Hydronephrosis wa impso zamanzere

Impsofreyis ya impso za kumanzere ndi kuphwanya kumene thupi limathamangira, lomwe limayambanso chifukwa cha kuphwanya njira yotulukira mkodzo kuchokera m'mimba. Zotsatira zake, pali kuwonjezeka kwa kukakamizika mkati mwa excretory, zomwe zimachepetsera kusakaza kwa magazi, ndipo potero zimayambitsa chitukuko cha atrophy ya impso parenchyma. Panthawi yomweyi palinso kuwonjezeka kwa chikho ndi mapepala a impso, zomwe zimatsimikiziridwa ndi zotsatira za ultrasound.

Kodi ndi madigiri angati olakwira omwe amapangidwa?

Malingana ndi momwe impso zimakhudzidwira, ndizinthu zina ziti zomwe zikuchitika kusintha, ndi chizoloŵezi chosiyanitsa:

1. Mphindi 1 ya hydronephrosis ya impso za kumanzere. Ndilo gawo loyambirira la matendawa ndipo amadziwika kuti kusungunuka kwa mkodzo kumachitika mwachindunji mu kapu ndi pamphuno yamphongo. Poganizira kuti makoma a nyumbazi ndi otsika, thupi limapereka ndalama zowonjezera.
2. 2, mlingo wa hydronephrosis wa impso zamanzere amadziwika ndi kuwonjezeka kwakukulu kwa chipsinjo mkati mwa chiwalo, zomwe zimapangitsa kuti makoma a pakhosi a nsalu azikhala olimba kwambiri. Zotsatira zake, pali kusintha kwazinthuzi - ndizochepa. Chotsatira chake, mphamvu yogwira ntchito ya thupi yafupika ndi pafupifupi 20-40%.
3. Ndi hydronephrosis ya impso ya kumanzere ya digiri yachitatu, pali atrophy ya minofu ya parenchymal ya chiwalo, zomwe zimapangitsa kuchepa kwa ntchito yomwe yachitidwa ndi 60-100%. Pochita ultrasound pa siteji iyi, pali kuwonjezeka kwa kukula kwa kapu ndi pelvis pafupifupi kawiri.

Kodi hydronephrosis amachiritsidwa motani mu impso zamanzere?

Chithandizo chodziletsa cha matendawa ndi kotheka pokhapokha poyambira matendawa. Zikatero, zimaphatikizapo mpumulo wosokoneza ubongo mwa kupereka mankhwala odzola.

Komabe, nthawi zambiri, chitukuko cha vuto lomwelo chimagwiritsidwa ntchito ndi mankhwala opaleshoni. Cholinga chachikulu cha njirayi ndi kuchotsa zopinga zomwe zimaphwanya mkodzo kuchokera ku impso.

Pankhani ya mankhwala a hydronephrosis a impso zotsalira pa nthawi yomwe ali ndi mimba, muzochitika zoterezo mankhwalawa akukonzekera kuwonjezera mau a anthu odwala, kuyambitsa kusunga mkodzo. Dokotala akulamula kuti azikhala ndi vuto labwino komanso amalimbikitsa kudya zakudya (kuchepetsa zakudya zamchere, mafuta, zokazinga ndi zokometsera).

Mankhwala ophera tizilombo a zomera angayambidwe, omwe nthawi yomweyo amachepetsa chiopsezo cha chitukuko cha edema. Yang'anani nthawi zonse mkhalidwe wa thupi, mwa kupereka mayeso ambiri a mkodzo ndi magazi, ultrasound.