Ese impyiko zawe zirabyimbye? Ese ibi byaba ari hydronephrosis? Reka tuganire!

Ese hari igihe wumva ufite isesemi ubabara cyane mu rubavu, mu nda, cyangwa mu mugongo? Cyangwa ubabara iyo urimo kunyara , cyangwa amaraso mu nkari zawe? Ibi bishobora kuba ibimenyetso by'indwara yitwa hydronephrosis, ari yo kubyimba impyiko . Ese twavuga kuri ibi mu magambo make?

Hydronephrosis ni iki?

Mu magambo make, hydronephrosis ni indwara aho inkari ziva mu mpyiko zawe zijya mu ruhago rwawe zifunganye, bigatuma impyiko imwe cyangwa zombi zibyimba. Tekereza nk'umuyoboro w'amazi wafunze, wuzura amazi hanyuma ukabyimba. Hari igihe abaganga babyita 'kwaguka k'inkari zo hejuru'.

Reka dufate umwanya wo kwiyibutsa uko sisitemu yacu y'inkari ikora. Ni nk'uburyo bwo gusukura bukuraho imyanda mu mubiri wacu.

• Hari impyiko ebyiri , kandi izi ni zo ziyungurura zikanatandukanya uburozi n'imyanda iri mu maraso.
• Hanyuma hari ureter ebyiri , imiyoboro ibiri itwara inkari ziva mu mpyiko zijya mu ruhago.
• Hari uruhago , rumeze nk'agafuka gakusanya inkari kakabika.
• Hanyuma, hari urethra , umuyoboro utwara inkari zikusanyirizwa mu ruhago zisohoka mu mubiri.

Hydronephrosis ibaho iyo hari imbogamizi ahantu runaka muri iyi gahunda, hagati y'impyiko n'umuyoboro w'inkari.

Hydronephrosis ishobora kuza mu buryo butandukanye. Ishobora kubaho mu buryo butunguranye, cyangwa ikagenda ikura buhoro buhoro uko igihe kigenda gihita . Kuziba kw'impyiko bishobora kuba byuzuye cyangwa igice cyabyo. Iyo ifashe impyiko imwe gusa, yitwa 'hydronephrosis y'impande zombi', kandi iyo ifashe impyiko zombi, yitwa 'hydronephrosis y'impande zombi'. Ingano y'ibibyimba ishobora gutandukana kuva ku kibyimba gito kugeza ku kibyimba kinini.

Iki kibazo gikunze kugaragara gute?

Hydronephrosis ishobora kwibasira umuntu wese w’imyaka iyo ari yo yose. Bivugwa ko umuntu umwe mu bantu bakuru 100 azarwara iyi ndwara mu gihe runaka mu buzima bwe.

Ibi bishobora kugaragara ku bana bato, cyane cyane iyo bakiri mu nda ya nyina. Byitwa 'antenatal hydronephrosis'. Bibaho hafi 1% by'inda. Ariko akenshi, birushaho kuba byiza ubwabyo mbere yuko umwana avuka.

Ni ibihe bimenyetso bya hydronephrosis?

Ibimenyetso bya hydronephrosis akenshi biterwa n'icyabiteye. Akenshi , nta bimenyetso na gato bibaho . Nkuko nabivuze mbere, hydronephrosis yo mu gihe cyo kubyara, ibera mu mwana uri mu nda, ubusanzwe ntigaragaza ibimenyetso kugeza umwana avutse.

Ariko niba ibimenyetso bigaragaye, bishobora kuba birimo:

• Ububabare butunguranye kandi bukomeye: mu rubavu rwawe, mu nda, cyangwa mu mugongo.
• Isesemi cyangwa kuruka .
• Kumva ububabare iyo uri kunyara.
• Amaraso mu nkari.
• Guterwa n'indwara yo mu nzira y'inkari ( UTI ).
• Kumva ko uruhago rutarasohoka burundu ndetse na nyuma yo kunyara.
• Kunyara cyane cyangwa bike kurusha uko bisanzwe.

Noneho, iyo ufite hydronephrosis, kubera ko inkari ziba zarafatiwe mu mubiri, hari amahirwe menshi yo gukura kwa bagiteri mu nzira y'inkari bigatuma habaho indwara ya UTI. Ibi nibibaho, ushobora kugira ibimenyetso nk'ibi:

• Umuriro, ubukonje, n'umunaniro.
• Gushya no kubabara iyo uri kunyara.
• Inkari zidasobanutse neza kandi zisa n'izijimye mu ibara.

Ni izihe mpamvu zitera hydronephrosis?

Impamvu nyamukuru itera hydronephrosis ni ukuziba kw'inkari ahantu runaka mu nkari zacu. Hari impamvu nyinshi zishobora kubitera.

Impamvu zigira ingaruka ku bantu bakuru:

• Amabuye y'impyiko: Aya ni amabuye akomeye agizwe na kalisiyumu na oxalate. Ashobora kwinjirira mu mpyiko cyangwa mu nzira y'inkari.
• Kuziba k'umuyoboro w'inkari: Kuziba k'umuyoboro w'inkari.
• Ibibyimba: Ibibyimba mu ruhago, mu gasabo k'inkari , mu mura , cyangwa mu zindi ngingo zegereye inzira y'inkari bishobora gutuma inkari zihagarara.
• Kugabanuka k'uburemere bw'inkari mu gitsina (BPH): Ku bagabo, prostate gland yagutse ishobora gutera igitutu ku muyoboro w'inkari no kugorana kunyara.
• Kugabanuka k'umuyoboro w'inkari: Umuyoboro w'inkari ushobora kuba muto bitewe n'imvune, ubwandu, ubumuga bwo kuvuka, cyangwa kubagwa.
• Ibibazo by'imitsi cyangwa imitsi: Ibi bishobora kugira ingaruka ku mikorere y'impyiko zawe cyangwa ureter.
• Kugumana inkari: Kudashobora gusohora inkari zose mu ruhago.
• Kugaruka k'umusemburo w'inkari: Kugaruka kw'inkari ziva mu ruhago zijya mu mpyiko.
• Ureterocele: Iyi ni inzira y'igice cyo hasi cy'umuyoboro w'inkari mu ruhago.

Impamvu zihariye ku bagore:

Ku bafite nyababyeyi, ni ukuvuga abagore, hydronephrosis ishobora guterwa n'ibintu byihariye nka:

• Gutwita: Uko umwana akura, umura nawo urakura, ibyo bikaba bishobora gushyira igitutu ku miyoboro y'inkari no kubuza inkari gutembera.
• Gutemba kw'umura: Umura umanuka uva mu mwanya wawo usanzwe.
• Cystocele – uruhago rwaguye: Urukuta ruri hagati y'uruhago n'igitsina gabo ruracika intege, bigatuma uruhago rugwa mu gitsina gabo.

Impamvu zigira ingaruka ku mwana uri mu nda (mbere yo kubyara):

Ibintu bikurikira bishobora gutera hydronephrosis mu mwana utarabyara:

• Inkari nyinshi zikorwa n'umwana uri mu nda.
• Kubangamira inzira y'inkari ahantu runaka mu nkari.
• Inkari zisubira mu ruhago zijya mu mpyiko.

Ni izihe ngorane zishobora guterwa na hydronephrosis?

Iyo hydronephrosis ibaye ikomeye, ishobora kwangiza impyiko bigatuma impyiko zinanirwa gukora neza. Muri icyo gihe, ushobora gukenera gusukurwa cyangwa gusigwa impyiko.

Ariko, ntugatinye! Abantu benshi bakira indwara ya hydronephrosis kandi nta cyangiritse burundu ku mpyiko. Rero ni ngombwa kudatinya ahubwo ugashaka ubuvuzi bwihuse.

Hydronephrosis ipimwa ite?

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

Uku ni ko muganga wawe asuzuma indwara:

• Isuzuma ry'umubiri: Muganga wawe azabaza ibimenyetso byawe, asuzume impyiko zawe n'agace k'uruhago rwawe kugira ngo arebe ububabare n'ibibyimba. Bazanabaza amateka yawe y'ubuzima bwa kera ndetse niba hari umuntu wo mu muryango wawe wigeze kugira ibi bibazo. Niba uri umugabo, isuzuma ry'impyiko rishobora gukorwa kugira ngo harebwe niba prostate gland yagutse. Niba uri umugore, isuzuma ry'ikibuno rishobora gukorwa kugira ngo harebwe niba nta bibazo biri mu mura wawe cyangwa mu dusabo tw'intanga.
• Ibipimo by'inkari:Hazafatwa icyitegererezo cy'inkari zawe hanyuma hasuzumwe amaraso, amabuye, bagiteri, cyangwa ubwandu. Ushobora kandi gukenera gukoresha catheter kugira ngo ufate inkari.
• Gupima amaraso: Gupima amaraso yose (CBC) bishobora gukorwa kugira ngo harebwe niba hari ubwandu. Ibizamini nka creatinine, eGFR, na BUN nabyo bishobora gukorwa kugira ngo harebwe imikorere y'impyiko.
• Uburyo bwo gufata amashusho: Ikizamini nyamukuru ni ugupima hakoreshejwe ikoranabuhanga rya ultrasound. Hari igihe nabyo bishobora gukenerwa gupima hakoreshejwe CT scan cyangwa MRI scan.

Ese wari uzi ko umwana uri mu nda ashobora kuvurwa indwara ya hydronephrosis mu gihembwe cya mbere cyo gutwita hakoreshejwe ultrasound scan? Ibi bikunze kugaragara mu gihe cy'ibyumweru 20 byo gupimwa ultrasound. Iyo bigaragaye, umubyeyi azongera gupimwa ultrasound scan nyinshi kugira ngo akurikirane umwana. Ariko akenshi, bizagenda neza ubwabyo.

Ni ubuhe buryo bwo kuvura indwara ya hydronephrosis?

Intego nyamukuru y'ubuvuzi ni ukugarura inzira y'inkari mu mpyiko no kugabanya kubyimba n'umuvuduko w'amaraso. Ubuvuzi buterwa n'impamvu nyamukuru. Kuko icyo ari cyo kibazo nyamukuru.

Hari igihe indwara nto zitari zikomeye zishobora gukira ubwazo zitavuwe. Hari n'igihe muganga wawe ashobora gufata ingamba zo 'gutegereza urebe'. Kubagwa ni ubundi buryo muganga wawe ashobora gufata. Ugomba kuganira na muganga wawe ku buryo bwose bwo kuvura.

Iyo hydronephrosis ibaye mu buryo butunguranye kandi iterwa no kuziba, muganga wawe ashobora gushyira umuyoboro wa nephrostomy mu ruhu rwawe mu mpyiko kugira ngo asohore inkari nyinshi. Cyangwa, bashobora gushyiramo umuyoboro woroshye wa pulasitiki witwa ureteral stent kugira ngo uretera yawe ifunguke kugira ngo inkari zishobore gutembera neza.

Niba impamvu ari amabuye mu mpyiko cyangwa mu nzira y'inkari, hari uburyo bwo kuvura nko:

• Indwara ya Shock wave lithotripsy: Ubu ni bwo buryo bukunze kuvura amabuye y'impyiko. Indwara ya shock waves ifite imbaraga nyinshi ikoreshwa mu kumenagura cyangwa kumenagura amabuye mo uduce duto, bigatuma byoroha kuyasohora mu mubiri.
• Gupima ureteroskopiya: Muganga wawe azanyuza umuyoboro muto mu muyoboro wawe w'inkari kugira ngo amenagure kandi akureho amabuye. Ubu buryo bukoreshwa ku mabuye ari mu ruhago cyangwa mu gice cyo hasi cy'inkari. Bushobora kandi gukoreshwa hamwe n'ubundi buryo bwo kumena amabuye.
• Kubaga:Niba amabuye y'impyiko ari manini cyane cyangwa bigoye kuyakuraho, muganga wawe ashobora kubagwa kugira ngo ayakureho. Kubagwa bishobora kandi kuba ngombwa niba hari ibibyimba, inkovu, cyangwa izindi mbogamizi.

Niba ufite indwara yo mu nzira y'inkari (UTI) cyangwa niba urethra yawe yagabanutse bitewe n'indwara, muganga wawe azaguha imiti igabanya ubukana bw'indwara.

Ese Hydronephrosis ishobora kwirindwa?

Kubera ko indwara ya hydronephrosis iterwa n'ikibazo runaka, ishobora kwirindwa hifashishijwe kwirinda cyangwa kuvura impamvu yacyo. Kumenya ibintu bigushyira mu kaga ko kurwara iyi ndwara nabyo bishobora gufasha kuyikumira.

Ibintu byongera ibyago byo kurwara hydronephrosis ni ibi bikurikira:

• Amabuye yo mu mpyiko.
• Kuba afite amateka ya kanseri y'urwungano rw'inkari.
• Kubagwa mbere ku bijyanye n'urwungano rw'inkari.
• Ubwandu bwabayeho mbere mu buryo bw'inkari, nk'ubwandu bw'inkari (UTIs).
• Amaraso apfutse.
• Kwaguka kwa prostate gland.
• Gutwita (biterwa nuko nyababyeyi yawe yisunika mu kibuno cyawe).

Ese hydronephrosis ni ikibazo gikomeye?

Yego, iki kibazo gishobora kuba gikomeye iyo kidavuwe vuba. Ariko, abarwayi benshi baba boroheje cyangwa bari hagati. Ntabwo batera ibibazo bikomeye by'ubuzima. Rero ntugahangayike.

Ese ugomba guhangayikishwa n'indwara ya hydronephrosis?

Ntugahangayikishwe cyane no gusanga ufite hydronephrosis. Kenshi na kenshi, iyo uvuwe, ushobora kubaho ubuzima busanzwe nta ngorane z'igihe kirekire. Vugana na muganga wawe ku bibazo byose ufite kuri hydronephrosis no gukira kwawe. Muganga wawe azakubwira niba ukeneye guhindura imibereho yawe n'igihe bizatwara kugira ngo ukire neza.

Ni ryari ukwiye kujya kwa muganga?

Niba ufite kimwe muri ibi bimenyetso, menya neza ko wagiye kwa muganga:

• Ububabare butunguranye kandi bukomeye mu rubavu rwawe cyangwa mu mugongo.
• Kuruka.
• Impinduka mu nkari zawe: kunyara cyane cyangwa bike kuruta uko bisanzwe, ububabare mu gihe cyo kunyara, amaraso mu nkari.
• Iyo umuriro uri hejuru ya 100.5 Fahrenheit (38 selisiyusi).

Amaherezo, ibintu byo kwibuka

Yego, indwara ya hydronephrosis twavuze uyu munsi ni indwara aho impyiko zibyimba bitewe n'inkari. Umuntu wese ashobora kuyirwara. Ku bw'amahirwe, iyo indwara igaragaye kandi ikavurwa hakiri kare, ingorane zikomoka kuri iyi ndwara zishobora kwirindwa.Niba ufite ibimenyetso bidasanzwe, nko kubabara mu rubavu cyangwa mu nda, isesemi, kuruka, cyangwa impinduka mu rugero cyangwa inshuro zo kwihagarika, menya neza ko wagiye kwa muganga. Iyo icyateye hydronephrosis kimaze kumenyekana, muganga wawe azagusobanurira uburyo bwinshi bwo kuvura ushobora kuvura. Ntugatinye, kuvurwa hakiri kare ni cyo kintu cy'ingenzi kurusha ibindi.