pyelonephritis in children

PPT 33 стр. 5,3 МБ Бесплатная загрузка

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canephron n * pyelonephritis in children * * upper urinary tract ureterit, pielit, pielonefrit) infectious factors of the urinary system.it is not clear exatly the localization of the microbial inflamotory process lower urinary tract infection cystitis urethritis acute chronic acute chronic * * spread of urinary tract infection among diseases of the digestive system in russian – 5,6 -27,5% in western europe – 4 -25%. in usa – 5-10%. spreading 18 out of 1000 children are affected by pyelonephritis.it is more common in boys under 1year of age. older children: in girls 7-9% in boys 1.6%-2% the peak of morbidity is at the age of 4-5 * predpisposing endogenous violation of urodynamics virulence of the pathogen functional and organic changes in the gastrointestinal system hormonal disorder premature birth congenital anomalies in the urinanary system, urinary stone diseases the presence of additional diseases,rickets,diatheses, blood type iii (v) i iv (av) aggravated …
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l systeem asoratlari. surunkali buyrak etishmovchiligi buyrakda kupgina abtsesslar multiplle renal abscess buyrak karbunkuli kidney carbuncul paranefrit nefrogen gipertenziya * classification pylonefritis pielonefrita shakllari kechishi faollik darajalarr buyrak funktsiya birlamchm ikkilamchi obstruktiv noobstruktivniy (dizmetabolicheskiy) aralash (obstruktiv va i dizmetabolik) utkir surunkali faol boskichlari (avj): - utkir davri; - utkir osti davri nofaol davri: - kliniko- laborator remissiya. faol davria: - kaytalanish davri; - belgilarni orkaga k5aytish davri (sunish) nofaol - kliniko-laborator remissiya buyrak funktsiyasi preserved kidney function (bfs) impaired kidney functionbuzilgan (bfn): - ube - sbe * pylonefritis utkir pielonefrit –bakterial jarayonni birlamchi manifest jarayoni bulib asosan buyrakni interstitsial tukimasi kosacha jomchasini shkastlanishi bilan kechadigan tsiklik kechuvchi va jarayonlarni orkaga kaytishi va tula tuzalishi bilan kechadigan jarayondir . surunkali pielonefrit – kasallik belgilarini 6 oydan va undan kuprok davom etganda tashxis kuyiladi. primary pylonefritisbuyrak parenximasida yalliglanish jarayoni bulib mikro organizmni buyrak kosacha va jomchalarida mikrobni buyrak tubulo interstitsial tukimasida joylashuvi …
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lar, siydik sindrom ii (urtacha) intoksikatsiya belgilari. modda almashinuvidagi biroz uzgarish, siydik sindrom i (minimal) siydik sindrom mikdoriy taxlillarda yoki provokatsiya sinamalarida aniklanadi. nofaol boskich ekstrarenal belgilar yuk, kliniko-laborator remissiya * ways of infection in pyelonephritis kutariluvchi (urinogen)ascending (kuzgatuvchi periuretral va uretral soxa orkali kiradi) gematogen (kupincha chakaloklarda, septitsemiyada, bakteriemiya bilan kechadigan kasalliklarda) limfogen (retrogradno, organicheskix va funktsionalnix ichak kasalliklarida) * development of pyelonephritis with gematogenous infection mikrob pielonefrit peritubulyar kappilyarlar shkastlanishi interstitsiyni yalliglanishi kanalchalarni shkastlanishi bakteriyani kanalcha ichiga kirishi renal pelvis and calycesbakteriyani siydik bilan buyrak jomchasiga utishi reflyuks interstitsiyga kayta kirish oralik tukimaga utishi kanalcha devorlarini shkastlanishi bakteriyani tor genle xalkasiga tushishi buyrak kapsulasini shkastlanishi po s. i. ryabovu, 2000 koptokcha kapsula a. afferens a. efferens proksimal egri bugri kanal proximal convoluted canals genle xalkasi rinf of henle collecting ductyiguvchi trubka * patogeneesis of pyelonephritis pielonefrit urodinamikani buzilishi infektsiya gormonal fonning uzgarishi immunologig faollikni kamayishi po s. i. …
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rakterli belgilarni birgalikda kelishi(dizuriya,bel soxasida ogrik,korin soxasida ogrik) intoksikatsiya belgilari neyrotoksikoz darajasigacha rivojlanishi mumkin pielonefrita, kechish xarpakteriga bemor yoshiga va va obstruktsiya bor yukligiga boglik. meningeal belgilarmeningitis bulishi mumkin uta kam xollarda xarorat yukoriligi febrile temperature febril(boshlanishda kam xollarda subfebril vozmojni «besprichiba'zan sababsiz xarorat kutarilishi mumkin. febril, subfebril kupincha sababsiz xarorat kutarilishlar.,uzatilishi mumkin kusish kusish umkin kuchli darajadagi intoksikatsiyada kusish teri rangi rangpar(kuchli darajadagi intoksikatsiyada, periorbital tsianoz, subikterichnost kasallik belgilari endogen intoksikatsiya darajalpariga boglik buladi. kasallik ogir kechganda teri ranglari sargimtir okish rangga kiradi. ishtaxa sust emish butunlay ovkatdan bosh tortish kupincha kamaygan tana massasi tana vazni kushilmasligi va gipotrofiya rivojlanishi ogirlik kamayishi pielonefritni ogir kechganda kuzatiladi korin va bel soxasida ogriklar pain abdomen and lower back ogrik va bezovtalik ekvivalanti bel soxasida ogrik, kindik oldi soxasida ogrik ba'zan siydik yuli tomonga ogrikni uzatilishi. navel siyishni buzilishi tezlashgan yoki kamaygan .utkir siydik tutilish darajasigacha ba'zan kuchanib siyish siyish tezlashgan,kam siyish,siydik …
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kroflora topish uchun siydikni ekish urineculture abt gacha, xar24-48s abt, kursi tugagach siydik antibiotikogramma 1 marta bioximicheskoe issledovanie mochi odnokratno * pielonefrit kasalligida bakteriuriyaning tashxisiy mezonlari yukoribakteriuriya – bakteriuriya 100 ming mikrob tanacha. 1 ml siydikda ,tabiiy siyishda urta okim yoki kateter bilan olinganda . 1 yosh bolalarda antibiotik olmagandagi siydik tekshiruvida erkin siyish jarayonida siydik tekshirilganda, 1 ml siydikda 50 ming mkrob tanasi, e. coli, 10 ming. mikrob tanasi proteus vulgaris, pseudomonas aeruginosae sipmtomsiz (asimptom) bakteriuriya –yukori bakteriuriya klinik simptomsiz yalliglanish jarayoni. * diagnostik algoritm 1.zaruriy tekshirish usullari diagnostik tadbirlar soni zimnitskiy, va reberga sinamasi 1 oyda 1 marta. diureza nazorati control diyresis xar kuni siyish ritmi yoki ixtiyorsiz siyish xar kuni a / b ulchash xar kuni siydik organlari utt usi 1 marta miktsion tsistografiya utkazilmaydi ekskretor urografiya utkazilmaydi * diagnostik al goritm 2. kushimcha teshshirish usullari beta2 mikroglobulin bilan siydik ekskretsiyasi siydik osmolyarligi siydik fermentlari xlorli ammoniy …

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О "pyelonephritis in children"

canephron n * pyelonephritis in children * * upper urinary tract ureterit, pielit, pielonefrit) infectious factors of the urinary system.it is not clear exatly the localization of the microbial inflamotory process lower urinary tract infection cystitis urethritis acute chronic acute chronic * * spread of urinary tract infection among diseases of the digestive system in russian – 5,6 -27,5% in western europe – 4 -25%. in usa – 5-10%. spreading 18 out of 1000 children are affected by pyelonephritis.it is more common in boys under 1year of age. older children: in girls 7-9% in boys 1.6%-2% the peak of morbidity is at the age of 4-5 * predpisposing endogenous violation of urodynamics virulence of the pathogen functional and organic changes …

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