Ingaba izintso zakho zidumbile? Ngaba oku kungaba yi-hydronephrosis? Masithethe!

Ngaba ngamanye amaxesha uziva unesicaphucaphu ngenxa yentlungu eqatha ecaleni, esiswini, okanye emqolo? Okanye ngaba uneentlungu xa uchama , okanye igazi kumchamo wakho? Ezi zinokuba ziimpawu zesifo esibizwa ngokuba yi-hydronephrosis, esikukuvuvukala kwezintso . Singathetha ngale nto ngokulula?

Yintoni iHydronephrosis?

Ngamafutshane, i-hydronephrosis yimeko apho kukho ukuvaleka komchamo osuka kwizintso zakho uye kwisinyi sakho, nto leyo ebangela ukuba intso enye okanye zombini zidumbe. Cinga ngayo njengombhobho wamanzi ovalekileyo, ozaliswa ngamanzi aze avuvuke. Oogqirha ngamanye amaxesha babiza oku ngokuthi 'yi-upper urinary tract dilation'.

Masizikhumbuze indlela esebenza ngayo inkqubo yethu yomchamo . Ifana nenkqubo yokucoca esusa inkunkuma emzimbeni wethu.

• Kukho izintso ezimbini , kwaye zezi ezihluza kwaye zahlule iityhefu kunye nenkunkuma egazini.
• Emva koko kukho ii-ureters ezimbini , iityhubhu ezimbini ezithwala umchamo ukusuka kwizintso ukuya kwisinyi.
• Kukho isinyi , esifana nengxowa eqokelela kwaye igcine umchamo.
• Okokugqibela, kukho i-urethra , ityhubhu ethwala umchamo oqokelelwa kwisinyi uphuma emzimbeni.

I-Hydronephrosis yenzeka xa kukho ukuvaleka kwenye indawo kule nkqubo, phakathi kwezintso kunye ne-ureter.

I-Hydronephrosis ingavela ngeendlela ezahlukeneyo. Ingavela ngequbuliso, okanye ikhule kancinci kancinci ngokuhamba kwexesha . Ukuvaleka kwayo kungaba yinto epheleleyo okanye engaphelelanga. Ukuba ichaphazela izintso enye kuphela, ibizwa ngokuba yi-'unilateral hydronephrosis', kwaye ukuba ichaphazela zombini izintso, ibizwa ngokuba yi-'bilateral hydronephrosis'. Ubungakanani bokudumba bungahluka ukusuka ekudumbeni okuncinci ukuya ekudumbeni okukhulu.

Ixhaphake kangakanani le meko?

I-Hydronephrosis inokuchaphazela nabani na oneminyaka emininzi. Kuqikelelwa ukuba malunga nomntu omnye kubantu abadala abayi-100 uza kuba nale meko ngaxa lithile ebomini bakhe.

Oku kunokuvela kwiintsana ezincinci, ingakumbi xa zisesesibelekweni sikanina. Kubizwa ngokuba yi-'antenatal hydronephrosis'. Kwenzeka malunga ne-1% yokukhulelwa. Kodwa kwiimeko ezininzi, kuya kuba ngcono ngokwako ngaphambi kokuba umntwana azalwe.

Ziziphi iimpawu ze-hydronephrosis?

Iimpawu ze-hydronephrosis zihlala zixhomekeke kwisizathu. Uninzi lwexesha , azikho zimpawu konke konke . Njengoko benditshilo ngaphambili, i-hydronephrosis yangaphambi kokuzalwa, eyenzeka kumntwana osesiswini, idla ngokungabonisi zimpawu de kube semva kokuba umntwana ezelwe.

Kodwa ukuba iimpawu ziyavela, zingabandakanya:

• Intlungu ebuhlungu ngequbuliso: ecaleni, esiswini, okanye emqolo.
• Isicaphucaphu okanye ukuhlanza .
• Ukuziva intlungu xa uchama.
• Igazi kumchamo.
• Ukuphuhlisa usulelo lwendlela yomchamo ( UTI ).
• Ukuziva ngathi isinyi asikaphumi ngokupheleleyo emva kokuchama.
• Ukuchama kakhulu okanye kancinci kunesiqhelo.

Ngoku, xa une-hydronephrosis, kuba umchamo uvaleleke emzimbeni, kukho ithuba elikhulu lokuba iintsholongwane zikhule kwindlela yomchamo kwaye zibangele usulelo lwendlela yomchamo (UTI). Ukuba oku kuyenzeka, unokufumana iimpawu ezifana nezi:

• Umkhuhlane, ukubanda, kunye nokudinwa.
• Ukutsha kunye nentlungu xa uchama.
• Umchamo ongacacanga kwaye ubonakala umnyama ngombala.

Ziziphi izizathu ze-hydronephrosis?

Eyona nto ibangela i-hydronephrosis kukuvaleka komchamo, okanye ukuvaleka, kwindlela umchamo ohamba ngayo kwindawo ethile kwinkqubo yethu yomchamo. Zininzi izizathu ezinokubangela oku.

Izizathu ezichaphazela abantu abadala:

• Amatye ezintso: La ngamatye aqinileyo enziwe nge-calcium kunye ne-oxalate. Angahlala kwizintso okanye kwindlela yomchamo.
• Ukuvaleka komchamo: Ukuvaleka kwi-ureters zakho.
• Iithumba: Iithumba kwisinyi, kwi-prostate gland, kwisibeleko , okanye kwezinye izitho ezikufutshane nenkqubo yomchamo zinokubangela ukuvalwa kokuhamba komchamo.
• I-Benign prostatic hyperplasia (BPH): Kumadoda, ukwanda kwe-prostate gland kunokubangela uxinzelelo kwi-urethra kwaye kwenze kube nzima ukuchama.
• Ukuncitshiswa kwe-urethra: I-urethra inokuba mxinwa ngenxa yokwenzakala, usulelo, isiphene sokuzalwa, okanye utyando.
• Iingxaki zemithambo-luvo okanye zemisipha: Ezi zinokuchaphazela ukusebenza kwezintso zakho okanye ii-ureters.
• Ukugcinwa komchamo: Ukungakwazi ukukhupha umchamo ngokupheleleyo kwisinyi.
• I-Vesicoureteral reflux: Ukuphuma komchamo usuka kwisinyi uye kwizintso.
• I-Ureterocele: Oku kukuphuma kwenxalenye esezantsi ye-ureter iye kwisinyi.

Izizathu ezithile ezichaphazela abafazi:

Kwabo bane-uterus, oko kukuthi, abafazi, i-hydronephrosis inokubangelwa zizinto ezithile ezifana nezi:

• Ukukhulelwa: Njengoko umntwana ekhula, isibeleko naso siyakhula, nto leyo enokubangela uxinzelelo kwi-ureters kwaye ithintele ukuhamba komchamo.
• Ukuqhekeka kwesibeleko: Ukuwa kwesibeleko kwindawo yaso eqhelekileyo.
• I-Cystocele – isinyi esiwileyo: Udonga oluphakathi kwesinyi kunye nesinyi luyabuthathaka, nto leyo ebangela ukuba isinyi siwele kwisini.

Izizathu ezichaphazela umntwana osesibelekweni (ngaphambi kokuzalwa):

Ezi zinto zilandelayo zinokubangela i-hydronephrosis yosana olusandul’ ukuzalwa:

• Ukwanda komchamo oveliswa ngumntwana ongekazalwa.
• Ukuthintela ukuhamba komchamo kwindawo ethile kwinkqubo yomchamo.
• Umchamo ubuyela umva usuka kwisinyi uye kwizintso.

Ziziphi iingxaki ezinokubakho ze-hydronephrosis?

Ukuba i-hydronephrosis iba mandundu, ingonakalisa izintso kwaye ikhokelele ekungasebenzini kwezintso. Kwimeko enjalo, kunokufuneka wenze i-dialysis okanye ukufakelwa izintso.

Kodwa, musani ukoyika! Uninzi lwabantu luyaphola kwi-hydronephrosis kwaye akukho monakalo usisigxina kwizintso. Ngoko ke kubalulekile ukuba ungoyiki kwaye ufune unyango ngokukhawuleza.

I-Hydronephrosis ifunyanwa njani?

Kubaluleke kakhulu ukubona ugqirha kwaye ufumane ukuxilongwa ngokukhawuleza, njengoko i-hydronephrosis inokubangela umonakalo wezintso ixesha elide.

Nantsi indlela ugqirha wakho afumanisa ngayo esi sifo:

• Uvavanyo lomzimba: Ugqirha wakho uza kukubuza ngeempawu zakho aze ahlole izintso zakho kunye nendawo yesinyi ukuze abone ukuba kukho iintlungu kunye nokudumba. Baza kukubuza nangembali yakho yezonyango yangaphambili nokuba kukho nabani na kusapho lwakho okhe waba nezi meko. Ukuba uyindoda, uvavanyo lwe-rectal lungenziwa ukuze kuhlolwe ukuba kukho i-prostate gland ekhulisiweyo na. Ukuba ungumfazi, uvavanyo lwe-pelvic lungenziwa ukuze kuhlolwe iingxaki zesibeleko sakho okanye ama-ovari.
• Uvavanyo lomchamo:Kuza kuthathwa isampulu yomchamo wakho ize ihlolwe igazi, amatye, iintsholongwane, okanye usulelo. Kusenokufuneka usebenzise i-catheter ukuze uqokelele umchamo.
• Uvavanyo lwegazi: Uvavanyo olupheleleyo lwegazi (CBC) lunokwenziwa ukujonga usulelo. Uvavanyo olufana ne-creatinine, i-eGFR, kunye ne-BUN lunokwenziwa ukujonga ukusebenza kwezintso.
• Iinkqubo zokuthatha imifanekiso: Uvavanyo oluphambili yi-ultrasound scan. Ngamanye amaxesha i-CT scan okanye i-MRI scan nayo inokufuneka.

Ubusazi na ukuba umntwana ongekazalwa unokufunyanwa ene-hydronephrosis kwikota yokuqala yokukhulelwa nge-ultrasound scan? Oku kudla ngokubonwa ngexesha le-ultrasound scan yeeveki ezingama-20. Ukuba ifunyenwe, umama uya kuba nezinye ii-ultrasound scans ezininzi ukuze ajonge umntwana. Kodwa uninzi lwexesha, iya kuba ngcono ngokwayo.

Ziziphi iindlela zonyango lwe-hydronephrosis?

Injongo ephambili yonyango kukubuyisela ukuhamba komchamo kwizintso nokunciphisa ukudumba kunye noxinzelelo. Unyango luxhomekeke kwisizathu esiyintloko. Kuba yiloo ngxaki iphambili.

Ngamanye amaxesha, amatyala amancinci angengowona makhulu aya kuphola ngokwawo ngaphandle konyango. Ngamanye amaxesha, ugqirha wakho angathatha indlela 'yokulinda ubone'. Utyando lolunye ukhetho ugqirha wakho anokuthi aluqwalasele. Kufuneka uxoxe ngazo zonke iindlela zonyango lwakho nogqirha wakho.

Ukuba i-hydronephrosis ivele ngequbuliso kwaye ibangelwa kukuthinteleka, ugqirha wakho unokufaka ityhubhu ye-nephrostomy eluswini lwakho iye kwizintso zakho ukuze kuphume umchamo ogqithisileyo. Okanye, banokufaka ityhubhu yeplastiki ethambileyo ebizwa ngokuba yi-ureteral stent ukugcina ii-ureters zakho zivulekile ukuze umchamo uhambe ngendlela eqhelekileyo.

Ukuba unobangela ngamatye kwizintso okanye kwindlela yomchamo, kukho iindlela zonyango ezifana nezi:

• I-Shock wave lithotripsy: Olu lolona nyango luqhelekileyo lwamatye ezintso. Amaza oxinzelelo anamandla aphezulu asetyenziselwa ukuqhekeza okanye ukuqhekeza amatye abe ziingceba ezincinci, okwenza kube lula ukuwakhupha emzimbeni.
• I-Ureteroscopy: Ugqirha wakho uza kudlulisa umbhobho omncinci kwi-urethra yakho ukuze aqhekeze aze asuse amatye. Le nkqubo isetyenziselwa amatye kwisinyi okanye kwinxalenye esezantsi ye-ureters. Ingasetyenziswa kunye nezinye iinkqubo zokuqhekeza amatye.
• Utyando:Ukuba amatye ezintso makhulu kakhulu okanye kunzima ukuwasusa, ugqirha wakho unokufuna ukwenza utyando ukuze awasuse. Utyando lunokufuneka ukuba lubekhona ukuba kukho iithumba, izicubu ezibomvu, okanye ezinye iintlobo zezithintelo.

Ukuba une-urinary tract infection (UTI) okanye ukuba i-urethra yakho inciphile ngenxa ye-infection, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane ukunyanga i-infection.

Ngaba i-Hydronephrosis ingathintelwa?

Ekubeni i-hydronephrosis ibangelwa yimeko engaphantsi komhlaba, inokuthintelwa ngokuphepha okanye ukunyanga unobangela oyintloko. Ukuchonga izinto ezikubeka emngciphekweni wokufumana le meko kunokunceda ukuyithintela.

Iimeko ezandisa umngcipheko wokuphuhlisa i-hydronephrosis zezi:

• Amatye ezintso.
• Ukuba nembali yomhlaza wenkqubo yomchamo.
• Utyando lwangaphambili olunxulumene nenkqubo yomchamo.
• Usulelo lwangaphambili lwenkqubo yomchamo, olufana nosulelo lwendlela yomchamo (UTIs).
• Amahlwili egazi.
• Ukwanda kwe-prostate gland.
• Ukukhulelwa (ngenxa yokuba isibeleko sakho sityhala kwi-pelvis yakho).

Ngaba i-hydronephrosis yingxaki enkulu?

Ewe, le inokuba yingxaki enkulu ukuba ayinyangwa ngokukhawuleza. Nangona kunjalo, uninzi lweemeko zincinci okanye ziphakathi. Azibangeli iingxaki ezinkulu zempilo. Ngoko ke ungakhathazeki.

Ngaba ufanele ukhathazeke nge-hydronephrosis?

Musa ukukhathazeka kakhulu ngokufunyaniswa ukuba une-hydronephrosis. Kwiimeko ezininzi, ngonyango, ungaphila ubomi obuqhelekileyo ngaphandle kweengxaki zexesha elide. Thetha nogqirha wakho ngayo nayiphi na imibuzo onayo malunga ne-hydronephrosis kunye nokuchacha kwakho. Ugqirha wakho uza kukuxelela ukuba kufuneka wenze naluphi na utshintsho kwindlela ophila ngayo kunye nokuba kuza kuthatha ixesha elingakanani ukuze uphile ngokupheleleyo.

Ufanele uye nini kugqirha?

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubona ugqirha:

• Intlungu ebuhlungu ngequbuliso ecaleni okanye emqolo.
• Ukuhlanza.
• Utshintsho kwindlela ochama ngayo: ukuchama kakhulu okanye kancinci kunesiqhelo, iintlungu xa uchama, igazi kumchamo.
• Ukuba umkhuhlane ungaphezulu kwe-100.5 Fahrenheit (38 Celsius).

Okokugqibela, izinto ekufuneka uzikhumbule

Kulungile, ngoko ke i-hydronephrosis esithethe ngayo namhlanje yimeko apho izintso zivuvukala ngenxa yomchamo. Nabani na angayihlakulela le meko. Ngethamsanqa, ukuba esi sifo sifunyenwe kwaye sinyangwa kwangethuba, iingxaki ezivela kwesi sifo zinokuthintelwa.Ukuba uneempawu ezingaqhelekanga, ezinje ngentlungu ecaleni okanye esiswini sakho, isicaphucaphu, ukuhlanza, okanye utshintsho kubungakanani okanye amaxesha okuchama, qiniseka ukuba ubona ugqirha. Nje ukuba unobangela we-hydronephrosis uchongiwe, ugqirha wakho uza kukuchazela iindlela ezininzi zonyango ezikhoyo. Musa ukoyika, unyango lwangethuba lolona lubalulekileyo.