Hydronephrosis wa impso - ndi chiyani?

Pafupifupi amayi onse, makamaka ali aang'ono, kamodzi amakumana ndi matenda a urinary system. Pambuyo pofufuza bwinobwino, hydronephrosis a impso nthawi zambiri amavumbulutsidwa - ndi chiani, mwatsoka, madokotala samalongosola kawirikawiri, amasiya wodwalayo mosadziwa kwathunthu. Komabe, ndikofunikira kwambiri kukhala ndi chidziwitso chotero, popeza kudziŵa kotheratu za matenda ndi kumvetsa za matenda anu ndi gawo lofunikira la chithandizo.

Kodi matenda a impso a hydronephrosis ndi otani?

Matenda omwe akugwiritsidwa ntchito, makamaka, ndi kusintha kwa impso.

Chifukwa cha kuphwanya mkodzo, ndipo, motero, kusungidwa kwake mu ziwalo za excretory system, pali kuwonjezeka kwa mpweya (hydrostatic) m'mapiri ndi calyces ya impso. Chifukwa cha chikhalidwe chimenechi amakula, zomwe zimawombera mitsempha ya magazi, kuwonongeka kwa ziwalo za ziwalo, ntchito zawo, chitukuko cha njira zothandizira parenchyma.

Nthaŵi zambiri, pali hydronephrosis ya impso imodzi. Izi zimatheka chifukwa chakuti, pakutha mkodzo mu chimodzi mwa ziwalo, chachiwiri chimakhala ndi katundu wambiri pakuchotsa madzi, ndikuperewera chifukwa cholephera kugwira ntchito.

Mitundu ya hydronphrosephrosis ya impso, monga lamulo, imayambitsa matenda a kale omwe amapezeka m'mitsempha, yomwe idapitanso patsogolo mu ziwalo ziwiriziwiri.

Zotsatira za impso hydronephrosis

Malinga ndi momwe impso zowonongeka zimatha kugwira ntchito yake molunjika, magawo atatu a matendawa amasiyanasiyana:

1. Panali kukula kwa malo okhaokha a chiwalo. Impso yokhayo siinayambe kusintha, kapena ili yosafunika ndipo siyakhudza momwe ikugwirira ntchito.
2. Nkhumbayi imakula kwambiri ndi kupukuta kwa mphindi imodzi imodzi. Pa nthawi yomweyo, kukula kwa impso kunachulukitsidwa (pafupifupi 18-20%). Mphamvu ya pelvis kuchotsa mkodzo ndi yovuta kwambiri, monga momwe zimagwirira ntchito impso - kuyambira 20 mpaka 40%.
3. Kukula kwakukulu, monga pelvis, ndi makapu, chifukwa cha zomwe impso zimawoneka ngati chipinda chamagulu. Kukula kwa chiwalo kumakula ndi chinthu cha 1.5-2. Pali kusokonezeka kwakukulu kwa ntchito za impso zowonongeka, ndi 70-80%. Milandu yovuta kwambiri, imasiya kugwira ntchito.

Ndi matenda a impso hydronephrosis, chikhalidwe cha parenchyma (minofu yomwe imakhala pamwamba pake) ya limba sikofunika kwenikweni. Malingana ndi kukula kwake, matendawa ndi madigiri 3:

1. The parenchyma kwathunthu kusungidwa.
2. Minofuyi ndi yopanda phindu.
3. Chipolopolo chachikulu chikuwonongeka.
4. Kulephera kwa impso, kusowa kwa parenchyma.

Zizindikiro ndi zifukwa za impso hydronephrosis

Kugonana kwapachibale kumachitika chifukwa cha zinthu izi:

• zolakwika za malo amitsempha ndi nthambi za impso;
• chotsutsana ndi chigawo cha mkodzo;
• malo osakwanira a ureter;
• valves, ziwalo zobisika;
• dyskinesia wa tsamba lokodzola.

Zomwe zimayambitsa hydronephrosis zimapezeka pambuyo pobadwa ndi:

• zilonda za chiberekero ndi chiberekero chake, mazira;
• chithunzi;
• Kuchuluka kwa mankhwala ochotsera mkodzo pambuyo povulazidwa;
• ziphuphu zotupa za ziwalo za mkodzo ndi njira yoberekera;
• kuwonongeka kwa msana wa msana;
• Kupweteka koopsa, metastases mu pakhosi kakang'ono kapena malo otchedwa retroperitoneal;
• mankhwala osokoneza bongo.

Monga lamulo, kupititsa patsogolo kwa hydronephrosis sikumveka kwa wodwalayo. Chizindikiro chokha cha matendawa ndi kupweteka kowawa, komwe kulipo nthawi zonse, mosasamala kanthu za thupi ndi nthawi ya tsiku. Nthawi zina kutentha kwa thupi kumatuluka ngati matendawa akulowa. Nthawi zambiri, magazi amachotsedwa mu mkodzo.

Pamapeto pake, ali ndi maonekedwe onse a impso omwe akulephera.

Kodi chiopsezo cha matenda a impso hydronephrosis n'chiyani?

Kufufuza kozama kungakhale kovuta ndi mavuto ena, omwe ndi owopsa kwa thanzi ndi moyo:

• sepsis ;
• impso kulephera;
• pyelonephritis ;
• chithunzi;
• kupasuka kwa hydronephrosis sac;
• matenda oopsa.