Kushanda kwekuvhenekera kunoenderana nekodzero yakarurama yemvura. Kana kuputika kwayo kuchivhiringidzika, kuparara kunowanzoitika, semugumisiro wekuti renal pelvin uye calyx inowedzera. Izvi zvinotungamirira kumapfupa ekufambisa atrophy uye nhengo kufa.
Hydronephrosis yeinso - chii ichocho?
Apo murini inononoka mu-excretory system, izwi rayo rinoramba richiwedzera. Kuwanda kwehutsinye hunokonzera kusvibiswa kwemainyo emakumbo uye kufambidzana kwezvirwere, kutsanangura chii chinonzi hydronephrosis:
- kunyanya kudzvinyirira mumushure;
- kudengenyeka kwegomba rinosvibisa;
- kushungurudzika kwekutsvaga, kutendeseka nemafungiro emamiriro ezvinhu;
- kuderedza kukwana kwei-tubules;
- atrophy ye-interstitial tishu, parenchyma;
- kufa kwephrononi.
Chii chinokonzera hydronephrosis?
Chirwere chekufambira mberi chinokonzera kuti zvishoma nezvishoma zviparadze kubva kune zvivako zvepfungwa zvepvo. Kutanga, chirwere che hydronephrosis chinopesana nekuputsa kwakanyanyisa kwebasa rechirongwa uye hazvionekwe zvakanyanya mamiriro ezvinhu emuitiro we urinary system. Gare gare, pane kukanganisa kwakashata, izvo zvinogona kuitika nekudzoka kusingawanzoitiki. Kana pasina hutano hwakanaka, hono dzakanaka hydronephrosis dzichapinda mudanho rakaoma nekunyanganisa kwakakwana kana kusakosha kwechikamu chebasa. Izvi zvakazara nekusakwana kwakakwana uye kutyisa nezvigadzirwa zvemabasa anokosha.
Hydronephrosis yemafungiro - zvinokonzera
Urologist inoshevedza inowanikwa uye inobatanidza zvinhu zvakagadziriswa pakugadzirwa kwezvitsanangudzo chirwere. Hydronephrosis - zvikonzero zveboka rokutanga:
- kukura kunokurumidza-kukura, kuomesa pamusoro pezviyo;
- posttraumatic kana postoperative kuderedza tubulu nekuumbwa kwemavara emucheka;
- kubatanidzwa kwemudziyo;
- spinal cord injury;
- kenza yekodzero, yeiyo yakasara kana shanje;
- kuvapo kwematombo, jecha;
- endometriosis ;
- ovarian cyst;
- zvirwere zvinoputira zve genitourinary system;
- tuberculosis;
- metastases nevamwe.
Congenital hydronephrosis
Dzimwe nguva kubuda kwemuti kunovhiringidzwa nechemberi kwezvisizvo zvakasiyana-siyana muhutano hwemashoko akabuda. Hydronephrosis kurudyi uye kuruboshwe inowanikwa neyotevera congenital pathologies:
- kugadziriswa kwemuyero tubules;
- zvimwe zvivako, septa nemagetsi mumugwagwa wemuguta;
- diverticula;
- matomical obstructions iri mumucheka, urethra, rusvingo uye ureteral lumen, pelvis;
- dyskinesia uye distension;
- ureterocele.
Hydronephrosis yehvo dzakanaka kanowanzobuda kubva pakusaruramisa kwakasarudzwa kwetsika huru yemaitiro kana matavi awo makuru. Chimwe chimiro chemuropa chakaumbwa chine mamiriro echindori chinosimbiswa neusreter. Izvi "kupinza" zvinodzivirira zvinoitika zvekare uye kubviswa kwehuwandu hwehutachiona, zvinotungamirira pakuwedzera kwemikombe uye hohanok kuruboshwe kana kurudyi kwehvo.
Hydronephrosis muKubata
Dambudziko rinotaridzirwa rinofungidzirwa sechinhu chinowanzoitika panguva yekuzvitakura, kunyanya kubva pamutatu wechipiri. Hydronephrosis yeinso panguva yekuzvitakura inokura semugumisiro wekuwedzera kukuru muhukuru hwechibereko. Masvingo aro anotanga kuwedzera mukati me peritoneal space uye pfuurira paunreter. Kana zvakanyanya kutambanudza chibereko, iyo inowedzera mvura inochengetwa muinso.
Degrees of hydronephrosis
Zvichienderana nekuoma kwehutano uye kuoma kwezviratidzo zvayo, zvikamu zvitatu zvechirwere chechirwere zvakasiyana:
- Hydronephrosis 1 degree (inopomerwa) inoratidzwa nekuchengetedzwa zvakakwana kwebasa rehono dzakanaka. Mukati memapapiro kaduku kaduku kemuguta kunowedzera, saka masvingo nemakirini echirwere hazvirevi kutambanudza.
- Hydronephrosis yechipiri chechipiri (chikamu chakabhadharwa) inofambidzana nekushandurwa kwemashuga emakumbo akaora uye kuderera kwemabasa ayo ne40-45%. Kuti urongwa hwekushanda huve hunoita zvakanaka, basa rehutano hwakagadzirwa huri kuwedzera.
- Hydronephrosis ye 3 degrees (kuguma) ndekukundikana kwemakumbo akanaka. Nemhaka yekuwanda kwebasa remuviri, muviri wakagadzikana haugone kurarama nekuwedzerwa kwemuti, uye kusagadzikana kwakanyanya kunowedzera. Kana pasina chirapa, chirwere chinouraya chinogona kunge chiripo.
Hydronephrosis yeinso - zviratidzo
Iyo inorondedzerwa hutachiona inonyanya kushamiswa nezviratidzo zvekliniki. Kuoma uye kunyanya kwezviratidzo zvinoenderana nesiteji re hydronephrosis, zvinokonzera uye nguva yekufambira mberi kwayo, kunzvimbo yekudzivirira kweropa rekuvhenekera. Mumazuva ekutanga, zvinenge zvisingakwanisi kuona chirwere chacho, hapana zviratidzo zvekuvhiringidza kwepretory system uye mafungiro akanaka.
Hydronephrosis - zviratidzo zvechirwere chakakomba chirwere:
- kusagadzikana muchepasi kumashure;
- kusingaperi kuneta;
- arterial hypertension;
- kuderedza simba rekushanda;
- nausea;
- renal colic;
- fever;
- kurutsa;
- chills;
- kushamwaridzana uye kuderera kuzhinji;
- kurwadziwa kumashure nechezasi kumashure;
- kuzvimba;
- anemia.
Hydronephrosis - Kuziva
Kufungidzira kuti chirwere chinorwara chinonzi urologist inogona kuongorora mumuviri, panguva yekurovedza, kuputika, kukonzera. Kuti asimbise hydronephrosis yemakumbo akanaka kana ari kuruboshwe, mimwe miedzo yeongororo inotarisirwa:
- ropa (biochemistry, electrolytes);
- urin (hukuru, hunobudiswa, bhaka);
- Samples kubva kuNechiporenko, Reberga, Zimnitskiy, Addis-Kakovsky.
Pakupedzisira, kusimbisa kuongororwa kwe "hydronephrosis yemakumbo akanaka" zvidzidzo zvinobatsira zvinobatsira:
- magnetic resonance imaging kana computed tomography;
- kudzorerazve ureteropyelography;
- excretory urography ;
- ultrasound diagnostics;
- dopplerography;
- endoluminal echography;
- chromocystoscopy;
- Renoangiography;
- percutaneous antegrade pyelography;
- radioisotope simba nephroscintigraphy nevamwe.
Kurapa kwepyiyo hydronephrosis
Utachiona hwehutachiona hwakataurwa hunogadzirwa mumwe nomumwe kune mumwe murwere. Nzira dzokubata nayo hydronephrosis dzinosarudzwa neurologist maererano nehutano hwechirwere chechirwere, kukwirira kwezviratidzo, chikonzero chekuunganidza urine. Izvo zvakanyanya mabasa ekurapa maitiro:
- kubviswa kwehuwandu hwehutachiona kubva muurinary system;
- kudzivirira kutambanudza mafungiro akanaka uye atrophy yezviviri zvayo;
- normalization urine outflow;
- kubviswa kwezvinhu zvinokonzera kushungurudzika kwekuita basa.
Hydronephrosis - kurapwa pasina kuvhiyiwa
Chirongwa chekuchengetedza chirwere chinoshandiswa chete muzvikamu zvekutanga zvechirwere, apo basa rekuvhenekera rinoramba richibhadharwa. Chirwere chepini "hydronephrosis" chinosanganisira kushandiswa kwemishonga inoratidzira yemapoka akawanda:
- anti-inflammatory - ketoprofen, Ibuprofen, Tenoxicam;
- anesthetics - Ketorolac, Naproxen, Indomethacin ;
- antibiotics - Sumamed , Flemoxin Solutab, Clindamycin;
- hypotensive - Metoprolol, Physiotens, Albarel nevamwe.
Kushandiswa kwemafaramende haisi nzira inoshanda yekurapa mafungiro akanaka. Mishonga inowanzopiwa mushure mekuvhiyiwa kwekuvhiya kuti igadzirise chirwere chacho, kuvandudza hukama hwevarwere nekudzivirira hutachiona hwehutano hwemagetsi. Pasina chirwere, chirwere chichabudirira.
Hydronephrosis - operation
Kusarudzwa kwehutano hwekurapa hunoitwa kunze kwekunge wanyatsoongorora. Kutanga, zvakakosha kuziva kuti nei hydronephrosis yaitika - kurapwa kunogadziridzwa zvichienderana nechinokanganisa. Muhupo hwematombo kana jecha riri muhono dzakanaka, avo vari kure kurema (lithotripsy) vanokurudzirwa. Kushandiswa kunoshandiswa uchishandisa ultrasonic uye redio wave influences.
Kana iyo hydronephrosis yekakarurama (kuruboshwe) yemoya inokonzerwa nechirwere, chisarudzo chinoitwa pakugadzirisa kwechirwere. Mukuwedzera, mazairo emakemikari nemakemikari anogona kuitwa. Kazhinji, hazvibviri kubvisa chiremera chete nemasitema, saka chiremba anovhiya anorumbidza kusarura kana kuti kwakakwana kwechirwere umo kukura kunowanikwa, pamwe chete nemvura yakananga yemakumbo akanaka.
Ne congenital anomalies mumusangano we urinary system, plastiki inoitwa. Mabasa akadaro anonongedza kugadzirisa nguva yakasvibirira yemvura. Mumatambudziko akaoma, apo hydronephrosis inotanga kukanganisa zvakakwana mafungiro akanaka, kune dambudziko rezvinetso nenzira yekunyanyisa kwakanyanya nemishonga yemuginha kuputika, nhengo inofanira kubviswa (nephrectomy).