An kiyasta kimanin kashi 50 zuwa 80 cikin dari na dukan mata na ci gaba da kamuwa da cutar urinary (UTI) a wani lokaci a rayuwarsu. (Overall, mata suna da yawa fiye da maza don samar da UTIs.) Kalmar urinary kamuwa da cutar ta zama mai zurfi kuma tana nufin wani kamuwa da cuta da ke faruwa ne ta hanyar kwayoyin cutar da ke faruwa a kowane matakin urinary: urethra, vesser, ureters, or kidneys.
Rashin kamuwa da cuta
Hanyoyin cututtukan mahaifa sun kasance a kan bakan. A wani ƙarshen bakan shine kwayar cuta mai cututtuka, wanda za'a iya gano kwayoyin cutar a cikin fitsari amma babu bayyanar cututtuka na kamuwa da cuta. Tare da mafi yawan lokuta na kwayoyin cutar asymptomatic, babu magani.
A wani ɓangare na bakan ya zama pyelonephritis ko ƙwayar koda, wanda ya fi tsanani da kuma batun wannan labarin. A tsakiyar bakan shine bayyanar cututtukan kwayoyin cuta ko cystitis , wanda shine mafi yawan mutane suna tunanin yayin tattaunawar UTIs. Hanyoyin cututtuka na cystitis sun hada da ciwo akan urination, iskar ruwa, da gaggawa.
Tare da pyelonephritis, kwayoyin suna tafiya daga kututturewa ta hanyar mafitsara da ureter da kuma cikin koda. Abin farin ciki, ƙwayar kamala da ke hada da kodan yana da wuya.
Cutar cututtuka
Ga wasu hankulan bayyanar cututtuka na pyelonephritis:
- flank zafi
- costovertebral kwana m
- tausayi na koda a kan zurfin zubar da hankali
- tashin zuciya
- vomiting
- zazzabi
- bala'i
- sujada
Sanin asali
Sanarwar asibiti na pyelonephritis ta dogara ne akan tarihin binciken binciken jiki da kuma bincike na binciken daga gwaje-gwaje na gwaji irin su al'ada da kuma al'adar fitsari. Ba kamar ƙwayar cystitis ba mai rikitarwa, tsammanin pyelonephritis yana samar da al'adar fitsari.
Ba a buƙatar hoton da aka gano ba don gano asali mafi yawan lokuta na pyelonephritis. Duk da haka, ana iya amfani da duban dan tayi da CT don ganin hotunan pyelonephritis.
Dalili na Hadarin
Hanyoyin haɗari ga pyelonephritis sunyi kama da halayen haɗari ga nau'ikan UTI kuma sun haɗa da nau'ikan jima'i, haɓaka jima'i, wani sabon abokin tarayya da kuma tarihin na UTIs.
Jiyya
Yin maganin pyelonephritis yana kama da maganin m cystitis. Duk da haka, pyelonephritis ya fi dacewa da kwayar cutar cystitis da za a iya haifar da kwayoyin kwayoyin cutar ciki har da damuwa na E. coli wadanda suke da tsayayya ga Bactrim (TMP-SMX). Saboda haka, maganin pyelonephritis yana farawa ne tare da kwayoyin kwayoyin halitta irin su ciprofloxacin, kuma, dangane da yadda kwayoyin kwayoyin cuta ke da cutar shine wannan yana haifar da kamuwa da cuta, zai iya haɗawa da haɗarin maganin rigakafi ko wasu maganin maganin rigakafi kamar su carbapenem.
Yawancin mutane da ke gabatar da kwayoyin cutar da ba a fahimta ba za a iya bi da su a asibitin (mai fita). Kalmar rashin daidaito tana nufin cewa mai haƙuri ba zai nuna rashin ciwo ba a cikin fili na urogenital, ba shi da kayan aiki a wani wuri kamar ƙwayar urinary ciki kuma bata da ciki. Mutane da ake bi da su a asibiti don maganin pyelonephritis masu rikitarwa ya kamata su iya jure wa tarin ruwa da magani na maganin.
Mutanen da ke fama da rikice-rikice mai rikitarwa, magungunan pyelonephritis ko magunguna, kamar su ciwon sukari ko cututtukan ciwon sikila, an fi dacewa su a asibiti. Yayin da yake a asibiti, wadannan mutane suna karɓar maganin rigakafi masu dauke da kwayoyi.
Bugu da ƙari ga maganin rigakafi, mutumin da ke tare da pyelonephritis kuma zai iya karbar analgesics (tunanin opioids) don ciwo da kuma promethazine don tashin hankali da kuma zubar da jini.
Yin jiyya na pyelonephritis ba tare da rikita ba yana da kwanaki bakwai. An magance lokuta masu tsanani ko mafi tsanani na pyelonephritis don kimanin kwanaki 14.
Pyelonephritis yafi rudani fiye da kwayar cutar cystitis, kuma tsakanin 20 zuwa 30 bisa dari na mutanen da ke tare da pyelonephritis kuma suna ci gaba da kamuwa da cutar.
Sauran matsalolin pyelonephritis sun hada da kwayoyin necrosis da kuma phylonephritic phhysematous, inda kodan ya lalace kuma gas ya gina cikin koda, Duk wadannan matsalolin zasu iya haifar da gazawar koda.
Rigakafin
A bayanin karshe, a nan wasu matakai da kake (mace) zasu iya ɗauka don hana pyelonephritis da UTIs:
- sha yalwa da ruwa
- ya rage mafitsara bayan jima'i
- shafa daga gaba zuwa baya don kauce wa gabatarwa kwayoyin cikin farji
- urinate akai-akai
- kauce wa samfurori na tsabtace mata masu amfani da layin giraguni kamar dakuna da sprays
Sources:
Gupta K, Trautner BW. Magungunan Tracton Urinary, Pyelonephritis, da Prostatitis. A: Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. eds. Ka'idodin Magungunan Ciki na Harrison, 19th . New York, NY: McGraw-Hill; 2015.
Howes DS, Bogner MP. Babi na 94. Cututtukan Urinary Tract and Hematuria. A: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Magungunan gaggawa na Tintinalli: Jagoran Nazarin Nazari, 7th . New York, NY: McGraw-Hill; 2011.