Hydronephrosis a impso m'magawenga: mankhwala ndi mankhwala ochiritsira

Nthawi zina pa kubadwa, amaika matendawa, monga "hydronephrosis a impso" kwa mwana wakhanda. Ndi chiyani? Matendawa, omwe amadziwika ndi kutseka kwa ureter ndi chotupa, mapiritsi, magazi, kapena kusokonezeka kwa mkodzo chifukwa cha ziphuphu za ziwalo zomwe zimatuluka. Ana obadwa kumene, matendawa amakhala ndi impso imodzi, makamaka kumanzere. Pamene kugonjetsedwa kwapakati kumodzi kumafuna opaleshoni yofulumira, mwinamwake mwanayo akhoza kufa.

Matenda oterewa amachiritsidwa makamaka, ndipo njira zowonongeka zimagwiritsidwa ntchito pofuna kuchepetsa vuto la wodwalayo komanso pokonzekera opaleshoni. Mankhwalawa amagwiritsidwa ntchito pa nthawi yothandizira kuti athe kuchepetsa mavuto.

Kodi matendawa amadziwonetsera bwanji?

Hydronephrosis ya impso mwa ana obadwa kumene ndi owopsa chifukwa zizindikiro zake zimawonekera kokha gawo lachitatu. Choncho, zizindikiro zoyambirira ziyenera kuzindikiridwa ndi makolo. Ayenera kuchenjezedwa kuti mwanayo anakhala wopusa, wosazindikira, anayamba kudya molakwika, maloto adathyoka. Ndi ululu m'mimba, mwanayo amamangiriza ndikuwanyamula.

Samalani mkhalidwe ndi ubwino wa mkodzo. Ngati mwadzidzidzi pazinyalala panali magazi, sitiyenera kuchedwa ndi kuyendera dokotala.

Chizindikiro chachikulu cha matendawa ndi impso yokhwima, yomwe imangowonongeka ndi bimanual palpation, ndipo imapezeka pa ultrasound. Kuwonjezeka kwakukulu kwa chiwalo kumasonyezedwa ndi buku lalikulu la mimba. Kawirikawiri hydronephrosis a impso mwa ana obadwa amatsatizana ndi matenda opatsirana ndi kuwonjezeka kwa kutentha. Mtsuko uli ndi chiwerengero chachikulu cha leukocyte.

Zimayambitsa

Hydronephrosis ndi yobadwa ndipo imapezeka. Muzinthu zowonongeka, mawonekedwe omwe amayamba kufanana nawo amadziwika ndi kukula kwa impso ndi machitidwe awo opatsirana panthawi yopititsa patsogolo intrauterine. Mwana amabadwa ndi ureta wosasangalatsa, omwe angakhale wopapatiza kapena ali ndi malo olakwika, chotengera chowonjezera. Iye, nayenso, amachiza kwambiri chiwalo ichi, chifukwa cha kuchotsa mkodzo kumasokonezeka.

Mwana wakhanda angakhale ndi kuphwanya mkodzo kuchokera ku impso zonse ziwiri komanso panthawi yomweyo. Pachifukwa ichi, matendawa ndi amodzi kapena aŵiri a hydronephrosis.

Mpaka tsopano, sizinatsimikizidwe kwathunthu chifukwa chake matenda opangidwa ndi impso osagwira ntchito amapezeka, zomwe zimayambitsa matendawa. Mwachiwonekere chinthu chimodzi - kukakamiza zovuta zomwe zingatheke m'mimba mwa mwanayo zingakhale kuzunzidwa kwa mzimayi ngati mowa. Kuwonjezera apo, thanzi la mwana wam'tsogolo limakhudzidwa kwambiri ndi kusuta ndi kumwa mankhwala ena.

Maonekedwe a hydronephrosis a impso amachokera ku zovuta zomwe zimayambitsa matenda ena a impso.

Mitundu

Hydronephrosis a impso mwa ana obadwa kumene, omwe chithunzi chawo chimasonyeza bwino kuti vutoli ndilofunika, nthawi zambiri limakhala limodzi. Zowonekera ku matendawa ndizo anyamata. Matendawa adagawidwa mu mitundu itatu.

Pyeloectasia - imaimira gawo loyamba la matenda, lomwe limadziwika ndi kuwonjezeka kwa pakhosi chifukwa cha kuchulukitsidwa. Pa nthawiyi , impso parenchyma siidakalipo, ntchito zogwirira ntchito zimasungidwa, koma zowonjezera pang'ono. Ndi chithandizo cham'nthawi yake, mungapewe mavuto aakulu.

Gawo lachiwiri la hydronephrosis ndi hydrocalicosis. Pachifukwa ichi, chifuwa cha chiwalo chimakula kwambiri ndi makapu a impso. Mitsempha yochulukirapo yomwe ikupezeka mu tubulus ya renal imayamba kupondereza parenchyma, chifukwa chake ntchito yake imasokonezeka pafupifupi kwathunthu.

Gawo lachitatu la hydronephrosis likuphatikizidwa ndi atrophy yogwira ntchito zamkati zamkati. Pankhaniyi, impso ntchito imagwira kwathunthu. Pa nthawiyi, chithandizo chochipatala chokha chimaperekedwa.

Zofufuza

Hydronephrosis a impso mwa ana obadwa amapezeka ndi kuthandizidwa ndi ultrasound, computed tomography, kujambula zovuta, maphunziro a laboratori, ndi mafilimu.

Dokotala wodziŵa bwino amatha kupeza matenda oterowo panthawi yoyamba. Mothandizidwa ndi katemera, amadziwitsa ngati impso ikukulitsidwa kapena ayi, ndiyeno amatsogolera mwanayo kuti afufuze. Pothandizidwa ndi zipangizo zamakono zitha kuthekera kuti zitsimikize kuti matendawa ndi otani, komanso kuti adziwe kuwonongeka kwa ziwalo, komanso kuti adziwe zomwe zimayambitsa matenda a hydronephrosis.

Zojambula zojambula zokhazokha zimagwiritsidwa ntchito kuti zitsimikizire ntchito yowongoka ya impso, ndipo mothandizidwa ndi microcystography ndizotheka kuzindikira kuti reflux, yomwe nthawi zina imayambitsa hydronephrosis.

Ngati ntheonatal hydronephrosis imapezeka mwa ana obadwa kumene, ndemanga za amayi zimalimbikitsa kuti ultrasound ichitidwe miyezi itatu iliyonse kuti ione kusintha kwa mphamvu. Pachifukwa ichi, zochitika zovuta zimatha kupezedwa.

Chithandizo

Ngati impso ikukulitsidwa pang'ono, ndiye kuti chithandizo chodziletsa chimagwiritsidwa ntchito, chomwe chimathandiza kuti muyambe kuyamwa mkodzo. Pokhala ndi nthawi yoyamba yophunzira kulemba, mukhoza kupeza zotsatira zabwino pobwezeretsa impso.

Mukapeza kuti gawo lachiwiri la matenda, monga impso hydronephrosis mu makanda, chithandizochi chimapangidwanso makamaka ndi njira ya mankhwala ndi kuonetsetsa kuyang'anira mphamvu. Ngati ndizowonjezereka, pitirizani kulandira chithandizo choyenera malinga ndi ndondomekoyi. Kusokoneza maganizo kumatanthauza kupatsidwa mankhwala oyenera.

Gawo lachitatu, opaleshoni ya opaleshoni imachitidwa mu 100%.

Zisonyezo za ntchito

Chifukwa cha njira zamakono zamakono, chithandizo choyenera chimapangidwa ndi mavuto ochepa ogwira ntchito. Ngati impso hydronephrosis imapezeka mu khanda, opaleshoni imatha kulembedwa m'mabuku otsatirawa:

• Kukula kwa ziwalo za thupi;
• Kulingalira kwakukulu kwa ureter;
• Kukhalapo kwa miyala mu impso ;
• Kuwonekera kwa chotupa m'dera la mapewa.

Kuchita opaleshoni yopaleshoni

Njira yopaleshoni yopangira opaleshoni ndi opaleshoni ya pulasitiki ya laparoscopic. Tanthauzo la khalidwe lake ndilo kuti kupyolera mwazing'ono zopangidwa, laparoscope imayambitsidwa, yomwe ndi chubu yomwe ili ndi chinsalu kumapeto. Mothandizidwa ndi chipangizo choterocho, gawo lochepa la ureter limalowetsedwa ndi dokotala watsopano yemwe ali ndi kachilombo katsopano kogwiritsira ntchito chiwalo ichi ndi pelvis ya impso. Izi zimapangitsa kuti mkodzo utuluke bwino.

Kuchita opaleshoni koteroko kumachitidwa panthawi iliyonse ya matendawa. Pambuyo pake, mwanayo amatha sabata imodzi kuchipatala.

Mwanayo ayenera kulembedwa ndi a urologist. Pofuna kupewa njira, mwana ayenera kutenga urseptics kwa milungu iwiri. Kuwonjezera apo, chaka choyamba pambuyo pa opaleshoni, ndibwino kuti mayeso a mkodzo azitengedwa nthawi zonse.

Chithandizo ndi mankhwala achilendo

Pamaso pa matenda monga impso hydronephrosis mu makanda, mankhwala ochiritsidwa ndi mankhwala ochizira amaphatikizapo kuthetseratu zizindikiro zoonekeratu za matendawa.

Analimbikitsa zitsamba zokonzekera:

• 50 g wa Adonis udzu, oats, mahatchi, beberi, masamba a nettle ndi 150 g wa masamba a birch;
• 100 magalamu a birch, udzu woyeretsa, mahatchi, adonis, oat tirigu, tchire ndi timadontho ta mapiko;
• 250 magalamu a bearberry ndi impso za birch, 50 g ya ziboda, horsetail ndi sporis, 75 g wa tsamba la nyemba ndi phesi la chimanga;
• 150 g wa juniper zipatso, birch masamba ndi dandelion mizu.

Kuti apange tincture, 100 g ya mchere uliwonse umatsanulidwa ndi lita imodzi ya madzi otentha, yophika kwa mphindi 10, kenaka imatsanulira mu thermos pamodzi ndi mtundu wobiriwira ndikusiya usiku wonse. Sakanizani ndi kumwa tincture 100 g musanadye. Njira ya mankhwala imatenga miyezi isanu ndi umodzi, patatha masabata awiri, kenako imapitiriza.

Kuti ana azikonzekera timadzi timeneti ndizofunikira pa mlingo wamtundu uliwonse wa zitsamba:

• Mpaka chaka chimodzi - 0.5 tsp;
• Mpaka zaka zitatu - 1 tsp;
• Zaka 3-6 - 1 msuzi. L;
• 6-10 zaka - 1 tbsp. L;
• Zaka zoposa 10 - 2 tbsp. L.

Tiyenera kukumbukira kuti zitsamba zina zimakhala zotsutsana.

Kutsiliza

Choncho, ngati matenda a impso hydronephrosis amapezeka m'zinthu zowonongeka, sichifunikira. Chinthu chachikulu, ngati chiwerengero cha matendawa ndi chosavuta, ndiye kuti nkofunika kutsata mphamvu za chitukukochi ndikusamalira mwanayo ndi mankhwala. Ntchito yothandizira ikuchitika mu milandu yoopsa kwambiri, koma chifukwa cha njira zamakono, chidziwitso chachikulu chokhalitsa chimatsimikiziridwa.