Aplasia (agenesis) Impso: Zoyambitsa, zizindikiro ndi mbali chithandizo

Popanda dongosolo excretory sikutheka kulingalira ntchito ya thupi. Chimodzi mwa zigawo zake ndi impso. Izi wophatikizidwa limba, ntchito yaikulu imene ali akumapeza madzi ndi madzi sungunuka zinthu. Nawonso amagwira ntchito kagayidwe ndi malamulo a muyezo asidi-zamchere. thupi mwamtheradi wathanzi munthu pali impso ziwiri. Pa 2.5% ya ana ndi makhalidwe oipa. Ndipo ngakhale osowa, koma sanapeze impso nthenda.

Kodi aplasia (agenesis) impso?

Zoyambitsa, zizindikiro ndi mankhwala kwa matenda osowa ayankhidwa pansipa. Choyamba, muyenera kumvetsa tanthauzo la mawu amenewa.

Mu mabuku osiyanasiyana mankhwala Buku mungapeze chisakanizo cha mfundo ziwiri "aplasia" ndi "agenesis". Kodi pali kusiyana pakati pa iwo? Agenesis - kupanda lathunthu limodzi kapena onse a impso ziwiri. kudwala Izi titadziwa. Pamalo thupi la kusowa ngakhale zoyamba za minofu aimpso. Aplasia - chodabwitsa ndi imene M'mimbamo retroperitoneal ndi kokha chingwe minofu connective. Mu mawu ena, underdeveloped impso sangathe ntchito yake.

Zochita matenda, zilibe kanthu kuti mtundu wa matenda chopezeka ana. Ndipo kwenikweni, ndipo mu mulandu wina, thupi zonse palibe. ziwerengero matenda osakwatira anapereka. Amadziwika kuti kuvutika aimpso mlandu za 7-11% ya pathologies onse a dongosolo genitourinary.

nkhani za m'mbiri

agenesis aimpso wakhala kudziwika kwa anthu kuchokera kalelo. matenda izi ngakhale Aristotle otchulidwa m'mabuku ake. Iye anati kuti ngati pali nyama popanda mtima sindingathe, popanda impso kapena ndulu - kwathunthu. Mu Kubadwa Kwatsopano, vutoli anakhala chidwi wasayansi Belgium Andreas Vezaly. Mu 1928, Soviet dokotala Sokolov akonzedwa kudziwa kuchuluka kwake pakati pa anthu. Kuyambira pamenepo, ofufuza allocated njira zosiyanasiyana aplasia (agenesis), omwe ali matenda yake chithunzi ndi ulosiwo.

mitundu agenesis

Pali classifications angapo matenda. Waukulu kusiyanitsa matenda pa chiwerengero cha matupi.

1. Kumanja amaganiza aimpso agenesis (malamulo ICD-10 - Q60.0). Izi mawonekedwe a matenda a ambiri amangoti anapezeka mu akazi. Kawirikawiri chibadwire impso bwino ndi osatetezeka. Malowa ali pamtunda m'munsi kumanzere ndipo chochepa yam'manja. Nthawi zambiri bwino ntchito adzatenge wophatikizidwa limba, ndipo munthuyo sanasonyezedwepo kusapeza kwambiri.
2. Kumanzere-kumbali impso agenesis. Izi mawonekedwe a matenda ali osowa ndi kumenya yovuta mokwanira. The impso bwino wochepa magwiridwe. Si ndinazolowera ntchito compensatory.

Tiyenera kuganiziranso amgwirizano agenesis. Osiyanasiyana izi matendawa amakhala ndi pakalibe zonse za matupi awiri. Pansi ana ake kawirikawiri kupulumuka. Atabadwa yomweyo ayenera kupatsa. Kodi amgwirizano aimpso agenesis ovomerezeka? ICD 10 zikuphatikizapo kudwala pansi kachidindo Q60.1.

mitundu aplasia

Izi anomaly aimpso ndi mmodzi amaganiza. The ndondomeko pathological akhoza anagawira basi kumanzere kapena mbali thupi. Choncho impso fibrous minofu zambiri akuimira mu mawonekedwe achikalekale, koma popanda mafupa a chiuno, ducts ndi glomeruli.

Zimayambitsa matenda a

Palibe kugwirizana zimene zimachititsa agenesis aimpso mu akhanda kulibe. Madokotala anasonyeza mfundo ina. Ena ulalo pathologies ndi kutengera za kumtundu. Ena amakana mfundo imeneyi.

phunziro yaitali matenda, ndipo maphunziro ambiri asiya kudziwa zinthu zingapo, pamaso amene kumawonjezera Mwina wa pakuwonekera kwake. Aplasia kapena yoopsa impso agenesis zotheka milandu zotsatirazi:

1. Matenda uchidakwa, kumwa mowa pa mimba.
2. Shuga amayi m'tsogolo.
3. A tizilombo / matenda opatsirana mu trimester.
4. The ntchito mosadziletsa mankhwala mkazi miyezi pa 9.

Impso anayamba kupanga mu wosabadwa kuchokera sabata 5 cha moyo wake m'mimba. Zimenezi kukupitirirabe mimba. Komabe, owopsa ndi 1st ndi trimesters 2. Panthawi imeneyi, mosavuta kudwala matenda, anapereka zotsatira za zinthu akumane, izo si mkulu.

Wonse matenda chithunzi

Aplasia kapena agenesis a impso mwina nthawi yaitali kwambiri sangosonyeza yokha. Azimayi ena pa mimba sapita ku US, ndipo pambuyo kuoneka mwana ananyalanyaza nkhani. Chifukwa cha zimenezi, anthu n'komwe za mavuto amene alipo thanzi. Waphunzira matenda zosasangalatsa zaka. Monga ulamuliro, pa mayeso chizolowezi kusukulu kapena ntchito. Pankhaniyi, impso wathanzi Zimatero mpaka 75% a ntchito za kusowa kapena bwino lizigwira limba. Motero, munthu asaone kusapeza iliyonse.

Nthawi zina aimpso anomaly amayamba kusonyeza mwana m'masiku oyambirira a moyo. Mwa zizindikiro zazikulu za madokotala kudwala olekanitsidwa:

• ndi zofooka zosiyanasiyana nkhope (puffiness, lonse ndi lathyathyathya mphuno);
• ambiri makwinya pa thupi;
• anazungulira m'mimba;
• otsika malo a makutu;
• mapindikidwe a nthambi m'munsi;
• kuchepetsa zinthu zosiyanasiyana za ziwalo zina mkati.

Pamene matenda agenesis aimpso mwana, matenda kawirikawiri limodzi ndi nthenda chitukuko cha Ziwalo zoberekera. Mwachitsanzo, atsikana chowululidwa cha nyanga ziwiri chiberekero, ukazi atresia. Anyamata anapeza pakalibe vas deferens. Mtsogolo, mavuto akhoza kumva ndi mpheto kapena kukhala osabereka.

njira matenda

Wamkulu nthawi zonse matenda "aimpso agenesis" olumala. Komabe, muyenera choyamba kuti adutse tinafotokoza mwatsatanetsatane. Pa msonkhano dokotala likamva mbiri mankhwala wodwala, imaphunzira kutengera za lake kumtundu. njira zina za kafukufuku kungafunike kuti atsimikizire matenda zoyambirira:

• US.
• Urography ndi wothandizila Mosiyana;
• Aimpso angiography;
• CT.

Kudziwa pakalibe kapena impso yoopsa hypoplasia zotheka ndi ultrasound. Kale pa phunziro mosamala choyamba, amene anatumizidwa kwa 12-14 sabata TH, katswiri otsimikiza za kudwala. Pambuyo pake, mkazi kwenikweni anasankha mosamala zina malformations kugwirizana.

mankhwala mankhwala

Mawonekedwe okha a matenda, chimene kwenikweni akuimira kuwononga moyo - ndi amgwirizano aimpso agenesis. Nthawi zambiri zipatso ndi matenda uwu ufe anali m'mimba mwa mayi kapena pobadwa. Komanso, Mwina imfa mu masiku oyamba a moyo si mkulu chifukwa cholephera aimpso.

Kudzera chitukuko cha mankhwala perinatal lero mwayi kupulumutsa mwana ndi kudwala izi. Kuti tichite zimenezi, mu maola woyamba atabadwa opareshoni kuti ndikasendeza ziwalo, ndiyeno kupanga hemodialysis zonse. njira iyi amachitira matenda zenizeni ndi ntchito mchitidwe m'malo akuluakulu ambiri a zachipatala. Komabe, poyamba ayenera bungwe kudya matenda masiyanidwe ndi kukusalani malformations ena a dongosolo mkodzo.

Unilateral aimpso agenesis ali ndi madokotala ananena zawo zabwino. Ngati wodwala matenda ndi kumva mwa zizindikiro zosasangalatsa, chakwanira tizipima pachaka ndi kutenga mayesero kutero. M'pofunikanso kusamalira impso wathanzi. ayamikira mwatsatanetsatane apereke dokotala amachitira. Monga ulamuliro, zikuphatikizapo zoletsedwa ndi zakudya kupatulapo zakudya pachimake ndi mchere, kuleka zizolowezi zoipa.

Aplasia si mwapadera ankachitira. Komabe, simungakhoze kuchita popanda malangizo njira kulimbikitsa chitetezo cha m'thupi. Muyenera kudya bwino, kupewa matenda ndi tizilombo. Izo analimbikitsanso kusiya zolimbitsa thupi kwambiri.

Mu aakulu pathological ndondomeko kungafune dialysis kapenanso kumuika limba. Nthawi zina zonse, mankhwala ayenera payekha zogwirizana ndi chikhalidwe cha matenda ndi akukhudzidwira matenda chithunzi.

njira kuteteza

zizindikiro Aplasia ndi agenesis impso mu ICD-10 zosiyana. Komabe, onse a matenda amenewa chifukwa nkhawa pakati pa makolo oyembekezera. Kodi n'zotheka kuwaletsa zikuchitika?

Ngati inu kukusalani kumakhala kutengera za kumtundu kwa matenda, ndi zodzitetezera ali ophweka mokwanira. Ngakhale pa siteji mapulani, mayi woyembekezera ayenera kuyamba kuwunika thanzi lawo (kudya bwino, kusiya zizolowezi zoipa, kuchita masewera zotheka). ayamikira ziyenera adamtsata bwino lingaliro mwana.

Ngati simungathe kupewa chitukuko cha kudwala, ndi koyenera kukhwimitsa kwa Kupha ake. Pamene pali amgwirizano agenesis symmetrical yoopsa kakulidwe yomweyo, oligohydramnios. Mu nkhani ya kudziwika anomalies pamaso masabata 22 a gestation bwino kuchotsa ake pa malo zachipatala. Pamene mkazi kwa iye anakana, ntchito ndiwofatsa obstetric machenjerero. Dziwani kuti sitili pa impso unilateral akhoza kukhala moyo wathunthu. Muyenera nthaŵi kukumana njira cheke akuluakulu ndiponso mayeso.