Kidney hydronephrosis ku neonates: amayeza intsomi unyango

Ngamanye amaxesha ukuzalwa wabeka diagnosis ezifana "kidney hydronephrosis" sosana. Yintoni na? Esi sifo luphawulwa ukuvaleka nangezilonda ureter, calculi, egazi igazi, okanye kukwaphula wampompoza ukumpompoza umchamo ngenxa kuphuhliso ngokungafanelekanga ngamalungu, deducing kuyo. Xa kubelekwa, le ngezifo ngokuqhelekileyo kuchaphazela kwizintso mnye, ngasekhohlo ubukhulu becala. Kunye izilonda mazwe kufuna umsebenzi ongxamisekileyo, kungenjalo umntwana kufa.

izifo ezifana iphathwa kakhulu kutyando kunye neendlela ngendeb esetyenziswayo ukunciphisa kancinci imeko yomguli kunye ukulungiselela uqhaqho. Amayeza asetyenziswa ixesha postoperative ekunciphiseni ubungozi iingxaki.

Ingaba sifo ukubonisa njani?

Kidney hydronephrosis kwi neonates kuyingozi kuba iimpawu zayo kuvela kuphela kwinqanaba lesithathu. Ngoko ke, iimpawu zokuqala abazali kufuneka uqaphele. Kufuneka yaziswe ukuba usana waba ecubhukile eguquguqukayo, badla kakubi, ukulala aphazamiseka. Xa intlungu umntwana Sucitu imilenze esisu kunye notsalo kubo.

Kuyimfuneko ukuba anikele ingqalelo imeko nomgangatho nomchamo. Ukuba kwathi gqi kwi ukucupha le ukopha, musa ukulibala ukutyelela ugqirha.

Eyona iphambili isifo - anda sezintso nto leyo ngokulula ubonwe apha ukufunda Ngokucofa bimanual, kwaye zafunyanwa ultrasound. Ukwanda kakhulu emzimbeni liba umthamo omkhulu esiswini. Rhoqo sezintso ephelekwa hydronephrosis lweentsana ingxaki ezosulelayo ngokwandayo lobushushu. Ngaloo umchamo iqulethe inani elikhulu leukocytes.

oonobangela

Hydronephrosis na iziphene okanye lufundiwe. Xa kubelekwa zixhaphakileyo uhlobo enaso, esibonakala luphuhliso ngokungafanelekanga le sezintso kunye nemithambo yegazi ngexesha Palsy. A umntwana ozelwe ureter engaqhelekanga, nto leyo ke tapered okanye abe kwindawo engalunganga, xa isitya yodidi oluphezulu. Yena, ke, Oluma kakhulu umzimba, nto leyo eyayiphazamisa ukuhamba ngumchamo.

Usana kusenokuba kukho impazamo outflow of umchamo bobabini kwizintso nye, kwaye ukusuka omabini ngexesha elinye. Kulo mzekelo, lo uphethwe - hydronephrosis ngomoya omnye okanye abambiseneyo.

De kube ngoku, ibingekacaciswa kakuhle, ngenxa yokuba apho kukho aziqhelekanga intrauterine ukuyilwa kidney, ekhokelela imbonakalo sifo. Ngokucacileyo omnye - bandiqumbise ezinxaxhileyo kunokwenzeka olungekazalwa unakho kakubi umfazi endawni iziselo ezinxilisayo. Ukongeza, ezempilo usana elizayo iya kakubi sitshaya kwaye imithi ezithile.

Ezifuniweyo hydronephrosis kidney imilo kwenzeka ngenxa kubunzima ukuba zibangelwa zezinye izifo zezintso.

iintlobo

Hydronephrosis kwezintso ku kuzalwa isithombe ibonisa kakuhle ingxaki, kaninzi ngaphezu akukho namnye-macala. Ekucaca ukuba sesi sifo kakhulu amakhwenkwe. Esi sifo zohlulwa ngokwendidi ezintathu.

Pyelectasia - limela inyathelo lokuqala ezimbi ebalasele ukwanda isinqe ngenxa ubunzima obungakumbi. Kweli nqanaba, i parenchyma ezintso Kungenjalo bachaphazelekayo, umsebenzi omkhulu umbutho zigcinwe, kodwa sele landa kancinci. Xa unyango kuqala ixesha intlungu kakhulu.

Inqanaba lesibini hydronephrosis - gidrokalikoz. Xa oku isinqe omzimba kwandisa nangakumbi kunye iikomityi zezintso. umchamo kwemfuneko eqokelela kwi tubules sezintso baqale compress le parenchyma, ngenxa apho umsebenzi wayo uwaphule phantse ngokupheleleyo.

Inyathelo lesithathu lukhatshwa hydronephrosis yoma esebenzayo izicwili sezintso. Kulo mzekelo, umsebenzi izintso iyeka ngokupheleleyo. Xa nqanaba enjalo unyango operative kuphela.

ekuxilongweni

Ezisanda kuzalwa hydronephrosis sezintso isifo kusetyenziswa ultrasonography, Itomography ngekhompyutha, urography excretory, izifundo zelebhu cystogram uchama.

An ugqirha onamava uyakwazi ukubona oku ngezifo ngethuba yokuqala yoviwo. Nge Ngokucofa eyikhethayo kidney okwandileyo okanye hayi, uze ngoko ithumela umntwana ukuze uvavanywe. Ngoncedo lwezixhobo yanamhlanje ayikwazi kuphela ukuqinisekisa into yokuba esi sifo, kodwa ukumisela ubungakanani umonakalo omzimba kwakunye ukufumana phandle i unobangela kunokwenzeka zakhokelela ukuvela hydronephrosis.

pyelography excretory eyenziwa ukuhlola excretory umsebenzi kwezintso, lo gama usebenzisa cystogram uchama bangabhaqa reflux, leyo kwezinye iimeko ukuze bandiqumbise hydronephrosis.

Ukuba une hydronephrosis zezintso e kubelekwa, oomama wokwenene yaleza ukuqhuba diagnosis cuke qho kwiinyanga ezintathu ukuya ukulandelela utshintsho ekuhambeni kwexesha. Kule meko kungenzeka ukuba ukuthintela kukuvela iingxaki.

unyango

Ukuba kidney inyuswe kancinane, unyango elondoloza ukuziphatha kunceda ukubuyisela ukuhamba ngumchamo. Xa ixesha ungaluqalanga unyango ofanelekileyo nako ukuphumeza zihambe kakuhle, abuyisele umsebenzi izintso.

Xa ekuxilongweni inyathelo lesibini izifo ezifana hydronephrosis kwezintso kwi neonates, unyango aphinde enza ngendlela ngokubanzi efunekayo kwezinto tracking amayeza. Ukuba HIV, ngoko kuqhubeka unyango endala kwi pattern emiselweyo. dynamics Negative kufuna uqhaqho enyanzelekileyo.

In inyathelo wesithathu, utyando lwenziwa ngo-100% yamatyala.

Ubungqina obubonakalayo buxela ukuba Inyathelo

Ngenxa iindlela zale mihla unyango ukunika uncedo olusebenzayo kunye ubuncinane iingxaki zokusebenza. Ukuba une hydronephrosis kwezintso kwi usana, umsebenzi linokukwenziwa kwezi meko zilandelayo:

• ukwandiswa ukuqanda umzimba;
• exineneyo elinqatyisiweyo ureter;
• ubukho calculi kwi izintso ;
• ithumba ukwenzeka kule isinqe.

utyando ukuqhuba

Indlela kakhulu gentle zotyando yiplastiki laparoscopy. intsingiselo yayo kukuba ukusikwa ezincinane ngqo ngokusebenzisa laparoscope yaziswa, nto leyo tube ne isisitheliso ekupheleni. Ekubeni kwisixhobo eso endaweni inxenye imxinwa oogqirha ureter wadala ambaxa entsha kulo mzimba ebanzi kunye isinqe sezintso. Kuyanceda ukubuyisela ukuhamba eqhelekileyo nomchamo.

utyando olunjalo lwenziwa nangaliphi na ixesha lesi sifo. Emva koko, usana ichitha esibhedlele iveki enye.

Umntwana ngokuyimfuneko nxiba akhawunti ukuya womchamo. Njengenyathelo lokuthintela usana iiveki ezimbini kufuneka athathe uroseptiki. Ukongeza, kunyaka wokuqala emva kotyando Kucetyiswa ukuba athathe uvavanyo lomchamo rhoqo.

Unyango amayeza intsomi

Xa ukubakhona kwezifo ezifana hydronephrosis kwezintso ku neonates, amayeza intsomi unyango lubandakanya ukulungisa iimpawu ezicacileyo kwesi sifo.

herbal Best:

• 50 g Adonis ingca, oat ingqolowa, horsetail, bearberry, amagqabi umba, 150 g ezinde amagqabi;
• 100 g amathupha ezinde, stonecrops ingca, horsetail, Adonis, oat ingqolowa, Galium kwaye xhumela cone;
• 250 g bearberry kunye ezinde amathupha, 50 g ungulates, horsetail kunye knotweed, 75 g beziya zeembotyi kunye stigmas umbona;
• 150 g esiqhameni wejunipha, amagqabi ezinde iingcambu edandelion.

Ukulungiselela le iimela, 100 g na ingqokelela wagalela ilitha ngamanzi abilayo, abilayo imizuzu eli-10, emva koko agalelwa igutyana cleaner kunye mass eluhlaza kwaye avunyelwe ukuba eme ngeenyawo ubusuku. Icebo lokucoca ulwelo usele 100 g tincture phambi kokutya. Ikhosi ye unyango ihlala iinyanga-4, kunye ikhefu leeveki-2, emva koko luyaqhubeka.

Ukuze abantwana ukuba alungiselele tincture kuyimfuneko idosi yemihla ngemihla yeti esintu:

• ukuya kunyaka-1 ubudala - h L;. 0.5.
• ukuya kwiminyaka-3 - 1 h L;..
• kwiminyaka 3-6 - 1 lukazi. l.;
• kwiminyaka 6-10 - 1 tbsp. l.;
• 10 kweminyaka - 2 tbsp. l.

Khumbula ukuba ezinye imifuno ukuze Izimo.

isiphelo

Ngenxa yoko, ukuba kwafunyaniswa ukuba "kidney hydronephrosis" kwiintsana, ungaphelelwa lithemba. Okona kubalulekileyo, ukuba iqondo isifo semiphunga, kuyimfuneko ukuba esweni Dynamics kuphuhliso kwesi sifo kwaye baphathe indlela amayeza umntwana. ungenelelo Surgical oluqhutywa kwiimeko ezininzi kakhulu, kodwa ngenxa ubuchule mihla ukuqinisekisa amathuba eliphezulu achache.