Isibonakaliso Pasternatsky - imbangela yokukhathazeka

I-Pyelonephritis yisifo esibangela ukuvuvukala lapho i- renal pelvis, i- parenchyma yezinso ne-calyx ithinteka khona.

I-Pyelonephritis icasulwa yinoma yimaphi ama-microorganisms, ikakhulukazi, i-E. coli, i-enterococci ne-staphylococci. I-agent ye-causative ingena ezinso kusukela ekugxileni kokutheleleka okungapheli emzimbeni noma ekuguleni, lapho ukuphuma komchamo kuphazamiseka.

I-Pyelonephritis: izimpawu

I-pyelonephritis ebonakalayo ibonakaliswa yizimpawu ezivamile, njengobuthakathaka, ubuhlungu emzimbeni wonke, ukukhukhumeza nge-fever high (kufika ku-40 ° C), isicashu, ukunciphisa ukudla. Kanye nalokhu, kunezibonakaliso zendawo - ubuhlungu esifundeni se-lumbar, i-dysuria. I-urine iba i-turbid, ingavela ama-flakes. Ukujula kwezinso kuphenduka ubuhlungu, imisipha yodonga lwangaphakathi lwe-peritoneum luqinisa, uphawu oluhle lwePasternatsky (effleurage) luvela futhi igazi libala liyehla.

Ukhathazeka okwenzeka lapho isifunda esilungile sichithwa yisinye sezibonakaliso ezivame kakhulu zesifo sezinso. Kunqunywa ngokufaka impembelelo emnene esifundeni se-lumbar ngokuhlukile kwezinye izinhlangothi ku-angle-muscle angle. Ngokujwayelekile uphawu lukaPasternatsky luyonqunywa lapho isiguli simile noma sihlezi. Ubuhlungu bubonisa ukuthi lesi sibonakaliso sinomqondo omuhle, esichazwa yizingxabano ze-parainfury nezinso ezithintekayo. Nokho, uphawu oluhle Pasternatskogo lungase luvele ezifweni zamalungu angomakhelwane.

Ngokuhlolwa kwe-ultrasound, kungenzeka ukuthola ukunyuka ngobukhulu bezinso, ukuxuba nokuqina kwe-parenchyma yayo, kuyilapho i-pelvis ne-calyx ihlaziya.

Izinkinga ze-pyelonephritis enamandla

Inkambo enzima yalesi sifo ivame ukuhambisana nokuphazamiseka kwebhaktheriya okubangelwa ukutholakala okukhulu kwezinto ezidakamizwa emzimbeni, i-necrosis yamapilisi, i-parainfrit, ne-urosepsis.

Isiguli kufanele siphuthumiswe esibhedlela ngokushesha emnyangweni wezobuciko noma ohlinzayo bese ubeka ukuphumula kombhede. Ukwelashwa kuhloswe ukubuyisela ukwephulwa kokuphuma komchamo kanye nokususwa kokuvuvukala.

Ngokuxilongwa ngesikhathi kanye nokuphathwa kwe-acel pyelonephritis, i-recovery itholakala.

I-pyelonephritis engapheli

I-pathology ihamba efomeni elingapheli ngemva kohlelo oluyinkimbinkimbi. Lesi sifo sitholakala ekucwaningweni komchamo ngengozi noma ngokuhlolwa okuningiliziwe ngenxa yokusola urolithiasis. Uma kuxoxwa, iziguli ezikhonjiswe ku-cystitis esedlule kanye nezinye izifo ezimbi ezihamba emgodini. Ukucindezeleka kwesikhashana kubonakala ngokushisa komzimba okuncane, ubuthakathaka, ukukhathala okusheshayo, ukujuluka ebusuku, ukungabi nesifiso sokudla, ukucabangela, ukuhlanza, i-anemia, ikhanda lomhlaba, isikhumba esomile, ukucindezeleka komzimba, ubuhlungu esifundeni esilungile, ukuvinjelwa komzimba nokuvuthwa. Izinguquko ezibonisa umchamo: i-leukocyturia, i-pyuria, i-bacteriuria, i-proteinuria, i-hematuria, i-cylinduria.

Lapho ukwelashwa i-pyelonephritis engapheli, i-foci yokutheleleka okungapheli iqedwa, futhi ukuphefumula okuphelele kwe-urinary okuvela ezinso kubuyiselwa. Ukwelashwa okuqhubekayo okulwa ne-antibacterial kwenziwa, ama-diuretics kanye nama-immunostimulating agents anqunywe. Ukuxilongwa ngesikhathi esifanele kanye nokwelashwa kwesikhashana isikhathi eside kuholela ekutholeni ngokuphelele.

I-pyelonephritis yezingane

Ezinganeni, i-pyelonephritis ibhekwa njengesifo esivame kakhulu emva kwezifo zokuphefumula.

I-pyelonephritis enganeni ingabambisana futhi ibe ngamanye amazwe, ayisithupha futhi ayinhloko, acute futhi angapheli.

I-pyelonephritis enhle emntwaneni inesisindo ne-purulent, eyenzeka ngendlela ye-carbuncle, i-apostematous pyelonephritis noma i-abscess. Umphumela walo kungaba ukubuyiswa noma ifomu elingapheli. I-pathology ivame ukulukhuni yi-pioneerphrosis noma ukugwinya kwezinso.

Njengoba i-pyelonephritis, ingane egulayo ikhononda ngezinhlungu ezintsheni, ezibonakalisa ohlangothini lwesilonda. Ubuhlungu ngokuvamile bubuhlungu, ngezinye izikhathi kukhona ukuhlaselwa okubukhali, okubonisa ukuthuthukiswa kwe-pyelonephritis ebalalayo. Ingane inesifo esihle sePasternatsky nokudakwa okujwayelekile. Ukuze kuhlolwe i-pyelonephritis, igazi ne-urine zihlolwa, i-ultrasound yezinso zenziwa futhi ama-X-ray athathwa. Baphatha i-pyelonephritis ezinganeni ezinama-antibiotic, ekwenza ukuxilongwa kwe-detoxification kanye nokwelashwa kwe-infusion. Izinqubo ze-Physiotherapeutic ziboniswa.