāʻawi ʻia, a ʻaʻole ia e hoʻohiki ʻaʻole e hōʻeha iā ʻoe iho. ʻAʻole hiki ke hoʻohana i nā mea e kuhikuhi ai i ka lāʻau lapaʻau a hana i kahi kuhi. E nīnau mau i kāu kauka loea.