Usulelo lwe-Urinary kunye nokukhulelwa

Ukukhulelwa kwezigulane ze-Urinary nokukhulelwa yiziqhelo ezihlala zihamba kunye. Ziyodwa yeengxaki eziqhelekileyo zokukhulelwa. Kucaciswe ukuba izifo zingabangela iimeko ezihlukahlukeneyo zesifo sezempilo: ukuphelelwa kwintsholongwane yabantwana, ukukhulelwa kwexesha langaphandle, ukungabikho kokuzalwa komntwana kunye nobungozi obuninzi bokufa komntu oyedwa.

Izifo ezithintela i-Urinary kumabhinqa akhulelweyo ahlukaniswe ngamaqela amathathu:

• ibhaktheriya - ubukho bebhaktheriya kwiphepha lokucoca;

• ukusuleleka kweengcambu ze-urinary (i-cystitis, urethritis);

• ukusuleleka kwiphepha eliphezulu le-urinary (pyelonephritis).

Abasetyhini bahlushwa i-pyelonephritis amaxesha amahlanu ngokuphindaphindiweyo kunamadoda, kwaye bagula kwiminyaka yabo yokuzala. Kutheni? Inxalenye yesiphoso kukuba iimpawu zesatomical zomzimba wesibhakabhaka: ubukho obuvulekileyo obuvulekileyo obuvulekileyo kumbindi wesondo (oko kukuthi kufumaneke kakhulu ukusuleleka kwintsholongwane). Ukongezelela, ngexesha lesibini kwisigxina sexesha lokuhamba ukuya kwimihla kunye nexesha lokugaya, ukuguquka komzimba kwenzeka kwi-urine exretory system yabasetyhini, okunciphisa ukuchasana nezifo.

Kwafunyaniswa ukuba umngcipheko wokuphulukana nokusuleleka komgudu wamanzi ukuphakama kwabaphezulu kwabasetyhini:

• waqala ukuzala eneminyaka engama-28-30;

• abaninzi abazalisi;

• abo babenezi zifo phambi;

• izigulane ezineesifo seswekile;

• ukuba neengxaki ezingaqhelekanga okanye iziphazamiso zomsebenzi wephepha lomchamo.

Njengoko uyazi, umthwalo omkhulu unikwa kwiintso ngexesha lokukhulelwa - ukusebenza kwabo kwenzeka ngokuxinzelela. Bamele basuse emzimbeni iimveliso zokubola kwaye batshintshiselane kungekuphela kwowesifazane ngokwakhe, kodwa nangomntwana okhulayo. Nangona kunjalo, ngaphandle kokukhangela, ukukhulelwa komzimba ngokwawo akubangela ukuba kukho utshintsho kwizintso kwaye bajamelana nomsebenzi. Kwiinyanga ezidlulileyo zokukhulelwa kumchamo, kunokukho umkhondo weprotheni - oku kungumqondiso wokuqala malunga nokubonakala kwegestosis.

I-bacteriuria engabonakaliyo

Kufunyanwe ngoncedo lohlalutyo lomchamo kwi-2-7% yabasetyhini abakhulelweyo, nangona kungabonakaliswa kliniki (ngoko ke igama elithi "asymptomatic"). Ukuxilongwa kuthetha ukuba kukho ikoloni eqhubekayo kwi-urinary tract tract. Ngaphandle kokungabikho kwesithombeni seklinikhi, ibhaktheriya engabonakaliyo ngexesha lokukhulelwa kaninzi (kwi-20-30% yamatyala) ivuselela ukuphuhliswa kwe-cystitis kunye ne-pyelonephritis kwaye idinga unyango oluthile.

Acst cystitis

Olu hlobo losulelo lwe-urinary ngexesha lokukhulelwa alunzima ukulufumana kwimibonakalo ebonakalayo yokuvuvukala okukrakrayo: ukukhawuleza, ukuvuthwa okubuhlungu. Kwiincwadi ezithandwayo ngoku ziphrinta iingcebiso ezininzi malunga nendlela yokujamelana nale ntlekele. Ukucima inkqubo yokuvuvukala, kunjalo, unako. Kodwa oku akunakwenziwa, ngakumbi ukhulelwe! I-cystitis engaphathekiyo iyaphumelela ibe yifomu engapheliyo. Ukongezelela, njengokuba i-bacteriuria ene-asymptomatic, ne-cystitis, kunokwenzeka ukunyuka isifo kwiintyo kunye nokuphuhlisa i-pyelonephritis.

I-pyelonephritis eyiyo

Kwi-inflammation ephazamisayo echaphazelekayo echaphazelekayo, izicubu zomzimba zezintso kunye ne-bowl-and-pelvic system zichaphazelekayo. Ingxaki enzima kakhulu yokukhulelwa (ngeli xesha lesi sifo kuthiwa yi-gestational pyelonephritis). Iyakwazi ukuqhubela phambili kuphuhliso lwe-urosepsis kwaye ikhokelela ekuzalweni kwangaphambi kokuzalwa.

Kwenzeka kwi-12% yabasetyhini abakhulelweyo (kaninzi kwi-first-pregnant). Kule meko, kukho impembelelo embi kwikhosi yokukhulelwa kwaye ngqo ngqo kumntwana - ngokuqhelekileyo kuhamba ne-gestosis, kubangela ukukhupha isisu, ukuphuhliswa kwe-fetal hypotrophy, ukungaqiniseki kwamathambo angapheliyo.

Izizathu kunye nezifo

Indima yokumisela ekuphuhliseni usulelo lwe-urinary kubasetyhini abakhulelweyo lidlalwa ngamacandelo amabini emiba - i-anatomical ne-hormonal. Ukuqala ngeveki yesi-7, i-hydroureter yomzimba yenziwa - ukwandiswa kwe-calyx kunye ne-pelvic system kunye ne-ureter. Ngaloo ndlela, umzimba uyazama ukulungelelanisa nokwanda kwimizi yamanzi. Umthamo we-ureter unokufikelela kuma-200 ml, obangela ukuphulwa kokuphuma komchamo, ukugcinwa kwawo kwi-ureter, i.e. iimeko ezifanelekileyo zokuvela kwebhaktiriya.

Ubumbano bukhula ngokunyuka kwimiqulu, ukutshintsha isikhundla sendawo ngenxa yesiphumo sayo kunye nokucima. Indawo yokugcina isisu kunye nomfazi, kunye ne-gluco-zuria (iswekile kumchamo) ezikhoyo kubasetyhini abakhulelweyo, kuququzelela ukusuleleka kobuthakathaka obuninzi bomkhuhlane kunye nokusasazeka kosulelo olusenyukayo. Amanqanaba aphezulu e-estrogen abangela ukuncipha kwi-peristalsis ye-ureter, enokubangela ukuphulwa kwe-urinary outflow.

Zonke ezi nguqulelo ngexesha lokukhulelwa zingaqalisa kwiiveki eziyi-8 kwaye zifike kwisiqhamo sayo kwiiveki ezingama-18-20, zigcina iimpawu zayo kwenye iiveki 2-3 emva kokubeleka. Ekuqaleni kwesiqingatha sesibini sokukhulelwa, ukuphulwa komgca we-urine kunokwenzeka ngenxa yokunyanzelisa i-ureters nge-uterus eyandisiwe kwaye ishintshiwe. Ukucwenga i-ureter kungaphinda kuvelise i-varicose ehlanjululwayo, ekhudlwana kwaye emfutshane. Ezi ngcaciso zichazela ukuba kwenzeke kakhulu kwi-pyelonephritis.

I-ejenti ekhokelayo yokutheleleka kwindlela yokuvuthwa kwamanzi kumabhinqa abakhulelweyo nabangaphantsi kwamanye ama-E. coli (ama-80-90% amatyala), kodwa kunokukho nezinye iibrteria ezinjenge-Gram ezifana ne-Proteus ne-Klebsiella. Iibhaktheriya ezinokwenziwa kwe-Gram-positive ziphantsi kakhulu. Kubasetyhini ngexesha lokukhulelwa, inkqubo yokuvuvukala ezintso zibangelwa yifungi ye-Candida. Inxaxheba ebalulekileyo kwi-pyelonephritis iphinda idlalwe yi-mycoplasma, ureaplasma, i-trichomonads, kwaye kwi-20% yezigulane ezinxulumene nezidalwa ezinobungozi.

I-Endotoxins ye-Escherichia coli yabangela ukuphefumula kwe-renal pelvis, i-capsule yeengso kunye neethambo ezichaphazelekayo zichaphazelekayo. Usulelo olubangelwa yi-prostate lubonakaliswa yinkqubo ephindaphindiweyo, ukubunjwa ngamatye kunye nomxholo ophantsi weeseli ezimhlophe zegazi kumchamo ngenxa yokutshatyalaliswa kwabo nge-enzyme ze-microorganms. Ikhosi ye-pyelonephritis yenzondelelo ebangelwa yi-gram-negative flora yinkqonkqo kakhulu, ngenxa yokunyanyiswa kwebhakteria kunye ne-septicemia.

Iphilonephritis ibonakala njani?

Inkqubo yeklinikhi yesifo ishukunywe ngqo yindlela yokusuleleka. Ukuba le yindlela ehambelanayo (kunye nokuhamba kwegazi), iimpawu eziqhelekileyo zesifo ziya. Ukuba le ndlela i-urrogenital (ngokusebenzisa umchamo), ngoko iimpawu zendawo ziya kuqhuba. Ukubonakaliswa kwe-pyelonephritis enomdla ngokuqhelekileyo kubakho emva kweentsuku ezimbalwa emva kokuxhatshazwa kwe-tonsillitis engapheliyo okanye ukuchongwa kwezifo ezithintekayo (u-furunculosis, i-mastitis, njl njl). Yingakho isifo asikwazi ukufunyanwa ngokukhawuleza. Kukho ukwanda okukhawuleza kweqondo lokushisa, ukubola, olulandelwa ukujuluka okukhulu, intloko yesifo, intlungu ebuhlungu kumqolo ongaphantsi, ngokuphindaphindiweyo ngakwesokudla. Iimeko eziqhelekileyo zibonakaliswa zizibonakaliso ezintathu: izibungulu, iziganeko ze-dysuric, intlungu kwi-lumbar region. Iintlungu zivame ukunyuka, kunye nokunyuka kokuqala kwitshisa, sinokuthetha ngokubonakala kweefomenti ezintsha kwiimpso. Ukuphazamiseka ngesicaphuko, ukuhlanza, i-aches kuwo wonke umzimba. I-tachycardia ebonisiweyo, i-dyspnea. Ngenxa yokunciphisa uxinzelelo lwegazi, ukutshatyalaliswa kwamagciwane kunokukhula.

Unyango lwe-pyelonephritis

Ihlala ilukhuni, ide (iiveki ezi-4-8), ngamnye. Xa kucetywa unyango lweziyobisi kufuneka liqwalasele ixesha lokukhulelwa, ubunzima kunye nobude besi sifo, uhlalutyo lwombuso osebenzayo wezintso nesibindi, ukunyamezela kwamanye amayeza kunye nokuba kunokwenzeka ukuba utshintsho lwawo lubisi. Kwinqanaba elibalulekileyo lesi sifo, ukuphumla kwesibhedlele ubuncinane iintsuku ezingama-4-6. Xa umkhuhlane udlulile, ukusebenzisa i-regimen esebenzayo kucetyiswa ukwenzela ukuphucula ukuphuma komchamo.

Ukusetyenziswa kwonyango lomzimba: amaxesha ama-2-3 ngosuku, isikhundla se-knee-elbow imizuzu engama-4-5; ulala kuphela kwicala, kwicala eliphambene neentso ezigulayo. Ukutya okukhethekileyo kunye nokunciphisa ityuwa akudingeki. Ukuba akukho i-edema, yisela kakhulu, ukuya kwi-2 ilitha ngosuku. Iphunga le-cranberry, icebo lezintso, i-parsley ye-parsley, i-horsetail, i-cowberry-isityalo se-diuretics kunye ne-antiseptics. Kukho amayeza omzimba olungiselelwe (ngokukodwa i-kanefron), eyenziwa ngokubaluleka kwintsebenzo enokubaluleka kwindlela yokwelapha i-pyelonephritis kunye nezinye izifo zogcino.

Kungekudala, ukulungiswa kwamanzi kanefron kwenkampani yaseJamani "i-Bionorica AG" sele isetyenziswe ngokusisigxina, inesisombululo esininzi sezenzo. Phakathi kwazo - ukuxhatshazwa, ukuchasana, ukuchithwa kwe-spasmolytic, antibacterial, diuretic. I-Kanefron isetyenziselwa ukunyanga i-pyelonephritis yesigxina ekukhulelweni kokuqala. Ngoncedo lwayo, ukuxhatshazwa kwe-pyelonephritis engapheliyo, unyango lwe-urolithiasis, ukuthintelwa kweengxaki zokukhulelwa, okubandakanya ukuphulwa kombuso wezintso. I-Kanefron ifanelekile ngexesha le-antibiotics yokukhansela ngexesha lokunyanga kwezifo ezikhuselekayo zomgudu kunye nokusebenzisa ixesha elide emva kokunyanga okokuqala ngamachiza. Kwakungabikho miphumo emibi yechiza.

Iziphumo zentsholongwane

Ngexesha lokukhulelwa kunye nenkqubo yokunikezela ngokwayo, abafazi abahluphekayo kwi-pyelonephritis baneempawu ezithile. I-6% yabasetyhini abane-pyelonephritis engapheliyo ihamba ngamathambo angaphantsi, i-25% inobungozi bokuzalwa kwangaphambi kokuzalwa, 44-80% ibe ne-toxicosis esele ifikeleleke kwabasetyhini abakhulelweyo. Ukukhulelwa kunye nophuhliso lomntwana kuxhomekeke kumlinganiselo omkhulu wokungasebenzi kwemfucuza, ubunzima beenkqubo zentsholongwane.

Oonyana abazalwayo kaninzi banemiqondiso emininzi yentsholongwane efunyenwe kwi-utero. Ngoko ukukhubazeka kweentso kumama kubonakala kukuthintela ukuphuhliswa kweengtso kumntwana (izicubu ezingapheliyo ezivuthiweyo, i-ury system dysembryogenesis). I-hypoalia fetal fetal, i-hypotrophy, ihlala idibana, kwaye ukubeka iliso kwintsholongwane kuyimfuneko.

Kwixesha eliphumayo, i-22-33% yabasetyhini abafumana i-pyelonephritis yesigxina bahlakulela izifo ezinama-septic. Ngeentsuku ze-4, ze-12 ne-14 emva kokuzalwa, i-pyelonephritis ingaba yimbi. Kwi-20% yamatyala emva kokunikezelwa, umsebenzi we-renal uhlala uncitshiswa.

Ngokuthintela ukukhusela nokukhuselwa kwamathambo ekukhulelwe

1. Ukulungiselela ukukhulelwa. Ukunyamekela, ukunyamekela, ngakumbi xa kwakukho umfazi owayeneziqulatho zezifo ezithintekayo. Ugqirha uya kukuxelela ukuba zeziphi iimvavanyo kufuneka udlulisele kubini abatshatileyo ngaphambi kokukhulelwa umntwana.

2. Inkunkuma yexesha elidala lazo zonke iintsholongwane zentsholongwane emzimbeni.

3. Umfazi okhulelweyo kufuneka abhalise kwikliniki yowesifazane ngokukhawuleza kwaye ngexesha lokukhulelwa lilandela zonke iingcebiso zogqirha wakhe, uvavanyo ngexesha kwaye uthathe ezinye iimvavanyo. Ukukhuselwa kumaqanda!