Ingaba izintso zakho ziyadumba? Ngaba yiHydronephrosis? Masithethe noNirogi Lanka!

Ngaba ngamanye amaxesha ukhe uve iintlungu eziqatha ecaleni, esiswini, okanye emqolo, ezihamba nesicaphucaphu? Mhlawumbi unengxaki yentlungu xa uchama okanye ubona igazi kumchamo wakho? Ezi zinokuba ziimpawu zokudumba kwezintso, imeko eyaziwa ngokwezonyango njengeHydronephrosis. Masichaze ukuba oku kuthetha ukuthini ngamazwi alula.

Yintoni iHydronephrosis?

Ngamafutshane, i-Hydronephrosis yenzeka xa ukuvaleka kwendlela yomchamo kuthintela umchamo ukuba ungaphumi usuka kwizintso zakho uye kwisinyi sakho, nto leyo ebangela ukuba enye okanye zombini izintso zidumbe. Cinga ngayo njengokungqubana kombhobho wegadi—ulwelo luyabuyela umva, nto leyo ebangela ukuba imithambo yegazi ivuvuke. Oogqirha ngamanye amaxesha babiza oku ngokuthi 'ukwanda kwendlela yomchamo ephezulu.'

Makhe sihlolisise ngokufutshane indlela inkqubo yakho yomchamo esebenza ngayo njengothungelwano lwendalo lokucoca umzimba wakho kunye nokususa inkunkuma:

• Izintso ezimbini: La malungu abalulekileyo ahluza iityhefu kunye nenkunkuma egazini lakho.
• Ii-Ureters ezimbini: Ezi ziityhubhu ezithwala umchamo ukusuka kwizintso ukuya kwisinyi.
• Isinyi: Ingxowa yokugcina umchamo ide ilungele ukuphuma.
• Umchamo: Umbhobho okhupha umchamo emzimbeni wakho.

I-Hydronephrosis yenzeka xa kukho ukuvaleka naphi na kule ndlela, ngakumbi phakathi kwezintso kunye ne-ureter.

Le meko ingabonakala ngeendlela ezahlukeneyo. Isenokuba ngequbuliso (iqatha) okanye ikhule kancinci ngokuhamba kwexesha (ihlala ixesha elide) . Ukuvaleka kusenokuba yinxalenye okanye kuphelele. Ukuba ichaphazela izintso enye kuphela, ibizwa ngokuba yi-'unilateral hydronephrosis'; ukuba ichaphazela zombini, yi-'bilateral hydronephrosis.' Ubunzima bokudumba bungahluka ukusuka kobuncinci ukuya kobukhulu.

Ixhaphake kangakanani le meko?

I-Hydronephrosis inokuchaphazela abantu bayo nayiphi na iminyaka. Kuqikelelwa ukuba malunga nomntu omnye kubantu abadala abayi-100 baya kuba nale meko ngaxa lithile ebomini babo.

Kwiintsana, oku kunokwenzeka xa zisesesibelekweni, imeko ebizwa ngokuba yi-'antenatal hydronephrosis.' Kubonakala malunga ne-1% yokukhulelwa. Ngethamsanqa, kwiimeko ezininzi, kuyaziphelela ngaphambi kokuba umntwana azalwe.

Ziziphi iimpawu zeHydronephrosis?

Iimpawu zeHydronephrosis zihlala zixhomekeke kwisizathu esiyintloko. Amaxesha amaninzi, azikho zimpawu konke konke . Njengoko kutshiwo, iintsana ezinehydronephrosis yangaphambi kokuzalwa azibonakali zimpawu emva kokuzalwa.

Nangona kunjalo, ukuba iimpawu ziyabonakala, zingabandakanya:

• Intlungu ebuhlungu ngequbuliso: Ecaleni kwakho, esiswini, okanye ezantsi komqolo.
• Isicaphucaphu okanye ukuhlanza .
• Ukuchama okubuhlungu.
• Igazi kumchamo.
• Usulelo oluphindaphindayo lwendlela yomchamo ( UTI ).
• Ukuziva ungenasiphene sakho ngokupheleleyo emva kokuchama.
• Utshintsho kwimvamisa yomchamo okanye umthamo.

Ngenxa yokuba umchamo uvalelekile, iintsholongwane zinokuphindaphindeka, nto leyo eyandisa umngcipheko we-UTI. Ukuba kukho usulelo, ungaphawula oku kulandelayo:

• Umkhuhlane, ukubanda, kunye nokudinwa.
• Ukutsha okanye iintlungu xa uchama.
• Umchamo onamafu okanye otshintshileyo umbala.

Yintoni ebangela i-Hydronephrosis?

Eyona nto ibangela iHydronephrosis kukuthinteleka okanye 'ukuvaleka' naphi na kwindlela yomchamo. Kukho izizathu ezininzi ezinokubakho:

Izizathu eziqhelekileyo kubantu abadala:

• Amatye ezintso:Iidipozithi eziqinileyo ezenziwe nge-calcium kunye ne-oxalate ezinokuhlala kwizintso okanye kwii-ureters.
• Ukuvaleka komchamo: Ukuvaleka ngaphakathi kwi-ureters ngokwazo.
• Iithumba: Ukukhula kwisinyi, kwi-prostate gland, kwisibeleko , okanye kwizitho ezikufutshane ezibeka uxinzelelo kwindlela yomchamo.
• I-Benign prostatic hyperplasia (BPH): I-prostate ekhulisiweyo kumadoda enokucinezela i-urethra, nto leyo eyenza kube nzima ukukhupha isinyi.
• Ukuqiniswa komchamo: Ukuncitshiswa kwendlela yomchamo ngenxa yokwenzakala, usulelo, okanye utyando lwangaphambili.
• Iingxaki ze-neurological okanye ze-muscular: Iingxaki ezichaphazela ukusebenza ngokuqhelekileyo kwezintso okanye ii-ureters.
• Ukugcinwa komchamo: Ukungakwazi ukukhupha yonke into kwisinyi.
• Ukuchama kwe-vesicoureteral: Umchamo ophuma kwisinyi ubuyela umva uye kwizintso.
• I-Ureterocele: Imeko apho inxalenye esezantsi ye-ureter idumba iye kwisinyi.

Izizathu ezithile ezichaphazela abafazi:

• Ukukhulelwa: Njengoko umntwana ekhula, isibeleko siyakhula, nto leyo enokucinezela ii-ureters kwaye ithintele ukuhamba komchamo.
• Ukuqhekeka kwesibeleko: Xa isibeleko sitshintsha ukusuka kwindawo yaso eqhelekileyo.
• I-Cystocele (isinyi esiwileyo): Xa udonga oluphakathi kwesinyi kunye nesinyi lubuthathaka, nto leyo ebangela ukuba isinyi sivuvuke siye kwisini.

Izinto ezibangela umntwana ongekazalwa (ngaphambi kokuzalwa):

• Ukwanda kwemveliso yomchamo wosana olusandul’ ukuzalwa.
• Ukuvaleka kwendlela yokuchama ezalwa nayo.
• Ukuphuma komchamo usuka kwisinyi uye kwizintso.

Ziziphi iingxaki ezinokubakho?

Ukuba ayinyangwa, iHydronephrosis enzima inokukhokelela ekulimaleni kwezintso, kwaye ekugqibeleni, ukungasebenzi kakuhle kwezintso. Kwiimeko ezinjalo, amanyathelo anjenge-dialysis okanye ukufakelwa kwezintso anokufuneka.

Nangona kunjalo, nceda ungoyiki! Abantu abaninzi bayaphila ngokupheleleyo kwiHydronephrosis ngaphandle kokulimala kwezintso ngokusisigxina. Inyathelo elibalulekileyo kukuhlala uzolile kwaye ufune unyango olukhawulezileyo kwiingcali zaseNirogi Lanka.

I-Hydronephrosis ifunyanwa njani?

Kubalulekile ukubona ugqirha kwaye ufumane ukuxilongwa ngokukhawuleza, njengoko i-hydronephrosis inokukhokelela kumonakalo wezintso ixesha elide ukuba ayinyangwa.

Ugqirha wakho uya kuchonga imeko ngala manyathelo alandelayo:

• Uvavanyo Lomzimba: Ugqirha wakho uza kukubuza ngeempawu zakho aze ahlole iindawo zesisu sakho nezesinqe sakho ukuze abone ukuba zithambile okanye zidumbile na. Baza kuphonononga imbali yakho yezonyango baze babuze ukuba kukho imbali yosapho oluneemeko ezifanayo na. Kumadoda, uvavanyo lwe-rectal lunokwenziwa ukujonga ukuba i-prostate gland ikhulisiwe na. Kubafazi, uvavanyo lwe-pelvic lunokwenziwa ukuze kuthintelwe iingxaki zesibeleko okanye ii-ovari.
• Uhlalutyo lomchamo: Isampulu yomchamo iya kuhlolwa ukujonga igazi, amatye, iintsholongwane, okanye usulelo. Kwezinye iimeko, ugqirha wakho unokufuna ukusebenzisa i-catheter ukuze afumane isampulu engenazintsholongwane.
• Uvavanyo lweGazi: I-Complete Blood Count (CBC) inokwenziwa ukuze kufunyanwe usulelo. Ukongeza, uvavanyo olufana ne-creatinine, i-eGFR, kunye ne-BUN ludla ngokwenziwa ukuze kuvavanywe ukusebenza kwezintso zakho.
• Iinkqubo zokuFota: I-ultrasound scan sisixhobo esiphambili sokuxilonga. Ngokuxhomekeke kwiimfuno zakho, i-CT scan okanye i-MRI nayo ingafuneka ukuze ufumane umbono oneenkcukacha ezithe vetshe.

Ubusazi na ukuba i-hydronephrosis kumntwana ongekazalwa inokubonwa kwasekuqaleni kwekota yokuqala nge-ultrasound? Ixhaphake kakhulu ngexesha le-anatomy scan eqhelekileyo yeeveki ezingama-20. Ukuba ifunyenwe, ugqirha wakho uza kujonga umntwana nge-ultrasound elandelayo; nangona kunjalo, le meko ihlala iphela yodwa ngaphambi okanye emva nje kokuzalwa.

Ziziphi iindlela zonyango lwe-hydronephrosis?

Injongo ephambili yonyango kukubuyisela ukuhamba komchamo okuqhelekileyo kunye nokunciphisa uxinzelelo kunye nokudumba kwezintso zakho. Unyango luxhomekeke ngokupheleleyo kwisizathu esiyintloko.

Kwiimeko ezingephi, akukho nyango lunokufuneka, kwaye ugqirha wakho unokucebisa indlela 'yokulinda ubone'. Utyando lolunye ukhetho ugqirha wakho anokuyicinga. Kubalulekile ukuba nengxoxo evulekileyo nomboneleli wakho wezempilo malunga nazo zonke iindlela zonyango ezikhoyo.

Ukuba une-hydronephrosis ngequbuliso ngenxa yokuvaleka, ugqirha wakho unokufaka ityhubhu ye-nephrostomy eluswini lwakho ukuze akhuphe umchamo ogqithisileyo kwizintso. Okanye, banokubeka ityhubhu yeplastiki ethambileyo ebizwa ngokuba yi-ureteral stent kwi-ureter yakho ukuze ihlale ivulekile kwaye iqinisekise ukuba umchamo uhamba ngokuchanekileyo.

Ukuba unobangela ngamatye kwizintso zakho okanye kwi-ureters, ezi ndlela zilandelayo zingaqwalaselwa:

• I-Shock Wave Lithotripsy: Olu lunyango oluqhelekileyo lwamatye ezintso. Amaza oxinzelelo anamandla aphezulu asetyenziselwa ukuqhekeza amatye abe ziingceba ezincinci, ezilawulekayo ezinokudluliswa ngokwendalo.
• I-Ureteroscopy: I-scope encinci idluliselwa kwi-urethra yakho ukuze kufunyanwe kwaye kususwe okanye kuqhekezwe amatye. Oku kudla ngokusetyenziselwa amatye akwisinyi okanye kwinxalenye esezantsi ye-ureters.
• Utyando: Ukuba amatye ezintso makhulu kakhulu okanye kunzima ukuwasusa, kunokufuneka utyando. Utyando lunokufuneka ukuze kulungiswe ezinye izithintelo ezifana neethumba okanye izicubu ezibomvu.

Ukuba imeko yakho ibangelwa lusulelo lomchamo (UTI) okanye ukuxinana (ukuncipha) okubangelwa lusulelo, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane ukuze alungise ingxaki ebangela oku.

Ngaba i-Hydronephrosis ingathintelwa?

Ekubeni i-hydronephrosis ibangelwa zizifo ezifihlakeleyo, ukuthintela kubandakanya ukunyanga okanye ukulawula ezo zizathu ziphambili kwangethuba. Ukuchonga izinto ezikubangela umngcipheko linyathelo elibalulekileyo ekukhuselekeni.

Iimeko ezandisa umngcipheko wakho wokuphuhlisa i-hydronephrosis ziquka:

• Amatye ezintso.
• Imbali yomhlaza womchamo.
• Utyando lwangaphambili kwindlela yomchamo.
• Usulelo oluphindaphindayo lwendlela yomchamo (UTIs).
• Amahlwili egazi.
• Indlala yeprostate ekhulisiweyo.
• Ukukhulelwa (ngenxa yoxinzelelo kwii-ureters).

Ngaba iHydronephrosis yingxaki enkulu?

Ewe, inokuba yingozi kakhulu ukuba ayinyangwa. Nangona kunjalo, uninzi lweemeko zincinci okanye ziphakathi kwaye azikhokeleli kwiingxaki ezinkulu zempilo ezihlala ixesha elide. Musa ukoyika; ukungenelela kwangoko kubalulekile.

Ngaba kufuneka ndikhathazeke ngokufunyaniswa kwam ukuba ndine-Hydronephrosis?

Musa ukukhathazeka kakhulu ngokuxilongwa kwe-hydronephrosis. Kwiimeko ezininzi, ngonyango olufanelekileyo, ungaphila ubomi obuqhelekileyo ngaphandle kweengxaki zexesha elide. Xoxa ngayo nayiphi na imibuzo onayo malunga nokuchacha kwakho, utshintsho lwendlela ophila ngayo, kunye nexesha olindelekileyo lokuchacha nogqirha wakho eNirogi Lanka.

Ndifanele ndimbone nini ugqirha?

Kufuneka ubone ugqirha ngoko nangoko ukuba ufumana ezi mpawu zilandelayo:

• Intlungu ebuhlungu ngequbuliso ecaleni okanye emqolo.
• Ukuhlanza okungapheliyo.
• Utshintsho ekuchameni: Ukuchama kakhulu okanye kancinci kunesiqhelo, ukuchama okubuhlungu, okanye igazi kumchamo wakho.
• Umkhuhlane ongaphezulu kwe-100.5°F (38°C).

Iingcinga Zokugqibela

Ngamafutshane, i-hydronephrosis yimeko apho izintso zidumba ngenxa yokuqokelelwa komchamo. Ingachaphazela nabani na. Ngethamsanqa, ukuba ifunyenwe kwaye inyangwa ngokukhawuleza, unokuthintela iingxaki ezihlala ixesha elide. Ukuba ubona iimpawu ezingaqhelekanga ezifana nentlungu ecaleni okanye esiswini, isicaphucaphu, ukuhlanza, okanye utshintsho kwimikhwa yakho yokuchama, nceda uqhagamshelane neengcali. Nje ukuba imbangela ichongiwe, ugqirha wakho uya kukhokela kwiindlela zonyango ezilungileyo. Akukho mfuneko yokoyika; unyango olukhawulezileyo lolona khuselo lwakho lubalaseleyo.