I-Pyelonephritis ebantwini yinkqubo yokuvuvukala kwinqanaba le-upper urinary (kwiintso). Ngelishwa, umfanekiso weklinikhi we-pyelonephritis kwiintsana ahluke kwiimpawu ezivela kwi-cystitis (ukusuleleka kwinqanaba lomgca we-urinary). Ngoko ke, ekliniki, ngokuqhelekileyo ezi ngcamango zombini zidibaniswe kwixesha elithi "utyholongwane lwe-urinary tract infection". Nangona kunjalo, uphando lubonise ukuba iintsana zihlala zichaphazeleka yizintso, ngoko unyango lwentsholongwane luqaliswa ngokukodwa kwesikimu njengoko i-pyelonephritis.
Iimbangela ze-pyelonephritis kubantwana
Ngokuqhelekileyo, imbangela ye-pyelonephritis kwiintsana ziza kubakho bhaktheriya egazini. Oko kukuthi, nayiphina into encane engena emzimbeni womntwana inokukhupha i-pyelonephritis.
Kwiintsana, indlela yokubonakala kwe-pyelonephritis eyahlukileyo - iibhaktheriya "ziphakama" ukusuka kumaphecana aphantsi kwamanzi, kwaye, zifikelela ezintso, zikhupha iimpawu ze-pyelonephritis.
Iinqununu ezinokuthi zichaphazeleke kakhulu iintso zibandakanya:
- E. coli;
- Klebsiella;
- enterococcus fecalis;
- nqabile - staphylococci kunye ne-streptococci.
Iintlobo zezilwanyana zokuqala ezintathu ziqhelekileyo "abemi" beengxumbo, kodwa ukungena kwi-urinary tract, kubangele iinkqubo ezinzima kunye nezifo ezingapheliyo.
Abantwana babonisa njani i-pyelonephritis?
Iimpawu ze-pyelonephritis kubantwana ziyahluka ngoxhomekeke kwiminyaka yabo. Kananjalo, banxulumene ngokusondeleyo kunye nendlela yokuphuhliswa kwetsholongwane. Emva koko, siya kuchaza indlela i-pyelonephritis ebonakalisa ngayo kubantwana, kuxhomekeke kwiminyaka yabo.
I-Pyelonephritis kwiintsana
Iimpawu ze-pyelonephritis ezisanda kuzalwa zibangelwa kubukho bhaktheriya be-pathogenic egazini. Ngako oko, imiqondiso yesifo kule minyaka ayimfuneko kakhulu, kwaye ingabonakali isilonda sezintso:
- i-jaundice;
- i-hypothermia okanye umkhuhlane;
- ngxamele ukutya;
- ukuhlanza;
- ukulibaziseka ekuphuhlisweni;
- ingakumbi kumakhwenkwe - hyponatremia kunye ne hyperkalemia.
Pyelonephritis kwiintsana
I-Pyelonephritis kwiintsana kunye nabantwana abancinci (ukusuka kwiinyanga ezi-2 ukuya kwiminyaka emi-2) nayo inemifanekiso engabonakaliyo:
- umkhuhlane uhlala ngaphezu kwama-48 iiyure;
- ngxamele ukutya;
- ukuhlanza;
- isifo sohudo;
- iphunga elimnandi lomchamo;
- ukuxutyushwa kwegazi emcinini womntwana .
Iimpawu ze-pyelonephritis eqaqambileyo kubantwana basesikolweni nabantwana besikolo
- intlungu kwisisu okanye kwicala;
- umkhuhlane uhlala ngaphezu kwama-48 iiyure;
- ukuhlanza;
- isifo sohudo;
- ukuxutyushwa kwegazi emcini;
- i-anorexia;
- enuresis;
- ukungahambi kakuhle nokucoca;
- Iqheno eliphindaphindiweyo lokuya kwindlu yangasese.
Iimpawu ze-pyelonephritis eziselula
Ifana neempawu kubantu abadala:
- ukuphosa;
- intlungu emva okanye kwicala;
- ukuhamba ngokuqhelekileyo nokubuhlungu;
- ukuxutyushwa kwegazi kumchamo (hematuria).
Kuya kuba kuhle ukuba uqaphele ukuba zonke iimpawu ezingentla zingqinelana ne-pyelonephritis ebonakalayo kubantwana.
Umonakalo wentsholongwane engapheliyo ubonakala njani?
Kukho imeko xa i-pyelonephritis engapheliyo kubantwana ibonakala njengengxaki ye-pyelonephritis. Okanye, i-pyelonephritis engapheliyo ifunyanwe ekuqaleni kwisifundo (rands, urinalysis).
Ngaloo ndlela, ngexesha lokuxolelwa kwe-pyelonephritis engapheliyo-ayikho impawu. Kodwa ekunciphiseni okuncinci kumzimba, ukuxhomekeka kwegazi, okanye ukungahlambuluki, kufuneka
Unyango lwe-pyelonephritis kubantwana
Ukunyangwa kwe-pyelonephritis kubantwana kusekelwe kwiphilisi ye-antibacterial, i-hydration, kunye nokusetyenziswa kweziyobisi eziyeka ukushisa kunye nentlungu. Ubungakanani bonyango luvela kwiintsuku ezi-7 ukuya kwezi-14, kuxhomekeke kubukhulu besifo kunye nokuphendula komzimba kunyango.
Abantwana abaneempazamo ekuphuhlisweni kwezintso okanye i-urinary tract kufuneka bahlale bebhaliswe kunye ne-urologist okanye i-nephrologist.