Phụ nữ mang thai và viêm thận - bể thận

Phu nur mang thai

fifviem - b^ than ft TS.BS. BUI MINH TRANG

Vi^m than - b^ than la b6nh nhilm khu^n xay ra

6 dai than, b^ than va nhu mo than. Vi khu^n gay

viem r6i hoai tu" to chiJc than. Vi^m thin - b^ than

dUCfc chia lam hai loai: ca'p tinh va man tinh, trong

do vi^m than - b^ than man tinh nam trong benh

cSnh cua vi6m than ke do nguyen nhan nhilm

khuin va tic dudng ti^'t ni6u. Phu niJ mang thai

thudng xSy ra tinh trang vi^m than - b^ than ca'p.

B$nh can diicfc phat hi^n s6m de di^u tri tranh

x^y ra bi^'n chijfng. Xdt nghiem nt/dc tiiu giup phdt Ndn

ti4u mdu vi tiiu dam

Viem thdn - be th^n la mpt

the ddc bi^t ciia nhifim trung

difdng tifi't ni^u

Vifim th^n - bl thdn thudng bit

diu bing vifim ni^u quin vd bdng

quang lan Ifin thdn, thudng dUdc

diing thudt ngfl vifim than - be

thfin do vi khuan. Phan Idn cdc

trudng hdp vi khuan xam nhdp

ngupc ddng tfl dudng nifiu dudi len,

ching han d phu nfl mang thai cd

hi^n tUdng trdo ngUpe nUdc tieu,

vi khuin se ngUdc ddng tilu de

din ddi be thdn vd gay ton thUdng

nhu md thdn. Lfdc tinh cd de'n

m|t phin ba phu nfl mang thai bi

vifim thdn - bl thdn do vi khuan.

Ngodi phu nfl mang thai, mpt so

ngfldi phdi ddt thdng tieu lau ngay,

Hinh anh vidm Ihdn tren sidu dm

THU6c& SLfC KH6Esd'491 (01.01 20l4i

chup dudng nieu ngUdc ddng, phau

thudt cam nieu quan - rudt, nieu

quin - dai trang de bi nhifim khuan

ngUpc ddng hodc bpnh nhan bi sdi

thdn (ddc biet sdi thdn dang san

hfi thudng cd o nhiem khuan tai

thdn). Td't nhien, vi khuan cd thi

tfl mpt noi nhiem trung nao dd cfla

cd thi theo dUdng mau de'n than de

gay vifim than - bl than. Du bie't

nguyen nhan gdy viem than - be

thdn la do vi khuan nhUng khdng

it trudng hpp khdng phdt hifin dUpc

vi khuan tfl dau dfi'n gdy ra benh.

Khi bi vifim thdn - be than,

thdn se bi gian to ra do hien tUdng

vifim phfl ne va be mat khdng

nhdn, khi cit vao nhu md than se

tha'y ranh gidi gifla vd va tuy than

khdng ro rdng, ed nhieu o dp xe

nhd 6 nhu md, nifim mac vung ddi

bl than bi ton thuang. Quan sat

trfin kinh hifin vi se thay nhflng o

xuat huyfi't, phu ne vd xdm nhifim

tfi' bdo viem.

Trifiu chumg cua viem thdn - be

thdn thudng gdp Id sd't, ddi khi sdt

cao vd kem lanh run, bpnh nhdn

mpt mdi, dn ud'ng kem. Kem theo

dd Id dau vung thdt lUng, dau canh

hdng hodc dau vung khdp hdng.

C6 khi Id dau bung vdi cdn dau

qudn thdn. B^nh nhdn cung gdp

philn todi trong van de di tieu:

tieu nhieu lan, cdm gidc ndng rdt

hodc dau khi tieu, mpt so' trUdng

hdp cd tieu ra mdu,

Chan doan viem th^n - be than

khong kho va dieu tri hi^u

qua cao

O phu nfl mang thai phdi chu ^

de'n nhflng trifiu chflng bit thudng

khi di tilu dl sdm phdt hifin ra

vifim than - bl than do vi khuin.

Vdi nhflng trifiu chflng neu trfin

khi de'n kham, bdc si c6 the phdt

hien ra dd'u hieu dau dfl dpi d vung

thit lung khi sd nin vao vd cd

phan fltig, cdc co d vung thit lung

bi vifim thdn - bl than sfi co cu^g.

Mpt so trUdng hdp khong cdn nghe

dupc tie'ng nhu dpng rupt. ThUc

te lam sang, theo cac chuyen gia

than hpc thi vdi trifiu chflng nhiem

trung kem vdi dau dfl dpi vung thdt

lung budc phai nghi dfi'n viem than

- be than do vi khuin.

De xdc dinh chinh xdc cd nhilu

xet nghipm can ldm sdng ho trp,

Xfit nghifim mdu giup phdt hipn

nhiem trung vdi bach ciu tdng

(da nhdn trung tinh tdng cao),

tdng toe dp ling mdu. ben canh

dd sfi khdo sdt chflc ndng thdn.

Nhin dai the nudc tieu cung cd

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