Echere na pasent 50 ruo 80 nke ụmụ nwanyị nile na - azụlite ọrịa urinary tract (UTI) n'oge ụfọdụ n'ime ndụ ha. (N'ozuzu ya, ụmụ nwanyị nwere ike karịa ụmụ nwoke iji zụlite UTI.) Okwu ahụ urinary tract ọrịa bụ sara mbara ma na-ezo aka na ọrịa nke nje bacteria na-eme na ọkwa ọ bụla nke urinary tract: urethra, vessder, ureters, or kidneys.
Ọrịa Ọrịa
Ọrịa tract nke urinary dị na ụdị dị iche iche. Na njedebe nke ụdị dị iche iche bụ nje bacteria asymptomatic , nke nwere ike ịchọta nje bacteria na mmamịrị ma ọ nweghị ihe mgbaàmà ọrịa nke ọrịa. N'ọtụtụ ọnọdụ nke asymptomatic bacteriuria, a dịghị achọ ọgwụgwọ.
N'akụkụ nke ọzọ nke ụdị dị iche iche, ịgha ụgha pyelonephritis ma ọ bụ akụrụ, nke ka njọ na isiokwu nke isiokwu a. N'etiti ụdị dị iche iche bụ nje bacteria virus ma ọ bụ cystitis , nke bụ ihe ọtụtụ mmadụ na-eche mgbe ha na-atụle UTI. Mgbaàmà nke cystitis gụnyere mgbu na urination, urine ígwé ojii, na ngwa ngwa.
Site na pyelonephritis, nje bacteria na-aga site na urethra site na eriri afo na ureter na n'ime akụrụ. N'ụzọ dị mma, pyelonephritis metụtara ma akụrụ dị obere.
Mgbaàmà
Lee ụfọdụ ihe mgbaàmà nke pyelonephritis:
- afụ ụfụ
- ego costovertebral dị nro
- nchịkọ akụrụ na mgbatị miri emi
- nausea
- vomiting
- ọkụ
- mkpu
- akwụda
Nchoputa
Ihe nchoputa nke pyelonephritis na-adabere n'akụkọ ihe mere eme na nyocha nke anu aru nakwa nke nyocha ihe nyocha site na nchọpụta diagnostics dị ka urinalysis na urine culture. N'adịghị ka cystitis dị mgbagwoju anya, ntanye nke pyelonephritis na-eme ka ọdịbendị urine mara.
Achọghị nchọpụta diagnostic iji chọpụta ọtụtụ ihe gbasara pyelonephritis. Ka o sina dị, ultrasound na CT nwere ike iji mee ka anya nke uche na pyelonephritis.
Ihe kpatara nsogbu
Ihe ize ndụ maka pyelonephritis yiri ihe ize ndụ maka ụdị UTI niile ma tinye otutu ndị mmekọ nwoke na nwanyị, mmekorita nwoke na nwanyị, onye ọlụlụ ọhụrụ na akụkọ ntụrụndụ nke UTI.
Ọgwụgwọ
Ngwọta nke pyelonephritis yiri ọgwụgwọ nnukwu cystitis. Otú ọ dị, pyelonephritis yiri ka nnukwu ọrịa cystitis ọ ga-akpata site na bacteria na-eguzogide ọgwụ nje gụnyere nje E. coli ndị na-eguzogide ọgwụ nye Bactrim (TMP-SMX). Ya mere, ọgwụgwọ nke pyelonephritis na-amalitekarị na ọgwụ nje dị ka ciprofloxacin, na, dabere na mkpesa nje bacteria bụ nke na-akpata ọrịa ahụ, nwere ike ịgụnye njikọta nke ọgwụ nje ma ọ bụ ọgwụ ndị nwere ike ibu (nnukwu-egbe) dị ka carbapenem.
A na-emeso ọtụtụ ndị mmadụ na-ebute na pyelonephritis na-enweghị mgbagwoju anya na ụlọọgwụ (outpatient). okwu ahụ bụ ihe mgbagwoju anya pụtara na onye ọrịa ahụ anaghị enwe ihe nhụjuanya nke urogenital tract, enweghị ngwá ọrụ na ebe dị ka onye na-ebi urinary catheter ma ghara ime. Ndị mmadụ na-agwọ ọrịa n'ụlọ ọgwụ maka pyelonephritis na-enweghị mgbagwoju anya ga-enwe ike ịnagide mmiri ọgwụ na ọgwụ nyocha.
Ndị nwere mgbagwoju anya pyelonephritis, pyelonephritis ugboro ugboro ma ọ bụ comorbidities, dịka ọrịa shuga ma ọ bụ ọrịa sickle cell, kacha mma mma na ụlọ ọgwụ. Mgbe ha nọ n'ụlọ ọgwụ, ndị a na-enweta ọgwụ nje ndị na-efe efe.
Na mgbakwunye na ọgwụ nje, onye nwere pyelonephritis nwekwara ike ịnweta analgesics (na-eche opioids) maka mgbu na promethazine maka ọgbụgbọ na vomiting.
Ọgwụgwọ nke pyelonephritis na-enweghị mgbagwoju anya dị ihe dị ka ụbọchị asaa. A na-emeso nsogbu dị mgbagwoju anya ma ọ bụ karịa nke pyelonephritis maka ihe dịka ụbọchị 14.
Pyelonephritis dị njọ karịa nnukwu cystitis, na n'etiti pasent 20 ruo 30 nke ndị nwere pyelonephritis na-ebulitekwa ọrịa ọbara, kwa.
Nsogbu ndị ọzọ nke pyelonephritis gụnyere cortical necrosis na emphysematous pyelonephritis, ebe akụrụ na-emebi na gas na-ewuli elu n'ime akụrụ, nsogbu abụọ a nwere ike ịkpata ọdịda akụrụ.
Mgbochi
N'okwu ikpeazụ, ebe a bụ ụfọdụ ihe ị (nwanyi) nwere ike ime iji gbochie pyelonephritis na UTIs:
- ṅụọ ọtụtụ mmiri
- na-eme ka eriri afo ahụ kwụsị mgbe mmekọahụ gasịrị
- ehichapụ ihu na azụ iji zere ịmalite nje bacteria n'ime ikpu
- urinate ugboro ugboro
- zere ọgwụ ọcha nke nwanyi na-etinye aka na mpaghara genital dị ka douches na sprays
Isi mmalite:
Gupta K, Trautner BW. Ọrịa Urinary Tract, Pyelonephritis, na Prostatitis. Na: Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. eds. Ụkpụrụ Harrison nke Nkà Ọgwụ Ọgwụ, 19e . New York, NY: McGraw-Hill; 2015.
Howes DS, Bogner MP. Isi nke 94. Ọrịa Urinary Tract and Hematuria. Na: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Mkpụrụ ọgwụ Mberede Mberede nke Tintinalli: Ntuzi Ihe Nghọta, 7e . New York, NY: McGraw-Hill; 2011.