Ua pehu kou mau puʻupaʻa? He hydronephrosis paha kēia? E kamaʻilio kākou!

Ke manaʻo nei ʻoe i kekahi manawa ua luaʻi me ka ʻeha nui ma kou ʻaoʻao, ʻōpū, a i ʻole ke kua? A i ʻole he ʻeha kou i ka wā e mimi ai ʻoe, a i ʻole ke koko i loko o kou mimi? He mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo hydronephrosis, ʻo ia hoʻi ka pehu ʻana o nā puʻupaʻa . E kamaʻilio kākou e pili ana i kēia ma nā ʻōlelo maʻalahi?

He aha ka Hydronephrosis?

I ka ʻōlelo maʻalahi, ʻo ka hydronephrosis kahi kūlana kahi e ālai ʻia ai ke kahe o ka mimi mai kou mau puʻupaʻa a i kou ʻōpū mimi, e hoʻoulu ai i kekahi a i ʻole nā ​​​​puʻupaʻa ʻelua e pehu. E noʻonoʻo iā ia e like me kahi paipu wai i ālai ʻia, kahi e piha ai i ka wai a pehu. I kekahi manawa kapa nā kauka i kēia ʻo 'upper urinary tract dilation'.

E hoʻomanaʻo kākou i ka hana ʻana o kā kākou ʻōnaehana mimi . Ua like ia me kahi ʻōnaehana hoʻomaʻemaʻe e wehe ana i nā ʻōpala mai ko kākou kino.

• ʻElua mau puʻupaʻa , a ʻo kēia nā mea e kānana a hoʻokaʻawale i nā mea ʻawahia a me nā huahana ʻōpala i loko o ke koko.
• A laila aia ʻelua ureters , ʻelua mau paipu e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi.
• Aia kahi ʻōpū mimi , ua like ia me kahi ʻeke e hōʻiliʻili a mālama ai i ka mimi.
• ʻO ka mea hope loa, aia ka urethra , ka ʻōmole e lawe ai i ka mimi i hōʻiliʻili ʻia i loko o ka ʻōpū mimi ma waho o ke kino.

Hana ʻia ka Hydronephrosis ke loaʻa kahi mea pale ma kekahi wahi o kēia ʻōnaehana, ma waena o ka puʻupaʻa a me ka ureter.

Hiki ke loaʻa ka Hydronephrosis i nā ʻano like ʻole. Hiki ke hele koke mai, a i ʻole hiki ke ulu mālie i ka hala ʻana o ka manawa . Hiki ke piha a hapa paha ke ālai ʻia. Inā hoʻokahi wale nō puʻupaʻa e pili ana, ua kapa ʻia ʻo 'unilateral hydronephrosis', a inā ʻelua nā puʻupaʻa e pili ana, ua kapa ʻia ʻo 'bilateral hydronephrosis'. Hiki ke ʻokoʻa ka nui o ka pehu mai kahi pehu liʻiliʻi a i kahi pehu nui.

Pehea ka maʻamau o kēia kūlana?

Hiki i ka Hydronephrosis ke hoʻopilikia i kekahi o kēlā me kēia makahiki. Ua manaʻo ʻia ma kahi o hoʻokahi i loko o 100 mau pākeke e loaʻa i ke kūlana i kekahi manawa o ko lākou ola.

Hiki i kēia ke ulu i loko o nā pēpē liʻiliʻi, ʻoiai ʻoiai lākou i loko o ka ʻōpū o ka makuahine. Ua kapa ʻia ʻo 'antenatal hydronephrosis'. Loaʻa ia ma kahi o 1% o nā hāpai ʻana. Akā i ka hapanui o nā hihia, e hoʻomaikaʻi ia ma kāna iho ma mua o ka hānau ʻana o ka pēpē.

He aha nā hōʻailona o ka hydronephrosis?

ʻO ka maʻamau, hilinaʻi nā hōʻailona o ka hydronephrosis i ke kumu. ʻO ka hapa nui o ka manawa , ʻaʻohe hōʻailona iki . E like me kaʻu i ʻōlelo ai ma mua, ʻo ka antenatal hydronephrosis, ka mea e kū mai ana i loko o ka pēpē i loko o ka ʻōpū, ʻaʻole ia e hōʻike i nā hōʻailona a hiki i ka hānau ʻana o ka pēpē.

Akā inā ʻike ʻia nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• ʻO ka ʻeha koke a nui: ma kou ʻaoʻao, ʻōpū, a i ʻole ke kua.
• Ka luaʻi a i ʻole ka luaʻi ʻana .
• Ke ʻeha nei i ka wā e mimi ai.
• Koko i loko o ka mimi.
• Ke hoʻomohala nei i kahi maʻi ʻōpū mimi ( UTI ).
• ʻO ka manaʻo ʻaʻole i hoʻokahe loa ʻia ka ʻōpū mimi ma hope o ka mimi ʻana.
• ʻOi aku a emi mai paha ka mimi ma mua o ka maʻamau.

I kēia manawa, ke loaʻa iā ʻoe ka hydronephrosis, no ka mea ua paʻa ka mimi i loko o ke kino, aia kahi manawa nui o ka ulu ʻana o ka bacteria i loko o ke ala mimi a hoʻoulu i kahi maʻi ala mimi (UTI). Inā hana kēia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Kuni, anu, a me ka luhi.
• ʻEha a me ke kuni i ka wā e mimi ai.
• ʻAʻole moakāka ka mimi a ʻeleʻele ke nānā aku.

He aha nā kumu o ka hydronephrosis?

ʻO ke kumu nui o ka hydronephrosis he ālai ʻia, a i ʻole ke ālai ʻia, i ke kahe ʻana o ka mimi ma kekahi wahi o kā mākou ʻōnaehana mimi. Nui nā kumu hiki ke hana ʻia no kēia.

Nā kumu e pili ana i nā mākua:

• Nā pōhaku puʻupaʻa: He mau pōhaku paʻakikī kēia i hana ʻia me ka calcium a me ka oxalate. Hiki iā lākou ke hoʻopaʻa ʻia i loko o nā puʻupaʻa a i ʻole ke ala mimi.
• Ka ālai ʻana o ka ureter: He ālai ʻana i loko o kāu mau ureters.
• Nā Tumors: ʻO nā tumors i loko o ka ʻōpū mimi, ka prostate gland, ka uterus , a i ʻole nā ​​​​​​kiko ʻē aʻe kokoke i ka ʻōnaehana urinary hiki ke hana i ke ālai ʻana o ke kahe o ka mimi.
• ʻO ka hyperplasia prostatic benign (BPH): I nā kāne, hiki i kahi gland prostate i hoʻonui ʻia ke hoʻoulu i ke kaomi ma ka urethra a hoʻolilo iā ia i mea paʻakikī ke mimi.
• Ka hāiki ʻana o ka urethra: Hiki i ka urethra ke hāiki ma muli o kahi ʻeha, ka maʻi, ka kīnā hānau, a i ʻole ke ʻoki ʻana.
• Nā pilikia aʻalolo a ʻiʻo paha: Hiki i kēia ke hoʻopilikia i ka hana o kou mau puʻupaʻa a i ʻole nā ​​​​ureters.
• Paʻa ʻana o ka mimi: ʻAʻole hiki ke hoʻokahe loa i ka mimi mai loko mai o ka ʻōpū mimi.
• ʻO ka reflux vesicoureteral: ʻO ke kahe hou ʻana o ka mimi mai ka ʻōpū mimi i loko o nā puʻupaʻa.
• Ureterocele: He puka kēia o ka ʻaoʻao haʻahaʻa o ka ureter i loko o ka ʻōpū mimi.

Nā kumu kūikawā no nā wahine:

No ka poʻe me ka uterus, ʻo ia hoʻi, nā wahine, hiki ke hana ʻia ka hydronephrosis e nā kumu kikoʻī e like me:

• Hāpai keiki: I ka ulu ʻana o ka pēpē, ulu pū ka ʻōpū, hiki ke kau i ke kaomi ma luna o nā ureters a ālai i ke kahe o ka mimi.
• ʻO ka prolapse o ka ʻōpū: Ka hāʻule ʻana o ka ʻōpū mai kona kūlana maʻamau.
• Cystocele - ka ʻōpū mimi hāʻule: Hoʻonāwaliwali ka paia ma waena o ka ʻōpū mimi a me ka vagina, e hoʻokuʻu ana i ka ʻōpū mimi i loko o ka vagina.

Nā kumu e pili ana i ka pēpē i loko o ka ʻōpū (antenanatal):

ʻO nā kumu e hiki ke hana i ka hydronephrosis antenatal i loko o ka pēpē:

• Hoʻonui ʻia ka nui o ka mimi i hana ʻia e ka fetus.
• He ālai ʻia ke kahe ʻana o ka mimi ma kekahi wahi o ka ʻōnaehana mimi.
• Hoʻi hou ka mimi mai ka ʻōpū mimi a i nā puʻupaʻa.

He aha nā pilikia e hiki ke loaʻa mai ka hydronephrosis?

Inā lilo ka hydronephrosis i mea koʻikoʻi, hiki iā ia ke hōʻino i nā puʻupaʻa a alakaʻi i ka hāʻule ʻana o nā puʻupaʻa. I kēlā hihia, pono paha ʻoe e hana i ka dialysis a i ʻole kahi hoʻoili puʻupaʻa.

Akā, mai hopohopo! Hoʻōla ka hapa nui o ka poʻe mai ka hydronephrosis a ʻaʻohe pōʻino mau loa i nā puʻupaʻa. No laila he mea nui e pale aku i ka hopohopo a e ʻimi koke i ka lāʻau lapaʻau.

Pehea e ʻike ʻia ai ka Hydronephrosis?

He mea nui loa ke ʻike ʻana i ke kauka a loaʻa koke kahi hōʻailona, ​​​​​​no ka mea, hiki i ka hydronephrosis ke hōʻeha i nā puʻupaʻa i ka wā lōʻihi.

Penei ke ʻano o ka ʻike ʻana o kāu kauka i ka maʻi:

• Hoʻokolokolo kino: E nīnau kāu kauka e pili ana i kāu mau hōʻailona a nānā i kou mau puʻupaʻa a me ka ʻāpana mimi no ka ʻeha a me ka pehu. E nīnau pū lākou e pili ana i kou mōʻaukala olakino i hala a inā paha i loaʻa i kekahi o kou ʻohana kēia mau maʻi. Inā he kāne ʻoe, hiki ke hana ʻia kahi hoʻokolokolo rectal e nānā i kahi gland prostate i hoʻonui ʻia. Inā he wahine ʻoe, hiki ke hana ʻia kahi hoʻokolokolo pelvic e nānā i nā pilikia me kāu uterus a i ʻole nā ​​​​ovaries.
• Nā hoʻāʻo mimi:E lawe ʻia kahi laʻana o kāu mimi a nānā ʻia no ke koko, nā pōhaku, nā bacteria, a i ʻole ka maʻi. Pono paha ʻoe e hoʻohana i kahi catheter e hōʻiliʻili i ka mimi.
• Nā hoʻāʻo koko: Hiki ke hana ʻia kahi helu koko piha (CBC) e nānā i ka maʻi. Hiki ke hana ʻia nā hoʻāʻo e like me ka creatinine, eGFR, a me BUN e nānā i ka hana o nā puʻupaʻa.
• Nā kaʻina hana kiʻi: ʻO ka hoʻāʻo nui he scan ultrasound. I kekahi manawa pono paha kahi scan CT a i ʻole MRI.

Ua ʻike anei ʻoe hiki ke ʻike ʻia kahi pēpē i hānau ʻole ʻia me ka hydronephrosis i ka wā mua o ka hāpai ʻana me kahi scan ultrasound? ʻIke pinepine ʻia kēia i ka wā o ka scan ultrasound 20-pule. Inā ʻike ʻia, e loaʻa i ka makuahine kekahi mau scan ultrasound hou aʻe e nānā i ka pēpē. Akā i ka hapa nui o ka manawa, e hoʻomaikaʻi ia ma kāna iho.

He aha nā lāʻau lapaʻau no ka hydronephrosis?

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hoʻihoʻi ʻana i ke kahe o ka mimi mai nā puʻupaʻa a hoʻēmi i ka pehu a me ke kaomi. Aia ka mālama ʻana ma ke kumu kumu. No ka mea, ʻo ia ka pilikia nui.

I kekahi manawa, ʻo nā hihia liʻiliʻi ʻaʻole koʻikoʻi e hoʻōla iā lākou iho me ka ʻole o ka mālama ʻia. I kekahi manawa, hiki i kāu kauka ke lawe i kahi ala 'kali a ʻike'. ʻO ke ʻoki ʻana kekahi koho a kāu kauka e noʻonoʻo ai. Pono ʻoe e kūkākūkā i kāu mau koho lapaʻau āpau me kāu kauka.

Inā ulu koke ka hydronephrosis a ua hoʻokumu ʻia e kahi ālai ʻia, hiki i kāu kauka ke hoʻokomo i kahi paipu nephrostomy ma o kou ʻili i loko o kou puʻupaʻa e hoʻokahe i ka mimi keu. A i ʻole, hiki iā lākou ke hoʻokomo i kahi paipu palaki palupalu i kapa ʻia he ureteral stent e mālama i kāu mau ureters i wehe ʻia i hiki i ka mimi ke kahe maʻamau.

Inā he pōhaku i loko o nā puʻupaʻa a i ʻole ke ala mimi ke kumu, aia nā koho lapaʻau e like me:

• ʻO ka lithotripsy nalu haʻalulu: ʻO kēia ka lāʻau lapaʻau maʻamau no nā pōhaku puʻupaʻa. Hoʻohana ʻia nā nalu haʻalulu ikehu kiʻekiʻe e wāwahi a wāwahi paha i nā pōhaku i mau ʻāpana liʻiliʻi, e maʻalahi ai ke puka i waho o ke kino.
• Ureteroscopy: E hoʻokomo kāu kauka i kahi ʻōmole lahilahi ma o kou urethra e wāwahi a wehe i nā pōhaku. Hoʻohana ʻia kēia kaʻina hana no nā pōhaku i loko o ka ʻōpū mimi a i ʻole ka ʻaoʻao haʻahaʻa o nā ureters. Hiki ke hoʻohana ʻia me nā kaʻina hana ʻē aʻe e wāwahi i nā pōhaku.
• ʻO ke ʻoki kino:Inā nui loa nā pōhaku puʻupaʻa a paʻakikī paha e wehe, pono paha kāu kauka e hana i ke ʻoki kino e wehe iā lākou. Pono paha ke ʻoki kino inā he mau puʻupuʻu, ʻiʻo palapū, a i ʻole nā ​​ʻano mea ʻē aʻe e ālai ana.

Inā loaʻa iā ʻoe kahi maʻi ʻaʻai mimi (UTI) a inā ua haiki kou urethra ma muli o kahi maʻi, e kuhikuhi kāu kauka i nā lāʻau antibiotic e mālama i ka maʻi.

Hiki ke pale ʻia ka Hydronephrosis?

ʻOiai ke kumu o ka hydronephrosis e kahi maʻi kumu, hiki ke pale ʻia ma ka pale ʻana a i ʻole ka mālama ʻana i ke kumu kumu. ʻO ka ʻike ʻana i nā kumu e hoʻoweliweli iā ʻoe no ka hoʻomohala ʻana i ke ʻano hiki ke kōkua i ka pale ʻana.

ʻO nā kūlana e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka hydronephrosis:

• Nā pōhaku puʻupaʻa.
• Loaʻa kahi moʻolelo o ke kanesa o ka ʻōnaehana urinary.
• Nā ʻoki kino ma mua e pili ana i ka ʻōnaehana urinary.
• Nā maʻi ma mua o ka ʻōnaehana urinary, e like me nā maʻi urinary tract (UTIs).
• Nā ʻūpā koko.
• Ka hoʻonui ʻia ʻana o ka ʻōpū prostate.
• Hāpai (ma muli o ka paʻi ʻana o kou ʻōpū i loko o kou pelvis).

He pilikia koʻikoʻi anei ka hydronephrosis?

ʻAe, hiki i kēia ke lilo i pilikia koʻikoʻi inā ʻaʻole mālama koke ʻia. Eia nō naʻe, ʻo ka hapa nui o nā hihia he akahai a kaulike paha. ʻAʻole lākou e hoʻoulu i nā pilikia olakino nui. No laila, mai hopohopo.

Pono ʻoe e hopohopo e pili ana i ka hydronephrosis?

Mai hopohopo nui e pili ana i ka ʻike ʻia ʻana me ka hydronephrosis. I ka hapanui o nā hihia, me ka mālama ʻana, hiki iā ʻoe ke ola i kahi ola maʻamau me ka ʻole o nā pilikia lōʻihi. E kamaʻilio me kāu kauka e pili ana i kāu mau nīnau e pili ana i ka hydronephrosis a me kou hoʻōla ʻana. E haʻi aku kāu kauka iā ʻoe inā pono ʻoe e hana i kekahi mau hoʻololi i ke ʻano o ka nohona a pehea ka lōʻihi e hoʻōla piha ai.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka:

• ʻEha nui a koke ma kou ʻaoʻao a i ʻole ke kua.
• Ka luaʻi ʻana.
• Nā loli i kou mimi ʻana: mimi nui a emi mai paha ma mua o ka maʻamau, ʻeha i ka wā e mimi ai, koko i loko o ka mimi.
• Inā ʻoi aku ke kuni ma mua o 100.5 Fahrenheit (38 Celsius).

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, ʻo ka hydronephrosis a mākou i kamaʻilio ai i kēia lā he ʻano ia e pehu ai nā puʻupaʻa ma muli o ka mimi. Hiki i kekahi ke loaʻa i kēia. ʻO ka mea pōmaikaʻi, inā ʻike ʻia a mālama ʻia ka maʻi i ka wā mua, hiki ke pale ʻia nā pilikia mai kēia ʻano.Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e like me ka ʻeha ma kou ʻaoʻao a i ʻole ka ʻōpū, ka nausea, ka luaʻi ʻana, a i ʻole ka loli ʻana o ka nui a i ʻole ka pinepine o ka mimi ʻana, e ʻike pono i ke kauka. Ke ʻike ʻia ke kumu o ka hydronephrosis, e wehewehe kāu kauka i nā koho lapaʻau he nui i loaʻa iā ʻoe. Mai hopohopo, ʻo ka mālama mua ka mea nui loa.