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Thursday, December 1, 2011

WHAT IS IT? PYELONEPHRITIS!


Hari ni kiter nak tulis pasal penyakit la pulak..asek citer pasal makannnn jer kannn..tukar tajuk la plak yerr..tapi ni copy paste dari google la..just nak share n sebagai panduan untuk saya jugak..pepandai la korang translate sendri...sy just wat buat summary sket pasal pyelonephritis berdasarkan pengalaman sy..Camner nak mulakan yer...??emmm..hah..okey...

Penyakit ni macam tak fofular jer kann?kalau sebut kencing kotor penah dengar? Itu antara simptom2nyer...difahamkan 95% dari wanita akan mengalami penyakit ini sekali seumur hidup derang...hohoho..sungguh gerun yer..Sebelum ni sy tak tahu pon saper la budak Pyelonephritis..mase memule kene tu tak bajet lansung yang ianya  Pyelonephritis...ingatkan demam biase2...demam menggigil, muntah2, sakit di bahagian pinggang..disebabkan sy baru aje seminggu melahirkan anak, maka sy fikir mungkin ianya sebab trauma selepas pembedahan..letih dan tak mendapat rehat yang cukup... mungkin lepas berurut, sakit pinggang sy akan berkurang...

Tapiii kannn..demam tak kebah2..makin menggigil, lansung tak boleh masuk makanan kerana ianya akan muntah keluar semula..terus ajak hubby ke KBMC...and admitted...terpaksalah berpisah sementara dengan apip...selama seminggu sy dirawat, 3 hari pertama memang sy tak lalu makan..doktor ambil darah untuk cek samada darah sy mengandungi bacteria..mase doctor explen yang sel darah putih sy lebih banyak dari sel darah merah..hampir nak fitam sebab sy ingatkan sy ade leukimia..ni kes terpengaruh dengan drama la ni..ingat tak klu dalam drama, dialog doctor cakap dengan pesakit “sy minta maaf, sel darah putih awak lebih banyak dari darah merah, awk mengidap leukimia..ade 6 bulan untuk hidup..sabar yer..?”..hahahahahaha.....then doctor inform la pasal si polio ni...

Kusss semangat...klu explen bahase2 medik ni manelah den paham..yer dop??cer cakap awal2 dalam bahase yang senang dipahami...seminggu dok sepital, 3 kali amik darah, 1 kali scan, seminggu tu jugak amik antibiotic setiap pagi dan malam...then barulah buat urine test...setiap kali nurse inform nak buat urine test, setiap kali itu jugaklah sy akan minum air kosong banyakkkkkk2..nak kuar sepital cepat punyer pasal kannn...dah tak sanggup nak amik antibiotic yang tersangatlah sakit dan perit…..ok..nak tau lebeh lanjut, bacer la yer..Senang jer kalau korang nak tau buah pinggang korang ade infection atau tak..tepuk2 manje kat area buah pinggang blakang badan korang…kalau rase sakit..cepat2 pergi cek doctor wokeh??

Sedikit info dari google….

Pyelonephritis is a kidney infection usually caused by bacteria that have traveled to the kidney from an infection in the bladder.
Women have more bladder infections (also called urinary tract infections) than men do because the distance to the bladder from skin, where bacteria normally live, is quite short and direct. However, the infection usually remains in the bladder.
A woman is more likely to develop pyelonephritis when she is pregnant. Pyelonephritis and other forms of urinary tract infection increase the risk of premature delivery.
A man is more likely to develop the problem if his prostate is enlarged, a common condition after age 50. Both men and women are more likely to develop pyelonephritis if they have any of the following conditions:
Tests or procedures that involve the insertion of an instrument into the bladder also increase the risk of urinary tract infections and pyelonephritis.
Children sometimes develop pyelonephritis because of an abnormality in the bladder that allows urine there to flow backward (reflux) into the ureter, the connection between the kidney and bladder. This can lead to scarring of the kidney.
Rarely, pyelonephritis is so severe that it is life threatening, especially in older people or in people with an impaired immune system. 

The two primary symptoms of pyelonephritis are pain in one flank, the area just beneath the lower ribs in the back, and fever. The pain can travel around the side toward the lower abdomen. There also can be shaking chills and nausea and vomiting. The urine may be cloudy, tinged with blood or unusually strong or foul-smelling. You may need to urinate more often than normal and urinating may be painful or uncomfortable.
If your doctor is concerned that you have a kidney infection, he or she will ask you about other medical problems, any past infections and your recent symptoms. He or she will check your vital signs (temperature, heart rate, blood pressure) and will press on your abdomen and flanks to see if there is tenderness near the kidney. In women, the symptoms of pyelonephritis may be similar to those of certain sexually transmitted diseases, so your doctor may recommend that you have a pelvic examination.
To diagnose pyelonephritis, your doctor will order urine tests to look for white cells in the urine and for culture to determine the type of bacteria causing the infection. Usually your doctor will also order blood tests. Like the urine, the blood is sent for culture. People with pyelonephritis may have bacteria in their blood as well as their urine. Antibiotics are started prior to the culture results and will be adjusted once the bacterial species is identified in 24 to 48 hours. 

Most patients with uncomplicated cases of pyelonephritis find that their symptoms begin to improve after one to two days of treatment with antibiotics. However, even after symptoms improve, antibiotics are usually prescribed to complete a 10- to 14-day course.
To help prevent pyelonephritis if you have had a previous episode or are at risk:
  • Drink several glasses of water each day. Water discourages the growth of infection-causing bacteria by flushing out your urinary tract. This flushing also helps to prevent kidney stones, which can increase the risk of pyelonephritis.

  • If you are a woman, wipe from front to back. To prevent the spread of intestinal and skin bacteria from the rectum to the urinary tract, women should always wipe toilet tissue from the front to the back after having a bowel movement or urinating.

  • Decrease the spread of bacteria during sex. Women should urinate after sexual intercourse to flush bacteria from the bladder. Some women who have frequent urinary tract infections after sexual activity can take antibiotics around the time of intercourse to prevent an infection.
If there is a structural problem with the urinary system, such as blockage from a stone, or a developmental abnormality, then surgery can be done to restore normal urinary function and prevent future episodes of pyelonephritis. 

Doctors treat pyelonephritis with antibiotics. In most uncomplicated cases of pyelonephritis, the antibiotic can be given orally (by mouth) and treatment usually lasts for 10 to 14 days. Commonly used oral antibiotics include trimethoprim with sulfamethoxazole (Bactrim and others), ciprofloxacin (Cipro) or levofloxacin (Levaquin), but the choice of antibiotic will depend on your history of allergies and laboratory testing of the bacteria causing the infection. Once you finish the full course of antibiotics, your doctor may ask for another urine sample to check that the bacteria are gone.
If you have high fever, shaking chills, or severe nausea and vomiting, then you are more likely to become dehydrated and may be unable to take oral antibiotics. In that case, you may require hospital treatment so that antibiotics can be given intravenously (into a vein). High fever and shaking chills also may be signs that your kidney infection has spread to your bloodstream and can travel to others parts of your body. If your doctor is concerned that you may have an obstruction (such as a kidney stone that is stuck in the ureter) or a structural abnormality in your urinary system, other tests may be ordered, such as a computed tomography scan or ultrasound.
 
Call your doctor immediately if you have symptoms of pyelonephritis (particularly fever and flank pain, with or without urinary symptoms), especially if you are pregnant.


Dah abes bace dah???Takut tak korang..jom kiter tepok blakang kiter reramai yerrr...pok..pok..pok..bye..

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