Pyelonephritis sokukhulelwa ekukhulelweni. Ukwelashwa nokuvikelwa pyelonephritis sokukhulelwa

Phakathi nenkathi yokukhulelwa, abesifazane abaningi nezinkinga zempilo ezifana pyelonephritis sokukhulelwa. Lokhu zokugula kwenzeka ngenxa ukutheleleka izinso. Ukuvuvukala ephelezelwa emizweni ezibuhlungu. Bambalwa abesifazane afune usizo lwezokwelapha ngesikhathi esifanele, owesaba emiphumeleni elimazayo izidakamizwa embungwini. Empeleni, lokhu ukunganakwa kungathikameza kabi ingane.

Uhlolojikelele

Pyelonephritis - kuyinto ukuvuvukala kule izinso esakheka ngenxa ukutheleleka. Abesifazane endaweni abe ezifweni okukhulu lesi sifo ngenxa ukugeleza abampofu umchamo kanye babancwebe qeda isiteshi ezikhulayo kwesibeletho. Pyelonephritis owabonakaliswa ukwanda elibukhali lokushisa, ukungakhululeki ubuhlungu esifundeni lumbar. Ukuze alwe namagciwane, odokotela Ngokuvamile zitusa antibiotic. Ngokwelashwa okufanele of umama okhulelwe ukuba nesikhathi esimnandi kokuba ingane ephile saka.

Ngikuphi okuhlukileko pyelonephritis sokukhulelwa? Lapho sokukhulelwa liyakhula usuku ngalunye oludlulayo kwesibeletho ubeka ingcindezi izitho ezizungezile. Isikhathi esining impela mina babancwebe ngokwami ureter. Kuyinto iwumzila umchamo ageleza kude izinso ukuba isinye uqobo. Okwehlisa inqubo kuphakamisa yokujama tsi yayo nezinso ukukhulisa. isimo esinjalo ejwayelekile yokukhulelwa. Ngezinye izikhathi ngokusebenzisa ngegciwane esinyeni lingena singene izinso, futhi outflow abampofu bona basisize uketshezi kule nqubo.

Uma umama okhulelwe ngaphambi kokukhulelwa pyelonephritis kwatholakala efomini okungamahlalakhona, manje uye wazakhela sokukhulelwa, ingozi yezinkinga impela high. abesifazane ezinjalo kufanele njalo okuphawulwe udokotela kanye ngokuqinile zonke izimiso zayo.

Ukwahlukanisa pyelonephritis sokukhulelwa

Lesi sifo simo singenzeka kunoma yimuphi senyanga inkathi yokukhulelwa ekuleso simo sitholakale kakhulu kuyaqabukela. Ngokuvamile zokugula eba esikhathini sokuqala nengxenye. Ochwepheshe abaningi bathi lokhu kubangwa ekuhlulekeni komzimba ukuze azivumelanise nezimo ezintsha.

Ukwabela ifomu oyingozi futhi ezingalapheki lesi sifo. Ngokuvamile ngesikhathi sokukhulelwa kukhona inguqulo lesi sifo, okungase ukutholwa ushintsho sici lichaza ekwakheni umchamo yesibili. He is nzima lokwelashwa, futhi kwezinye izimo i-isizathu ukukhipha izisu.

Sokukhulelwa olunamandla pyelonephritis livela ukudakwa esiqine umzimba, kodwa hhayi usongo ekuphileni umbungu ngaphakathi esibelethweni. Kunoma ikuphi, ukwelapha lesi sifo kufanele wasondela sina kakhulu. Izifo uma sebehlanganisa amasonto angu 16-24 yokukhulelwa, kungakhathalekile ifomu wamanje, kungabangela ukuchitheka kwesisu.

Odokotela futhi isehlane pyelonephritis zamabanga aphansi naphezulu. Esimweni sokuqala, lesi sifo kwenzeka phezu zangokwasemuva zezinhlelo inhlalakahle, okungukuthi, ngaphandle preconditions phezu ingxenye olunye uhlaka izinhlelo. Okwesibili okufana nesifo libhekene khona ubovu kuloku lapho Amagciwane skid hhayi kuphela e izinso, kodwa futhi amaphaphu kwezitho zobulili zabesifazane. Nge ziwohloke abukhali zempilo ungakhuluma mayelana nokuthuthukiswa izimo ukonakala.

Ukwahlukaniswa lesi sifo sihlasela kuphela kukhethwa amaqhinga kanye izinyathelo zokwelapha. pathogenesis wayo ayiguquki kuzo zonke izimo.

Ziyini izimbangela eziyinhloko zalokhu yesifo

Owesifazane okhulelwe emhlabeni ekupheleni kwekhulu lokuqala senyanga igazi estradiol lokuhlushwa inyuka ngokucijile, kanye namazinga progesterone. Lezi zinguquko hormone ezithinta tonus kwesinye imisipha, izinkomishi kanye ukhalo izinso. umchamo ukugeleza kuyehla, kukhona Reflux. Zonke lezi zinguquko ukwandisa ukwanda kwengcindezi ubukhulu kwesibeletho ku ngomgudu womchamo, kukhona engalulami. iphethini okunjalo kunomthelela Ukungena Amagciwane kanye ukwanda kwabo okwalandela. Ama-bacterium (Streptococcus, Proteus, enterococci) ziya ngokuya ngokuya ephakanyiswe ezingeni kwezinso ibangele ukushisa yabo.

pyelonephritis sokukhulelwa kutholakala ukuthi uphethwe yini ngesikhathi ukhulelwe akuyona ngaso sonke isikhathi. Okubaluleke kakhulu yilezi: omzimba wesifazane, umuntu umehluko hormone. Ochwepheshe ukukhomba izici eziningana iqhaza ekuthuthukiseni lesi sifo:

• Ngaphambi ukukhulelwa bacteriuria.
• Reflux.
• Ukukhubazeka we nezinso esinyeni ezingeni isegazini.
• izifo ezingelapheki.
• Urolithiasis.

Ngaphezu kwalokho, ngaphansi kwezici ezithile ehlukile yokukhulelwa (ukhalo ewumngcingo, polyhydramnios, izithelo ezinkulu) ingozi pyelonephritis luyanda izikhathi eziningana.

Yiziphi izimpawu kubonisa zokugula?

1. ngokuvamile izikhalazo abesifazane abaningi sika bengekho, futhi izinguquko sokugembula kutholwa phakathi elabhorethri ukuhlolwa (amangqamuzana abomvu egazi amhlophe bese kwegciwane umchamo). Lapho ayihlwanyelayo ngokuvamile kunqunywa nokukhula ngokushesha E. coli, okungenani - aureus.
2. pyelonephritis sokukhulelwa kwabesifazane abakhulelwe kungase kuhambisane nobuhlungu obukhulu esifundeni lumbar, ukungakhululeki kwanda ukuhlala isikhathi eside izinyawo zakho.
3. Phakathi exacerbation izinga lokushisa likhuphuka.
4. ukuchama kaningi esivamile sokukhulelwa evamile. Endabeni pyelonephritis nobakho kungase kube kuphoqelekile, futhi ukuchama buhlungu kakhulu.
5. Njalo izifo satellite - high blood pressure.
6. ukuvuvukala kwemilenze kwabesifazane isimo kubhekwa evamile. It is hhayi njalo ehambisana ne-pathology kohlelo urinary. izimpawu ezinjalo kungase kubonise ukuphazamiseka outflow emithambo yegazi. Ukuvuvukala e pyelonephritis ngokuvamile kwandisa, kukhona puffiness ebusweni.
7. Ubuhlungu bekhanda, ukukhathala, umuzwa wokuthanda ubuthakathaka ekuseni - zonke lezi zici kuphela umphelelisi isithombe emtholampilo.

I pyelonephritis kuyingozi kwabesifazane abakhulelwe?

Lesisifo pyelonephritis sokukhulelwa, izimpawu esesiye sacabangela ngenhla, ngokuzenzakalelayo engena intokazi ekhulelwe isengozini. Kungani? Ukuvuvukala emzimbeni kwandisa umthwalo esimiso senhliziyo nemithambo yegazi kanye nezinso. Ngo-30% abesifazane kwathiwa unesifo ekuthuthukiseni preeclampsia (toxemia zamuva).

Kulesi simo kakhulu liwohloka kwegazi igazi e izinso, ubuchopho, umzanyana. Igazi iba obukhulu, futhi umoyampilo ke incipha. Konke lokhu kubonakala isimo komsoco umbungu nowesifazane.

Imiphumela esemqoka ezingezinhle zihlanganisa ochwepheshe ezilandelayo kule isifo:

• Usongo lwezigebengu kokuphazamiseka - izinkinga ezivame kakhulu pyelonephritis sokukhulelwa.
• wazalwa kungakabi isikhathi.
• ukopha Multiple.
• abruption esinomhlapho.
• Isifo sokulahlekelwa yigazi.

Ukubukeka kwetintfo luncike kobukhulu ukuvuvukala ukwelashwa esifike ngesikhathi kudokotela.

pyelonephritis sokukhulelwa ekukhulelweni: imiphumela embungwini

Inqubo ukuvuvukala kule izinso ngokuvamile kuba nethonya ingane esibelethweni. Ezingamahlalakhona yokuntuleka umoya-mpilo nezakhi ezibalulekile Imiphumela ukungondleki umbungu. Lokhu kusho ukuthi ingane izalwe ababuthakathaka futhi isisindo kancane. Cishe isigamu amacala odokotela bathi hypoxia. Ngo-30% abesifazane nale Ihlahlubo bazalwa ezizalwa ngaphambi kwesikhathi.

Phakathi kwezinye kokuhlinzwa ngokuvamile kwenzeka: hypothermia fetus ukutheleleka intrauterine, asphyxia ngenkathi CNS.

sitholakele isifo

Ukuhlolwa ezibaluleke kakhulu futhi ulwazi for lesi sifo isivivinyo umchamo. Ukuba khona ukuvuvukala kubonisa inani elikhulu leukocyte, khona izinto eziphilayo pathogenic, ukubukeka amaprotheni.

Igazi nakho kungaba izimpawu zokutheleleka (nesanda leukocyte futhi ESR). Ukuze ukukhomba uhlobo amagciwane kwabangela ukuvuvukala, udokotela ithwala umchamo isiko ku flora ukuzwela nemithi ethile elwa namagciwane. Ngokusho imiphumela lokhu onguchwepheshe test can umuthi kuyafaneleka owesifazane wanikwa.

Futhi, uphethwe kuhilela ubambe ultrasound. Lapho uphenyo ngokuvamile zembula izingxenye yangaphakathi wokwanda futhi anda izinso isitho osayizi. Udokotela kufanele ngempela uqinisekise ukuthi pyelonephritis sokukhulelwa is hhayi kubonakala isimo ingane ngaphakathi esibelethweni. Ukuze wenze lokhu, nika ultrasound fetus, CTG futhi Doppler.

Indlela esiphatha ngayo pyelonephritis kwabesifazane abakhulelwe?

Uma umama okhulelwe waphawula izimpawu ezihambisana ne ukuvuvukala izinso, kufanele ngaphandle kokulibala ukufuna usizo lukadokotela. Imiphumela yaloku kuhlola okungenhla Esifike Ngesikhathi nokwelashwa izinga kunciphisa ingozi ukukhula kwengane, ngaphandle ukuthi kungenzeka isisu.

Okokuqala abesifazane bayakhuthazwa okuthiwa yokwelapha positional. It ihlose ukunciphisa kokucindezelwa we ureters futhi ukusheshisa ukugeleza umchamo. Omama abakhulelwe akunconywa elaliswa ngomhlane yakhe, kahle ukukhetha okukhethwa kukho ohlangothini lwesobunxele. Emini, okufanele kungene Bozeman isikhundla futhi ahlale kuleyo ndawo isikhundla imizuzu okungenani 10. Ngalesi sikhathi, ungakwazi ukufunda incwadi, ukusebenza kwikhompyutha noma ukudlala Enganeni endala.

Ukwelashwa nokuvikelwa pyelonephritis sokukhulelwa futhi kuhilela ukushintsha ukuphuza umbuso. Uma kungekho edema sina futhi high blood pressure, ubungako balokho okusamanzi kudliwe ngosuku zingandiswa emibili kuya kwemithathu amalitha. Lokhu kungase kube ezivamile ze-non-carbonated amanzi, izithelo noma jelly. Kusukela itiye eqinile futhi ikhofi kungcono okwesikhashana bangayeki.

Abaningi amakhambi isisu ngesikhathi sokukhulelwa is ngokuphelele contraindicated. Akuvunyelwe ukusebenzisa bearberry, licorice, parsley. Kuhle ukuba baphuze cranberry / cranberry izithelo iziphuzo, amahlamvu phisa birch. A godsend sangempela abesifazane abaningi isimo nge kokutshelwa ngokukhubazeka kwengane - a decoction of oats. Leli thuluzi ayikhuphuki ithoni kwesibeletho, kodwa isinyathelo eqeda ukuvuvukala kanye kuvimbela ukuqunjelwa. Ukuze ekuwulungiseleleni kumele uthathe okusanhlamvu ingilazi, uthele ilitha lamanzi, abilisiwe ngobumnene cishe amahora amabili, khona-ke ushise. Decoction kufanele esiphuza kathathu ngosuku ngaphambi kokuba kudliwe langempela.

Yimiphi imithi angaqoka udokotela?

Ukwelashwa pyelonephritis sokukhulelwa kuhlanganisa elwa namagciwane kanye nokwelashwa eqeda ukuvuvukala. Nokusetshenziswa kwamaphilisi eziningi futhi abanye uroseptikov ngesikhathi sokukhulelwa is ngokuphelele contraindicated, okuyinto nzima kakhulu ukukhetha izidakamizwa. Kunoma ikuphi, amaqhinga wokulwa nalesi sifo ekhetha udokotela esibhedlela, njengoba bonke abantu besifazane esibhedlela nale uphethwe saziso.

Ngo lokuqala senyanga placenta okuthiwa isithiyo umsebenzi ngokuvamile awenziwanga kuze kube sekupheleni. Ngalesi sikhathi, kukhona yisigaba esibaluleke amabhukhimaki izinhlelo ezinkulu ingane, ngakho umphumela umuthi engathandeki. Uma izinguquko kutholwa kuphela ukuhlaziya umchamo, cishe, uzokwazi kukhawulwe izincomo ngenhla. Endabeni ukuvuvukala esebenzayo, okuyinto kuhambisana imfiva nobuhlungu, it ovunyelwe ukusebenzisa penicillins (izidakamizwa "amoxicillin", "Amoksiklav").

Kusukela senyanga yesibili bavunyelwe cephalosporin ngezilapha magciwane ( "Supraks", "Cefazolin"), macrolides ( "Vilprafen" "Sumamed"). On ngenyanga yesihlanu kusho "Gentamicin 'isetshenziswa (nge inqubo esebenzayo ukuvuvukala) esokuba on kadokotela.

Ukwelashwa pyelonephritis sokukhulelwa futhi eqala ukwelashwa disintoxication, ukusetshenziswa Vitamin izakhiwo kanye sedatives. Ngokukhethekile ikhokhelwa zokuvimbela hypoxia fetus. Esikhathini acute udinga ukubuyisela umchamo ukugeleza ngokusebenzisa ipayipi futhi ureteral stenting.

Yini okudingeka ukushintsha ekudleni?

Ngokukhethekile ikhokhelwa ukuze ukwelapha izifo ekudleni a abakhulelwe. Odokotela batusa ukuba ngakususi acute (izinongo, garlic, onion) kanye nemikhiqizo zicwiliswe (ukhukhamba, utamatisi, amakhowe). Okwesikhathi esithile, mina kudingeke uwuyeke ikhofi utshwala wavalwa ngokuphelele.

Ukuze ugweme egcina amanzi emzimbeni, odokotela belulekwa ukuba sinciphise usawoti ukusetshenziswa. Lokhu kuncoma kuyiqiniso ikakhulukazi abesifazane high blood pressure.

Ukudla pyelonephritis sokukhulelwa ezahlukene Vitamin nemvelo. Abesifazane kufanele babe sesimweni ukuba udle kakhulu izithelo nemifino ngefomu yabo eluhlaza, ngibenze juice. Inketho ezinhle ezibhekwa imikhiqizo yobisi (ephansi fat cottage shizi no ukhilimu omuncu). Phakathi naleso sikhathi Ukudla kufanele ehlukahlukene imikhiqizo Meatless amaprotheni (ukuthi inhlanzi usawoti-amanzi, inkukhu webele).

izinyathelo

Ukuvimbela ukuthuthukiswa pyelonephritis sokukhulelwa, omama abakhulelwe kubalulekile kakhulu ukufaka ngendlela amaphuzu yakho nsuku zonke isimiso ezimbalwa:

1. umsebenzi Lokulingene ngokomzimba. Odokotela batusa ukwenza izizinda iDemo nsuku zonke (1 ihora).
2. umzimba Special kwabesifazane abakhulelwe. Namuhla, izikhungo zezemidlalo eziningi bayoqhuba amakilasi ngabesifazane isimo, ngenxa okuyinto iqinisa imisipha emuva futhi kuthuthukisa ithoni zonke yangaphakathi izitho izinhlelo.
3. Nge umlando izifo kohlelo urinary kuyadingeka ukuze agcine olukhethekile lokudla, ikhuthaza ukugeleza umchamo.
4. Ngosuku Kunconywa ukuba siphuza neziphuzo kakhudlwana.
5. Engenalutho esinyeni kufanele kube amahora okungenani kanye njalo emithathu kuya kwemine.

qikelela ukuthi impilo yabo kanye nokuvimbela pyelonephritis sokukhulelwa - isibambiso lokuzalwa ezinhle ingane. kufanele banganakwa njengenhlangano isifo esikhohlisayo. Lapho izimpawu zokuqala kufanele kudokotela futhi bathathe zonke izinyathelo ezidingekile ukuze kuqedwe izifo. Hlala uphilile!