Itsvo dzako dzakazvimba here? Izvi zvinogona kunge zviri hydronephrosis here? Ngatikurukurei!

Dzimwe nguva unonzwa kuda kurutsa nekurwadziwa kwakanyanya parutivi pako, mudumbu, kana kumusana here? Kana kuti unonzwa kurwadziwa paunoita weti , kana ropa muweti yako here? Izvi zvinogona kuva zviratidzo zvechirwere chinonzi hydronephrosis, icho chiri kuzvimba kweitsvo . Tingataura nezvazvo nenzira iri nyore here?

Chii chinonzi Hydronephrosis?

Zvichitaurwa zviri nyore, hydronephrosis chirwere apo panenge paine kuvharika kwemvura inopinda muitsvo ichibva muitsvo ichienda kudundira, zvichiita kuti itsvo imwe kana dzese dzizvimbe. Funga nezvazvo sepombi yemvura yakavharika, inozadzwa nemvura uye inozvimba. Dzimwe nguva vanachiremba vanodana izvi kuti 'kuwedzera kwenzira yeurini yepamusoro'.

Ngatitorei nguva yekuzviyeuchidza mashandiro anoita sisitimu yedu yeweti . Zvakafanana nesisitimu yekuchenesa inobvisa tsvina mumuviri wedu.

• Kune itsvo mbiri , uye idzo ndidzo dzinosefa nekuparadzanisa chepfu netsvina iri muropa.
• Uyezve kune ma ureter maviri , machubhu maviri anotakura weti kubva kuitsvo kuenda kudundira.
• Kune dundira , rakafanana nebhegi rinounganidza weti nekuchengetedza.
• Pakupedzisira, kune urethra , iyo chubhu inotakura weti inounganidzwa mudundira ichibuda mumuviri.

Hydronephrosis inoitika kana paine kuvharika kwechinhu chiri pakati peitsvo neureter.

Hydronephrosis inogona kuuya nenzira dzakasiyana. Inogona kungoerekana yaitika, kana kuti inogona kukura zvishoma nezvishoma nekufamba kwenguva . Kuvharika kwacho kunogona kuva kwakakwana kana kuti chikamu. Kana ikangobata itsvo imwe chete, inonzi 'unilateral hydronephrosis', uye kana ikabata itsvo dzese, inonzi 'bilateral hydronephrosis'. Huwandu hwekuzvimba hunogonawo kusiyana kubva pakuzvimba kudiki kusvika pakuzvimba kukuru.

Mamiriro ezvinhu aya akajairika zvakadii?

Hydronephrosis inogona kubata chero munhu wezera ripi zvaro. Zvinofungidzirwa kuti munhu mumwe chete pavanhu vakuru zana acharwara nechirwere ichi pane imwe nguva muhupenyu hwake.

Izvi zvinogona kuitika muvana vadiki, kunyanya pavanenge vachiri mudumbu raamai. Zvinonzi 'antenatal hydronephrosis'. Zvinoitika muinenge 1% yevakadzi vane pamuviri. Asi kazhinji, zvinova nani zvega mwana asati aberekwa.

Ndezvipi zviratidzo zve hydronephrosis?

Zviratidzo zve hydronephrosis zvinowanzoenderana nechikonzero. Kazhinji , hapana zviratidzo zvachose . Sezvandambotaura, hydronephrosis yepamberi pekuberekwa, iyo inoitika mumwana ari mudumbu, kazhinji hairatidzi zviratidzo kusvika mwana azvarwa.

Asi kana zviratidzo zvikaonekwa, zvinogona kusanganisira:

• Kurwadziwa kwakakomba kamwe kamwe: parutivi pako, mudumbu, kana kumusana.
• Kusvotwa kana kurutsa .
• Kunzwa kurwadziwa kana uchiita weti.
• Ropa muweti.
• Kuva nechirwere chemunzira yeweti ( UTI ).
• Kunzwa kuti dundira harina kubuda zvachose kunyangwe mushure mekuita weti.
• Kuita weti zvishoma kana kupfuura zvakajairwa.

Zvino, kana uine hydronephrosis, nekuti weti inenge yakabatwa mumuviri, pane mukana mukuru wekuti mabhakitiriya akure muweti uye anokonzera hutachiona hweweti (UTI). Kana izvi zvikaitika, unogona kuona zviratidzo zvakaita se:

• Fivha, dzihwa, uye kuneta.
• Kupisa uye kurwadziwa pakuita weti.
• Weti isina kujeka uye ine ruvara rwakasviba.

Ndezvipi zvikonzero zve hydronephrosis?

Chikonzero chikuru chehydronephrosis kuvharika, kana kuti kuvharika, kwekufamba kweweti kune imwe nzvimbo mumuviri wedu weti. Kune zvikonzero zvakawanda zvinogona kukonzera izvi.

Zvikonzero zvinokonzera chirwere kune vakuru:

• Matombo eitsvo: Aya matombo akaomarara anoumbwa necalcium neoxalate. Anogona kugara muitsvo kana muweti.
• Kuvharika kweurethra: Kuvharika kweurethra yako.
• Mabundu: Mabundu ari mudundira, prostate gland, chibereko , kana dzimwe nhengo dziri pedyo nehurongwa hweweti anogona kukonzera kuvharika kwekufamba kweweti.
• Benign prostatic hyperplasia (BPH): Muvarume, kukura kweprostate gland kunogona kukonzera kumanikidzwa kweurethra uye kuita kuti zviome kuita weti.
• Kutetepa kweurethra: Urethra inogona kutetepa nekuda kwekukuvara, hutachiona, kuremara kwekuzvarwa, kana kuvhiyiwa.
• Matambudziko etsinga kana tsandanyama: Izvi zvinogona kukanganisa mashandiro eitsvo dzako kana ureters.
• Kuchengeta weti: Kusakwanisa kubvisa weti zvachose kubva mudundira.
• Kudzoka kweweti kubva mudundira kuenda kuitsvo: Kudzoka kweweti kubva mudundira ichienda kuitsvo.
• Ureterocele: Uku kubuda kwechikamu chezasi cheureter mudundira.

Zvikonzero zvakananga kune vakadzi:

Kune avo vane chibereko, kureva vakadzi, hydronephrosis inogonawo kukonzerwa nezvinhu zvakaita se:

• Kubata pamuviri: Mwana paanokura, chibereko chinokurawo, izvo zvinogona kuisa kumanikidzwa pamasero emudumbu uye kudzivirira kuyerera kweweti.
• Kudonha kwechibereko: Kudonha kwechibereko kubva panzvimbo yacho yakajairika.
• Cystocele - dundira rakawa: Rusvingo ruri pakati pedundira nemukadzi runopera simba, zvichiita kuti dundira ridonhe mumukadzi.

Zvikonzero zvinokanganisa mwana ari mudumbu (prenatal):

Zvinhu zvinotevera zvinogona kukonzera hydronephrosis yemwana asati aberekwa:

• Kuwedzera kwehuwandu hweweti inogadzirwa nemwana ari mudumbu.
• Kuvharirwa kweweti kune imwe nzvimbo muhurongwa hweweti.
• Weti inoyerera ichidzoka kubva kudundira ichienda kuitsvo.

Ndezvipi zvinetso zvinogona kukonzera hydronephrosis?

Kana hydronephrosis ikakura, inogona kukuvadza itsvo uye kukonzera kutadza kushanda kweitsvo. Kana zvakadaro, ungangoda kuvhiyiwa dialysis kana kuisirwa itsvo.

Asi, musavhunduka! Vanhu vazhinji vanopora kubva ku hydronephrosis uye hapana kukuvara kweitsvo zvachose. Saka zvakakosha kuti musavhunduka motsvaga kurapwa nekukasika.

Hydronephrosis inoonekwa sei?

Zvakakosha kuona chiremba nekukurumidza, sezvo hydronephrosis inogona kukonzera kukuvara kweitsvo kwenguva refu.

Aya ndiwo maitiro anoita chiremba wako kuziva chirwere ichi:

• Kuongororwa kwemuviri: Chiremba wako achakubvunza nezvezviratidzo zvako uye achaongorora itsvo dzako nenzvimbo yedundira kuti aone kana paine kurwadziwa nekuzvimba. Achakubvunzawo nezvenhoroondo yako yekurapwa uye kana paine munhu mumhuri mako akambova nematambudziko aya. Kana uri murume, kuongororwa kwerectal kunogona kuitwa kuti uone kana prostate gland yakura. Kana uri mukadzi, kuongororwa kwepelvic kunogona kuitwa kuti uone kana paine matambudziko muchibereko chako kana maovari.
• Kuongororwa kweweti:Muenzaniso weweti yako uchatorwa woongororwa ropa, matombo, mabhakitiriya, kana hutachiona. Ungangodawo kushandisa catheter kuti utore weti.
• Kuongororwa kweropa: Kuongororwa kweropa rose (CBC) kunogona kuitwa kuti kuongororwe hutachiona. Kuongororwa kwakadai secreatinine, eGFR, uye BUN kunogonawo kuitwa kuti kuongororwe mashandiro eitsvo.
• Maitiro ekutora mifananidzo: Bvunzo huru ndeye ultrasound scan. Dzimwe nguva CT scan kana MRI scan inogonawo kudiwa.

Waizviziva here kuti mwana asati aberekwa anogona kuonekwa aine hydronephrosis mumwedzi mitatu yekutanga yekuzvitakura ne ultrasound scan? Izvi zvinowanzoonekwa panguva ye ultrasound scan yemavhiki makumi maviri. Kana zvikaonekwa, amai vachave ne ultrasound scan dzakawanda kuti vatarise mwana. Asi kazhinji, zvichava nani zvega.

Ndezvipi zvirongwa zvekurapa hydronephrosis?

Chinangwa chikuru chekurapa ndechekudzorera kuyerera kweweti kubva muitsvo uye kuderedza kuzvimba nekumanikidzwa kweropa. Kurapa kunoenderana nechikonzero chaicho. Nekuti ndiro dambudziko guru.

Dzimwe nguva, nyaya diki dzisina kukomba dzinogona kupora dzoga pasina kurapwa. Dzimwe nguva, chiremba wako anogona kutora nzira yekuti 'mira uone'. Kuvhiyiwa ndeimwe nzira iyo chiremba wako angafunga nezvayo. Unofanira kukurukura nachiremba wako nezvenzira dzese dzekurapa kwako.

Kana hydronephrosis ikangoerekana yaitika uye ikakonzerwa nekuvharika, chiremba wako anogona kuisa nephrostomy tube kuburikidza neganda rako muitsvo yako kuti abudise weti yakawandisa. Kana, vanogona kuisa chubhu yepurasitiki yakapfava inonzi ureteral stent kuti ureters yako irambe yakavhurika kuitira kuti weti ifambe zvakanaka.

Kana chikonzero chiri matombo ari muitsvo kana muweti, kune nzira dzekurapa dzakadai se:

• Shock wave lithotripsy: Iyi ndiyo nzira inonyanya kushandiswa yekurapa matombo eitsvo. Mafungu eshock ane simba guru anoshandiswa kupwanya kana kupwanya matombo kuita zvidimbu zvidiki, zvichiita kuti zvive nyore kubvisa matombo mumuviri.
• Ureteroscopy: Chiremba wako achapinza chubhu yakatetepa kuburikidza neurethra yako kuti iparadze uye ibvise matombo. Maitiro aya anoshandiswa pamatombo ari mudundira kana pasi peurethra. Inogona zvakare kushandiswa pamwe chete nedzimwe nzira dzekuparadzira matombo.
• Kuvhiyiwa:Kana matombo eitsvo akakura zvikuru kana kuti akaoma kubvisa, chiremba wako angangoda kuvhiyiwa kuti abviswe. Kuvhiyiwa kunogonawo kudiwa kana paine bundu, mavanga, kana mamwe marudzi ezvipingamupinyi.

Kana uine chirwere chemudumbu (UTI) kana kuti urethra yako yakatetepa nekuda kwechirwere, chiremba wako achakupa mishonga inorwisa mabhakitiriya yekurapa chirwere ichi.

Hydronephrosis inogona kudzivirirwa here?

Sezvo hydronephrosis ichikonzerwa nechimwe chirwere chiripo, inogona kudzivirirwa nekudzivisa kana kurapa chikonzero chacho. Kuziva zvinhu zvinokuisa panjodzi yekuva nechirwere ichi kunogonawo kubatsira kudzivirira.

Zvimwe zvinokonzera njodzi yekuwedzera hydronephrosis ndeizvi:

• Matombo eitsvo.
• Kuva nenhoroondo yekenza yemudumbu.
• Kuvhiyiwa kwakaitwa kare kwakabatana nehurongwa hweweti.
• Kutapukirwa kwemudumbu kwakamboitika, kwakadai sekutapukirwa kwemudumbu (UTIs).
• Kugwamba kweropa.
• Kukura kweprostate gland.
• Kubata pamuviri (nekuda kwekusundidzira chibereko chako muchiuno chako).

Ko hydronephrosis idambudziko guru here?

Ehe, ichi chinogona kuva dambudziko guru kana rikasarapwa nekukasika. Zvisinei, zvirwere zvakawanda zviri pakati nepakati kana kuti zvishoma. Hazvikonzeri matambudziko makuru ehutano. Saka musazvidya mwoyo.

Unofanira kunetseka nezve hydronephrosis here?

Usanyanya kunetseka nezvekuonekwa uine hydronephrosis. Kazhinji, kana uchirapwa, unogona kurarama hupenyu hwakanaka pasina matambudziko asingaperi. Taura nachiremba wako nezvemibvunzo yako nezve hydronephrosis uye kupora kwako. Chiremba wako achakuudza kana uchida kuchinja mararamiro ako uye kuti zvinotora nguva yakareba sei kuti upore zvizere.

Unofanira kuona chiremba rini?

Kana uine chimwe chezviratidzo izvi, iva nechokwadi chekuona chiremba:

• Kurwadziwa kwakakomba kamwe kamwe parutivi kana kumusana.
• Kurutsa.
• Kuchinja kwekuita weti: kuita weti zvishoma kana kupfuura zvakajairika, kurwadziwa paunenge uchiita weti, ropa muweti.
• Kana fivha iri pamusoro pe100.5 Fahrenheit (38 Celsius).

Pakupedzisira, zvinhu zvekurangarira

Zvakanaka, saka chirwere chehydronephrosis chatataura nezvacho nhasi chirwere apo itsvo dzinozvimba nekuda kweweti. Munhu wese anogona kuzvimba. Nerombo rakanaka, kana chirwere ichi chikaonekwa uye chikarapwa nekukurumidza, matambudziko anokonzerwa nechirwere ichi anogona kudzivirirwa.Kana uine zviratidzo zvisingawanzoitiki, zvakaita sekurwadziwa parutivi pako kana mudumbu, kuda kurutsa, kurutsa, kana kuchinja kwehuwandu hweweti kana kuti kakawanda, iva nechokwadi chekuona chiremba. Kana chikonzero chehydronephrosis chaonekwa, chiremba wako achakutsanangurira nzira dzakawanda dzekurapa dziripo. Usavhunduke, kurapwa kwekutanga ndicho chinhu chakakosha.