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Pyelonephritis msaada madr

Discussion in 'JF Doctor' started by Mupirocin, Oct 15, 2011.

  1. Mupirocin

    Mupirocin JF-Expert Member

    #1
    Oct 15, 2011
    Joined: Jan 28, 2011
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    Ninatatizo la maumivu kwenye loin yaani chin zinamoishia mbavu na maumivu yanaradiate kwenda kiunoni na sometimes kiuno kinauma sana kiasi kwamba siwezi kukaa normally afu pia napata burning sensation kwenye miguu hata nikilala na nikikaa kwa muda mrefu. Maumivu yote yanapungua nikitembea na kurudia nikiwa nimekaa. Nimefanya urinalysis iko normal, abdominal uss nimeambiwa ninamoderate pyelonephritis, nimefanya urine culture no growth in 24hrs. Nimetumia dawa zifuatazo: ceftriaxone 1g od 5/7 then nikaendelea na ciprofloxacin tabs 500mg bd 5/7 maumivu yalitulia kidogo kama 2wks hivi. Yakaanza tena nikatumia gentamycin iv 160mg od 5/7 na ampicillin iv 1g tds 5/7, yalitulia maumivu kwa wiki moja tu na sasa napata maumivu makali sana. Nimefanya createnine iko normal ila uric acid ipo elevated kidogo. Sasa sijui nifanye nini maumivu makali sana Madr naomba msaada wenu. Natarajia majibu mazuri.
     
  2. Kwetu Iringa

    Kwetu Iringa JF-Expert Member

    #2
    Oct 15, 2011
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    It is clear that you are a Dr, judging from your ID and the description of your disease!! You should know better where to look for help rather than consulting JF members!!!!
     
  3. Mupirocin

    Mupirocin JF-Expert Member

    #3
    Oct 15, 2011
    Joined: Jan 28, 2011
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    This is Jf Dr pls not just a member can give opinion thats why it is called Jf Dr forum. Possible you do not know continue learning. Being a Dr does not mean i can not get ideas from others even a member who know can help.
     
  4. kapotolo

    kapotolo JF-Expert Member

    #4
    Oct 15, 2011
    Joined: Sep 19, 2010
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    Mupirocin aka bactroban; sijui jinsia yako wala umri wako na nadhani kama si idea ya mambo ya tiba basi wewe ni mtaalamu wa tiba kwa jinsi ulivyoandika vipimo, diagnosis na dawa ulizotumia. Nitaomba niandike ninayoyajua kuhusu pyelonephritis kwa lugha ya kawaida kwa faida ya wasomaji wote wa jukwaa hili.

    Kwa dalili ulizonazo inawezekana kweli ukawa na tatizo hilo la pyelonephritis ambalo ni uambukizo kwenye figo unaosababiswha mara nyingi na uambukizo unaoanzia kwenye njia ya mkojo (UTI) na baadae kupanda juu kwenye figo.

    Sehemu kubwa ya uambukizo husababishwa na bacteria hasa aina ya E coli kwa asilimia 75% hivi lakini bacteria wa aina nyingine pia huweza kusababisha pyelonephritis. Lakini zaidi ya maumivu ya tumbo, mtu mwenye tatizo hilo pia atakuwa na homa na maumivu wakati wa kukojoa. Hukueleza kama dalili hizi ulikuwa nazo au la. Saa nyingine hata kutapika.

    Zaidi ya pyenonephritis matatizo mengine ambayo yanaweza kusababisha loin pain na homa ni pamoja na mawe kwenye figo (nephrolithiasis), uambukizo kwenye tezi ya kiume (prostatitis), lakini pia uambukizo kwenye kibofu cha mkojo (cystitis - ingawa urinalysis yako ilikuwa normal), kwa wanawake anaweza kuwa na uambukizo kwenye via vya nyonga (PID), saa nyingine hata uambukizo kwenye kidole tumbo (appendicitis).

    Ultrasound inaweza kusaidia lakini sidhani kama ultrasound peke yake inaweza ku-diagnose pyelonephritis, ultrasound ingeweza kuonyesha figo zimeongezeka size au kama kuna usaha ungeonekana kama ni majimaji lakini pia kwa ultrasound huwezi kusema kama hayo majimaji ni usaha au majimaji ya aina nyingine kwa kuwa vyote huonekana vyeusi iwe ni maji ya kawaida, usaha, au damu.

    Ningekushauri kama unaweza, fanya hata CT scan au MRI hizi zinaweza kuonyesha tatizo vizuri zaidi na ukapata tiba sahihi. Unaweza pia kufanya kipimo cha kuchunguza figo, mirija inayoleta mkojo kwenye kibofu na kibofu yaani KUB (Kidney, ureters and urinary bladder) x-rays ambacho kinaweza kuonyesha mawe kwenye hizi sehemu. Picha kamili ya damu, kama itaonyesha chembe nyeupe zikiwa zimeongezeka inaweza kumaanisha uambukizo mwilini, inaweza kusaidia kidogo.

    Dawa ulizotumia ndizo ambazo mara nyingi hutumika kwa ajili ya tatizo la pyelonephritis, lakini kama hukufanya culture na senstitivity ya mkojo au damu, ni vigumu kujua ni wadudu gani wamesababisha huo uambukizo na ni dawa za aina gani zinawatibu. Hivyo unaweza kutumia hizo dawa usipone kwa kuwa wadudu wako resistant kwazo. Hivyo culture ni muhimu.

    Ukiwa na mawe tiba yake ni upasuaji. Kama ni uambukizo tiba yake ni antibiotics au na specifically ile itakayoendana na culture na sensitivity results.

    Mtafute daktari bingwa wa figo (nephrologist), Muhimbili wapo anaweza kukusaidia zaidi.
     
  5. Mupirocin

    Mupirocin JF-Expert Member

    #5
    Oct 15, 2011
    Joined: Jan 28, 2011
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    Nashukuru sana Kapotolo ushauri mzuri na nitaufanyia kazi ninampango wa kwnda MNH Culture ya urine nilifanya na kulikuwa hakuna growth in 24hrs, ingawa maabara nilizofanyia not reliable. Lakin very nice suggestions ambazo zitakuwa helpful kwa Jf members, by profession ni Md Dr lakin in sickness no Dr utazidiwa na mwisho utahitaji ushauri kama sio matibabu kabisa thanks Jf.
     
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