Futhi, ama-pathogens avamile we-pyelonephritis yi-E. coli, i-Proteus ne-Pseudomonas aeruginosa. Ngokuthuthukiswa okungavamile kwezinso kanye nomgudu we-urinary umntwana utshelwe ngesifo sangasese. Kungaba ngenxa yokukhubazeka kokukhulelwa, kanye nesifo sezinso kumama.
Ukutheleleka kungena ku-renal pelvis ngezindlela ezimbili:
- ekhuphuka - ngokusebenzisa i-urethra;
- indlela enobuthi - ukutheleleka kungena egazini ukusuka kwelinye ukugxila emzimbeni.
Ingozi ye-pyelonephritis enganeni iyanda uma:
- ukuvimbela ukukhulelwa (i-hypothermia, izikhuhlane ezingapheli, ingane ivame ukugula);
- emzimbeni kukhona ama-infection we-infections okungapheli (tonsillitis, sinusitis, cholecystitis, amazinyo aqhathanisayo);
- izifo ezitholile noma ezitholakalayo zesistimu ye-genitourinary (reflux ye-vesicoureteral ye-ureteric obstruction, i-urethral stenosis, i-hydronephrosis, isifo sezinso ze-polycystic).
Izimpawu zokuqala
Kubalulekile ukuqaphela ukuqala kwesifo ngesikhathi. Ukuthola isifo okudingeka ukwazi ukuthi i-pyelonephritis ezinganeni zinzima futhi ezingapheliyo:
1. I-pyelonephritis enamandla - izimpawu zayo zihlanganisa ukwanda okukhulu kwezinga lokushisa kuya kuma-degrees angu-39, okuhambisana ne-chills, ikhanda, ukujuluka nokuhlanza. Isikhumba kulolu cwecwe, ingane ingabi nalutho. Izingane ezindala zikhononda ngobuhlungu obulodwa noma obubili emaceleni esifundeni se-lumbar, unomphela noma ngezikhathi ezithile. Amabele aqala ukuziphatha ngokungapheli futhi akhala ngaphambi nangesikhathi sokuvuthwa. Uma ukutheleleka kuye kwesinye isisu noma i-urethra, i-pyelonephritis ihambisana nokuvuthwa okuvamile kanye nobuhlungu besisu. Imfanelo yinkinga yesisu kanye nobuhlungu obuvela lapho uhlola isisindo. Ezinganeni ezincane, i-pyelonephritis ephuthumayo yisifo esiyingozi esithathelwanayo esithinta umsebenzi wazo zonke izitho.
2. I-pyelonephritis engapheli :
- ingane inomkhuhlane ophansi (37.1-37.5 ° C);
- Ngokuvamile kunokuba evame ukucela ukuba aye endlini yangasese;
- noma ngokuphambene nalokho akuvumi ukuhamba, nakuba ephuza, njengenjwayelo (kusukela emgwaqeni izingane zingenalutho isambatho ezinxenyeni ezinkulu, cishe, ngezinkathi ezinjalo ngosuku: kuze kube izinyanga ezingu-6 - izikhathi ezingu-20, kuze kufike ku-1 ngonyaka - izikhathi ezingu-15, iminyaka emibili-7- Izikhathi ezingu-10);
- unengqondo futhi unesikhalazo ngenxa yesisu;
- ushintshe ukulangazelela ukudla, wenqaba izitsha zakhe ezizithandayo;
- indwangu yakhe yathola iphunga elingavamile;
- umchamo wengane awusobala, kodwa uguqukile, umnyama umbala.
Uma ungayinaki lezi zimpawu futhi ungaqali ukwelashwa, ukusabela okuzenzakalelayo komzimba kuguquka, futhi uqala ukubona amangqamuzana akhe njengabafokazi, okuholela ekuthuthukiseni i-pyelonephritis. Akuphilwanga ngesikhathi esifanele, kungaholela ku-glomerulonephritis - isifo esibi esiyisifo esingaphenduli kahle ekwelapheni. Ingane ehlushwa i-pyelonephritis engapheli kufanele ihlonishwe njalo nodokotela okungenani iminyaka eyisikhombisa, kuze kube yilapho izinso zomntwana seziqalwa ekugcineni.
Ukuqinisekisa ukuxilongwa, udokotela uzokunikeza ukuhlaziywa komchamo negazi. Ukucubungula ukuhlaziywa kwakuhlose ukuzama ukulandela imithetho elandelayo.
- Kusihlwa, inzalo izitsha zokuhlaziywa. Okungcono, lena ingilazi yeglasi ene-lid yokudla kwezingane. Uma ingane isivele isebenzisa ibhodlela, yihlambulule ngokuphelele kusihlwa bese uyinisela ngamanzi abilayo.
- Geza ngokucophelela ingane. Kungcono ukwenza lokhu kusihlwa, ngoba ekuseni ungase ungabi nesikhathi.
- Ukuze uhlaziye, qoqa umchamo kusuka kokudonsa kokuqala. Ukuze wenze lula ngomntanakho, sebenzisa ikhondomu evamile, noma ibhokisi elikhethekile lokuqoqa umchamo kubantwana, ungayithenga ekhemisi.
Ngokusho kochwepheshe bezokwelapha, i-pyelonephritis ivame kakhulu emantombazaneni (ngaphandle kwazingane kuphela, lapho izinso zikhathazeka kakhulu ngabafana). Incazelo yalokhu yi-anatomy. Emantombazaneni, i-urethra ibanzi kakhulu futhi imfushane kunabantwana. Ukutheleleka, isibonelo, kusuka ku-anus, amantombazane angena ezintsheni kalula futhi ngokushesha. Ngakho-ke, ukuhlanzeka okuhlanzekile kubaluleke kakhulu ezingxenyeni zohlelo lonke lwe-genitourinary. Ukugcina ubumsulwa obudinga ukufundisa ingane yakho kusukela ebuntwaneni bokuqala, kanye nesidingo, ukugcina umhlane nokufudumala emfudumeni. Ukuze ugweme i-hypothermia emvula, iqhwa noma emoyeni, gqoka kahle ingane yakho, futhi lapho ingane ikhula, qiniseka ukuthi uchaza ukuthi kungani.
Ukuphuza umbuso
Nika ukuphuza ingane yakho kaningi, kodwa ezinxenyeni ezincane, ukugcina ibhalansi ejwayelekile yamanzi nosawoti bese ugeza ubuthi emzimbeni. Ngesinye isikhathi, unganiki amanzi amaningi: ngemva kwemizuzu engu-40 umntwana ususa isisu, nezinso zakhe zingenalutho futhi, nakuba zithole umthwalo owengeziwe. Kulesi simo, kokubili ukuphuza ngokweqile nokuphuza okwanele kuyingozi. Ingane kufanele ithole okuthiwa i-fluid engabonakali: leyo ethathwa ngaphezu kokudla okuyinhloko phakathi kokudla. Kungaba ijusi olusha, amanzi amaminerali ngaphandle kwegesi, uzvar (kufanele ilungiselelwe kanje: izithelo ezomile zatshalwe zithelelwa ku thermos ngamanzi abilayo 85˚C futhi ziphikelela). Lungiselela isitsha kumntwana wakho wejusi yezithelo kusuka emajikijolo ama-cranberries, ama-currants ama-raspberries. Zonke izinto eziwusizo zithathwe kubo kangcono kakhulu. Kodwa esimweni esisha samajikijolo acidic kungcono ukugwema - zicasula izinso namathumbu. Ngosuku lezinyane leminyaka emibili, eligula nge-pyelonephritis, kufanele liphuze kuze kube ngu-400 ml. amanzi.
Udinga ukudla
Idla, kanye nokunikeza amanzi amancane kwengane, kuyadingeka kancane, kodwa kaningi. Kumelwe kukhishwe ukudla okunamafutha, okubabayo nokusawoti. Futhi, lahla isaladi, isipinashi, ama-radishes, utamatisi: amakristalu we-uric acid usawoti equkethe kuwo angamcasula i-renal pelvis. Nakuba izingane, njengesiqondiso, zilahla intuitively imikhiqizo yazo eyingozi kubo. Abaningi bezingane zinciphisa kakhulu amaprotheni adla i-pyelonephritis. Kodwa lokhu akukona ngokuphelele. Izingane, ezihlushwa yi-pyelonephritis, zidinga amaprotheni amaningi, kodwa zilula kalula. Kungcono ukondla izingane ngezinhlanzi, ikakhulukazi i-carpics encane, i-carpical crucip, ilulazwa kalula yi-tract of the child's tract. Kuyinto ewusizo futhi inyama yokudla ukukhanya of turkey, unogwaja, inkukhu. I-bone broth ayinqatshelwe, isibindi ukudla okunzima okwedlulele kakhulu, okudinga amandla amaningi okugaya. Ungenza inyama ye-jelly. Iphekwe (kodwa ngaphandle kwamathambo) futhi ithululelwa ngosizi ne-gelatin. Uma kungumbuzo wengane, zonke lezi zincomo kufanele ziqaliswe ngokugcwele ngumama.
Buyisela imithi emathunjini emathumbu ngemuva kokulashwa
Ngemuva kokwelashwa kwe-pyelonephritis, eyenziwa ngama-antibiotics, isilinganiso se-microflora ewusizo futhi esiyingozi singashintsha emkhakheni wezinsana womntwana, owaziwa ngawo, olinganiselayo futhi ohambelana nokujwayelekile esimweni esinempilo. Ukubuyisela lokhu isilinganiso samabhaktheriya emathunjini kuzosiza imikhiqizo yobisi omuncu. Kungcono uma wena ulungisa ubisi olusuka esiphuzweni esinempilo, njenge-yogurt. Ukuze ubisi ubisi, sebenzisa i-yogurt ekhethekile kanye nokuvuthwa okumbi. Futhi ekhaya, ungakwazi ukulungisa i-yogurt. Vele uqaphele okuqukethwe kwamafutha ebisi. Akufanele kube nokuqukethwe kwamafutha okungaphezu kuka-3.2%. Ezimweni ezimbi kakhulu, sebenzisa izidakamizwa ezikhethekile nge-bifido ewusizo kanye ne-lactobacilli.
Indlela yokugwema ukucindezela.
Wonke umkhuhlane ovamile ubungozi bokuzikhukhumeza kwe-pyelonephritis, futhi ukuqubuka kwayo ngalunye "kuyisibazi" ezinsoweni. Ngomntwana wakho, i-immunoprophylaxis ibaluleke kakhulu. Kuhle kakhulu uma ingane ibeletha isikhathi eside isikhathi eside yisivikelo somzimba omzimba esinamandla kakhulu. Uma ungakakondli, bese unikeza ubisi lwebhozi lomntwana (kodwa kuphela embuzi eqinisekisiwe). Ngokuphambene nenkolelo evamile, kuyasiza kakhulu. Ezinsukwini zakudala abantwana abashiywe ngaphandle kwamaMama babeliswa ubisi lwebhola, futhi bakhule benempilo futhi banamandla. Ama-immunomodulators, amakhambi azophinde asekele izitho zezingane. Kuphela kunoma yikuphi, musa ukubeka izidakamizwa ezinganeni ezinganeni. Ukungenelela okungafundile emasosheni omzimba omntwana ongakabikho kungabangela imiphumela emibi. Noma imiphi imithi ingathathwa emva kokuhlolwa ngumuntu ozivikela ngegazi.
Qaphela ngokugoma, ngoba lokhu kuyisisindo esikhulu emasosheni omzimba omntwana. Kuye ngesimo somntwana, ukugonywa akukhipha noma kunciphise. Lokhu kunganconywa kuphela ngudokotela oya khona. Futhi akudingekile ukushiya inoculations ngenxa yokucabanga.