Uqikelelo lwama-50 ukuya kuma-80 ekhulwini kubo bonke abafazi bahlakulela usulelo lwe-urinary (UTI) ngexesha elithile ebomini babo. (Ngokubanzi, abafazi banamathuba amaninzi ngaphezu kwamadoda ukuphuhlisa ii-UTIs.) Ixesha losulelo lwe-urinary isifo kwaye lubhekiselele kwintsholongwane ebangelwa yiibhaktheriya ezenzeka kunoma iyiphi na indlela ye-urinary tract: urethra, bladder, ureters, or kidneys.
Spectrum yoGawulayo
Izifo ezithintela i-Urinary zikhona kwi-spectrum. Kwesinye isigxina seembonakaliso ibhakteriuria engabonakaliyo , apho iibhaktheriya zitholakala kumchamo kodwa akukho zibonakaliso zeklinikhi zentsholongwane. Ngezona zihlandlo zebactriuria engabonakaliyo, akukho nonyango efunekayo.
Ngomnye umphelo wembonakalo ukhona i-pyelonephritis okanye usulelo lwentsholongwane, olona lukhulu kakhulu nesihloko sale nqaku. Phakathi kwimiba yembonakaliso ye-bacteriuria okanye i- cystitis , yintoni abantu abaninzi abakucingayo xa bexoxa nge-UTIs. Iimpawu ze-cystitis zibandakanya intlungu ekuhambeni ukuhamba, imvula yamanzi kunye nokuphuthuma.
Nge-pyelonephritis, iibhaktheriya zihamba ukusuka kwi-urethra nge-bladder kunye ne-ureter kunye nasezintsheni. Ngethamsanqa, i-pyelonephritis ebandakanya zombini izintso ayifumaneki.
Iimpawu
Nazi ezinye iimpawu eziqhelekileyo ze-pyelonephritis:
- intlungu
- ixabiso lentengo yexabiso
- Iintliziyo zentlungu kwizondlo ezinzulu
- isicaphulelo
- ukuhlanza
- umkhuhlane
- bhinqa
- ukuxhamla
Ukuxilongwa
Ukuxilongwa kweklinikhi ye-pyelonephritis isekelwe kwimbali kunye nokuhlolwa kweziphumo zomzimba kwakunye neziphumo zebhubhoratri ezivela kwiimvavanyo zokuxilonga ezifana ne-urinalysis kunye nenkcubeko yomchamo. Ngokungafani ne-cystitis engaqondakaliyo, ukukrokra kwe-pyelonephritis iqinisekisa ukuba i-urine culture.
Ukucinga nge-Diagnostic akudingeki ukuba uhlolisise iimeko ezininzi ze-pyelonephritis. Nangona kunjalo, i-ultrasound ne-CT ingasetyenziswa ukujonga i-pyelonephritis.
Izinto zobungozi
Izinto ezinobungozi kwi-pyelonephritis ziyafana neziganeko zobungozi kuzo zonke iintlobo ze-UTI kwaye zibandakanya amaqabane amaninzi ezesondo, ukwandiswa komsebenzi wesondo, iqabane elitsha lezesondo kunye nomlando we-UTIs rhoqo.
Unyango
Ukunyangwa kwe-pyelonephritis kufana nokunyangwa kwe-cystitis enamandla. Nangona kunjalo, i-pyelonephritis inokwenzeka ngakumbi kunokuba i-cystitis enobuhlungu ibangelwa ibhaktheriya engaxhatshazwayo ye-antibiotic kubandakanywa iintlobo ze-E. coli ezichasene neBactrim (TMP-SMX). Ngaloo ndlela, unyango lwe-pyelonephritis luvame ukuqala nge-antibiotic ebanzi njenge-ciprofloxacin, kwaye, ngokuxhomekeka kwindlela engathandekiyo ngayo ibhaktheriya ebangela ukuba suleleka, ingabandakanya ukudibanisa kwamayeza okubulala okanye i-anti-anti-antibiotic (i-big-gun) njenge-carbapenem.
Uninzi lwabantu abakhona nge-pyelonephritis engaqondakaliyo lunokuphathwa kwiiklinikhi (iziphene). eli gama lincinci lithetha ukuba isigulane asibonisi ngendlela engafanelekanga ye-urrogenital tract, ayikho insimbi kwindawo efana ne-cathter ye-urinary kwaye ayikhulelwe. Abantu baphathwa eklinikhi ngenxa ye-pyelonephritis engaxakekiyo kufuneka bakwazi ukunyamezela i-liquids kunye nemithi yomlomo.
Abantu abane-pyelonephritis eyinkimbinkimbi, i-pyelonephritis ephindaphindiweyo okanye i-comorbidities, njengesifo sikashukela okanye isifo seseli segulane, baphathwa kakuhle esibhedlele. Ngoxa esesibhedlele, aba bantu bafumana amayeza omzimba.
Ukongeza kwii-antibiotics, umntu onokuthi i-pyelonephritis inokufumana i-analgesics (cinga i-opioids) ngentlungu kunye ne-promethazine ngenxa yesicongcelo nokuhlanza.
Unyango lwe-pyelonephritis engaxakekanga luhlala malunga neentsuku ezisixhenxe. Iziganeko ezinzima okanye ezinzima ze-pyelonephritis zonyangwa malunga neentsuku eziyi-14.
I-Pyelonephritis iyingozi kakhulu kunokuba i-cystitis enzima, kwaye phakathi kwama-20 no-30 ekhulwini abantu abanama-pyelonephritis bahlakulela isifo segazi, naye.
Ezinye iingxaki ze-pyelonephritis ziquka i-cortical necrosis kunye ne-emphysematous pyelonephritis, apho iintso ziwonakaliswe kwaye igesi iyakhiwa kwiinttso, zombini ezo zixazululo zingabangela ukuhluleka kwezintso.
Thintelo
Kwinqaku lokugqibela, nakhu amanyathelo athile onokuthi uthathe ukuthintela i-pyelonephritis kunye ne-UTIs:
- basele amanzi amaninzi
- ayikho into ebomvu emva kokulala ngesondo
- Sula phambi ukubuyela emva ukuze uphephe ukuqaliswa kweebhaktheriya kwisisu
- ukuhamba rhoqo
- ukukhusela iimveliso zempembelelo ezisetyhini ezisetyenziselwa kwisini somzimba njengama-douches kunye ne-sprays
Imithombo:
Gupta K, Trautner BW. Izifo Zogqirha ze-Urinary, i-Pyelonephritis, kunye neProstatitis. Ku: Kasper D, Fauci A, Hauser S, uLongo D, Jameson J, Loscalzo J. eds. Iinqununu zeHarrison ze-Internal Medicine, 19e . New York, NY: McGraw-Hill; 2015.
I-DS, i-Bogner iPhalamende. Isahluko 94. Izifo zoTywala kunye neHematuria. Ku: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. I-Tintinalli Yonyango Elijongene Nezimo Eziphuthumayo: Isikhokelo Sokufunda Esipheleleyo, 7e . New York, NY: McGraw-Hill; 2011.