Iro ibwe iri murereter

Dombo iri muureter idambudziko rinotyisa, iro rinogona kubuda semigumisiro ye urolithiasis inoitika mumuviri. Muchirwere ichi, rimwe kana kuti mamwe mafungiro eminzwa dzimwe nguva anotamirwa kune ureter uye anoramba akachengetwa munzvimbo dzekunamisa kuderera kwechimiro ichi. Mamiriro ezvinhu akadaro anogona kukonzera zvinetso zvakadai se hydronephrosis, obstructive pyelonephritis, fistulas muusreter uye kusakundikana kwetsvina, saka inofanira kutarisirwa nezvose zvakakomba.

Muchikamu chino, tichakutaurira chinokonzera chirwere ichi chinokonzera, zvipi zviratidzo zvinotevera stasis yematombo mumusere mumadzimai nevarume, uye kurapa kunodiwa munyaya iyi ine ngozi.

Zvinokonzera matombo mumusere

Zvinokonzera zvinogona kukonzera dambudziko rakafanana, pane zvakawanda chaizvo. Kazhinji kacho chirwere ichi chinokonzera zvinhu zvinotevera:

• kuchinja muhutano hwemuti uye acidity yayo;
• kukanganiswa kwephosphate uye oxalate metabolism;
• zvirwere zvinotapukira zvetsvo uye urinary system yezvokuputika;
• zvirwere zvakasiyana-siyana zvepa bone system;
• kuberekwa kusakanganiswa kwechimiro che renal pelvis uye calyx;
• kuora muviri kwemuviri;
• genetic predisposition;
• kunyanyisa kushandiswa kwemafuta akawanda, zvinonaka uye zvokudya zvinopisa;
• mechanical injuries.

Zviratidzo zvebwe riri mukati mevakadzi nevarume

Kazhinji, ibwe iri murereter ine kliniki yakajeka. Murwere anotanga kuerekana awana chirwere chakakomba, icho pane dzimwe nguva nguva nenguva chinoderedza zvakasununguka, asi zvakare chinodzoka zvakare.

Panguva yekubatwa, zviratidzo zvinotevera zvinowanikwa kune varwere vakura zvepabonde:

• kurwadziwa kwakanyanya mumudumbu wepasi uye mukugomera, kupa mune hypochondrium uye pasi kumashure;
• fever uye chills;
• kudzvinyirira kwakanyanya kwemasumbu emimba;
• kurwisa kwekurutsira nekunyunyuta;
• kuvhiringidzika kana kubuda.

Mukuwedzera, pane kazhinji kacho chido chinogara chichida kuenda kumba. Muchiitiko ichi, kana dombo iri muzasi chemukati uye rinoputira zvakakwana cavity yei tube iyi, urini haisi kusunungurwa.

Chii chandinofanira kuita kana dombo rakanyungudzwa mumusere?

Zvechokwadi, kana kusanganiswa kwezviratidzo zvinotevera kwawanikwa, unofanira kudana ambulense nokukurumidza kana zvichida kana kudana chiremba. Vashandi vezvechiremba vanoita zvose zvinonzwisisika, kuziva kuti chii chinokonzera marise, uye kuona kana mamiriro acho akaoma.

Kubviswa kwedombo kubva mumushure kunoshandiswa chirwere kana kuchengetedza. Sezvo mutemo, kana chikamu chemari hachipfuuri 2-3 mm, zviito zvakakomba hazviitwi, zvisingakwanisi kumirira uye kuona maitiro.

Kuti ibatsire ibwe kuti ribude kubva kune ureter zvakasununguka uye kuderedza mamiriro emurwere, nyora mishonga yakawanda uye nzira, iyo ndeyikuti:

• antispasmodics, somuenzaniso, "No-Shpa" kana "Trigan-D";
• urolitiki, zvakadai se "Soluran", "Avisan", "Blomaren" kana kuti "Tsistenal";
• physiotherapeutic procedures - diathermy, electrocution, baths;
• kushandisa therapy;
• mushure mekurwa kwechirwere colic - analgesic zvinodhaka kana kunyunyuta kwechirwere muchipatara mune sangano rezvokurapa;
• kazhinji - antibiotic therapy.

Mukuwedzera, nhasi, kuputika kwematombo muureter inoshandiswa zvakashandiswa ne ultrasound. Kushandisa nzira iyi inobvumira munguva shoma yekukuya matombo kuitira kuti vabve mumuviri vari voga. Sezvo mutemo, unoshandiswa apo kubwinya kwebwe kunodarika 6 mm.

Kuvhiya kubvisa ibwe kubva murereter kunoitwa mumamiriro ezvinhu akaoma. Zvichakadaro, kana huwandu hwayo huri kupfuura 1 cm, pasina kupindira kwechiremba vanovhiya kazhinji haagoni kuita. Mukuwedzera, chirwere chacho chinowanikwawo munyaya yehutachiona hwehutachiona hunokanganisa, kusagadzikana kwechiremba, uyewo kana nzira dzakachengeteka dzokurapwa dzisingadzose zvakagadziriswa.