Igazi emchameni wezinja: izimbangela kanye nokwelashwa

Igazi emchameni wenja: into esemqoka

• Igazi emchameni wenja (hematuria) kuwuphawu olushaqisayo. Ukuxhumana nomtholampilo akufanele kuhlehliselwe usuku;

• Umchamo obomvu enja uvame ukuvela ngenxa ye-urocystitis ne-urolithiasis, kodwa amanye ama-pathologies abangela ukuvela kwegazi ngesikhathi sokuchama awakhishwanga;

• Udokotela endaweni yokwamukela izivakashi udinga ukunikeza ulwazi oluningiliziwe mayelana nokugcinwa, ukuphakelwa kwesilwane esifuywayo kanye nezimpawu;

• Ukuxilongwa kuhlanganisa ukuhlolwa, ukuhlaziya umchamo kanye ne-ultrasound. Ezinye izifundo zingadingeka;

• Ungakwazi ukusiza isilwane sakho uwedwa, kodwa kukhona contraindications izidakamizwa eziningi. Kungcono ukubonisana nodokotela wezilwane;

• Ungakwazi ukuqoqa isampula yomchamo ngesikhathi sokuskena kwe-ultrasound noma uwedwa esitsheni esingenalutho;

• Ukuze uvimbele, kufanelekile ukugwema i-hypothermia, uphathe njalo isilwane sakho kusuka kuma-parasite futhi uhlole ukuhlolwa kwezokwelapha.

Izimbangela zegazi emchameni

urocystitis

Cystitis (urocystitis) ukuvuvukala kwesinye. Kungaba yi-bacterial and oyinyumba (ngaphandle kokubamba iqhaza kwe-microflora), imbangela ingaba i-hypothermia, ukucindezeleka, izifo, nokwephulwa kokudla. Izimpawu ezijwayelekile:

• Ukuchama kaningi futhi kubuhlungu. Inja ingase ingakubekezeleli ukuhamba;

• Ubuhlungu besisu. Shintsha ekuhambeni, ukuqaphela ukunyakaza.

Ukwelashwa kuncike ohlotsheni lwe-cystitis kanye nobukhulu bezimpawu. Ama-antibiotics, ama-antispasmodics, ama-painkillers, ukudla okukhethekile kanye nesimiso sokuphuza kungase kubekwe.

Izinso

Igazi lingangena emchameni ovela ezinso ngesikhathi senqubo yokuvuvukala, i-hydronephrosis, i-polycystic, i-pyelonephritis. Lezi yizifo ezimbi kakhulu, okuthi, phakathi kwezinye izinto, zihambisane nokukhathala, ubuhlungu obunzima esiswini, nokushintsha ukoma.

Ezimweni ezinjalo, ukwelashwa kwezimpawu (ama-painkillers, ama-antispasmodics) kanye nokwelashwa okuqondile (ama-antibiotics, ama-droppers, ukudla, ngezinye izikhathi ukuhlinzwa) kunqunywa.

Ukulimala

Ukuwa kusuka ekuphakameni, ukushaya, ukulunywa kwesinye isilwane kuyimbangela evamile yokuhlukumezeka esinyeni nasezinso. Ngezinye izikhathi ukulimala kuba nzima kangangokuthi udonga lwesitho luyaphuka.

Njengomthetho, kusetshenziswa imishanguzo ye-hemostatic nezinhlungu, futhi uma udonga lwesitho luqhuma, kwenziwa umsebenzi ophuthumayo.

Ukuba khona kwesihlabathi noma amatshe

I-Urolithiasis (UCD) nayo ngokuvamile iyimbangela ye-hematuria. Isihlabathi namatshe kulimaza ulwelwesi lwamafinyila, okuholela ekubukeni kwe-tint ebomvu yomchamo. Njenge-cystitis (ecishe ihlale ihambisana ne-KSD), kunezimpawu zokuchama njalo okubuhlungu, ukukhathala, nokuba buhlungu kodonga lwesisu.

Ukwelashwa, izidakamizwa ezilwa nokuvuvukala zisetshenziselwa, ukutheleleka - ama-antibiotics, ukudla okukhethekile ukuze kuqedwe i-sediment, kanye nesimiso sokuphuza. Ngezinye izikhathi amatshe aba makhulu kangangokuthi kudingeka asuswe ngokuhlinzwa. Lapho i-urethra ivinjiwe, i-catheter ye-urethral ifakwa.

Izinkinga ze-coagulation (i-coagulopathy)

Ezifweni zesistimu ye-hematopoietic, i-oncology, inqubo ye-coagulation ingaphazanyiswa. Ngaphezu kokubonakala kwegazi emchameni, inja izobonisa izimpawu zokopha kwezinye izitho. Ngokuvamile nge-coagulopathy, indle enegazi kanye nokuhlanza, i-pallor yolwelwesi lwamafinyila, ukopha esikhumbeni kanye nolwelwesi lwamafinyila. Izidakamizwa zokuvuselela i-hematopoiesis (izinto ezizovusa umnkantsha ukuze zenze amangqamuzana egazi engeziwe) zinganconywa. Uma kunobuthi - ama-antidotes. Ngokuvamile kuyadingeka ukumpontshelwa igazi noma i-platelet.

Izicubu 

Ama-neoplasms angaba odongeni lwesinye, ezinso, ureters, urethra nasezithweni ezingomakhelwane. Njengoba izimila zikhula, zingahlukumezeka, zihlakazeke, futhi zibangele ukuvuvukala kwendawo, okuholela egazini kumchamo wenja.

Ukwelashwa kwama-neoplasms cishe njalo ngokuhlinzwa. I-Chemotherapy ingase inikezwe ngemva kokuhlinzwa.

Isifo se-Prostate ezinjeni

I-Prostatitis, i-neoplasms ye-prostate, i-calcifications kanye nama-cysts we-prostate gland ezinjeni - zonke lezi zifo zihambisana nezimpawu zokuchama okubuhlungu, ukubonakala kokukhishwa kwamafu ku-prepuce, igazi emchameni. Ukwelashwa kungase kuhlanganise i-alpha-blockers (izidakamizwa zokwelapha i-prostatitis), izinhlungu, ama-antibiotics. Ngokuvamile kuyadingeka ukuhlinzwa.

I-Balanoposthitis (ukuvuvukala kwe-penis kanye ne-prepuce)

Umchamo ungase ube bomvu kakade ekuphumeni kwe-urethra, uma ukuvuvukala kutholakala ezithweni zangasese zangaphandle. Nge-balanoposthitis, umthondo ubukeka uvuvukele. Ukukhishwa kwe-prepuce kuba kuningi, kushubile, kube nephunga elimnandi. Ngokuvuvukala okukhulu enjeni, igazi lingaconsa lisuka ku-urethra.

Ukwelashwa, ukwelashwa kwendawo, i-douching, ama-antibiotics, anti-inflammatory asetshenziswa.

Izifo zesibeletho kanye nesitho sangasese sowesifazane kuma-bitches

Isitho sangasese sowesifazane kanye ne-urethra kusondelene kakhulu. Ngakho-ke, kungase kube nzima ukuqonda ukuthi igazi lalivelaphi ngempela. Izifo zesistimu yokuzala kuma-bitches ngokuvamile azibonakali, kodwa njengoba lesi sifo siqhubeka, ubuhlungu odongeni lwesisu, ukuphuma okuningi ku-loop, ukukhathala, nokoma okwandayo.

I-Douching, i-suppositories yangasese, ama-antibiotics, i-anti-inflammatory inqunyiwe. Endabeni ye-pyometra, ukuhlinzwa kanye nenkambo ende yama-antibiotics kuyadingeka.

I-Piroplasmosis

I-Piroplasmosis (i-babesiosis) yisifo esiyisinanakazana esisakazwa ngokulunywa umkhaza. I-Babesia ibhubhisa amangqamuzana egazi abomvu, okwenza inani elikhulu le-hemoglobin lingene egazini. Ngakho, nge-piroplasmosis, umchamo uthola umbala omnyama omnyama. Izimpawu ze-hematuria (igazi emchameni) kanye ne-hemoglobinuria (i-hemoglobin emchameni) zingabukeka zifana kakhulu ngokubukeka. Ukwengeza, nge-piroplasmosis, izinga lokushisa lomzimba likhuphuka ngaphezu kuka-40 * C, izimpawu ze-malaise evamile zenzeka: ukukhathala, ukwenqaba ukudla, ukuphefumula, ubuthakathaka bemilenze yangemuva. Lesi sifo sithuthuka ngokushesha, futhi uma ungahambi emtholampilo ngosuku lokuqala emva kokuqala kwezimpawu, khona-ke kukhona amathuba aphezulu okulimala kwezinso nesibindi, i-anemia.

Isisekelo sokwelashwa yizidakamizwa ezibhubhisa i-babesia, anti-inflammatory, droppers. I-Corticosteroids, i-hepatoprotectors, i-antiemetics, ukumpontshelwa igazi kungase kudingeke.

Ubuthi

Uma obunye ubuthi nobuthi bugwinywa, izimpawu ziyefana ne-coagulopathy. Kubalulekile ukuthi ungavumeli inja ithathe okuthile emgwaqweni, futhi lapho uhlanza indawo kusuka kumagundane, amagundane, izinambuzane, unake kakhulu ukuvikela inja ekudleni ukudla okunobuthi.

Kukhona amakhambi kwabanye ubuthi. Ukwengeza, ukwelashwa okunezimpawu kunqunyelwe: ama-droppers, ukugeza kwesisu (emizuzwini yokuqala engama-40 ngemuva kokudla), ama-antiemetics (uma sekudlule isikhathi esiningi kusukela ebusheni futhi kukhona ukuhlanza).

Ukungenelela kokuhlinzwa

I-hematuria ingase yenzeke ngemva kokuhlinzwa ezithweni zomchamo kanye nezinhlelo zokuzala. Ngezinye izikhathi ukubonakala kwegazi elincane emchameni wenja ngemva kokuhlinzwa kuyinto evamile, ngezinye izikhathi kuyisibonakaliso esisabekayo. Kunoma yikuphi, udinga ukushayela umtholampilo futhi uhlole nodokotela owenze ukuhlinzwa ukuthi kufanelekile yini ukukhathazeka ngalokhu.

Ukudla ukudla okuthile nemithi

Okunye ukudla kungashintsha umchamo ube bomvu/obomvana. Umbala wokudla uyengezwa, ngokwesibonelo, kumaswidi izinja ezithanda ukuwantshontshela izingane. I-tint ebomvu emchameni inikezwa ama-beet ngisho nemithi ethile.

isifinyezo ithebula

Ulwazi lokusiza udokotela wezilwane ekuxilongeni

Uma inja ichama ngegazi, kufanele uxhumane nomtholampilo wezilwane ngokushesha futhi uqale ukwelashwa.

Ngesikhathi sokuqokwa kokuqala, kubaluleke kakhulu ukwazisa:

• Umlando wokudla okunomsoco. Hlobo luni lokudla olunikezayo (kuhlanganise nezibiliboco), uma ukudla sekushintshile muva nje.

• Izinyathelo zokuzivikela: imigomo, ukwelashwa kwezimuncagazi, izinsuku namagama ezidakamizwa.

• Ziqale isikhathi esingakanani izimpawu futhi zishintshe kanjani ngokuhamba kwesikhathi?

• Imodi yokuphuza. Yeka ukuthi inja iwaphuza kahle kangakanani amanzi, noma ngabe ukoma sekwandile muva nje.

• Ingabe isilwane sakho sithatha noma yimiphi imithi?

• Ingabe uke waba nezimpawu ezifanayo ngaphambili? Futhi uma bekunjalo, khona-ke udinga ukunikeza ulwazi oluningiliziwe mayelana nokwelashwa, ukuxilongwa kwesifo.

• ukuvama kokuchama. Ingabe kuthatha uhambo?

Uma ukuvakashela udokotela wezilwane kungenakwenzeka

Ekhaya, ungakwazi ukusiza isilwane sakho uwedwa ngaphambi kokuba uye emtholampilo. Into esemqoka ukungenzi izinto zibe zimbi nakakhulu.

Yini okufanele ngiyenze uma inja yami ichama negazi?

1. Udinga ukugcina isilwane sakho sizolile. Mlungisele umbhede endaweni enokuthula efudumele, umzungeze ngokucophelela.

2. Imodi yokuphuza. Gcina izitsha ezimbalwa zamanzi ahlanzekile eduze kwesilwane sakho. Uma isilwane senqaba ukuphuza, ungakwazi ukwengeza umhluzi omncane, isoso senyama ekheniwe, i-pinch ye-vanilla, njll emanzini.

Kunoma yikuphi lapho kufanele unikeze izidakamizwa ezivela kukhithi yosizo lokuqala lomuntu ngaphandle kokuncoma kukadokotela. Okokuqala, izidakamizwa eziningi azikwazi ukusetshenziswa ezilwaneni. Okwesibili, imithamo ezinjeni nakubantu ihluke kakhulu. Okwesithathu, izidakamizwa eziningi zine-contraindication yokusetshenziswa.

Ukuze unikeze kahle isilwane sakho usizo lokuqala kuyilapho ungakwazi ukusiyisa emtholampilo, ungathintana nodokotela wezilwane ku-inthanethi ohlelweni lokusebenza lweselula lwePetstory. Udokotela uzoqoqa umlando onemininingwane, atuse ukuthi ungasiza kanjani isilwane okwamanje, futhi akutshele ukuthi yikuphi ukuxilongwa okufanele kwenziwe. Ungalanda uhlelo lokusebenza kusixhumanisi.

Indlela yokuqoqa umchamo?

Indlela efundisa kakhulu yokuhlaziya umchamo i-cystocentesis (ukubhoboza). Inqubo iyinkambiso, i-anesthesia ayidingeki, njengomthetho, izilwane ezifuywayo zisabela ngokuzolile kuyo. Udokotela, ngaphansi kokulawulwa kwenzwa ye-ultrasound, uzofaka inaliti encane ngodonga lwesisu esinyeni futhi athathe ukuhlaziya. Yiqiniso, ngaphambi kokuthatha ukuhlaziya, uzoqinisekisa ukuthi akukho contraindications. Isinye kufanele sigcwale, udonga akufanele lube nokungahambi kahle.

Uma kungenakwenzeka ukudlulisa umchamo nge-cystocentesis, izindlela ezithuthukisiwe zingasetshenziswa. Ngomkhuba wami, kwakukhona abanikazi abaqoqa umchamo nge-ladle noma i-ladle ekuhambeni, ngoba izilwane ezifuywayo azifuni nhlobo ukuchama embizeni. Uma isilwane senza ibhizinisi laso ku-diaper ekhaya, khona-ke ungakwazi ukumane usiphendule nge-oilcloth side up, kungcono ukusula ubuso ngokusula utshwala kuqala. Ukuze uvimbele ukuconsa, beka ezinye izinto emaphethelweni, njengokungathi wenza ikhefu kusuka ku-diaper. Bese uthela isampula lomchamo esitsheni ukuze sihlaziywe noma isirinji oyinyumba. Kodwa-ke, khumbula iphuzu elibalulekile: ukuba khona kwamabhaktheriya ekuhlaziyweni okunjalo akulona ulwazi lokuhlola. Amagciwane angafika lapho evela endaweni ezungezile, kusukela ezidladleni zesilwane esifuywayo, kusukela eboyeni baso noma ku-urethra.

Prevention

Ukuvimbela ukubonakala kwegazi kumchamo wenja, kufanele uqaphele mayelana nesimiso sokuphuza kanye nokudla isilwane. Amanzi ahlanzekile kufanele ahlale ekhona. Kuyafaneleka ukugwema ukucindezeleka, hypothermia. Uma isilwane sihlala endaweni yezinyoni, nakekela ukuhlela idokodo elomile nelifudumele. Esimeni sezulu esimanzi nesibandayo, kufanelekile ukugqoka ama-ovaroli okuzivikela uma uhamba ngezinyawo.

Ukuze uvimbele i-piroplasmosis, phatha imikhaza njalo futhi uhlole isilwane sakho ngemva kohambo ngalunye.

Ezilwaneni ezithambekele ezifweni zesistimu ye-urinary, kanye nezinja ezindala kuneminyaka engu-6, kunconywa ukuba kwenziwe ukuxilonga okungenani kanye ngonyaka. Kuyadingeka ukuthatha ukuhlolwa komchamo negazi, kwezinye izimo (isibonelo, nge-ICD) kuyadingeka ukwenza i-ultrasound yesinye nezinso.

Ukubhukuda emanzini amile akuvunyelwe ngokuphelele.

Kuyafaneleka futhi ukunaka ngokukhethekile impilo yesistimu yokuzala. Uma isilwane singathenwa, khona-ke kanye ngonyaka kuyadingeka ukuqhuba i-ultrasound ye-prostate gland emadodeni noma isibeletho nama-ovari kwabesifazane.

17 2021 Juni

Kubuyekezwe: 19 Juni 2021