Ese impyiko zawe zirabyimba? Ese byaba ari Hydronephrosis? Reka tuganire na Nirogi Lanka!

Ese hari igihe ujya ugira ububabare bukomeye mu ruhande rwawe, mu nda, cyangwa mu gice cyo hasi cy'umugongo, bigaherekezwa no kugira isesemi? Wenda urimo urwana n'ububabare mu gihe cyo kwihagarika cyangwa ukabona amaraso mu nkari zawe? Ibi bishobora kuba ibimenyetso byo kubyimba impyiko, indwara izwi nka Hydronephrosis mu buvuzi. Reka turebe icyo ibi bivuze mu magambo make.

Hydronephrosis ni iki?

Muri make, Hydronephrosis ibaho iyo kuziba kw'inkari bibuza inkari gutembera mu mpyiko zawe zikajya mu ruhago rwawe, bigatuma impyiko imwe cyangwa zombi zibyimba. Tekereza nk'aho amazi aguye mu muyoboro w'ubusitani—amazi asubira inyuma, bigatuma umuyoboro w'inkari uvunguka. Hari igihe abaganga babyita 'kwaguka kw'inkari hejuru.'

Reka turebere hamwe muri make uburyo inkari zawe zigira uruhare mu kuyungurura no gukuraho imyanda mu mubiri wawe:

• Impyiko ebyiri: Izi ngingo z'ingenzi ziyungurura uburozi n'imyanda iva mu maraso yawe.
• Ureter ebyiri: Iyi ni imiyoboro itwara inkari ziva mu mpyiko zijya mu ruhago.
• Inkari: Agafuka k'inkari gafata inkari kugeza igihe uzaba witeguye kuvamo.
• Urethra: Umuyoboro usohora inkari mu mubiri wawe.

Hydronephrosis ibaho iyo hari imbogamizi ahantu hose muri iyi nzira, cyane cyane hagati y'impyiko n'umuyoboro w'inkari.

Iyi ndwara ishobora kugaragara mu buryo butandukanye. Ishobora kuba itunguranye (ikomeye) cyangwa ikagenda ikura buhoro buhoro uko igihe kigenda gihita (idakira) . Kuziba kw'impyiko bishobora kuba igice cyangwa byose. Iyo bifashe impyiko imwe gusa, byitwa 'hydronephrosis y'impande zombi'; iyo bifashe byombi, ni 'hydronephrosis y'impande zombi'. Ubukana bw'ikibyimba bushobora kuva ku buto kugeza ku bunini.

Iyi ndwara ikunze kugaragara gute?

Hydronephrosis ishobora kwibasira abantu b'imyaka iyo ari yo yose. Bivugwa ko hafi umuntu umwe mu bantu bakuru 100 azahura n'iki kibazo mu gihe runaka mu buzima bwe.

Ku bana bato, bishobora kubaho bakiri mu nda, indwara yitwa 'antenatal hydronephrosis.' Igaragara muri 1% by'inda. Ku bw'amahirwe, akenshi, ikemuka ubwayo mbere yuko umwana avuka.

Ni ibihe bimenyetso bya Hydronephrosis?

Ibimenyetso bya Hydronephrosis akenshi biterwa n'impamvu nyamukuru. Akenshi, nta bimenyetso na gato bihari . Nkuko byavuzwe, abana bafite hydronephrosis mbere yo kubyara ntabwo bagaragaza ibimenyetso nyuma yo kuvuka.

Ariko, niba ibimenyetso bigaragaye, bishobora kuba birimo:

• Ububabare butunguranye, bukabije: Mu ruhande rwawe, mu nda, cyangwa mu gice cyo hasi cy'umugongo.
• Isesemi cyangwa kuruka .
• Kunyara bibabaza.
• Amaraso mu nkari.
• Indwara zisubira mu nzira y'inkari ( UTI ).
• Kumva ko uruhago rwawe rutarimo ubusa nyuma yo kunyara.
• Impinduka mu mibare y'inkari cyangwa ingano yazo.

Kubera ko inkari ziba zifatiwe, bagiteri zishobora kwiyongera, bikongera ibyago byo kurwara UTI. Iyo habayeho ubwandu, ushobora kubona:

• Umuriro, ubukonje, n'umunaniro.
• Kumva ubushyuhe cyangwa ububabare mu gihe cyo kunyara.
• Inkari zifite ibicu cyangwa zihinduye ibara.

Ni iki gitera Hydronephrosis?

Impamvu nyamukuru itera Hydronephrosis ni ukuziba cyangwa 'kuziba' ahantu hose mu nzira y'inkari. Hari impamvu nyinshi zishobora gutera:

Impamvu zikunze kugaragara ku bantu bakuru:

• Amabuye yo mu mpyiko:Ibice bikomeye bikozwe muri kalisiyumu na oxalate bishobora kwinjira mu mpyiko cyangwa mu miyoboro y'amaraso.
• Kuziba k'umuyoboro w'inkari: Kuziba kw'imiyoboro y'inkari ubwazo.
• Ibibyimba: Ibibyimba mu ruhago, mu gasabo k'inkari, mu mura cyangwa mu ngingo zegeranye bitera igitutu ku nzira y'inkari.
• Benign prostatic hyperplasia (BPH): Prostate yagutse ku bagabo ishobora gukanda urethra, bigatuma bigorana kuyisohora mu ruhago.
• Imitsi yo mu muyoboro w'inkari: Kugabanuka k'inzira y'inkari bitewe n'imvune, ubwandu, cyangwa kubagwa mbere.
• Ibibazo by'imitsi cyangwa imitsi: Ibibazo bigira ingaruka ku mikorere isanzwe y'impyiko cyangwa ureter.
• Kugumana inkari: Kudashobora gukuramo burundu uruhago.
• Kugaruka k'uruhago rw'inkari: Inkari zitemba zivuye mu ruhago zigana mu mpyiko.
• Ureterocele: Indwara aho igice cyo hasi cy'umuyoboro w'inkari kibyimba kikagera mu ruhago.

Impamvu zihariye ku bagore:

• Gutwita: Uko umwana akura, umura ugenda wiyongera, ibyo bikaba bishobora gukanda imiyoboro y'inkari no kuzitira inzira y'inkari.
• Gutemba kw'umura: Iyo umura uvuye mu mwanya wawo usanzwe.
• Cystocele (uruhago rwaguye): Iyo urukuta ruri hagati y'uruhago n'igitsina rucitse intege, bigatuma uruhago rubyimba rujya mu gitsina.

Impamvu zitera umwana uri mu nda (Antenatal):

• Kongera umusaruro w'inkari zo mu nda y'uruhinja.
• Kuziba kw'inkari mu gihe cy'imyororokere.
• Inkari ziva mu ruhago zijya mu mpyiko zisubira inyuma.

Ni izihe ngorane zishobora guterwa n'iki kibazo?

Iyo itavuwe, Hydronephrosis ikomeye ishobora kwangiza impyiko, ndetse amaherezo impyiko zikananirwa gukora. Muri ibyo bihe, ingamba nka dialyse cyangwa gutera impyiko zishobora kuba ngombwa.

Ariko, ndakwinginze ntugire ubwoba! Abantu benshi bakira neza indwara ya Hydronephrosis nta ngaruka z’impyiko zibaye burundu. Intambwe y'ingenzi ni ugutuza no gushaka ubuvuzi ku gihe ku nzobere zo muri Nirogi Lanka.

Hydronephrosis ipimwa ite?

Ni ngombwa kujya kwa muganga no kwisuzumisha vuba, kuko hydronephrosis ishobora kwangiza impyiko igihe kirekire iyo itavuwe.

Mu bisanzwe umuganga wawe azamenya iyo ndwara akoresheje intambwe zikurikira:

• Isuzuma ry'umubiri: Muganga wawe azabaza ibimenyetso byawe, asuzume ibice byo mu nda no mu kibuno kugira ngo arebe ko hari ubwonko cyangwa ibibyimba. Bazasuzuma amateka y'ubuzima bwawe kandi babaze niba hari amateka y'umuryango wawe ufite indwara nk'izo. Ku bagabo, isuzuma ry'impyiko rishobora gukorwa kugira ngo barebe niba prostate yariyongereye. Ku bagore, isuzuma ry'impyiko rishobora gukorwa kugira ngo hatabaho ibibazo biri mu mura cyangwa mu ntanga.
• Isuzuma ry'inkari: Isuzuma ry'inkari rizasuzumwa kugira ngo harebwe amaraso, amabuye, bagiteri, cyangwa ubwandu. Hari igihe muganga wawe ashobora gukoresha catheter kugira ngo ahabwe isuzuma ry'inkari ridafite ubwandu.
• Ibizamini by'amaraso: Umubare wuzuye w'amaraso (CBC) ushobora gukorwa kugira ngo hamenyekane indwara. Byongeye kandi, ibizamini nka creatinine, eGFR, na BUN bikunze gukorwa kugira ngo hasuzumwe imikorere y'impyiko zawe.
• Uburyo bwo Gupima: Gupima hakoreshejwe ultrasound ni cyo gikoresho cy'ingenzi cyo gusuzuma. Bitewe n'ibyo ukeneye, gupima hakoreshejwe CT cyangwa MRI nabyo bishobora gukenerwa kugira ngo urebe neza.

Ese wari uzi ko hydronephrosis ku mwana uri mu nda ikunze kugaragara mu gihembwe cya mbere cy'amezi atatu hakoreshejwe ultrasound? Ikunze kumenyekana mu gihe cy'ibyumweru 20 byo gusuzuma umubiri w'umwana. Iyo igaragaye, muganga wawe azakurikirana umwana akoresheje ultrasound ikurikira; icyakora, iyi ndwara ikunze kwikemuka ubwayo mbere cyangwa nyuma gato yo kuvuka.

Ni ubuhe buryo bwo kuvura Hydronephrosis?

Intego y'ibanze yo kuvura ni ukugarura inzira y'inkari isanzwe no kugabanya umuvuduko n'ibibyimba mu mpyiko zawe. Ubuvuzi bushingiye gusa ku mpamvu nyamukuru.

Mu bihe byoroheje, nta buvuzi bushobora kuba bukenewe, kandi muganga wawe ashobora kukugira inama yo 'gutegereza urebe'. Kubaga ni ubundi buryo muganga wawe ashobora gutekerezaho. Ni ngombwa kugirana ikiganiro gisesuye n'umuganga wawe ku bijyanye n'inzira zose zihari zo kuvura.

Niba ufite ikibazo cy’impyiko gitunguranye bitewe no kuziba, muganga wawe ashobora gushyira umuyoboro wa nephrostomy mu ruhu rwawe kugira ngo akure inkari nyinshi mu mpyiko. Ubundi buryo, bashobora gushyira umuyoboro woroshye wa pulasitiki witwa ureteral stent muri ureter yawe kugira ngo ikomeze gufungura kandi irebe neza ko inkari zitembera neza.

Niba impamvu ari amabuye mu mpyiko zawe cyangwa mu miyoboro y'inkari, amahitamo akurikira ashobora gusuzumwa:

• Umuraba wo mu gifu witwa Lithotripsy: Ubu ni uburyo busanzwe bwo kuvura amabuye yo mu mpyiko. Imiraba yo mu gifu ifite imbaraga nyinshi ikoreshwa mu kumena amabuye mo uduce duto, dushobora gucibwa mu buryo busanzwe.
• Ureteroscopy: Imashini nto inyuzwa mu muyoboro w'inkari kugira ngo ibone kandi ikureho cyangwa ivumbure amabuye. Ibi bikunze gukoreshwa ku mabuye ari mu ruhago cyangwa mu gice cyo hasi cy'imiyoboro y'inkari.
• Kubagwa: Niba amabuye y'impyiko ari manini cyane cyangwa bigoye kuyakuraho, hashobora kuba ngombwa kubagwa. Kubagwa bishobora kandi kuba ngombwa kugira ngo hakemurwe izindi mbogamizi nk'ibibyimba cyangwa inkovu.

Niba indwara yawe iterwa n'indwara yo mu nzira y'inkari (UTI) cyangwa kuba ifunganye bitewe n'indwara, muganga azaguha imiti yica udukoko kugira ngo ikureho ikibazo cy'ingutu.

Ese Hydronephrosis ishobora kwirindwa?

Kubera ko hydronephrosis iterwa n'indwara zisanzwe, kuyirinda bikubiyemo kuvura cyangwa gucunga izo mpamvu hakiri kare. Kumenya ibintu bishobora gutera ibyago ni intambwe ikomeye mu kwirinda.

Ibintu byongera ibyago byo kurwara hydronephrosis birimo:

• Amabuye yo mu mpyiko.
• Amateka ya kanseri y'inkari.
• Kubagwa mbere ku nzira y'inkari.
• Indwara zisubira mu nzira y'inkari (UTIs).
• Amaraso apfutse.
• Prostate gland yagutse.
• Gutwita (biterwa n'igitutu ku miyoboro y'inkari).

Ese Hydronephrosis ni ikibazo gikomeye?

Yego, bishobora gukomera iyo bitavuwe. Ariko, abarwayi benshi baba boroheje cyangwa bari hagati kandi ntibitera ibibazo bikomeye by'ubuzima igihe kirekire. Ntugatinye; gutabara hakiri kare ni ingenzi.

Ese nkwiye guhangayikishwa n’indwara yanjye ya Hydronephrosis?

Ntugahangayikishwe cyane n’indwara ya hydronephrosis. Kenshi na kenshi, iyo uvuwe neza, ushobora kubaho ubuzima busanzwe nta ngorane z’igihe kirekire ufite. Ganira n’umuganga wawe wo muri Nirogi Lanka ku bibazo ufite ku bijyanye no gukira kwawe, uburyo bwo kubaho, n’igihe witeze cyo gukira.

Ni ryari ngomba kujya kwa muganga?

Ugomba guhita ubonana na muganga niba ubonye ibimenyetso bikurikira:

• Ububabare butunguranye, bukabije mu rubavu rwawe cyangwa mu mugongo.
• Kuruka bidashira.
• Impinduka mu kunyara: Kunyara cyane cyangwa bike kurusha uko bisanzwe, kubabara mu kunyara, cyangwa amaraso mu nkari zawe.
• Umuriro urenze 38°C (100.5°F).

Ibitekerezo bya nyuma

Muri make, hydronephrosis ni indwara aho impyiko zibyimba bitewe no kwibumbira kw'inkari. Ishobora kugira ingaruka ku muntu uwo ari we wese. Ku bw'amahirwe, iyo ivuwe kandi igavurwa vuba, ushobora kwirinda ingorane zirambye. Niba ubonye ibimenyetso bidasanzwe nko kubabara ku ruhande cyangwa mu nda, isesemi, kuruka, cyangwa impinduka mu mikorere y'inkari zawe, nyamuneka hamagara inzobere. Iyo impamvu imaze kumenyekana, muganga wawe azagufasha mu buryo bwiza bwo kuvura. Nta mpamvu yo gutinya; ubuvuzi ku gihe ni bwo buryo bwiza bwo kwirinda.