Hydronephrosis ana ndi akulu

matenda ndi hydronephrosis - palibe kanthu monga kwambiri madzi zili mwachindunji mu impso ndi. Amenewa ukapezeka chifukwa cha kuphwanya outflow ya mkodzo. Matendawa ndi oopsa kwambiri. Inde, mu nkhani zikachitika, ndi impso wotaya mphamvu yake bwinobwino. Ndipo likuoneka moyo wa munthu.

Pali mitundu iwiri ya matenda:

• Kobadwa nako (chachikulu). Anapeza hydronephrosis mu neonates.
• Kuthi (sekondale). zosinthika ndi zina akuluakulu.

zifukwa

A mtundu yachiwiri ya matenda ukapezeka matenda omwe amachititsa kuti kusintha mu kapepala mkodzo kapena impso nyumba okha. Ena mwa matenda amenewa tingaone makamaka Prostate adenoma, cysts, njira yotupa mu ureter kapena mu mafupa a chiuno aimpso. Hydronephrosis ana mtundu chachikulu - ndi zotsatira za anomalies kobadwa nako, amene kusinthidwa mtundu wa aimpso kapena zipangizo zawo.

Ndalama komanso ndi unilateral matenda amene anapha yekha impso wina, ndipo amgwirizano. The zosinthika yamasika kumachitika pamene pali kuphwanya outflow ya mkodzo mwachindunji mu mmunsi mwa mundawo mkodzo. Choncho kuyambira madzimadzi owonjezera zowawa 2 impso. Dziwani kuti ambiri a hydronephrosis ana - unilateral.

mmene matenda

Madokotala kusiyanitsa 3 digiri yaikulu ya hydronephrosis:

1. Mlingo woyamba amakhala ndi kutambasula mafupa a chiuno aimpso. Ichi ndi chifukwa kuthamanga kwambiri pa mkodzo wake. ukuwonjezeka impso kukula.
2. Mlingo wachiwiri limodzi ndi kuwonjezeka lalikulu la mafupa a chiuno ndi. Chomwecho chikuchitika ndi makapu impso. Pa nthawi imeneyi, pali kuphwanya yofunika kwambiri impso mbali zinchito.
3. Pomaliza, otsiriza, mlingo lachitatu - kusintha minofu aimpso wonse, umene uli kale sizingasinthe. Impso wotaya cholinga chake zinchito, ndipo potsirizira pake amafa. Pankhaniyi pali kuukira moyo wa wodwalayo.

Hydronephrosis. zizindikiro

Malinga izi, zomwe pati ndi hydronephrosis, zizindikiro lofotokozeredwa m'njira osiyana. Mu magawo oyambirira a matenda pafupifupi si kusokoneza mtima. N'chifukwa chake nthawi zina hydronephrosis matenda kokha mu masiteji otsiriza.

Ana wapezeka hydronephrosis zovuta. Kodi ndikofunikira kupereka ulemu wapadera kwa nkhawa mwanayo. Nthawizina, mu la mkodzo wa ana ndi hydronephrosis angazindikire wochepa magazi. Pankhaniyi, m'pofunika kuthamanga kwa dokotala.

Pa ana akhanda matenda kawirikawiri wapezeka m'banda, ngakhale pa nthawi ya ultrasound yoopsa. Akuluakulu ndi ana okulirapo hydronephrosis kawirikawiri wapezeka mwangozi, ngati wodwala wayamba mayesero nkhani chosiyana.

Zizindikiro za matenda magawo patapita kale kukhala:

• aimpso colic;
• kupweteka ululu impso ndi ;
• kutupa;
• kuthamanga magazi;
• magazi mu mkodzo.

diagnostics

njira zofunika ndi zofunika kuthandiza oterewa hydronephrosis ana, ndi ultrasound. Komanso, dokotala anu angakupatseni maphunziro monga radioisotope renografiya, yopangidwa tomography, ndi DRC. Onse a iwo anafuna kuona dongosolo la impso, mitsempha ya magazi ndi kapepala mkodzo.

Nthawi zambiri hydronephrosis chifukwa cha matenda opatsirana. Pa nkhani imeneyi, ndi kuonetsetsa kuti agwire kusanthula zina la mkodzo. Zinchito mayeso kumathandiza dokotala amachitira ali kufufuza ndi kusintha zinchito mu impso ndi.

chithandizo

Pakali pano, ndi ufulu wonse kwa matenda n'chotheka mothandizidwa ndi opaleshoni. Cholinga chachikulu cha ntchito ndi kuchotsa atangochimwa zopinga kuti kuteteza otaya mkodzo. dokotala amasankha chithandizo munthu njira, potsata thanzi la wodwala ndi siteji ya hydronephrosis chitukuko. Posachedwapa, anthu ambiri kusokonezedwa opangidwa endoscopically. Pankhaniyi, ndi ang'ambe thupilo lalikulu, ndi zimenezo, ndi msoko sadzapezekapo.

Hydronephrosis ana zina musati ngakhale amafuna alowererepo kwakukulu. Zimachitika pambuyo pa zaka zingapo, iye akupatsa yake. Komabe, akuoneni katswiri akadali zofunika. Pa kuwuka pang'ono mawonetseredwe symptomatic matendawa, chithandizo opaleshoni ayenera kuchitidwa kwenikweni.