Hydronephrosis yeentso

I-Hydronephrosis yeentso yisifo esichazwe ngokuphulwa komkhuhlane, kunye nokuphazamiseka okuqhelekileyo kwegazi ngeentso. Nge-hydronephrosis, kukho ukuphazanyiswa kweengtso kunye ne-atrophy ngokuthe ngcembe kwesikhumba se-parenchymal sezintso.

Izizathu zesifo

I-Hydronephrosis yeentso iqala ngenxa yokuba ukuphuma komchamo kuphukile ngenxa yenkqubo ethile yokugula. Iinkqubo ze-pathological ezibangelwa kwesi sifo zidla ngokubakho izifo zamatye kunye nokukhutshwa kwe-ureter. Kwakhona, i-hydronephrosis ingabangelwa kukunciphisa i-ureter kuyo nayiphi na inxalenye yayo, okanye ingabonakala njengomphumo weenkqubo ezivuthayo okanye i-traumas.

Enye imbangela yesifo ingaba ngumonakalo obangela umonakalo kumgca wesipelini, kulo mzekelo, kukho ukuphulwa komkhuhlane ovela emzimbeni, kodwa oku sele kunxulumene nokulawulwa kwemihlaba yale nkqubo. Ukongezelela, i-hydronephrosis yeentso ebusweni inokwenzeka, oko kukuthi, kwesi sifo kubangelwa yiprogram yemfuza yomntu.

Iimpawu zesifo

Iimpawu zesifo ziquka intlungu ephantsi kunye ne-hematuria ephumayo (ukubonakala kwegazi kumchamo). Ngaphezu koko, lesi sifo sinokukhula ixesha elide emzimbeni ngokupheleleyo, kwaye iimpawu ziqala ukubonakalisa kuphela xa inkqubo ye pathologi ifinyelela kwi-apogee yayo. Kubalulekile ukuqonda ukuba le mpawu ayifanelekanga, ngoko xa ivela, kufuneka udibane nogqirha osele echanekileyo.

Ukuba unyango lwesi sifo aluhambanga ngexesha elifanelekileyo, kunokukhokelela kwimiphumo enjalo engathandekiyo njenge-urolithiasis okanye ukungaphumeleli kwezintso. Ukongezelela, akuqhelekanga kwi-kidney hydronephrosis kwizigulane ukuba zibe ne- pelal pelvic okanye i-calyx enkulu kangangokuthi iphela iphelile ukusebenza kunye nokuphuka. Kwiimeko ezinzima kakhulu, xa isiqhamo semveliso enobuthi ye-kidney metabolism sifinyelela kwisigxina sayo, isiphumo esibulalayo sesifo sinokwenzeka.

Ukuxilongwa kwesi sifo

Ukuxilongwa kwe-hydronephrosis kuyahlukana ncinane nokuvavanya ezinye izifo zengqondo kwaye kubandakanya ngokubanzi uviwo lwezokwelapha kunye nokuhlolwa kwe-ultrasound. Ukongezelela, isifundo se-radirostontrast intravenous kunye novavanyo lwe-angiographic of arteries of kidneys zisetyenziselwa ukuxilonga esi sifo.

I-Hydronephrosis yeentso kubantwana, kunye nabantu abadala, ihluke kwizinga lesifo. Ngoko ke, ukuba ukusebenza komzimba kuphulwe kancane, kwaye i-pelal yayo ye-renal ayikhuliswa, ngoko sinokuthetha ngesigaba sokuqala sesi sifo. Isigaba sesibini senziwa ngokunyuka kokuqala kumsebenzi oqhelekileyo wequmrhu kunye nokwanda kwawo okungabalulekanga ngobukhulu. Isigaba sesithathu sibonakala ngokungaphumeleli emsebenzini womzimba ngama-50% kunye nokwanda kwawo ngamaxesha ama-2. Kwisigaba sesine iintso ziphela nje ukuyeka ukusebenza - kule meko, ukukhutshwa ngokukhawuleza kokususwa kuyadingeka.

Unyango lwesifo

Ukwelashwa kwe-hydronephrosis kuyahluka ngoxhomekeke kwinqanaba lomonakalo komzimba. Kwimeko apho umsebenzi wayo ungancinci kakhulu, ugqirha ubeka unyango olulondolozayo, kodwa ukuba umsebenzi wegungu uncitshiswe ubuncinane ngama-20%, ngoko kulungelelaniswa ngolu hlobo.

Ukuhlinzwa okujoliswe ngokuyinhloko ekubuyiseleni ukuhamba komlambo oluqhelekileyo, kunye nokugcina ingqibelelo yelungu. Ngenkqubo encinci ye-pathological, inxalenye ye-ureter isuswe, kwaye kwimeko apho iqumrhu litheka ukusebenza ngaphezu kwama-50%, iinjongo zisuswe. Khumbula ukuba ngokukhawuleza ufuna uncedo lwezokwelapha, amathuba okuba umzimba uya kusebenza ngokuqhelekileyo ngonyango olunonyameko.