Itsvo dzako dziri kuzvimba here? Ingava Hydronephrosis here? Ngatitaurei naNirogi Lanka!

Dzimwe nguva unonzwa kurwadziwa kwakanyanya padivi pako, mudumbu, kana pasi pemusana, zvichiteverwa nekurutsa here? Pamwe uri kunetseka nekurwadziwa panguva yekuzvimba weti kana kuona ropa muweti yako? Izvi zvinogona kunge zviri zviratidzo zvekuzvimba kweitsvo, chirwere chinozivikanwa seHydronephrosis. Ngatitsanangure zvinorehwa neizvi nemashoko akareruka.

Chii chinonzi Hydronephrosis?

Zvichitaurwa zviri nyore, Hydronephrosis inoitika kana kuvharika kwenzira yeweti kuchidzivirira weti kuti isayerere kubva muitsvo dzako kuenda kudundira, zvichiita kuti itsvo imwe kana dzese dzizvimbe. Funga nezvazvo sekunge kupwanyika kuri mupaipi yebindu—mvura inodzokera shure, zvichiita kuti tsinga ikure. Dzimwe nguva vanachiremba vanoti izvi 'kuwedzera kwenzira yeweti yepamusoro.'

Ngatimboongororai muchidimbu kuti weti yenyu inoshanda sei senzira yekusefa uye yekubvisa tsvina mumuviri wenyu:

• Itsvo Two: Nhengo idzi dzinokosha dzinobvisa chepfu netsvina kubva muropa rako.
• MaUreter maviri: Aya ndiwo machubhu anotakura weti kubva kuitsvo kuenda kudundira.
• Dundira: Chikwama chinochengeta weti kusvika yave kuda kubuda.
• Urethra: Chubhu inoburitsa weti mumuviri wako.

Hydronephrosis inoitika kana paine chipingamupinyi chero kupi zvako munzira iyi, kunyanya pakati peitsvo neureter.

Dambudziko iri rinogona kuitika nenzira dzakasiyana-siyana. Rinogona kungoerekana raitika (rakanyanya) kana kukura zvishoma nezvishoma nekufamba kwenguva (risingaperi) . Kuvharika kwacho kunogona kunge kuri kwechikamu kana kwakakwana. Kana kukangobata itsvo imwe chete, kunonzi 'unilateral hydronephrosis'; kana kukakanganisa zvese, i'bilateral hydronephrosis.' Kukomba kwekuzvimba kunogonawo kusiyana kubva padiki kusvika pakukosha.

Dambudziko iri rakajairika zvakadii?

Hydronephrosis inogona kubata vanhu vemazera ese. Zvinofungidzirwa kuti munhu mumwe chete pavanhu vakuru zana achasangana nedambudziko iri pane imwe nguva muhupenyu hwake.

Muvana vacheche, zvinogona kuitika vari mudumbu, chirwere chinonzi 'antenatal hydronephrosis.' Chinowanikwa muvanhu vanosvika 1% vane pamuviri. Nerombo rakanaka, muzviitiko zvakawanda, chinopera chega mwana asati atomboberekwa.

Ndezvipi zviratidzo zveHydronephrosis?

Zviratidzo zveHydronephrosis zvinowanzoenderana nechikonzero chaicho. Kazhinji, hapana zviratidzo zvachose . Sezvambotaurwa, vacheche vane hydronephrosis vasati vaberekwa havawanzo ratidza zviratidzo mushure mekuzvarwa.

Zvisinei, kana zviratidzo zvikaonekwa, zvinogona kusanganisira:

• Kurwadziwa kwakakomba kamwe kamwe: Parutivi pako, mudumbu, kana pasi pemusana.
• Kusvotwa kana kurutsa .
• Kuita weti kunorwadza.
• Ropa muweti.
• Utachiona hwemunzira weti hunodzokororwa ( UTI ).
• Kunzwa nguva dzose kuti dundira rako harina kuzara zvachose mushure mekuita weti.
• Kuchinja kwehuwandu hweweti kana huwandu hwayo.

Nekuti weti inenge yavharirwa, mabhakitiriya anogona kuwanda, zvichiwedzera njodzi yekubatwa neUTI. Kana paine hutachiona, unogona kuona zvinotevera:

• Fivha, dzihwa, uye kuneta.
• Kunzwa kupisa kana kurwadziwa panguva yekuita weti.
• Weti ine makore kana kuti yakachinja ruvara.

Chii chinokonzera Hydronephrosis?

Chikonzero chikuru cheHydronephrosis kuvharika kana 'kuvharika' kwese kwese munzira yeweti. Pane zvimwe zvikonzero zvinogona kunge zviri:

Zvikonzero zvinowanzoonekwa muvanhu vakuru:

• Matombo eitsvo:Madhaka akaomarara akagadzirwa necalcium neoxalate anogona kugara muitsvo kana muureters.
• Kuvharika kweurethra: Kuvharika mukati meurethra pachayo.
• Mamota: Kukura mudundira, prostate gland, chibereko , kana nhengo dziri pedyo zvinoisa kumanikidzwa panzira yeweti.
• Benign prostatic hyperplasia (BPH): Kukura kweprostate muvarume kunogona kudzvanya urethra, zvichiita kuti zviome kubvisa dundira.
• Kuvharwa kwemugero weti: Kutetepa kwenzira yeweti nekuda kwekukuvara, hutachiona, kana kuvhiyiwa kwakaitwa kare.
• Matambudziko etsinga kana tsandanyama: Matambudziko anokanganisa mashandiro akanaka eitsvo kana ureters.
• Kuchengeta weti: Kusakwanisa kubvisa tsvina yese mudundira.
• Kudzoka kwetsinga mutsinga: Weti inoyerera ichidzokera shure kubva kudundira ichienda kuitsvo.
• Ureterocele: Chirwere apo chikamu chezasi cheureter chinozvimba chichipinda mudundira.

Zvikonzero zvakanangana nevakadzi:

• Kubata pamuviri: Mwana ari mudumbu paanokura, chibereko chinokura, izvo zvinogona kudzvanya ma ureter uye kudzivirira kufamba kweweti.
• Kudonha kwechibereko: Kana chibereko chikachinja kubva panzvimbo yacho yakajairika.
• Cystocele (dundira rakawa): Kana madziro ari pakati pedundira nemukadzi apera simba, zvichiita kuti dundira rizvimbe richipinda mumukadzi.

Zvikonzero zvekutanga kwemwana ari mudumbu (Antenatal):

• Kuwedzera kwekugadzirwa kweweti yemwana ari mudumbu.
• Kuvharika kwenzira yeweti inoberekwa iri mudumbu.
• Weti inoyerera kubva mudundira ichienda kuitsvo.

Ndezvipi zvinetso zvinogona kuitika?

Kana ikasarapwa, Hydronephrosis yakanyanya inogona kukonzera kukuvara kweitsvo uye, pakupedzisira, kutadza kushanda kweitsvo. Muzviitiko zvakadaro, kupindira kwakadai se dialysis kana kuisirwa itsvo kunogona kudiwa.

Zvisinei, ndapota musavhunduka! Vanhu vazhinji vanopora zvizere kubva kuHydronephrosis vasina kukuvara kweitsvo zvachose. Danho rakakosha nderekugara vakadzikama uye kutsvaga rubatsiro rwechiremba panguva yakakodzera kubva kunyanzvi dzeNirogi Lanka.

Hydronephrosis inoonekwa sei?

Zvakakosha kuona chiremba uye kuongororwa nekukasika, sezvo hydronephrosis inogona kukonzera kukuvara kweitsvo kwenguva refu kana ikasarapwa.

Chiremba wako anowanzo ziva chirwere ichi kuburikidza nematanho anotevera:

• Kuongororwa Kwemuviri: Chiremba wako achakubvunza nezvezviratidzo zvako uye achaongorora nzvimbo dzemudumbu nedzemuchiuno kuti aone kana paine kurwadza kana kuzvimba. Achaongorora nhoroondo yako yezvekurapa uye achakubvunza kana paine nhoroondo yemhuri yezvirwere zvakafanana. Kuvarume, kuongororwa kwerectal kunogona kuitwa kuti vaone kana prostate gland yakakura. Kuvakadzi, kuongororwa kwepelvic kunogona kuitwa kuti vaone kana chibereko kana maovari aripo.
• Kuongororwa kweweti: Muenzaniso weweti uchaongororwa kuti uone kana ropa, matombo, mabhakitiriya, kana hutachiona. Mune zvimwe zviitiko, chiremba wako angangoda kushandisa catheter kuti awane muenzaniso usina utachiona.
• Kuongororwa Kweropa: Kuongororwa Kweropa Rakazara (CBC) kunogona kuitwa kuti kuonekwe hutachiona. Pamusoro pezvo, bvunzo dzakadai secreatinine, eGFR, uye BUN dzinowanzoitwa kuti dziongorore mashandiro eitsvo dzako.
• Maitiro Ekutora Mifananidzo: Kuongororwa kwe ultrasound ndicho chishandiso chikuru chekuongorora. Zvichienderana nezvaunoda, CT scan kana MRI zvinogonawo kudiwa kuti uone zvakadzama.

Waizviziva here kuti hydronephrosis mumwana asati aberekwa inogona kuonekwa pakutanga kwe trimester yekutanga kuburikidza ne ultrasound? Inowanzoonekwa panguva yekuongorora muviri kwemavhiki makumi maviri. Kana ikaonekwa, chiremba wako achatarisa mwana ne ultrasound inotevera; zvisinei, chirwere ichi chinowanzo pera chega asati aberekwa kana kuti nguva pfupi mushure mekuzvarwa.

Ndeipi nzira dzekurapa hydronephrosis?

Chinangwa chikuru chekurapa ndechekudzorera kuyerera kweweti kwakajairika uye kuderedza kumanikidzwa kweitsvo nekuzvimba. Kurapa kunoenderana zvachose nechikonzero chaicho.

Muzviitiko zvisina kunyanya kuoma, hapana kurapwa kungadiwa, uye chiremba wako anogona kukupa zano rekuti 'mira uone'. Kuvhiyiwa ndeimwe nzira iyo chiremba wako angafunga nezvayo. Zvakakosha kuva nehurukuro yakasununguka nemupi wehutano wako nezvenzira dzese dziripo dzekurapa.

Kana uine hydronephrosis yakangoerekana yaitika nekuda kwekuvharika kwetsvo, chiremba wako anogona kuisa nephrostomy tube nepaganda rako kuti abudise weti yakawandisa kubva muitsvo. Neimwe nzira, vanogona kuisa chubhu yepurasitiki yakapfava inonzi ureteral stent muureter yako kuti irambe yakavhurika uye ive nechokwadi chekuti weti inoyerera nemazvo.

Kana chikonzero chiri matombo ari muitsvo dzako kana muureter, sarudzo dzinotevera dzinogona kufungwa nezvadzo:

• Shock Wave Lithotripsy: Iyi inzira yakajairika yekurapa matombo eitsvo. Mafungu eshock ane simba guru anoshandiswa kupwanya matombo kuita zvidimbu zvidiki, zvinogoneka kufambiswa zviri zvega.
• Ureteroscopy: Chiyero chidiki chinopfuudzwa nemuurethra yako kuti chiwane nekubvisa kana kupwanya matombo. Izvi zvinowanzo shandiswa pamatombo ari mudundira kana pasi peurethra.
• Kuvhiyiwa: Kana matombo eitsvo akakura zvikuru kana kuti akaoma kubvisa, kuvhiyiwa kunogona kudiwa. Kuvhiyiwa kunogonawo kudiwa kugadzirisa zvimwe zvipingamupinyi zvakaita semabundu kana mavanga.

Kana dambudziko rako richikonzerwa nehutachiona hwemunzira yeweti (UTI) kana kuti kutetepa (kutetepa) nekuda kwehutachiona, chiremba wako achakupa mishonga inorwisa mabhakitiriya kuti agadzirise dambudziko racho.

Hydronephrosis inogona kudzivirirwa here?

Sezvo hydronephrosis ichikonzerwa nematambudziko aripo, kudzivirira kunosanganisira kurapa kana kugadzirisa zvinokonzera izvi nekukurumidza. Kuziva zvinhu zvinokonzera njodzi yako idanho rakakosha mukudzivirira.

Zvimwe zvinokonzera njodzi ye hydronephrosis zvinosanganisira:

• Matombo eitsvo.
• Nhoroondo yekenza yemunzira yeweti.
• Kuvhiyiwa kwekare kwenzira yeweti.
• Utachiona hwemunzira weti hunodzokororwa (UTIs).
• Kugwamba kweropa.
• Prostate gland yakakura.
• Kubata pamuviri (nekuda kwekumanikidzwa kwemushonga weureter).

Hydronephrosis idambudziko guru here?

Ehe, zvinogona kukomba kana zvikasarapwa. Zvisinei, zvirwere zvakawanda zviri pakati nepakati kana kuti zvishoma uye hazvikonzeri matambudziko makuru ehutano kwenguva refu. Usavhunduke; kupindira nekukurumidza ndiko kwakakosha.

Ndinofanira kunetseka here nezvekuongororwa kwangu kweHydronephrosis?

Usanyanya kunetseka nezvekuongororwa kwe hydronephrosis. Kazhinji, kana ukarapwa zvakanaka, unogona kurarama hupenyu hwakanaka pasina matambudziko asingaperi. Kurukura mibvunzo yaunayo nezvekupora kwako, kugadzirisa mararamiro ako, uye nguva inotarisirwa yekupora nachiremba wako kuNirogi Lanka.

Ndinofanira kuona chiremba rini?

Unofanira kuona chiremba nekukasika kana ukaona zviratidzo zvinotevera:

• Kurwadziwa kwakakomba parutivi kana kumusana kamwe kamwe.
• Kurutsa nguva dzose.
• Kuchinja kwekuita weti: Kuita weti zvakanyanya kana zvishoma kupfuura zvakajairika, kuita weti inorwadza, kana ropa muweti yako.
• Fivha inodarika 38°C (100.5°F).

Pfungwa Dzekupedzisira

Muchidimbu, hydronephrosis chirwere apo itsvo dzinozvimba nekuda kwekuunganidza weti. Chinogona kukanganisa chero munhu. Nerombo rakanaka, kana chikaonekwa uye chikarapwa nekukasika, unogona kudzivirira matambudziko anogara kwenguva refu. Kana ukaona zviratidzo zvisingawanzoitiki zvakaita sekurwadziwa padivi kana mudumbu, kuda kurutsa, kurutsa, kana shanduko mumaitiro ako eweti, ndapota taura nenyanzvi. Kana chikonzero chaonekwa, chiremba wako achakutungamira munzira dzakanakisisa dzekurapa. Hapana chikonzero chekutya; kurapwa nenguva ndiyo nzira yakanakisisa yekudzivirira.