Pyelonephritis nyob rau hauv cov me nyuam - ib tug loj heev raum kab mob. Kwv yees li ib nrab ntawm cov neeg mob ntawm tus kab mob no ntog rau ib tug me nyuam. Hauv qab no peb qhia rau koj txog pyelonephritis, cov tsos mob, kev kho mob ntawm tus kab mob no nyob rau hauv cov me nyuam thiab piav qhia txog cov kev tiv thaiv.
Pyelonephritis nyob rau ntawm ib thaum ntxov muaj hnub nyoog
Pyelonephritis - ib tug inflammatory kab mob uas muaj feem xyuam rau lub raum plab mog thiab surrounding ntaub so ntswg, nws yog ib qho ntawm feem ntau tseem yog menyuam yaus cov kab mob ntawm lub excretory system. Cov me nyuam thawj thawj tsib lub xyoo ntawm lub neej, nws tshwm sim 3 lub sij hawm ntau tshaj nyob rau hauv cov me nyuam lub tsev kawm ntawv uas muaj hnub nyoog. Thaum o tshwm sim thawj lub sij hawm, xws li ib tug lub xeev yog hu ua "mob pyelonephritis." Nws lawm tsis pub dhau 1-2 lub hlis, uas yog, tus me nyuam yog recovering. Yog hais tias lub o kav rau lub hlis los yog ntau tshaj, ua raws li los ntawm exacerbations, ces tus kab mob no tau dhau mus rau hauv lub mob nyob ntev. Cov tsos mob ntawm pyelonephritis nyob rau hauv tus me nyuam lub sij hawm no tej zaum yuav ib ntus abyss.
Ntxiv cov neeg ua hauj raum kab mob predominate kab mob uas pom nyob rau hauv lub gut thiab tsim nws puab muaj. Tab sis lawv, txawm yog vim li cas, muaj peev xwm yuav mus txog los ntawm cov mob txeeb zig rau ob lub raum. Cov feem ntau causative ua hauj lawm ntawm pyelonephritis - Proteus, Escherichia, thiab Pseudomonas aeruginosa, Enterococci, Staphylococcus. Ntawm kuj zoo kawg tseem ceeb nyob rau hauv txoj kev loj hlob ntawm pyelonephritis nyob rau hauv cov me nyuam yaus yog cov nyob rau hauv lub tsev neeg ntawm cov txheeb ze uas tau muaj zoo xws li cov kab mob. Tsis tas li ntawd khiav caries cov me nyuam cov hniav yog ib tug hotbed ntawm hais tawm ntawm pathogenic cov kab mob. Yog qhov yuav ua tau thiab tonsillitis, mob ntsws, plab hnyuv dysbiosis, mob cem quav.
symptomatology
Peb yuav tsum hais ib zaug tias pyelonephritis cov tsos mob nyob rau hauv ib tug me nyuam mus rau ib lub xyoo no feem ntau yog qhia kev intoxication. Tej zaum lawv yuav pib mus rau manifest li nkees, tsis muaj kev qab los noj mov, ua npaws tsis muaj cuab catarrhal cov tsos mob, heev regurgitation, plab hnyuv ua hauj lwm. Tab sis qhov no yog tsis tseem ceeb thaj chaw uas nws tseem tau los kuaj pyelonephritis nyob rau hauv cov me nyuam. Cov tsos mob Komorowski - paub ntau cov menyuam yaus - hu thiab loj dua. Piv txwv li, tus kab mob no tej zaum yuav kuj pib nrog tso zis mob, uas muaj peev xwm yuav qhia raws li heev thiab tsawg heev urging, lawv rhiab, zoo nyob rau hauv qee ntawm cov zis nyob rau hauv tus me nyuam. Tag nrho cov no yog nrog, raws li ib tug txoj cai, ib qho kev nce rau hauv lub cev kub. Cov tsos mob ntawm pyelonephritis nyob rau hauv cov laus tus me nyuam yuav muaj ib tug ntau tiag tiag li daim duab.
diagnostics
Tam sim no mob muaj xws li cov kev soj ntsuam, kuaj thiab instrumental txoj kev. Nyob rau hauv lub laboratory kev tshawb fawb yuav tsum xeem dhau rau nram qab no kev ntsuam xyuas: general tsom xam ntawm cov ntshav thiab zis tsom xam kom paub tias creatinine, qabzib, protein. Yog hais tias tus me nyuam muaj cov tsos mob ntawm pyelonephritis yog tsis tau, ces nws yog tshuaj txaj so, haus kom ntau, cov tshuaj tas tshuaj kws kho mob-nephrologist. Nyob rau hauv xyoo tsis ntev los, kuaj xyaum qhia ib tug tshiab qhov taw qhia - cystatin C. Thaum raum tus kab mob yog ib tug disturbance ntawm lub feem ntawm cov protein nyob rau hauv cov zis, thiab nws accumulates nyob rau hauv cov ntshav, yog li tus xov tooj ntawm cystatin C los mus txiav txim txoj kev loj hlob ntawm lub raum tsis ua hauj lwm nyob rau hauv cov neeg mob uas raum o. Ib tug me nyuam uas muaj ib tug keeb kwm ntawm sawv pyelonephritis, yuav tsum ib zaug nyob rau hauv 3 lub hlis mus xyuas ib tug nephrologist tsis tu ncua tau ib tug tso zis kuaj no. Nrog ruaj khov kab mob, tsis muaj yuav tsum tau nquag rov ib xyoo yauv raum ultrasound.