Kwakhona, ii-pathogens eziqhelekileyo ze-pyelonephritis zi-E. coli, i-Proteus kunye ne-Pseudomonas aeruginosa. Ngentuthuko engaqhelekanga yeentso kunye nephepha lomchamo umntwana uxelelwa ngesifo esingenasifo. Ingaba ngenxa yokukhubazeka kokukhulelwa, kunye nesifo sezintso kumama.
Usulelo lwangena kwi-renal pelvis ngeendlela ezimbini:
- ukwenyuka - nge-urethra;
- i-hematogenous way - usulelo luya egazini ukusuka kwelinye iqwalasela emzimbeni.
Umngcipheko we-pyelonephritis kumntwana ukwanda xa:
- ukunciphisa ukukhulelwa komzimba (i-hypothermia, iindlovu ezingapheliyo, umntwana uya kugula);
- emzimbeni kukho i-foci yintsholongwane engapheliyo (i-tonsillitis, i-sinusitis, i-cholecystitis, amazinyo angenayo);
- izifo ze-genitourinary (i-vesicoureteral reflux ye-ureteric obstruction, stenosis ye-urethral, i-hydronephrosis, isifo sezintso ze-polycystic).
Impawu zokuqala
Kubalulekile ukuqaphela ukuqala kwesi sifo ngexesha. Ukufumanisa isifo esifanele ukwazi ukuba i-pyelonephritis ebantwaneni inzima kwaye ingapheliyo:
1. I-pyelonephritis eqhoshayo - iimpawu zayo ziquka ukunyuka okukrakra kweqondo lokushisa ukuya kuma-degrees angama-39, ehambelana nama-chills, intloko, ukujuluka nokuhlanza. Isikhumba kule ndawo eluhlaza, umntwana uyahluleka. Abantwana abakhulileyo bakhononda ngenye intlungu okanye emibini yeentlungu kwisithili esilungileyo, isigxina okanye isigxina. Amabele aqala ukuziphatha ngokuzenzekelayo aze akhale phambi nangesikhathi sokuchama. Ukuba isifo sifikile kwisitya okanye urethra, i-pyelonephritis ihamba kunye nokuvuthwa rhoqo kunye nentlungu yesisu. Impawu kukuxhatshazwa kwesisu kunye nentlungu ephakamileyo xa ihlola isambatho. Kubantwana abancinci, i-pyelonephritis eqatha isifo esiyingozi esichaphazela umsebenzi wezitho zonke.
2. I-pyelonephritis engapheliyo :
- umntwana unomkhuhlane ophantsi (37.1-37.5 ° C);
- Udla ngokuphindaphindiweyo ukucela ukuba aye kwindlu yangasese;
- okanye ngokuchasene nxamnye nokuhamba, nangona eselayo, njengesiqhelo (ukusuka kwindlela yabantwana abayichitha i-bladder kwiindawo ezintle kakhulu, malunga nolu hlobo, ngelo xesha: ukuya kwiinyanga ezili-6 - amaxesha angama-20, ukuya ku-1 unyaka-amaxesha angama-15, iminyaka emi-2- Amaxesha angama-10);
- unengqiqo kwaye ukhononda ngeentlungu eziswini;
- utshintshe ukulangazelela ukutya, wenqaba izitya zakhe ezithandayo;
- umxhesho wakhe ufumane iphunga elimnandi ngokungaqhelekanga;
- umchamo womntwana awusobala, kodwa unamafu, umnyama ngombala.
Ukuba awuyihoyi le mpawu kwaye ungaqalanga unyango, ukuphendula ngokuzenzekelayo komzimba kuguquka, kwaye uqala ukuqonda iiseli zakhe njengento engekho mvelaphi, okubangele ukuphuhliswa kwe-pyelonephritis. Akuphilwanga ngexesha elifanelekileyo, kunokukhokelela kwi-glomerulonephritis - isifo esiyingozi esingasabela kakuhle kunyango. Umntwana ohluphekayo nge-pyelonephritis engapheliyo kufuneka agcinwe rhoqo ngugqirha ubuncinane ubuncinane iminyaka eyisixhenxe, kude kube yimihla yokuzalwa yabantwana.
Ukuqinisekisa ukuxilongwa, ugqirha uya kunika uhlalutyo lomchamo kunye negazi. Ukuhlalutya umchamo kwakulindelekile kwaye kuzama ukuchaneka kule migaqo elandelayo.
- Ngokuhlwa, zifake izitya zokuhlalutya. Ngokufanelekileyo, le ngqayi yeglasi ene-lid yokutya kwabantwana. Ukuba umntwana usele esebenzisa ibhokhwe, hlambulule ngokuhlwa ngokuhlwa kwaye uphuze ngamanzi abilayo.
- Uhlambe ngononophelo umntwana. Kungcono ukwenza oku ngokuhlwa, kuba kusasa ungase ufike ngexesha.
- Ukuhlalutya, qokelela umchamo ukusuka ekuhlaleni kokuqala. Ukwenza lula umsebenzi onentombazana, sebenzisa ikhondom eqhelekileyo, okanye ibhokisi yokuqokelela umchamo okhethekileyo kwiintsana, ungayithenga kwikhemisi.
Ngokutsho kweengcali zonyango, i-pyelonephritis iyaxhaphaka phakathi kwamantombazana (ngaphandle kweintsana kuphela, xa izintso zixhalabele ngabafana). Inkcazo yale nto i-anatomy. Kwimantombazana, irethra ibanzi kakhulu kwaye imfutshane kunamakhwenkwe. Usuleleko, umzekelo, ukusuka kwi-anus, amantombazana angena ezintsheni lula kwaye ngokukhawuleza. Ngako oko, ucoceko olufanelekileyo lubaluleke kakhulu kwiingcingo ze-genitourinary system. Ukuze ugcine ubunyulu omele ufundise umntwana wakho ukususela ebuntwaneni bokuqala, kunye nesidingo, ukugcina umva kunye nokufudumala emfudumeni. Ukuze ugweme i-hypothermia emvula, kwiqhwa okanye emoyeni, gqoba kakuhle umntwana wakho, kwaye xa umntwana ekhula, qi niseka ukuba uchaze ukuba kutheni.
Ulawulo lokusela
Ukunikezela ukusela umntwana wakho rhoqo, kodwa kwiincinci ezincinci, ukugcina isalathisi yamanzi ityuwa kwaye uhlambe i-toxins evela emzimbeni. Kwimeko ethile, unganiki uninzi lwamanzi: emva kwemizuzu engama-40 umntwana uyakhupha i-vestile, kwaye iintso zakhe zingenanto kwakhona, nangona zifumene umthwalo owandisiweyo. Kule meko, kokubili ukuphuza kwaye ukusela okwaneleyo kuyingozi. Ingane kufuneka ifumane into ebizwa ngokuba yi-fluid engabonakaliyo: leyo ethathwa ngokungongeza kwisidlo esikhulu phakathi kokutya. Ingaba yisisi esitsha, amanzi amaminerali ngaphandle kwegesi, uzvar (kufuneka ilungiselelwe ngale ndlela: izityalo ezomileyo zihlanjululwe kwi-thermos ngamanzi abilayo 85˚C kwaye zimelele). Lungisa isitya kumntwana wakho wesiphumo sesithelo kwi-berries ye-cranberries, i-currants yama-raspberries. Zonke izinto eziyiluncedo zixhomekeke kubo zibhetele ngakumbi. Kodwa kwi-berries e-acidic ilungele ukuphepha - iyakucasula iintso kunye namathumbu. Ngomhla umntwana oneminyaka emibili ubudala, ogula i-pyelonephritis, kufuneka aphuze ukuya ku-400 ml. utywala.
Ufuna ukutya
Idla, kunye nokunika amanzi amancinane kwintsana, kuyimfuneko encinci, kodwa kaninzi. Kufuneka ikhutshelwa ngaphandle kokutya okunamafutha, okucocekileyo kunye nosawoti. Kwakhona, ulahle isaladi, isipinashi, i-radishes, utamatisi: i-crystals ye-uric acid isalti equlethwe yilezo ziyakucasula i-pelal pelvis. Nangona abantwana, njengomthetho, banqabile intuitively zabo iimveliso ezinobungozi kubo. Uninzi lwabahlengikazi abaninzi banciphisa i-protein ye-protein ye-pyelonephritis. Kodwa oku akunjalo ngokuchanekileyo. Iintsana, ezithwa yi-pyelonephritis, zidinga iiprotheyini ezininzi, kodwa zilula ngokulula. Kungcono ukondla abantwana ngentlanzi, ngakumbi i-carpics encane, i-carpic crosspi, ilula ngokulula i-tractinal tract. Kwakhona kunomdla wokutya okukhanyayo we-turkey, umvundla, inkukhu. Umhluzi we-Bone unqatshelwe ngokuqinisekileyo, isibindi sisondlo esinzima kakhulu, esidinga amandla amaninzi ukugaya. Unokwenza inyama ye-jelly. Iyabilisiwe (kodwa ngaphandle kwamathambo) kwaye ithululelwe ngomhluzi kunye ne-gelatin. Ukuba ngumbuzo wengane, zonke ezi ngcebiso kufuneka ziphunyezwe ngokupheleleyo ngumama.
Buyisela intlambini microflora emva kokonyango
Emva kokunyangwa kwe-pyelonephritis, eyenziwa ngamagciwane, umlinganiselo wentsholongwane enobungozi kunye nenobungozi inokutshintsha kwinqanaba lesisu lomntwana, okokuthi, njengoko kuyaziwayo, kulungelelanise kwaye kuhambelana nomgangatho osemgangathweni. Ukubuyisela lo mgangatho weebhaktheriya emathunjini kuya kunceda iimveliso zobisi ezimanzi. Kungcono ukuba wena ngokwakho ulungiselele ubisi olusisiseko kwisiphuzo esinempilo, njengejeti. Ukuze usebenzise ubisi, sebenzisa i-yogurt ekhethekileyo kunye ne-milky ferment. Kwakhona ekhaya, unokwenza i-yogurt. Mamela nje umxholo we-fat fat. Akufanele ibe nomxholo weoli u-3.2%. Kwiimeko ezinzima, sebenzisa izidakamizwa ezikhethekileyo kunye ne-bifido efanelekileyo kunye ne-lactobacilli.
Indlela yokuphepha ukunyanzeliswa.
Yonke into ebandayo ebandayo ibungozi bokuxakeka kwe-pyelonephritis, kwaye ukuqhambuka kwayo nganye "kukuqhenqa" kwiintso. Ngomntwana wakho, i-immunoprophylaxis ibaluleke kakhulu. Kuhle kakhulu xa umntwana eselula ixesha elide ngumzimba okhuselekileyo wokukhusela omzimba. Ukuba awukondli, ke unike ubisi lwebhokhwe lubhokhwe (kodwa kuphela kwibhokhwe eqinisekisiwe). Ngokuchasene nenkolelo eninzi, inceda gqitha. Kwiintsuku ezindala iintsana ezishiywe ngaphandle koomama zazondla ubisi lwebhokhwe, kwaye zakhula ziphilile kwaye zizinzile. Ama-immunomodulators, iitrob ziya kunika inkxaso nenkxaso yabantwana. Kukho nawuphi na umzekelo, musa ukumisela ukukhupha izidakamizwa kumntwana ngokwakhe. Ukungenelela kokungafundi nokubhala kwisistim somzimba somntwana esingaqulunqwa kungaholela kwimiphumo emibi. Nawaphi na amayeza angathathwa emva kokubhalwa ngu-immunologist.
Qaphela malunga nokugonywa, kuba lo mthwalo omkhulu kwi-immune system system. Ngokuxhomekeka kwimeko yomntwana, izitofu zingabandakanywa okanye zincitshiswe. Oku kungagqitywa kuphela ngumgqirha oya kwiindawo. Kwaye akuyimfuneko ukushiya inoculations ngenxa yokuqiqa.