zais zis vs raum kab mob (Cystitis vs Pyelonephritis)
Cov kab mob zais zis (cystitis) thiab kab mob raum (pyelonephritis) yog ob qho tib si urinary tract infections. Tsuas muaj ob peb qhov sib txawv ntawm ob.
Kab mob urinary tract yog kab mob uas tshwm sim hauv cov poj niam. Lawv feem ntau tshwm sim hauv cov poj niam hnub nyoog 16 txog 35 xyoo (cov menyuam muaj hnub nyoog pawg). 60% ntawm cov poj niam tau kis tus kab mob urinary qee zaum hauv lawv lub neej thaum 10% tau txais nws txhua xyoo. Nws kuj yog hom kab mob kis tau zoo tshaj plaws hauv tsev kho mob. Cov poj niam muaj feem yuav kis tau cov kab mob urinary ntau dua li cov txiv neej. Cov poj niam muaj lub raj luv luv ua rau sab nraud ntawm lub zais zis. Txoj hauj lwm ntawm qhov qhib ntawm cov zis nyob rau hauv qhov chaw mos nyob ze ntawm lub qhov quav ua rau nws yooj yim rau cov kab mob plab nkag mus rau hauv cov zis. Cov poj niam uas muaj kev sib deev, cov neeg laus, cov poj niam cev xeeb tub, thiab cov neeg uas muaj kev tiv thaiv qis tiv thaiv kab mob tau kis kab mob urinary.
Feem ntau cov kab mob urinary yog vim cov kab mob uas ib txwm pom hauv plab (plab commensals); Escherichia coli yog cov kab mob feem ntau (80-85%). Staphylococcus saprophyticus ua rau thaj tsam 5-10% ntawm cov kab mob urinary. Klebsiella, Pseudomonas, thiab Proteus yog qee zaus cov kab mob sib cais; cov no yog cov txawv txav thiab muaj feem xyuam rau qhov txawv txav ntawm cov zis thiab cov twj paj nruag xws li urinary catheters. Staphylococcus auerus tuaj yeem kis tau los ntawm cov ntshav mus rau hauv cov zis. Cov kab mob thiab cov kab mob tuaj yeem ua rau muaj kab mob urinary hauv cov tib neeg uas muaj kev tiv thaiv tsis muaj zog xws li cov neeg mob AIDS, cov tib neeg ntawm kev kho mob steroid ntev.
Cov yam ntxwv kho mob muaj xws li mob lossis kub hnyiab thaum tso zis, mob plab hauv plab, tso zis ntau zaus, tso zis ntau dhau, tso ntshav nrog cov zis, thiab nyuaj rau tuav. Cov zis qhia tag nrho lossis kuaj zis muab ntau cov ntaub ntawv. Qhov tshwj xeeb gravity (density) ntawm cov zis yog nce nyob rau hauv ib tug kab mob urinary ib ntsuj av. Cov tsos mob yuav pom tseeb lossis huab. Cov zis xim tuaj yeem raug cuam tshuam los ntawm kev kis kab mob nrog rau cov khoom noj, tshuaj thiab lwm yam. Epithelial hlwb tuaj yeem tshwm sim (Nyob rau hauv cov poj niam >10 ib lub zog loj yog coj los ua qhov tseem ceeb thiab hauv cov txiv neej nws yog >5 ib lub zog siab). Cov hlwb liab tuaj yeem tshwm sim, thiab txhua tus lej tseem ceeb vim tias cov qe ntshav liab yuav tsum tsis txhob tso zis hauv tus neeg noj qab haus huv. Cov kab mob kuj tseem tuaj yeem pom hauv cov zis thiab cov no yuav tsum raug txheeb xyuas tias yog kab mob ua rau muaj kab mob thiab tsis yog commensals. Crystals nyob rau hauv cov zis tuaj yeem muab cov lus qhia rau biochemical Cheebtsam ntawm cov zis thiab cov kab mob ua tau.
Kev kuaj zis thiab tshuaj tua kab mob rhiab heev - Kev sau cov zis kab lis kev cai yog qhov tseem ceeb heev vim tias cov ntaub ntawv tsis raug tuaj yeem ua rau yuam kev. Koj yuav tsum tau ntxuav qhov chaw mos nrog xab npum thiab dej ua ntej thiab qhuav kom huv si. Cov txiv neej yuav tsum rub rov qab ntawm lub foreskin thiab poj niam yuav tsum cais qhov chaw mos daim di ncauj. Cia thawj feem ntawm cov zis ntws tawm thiab tsis txhob sau rau hauv lub thawv. Sau qhov nruab nrab ntawm cov zis tso rau hauv lub thawv. Kaw kom nruj thiab muab xa mus rau chav kuaj. Tsis txhob ntxuav lub thawv ua ntej sau cov zis vim nws tsis muaj menyuam. Yog hais tias kab lis kev cai qhia tau hais tias muaj kev loj hlob, nws yuav raug tshuaj xyuas nyob rau hauv lub tshuab tsom. Kev muaj nyob ntawm >105 colony forming units (hauv cov neeg laus) suav tias yog qhov tseem ceeb. Cov kab mob ua txhaum cai tseem yuav raug txheeb xyuas, thiab ntau yam qauv lossis tshuaj tua kab mob yuav raug kuaj tawm tsam nws. Cov tshuaj tua kab mob zoo tshaj plaws yuav raug qhia hauv tsab ntawv ceeb toom. Tus kws kho mob yuav txiav txim siab ua kom tiav cov ntshav suav, C-reactive proteins, ultrasound scan ntawm lub raum, ntshav creatinine, ntshav urea nitrogen, ntshav electrolytes nyob ntawm qhov kev txiav txim kho mob.
Dab tsi yog qhov txawv ntawm Kab Mob Plab thiab Raum? Cystitis vs Pyelonephritis Y
• Kab mob raum (pyelonephritis) ua rau mob flank thaum zais zis (cystitis) tsis.
• kub taub hau ntau dua hauv lub raum kab mob dua li kab mob zais zis.
• Txhua qhov kev tshawb nrhiav tau txais txiaj ntsig zoo sib xws hauv ob qho tib si.
• Pyelonephritis tej zaum yuav xav tau tshuaj tua kab mob hauv cov hlab ntsha thaum lub zais zis feem ntau tsis ua.
