Ingaba izintso zakho zifana nesiponji? Namhlanje siza kuthetha ngeMedullary Sponge Kidney!

Usenokuba awukaze uve ngegama elithi 'Medullary Sponge Kidney' ngaphambili. Nangona kusenokuvakala kunzima ukuchaza, eneneni yimeko yokuzalwa enxulumene nezintso. Ngamafutshane, kulapho amaqamza amancinci amanzi, abizwa ngokuba zii-cysts, akheka khona ngaphakathi kwezintso zakho, ngakumbi embindini wezintso (medulla). Makhe sithethe ngale nto ngokweenkcukacha namhlanje, akunjalo?

Yintoni kanye kanye iMedullary Sponge Kidney?

Masiqale sijonge ukuba ziintoni izintso kunye nendlela ezisebenza ngayo. Njengoko usazi, izintso ziyinxalenye ebaluleke kakhulu kwinkqubo yomchamo emzimbeni wethu. Intso nganye inenxalenye ephakathi, esiyibiza ngokuba yi-medulla. Le medulla inemijelo emincinci kakhulu ebizwa ngokuba yi-tiny tubules. Le mijelo iqokelela imveliso yenkunkuma ehluziweyo egazini kwaye yenze umchamo. Emva koko le mijelo idibana kwaye iqhagamshelane nemijelo emikhulu kancinci ebizwa ngokuba yi-collecting ducts. Ukusuka kwezi, umchamo uya kwindawo ephambili yokuqokelela embindini wezintso, i-renal pelvis. Ukusuka apho, umchamo udlula kwi-ureters ukuya kwisinyi, uze udlule kwi-urethra ukuze uphume emzimbeni.

Kulungile, ngoku okwenzekayo kumntu one-'Medullary Sponge Kidney' kukuba imibhobho eqokelelayo endikhankanyileyo ivelisa amaqhuqhuva amancinci, kwaye loo mibhobho iyadumba ize ibe mikhulu. Ifana nesiponji. Yiyo loo nto ibizwa ngokuba yi-'Sponge Kidney'. Le meko idla ngokuchaphazela zombini izintso, kodwa ngamanye amaxesha inokuchaphazela isintso esinye kuphela.

Ivela njani le meko ye-medullary sponge kidney?

Ngoku unombuzo malunga nokuba kwenzeka ntoni xa ezi cysts zenzeka. Xa ezi cysts zenzeka, ezo channels zincinci (tubules) azikwazi ukusebenza kakuhle. Emva koko, izinto ezifana necalcium ziqala ukufakwa ngaphakathi kwezi channels. Oku sikubiza ngokuba yi-nephrocalcinosis. Ayisiyo calcium kuphela, kodwa nezinye izinto ezifana ne-phosphate kunye ne-oxalate nazo zinokuqokelelana ngale ndlela. Ekuhambeni kwexesha, ezi zinto ziqokeleleneyo ziyanamathelana kwaye zenze amatye ezintso .

Ezi cysts kunye namatye zikwathintela ukuhamba komchamo kwindlela yomchamo, nto leyo enyusa umngcipheko wosulelo lwendlela yomchamo (UTIs) .

Yintoni umahluko phakathi kwesi sifo kunye nePolycystic Kidney Disease?

Usenokuba ukhe weva ngePolycystic Kidney Disease (PKD). Kwakhona sisifo apho ii-cysts zenzeka khona kwizintso. Ngoko ke yintoni umahluko phakathi kwezi zimbini?

Isifo sezintso esine-polycystic (PKD) sisifo semfuza esidla ngokuzuzwa njengelifa. Sibangela ukuba izintso zikhule, kubekho amaqhuqhuva amaninzi emzimbeni wonke. I-PKD ngamanye amaxesha inokukhokelela kwiingxaki ezinkulu.Ingabangela iingxaki zobomi bonke. Abantu abaninzi abane-PKD baba nokungasebenzi kakuhle kwezintso baze bafune i-dialysis ukuze bacoce igazi labo.

Nangona kunjalo, ukungasebenzi kakuhle kwezintso kunqabile kakhulu kubantu abane-medullary sponge kidney (MSK). Lowo ngumahluko ophambili.

Ngubani ochaphazeleka kakhulu yile meko? Ixhaphake kangakanani?

Le meko ye-"medullary sponge kidney (MSK)" ngoku kucingelwa ukuba yenzeka ngengozi. Oko kukuthi, ngaphandle kwesizathu esithile. Nangona kunjalo, ekubeni ibonakala kwezinye iintsapho, kunokubakho amathuba okuba nelifa. Nangona kunjalo, ayikafumaneki indlela ecacileyo yemfuza yayo.

Uninzi lwabantu lufumanisa ukuba lunesi sifo kuphela emva kokuba iimpawu zibonakala, ngesiqhelo xa bekwiminyaka yabo yama-20. Kuthiwa abafazi nabo basengozini enkulu kunamadoda .

Kuqhelekile kakhulu, ngokomyinge womntu omnye kwabayi-5,000 une-MSK. Nangona kunjalo, ixhaphake kakhulu kubantu abanamatye ezintso. Oku kuthetha ukuba phakathi kwe-12% kunye ne-20% yabantu abanjalo banokuba ne-MSK.

Ngaba i-medullary sponge kidney ibangela uxinzelelo lwegazi oluphezulu?

Abanye basenokuzibuza ukuba ingaba le "MSK" ibangela uxinzelelo lwegazi okanye uxinzelelo. Ngokophando lwangoku, akukho bungqina bokuba "i-medullary sponge kidney" ibangela uxinzelelo lwegazi.

Yintoni ebangela i-medullary sponge kidney?

Oogqirha abakayazi kakuhle ukuba kutheni abanye abantu beba nale meko. Kukholelwa ukuba ibangelwa yingxaki yokukhula kwezintso ngexesha lokukhulelwa, xa umntwana esesesibelekweni .

Zithini iimpawu zesi sifo?

Okumangalisayo kukuba, abantu abaninzi abaneMedullary Sponge Kidney (MSK) abanazo naziphi na iimpawu . Oku kuthetha ukuba baphila bengazi nokuba banaso esi sifo. Lipesenti elincinci kuphela, malunga ne-10%, eliba neempawu.

Ukuba ezi mpawu ziyenzeka, zihlala zinxulunyaniswa nosulelo lwendlela yomchamo (UTIs) kunye namatye ezintso. Ezi zezona mpawu ziphambili:

• Igazi kumchamo (hematuria): Oku kuthetha ukuba umchamo unokuba bomvu, ngamanye amaxesha ube nombala wamanzi eti.
• Intlungu yecala: Intlungu eyenzeka kumacala omabini omqolo wakho, ngaphantsi kwembambo yakho.
• Intlungu xa uchama (i-dysuria): Kunokubakho ukutsha kunye nentlungu xa uchama.
• Amatye ezintso: Le yinto abantu abaninzi abaye bayibona. Ingabangelwa ziintlungu eziqatha zomqolo.
• Usulelo lomchamo: Iimpawu ezifana nokuchama rhoqo kunye nomkhuhlane zinokubakho.

Ifunyanwa njani i-medullary sponge kidney?

Ukuba unale mpawu, ugqirha wakho uza kuqala akuhlole ngokwasemzimbeni. Baza kukubuza ngembali yakho yezonyango, imbali yosapho lwakho, kunye nazo naziphi na iimpawu onazo.

Ukuba ugqirha wakho ukrokrela ukuba unesifo sezintso, kusenokwenzeka ukuba uya kuyalela uvavanyo lwegazi nomchamo oluninzi. Olu vavanyo luza kujonga oku kulandelayo:

• Ingaba kukho igazi kumchamo?
• Zisebenza njani izintso?
• Ingaba kukho usulelo lomchamo?

Ukongeza, uvavanyo olukhethekileyo lwemifanekiso lunokwenziwa ukujonga ezo cysts ndizikhankanyileyo kwizintso. Ezona ntlobo zixhaphakileyo zezi:

• I-CT scan: Oku kusebenzisa i-X-ray ukuvelisa umfanekiso wezintso onemilinganiselo emithathu (3D).
• Intravenous Pyelogram (IVP): Oku kuquka ukufaka idayi ekhethekileyo emthanjeni wakho. Emva koko, kuthathwa imifanekiso eliqela ye-X-ray. Idayi ihluzwa ngegazi elivela kwizintso ize ingene emchameni, ngoko ke imifanekiso ye-X-ray ibonisa indlela yomchamo ngokucacileyo. Oku kunokunceda ekufumaneni amaqhuqhuva kunye neendawo apho umchamo uvaliwe khona.
• I-ultrasound scan: Oku kusebenzisa amaza esandi ukuthatha imifanekiso yezintso.

Inyangwa njani i-medullary sponge kidney?

Okwangoku akukho nyango luthile lwesifo esaziwa ngokuba yi-medullary sponge kidney (MSK). Unyango lujolise kakhulu ekulawuleni nasekunyangeni usulelo lomchamo (UTIs) kunye namatye ezintso.

Unyango oluphambili lwezifo zomchamo zii -antibiotics .

Unyango lwamatye ezintso luxhomekeke kubukhulu belitye. Amatye amancinci adla ngokudlula emchameni ngokwawo. Ugqirha wakho angakuxelela ukuba usele amanzi amaninzi ukunceda ilitye lidlule ngokukhawuleza. Banokukunika amayeza okudambisa iintlungu kunye namayeza okuthomalalisa izihlunu kwi-ureters yakho.

Amatye amakhulu angadinga unyango oluthe kratya. Nazi imizekelo embalwa:

• I-Shock Wave Lithotripsy: Olu lunyango olungangenisi ntsholongwane olusebenzisa amaza oxinzelelo anamandla aphezulu ukuqhekeza amatye ezintso. Iziqwenga eziqhekekileyo emva koko zikhutshwa emzimbeni ngomchamo.
• I-Ureteroscopy: Oku kuquka ukusebenzisa ityhubhu ende, ebhityileyo ebizwa ngokuba yi-ureteroscope ukujonga indawo apho ilitye likhoyo. Esi sixhobo singasetyenziselwa ukususa amatye amancinci, okanye i-laser ingasetyenziselwa ukuqhekeza amatye amakhulu.
• I-Percutaneous Nephrolithotomy:Oogqirha basebenzisa le ndlela kuphela xa ezinye iindlela zingaphumeleli. Oku kuquka ukwenza umngxuma omncinci emqolo nokutyumza ilitye lezintso kuwo uze ulikhuphe. Olu lutyando olungenamsebenzi kangako.

Ngaba i-medullary sponge kidney ingathintelwa?

I-Medullary sponge kidney (MSK) yimeko yokuzalwa engenasizathu saziwayo, ngoko ke ayinakuthintelwa . Nangona kunjalo, ungathatha amanyathelo okuthintela usulelo lwendlela yomchamo (UTIs) kunye namatye ezintso anokubangelwa yiyo.

Ugqirha wakho angakunika amayeza anjengala:

• Ii-antibiotics ezisetyenziswa ngedosi ephantsi ukuthintela usulelo oluphindaphindayo lwendlela yomchamo.
• Amayeza anjenge -potassium citrate okanye i-thiazide (ekwaziwa ngokuba ziipilisi zamanzi) anokunciphisa amanqanaba e-calcium kumchamo kwaye athintele ukwakheka kwamatye ezintso.

Ukutshintsha indlela otya ngayo kunokunceda ekuthinteleni usulelo lomchamo kunye namatye ezintso:

• I-Calcium: Ukufumana i-calcium eyaneleyo ekutyeni kwakho kunokunceda ukunciphisa umngcipheko wamatye ezintso. (Abanye abantu banokucinga ukuba ukuthatha i-calcium eninzi kuya kwandisa umngcipheko wamatye, kodwa oku akunjalo. Ufanele uyithathe ngokulinganisela. Nxibelelana nogqirha wakho.)
• Ulwelo: Ukusela amanzi amaninzi kubaluleke kakhulu. Oku kuyawunciphisa umchamo kwaye kunciphisa umngcipheko wokwakheka kwamatye. Kukwanceda ukukhupha iintsholongwane ezintso. Zama ukusela ubuncinane iilitha ezi-2-3 zamanzi ngosuku.
• Ukutya okuneproteni eninzi: Ukunciphisa ukutya okuneproteni eninzi njengenyama, intlanzi kunye namaqanda kunokunceda ekuthinteleni amatye ezintso.
• Ityuwa: Ukunciphisa ityuwa ekutyeni kwakho kubaluleke kakhulu. Ukutya ityuwa eninzi kwandisa umngcipheko wamatye ezintso. Ngoko ke lumka malunga nobungakanani betyuwa obongezayo ekutyeni kwakho. Izinto ezifana nokutya okusemathinini kunye neenoodles ezikhawulezayo zinotyuwa omninzi.

Kubalulekile: Soloko uqhagamshelana nogqirha wakho okanye ingcali yokutya ngaphambi kokuba wenze naluphi na utshintsho kwindlela otya ngayo.

Liyintoni ikamva lomntu one-medullary sponge kidney?

Abantu abaninzi banokuba noloyiko lokuva oku, kodwa uninzi lwabantu abaneMedullary Sponge Kidney (MSK) banokuhlala besebenza kakuhle kwizintso zabo ubomi babo bonke .

Nangona kunjalo, ipesenti encinci yabantu, malunga ne-10%, inokungasebenzi kakuhle kwezintso. Izizathu eziphambili zizifo eziphindaphindayo zomchamo (UTIs) kunye namatye ezintso.

Iintlungu ezingapheliyo yenye ingxaki engaqhelekanga enokwenzeka kubantu abafumana amatye ezintso rhoqo. Le meko inokulawulwa ngokuthatha amanyathelo okuthintela amatye ezintso.

I-Medullary sponge kidney (MSK) inokubangela amanqanaba aphantsi e-calcium egazini. Oku kungenza amathambo abe buthathaka . Oku kwandisa umngcipheko wezifo ezinxulumene namathambo. Umzekelo:

• I-Osteoporosis (isifo apho amathambo aba mancinci aze abe buthathaka)
• I-hyperparathyroidism yesibini (ukukhutshwa kakhulu kweehomoni ngamadlala e-parathyroid)

Ukuthintela olu hlobo lomonakalo wamathambo ixesha elide, ugqirha wakho unokukunika amayeza afana ne-potassium citrate.

Ungaphila njani ne-medullary sponge kidney?

Ugqirha wakho uza kujonga ukusebenza kwezintso zakho rhoqo aze akunike uncedo olufunekayo. Kubalulekile ukuthatha amayeza akho njengoko kuyalelwe, ulandele ukutya kwakho, kwaye uqhubeke nemiyalelo yakho yokulandela . Ezi zinto zinokunceda ekuthinteleni usulelo lomchamo kunye namatye ezintso.

Akukho nyango lweMedullary Sponge Kidney (MSK). Kodwa njengoko benditshilo ngaphambili, abantu abaninzi abanale meko abanazo iimpawu, kwaye abanye abazi nokuba banazo. Xa iimpawu zisenzeka, zihlala zibangelwa lusulelo lomchamo okanye ilitye lezintso. Zombini ezi zinto ziyanyangeka kakhulu . Ungakuthintela nosulelo lomchamo kunye namatye ezintso ngokwenza utshintsho kwindlela otya ngayo nendlela ophila ngayo. Ukuba unemibuzo okanye iinkxalabo, ungathandabuzi ukuthetha nogqirha wakho .

Umyalezo Wokuya Ekhaya

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyiqonda kakuhle i-'Medullary Sponge Kidney' esithethe ngayo. Masizikhumbuze ngezona ngongoma zibalulekileyo kwakhona:

• Le yimeko yokuzalwa apho kuvela khona ii-cysts ezincinci kumbindi wezintso (i-medulla).
• Uninzi lwabantu alunazo iimpawu . Ukuba zikho, kungenxa yosulelo lwendlela yomchamo (UTIs) okanye amatye ezintso.
• Akukho nyango lukhethekileyo loku, kodwa iimpawu kunye neengxaki zinokunyangwa kakuhle.
• Kubaluleke kakhulu ukuthintela amatye ezintso kunye nosulelo lomchamo. Ukuze wenze oku, sela amanzi amaninzi, lumka ngento oyityayo, kwaye ulandele imiyalelo kagqirha wakho.
• Uninzi lwabantu luyakwazi ukugcina ukusebenza kakuhle kwezintso ubomi babo bonke . Ukungasebenzi kakuhle kwezintso kunqabile.
• Ukuba unemibuzo malunga noku, qiniseka ukuba ubonana nogqirha .

Ungakhathazeki, abantu abaninzi banokuphila ubomi obuqhelekileyo nobusempilweni xa benale meko!

"Isifo seMedullary Sponge Kidney, Isifo seCacchi-Ricci, isifo sezintso, amatye ezintso, usulelo lomchamo, ii-kidney cysts, isifo sezintso sokuzalwa, ii-kidney cysts, i-nephrocalcinosis, i-hematuria, impilo yezintso Sinhala