Ngaba wakha waziva unesicaphucaphu ngenxa yentlungu ebuhlungu emqolo okanye esiswini sakho? Okanye wakha waziva ungaqhelekanga okanye ubuhlungu xa uchama? Ngamanye amaxesha ezi zinto zinokuba yingxaki kwizintso zakho. Namhlanje siza kuthetha ngemeko enxulumene nezintso abantu abaninzi abangayaziyo. Oku kubizwa ngokuba yiHydronephrosis.
Yintoni kanye kanye i-hydronephrosis?
Ngamafutshane, oku kwenzeka xa into ethile ivala ukuhamba komchamo ukusuka kwizintso zakho ukuya kwisinyi sakho. Cinga ngayo njengombhobho wamanzi obhajwe phakathi. Kwenzeka ntoni ke ngoko? Umchamo awukwazi ukuphuma kwaye uqokelelana ngaphakathi kwizintso, nto leyo ebangela ukuba izintso zidumbe. Oku kudumba kwezintso kubizwa ngokuba yiHydronephrosis.
Oku kungenzeka ngequbuliso, okanye kungenzeki kancinci kancinci ngokuhamba kwexesha. Ngamanye amaxesha i-urethra ivalekile ngokupheleleyo, ngamanye amaxesha ayivaleki kangako.
- Ukuba kuchaphazeleka izintso enye kuphela: ibizwa ngokuba yi-'unilateral hydronephrosis'.
- Ukuba zombini izintso zichaphazelekile: Ibizwa ngokuba yi-'bilateral hydronephrosis'.
Oku kunokusukela ekudumbeni okuncinci ukuya kokukhulu. Unyango lwakwangoko lunokunciphisa umngcipheko womonakalo wexesha elide, ngoko ke kubalulekile ukukwazi oku.
Ukuze sikuqonde oku, masiqale sijonge indlela esebenza ngayo inkqubo yethu yomchamo.
Umsebenzi ophambili wenkqubo yomchamo yomzimba wethu kukususa inkunkuma kunye nolwelo olugqithisileyo. Kukho iindawo ezimbalwa eziphambili zale nkqubo:
- Izintso: Ezi zihluzo ezimbini eziphambili emzimbeni wethu. Izintso zihluza iityhefu kunye nenkunkuma egazini kwaye zivelise umchamo.
- Ii-ureters ezimbini: Ezi ziityhubhu ezimbini ezithwala umchamo, oveliswa kwizintso, ukuya kwisinyi.
- Isinyi: Le yingxowa eqokelela umchamo.
- Umchamo: Umchamo oqokelelana kwisinyi uphuma emzimbeni ngale tube.
I-Hydronephrosis idla ngokuvela xa kukho ukuvaleka phakathi kwezintso kunye ne-ureter.
Uyazi njani ukuba une-hydronephrosis? Zithini iimpawu?
Amaxesha amaninzi, iimpawu zixhomekeke kwisizathu. Abanye abantu basenokungabi nazo kwaphela iimpawu. Ingakumbi kwiintsana ezine-hydronephrosis esibelekweni, iimpawu zisenokungabonakali de kube semva kokuzalwa.
Nangona kunjalo, ukuba iimpawu ziyavela, zinokubonakala ngolu hlobo.
| Uphawu | Inkcazo |
|---|---|
| Intlungu | Intlungu ebuhlungu ngequbuliso. Le ntlungu inokuvela emacaleni omqolo, esiswini, okanye esiswini esisezantsi. |
| Isicaphucaphu nokuhlanza | Isicaphucaphu nokuhlanza kuhamba nentlungu. |
| Intlungu ngexesha lokuchama | Ukutsha okanye intlungu xa uchama. |
| Igazi kumchamo | Umchamo ujika ube bomvu okanye ube mdaka. |
| Utshintsho ekuchameni | Ukuchama kakhulu okanye kancinci kunesiqhelo, uzive ungakwazi ukukhupha isinyi ngokupheleleyo. |
| Usulelo lomchamo (UTI) | Njengoko umchamo uvaleleke emzimbeni, iintsholongwane zikhula ngokukhawuleza zize zibangele usulelo. Iimpawu zingabandakanya umkhuhlane, ukubanda, ubuthathaka, kunye nomchamo onamafu. |
Kutheni i-Hydronephrosis isenzeka? Zithini izizathu eziphambili?
Eyona sizathu siphambili soku kukuvaleka okanye ukuvaleka kwenye indawo kwinkqubo yomchamo. Oku kuvaleka kunokubangelwa zizinto ezahlukeneyo.
Izizathu eziqhelekileyo ezichaphazela abantu abadala
- Amatye ezintso: Eyona nto ixhaphakileyo ziintsimbi ezihlala kwizintso okanye kwindlela yomchamo.
- Iithumba: Ithumba elinomhlaza okanye elingenobungozi kwisinyi, kwi-prostate gland, kwisibeleko, okanye kwelinye ilungu elikufutshane nenkqubo yomchamo linokubangela ukuvaleka kwendlela umchamo ohamba ngayo.
- I-Benign Prostatic Hyperplasia (BPH): Njengoko amadoda ekhula, i-prostate gland inokukhula, nto leyo ebangela uxinzelelo kwi-urethra kwaye ithintele ukuchama.
- Ukuncitshiswa kwe-urethra: I-urethra inokuba mxinwa ngenxa yamanxeba emva kwengozi, usulelo, isiphene sokuzalwa, okanye utyando.
- Iingxaki zemithambo-luvo okanye zemisipha: Iingxaki zemithambo-luvo ezichaphazela ukusebenza kwezintso okanye kwendlela yokuchama.
- I-Vesicoureteral Reflux: Ukuhamba komchamo umva usuka kwisinyi udlula kwii-ureters ukuya kwizintso.
- I-Ureterocele: Imeko apho isiphelo esisezantsi se-urethra siphuma siye kwisinyi.
Izizathu ezithile ezichaphazela abafazi
- Ukukhulelwa: Njengoko isibeleko sikhula ngexesha lokukhulelwa, sinokubeka uxinzelelo kwi-ureters kwaye sithintele ukuhamba komchamo.
- Ukuqhekeka kwesibeleko: Isibeleko siyehla kwindawo yaso eqhelekileyo.
- I-Cystocele: Imeko apho udonga oluphakathi kwesinyi kunye nelungu lobufazi luba buthathaka, nto leyo ebangela ukuba isinyi siphume siye kwilungu lobufazi.
Ugqirha ufumanisa njani ukuba le meko ikhona?
Ekubeni i-hydronephrosis inokubangela umonakalo wezintso ixesha elide, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuze kufunyanwe isifo.
Ugqirha wakho uza kusebenzisa ezi mvavanyo ukuxilonga esi sifo:
- Uvavanyo lomzimba: Ugqirha wakho uza kukubuza ngeempawu zakho aze ahlole izintso zakho kunye nendawo yesinyi ukuze abone ukuba kukho ukudumba okanye iintlungu. Baza kukubuza nangembali yakho neyentsapho yakho. Ukuba uyindoda, banokwenza uvavanyo lwerectal ukujonga ukuba kukho i-prostate gland ekhulisiweyo na, kwaye ukuba ungumfazi, bangenza uvavanyo lwe-vaginal ukujonga iingxaki zesibeleko sakho okanye ama-ovari.
- Uvavanyo lomchamo: Kuthathwa isampulu yomchamo ize ihlolwe igazi, iziqwenga zamatye, iintsholongwane, okanye usulelo.
- Uvavanyo lwegazi: Uvavanyo olupheleleyo lwegazi (CBC) lunokwenziwa ukujonga usulelo. Uvavanyo olufana ne-creatinine, i-eGFR, kunye ne-BUN lunokwenziwa ukujonga ukusebenza kwezintso.
- Uvavanyo lokufota: Kudla ngokwenziwa i-ultrasound scan . Ngamanye amaxesha kufuneka i-CT scan okanye i-MRI scan ukuze kufunyanwe ulwazi oluthe kratya.
I-Hydronephrosis kwimveku inokufunyanwa ngexesha lokukhulelwa nge-ultrasound scans, ingakumbi kwiiveki ezingama-20. Kwiimeko ezininzi, ezi meko ziyaphela zodwa ngaphambi kokuba umntwana azalwe.
Kulungile, masithethe ngonyango.
Eyona njongo yonyango kukunciphisa ukuvaleka komchamo nokunciphisa ukudumba kunye noxinzelelo kwizintso. Indlela yonyango ixhomekeke kwisizathu esiyintloko sale meko.
Ezinye iimeko ezincinci zinokuzilungisa ngokwazo ngaphandle konyango. Kwiimeko ezinjalo, ugqirha wakho unokucebisa indlela "yokulinda ubone".
- Ukuqunjelwa komchamo: Kwimeko yokuvaleka ngequbuliso nangokunzima, ityhubhu (ityhubhu ye-nephrostomy) ingafakwa ngesikhumba iye kwizintso ukuze kukhutshwe umchamo oqokelelweyo. Enye indlela kukufaka ityhubhu yeplastiki encinci ebizwa ngokuba yi-``ureteral stent`` ngaphakathi kwi-urethra ukuze kudalwe indlela yokuba umchamo uphume.
Ukuba kungenxa yamatye ezintso...
- I-Shock wave lithotripsy: Amaza othuko anamandla aphezulu athunyelwa esuka ngaphandle komzimba ukuze aqhekeze amatye ezintso aze awakhuphe ngomchamo.
- I-Ureteroscopy: Isixhobo esinekhamera encinci sidluliselwa kwi-urethra ukuze siqhekeze okanye sisuse amatye ngokupheleleyo.
- Utyando: Ukuba unamatye amakhulu kakhulu, kunzima ukuwasusa, kunokufuneka utyando ukuze asuswe. Utyando lunokufuneka ukuze kususwe izinto ezithintelayo ezibangelwa ziziqwenga okanye amanxeba.
Ukuba une-urinary tract infection (UTI), ugqirha wakho uya kukunika amayeza okubulala iintsholongwane ukunyanga i-urinary tract.
Ngaba oku kungaba yinto enzulu? Ndingayithintela njani?
Ewe, iHydronephrosis inokuba yingozi kakhulu ukuba ayinyangwa ngokukhawuleza. Kwiimeko ezinzima, ingonakalisa izintso kwaye ikhokelele ekungasebenzini kwezintso. Kwimeko enjalo, i-dialysis okanye ukufakelwa kwezintso kungafuneka.
Kodwa, ungakhathazeki! Uninzi lwabantu luyaphila ngokupheleleyo emva konyango olukhawulezileyo. Akukho monakalo usisigxina kwizintso.
Oku kungenxa yesinye isifo esingabonakaliyo, ngoko ke ukuthintela i-Hydronephrosis, kubalulekile ukunyanga esi sifo ngokukhawuleza. Ukuba ungumntu ofumana amatye ezintso, kubalulekile ukwenza utshintsho olufunekayo kwindlela yokuphila.
Ngokuqinisekileyo kufuneka ubone ugqirha!
Ukuba unezi mpawu zilandelayo, musa ukuzityeshela . Bonana nogqirha wakho ngokukhawuleza.
| Uphawu ekufuneka luqwalaselwe |
|---|
| Intlungu engalindelekanga okanye enganyamezelekiyo ecaleni lomqolo okanye elisezantsi kwesisu. |
| Ukuhlanza okungapheliyo. |
| Utshintsho ekuchameni (ukwanda okanye ukuncipha kokuchama, iintlungu, igazi kumchamo). |
| Umkhuhlane ongaphezulu kwe-100.5 Fahrenheit (38 Celsius). |
Umyalezo Wokuya Ekhaya
- I-Hydronephrosis kukudumba kwezintso ngenxa yokugcina umchamo. Inokwenzeka nakweyiphi na iminyaka.
- Amatye ezintso, ukwanda kweprostate, ukukhulelwa, kunye neethumba zinokuba zezona zinto ziphambili ezibangela oku.
- Iimpawu eziphambili ziintlungu eziqatha ecaleni lomqolo, isicaphucaphu, ukuhlanza, kunye notshintsho kwindlela yokuchama. Abanye abantu basenokungabi nazo kwaphela iimpawu.
- Musa ukuyityeshela le miqondiso. Ukufuna uncedo lwezonyango kwangethuba kunokunceda ukuthintela umonakalo ongunaphakade kwizintso zakho.
- Kukho unyango loku. Unyango luxhomekeke kwinto ebangela le meko. Ngoko ke akukho mfuneko yokoyika.
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