Gestational pyelonephritis mimba. Chithandizo cha pyelonephritis gestational

Woyembekezera, akazi ambiri mavuto umoyo monga pyelonephritis gestational. kudwala Izi zimachitika chifukwa cha matenda a impso ndi. Kutupa limodzi ndi zomverera chopweteka. akazi ochepa kufunafuna yake kuchipatala, oopa kuipa kwa mankhwala pa mwana wosabadwayo. Ndipotu, kunyalanyaza izi zingathe kusokoneza mwana.

mwachidule

Pyelonephritis - ndi yotupa ndondomeko mu impso kuti akufotokozera chifukwa cha matenda. Akazi malo ndi chiwopsezo chachikulu matenda chifukwa otaya osauka a mkodzo ndi wotsinidwa utsi njira kukula chiberekero. Pyelonephritis anaonetsa nyamuka lakuthwa kutentha kupweteka kusapeza m'dera lumbar. Kulimbana ndi matenda, madokotala zambiri amalangiza mankhwala. Ndi mankhwalawa a mayi woyembekezera ndi mwayi wokhala ndi mwana wathanzi.

Kodi osiyana gestational pyelonephritis? Pamene mimba zikuchulukirachulukira tsiku lililonse likadutsa chiberekero amaika kupanikiza pa ziwalo ozungulira. Nthawi zambiri ine wotsinidwa ndekha ureter. Ndi njira yomwe mikodzo umayenda kuchoka impso ndi chikhodzodzo yokha. Liwiro ndondomeko amakwiya stagnation ake ndi kukulitsa impso. Chotero chikhalidwe mmene kutenga mimba. Nthawi zina mwa matenda a m'chikhodzodzo likulowerera mu impso, ndi outflow osauka chifundo madzimadzi ndondomeko imeneyi.

Ngati mayi woyembekezera pamaso mimba pyelonephritis anapezeka mu mawonekedwe aakulu, ndipo tsopano zachitika gestational, kutenga matendawo si mkulu. akazi ayenera nthawi zonse akuoneni dokotala ndi mosamalitsa kutsatira malamulo ake onse.

Gulu la pyelonephritis gestational

matenda angayambe trimester aliyense wa mimba, pobereka mu chikhalidwe choterocho amawapeza kawirikawiri. Kawirikawiri kudwala akufotokozera mu zoyambirira nthawi. Akatswiri ambiri amanena izi kulephera thupi mwamsanga azolowere zinthu zatsopano.

Kuonetsetsa pachimake ndi aakulu mawonekedwe a matenda. Nthawi zambiri pa mimba pali buku lachiwiri la matenda, amene angathe kuonedwa ndi kusintha khalidwe mu zikuchokera mkodzo. Iye ndi zovuta chithandizo, ndi zina chifukwa cha kuchotsa mimbayo.

Gestational pachimake pyelonephritis limapezeka wamphamvu kuledzera ya thupi, koma osati kuukira moyo wa mwana wosabadwayo mkati m'mimba. Mulimonsemo, chithandizo cha matenda ayenera kulankhula ndi kuopsa kwambiri. Disease pa masabata 16-24 mimba, mosaganizira za mawonekedwe panopa, angachititse padera.

Madokotala olekanitsidwa pyelonephritis pulayimale ndi sekondale. Mbali yoyamba, matenda kumachitika pa maziko a bwino, kuti popanda preconditions lililonse la machitidwe ena limba. Chachiwiri zosinthika matenda yodziwika ndi kukhalapo kwa purulent cholinga imene skid tizilombo toyambitsa matenda osati impso, komanso mu mapapo ndi ziwalo kugonana akazi. Ndi kuwonongeka lakuthwa thanzi mukhoza kulankhula za chitukuko cha zinthu septic.

Gulu la matendawa amakhudza kokha kusankha machenjerero ndi miyeso achire. pathogenesis ake akanali yemweyo milandu onse.

The chikuchititsa mavuto a matenda

Mayi woyembekezera kuzungulira kumapeto kwa woyamba trimester magazi estradiol ndende ukuwonjezeka zikuchepa, ndi milingo progesterone. kusintha m'thupi okhudza tonus wa chikhodzodzo minofu, makapu ndi mafupa a chiuno impso. mkodzo otaya ndi liwiro, pali Reflux. Zonsezi kuwonjezera kuchuluka kuthamanga mu kukula kwa chiberekero pa mundawo mkodzo, pali stagnation. Chotero chitsanzo kumathandiza malowedwe a tizilombo toyambitsa matenda ndi kubalana anayamba. Mabakiteriya (Streptococcus, Proteus, enterococci) pang'onopang'ono anamuukitsa kwa mlingo wa aimpso ndipo imautsa kutupa awo.

Gestational pyelonephritis anapezeka pa mimba si nthawi zonse. Wa zinthu zofunika kwambiri ndi: chitetezo cha mkazi, munthu m'thupi kusiyana. Akatswiri kuzindikira zinthu zingapo zimathandiza kuti chitukuko cha matenda:

• Isanafike mimba bacteriuria.
• Reflux.
• Kuvutika kwa impso ndi chikhodzodzo titadziwa mlingo.
• Matenda matenda.
• Urolithiasis.

Komanso pansi ena zinthu zapadera mimba (yopapatiza mafupa a chiuno, polyhydramnios, zipatso lalikulu) chiopsezo pyelonephritis ndi chinawonjezeka ndi kangapo.

Kodi zizindikiro zikuonetsa kudwala?

1. madandaulo ambiri akazi nthawi zambiri kwina, ndi kusintha pathological ali wapezeka pa kuyezetsa zasayansi (maselo oyera ndi mabakiteriya mu mkodzo). Pamene kufesa nthawi anatsimikiza ndi kukula mofulumira E. coli, osachepera - aureus.
2. Gestational pyelonephritis mu amayi apakati akhozanso kukopeka ndi ululu m'dera lumbar, kusapeza ukuwonjezeka ndi nthaŵi yaitali mapazi anu.
3. Pa exacerbation kutentha limatuluka.
4. Pafupipafupi pokodza ndi zina mwa mimba yachibadwa. Pankhani ya zilakolako pyelonephritis kungakhale kofunika zedi, ndipo kumakhala kovuta kwambiri pokodza.
5. Pafupipafupi matenda Kanema - kuthamanga kwa magazi.
6. kutupa kwa miyendo mu akazi mu chikhalidwe imatengedwa yachibadwa. Si nthawi zonse kugwirizana ndi kudwala a dongosolo mkodzo. zizindikiro zoterozo zingasonyeze chisokonezo cha outflow venous. Kutupa mu pyelonephritis zambiri kumawonjezera, pali puffiness wa nkhope.
7. Litsipa, kutopa, kumverera kufooka m'mawa - zonse mwa zizindikiro zimenezi kokha yothandizana chithunzi matenda.

The pyelonephritis ndi owopsa kwa amayi apakati?

matenda ndi gestational pyelonephritis, zizindikiro zimene takambirana pamwambapa, basi akulowa dona pakati pa chiopsezo. Chifukwa chiyani? The yotupa ndondomeko m'thupi kumawonjezera katundu pa dongosolo mtima ndi impso. 30% ya amayi ndi matenda a osauka preeclampsia (toxemia wa mochedwa).

Mu chikhalidwe ichi kwambiri chatsitsa ndi magazi aziyenda bwino mu impso, ubongo, latuluka. Magazi amakhala wandiweyani, ndi kuchuluka kwa mpweya izo amachepetsa. Zonse izi zimaonekera za zakudya wa mwana wosabadwayo ndi mkazi.

Waukulu mavuto zikuphatikizapo akatswiri zotsatirazi matenda:

• Kuopseza kusokoneza - ndi vuto ambiri pyelonephritis gestational.
• Msanga kubadwa.
• Angapo magazi.
• Placental abruption.
• Magazi m'thupi.

Maonekedwe a Vuto ndi zimadalira kwenikweni zovuta kutupa ndi mankhwala nthawi yake kwa dokotala.

Gestational pyelonephritis mimba: mmene mwana wosabadwayo

The yotupa ndondomeko mu impso zambiri ali zimakhudzanso mwanayo m'mimba. Chosowa aakulu zotsatira mpweya ndi zofunika zakudya mu zakudya m'thupi la mwana wosabadwayo. Izi zikutanthauza kuti mwana wakhanda wabadwa ofooka ndi kulemera otsika. Pafupifupi theka la milandu madokotala kuti hypoxia. 30% ya amayi ndi matenda izi amabadwa makanda msanga.

Mwa mavuto ena amayambira: hypothermia yoopsa intrauterine matenda, asphyxia pamene CNS.

matenda a matenda

Zofunika kwambiri ndi nkhani chiyeso matenda ndi mkodzo mayeso. Pamaso kutupa limasonyeza ambiri leukocytes, pamaso pa zamoyo tizilombo, maonekedwe a mapuloteni.

magazi akhoza kukhala zizindikiro za matenda (kuchuluka kwa leukocytes ndi ESR). Kudziwa mtundu wa bakiteriya amene amayamba kutupa, dokotala ukugwira mkodzo chikhalidwe pa zomera ndi kudziwa mankhwala ena. Malinga ndi zotsatira za katswiri mayeso mungathe mankhwala oyenerera mkaziyo anapatsidwa.

Komanso, matenda kumafuna atagwira ultrasound. Pa kufufuza zambiri kuulula mbali mkati mwa Ntchito yomangayi ndi kuonjezera zazikulu impso limba. dokotala ayenera kuonetsetsa kuti pyelonephritis gestational si kuganizira boma la mwana mkati m'mimba. Kuti tichite zimenezi, perekani yoopsa ultrasound, CTG ndi Doppler.

Kodi kuchitira pyelonephritis mu amayi apakati?

Ngati mayi woyembekezera anaona zizindikiro kugwirizana ndi kutukusira kwa impso, ayenera mwamsanga pofuna thandizo kwa dokotala. Panthawi yake matenda ndi mankhwala khalidwe amachepetsa ngozi ya chitukuko nthenda yoopsa, nadzatonza kuthekera mimba.

Choyamba akazi onse akulimbikitsidwa otchedwa mankhwala Pamalo. Ndi cholinga kuchepetsa psinjika a ureters ndi mathamangitsidwe wa otaya mkodzo. amayi oyembekezera ali osavomerezeka kugona pa nsana wake, ndi bwino kusankha njira kumanzere. Masana, chiyenera kutenga Bozeman malo ndi kukhalabe udindo umenewu kwa mphindi zosachepera 10. Panthawi imeneyi, mukhoza kuwerenga bukhu, ntchito pa kompyuta kapena kusewera ndi mwana wamkulu.

Chithandizo cha pyelonephritis gestational kumaphatikizapo kusintha kumwa boma. Ngati palibe edema kwambiri ndi kuthamanga kwa magazi, kuchuluka kwa madzi amadya tsiku akhoza ziwonjezeke kwa malita awiri kapena atatu. Izi zikhoza kukhala ambiri sanali enaake madzi, zipatso kapena zakudya. Kuchokera tiyi amphamvu ndi khofi ndi bwino kwa kanthawi kusiya.

Ambiri zitsamba diuretic pa mimba ali mwamtheradi contraindicated. Iwo analetsedwa kugwiritsa ntchito bearberry, licorice, parsley. Best kumwa kiranberi / kiranberi zipatso zakumwa, masamba Brew birch. A godsend chenicheni cha akazi ambiri mu chikhalidwe ndi matenda amenewa - ndi decoction wa Mapila. chida ichi si kuonjezera kamvekedwe ka chiberekero, koma ali wotsutsa-yotupa kanthu ndiponso kupewa kudzimbidwa. Kukonzekera ake ayenera kutenga dzinthu galasi, kutsanulira lita imodzi ya madzi, yophika pang'onopang'ono kwa maola pafupifupi awiri, ndiye kukhetsa. Decoction ayenera atamwa katatu tsiku pamaso chakudya enieni.

Kodi mankhwala agwire dokotala?

Therapy gestational pyelonephritis zikuphatikizapo antibacterial ndi odana ndi yotupa mankhwala. Kugwiritsa ntchito mankhwala ambiri ndi ena uroseptikov pa mimba ali mwamtheradi contraindicated, amene kwambiri complicates kusankha mankhwala. Mulimonsemo, machenjerero a nkhondo yolimbana ndi matenda izi amasankha dokotala kuchipatala, monga akazi onse kuchipatala ndi matenda ichi ndi kuvomerezedwa.

Mu nsengwa woyamba trimester otchedwa chotchinga ntchito kawirikawiri osati kwaiye mpaka kumapeto. Panthawi imeneyi, pali gawo lofunika la bookmarks machitidwe lalikulu la mwana, kotero zotsatira za mankhwala ndi osafunika. Ngati n'kusintha wapezeka yekha mu kusanthula mkodzo, osalephera, tidzatha kuchepetsa ayamikira pamwamba. Pankhani ya kutupa yogwira, amene anatsagana ndi malungo ndi ululu, izo amaloledwa kugwiritsa ntchito penicillin (mankhwala "amoxicillin", "Amoksiklav").

Kuchokera trimester wachiwiri amaloledwa cephalosporin mankhwala ( "Supraks", "Cefazolin"), macrolides ( "Vilprafen" "Sumamed"). Pa mwezi wachisanu amatanthauza "gentamicin 'ntchito (ndi yogwira yotupa ndondomeko) ndi mosamalitsa pa mankhwala.

Chithandizo gestational pyelonephritis amalandiranso ndi disintoxication mankhwala ntchito maofesi vitamini ndi mankhwala. chidwi linaperekedwa kwa kupewa hypoxia yoopsa. Mu pachimake ayenera kuti abwezeretse mkodzo otaya mwa catheter ndi ureteral stenting.

Kodi m'pofunika kusintha zakudya?

chidwi linaperekedwa kwa chithandizo cha matenda a zakudya ndi pakati. Madokotala amalangiza kuti achotse pachimake (zonunkhira, adyo, anyezi) ndi mankhwala kuzifutsa (nkhaka, tomato, bowa). Kwa kanthawi, ine ndiyenera kuti ndisiye khofi mowa yoletsedwa.

Kupewa madzi posungira mu thupi, madokotala akulangizidwa kuchepetsa kudya mchere. kuimilidwa Izi zimachitika makamaka kwa akazi ndi kuthamanga kwa magazi.

Kudya gestational pyelonephritis osiyana vitamini chikhalidwe. Akazi angathe kudya zipatso ndiponso ndiwo zamasamba mu mawonekedwe awo yaiwisi, kuwapanga iwo madzi. A wabwino amaonedwa mkaka (otsika-mafuta kanyumba tchizi ndi wowawasa kirimu). Pa kuchira zakudya ayenera kusiyanitsa mankhwala meatless mapuloteni (nsomba mchere madzi, nkhuku bere).

zodzitetezera

Pofuna kupewa chitukuko cha pyelonephritis gestational, amayi oyembekezera ndi zofunika kwambiri monga mwa chizolowezi mfundo zanu tsiku ndi izi:

1. Zolimbitsa thupi ntchito. Madokotala amalangiza kuti nezi yochepa tsiku lililonse (1 Ola).
2. Zochita Special kwa amayi apakati. Lero, ambiri masewera malo kuchititsa makalasi akazi mu chikhalidwe, chifukwa chimene kumalimbitsa minofu mmbuyo ndi bwino kamvekedwe wa mkati machitidwe onse ziwalo.
3. Ndi mbiri ya matenda a dongosolo mkodzo ndikofunikira kusunga zakudya zapadera, kulimbikitsa otaya mkodzo.
4. Tsiku tikulimbikitsidwa kuti kumamwa kowirikiza madzi.
5. Kanthu chikhodzodzo akhale maola osachepera kamodzi atatu kapena anayi.

mwatcheru thanzi lawo ndi kupewa pyelonephritis gestational - chikole cha kubadwa zabwino kwa mwana. Sitiyenera kunyalanyaza monga matenda ndi obisika. Pamene zizindikiro koyamba ayenera kuonana ndi dokotala ndi njira zonse zofunikira kuthetsa matenda. Khalani wathanzi!