Kuzvimba kweitsvo (Hydronephrosis): Ngatidzidzei nezvezvikonzero, zviratidzo, uye kurapwa nenzira iri nyore!

Wakambonzwa kuda kurutsa nekurwadziwa kwakanyanya kumusana kana mudumbu here? Kana kuti wakambonzwa kusinganzwisisike kana kurwadziwa paunenge uchiita weti here? Izvi zvinogona dzimwe nguva kuva dambudziko neitsvo dzako. Nhasi tichataura nezvedambudziko rine chekuita neitsvo iro vanhu vazhinji vasingazive. Izvi zvinonzi Hydronephrosis.

Chii chinonzi hydronephrosis?

Zvichitaurwa zviri nyore, apa ndipo panobva chimwe chinhu chavharira weti kubva muitsvo dzako kuenda kudundira rako. Funga nezvazvo sepombi yemvura inonamira pakati. Chii chinoitika ipapo? Weti haigone kubuda youngana mukati meitsvo, zvichiita kuti itsvo izvimbe. Kuzvimba uku kweitsvo kunonzi Hydronephrosis.

Izvi zvinogona kuitika kamwe kamwe, kana kuti zvinogona kuitika zvishoma nezvishoma nekufamba kwenguva. Dzimwe nguva urethra inovharika zvachose, dzimwe nguva haivhariki zvakanyanya.

• Kana itsvo imwe chete ikakanganiswa: inonzi `unilateral hydronephrosis`.
• Kana itsvo dzese dzikabatwa: Inonzi `bilateral hydronephrosis`.

Izvi zvinogona kubva pakuzvimba kudiki kusvika kwakanyanya. Kurapwa nekukurumidza kunogona kuderedza njodzi yekukuvara kwenguva refu, saka zvakakosha kuziva izvi.

Kuti tinzwisise izvi, ngatitangei tatarisa mashandiro anoita sisitimu yedu yeweti.

Basa guru remuviri wedu weti nderekubvisa tsvina nemvura yakawandisa. Kune zvikamu zvishoma zvemuviri uyu:

• Itsvo: Idzi ndidzo firita mbiri huru dziri mumuviri wedu. Itsvo dzinobvisa chepfu netsvina kubva muropa dzoburitsa weti.
• Machubhu maviri emudumbu: Aya ndiwo machubhu maviri anotakura weti, inogadzirwa muitsvo, kuenda nayo kudundira.
• Dundira: Iri ndiro saga rinounganidza weti.
• Urethra: Weti inoungana mudundira inobuda mumuviri nepachubhu iyi.

Hydronephrosis inowanzoitika kana paine kuvharika pakati peitsvo neureter.

Ungaziva sei kana uine hydronephrosis? Ndezvipi zviratidzo?

Kazhinji, zviratidzo zvinoenderana nechikonzero chacho. Vamwe vanhu vanogona kunge vasina zviratidzo zvachose. Kunyanya kuvana vacheche vane hydronephrosis mudumbu, zviratidzo zvinogona kusaonekwa kusvika mushure mekuzvarwa.

Zvisinei, kana zviratidzo zvikaonekwa, zvinogona kutaridzika seizvi.

Sei Hydronephrosis ichiitika? Ndezvipi zvikonzero zvikuru?

Chikonzero chikuru cheizvi kuvharika kana kuvharika kweimwe nzvimbo muhurongwa hweweti. Kuvharika uku kunogona kukonzerwa nezvinhu zvakasiyana-siyana.

Zvikonzero zvinowanzoonekwa nevanhu vakuru

• Matombo eitsvo: Chikonzero chikuru matombo anova muitsvo kana muweti.
• Mabundu: Bundu rine kenza kana kuti risina njodzi riri mudundira, prostate gland, chibereko, kana imwe nhengo iri pedyo nehurongwa hweweti rinogona kukonzera kuvharika kwenzira yeweti.
• Benign Prostatic Hyperplasia (BPH): Varume pavanenge vachikura, prostate gland inogona kukura, zvichikonzera kumanikidzwa kweurethra uye kudzivirira weti.
• Kutetepa kweurethra: Urethra inogona kutetepa nekuda kwemavanga mushure metsaona, hutachiona, kuremara kwekuzvarwa, kana kuvhiyiwa.
• Matambudziko etsinga kana tsandanyama: Matambudziko etsinga anokanganisa mashandiro eitsvo kana nzira yeweti.
• Vesicoureteral Reflux: Kuyerera kweweti kubva mudundira ichienda kuitsvo.
• Ureterocele: Chirwere chekuti chikamu chezasi cheurethra chinobuda mudundira.

Zvikonzero zvakanangana nevakadzi

• Kubata pamuviri: Sezvo chibereko chichikura panguva yekuzvitakura, chinogona kuisa kumanikidzwa pamasero emudumbu uye kudzivirira kuyerera kweweti.
• Kudonha kwechibereko: Chibereko chinoburuka kubva panzvimbo yacho yakajairika.
• Cystocele: Chirwere chekuti madziro ari pakati pedundira nemukadzi anoshaya simba, zvichiita kuti dundira ribude richipinda mumukadzi.

Chiremba anoona sei kana chirwere ichi chiripo?

Sezvo hydronephrosis ichigona kukonzera kukuvara kweitsvo kwenguva refu, zvakakosha kuona chiremba nekukurumidza kuti uongororwe.

Chiremba wako achashandisa bvunzo idzi kuongorora chirwere ichi:

• Kuongororwa kwemuviri: Chiremba wako achakubvunza nezvezviratidzo zvako uye achaongorora itsvo dzako nenzvimbo yedundira kuti aone kana paine kuzvimba kana kurwadziwa. Achakubvunzawo nezvenhoroondo yako neyemhuri yako yehutano. Kana uri murume, vanogona kuita bvunzo yerectal kuti vaone kana prostate gland yakura, uye kana uri mukadzi, vanogona kuita bvunzo yenhengo dzesikarudzi kuti vaone kana paine matambudziko muchibereko chako kana maovari.
• Kuongororwa kweweti: Muenzaniso weweti unotorwa woongororwa ropa, zvidimbu zvematombo, mabhakitiriya, kana hutachiona.
• Kuongororwa kweropa: Kuongororwa kweropa rose (CBC) kunogona kuitwa kuti kuongororwe hutachiona. Kuongororwa kwakadai secreatinine, eGFR, uye BUN kunogonawo kuitwa kuti kuongororwe mashandiro eitsvo.
• Miedzo yekufungidzira: Kuongororwa kwe ultrasound kunowanzoitwa. Dzimwe nguva CT scan kana MRI scan ingangodiwa kuti uwane rumwe ruzivo.

Zvakanaka, ngatitaurei nezvekurapa.

Chinangwa chikuru chekurapa ndechekuderedza kuvharika kwemvura yeweti uye kuderedza kuzvimba nekumanikidzwa kweitsvo. Nzira yekurapa inoenderana nechikonzero chechirwere ichi.

Dzimwe nyaya dzisina kunyanya kuoma dzinogona kupera dzoga pasina kurapwa. Muzviitiko zvakadaro, chiremba wako anogona kukurudzira nzira yekuti "mira uone".

• Kubuda kwemvura muweti: Kana paine kuvharika kwakakomba, chubhu (nephrostomy tube) inogona kuiswa nepaganda ichipinda muitsvo kuti ibudise weti yakaungana. Imwe nzira ndeyekuisa chubhu yepurasitiki yakatetepa inonzi ``ureteral stent`` mukati meurethra kuti pave nenzira yekuti weti ifambe.

Kana zvichikonzerwa nematombo eitsvo...

• Shock wave lithotripsy: Mafungu eshock ane simba guru anotumirwa kubva kunze kwemuviri kuti apwanye matombo eitsvo uye aabudise kuburikidza neweti.
• Ureteroscopy: Muchina une kamera yakatetepa unopfuudzwa muurethra kuti upwanye kana kubvisa matombo zvachose.
• Kuvhiyiwa: Kana uine matombo makuru uye akaoma kubvisa, kuvhiyiwa kunogona kudiwa kuti abviswe. Kuvhiyiwa kunogonawo kudiwa kuti kubviswe zvipingamupinyi zvinokonzerwa nemapundu kana mavanga.

Izvi zvingave zvakakomba here? Ndingazvidzivirira sei?

Ehe, Hydronephrosis inogona kuva yakakomba kana ikasarapwa nekukurumidza. Muzviitiko zvakakomba, inogona kukuvadza itsvo uye kukonzera kutadza kushanda kweitsvo. Kana zvakadaro, dialysis kana kuisirwa itsvo zvinogona kudiwa.

Asi, musazvidya moyo! Vanhu vazhinji vanopora zvachose mushure mekurapwa nekukasika. Hapana kukuvara kweitsvo zvachose.

Izvi zvinokonzerwa nechimwe chirwere chiripo, saka kudzivirira Hydronephrosis, zvakakosha kurapa chirwere chiripo nekukurumidza sezvinobvira. Kana uri munhu ane matombo muitsvo, zvakakosha kuchinja mararamiro anodiwa.

Zvechokwadi unofanira kuona chiremba!

Kana uine zviratidzo zvinotevera, usazviregeredza . Ona chiremba wako nekukurumidza sezvinobvira.