Impso hydronephrosis

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impso hydronephrosis - matenda omwe amakhala ndi makutu otaya mkodzo, komanso kuwonongeka ambiri a magazi mu impso ndi. Pamene hydronephrosis ndi kuphwanya impso ntchito ndipo pali manja pang'onopang'ono minofu parenchymal impso.

Zimayambitsa matenda

impso hydronephrosis amayamba chifukwa chakuti akusokoneza otaya mkodzo chifukwa cha njira pathological. Mwa njira pathological chopatsa matenda, nthawi zambiri zokhudzana nephrolithiasis ndi ureteral occlusion. Hydronephrosis ingayambe ndi kuchepetsa wa ureter pa mbali iliyonse zace, kapena zimachitika chifukwa cha kutupa kapena kuvulala.

Chinthu china matenda mwina maganizo msana choipa, komanso mu nkhani iyi pali kuphwanya outflow madzi m'thupi, koma izi amagwirizana ndi lamulo mitsempha ya ndondomekoyi. Komanso, impso zotheka ndi hydronephrosis mu mwana wosabadwayo, ndiko kuti, mu nkhani iyi, matenda amayamba ndi pulogalamu chibadwa cha munthu.

zizindikiro

Zizindikiro za matenda monga kupweteka m'munsi kumbuyo ndi gematouriya chifukwa (magazi mu mkodzo). Komanso matenda akhoza kukhala nthawi yaitali kukhala mu thupi imperceptible mwamtheradi, ndi zizindikiro kuonekere kokha pamene ndondomeko pathological ufika pachimake. Iwo ayenera kumvetsa kuti zizindikiro zimenezi si yeniyeni, kotero maonekedwe awo ayenera kuonana ndi dokotala, amene kale kupanga matenda zolondola.

Ngati mankhwala a matenda si zimakambidwa yake, kuti angakhale ndi zotsatira zosasangalatsa, monga miyala impso kapena kulephera impso. Komanso, pali milandu pamene impso ndi hydronephrosis odwala mafupa a chiuno aimpso kapena calyx monga umachuluka kukula, mwachidule imaleka kugwira ntchito ndi wang'ambidwa. Pankhani poipa kwambiri, pamene kuchuluka kwa mankhwala poizoni wa kagayidwe a impso umalandira pazipita ake, ndi zotheka amapha matenda.

matenda a matenda

Matendawa hydronephrosis si wosiyana kwambiri kuchokera matenda a matenda ena a impso ndi Amakhala makamaka wa nkhaniyi ndipo ultrasound maphunziro thupi. Komanso, matenda a matenda ikuchitika ndi phunziro mtsempha radiopaque urograficheskoe ndi angiography ya mitsempha aimpso.

Hydronephrosis impso ana komanso akuluakulu zimasiyanasiyana ndi gawo la matenda. Choncho, ngati thupi magwiridwe wosweka pang'ono, ndi mafupa a chiuno chake aimpso si kuchuluka, n'zotheka kulankhula za gawo loyamba la matenda. Mbali yachiwiri ikuyamba ndi woyamba kuponya ntchito yachibadwa thupi ndi kuwonjezeka ake pang'ono kukula. Mbali yachitatu amakhala ndi kulephera thupi oposa 50% ndi kuwonjezeka 2 khola. Pa gawo lachinayi la impso ndimangoima ntchito - Pankhaniyi chofunika mwamsanga kuchotsa opaleshoni.

mankhwala a matenda

Hydronephrosis chithandizo zimasiyanasiyana malinga mlingo wa kuwonongeka limba. Zikatero, ngati ntchito si yafupika kwambiri, adokotala n'kukulemberani mankhwala ndiwofatsa, koma ngati thupi la kugwira ntchito yafupika osachepera 20%, ndiye Pankhaniyi muyenera kukhala opaleshoni.

Opaleshoni ntchito umalimbana kwenikweni kubwezeretsa yachibadwa incontinence panopa ndi kusunga umphumphu wa thupi. Ndi yaing'ono pathological njira amachotsa mbali ya ureter, ndipo ngati thupi imaleka kugwira ntchito zoposa 50%, ndi impso atachotsedwa. Kumbukirani kuti mwamsanga kuchipatala, n'zosavuta kuti thupi liziyenda bwino pamene mankhwala wofatsa.