Koj lub raum puas raug thaiv los ntawm kev thaiv hauv qhov ureter? (Ureteropelvic Junction - UPJ Obstruction) Cia peb tham txog qhov no!

Qee zaum peb tus me nyuam yaus zoo li lub pob me me hauv nws lub plab, lossis nws tau mob cov kab mob ntawm txoj hlab zis ntau zaus, puas yog? Tej zaum yog vim kub taub hau. Ib qho laj thawj rau cov no tuaj yeem yog qhov txhaws hauv thaj chaw uas cov zis pib los ntawm lub raum. Hnub no, peb yuav tham kom meej, yooj yim heev, txog qhov mob no hu ua '(Ureteropelvic Junction Obstruction)' lossis '(UPJ Obstruction)'.

Qhov 'ureteropelvic junction obstruction' no yog dab tsi?

Hais yooj yim xwb, muaj ib thaj chaw zoo li lub raj nyob rau sab saum toj ntawm koj ob lub raum, uas peb hu ua '(Renal Pelvis)' . Cov zis uas ntws los ntawm lub raum yuav sau rau hauv '(Renal Pelvis)' no. Tom qab ntawd cov zis no yuav mus rau hauv ib lub raj hu ua '(Ureter)' thiab sau rau hauv lub zais zis. Qhov sib tshuam uas '(Renal Pelvis)' thiab '(Ureter)' sib ntsib hu ua '(Ureteropelvic Junction - UPJ)'. Yog tias muaj kev thaiv, uas yog, kev thaiv, ntawm qhov sib tshuam no rau qee qhov laj thawj, cov zis tsis mus zoo. Qhov no yog qhov peb hu ua '(UPJ Obstruction)'.

Feem ntau, txhua lub raum tsuas muaj ib lub "(Ureter)". Peb lub raum lim cov khoom pov tseg thiab cov kua dej ntau dhau ntawm cov ntshav thiab tsim cov zis. Cov zis uas tsim tawm los ntawm txoj kev no yuav sau rau hauv "(Renal Pelvis)", hla dhau "(UPJ)," thiab mus raws "(Ureter)" mus rau lub zais zis. Thaum muaj "(UPJ Obstruction)," cov zis ntws qeeb heev, thiab qee zaum nws tuaj yeem nres tag nrho. Qhov no ua rau muaj kev pheej hmoo ntawm kev puas tsuaj rau lub raum.

Feem ntau, qhov mob no hu ua '(UPJ Obstruction)' yog ib yam dab tsi uas muaj thaum yug los (uas yog, '(Congenital urinary abnormality)'). Thiab feem ntau nws tsuas cuam tshuam rau ib lub raum xwb. Lwm lub npe rau qhov no yog '(UP junction obstruction)', '(Obstruction of the ureteropelvic junction)', lossis '(UPJO)' luv.

Qhov no puas yog ib qho mob hnyav heev? (UPJ Obstruction)

Yog lawm, UPJ kev txhaws yog ib qho mob hnyav heev. Yog tias tsis kho kom zoo, nws tuaj yeem ua rau lub raum tsis ua haujlwm . Yog vim li cas nws thiaj li tseem ceeb kom paub txog nws thiab ua cov kauj ruam tsim nyog. Tsis muaj dab tsi yuav txhawj txog, tab sis koj yuav tsum ceev faj.

Qhov teeb meem no feem ntau tshwm sim li cas?

Raws li kev suav lej, kwv yees li ib tug ntawm txhua 1,500 tus menyuam mos uas yug los muaj qhov mob no (UPJ Obstruction). Qhov no txhais tau tias, txawm hais tias nws tsis yog ib qho uas pom ntau heev, nws tuaj yeem tshwm sim rau txhua tus.

Cov tsos mob ntawm '(Ureteropelvic Junction Obstruction)' yog dab tsi?

Muaj ntau yam tsos mob uas pom tau hauv tus mob no. Txawm li cas los xij, qee zaum, tshwj xeeb tshaj yog rau cov menyuam mos, tej zaum yuav tsis muaj cov tsos mob sab nraud.

• Zoo li muaj pob nyob rau hauv lub plab, tshwj xeeb tshaj yog nyob rau sab ntawm lub plab. Qhov no yog tshwm sim los ntawm lub raum o vim yog cov zis txhaws. Nws zoo li lub npas dej.
• Kab mob ntawm txoj hlab zis (UTIs) ntau zaus, nrog rau kub taub hau. Yog tias ib tug me nyuam yaus feem ntau muaj kab mob UTIs, qhov no yog ib yam uas yuav tsum xav txog.
• Mob sab nraud. Qhov no yog qhov mob uas hnov ​​​​​​nyob rau sab nraub qaum ntawm lub raum. Qee zaum qhov mob no tuaj thiab ploj mus.
• Pob zeb hauv raum. Pob zeb hauv raum yuav tshwm sim ntau dua thaum cov zis raug thaiv.
• Ntshav nyob rau hauv cov zis ('(Hematuria)') .
• Xeev siab thiab ntuav.
• Kev loj hlob qeeb lossis poob phaus hauv tus menyuam . Qee zaum cov mob no kuj pom tau.

Dab tsi yog qhov ua rau UPJ Obstruction tseem ceeb?

Kuv twb tau hais lawm tias feem ntau cov mob UPJ Obstruction yog yug los . Qhov no txhais tau tias thaum tus menyuam nyob hauv plab, qee qhov ntawm lub cev tso zis, tshwj xeeb tshaj yog cov ureter lossis lub raum, tsis tau tsim kom zoo. Qee zaum, qhov kev thaiv no kuj tuaj yeem tshwm sim los ntawm kev nias ntawm cov hlab ntsha uas hla dhau UPJ. Cov no feem ntau yog cov xwm txheej random. Txawm li cas los xij, yog tias ib tug neeg hauv koj tsev neeg tau muaj tus mob no, koj yuav muaj kev pheej hmoo tsawg dua ntawm kev mob nws thiab.

Cov neeg laus feem ntau yuav muaj "UPJ Obstruction" tsis tshua muaj. Txawm li cas los xij, nws tuaj yeem tshwm sim rau cov neeg laus vim yog cov laj thawj hauv qab no:

• Vim yog pob zeb hauv lub raum .
• Vim muaj kev kis kab mob hauv txoj hlab zis sab saud ('UTIs Sab Sauv') .
• Tom qab phais mob hauv thaj chaw ntawd.
• Vim yog o ('(O)') nyob rau sab saud ntawm lub cev tso zis .

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?

Raws li cov ntaub ntawv tam sim no, cov txiv neej muaj feem yuav mob UPJ Obstruction ntau dua li cov poj niam ob npaug. Kev tshawb fawb kuj pom tias tus mob no muaj feem yuav tshwm sim hauv lub raum sab laug li ob npaug ntawm lub raum sab xis.

Cov teeb meem uas yuav tshwm sim los ntawm UPJ Obstruction yog dab tsi?

Yog tias qhov mob no (UPJ Obstruction) tsis raug kho kom zoo, ntau yam teeb meem tuaj yeem tshwm sim.

• Kab mob ntawm txoj hlab zis rov tshwm sim dua (UTIs) . Qee zaum, cov nqaij rog nyob ib puag ncig lub raum tuaj yeem o (perinephric stranding).
• Tej zaum yuav mob mus ntev rau thaj chaw uas raug mob .
• Tej zaum yuav muaj pob zeb ntxiv rau hauv lub raum ("cov pob zeb thib ob raum") tshwm sim.

Qhov tseem ceeb tshaj plaws yog tias yog tsis kho ntev, qhov 'UPJ Obstruction' no tuaj yeem ua rau lub raum puas tsuaj thiab thaum kawg ua rau lub raum tsis ua haujlwm . Yog vim li ntawd nws thiaj li tseem ceeb rau kev kuaj mob thiab kho nws thaum ntxov.

Yuav kuaj mob '(UPJ Obstruction)' li cas?

Feem ntau,Cov kws kho mob tuaj yeem kuaj pom UPJ Obstruction thaum lub sijhawm kuaj ultrasound thaum tus menyuam tseem nyob hauv plab. Qhov no yog vim tias qhov kev thaiv ntawm cov zis ua rau muaj kev nyuaj rau sab nraub qaum ntawm lub raum, ua rau nws o ntau dua li qub. Qhov no hu ua hydronephrosis . Qhov no tuaj yeem pom tseeb ntawm ultrasound.

Txawm tias tom qab tus menyuam yug los lawm los xij, cov kws kho mob yuav txiav txim kom kuaj ntau yam seb lub raum tsim thiab tso zis tau zoo npaum li cas. Cov no suav nrog:

• Kev kuaj ntshav thiab zis (`(Kev kuaj ntshav thiab kev kuaj zis)`). Kev kuaj xws li `(Blood Urea Nitrogen - BUN)` thiab `(Creatinine Clearance)` tuaj yeem qhia tau tias lub raum lim cov ntshav zoo npaum li cas.
• Ib qho kev kuaj hu ua "Intravenous Pyelogram - IVP" yuav tsum txhaj ib yam xim tshwj xeeb rau hauv cov leeg ntshav hauv koj txhais caj npab thiab thaij duab "X-ray". Tom qab ntawd koj yuav pom cov xim thaum nws mus ncig los ntawm lub raum, "Renal Pelvis", thiab "Ureter" los txiav txim seb puas muaj qhov txhaws.
• Kev Ntsuas Lub Raum. Hauv qhov kev kuaj no, ib qho me me ntawm cov tshuaj radioactive raug txhaj rau hauv cov leeg ntshav thiab siv lub koob yees duab tshwj xeeb los saib nws hla dhau lub raum. Qhov no tuaj yeem muab lub tswv yim zoo txog seb lub raum ua haujlwm zoo li cas thiab qhov dav ntawm qhov kev thaiv.
• Kev kuaj mob ultrasound, CT scan, thiab MRI. Cov kev kuaj duab no tuaj yeem pom tseeb txog cov qauv ntawm lub raum, cov hlab ntsha hauv lub raum, thiab lub zais zis, nrog rau txhua yam kev thaiv hauv lub raum.

Yuav kho qhov '(UPJ Obstruction)' li cas?

Qhov no yeej nyob ntawm qhov xwm txheej. Yog tias koj tus menyuam muaj UPJ Obstruction, nws qee zaum tuaj yeem zoo dua nws tus kheej hauv 18 lub hlis thawj zaug ntawm lub neej. Thaum lub sijhawm no, koj tus menyuam tus kws kho mob yuav ua qhov kev ntsuas ultrasound thiab lwm yam kev kuaj mob kom paub tseeb tias qhov kev thaiv tsis ua rau muaj kev phom sij.

Txawm li cas los xij, yog tias tus menyuam tseem tsis tuaj yeem tso zis tom qab 18 lub hlis, uas txhais tau tias qhov txhaws tseem nyob ntawd, nws yuav tsum tau phais mob hu ua "Open Pyeloplasty" . Hauv qhov no, tus kws kho mob urologist menyuam yaus ua ib qho kev phais loj, tshem tawm qhov txhaws, thiab txuas "Ureter" rau lub raum, tsim kom muaj qhov qhib dav dua me ntsis. "Open Pyeloplasty" feem ntau siv sijhawm ob peb teev, thiab muaj qhov ua tiav ntawm kwv yees li 95%.

Muaj tej lub sij hawm, tus kws phais mob ua tau qhov kev phais no siv txoj kev hu ua '(Minimally invasive pyeloplasty)', uas yog ib txoj kev siv neeg hlau ('(surgical robot)') . Tom qab ntawd, yuav muaj ib qho kev phais me me thiab siv '(Laparoscope)' thiab lwm yam cuab yeej phais mob los ntawm tus neeg hlau. Txoj kev ua tiav ntawm txoj kev no zoo ib yam li '(Open Pyeloplasty).' Txawm li cas los xij, qhov no yuav tsum muaj kev txawj ntse ntxiv ntawm tus kws phais mob. Nws kuj nyob ntawm lub hnub nyoog thiab qhov loj ntawm tus menyuam.

Lwm txoj kev xaiv yog ib qho txheej txheem hu ua "Endopyelotomy".Hauv qhov no, tus kws phais siv ib lub cuab yeej hu ua "Endoscope" (ib lub raj nyias nyias uas muaj lub koob yees duab) hla lub qhov zis ("Urethra"), raws li "Ureter", thiab saib qhov txhaws. Tom qab ntawd, ib txoj hlua raug hla ib txoj kab hauv "Endoscope", txiav qhov txhaws nrog nws, thiab "drain" uas yog, ib lub raj, raug tso rau ntawd. Qhov "drain" no raug tso rau hauv qhov chaw rau ob peb lub lis piam kom txog thaum nws kho. Hauv "Endopyelotomy", tsis tas yuav phais, thiab nws yooj yim dua li ob qho kev phais. Txawm li cas los xij, qhov ua tiav qis dua me ntsis. Qee zaum qhov no yuav tsum tau ua ntau dua ib zaug.

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Nws nyob ntawm seb koj tau txais kev kho mob rau koj qhov UPJ Obstruction. Feem ntau cov neeg yuav rov zoo li qub hauv ob mus rau plaub lub lis piam. Txawm li cas los xij, koj lub cev txawv, yog li koj lub sijhawm rov zoo yuav txawv. Koj tus kws kho mob yuav muab lub tswv yim zoo tshaj plaws rau koj txog qhov no.

Puas tuaj yeem tiv thaiv tau UPJ obstruction?

Cov kws tshawb fawb kho mob tseem tsis tau pom muaj kev sib txuas ntawm zaub mov thiab kev noj haus thaum cev xeeb tub thiab kev loj hlob ntawm UPJ Obstruction hauv tus menyuam hauv plab. Qhov no txhais tau tias tsis muaj dab tsi peb ua tau los tiv thaiv UPJ Obstruction kom tsis txhob tshwm sim thaum yug los.

Txawm li cas los xij, rau cov neeg laus uas tsis yug los muaj UPJ Obstruction, kev zam cov hauv qab no yuav pab txo qhov kev pheej hmoo no:

• Tiv thaiv kom tsis txhob muaj pob zeb hauv lub raum .
• Tiv thaiv kab mob ntawm txoj hlab zis (UTIs) .
• Tsis txhob raug mob rau koj lub raum .

Yuav ua li cas thiaj nrhiav tau tus mob "(UPJ Obstruction)"?

Yog tias kuaj pom thaum ntxov thiab kho kom zoo, qhov kev cia siab rau UPJ Obstruction yuav zoo heev. Feem ntau cov menyuam yaus tsis muaj teeb meem mus sij hawm ntev. Tsis tas li ntawd, yog tias kuaj pom ua ntej yug los, qee zaum nws tuaj yeem kho tau yam tsis tas kho dab tsi.

Txawm li cas los xij, yog tias koj raug kuaj pom tias muaj UPJ Obstruction tom qab koj lub neej, koj muaj feem yuav mob raum me ntsis ntxiv. Hauv cov xwm txheej hnyav, yog tias tsis kho, UPJ Obstruction tuaj yeem ua rau lub raum tsis ua haujlwm thiab tuag tau. Yog vim li cas kev kuaj mob thiab kev kho mob thaum ntxov thiaj li tseem ceeb heev.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog koj lossis koj tus menyuam muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd:

• Yog tias muaj ntshav nyob rau hauv cov zis ('(Hematuria)') .
• Yog nws ntes tau hauv koj txhais tes zoo li lub qog hauv koj lub plab.
• Yog koj mob plab sab saud lossis nraub qaum (`(Flank mob)`) .
• Yog koj kub taub hau.
• Yog tias tus me nyuam txoj kev loj hlob qeeb (`(Kev loj hlob tsis zoo / tsis vam meej)`) .

Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ?

Yog koj tso zis tsis tau, mus rau chav kho mob ceev ze tshaj plaws tam sim ntawd.Qhov no tsis yog ib yam dab tsi uas yuav tsum ncua.

Koj yuav tsum nug tus kws kho mob li cas?

Koj tuaj yeem nug cov lus nug ntawm tus kws kho mob zoo li no:

• Koj kuaj mob no li cas '(Ureteropelvic Junction Obstruction)'?
• Koj puas xav tias kuv tus menyuam qhov UPJ Obstruction yuav zoo dua yog tsis kho?
• Cov kev xaiv kho mob yog dab tsi?
• Yog tias yuav tsum tau phais, koj xav kom siv txoj kev twg?
• Muaj feem ntau npaum li cas uas UPJ Obstruction rov qab tshwm sim?

Qhov txawv ntawm `(Ureteropelvic Junction Obstruction)` thiab `(Ureterovesical Junction - UVJ) Obstruction` yog dab tsi?

Hais yooj yim xwb, ob qho tib si Ureteropelvic Junction (UPJ) thiab Ureterovesical Junction (UVJ) obstructions tshwm sim ntawm qhov kawg ntawm koj lub urethra (ureter). UVJ yog qhov chaw uas koj lub ureter txuas nrog koj lub zais zis. UVJ obstruction tshwm sim nyob ntawd. Tab sis UPJ obstruction tshwm sim ntawm Renal Pelvis, qhov chaw uas lub ureter txuas nrog koj lub raum.

Yog li ntawd, cov lus uas peb yuav tsum coj mus tsev yog dab tsi los ntawm txhua yam no?

Nws yog ib qho ib txwm muaj kev ntshai thaum koj hnov ​​​​tias koj tus menyuam yuav muaj qhov teeb meem no, txawm tias nws yog thaum lub sijhawm scan thaum koj tus menyuam tseem nyob hauv plab lossis tom qab yug los. Tej zaum koj yuav xav liam koj tus kheej, xav tias, 'Kuv puas tau ua qee yam tsis raug? Puas muaj dab tsi uas kuv tuaj yeem ua tau los tiv thaiv qhov no kom tsis txhob tshwm sim?' Tab sis qhov tseeb, qhov mob no hu ua '(Ureteropelvic Junction Obstruction)' yog ib yam dab tsi uas qee zaum tsuas yog tshwm sim. Txawm tias cov kws kho mob tsis tuaj yeem hais meej tias dab tsi ua rau nws.

Qhov tseem ceeb tshaj plaws yog tias muaj ntau tus neeg tuaj yeem rov zoo los ntawm qhov mob '(UPJ Obstruction)' no. Yog li ntawd, tsis txhob ntshai mus ntsib kws kho mob thiab tham nrog nws. Lawv nkag siab txog txhua lo lus nug thiab kev ntshai uas koj muaj hauv siab. Lawv yuav pab koj txhua txoj kev uas lawv ua tau thiab teb tag nrho koj cov lus nug. Kev kuaj mob thaum ntxov thiab kev kho mob kom zoo yog qhov tseem ceeb tshaj plaws ntawm no.

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