Ukutheleleka kwamagciwane e-Urinary nokukhulelwa

Ukutheleleka kwezigameko zase-Urinary nokukhulelwa yizici ezivame ukuhamba eceleni. Ziyingenye yezinkinga ezivame ukukhulelwa. Kuthiwa ukuthi ukutheleleka kungabangela izimo ezihlukahlukene ze-pathological: prematurity of the children, ukungalashwa kwe-intrauterine ukukhulelwa, ukungalahleki kokuzalwa okungenayo kanye nengozi eyengeziwe yokushona komuntu ngamunye.

Ukutheleleka kwamagciwane e-Urinary kubesifazane abakhulelwe bahlukaniswe ngamaqembu amathathu:

• i-bacteriuria - ukutholakala kwama-bacteria emgqumeni we-urinary;

• izifo ezingxenyeni ezingezansi ze-urinary tract (cystitis, urethritis);

• ukutheleleka kwephethini eliphezulu le-urinary (pyelonephritis).

Abesifazane bahlushwa i-pyelonephritis izikhathi eziphindwe kabili kunamadoda, futhi bagula eminyakeni yabo yokuzala. Kungani? Ingxenye yesiphambeko yizici zesimo somzimba wesifazane: ukutholakala kokuvula okuncane futhi okubanzi okuvuleka emgodini wesifazane (okusho ukutholakala okukhulu kokutheleleka). Ngaphezu kwalokho, phakathi nesigaba sesibili sokujikeleza kokuya esikhathini nasesikhathini sokubeletha, izinguquko zomzimba zenzeka ohlelweni lwe-urinary excretory lwabesifazane, okunciphisa ukulwa nokutheleleka.

Kutholakale ukuthi ingozi yokuthuthukisa ukutheleleka kwamagciwane e-urinary iphakeme nakwabesifazane:

• waqala ukubeletha eneminyaka engu-28-30;

• abakhiqizi abaningi;

• labo ababenalezi zifo ngaphambili;

• iziguli ezine-diabetes mellitus;

• ukubhekana nokungajwayelekile noma ukuphazamiseka komsebenzi we-urinary tract.

Njengoba wazi, umthwalo omkhulu unikwa izinso ngesikhathi sokukhulelwa - ukusebenza kwabo kwenzeka ngokucindezeleka okukhulu. Kumele basuse emzimbeni imikhiqizo yokubola bese beshintshana hhayi kuphela ngowesifazane ngokwakhe, kodwa futhi nangomntwana okhulayo. Kodwa-ke, ngaphandle kokubheka, ukukhulelwa ngokomzimba ngokwayo akubanga neze ushintsho ezinso futhi bayabhekana nomsebenzi. Ezinyangeni zokugcina zokukhulelwa emcintini, kungase kube khona amaphrotheni - lena isignali yokuqala mayelana nalokho okungenzeka khona kwe-gestosis.

I-bacteriuria engenamaphutha

Kutholakala ngosizo lokuhlaziywa komchamo ku-2-7% wabesifazane abakhulelwe, nakuba kungabonakali emitholampilo (ngakho-ke igama elithi "asymptomatic"). Ukuxilongwa kusho ukuthi kukhona ukoloni oluqhubekayo lwe-bacterial in the tract. Naphezu kokungabikho kwesithombe somtholampilo, i-bacteriuria engenamaphesenti ngesikhathi sokukhulelwa kaningi (ku-20-30% wamacala) ivuselela ukuthuthukiswa kwe-cystitis ne-pyelonephritis futhi idinga ukwelashwa okuqondile.

I-cystitis enamandla

Lolu hlobo lokutheleleka komgudu wamaminithi ngesikhathi sokukhulelwa akulula ukuthola emibonisweni evamile yokuvuvukala okunzima: ukuvuthwa okusheshayo, okubuhlungu. Ezincwadini ezithandwayo manje ushicilela izeluleko eziningi ezihlukahlukene mayelana nendlela yokubhekana nale nhlekelele. Ukuqeda inqubo yokuvuvukala, Yebo, ungakwazi. Kodwa lokhu akunakwenziwa, ikakhulukazi ukhulelwe! I-cystitis ephikisiwe engaphenduliwe idlula kalula ibe yifomu elingapheli. Ngaphezu kwalokho, njengokungathi i-bacteriuria engenamaphutha, nge-cystitis, kungenzeka ukukhwela ukutheleleka ezintsheni bese uthuthukisa i-pyelonephritis.

I-pyelonephritis elula

Esikhathini sokuvuvukala okulimazayo okubangelwa yizifo ezithathelwanayo, izicubu zomzimba zezinso kanye nesistimu yesitsha nesitsha se-pelvic ziyathinteka. Inkinga enkulu kakhulu yokukhulelwa (phakathi nalesi sifo kuthiwa yi-pyestone pyritis). Kungathuthuka ekuthuthukiseni i-urosepsis futhi kuholele ekuzaleni ngaphambi kwesikhathi.

Kwenzeka kuma-12% wabesifazane abakhulelwe (ngokuvamile ekhulelwe kuqala). Kulokhu, kunomthelela omubi ekwenzeni ukukhulelwa ngokwayo kanye ngqo kwengane - evame ukuhambisana ne-gestosis, kubangela ukukhipha isisu okuzenzekelayo, ukuthuthukiswa kwe-fetal hypotrophy, ukungakwazi ukusebenza kwe-placental.

Izimbangela namagciwane

Indima yokunquma ekuthuthukiseni ukutheleleka kwamagciwane emanzini akhulelwe kudlalwa ngamaqembu amabili eziciko - ama-anatomical and hormonal. Kusukela ngeviki le-7, i-hydroureter yomzimba yakhiwa - ukwandiswa kwesimiso se-calyx ne-pelvic kanye nesisindo. Ngakho-ke, umzimba uzama ukuvumelanisa nokwanda komkhuhlane ojikelezayo. Umthamo we-ureter ungafinyelela ku-200 ml, okwenza kube nokwephulwa kokuphuma komchamo, ukugcinwa kwawo ku-ureter, i.s. izimo ezihle zokuvela kwamagciwane.

Isibeletho siyakhula kancane kancane, sishintsha isimo sesisindo ngenxa yokudonswa kwayo nokucindezela. Indawo esondelene nayo yesikhumba nesisu, kanye ne-gluco-zuria (ishukela emcimbini) etholakalayo kwabesifazane abakhulelwe, kwenza kube lula ukutheleleka kalula komchamo nokusabalala kokutheleleka ngomzila okhuphukayo. Amazinga aphakeme we-estrogen abangela ukwehla kwe-peristalsis ye-ureter, okungabangela ukwephulwa kokuphuma komchamo.

Zonke lezi zinguquko ngesikhathi sokukhulelwa zingaqala esikhathini esingamaviki angu-8 futhi zifinyelele umvuthwandaba wazo emasontweni angu-18-20, zigcine izibonakaliso zayo kwamasonto amabili emva kokubeletha. Ekuqaleni kwesigamu sesibili sokukhulelwa, ukwephulwa komgudu kungase kwenzeke ngenxa yokucindezelwa kwezigqoko ngebele elivulekile nelishintshiwe. Ukucindezela u-ureter kungaphinda kuveze i-varicose ehlanjululwayo, ekhudlwana futhi emfishane. La maqiniso achaza ukuthi kwenzekani kakhulu nge-pyelonephritis engakwesokudla.

I-agent ehamba phambili ye-causative yokutheleleka kwamagciwane kumama abakhulelwe nabangenasiphakamiso ngu-E. coli (amacala angu-80-90%), kodwa kungenzeka kube namanye amabhaktheriya angenayo i-gram njenge-Proteus ne-Klebsiella. Ama-bacteria ama-Gram-positive ajwayelekile kakhulu. Kwabesifazane ngesikhathi sokukhulelwa, inqubo yokuvuvukala ezinso zingabangelwa isikhunta se-Candida. Inendima ebalulekile lapho kwenzeka khona i-pyelonephritis nayo idlalwa i-mycoplasma, ureaplasma, i-trichomonads, kanti ku-20% weziguli ezinhlanganweni ezincane ze-microbial ziyatholakala.

Ama-Endotoxins ka-Escherichia coli abangela ukuchotshozeka kwe-renal pelvis, i-capsule yezinso nama-pericardial tishu ayathintekile. Ukutheleleka okubangelwa yi-prostate kubhekwa inkambo ephindaphindiwe, ukwakheka ngamatshe kanye nokuqukethwe okuphansi kwamaseli amhlophe egazi emcimbini ngenxa yokubhujiswa yi-enzyme yezincane ezincane. Inkambo ye-pyelonephritis yokukhwabanisa eyabangelwa imifino-grima engenamandla kakhulu, ngokushaqeka kwamagciwane kanye ne-septicemia.

Iphi i-pyelonephritis ibonakala kanjani?

Indlela yokugula yesifo isithonya ngqo endleleni yokutheleleka. Uma lokhu kuyindlela enamandla (ngegazi), izimpawu ezivamile zesifo ziyahamba. Uma lena indlela ye-urogenital (ngokusebenzisa umchamo), khona-ke izimpawu zendawo ziyobe zikhona. Ukubonakaliswa kwe-pyelonephritis enamandla ngokuvamile kwenzeka ezinsukwini ezimbalwa ngemva kokukhushulwa kwezifo ezingapheli noma ukuhlonza ezinye izifo ezigxile (furunculosis, mastitis, njll). Yingakho lesi sifo asikwazi ukutholakala ngaso leso sikhathi. Kukhona ukwanda okungazelelwe kokushisa, ukubola, okulandelwa ukujuluka okukhulu, ukukhanda ikhanda, ubuhlungu obukhulu emhlane ongaphansi, kaningi ngakwesokudla. Amacala ajwayelekile avezwa yizintathu zezibonakaliso: izikhukhula, izenzakalo zedysuric, ubuhlungu esifundeni se-lumbar. Izinhlungu zivame ukwanda, ngokukhuphuka kwezinga ngalinye elisha, singakhuluma ngokubonakala kohlobo olusha lwe-purulent ezinso. Ukuphazamiseka yisicefe, ukuhlanza, ama-aches kuwo wonke umzimba. I-tachycardia eveziwe, i-dyspnea. Ngokwehla kwegazi, ukushaqeka kwamagciwane kungase kuthuthuke.

Ukwelashwa kwe-pyelonephritis enamandla

Kuhlale kunzima, isikhathi eside (amaviki angu-4-8), umuntu ngamunye. Uma ukubeka imithi yokwelashwa kufanele kucabangele isikhathi sokukhulelwa, ubukhulu nobude besifo, ukuhlaziywa kombuso osebenzayo wezinso nesibindi, ukubekezelelana kwezidakamizwa kanye nokwenzeka kokuguquka ebisi. Esigabeni esiyingozi sesi sifo, ukuphumula kombhede okungenani izinsuku ezingu-4-6. Uma umkhuhlane usudlulile, ukusetshenziswa komgudu osebenzayo kunconywa ukuze kuthuthukiswe ukuphuma komchamo.

Ukusetshenziswa kwe-postitional therapy: izikhathi ezingu-2-3 ngosuku, isikhundla se-knee-elbow imizuzu engu-4-5; ulale eceleni, eceleni kwezinso ezigulayo. Ukudla okhethekile ngomkhawulo wesikasawo akudingeki. Uma kungekho i-edema, phuza okuningi, kuze kube ngu-2 amalitha ngosuku. Ijusi le-cranberry eliphakanyisiwe, itiye lezinso, i-infusions ye-parsley, i-horsetail, i-cowberry-isitshalo se-diuretics ne-antiseptics. Kukhona imithi yamakhemikhali eyenziwe ngomumo (ikakhulukazi i-kanefron), okuyinto emisebenzini yokuvimbela imithi ezuzisa kakhulu ekwelapheni i-pyelonephritis nezinye izifo zomuthi we-urinary.

Muva nje, ukulungiswa kwe-herbal kanefron yenkampani yaseJalimane "i-Bionorica AG" isetshenziswe ngentshiseko, inesisindo esiningi sezenzo. Phakathi kwazo - isifo sokulwa nesifo sokulwa nesifo sokulwa nesifo sokulwa nesifo sokulwa nesifo sokulwa nesifo sokulwa nesifo sokulwa nesifo sokulwa nesibindi, i-spasmolytic, antibacterial, diuretic. I-Kanefron isetshenziselwa ukuphatha i-pyelonephritis yokukhulelwa ekukhulelweni kokuqala. Ngosizo lwaso, ukuqhuma kwe-pyelonephritis engapheli, ukwelashwa kwe-urolithiasis, ukuvimbela izinkinga zokukhulelwa, okubandakanya ukuphulwa kombuso osebenzayo kwezinso. I-Kanefron ifanele phakathi nenkathi yokukhansela ama-antibiotic ngenkathi ukwelashwa izifo ezingavumelani ze-urinary tract kanye nokusetshenziswa isikhathi eside ngemva kokwelashwa kokuqala ngama-antibiotic. Kwakungekho nemiphumela emibi yalesi sidakamizwa.

Imiphumela yezifo ezithintekayo

Ngesikhathi sokukhulelwa kanye nenqubo yokulethwa ngokwayo, abesifazane abahlushwa yi-pyelonephritis banezici ezithile. Abesifazane abangu-6% abane-pyelonephritis engapheli banesisu esiphuthumayo, 25% banengozi yokubeletha ngaphambi kwesikhathi, 44-80% banesifo esibi se-toxicosis sabesifazane abakhulelwe. Ukukhulelwa kanye nentuthuko yesisu kuxhomeke kakhulu ekubambeni kokungasebenzi kahle, ukuqina kwenqubo yokutheleleka.

Izingane ezizalwe kaningi zikhombisa izimpawu zokutheleleka ezitholakalayo ku-utero. Ngakho-ke ukukhubazeka kwezinso emama kunomthelela ekwenzeni ukuthuthukiswa kwezinso emntwaneni (izicubu ezingenalutho ezivuthiwe, izidakamizwa ze-ury dysembryogenesis). I-hypoxia ye-Fetal fetal, i-hypotrophy, ivame ukuhlangana, nokuqapha ngokucophelela kwe-fetus kuyadingeka.

Esikhathini sesikhathi sokubeletha, abesifazane abangu-22-33% abathola i-pyelonephritis yokuzikhukhumeza bahlakulela izifo ze-purulent-septic. Ngezinsuku ezingu-4, ezinyangeni ezingu-12 nezinsuku ezingu-14 emva kokuzalwa, i-pyelonephritis ingaba yimbi kakhulu. Ezingama-20% zamacala ngemva kokubeletha, umsebenzi we-renal ungase uhlale uncishisiwe.

Mayelana nokutheleleka kokuvimbela nokuvuthwa kwamagciwane ekukhulelwe

1. Ukulungiselela ukukhulelwa. Ngokucophelela, ngokucophelela, ikakhulukazi uma esikhathini esedlule owesifazane wayeneziqephu zokutheleleka kwe-urinary tract. Udokotela uzokutshela ukuthi yikuphi ukuhlolwa okudingeka udlule kubo bobabili kokubili ngaphambi kokukhulelwa kwengane.

2. Isikhathi sokuqala saso sonke isifo sokutheleleka emzimbeni.

3. Owesifazane okhulelwe kufanele abhalise emtholampilo wesifazane ngokushesha ngangokunokwenzeka futhi ngesikhathi sonke sokukhulelwa alandele zonke izincomo zikadokotela wakhe, ahlolwe ngesikhathi futhi athathe ezinye izivivinyo. Ukuvikelwa emakhazeni!