Hydronephrosis yepimpure chirwere umo kune kuwedzera kufambira mberi kwekudzivirira kwepilvis uye calyx inokonzerwa nokuputsa kwekubuda kwemuti, zvichizoita kuti atrophy yezvipembenene zvepso uye kushungurudzika kwakakomba mubasa remugumbe uyu.
Kutevedzwa kweyipi hydronephrosis
Kune zvikamu zvitatu mukukura kwechirwere ichi:
- Ndakatarisa - ndeyeiyo renal pelvis yakawedzerwa, maitiro einso haaputsiki, kana anotywirwa kudivi risina basa.
- Chikamu chechipiri - inora inowedzerwa ne15-20% kana ichienzaniswa neyakasikisa, masvingo emapapiro aya akapfava, uye mishonga yemisumbu inoputsika. Iyo renal basa inonyatsoderedzwa (ne20-40%).
- Hondo yechitatu - iyo yeputsvo yakawedzerwa ne 1.5-2 nguva, basa rayo rinoderedzwa nepamusoro pe50%, kusvika pakurashwa kwakakwana kweputsvo.
Zvichienderana nekuoma kwezvipembenene, renalyma renal inoparadzanisa madhigirii mana echirwere ichi:
- renal parenchyma kwete;
- kukanganisa chinhu chiduku;
- kukanganisa kukuru;
- kukwanisa atrophy ye renal parenchyma uye kusagadzikana kwetsvina.
Zvichienderana nekuti imwe yeiyo yakagadziriswa here kana maviri, imwe-yakasara uye mbiri-sided hydronephrosis yakakamurwa.
Uyezve, zvichienderana nechinokonzera, hydronephrosis yakakamurwa kuva congenital uye inowanikwa. Izvozvo zvinogona kukonzerwa neUrolithiasis, kukanganisa kwerinjini, zvirwere zvakasiyana-siyana, dyskinesia yemugwagwa.
Zviratidzo zveyiyo hydronephrosis
Hydronephrosis inogona kuva yakaoma uye isingagumi.
Mune acute hydronephrosis, zviratidzo zvinowanzotaurwa uye zvinokurumidza kukurumidza. Pachikamu chekutanga chechirwere (apo parenchyma isingakuvadzi, asi inetso yepimpure haina kunyanya kubatwa), zviratidzo zvechirwere chinokonzera hydronephrosis zvinonyanya kutaurwa.
Chiratidzo chikuru che hydronephrosis inorwadza nguva dzose inorwadza inorwadza mumucheto wezasi, kukosha kwayo hakurevi nenguva yezuva. Marwadzo anokwanisa kuwanikwa munzvimbo yakarurama kana kuruboshwe, zvichienderana nemafungiro api anokanganiswa. Mune zvikamu zvekutanga zvechirwere, kurwadziwa kunogona kufanana nekurwiswa kwechirwere colic.
Dzimwe zviratidzo zvinogona kusanganisira:
- ropa mumuguta;
- kazhinji kukurudzira kurinate ;
- kushungurudza uye kurutsa;
- kuwedzera kwekushisa (kana kune utachiona pamashure e hydronephrosis).
Chimiro chisingaperi chechirwere chinokura zvishoma nezvishoma uye zvinenge zvisingatauriki. Murwere angangodaro akavhiringidzika nemarwadzo anorwadza nguva nenguva mumucheto wezasi, kuwedzera mushure mekunwa mvura zhinji, kushaya simba, kuneta, hypertension .
Muchikamu chekupedzisira chechirwere, kuzvimba uye kuora mumunda we lumbar, kunyoresa, kunogona kuonekwa.
Kurapa kwe hydronephrosis
Kurapa kwe hydronephrosis kunoitwa chete nenzira yekuvhiya. Kuchengetedza kurapa mu hydronephrosis yeinso hakubatsiri uye inoshandiswa chete kuderedza zviratidzo zvechirwere uye kugadzirisa mamiriro ekurapa asati avhiyiwa.
Sekukurumidzirwa, tsvina yeinso inoitwa mune chirwere chakadaro, umo urinho kuunganidza inobviswa kubva pamapanga nenzira yenzano chaiye, uye nokudaro kuomeswa kwepvo kunoderedzwa.
Kupindira kwokupindira munyaya imwe neimwe ndeye uye kunotsamira
Chokutanga pane zvose, kushanda ne hydronephrosis inotarirwa kudzorera kubuda kwechirwere chemuti uye kubvisa kubviswa kwakakonzera. Kana basa rehso risina kunyanya kunetseka, sekutonga, kuvhiyirwa kwepurasitiki yenhare renal (kuburitswa kwemaitiro ake akaenzana) uye ureter inoitwa, inobvumira muviri kuti uite zvakanaka munguva yemberi. Muchikamu chekupedzisira che hydronephrosis, apo tsono inogumira kushanda, kurapa kwayo hakugoneki, kunoshandiswa pakubviswa kwayo, sezvo zvimwe zvakakomba zvinokonzera kupisa zvinokwanisika.