Loaʻa iā ʻoe kahi maʻi i loko o kou mau puʻupaʻa? E kamaʻilio kākou e pili ana i kēia! (Maʻi Puʻupaʻa / Pyelonephritis)

Loaʻa iā ʻoe ke kuni me ka ʻeha ma kou kua haʻahaʻa a i ʻole ka ʻūhā? Manaʻo ʻoe e pono ʻoe e mimi pinepine, a loaʻa iā ʻoe kahi ʻano wela ke hana ʻoe? He mau hōʻailona paha kēia o kahi maʻi maʻi urinary maʻamau. Akā i kekahi manawa, hiki ke lilo i hōʻailona o kahi mea ʻoi aku ka koʻikoʻi, e like me kahi maʻi i pālahalaha i nā puʻupaʻa . Makaʻu ka poʻe he nui ke lohe lākou i kēia inoa, akā inā ʻike pono ʻia ʻoe a mālama ʻia i ka manawa kūpono, hiki ke ho'ōla loa ʻia kēia maʻi. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.

He aha maoli ka maʻi puʻupaʻa?

I ka ʻōlelo maʻalahi, ʻo ka maʻi puʻupaʻa he maʻi ia o kekahi a i ʻole nā ​​​​puʻupaʻa ʻelua i hoʻokumu ʻia e ka bacteria a i ʻole nā ​​​​virus . Ma nā ʻōlelo lapaʻau, kapa mākou iā ia he " Pyelonephritis ". He hihia koʻikoʻi kēia o ka maʻi Urinary Tract Infection ( UTI ).

E noʻonoʻo e pili ana i kā mākou ʻōnaehana mimi . ʻO kona ʻāpana nui nā puʻupaʻa. ʻO ka hana nui o nā puʻupaʻa, ʻo ia ke kānana i nā huahana ʻōpala a me ka wai keu mai ko mākou koko a hana i ka mimi. Loaʻa i kēia ʻōnaehana nā ʻāpana ʻē aʻe:

• Nā Ureters : ʻElua mau ʻōmole lahilahi e lawe ana i ka mimi, i hana ʻia i loko o nā puʻupaʻa, i ka ʻōpū mimi.
• ʻŌmole mimi : He ʻōkana e like me ke ʻeke e mālama ai i ka mimi no kekahi manawa.
• Urethra: ʻO ka ʻōmole e lawe ai i ka mimi mai ka ʻōpū mimi a i waho o ke kino.

ʻO ka maʻamau, ʻo ka mea mua e hana ʻia, ʻo ia ke komo ʻana o kahi germ i loko o ka ʻōpū mimi a hoʻoulu i kahi maʻi. He mea ʻeha kēia akā ʻaʻole koʻikoʻi loa. Eia naʻe, inā ʻaʻole mālama ʻia kēia mau germs, hiki iā lākou ke hele i luna o ka urethra a i loko o nā puʻupaʻa. ʻO ia ka manawa e loaʻa ai iā mākou ka mea a mākou e kapa nei he maʻi puʻupaʻa. He kūlana kēia e pono e mālama koke ʻia . A i ʻole, hiki ke hoʻoweliweli i ke ola.

He aha nā hōʻailona o kēia maʻi?

Aia kekahi mau hōʻailona e hiki ke kū mai me kahi maʻi puʻupaʻa. Loaʻa paha i kekahi poʻe nā mea āpau, aʻo kekahi poʻe he kakaikahi wale nō.

Nā kumu a me nā kumu pilikia no ka hoʻomohala ʻana i kahi maʻi puʻupaʻa

Hoʻomaka pinepine nā maʻi puʻupaʻa ma ke ʻano he maʻi ʻōpū mimi. ʻO ke kumu nui o kēia he ʻano bacteria i kapa ʻia ʻo 'Escherichia coli (E. coli)' e noho ana i loko o ko kākou ʻōpū. Inā noho kēia bacteria i loko o nā ʻōpū, ʻaʻohe pilikia. Akā inā komo ia i loko o ke ala mimi, hoʻoulu ia i ka maʻi.

I kēia manawa ke noʻonoʻo nei paha ʻoe i ka lōʻihi o ka holo ʻana o ka maʻi mimi i nā puʻupaʻa. ʻAʻohe manawa kikoʻī. He ʻokoʻa ia mai kēlā kanaka a kēia kanaka. Akā inā ʻaʻole mālama koke ʻia ka maʻi mimi, kiʻekiʻe ka pilikia o ka piʻi ʻana o ka bacteria.

ʻOiai hiki i kekahi ke loaʻa i kahi maʻi puʻupaʻa, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• ʻOiai he mau wāhine:ʻOi aku ka pōkole o ka urethra o nā wahine ma mua o nā kāne, a no ka mea aia ia kokoke i ka vagina a me ka anus, ʻoi aku ka nui o ka bacteria e komo i loko o ka urethra.
• Hāpai keiki: ʻO nā loli hormonal i ka wā hāpai a me ke kaomi ma luna o ka ʻōpū mimi a me ka urethra mai ka pēpē e ulu ana hiki ke lohi i ke kahe o ka mimi, e hoʻonui ana i ka pilikia o ka maʻi.
• Ka ālai ʻia ʻana o ke kahe o ka mimi: Inā he ālai ʻia ke kahe o ka mimi ma muli o nā kumu e like me nā pōhaku puʻupaʻa a i ʻole ka prostate i hoʻonui ʻia i nā kāne, ʻoi aku ka nui o ka ulu ʻana o ka bacteria.
• Ka hoʻokahe piha ʻole ʻana o ka ʻōpū mimi: Inā ʻaʻole hiki ke hoʻokahe piha ʻia ka ʻōpū mimi ma muli o nā pilikia aʻalolo a i ʻole nā ​​​​kumu ʻē aʻe, hiki i ka bacteria ke ulu i loko o ke koena o ka mimi.
• ʻO ka reflux Vesicoureteral (VUR): He kūlana kēia e kahe ai ka mimi i hope mai ka ʻōpū mimi ma o ka ureter i nā puʻupaʻa. He mea maʻamau kēia i nā keiki ʻōpio.
• ʻŌnaehana pale kino nāwaliwali: ʻO ka poʻe me nā maʻi e like me ka maʻi diabetes, ka maʻi HIV, a me ka poʻe e lawe ana i nā lāʻau immunosuppressive ma hope o ke kāpili ʻana i nā ʻōpū, ua emi ko lākou hiki ke hakakā i nā maʻi.
• Ka hoʻohana ʻana i nā catheter: Hoʻokomo ʻia nā catheter i loko o ke ala mimi ma hope o ke ʻoki ʻana a i ʻole i nā poʻe maʻi e moe ana i kahi moe. Hiki i kēia ke ʻae i nā germs e komo i loko o ka ʻōpū mimi.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a laila e kauoha pinepine i nā hoʻokolohua penei:

• Ka nānā ʻana i ka mimi: Lawe ʻia kahi laʻana o kāu mimi a nānā ʻia no ka bacteria a i ʻole nā ​​​​​​keʻokeʻo koko, i hana ʻia e ke kino i ka wā o kahi maʻi.
• Hoʻāʻo moʻomeheu mimi: Hoʻohana ʻia kēia e ʻike pono i ke ʻano o ka bacteria i loko o kou mimi. A laila hiki i kēia ke hoʻoholo i ka antibiotic maikaʻi loa no kēlā bacteria.

I kekahi mau hihia, inā makemake ke kauka i ka ʻike hou aku, hiki iā ia ke kauoha i kahi mea e like me ka ultrasound scan, CT scan, a i ʻole MRI scan. Hoʻohana ʻia kēia mau mea e nānā i nā mea keakea, e like me nā pōhaku, i loko o ke ala mimi.

Hiki ke hana ʻia nā mea koʻikoʻi inā ʻaʻole mālama ʻia

ʻAʻole he mea hoʻohenehene ka maʻi puʻupaʻa. Inā ʻaʻole e mālama koke ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi.

• ʻŌpū puʻupaʻa: Hiki i ka pus ke hōʻiliʻili i loko o nā ʻiʻo puʻupaʻa. Hiki i kēia mau bacteria ke laha i nā wahi ʻē aʻe, e like me nā māmā a me ke koko.
• Septicemia: Inā komo ka bacteria mai ka puʻupaʻa i loko o ke koko, hiki iā ia ke laha ma ke kino a hōʻino i nā ʻōkana. He pilikia olakino kēia e pono ai ka mālama koke ʻia ʻana i ka haukapila .
• Ka hāʻule ʻana o ka puʻupaʻa:ʻOiai he mea kakaikahi loa, hiki i kahi maʻi koʻikoʻi ke hōʻino i nā puʻupaʻa a nalowale loa kā lākou hana.
• Nā pilikia i ka wā hāpai: Inā ulu kahi maʻi puʻupaʻa i ka wā hāpai, hiki i ka makuahine ke loaʻa i nā maʻi koʻikoʻi, pilikia ka hanu ʻana (adult respiratory distress syndrome), a loaʻa kahi pēpē kaumaha haʻahaʻa i ka wā hānau.

ʻO ka mālama ʻana a me nā mea hiki iā ʻoe ke hana ma ka home

Hoʻōla ʻia kahi maʻi puʻupaʻa me nā antibiotics. E kuhikuhi kāu kauka iā ʻoe i kahi papa o nā antibiotics no ka liʻiliʻi he ʻelua pule. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka papa piha o ka lāʻau lapaʻau no ka manawa piha, ʻoiai inā ʻoe e ʻoluʻolu i loko o ʻelua a ʻekolu paha lā. Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau, ʻaʻole paha e nalowale loa ka maʻi a hiki ke hoʻi hou mai.

Nā mea hiki iā ʻoe ke hana ma ka home e kōkua i ka hōʻoluʻolu ʻana i ka ʻeha

ʻOiai e lawe ana i ka lāʻau lapaʻau i kauoha ʻia e kāu kauka, hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka ʻoluʻolu ʻole āu e manaʻo nei:

• E inu i ka wai nui: E inu i ka wai nui i ka lā a pau. E kōkua kēia i ka hoʻopau ʻana i nā germs.
• E hoʻomaha nui: Pono ke kino i ka nui o ka hoʻomaha.
• Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke lawe i kahi mea e like me 'Paracetamol' no ka ʻeha. Akā , mai lawe i nā lāʻau hoʻopau ʻeha e like me 'Aspirin', 'Ibuprofen' a i ʻole 'Naproxen' me ka ʻole o ke kūkākūkā ʻana me ke kauka no kekahi kumu. Hiki iā lākou ke hōʻino i nā puʻupaʻa.
• Nā ʻeke wela: ʻO ka hoʻopili ʻana i kahi ʻōmole wai wela i kou ʻōpū, kua, a i ʻole nā ​​​​puʻupuʻu e hiki ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.

Āhea ʻoe e pono ai e lawe ʻia i ka haukapila?

I kekahi manawa pono paha ʻoe e lawe ʻia i ka haukapila no ka mālama ʻana. Hana ʻia kēia i ka wā:

• Inā ʻoe e pilikia nei me ka maʻi.
• Inā ʻaʻole hiki i ka lāʻau lapaʻau āu e lawe ai ke kāohi i ka maʻi.
• Inā loaʻa iā ʻoe kekahi maʻi ʻē aʻe a i ʻole kahi ʻōnaehana pale maʻi nāwaliwali.
• Inā hāpai ʻoe.

Ma ka haukapila, hiki ke hāʻawi ʻia iā ʻoe nā lāʻau antibiotic a me nā wai ma o kahi wai saline i loko o kahi aa. I nā maʻi koʻikoʻi, hiki ke hoʻokomo ʻia ʻoe i ka Emergency Treatment Unit (ETU) .

ʻAʻai puʻupaʻa, Pyelonephritis, ʻAʻai ʻōpū mimi, UTI, ʻEha kua, Maʻi puʻupaʻa, Kuni a me ke anu, Mumū ʻōpū mimi