{"id":13022,"date":"2020-02-28T18:44:42","date_gmt":"2020-02-28T11:44:42","guid":{"rendered":"https:\/\/www.synphaet.co.th\/children-ramintra\/clinics\/pediatric-urology-nephrology\/"},"modified":"2026-08-23T09:40:44","modified_gmt":"2026-08-23T02:40:44","slug":"nephrology","status":"publish","type":"clinics","link":"https:\/\/www.synphaet.co.th\/children-ramintra\/zh-hans\/clinics\/nephrology\/","title":{"rendered":"\u5c0f\u513f\u80be\u810f\u4e0e\u6ccc\u5c3f\u7cfb\u7edf\u75be\u75c5\u4e2d\u5fc3"},"content":{"rendered":"<h1>\u4fe1\u6e43\u513f\u7ae5\u533b\u9662\u5c0f\u513f\u80be\u810f\u4e0e\u6ccc\u5c3f\u7cfb\u7edf\u75be\u75c5\u4e2d\u5fc3 (Pediatric Nephrology Center)<\/h1>\n<p>\u5168\u65b9\u4f4d\u8bca\u65ad\u3001\u6cbb\u7597\u4e0e\u7cbe\u7ec6\u5316\u7ba1\u7406\u513f\u7ae5\u80be\u810f\u4e0e\u6ccc\u5c3f\u7cfb\u7edf\u5404\u7c7b\u75be\u75c5\u3002<\/p>\n<p>\u513f\u7ae5\u6ccc\u5c3f\u7cfb\u7edf\u4e0e\u80be\u810f\u75be\u75c5\u662f\u8d2f\u7a7f\u65b0\u751f\u513f\u671f\u81f3\u9752\u5c11\u5e74\u671f\u7684\u5e38\u89c1\u5065\u5eb7\u95ee\u9898\u3002\u5c3d\u7ba1\u521d\u671f\u75c7\u72b6\u53ef\u80fd\u770b\u4f3c\u5e76\u4e0d\u4e25\u91cd\u2014\u2014\u5982\u4e0d\u660e\u539f\u56e0\u53d1\u70ed\u3001\u6392\u5c3f\u75bc\u75db\u707c\u70ed\u3001\u5c3f\u9891\u3001\u9891\u7e41\u9057\u5c3f\uff08\u5c3f\u5e8a\uff09\u3001\u6216\u9762\u90e8\u53ca\u773c\u7751\u6c34\u80bf\u2014\u2014\u4f46\u8fd9\u4e9b\u5f80\u5f80\u662f\u6f5c\u5728\u80be\u810f\u6216\u5c3f\u8def\u75be\u75c5\u7684\u91cd\u8981\u8b66\u793a\u4fe1\u53f7\u3002\u82e5\u5ef6\u8bef\u8bca\u6cbb\uff0c\u53ef\u80fd\u4f1a\u5bf9\u5b69\u5b50\u7684\u80be\u529f\u80fd\u3001\u4f53\u683c\u53d1\u80b2\u53ca\u957f\u671f\u5065\u5eb7\u9020\u6210\u4e0d\u53ef\u9006\u7684\u8d1f\u9762\u5f71\u54cd\u3002<\/p>\n<p>\u4fe1\u6e43\u513f\u7ae5\u533b\u9662\u5c0f\u513f\u80be\u810f\u4e0e\u6ccc\u5c3f\u7cfb\u7edf\u75be\u75c5\u4e2d\u5fc3\u7531\u8d44\u6df1\u5c0f\u513f\u80be\u810f\u75c5\u4e13\u79d1\u533b\u751f\u9886\u8854\uff0c\u534f\u540c\u591a\u5b66\u79d1\u533b\u62a4\u56e2\u961f\uff0c\u4f9d\u6258\u73b0\u4ee3\u5316\u7684\u533b\u7597\u68c0\u6d4b\u8bbe\u5907\uff0c\u63d0\u4f9b\u6db5\u76d6\u7cbe\u51c6\u8bca\u65ad\u3001\u89c4\u8303\u6cbb\u7597\u53ca\u957f\u671f\u968f\u8bbf\u7684\u4e00\u7ad9\u5f0f\u533b\u7597\u670d\u52a1\uff0c\u52a9\u529b\u60a3\u513f\u6062\u590d\u80be\u810f\u5065\u5eb7\uff0c\u8301\u58ee\u6210\u957f\u3002<\/p>\n<h2>\u5c0f\u513f\u80be\u810f\u4e0e\u6ccc\u5c3f\u7cfb\u7edf\u4e2d\u5fc3\u8bca\u7597\u75be\u75c5\u8303\u56f4<\/h2>\n<p>\u6211\u4eec\u4e3a\u513f\u7ae5\u5404\u7c7b\u6025\u6162\u6027\u80be\u810f\u53ca\u6ccc\u5c3f\u7cfb\u7edf\u75be\u75c5\u63d0\u4f9b\u5168\u9762\u7684\u8bca\u7597\u4e0e\u7cbe\u7ec6\u5316\u7ba1\u7406\uff1a<\/p>\n<ul>\n<li><strong>\u5c0f\u513f\u5c3f\u8def\u611f\u67d3 (UTI)\uff1a<\/strong> \u80be\u76c2\u80be\u708e\u3001\u6025\u6027\u8180\u80f1\u708e\u3001\u4e0d\u660e\u539f\u56e0\u53cd\u590d\u9ad8\u70ed\u3001\u5c3f\u75db\u3001\u5c3f\u6025\u3001\u5c3f\u9891\u3001\u5c3f\u6db2\u6d51\u6d4a\u5f02\u5473\u6216\u8089\u773c\u8840\u5c3f\u3001\u4e0b\u8179\u90e8\u75bc\u75db\u3002<\/li>\n<li><strong>\u5148\u5929\u6027\u80be\u810f\u4e0e\u5c3f\u8def\u53d1\u80b2\u5f02\u5e38\uff1a<\/strong> \u8180\u80f1\u8f93\u5c3f\u7ba1\u53cd\u6d41 (VUR)\u3001\u5148\u5929\u6027\u8f93\u5c3f\u7ba1\u6897\u963b\u3001\u5148\u5929\u6027\u80be\u79ef\u6c34 (Hydronephrosis)\u3002<\/li>\n<li><strong>\u5c0f\u513f\u80be\u5c0f\u7403\u75be\u75c5\u4e0e\u514d\u75ab\u6027\u80be\u75c5\uff1a<\/strong> \u80be\u75c5\u7efc\u5408\u5f81 (Nephrotic Syndrome)\u3001\u80be\u5c0f\u7403\u80be\u708e (Glomerulonephritis)\u3001\u513f\u7ae5\u9ad8\u8840\u538b\u3001\u5355\u7eaf\u6027\u86cb\u767d\u5c3f\u4e0e\u8840\u5c3f\u3002<\/li>\n<li><strong>\u5c0f\u513f\u6392\u5c3f\u529f\u80fd\u969c\u788d\uff1a<\/strong> \u5b66\u9f84\u671f\u513f\u7ae5\u591c\u95f4\u9057\u5c3f\uff08\u5c3f\u5e8a\uff09\u3001\u5c3f\u5931\u7981\u3001\u7537\u7ae5\u5305\u76ae\u708e\u53ca\u5305\u830e\u5f15\u8d77\u7684\u6392\u5c3f\u56f0\u96be\u3002<\/li>\n<li><strong>\u5c0f\u513f\u80be\u7ed3\u77f3\u4e0e\u5c3f\u8def\u7ed3\u77f3 (Nephrolithiasis)<\/strong><\/li>\n<\/ul>\n<h2>\u4e13\u79d1\u8bca\u65ad\u4e0e\u7279\u8272\u6cbb\u7597\u670d\u52a1<\/h2>\n<ul>\n<li><strong>\u5c3f\u6db2\u5206\u6790\u4e0e\u7ec6\u83cc\u57f9\u517b (Urine Test &amp; Culture)\uff1a<\/strong> \u7cbe\u51c6\u7b5b\u67e5\u5c3f\u8def\u7ec6\u83cc\u611f\u67d3\u53ca\u5b9a\u91cf\u68c0\u6d4b\u5c3f\u86cb\u767d\u6f0f\u51fa\u3002<\/li>\n<li><strong>\u5168\u9762\u8840\u6db2\u751f\u5316\u68c0\u6d4b\uff1a<\/strong> \u80be\u529f\u80fd\u5168\u5957\u6307\u6807\u3001\u7535\u89e3\u8d28\u6c34\u5e73\u53ca\u514d\u75ab\u6027\u80be\u708e\u7279\u5f02\u6027\u6297\u4f53\u68c0\u6d4b\u3002<\/li>\n<li><strong>\u6ccc\u5c3f\u7cfb\u7edf\u8d85\u58f0\u68c0\u67e5 (Ultrasound KUB)\uff1a<\/strong> \u5b89\u5168\u65e0\u8f90\u5c04\u3001\u6e05\u6670\u89c2\u5bdf\u80be\u810f\u3001\u8f93\u5c3f\u7ba1\u53ca\u8180\u80f1\u7684\u89e3\u5256\u7ed3\u6784\u3002<\/li>\n<li><strong>\u4e13\u79d1\u653e\u5c04\u5f71\u50cf\u5b66\u68c0\u67e5\uff1a<\/strong> \u6392\u5c3f\u6027\u8180\u80f1\u5c3f\u9053\u9020\u5f71 (VCUG)\uff0c\u7cbe\u51c6\u8bca\u65ad\u8180\u80f1\u8f93\u5c3f\u7ba1\u53cd\u6d41\u53ca\u4e0b\u5c3f\u8def\u89e3\u5256\u5f02\u5e38\u3002<\/li>\n<li><strong>\u9488\u5bf9\u6027\u89c4\u8303\u5316\u6cbb\u7597\u65b9\u6848\uff1a<\/strong> \u89c4\u8303\u6297\u751f\u7d20\u6297\u611f\u67d3\u6cbb\u7597\u3001\u514d\u75ab\u6291\u5236\u4e0e\u6d88\u708e\u6cbb\u7597\u3001\u6392\u5c3f\u536b\u751f\u4e60\u60ef\u6307\u5bfc\u53ca\u5e76\u53d1\u75c7\u7684\u4e25\u5bc6\u9884\u9632\u3002<\/li>\n<\/ul>\n<h2>\u4e3a\u4ec0\u4e48\u9009\u62e9\u4fe1\u6e43\u513f\u7ae5\u533b\u9662\u5c0f\u513f\u80be\u810f\u79d1\uff1f<\/h2>\n<ul>\n<li>\u2713 <strong>\u8d44\u6df1\u5c0f\u513f\u80be\u810f\u4e13\u79d1\u533b\u751f\u56e2\u961f\uff1a<\/strong> \u7531\u6df1\u8c19\u5404\u5e74\u9f84\u6bb5\u513f\u7ae5\u80be\u810f\u751f\u7406\u75c5\u7406\u7279\u6027\u7684\u513f\u79d1\u4e9a\u4e13\u79d1\u533b\u751f\u4eb2\u8bca\u3002<\/li>\n<li>\u2713 <strong>\u5168\u9762\u7cbe\u51c6\u7684\u68c0\u9a8c\u4e0e\u5f71\u50cf\u4f53\u7cfb\uff1a<\/strong> \u4f9d\u6258\u6807\u51c6\u5316\u7684\u5b9e\u9a8c\u5ba4\u4e0e\u5148\u8fdb\u8bbe\u5907\uff0c\u8fc5\u901f\u67e5\u660e\u75c5\u56e0\uff0c\u907f\u514d\u6f0f\u8bca\u8bef\u8bca\u3002<\/li>\n<li>\u2713 <strong>\u591a\u5b66\u79d1\u8054\u5408\u8bca\u7597 (MDT)\uff1a<\/strong> \u7d27\u5bc6\u8054\u5408\u5c0f\u513f\u5916\u79d1\u3001\u4e34\u5e8a\u8425\u517b\u79d1\u53ca\u76f8\u5173\u4e13\u79d1\u4e13\u5bb6\uff0c\u63d0\u4f9b\u4e00\u4f53\u5316\u534f\u540c\u6551\u6cbb\u3002<\/li>\n<li>\u2713 <strong>\u9632\u6cbb\u7ed3\u5408\u4e0e\u957f\u671f\u5065\u5eb7\u7ba1\u7406\uff1a<\/strong> \u6089\u5fc3\u6307\u5bfc\u65e5\u5e38\u751f\u6d3b\u62a4\u7406\u3001\u79d1\u5b66\u996e\u6c34\u3001\u4f4e\u76d0\u996e\u98df\u53ca\u9884\u9632\u53cd\u590d\u611f\u67d3\uff0c\u957f\u4e45\u5b88\u62a4\u5b69\u5b50\u80be\u810f\u5065\u5eb7\u3002<\/li>\n<\/ul>\n<h2>\u5e38\u89c1\u95ee\u9898\u89e3\u7b54 (Q&amp;A)<\/h2>\n<p><strong>Q: \u5b69\u5b50\u5e73\u65f6\u559c\u6b22\u618b\u5c3f\uff0c\u771f\u7684\u4f1a\u5f15\u53d1\u5c3f\u8def\u611f\u67d3\u5417\uff1f<\/strong><\/p>\n<p>A: \u662f\u7684\u3002\u618b\u5c3f\u4f1a\u5bfc\u81f4\u5c3f\u6db2\u5728\u8180\u80f1\u5185\u957f\u65f6\u95f4\u6ede\u7559\uff0c\u4e3a\u7ec6\u83cc\u6ecb\u751f\u63d0\u4f9b\u4e86\u6e29\u5e8a\uff0c\u6781\u6613\u5f15\u53d1\u8180\u80f1\u708e\u751a\u81f3\u9006\u884c\u611f\u67d3\u81f3\u80be\u810f\u3002\u5bb6\u957f\u5e94\u57f9\u517b\u5b69\u5b50\u6bcf2\u20133\u5c0f\u65f6\u4e3b\u52a8\u6392\u5c3f\u4e00\u6b21\u7684\u826f\u597d\u4e60\u60ef\uff0c\u5207\u5fcc\u618b\u5c3f\u3002<\/p>\n<p><strong>Q: \u5b69\u5b50\u6bcf\u5929\u665a\u4e0a\u90fd\u5c3f\u5e8a\uff0c\u8fd9\u5c5e\u4e8e\u75c5\u6001\u5417\uff1f<\/strong><\/p>\n<p>A: 5\u5c81\u4ee5\u4e0b\u7684\u513f\u7ae5\u7531\u4e8e\u795e\u7ecf\u7cfb\u7edf\u53d1\u80b2\u5c1a\u4e0d\u5b8c\u5584\uff0c\u5076\u6709\u5c3f\u5e8a\u5c5e\u4e8e\u6b63\u5e38\u73b0\u8c61\u3002\u4f46\u5982\u679c\u5b69\u5b50\u8d85\u8fc75\u5c81\u4ecd\u9891\u7e41\u5c3f\u5e8a\uff0c\u6216\u8005\u66fe\u7ecf\u80fd\u81ea\u4e3b\u63a7\u5236\u6392\u5c3f\u6570\u6708\u540e\u53c8\u518d\u6b21\u9891\u7e41\u5c3f\u5e8a\uff0c\u5efa\u8bae\u5c31\u533b\u6392\u67e5\u6392\u5c3f\u529f\u80fd\u969c\u788d\u6216\u6ccc\u5c3f\u7cfb\u7edf\u75be\u75c5\u3002<\/p>\n<p><strong>Q: \u8180\u80f1\u8f93\u5c3f\u7ba1\u53cd\u6d41\u5bf9\u513f\u7ae5\u6709\u54ea\u4e9b\u5371\u5bb3\uff1f<\/strong><\/p>\n<p>A: \u8180\u80f1\u8f93\u5c3f\u7ba1\u53cd\u6d41\u4f1a\u5bfc\u81f4\u8180\u80f1\u5185\u7684\u5c3f\u6db2\u9006\u6d41\u56de\u80be\u76c2\uff0c\u6781\u6613\u5c06\u7ec6\u83cc\u5e26\u5165\u80be\u810f\u5f15\u53d1\u6025\u6027\u80be\u76c2\u80be\u708e\uff0c\u53cd\u590d\u53d1\u4f5c\u53ef\u9020\u6210\u80be\u5b9e\u8d28\u7622\u75d5\u5f62\u6210\uff0c\u635f\u5bb3\u80be\u529f\u80fd\u3002\u56e0\u6b64\u786e\u8bca\u540e\u9700\u9075\u533b\u5631\u79ef\u6781\u5e72\u9884\u3002<\/p>\n<p><strong>Q: \u5c0f\u513f\u5c3f\u8def\u611f\u67d3\u4e25\u91cd\u5417\uff1f<\/strong><\/p>\n<p>A: \u5982\u679c\u80fd\u5728\u53d1\u75c5\u65e9\u671f\u83b7\u5f97\u53ca\u65f6\u3001\u8db3\u7597\u7a0b\u7684\u89c4\u8303\u6297\u751f\u7d20\u6cbb\u7597\uff0c\u7edd\u5927\u591a\u6570\u60a3\u513f\u53ef\u5b8c\u5168\u5eb7\u590d\u3002\u4f46\u82e5\u5ef6\u8bef\u6cbb\u7597\u6216\u53cd\u590d\u53d1\u4f5c\uff0c\u53ef\u80fd\u5bfc\u81f4\u80be\u810f\u6c38\u4e45\u6027\u7622\u75d5\u5f62\u6210\uff0c\u751a\u81f3\u5f71\u54cd\u6210\u5e74\u540e\u7684\u8840\u538b\u4e0e\u80be\u529f\u80fd\u3002<\/p>\n<p><strong>Q: \u5c0f\u513f\u80be\u810f\u75be\u75c5\u53ef\u4ee5\u5b8c\u5168\u6cbb\u6108\u5417\uff1f<\/strong><\/p>\n<p>A: 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