Ukuvuvukala Kwezinso (i-Hydronephrosis): Ake sifunde ngezimbangela, izimpawu, kanye nokwelashwa ngendlela elula!

Wake wazizwa unesicanucanu ngenxa yobuhlungu obukhulu emhlane noma esiswini sakho? Noma wake wazizwa ungavamile noma ubuhlungu lapho uchama? Lokhu kungaba yinkinga ngezinso zakho ngezinye izikhathi. Namuhla sizokhuluma ngesimo esihlobene nezinso abantu abaningi abangasazi. Lokhu kubizwa ngokuthi i-Hydronephrosis.

Iyini ngempela i-hydronephrosis?

Kalula nje, lokhu kwenzeka lapho into ethile ivimba ukugeleza komchamo kusuka ezinso zakho kuya kwesinye. Cabanga ngakho njengepayipi lamanzi elibhajwa phakathi. Kwenzekani-ke? Umchamo awukwazi ukuphuma bese uqoqana ngaphakathi kwezinso, okwenza izinso zivuvuke. Lokhu kuvuvukala kwezinso kubizwa ngokuthi i-Hydronephrosis.

Lokhu kungenzeka ngokuzumayo, noma kungenzeka kancane kancane ngokuhamba kwesikhathi. Ngezinye izikhathi i-urethra ivalekile ngokuphelele, ngezinye izikhathi ayivalekile kakhulu.

• Uma kuthinteka inso eyodwa kuphela: ibizwa ngokuthi `i-unilateral hydronephrosis`.
• Uma izinso zombili zithintekile: Kubizwa ngokuthi `i-bilateral hydronephrosis`.

Lokhu kungasukela ekuvuvukeni okuncane kuya kokukhulu. Ukwelashwa kusenesikhathi kunganciphisa ingozi yokulimala kwesikhathi eside, ngakho-ke kubalulekile ukuqaphela lokhu.

Ukuze siqonde lokhu, ake siqale sibheke ukuthi uhlelo lwethu lomchamo lusebenza kanjani.

Umsebenzi oyinhloko wohlelo lomchamo lomzimba wethu ukususa ukungcola kanye noketshezi oluningi. Kunezingxenye ezimbalwa eziyinhloko zalolu hlelo:

• Izinso: Lezi yizihlungi ezimbili eziyinhloko emzimbeni wethu. Izinso zihlunga ubuthi kanye nemikhiqizo engcolile egazini bese zikhiqiza umchamo.
• Ama-ureter amabili: Lawa ngamapayipi amabili athwala umchamo, okhiqizwa ezinso, uye esinyeni.
• Isinye: Lesi yisikhwama esiqoqa umchamo.
• Umchamo oqoqeka esinyeni uphuma emzimbeni ngaleli payipi.

I-Hydronephrosis ivame ukwenzeka uma kukhona ukuvaleka endaweni ethile phakathi kwezinso kanye ne-ureter.

Wazi kanjani ukuthi une-hydronephrosis? Ziyini izimpawu?

Ngokuvamile, izimpawu zincike embangela. Abanye abantu bangase bangabi nazo nhlobo izimpawu. Ikakhulukazi ezinganeni ezine-hydronephrosis esibelethweni, izimpawu zingase zingaveli kuze kube ngemva kokuzalwa.

Kodwa-ke, uma kuvela izimpawu, zingase zibukeke kanje.

Kungani kwenzeka i-Hydronephrosis? Yiziphi izimbangela eziyinhloko?

Isizathu esiyinhloko salokhu ukuvaleka noma ukuvaleka endaweni ethile ohlelweni lomchamo. Lokhu kuvaleka kungabangelwa izinto ezahlukene.

Izimbangela ezivamile ezithinta abantu abadala

• Amatshe ezinso: Imbangela evame kakhulu amatshe ahlala ezinso noma emgudwini womchamo.
• Izimila: Isimila esinomdlavuza noma esingenabungozi esinyeni, indlala ye-prostate, isibeletho, noma esinye isitho esiseduze nohlelo lomchamo singabangela ukuvaleka kokudlula komchamo.
• I-Benign Prostatic Hyperplasia (BPH): Njengoba amadoda ekhula, indlala ye-prostate ingakhula, okubangela ingcindezi ku-urethra futhi kuvimbele ukuchama.
• Ukuncishiswa kwe-urethra: I-urethra ingaba mncane ngenxa yezibazi ngemuva kwengozi, ukutheleleka, ukukhubazeka kokuzalwa, noma ukuhlinzwa.
• Izinkinga zemizwa noma zemisipha: Ukuphazamiseka kwemizwa okuthinta ukusebenza kwezinso noma kwendlela yomchamo.
• I-Vesicoureteral Reflux: Ukugeleza komchamo emuva kusuka kwesinyeni kuya ezinso.
• I-Ureterocele: Isimo lapho ingxenye engezansi ye-urethra iphumela khona esinyeni.

Izizathu ezithile ezithinta abesifazane

• Ukukhulelwa: Njengoba isibeletho sikhula ngesikhathi sokukhulelwa, singacindezela ama-ureter futhi sivimbele ukugeleza komchamo.
• Ukuwa kwesibeletho: Isibeletho sehla sisuka endaweni yaso evamile.
• I-Cystocele: Isimo lapho udonga oluphakathi kwesinyi nesitho sangasese sowesifazane luba buthaka, okubangela ukuba isinyi siphume singene esithweni sangasese sowesifazane.

Udokotela uthola kanjani ukuthi lesi simo sikhona?

Njengoba i-hydronephrosis ingabangela ukulimala kwezinso isikhathi eside, kubaluleke kakhulu ukubona udokotela ngokushesha ngangokunokwenzeka ukuze kutholakale ukuthi unesifo.

Udokotela wakho uzosebenzisa lezi zivivinyo ukuxilonga lesi simo:

• Ukuhlolwa ngokomzimba: Udokotela wakho uzokubuza ngezimpawu zakho futhi uzohlola izinso zakho nendawo yesinye ukuze ahlole ukuvuvukala noma ubuhlungu. Bazokubuza nangomlando wezokwelapha wakho nomndeni wakho. Uma ungumuntu wesilisa, bangase benze ukuhlolwa kwe-rectal ukuze bahlole i-prostate gland ekhulisiwe, kanti uma ungowesifazane, bangase benze ukuhlolwa kwesitho sangasese sowesifazane ukuze bahlole izinkinga ngesibeletho sakho noma ama-ovari.
• Ukuhlolwa komchamo: Kuthathwa isampula yomchamo bese kuhlolwa igazi, izingcezu zamatshe, amagciwane, noma ukutheleleka.
• Ukuhlolwa kwegazi: Kungenziwa ukubalwa kwegazi okuphelele (i-CBC) ukuze kuhlolwe ukutheleleka. Ukuhlolwa okufana ne-creatinine, i-eGFR, kanye ne-BUN nakho kungenziwa ukuze kuhlolwe ukusebenza kwezinso.
• Ukuhlolwa kwezithombe: Ngokuvamile kwenziwa ukuskena nge-ultrasound . Ngezinye izikhathi kungadingeka ukuskena nge-CT noma i-MRI ukuze kutholakale ulwazi olwengeziwe.

Kulungile, manje ake sixoxe ngokwelashwa.

Umgomo oyinhloko wokwelashwa ukuqeda ukuvinjelwa komchamo nokunciphisa ukuvuvukala kanye nokucindezeleka kwezinso. Indlela yokwelapha incike embangela eyinhloko yalesi simo.

Ezinye izimo ezincane zingase zixazululeke zodwa ngaphandle kokwelashwa. Ezimweni ezinjalo, udokotela wakho angase ancome indlela "yokulinda ubone".

• Ukugeleza komchamo: Ezimweni zokuvaleka okungazelelwe, okukhulu, ipayipi (ipayipi le-nephrostomy) lingafakwa ngesikhumba liye ezinso ukuze kukhishwe umchamo oqongelelekile. Enye indlela ukufaka ipayipi elincane lepulasitiki elibizwa ngokuthi ``ureteral stent`` ngaphakathi kwe-urethra ukuze kudalwe indlela yokugeleza komchamo.

Uma kungenxa yamatshe ezinso...

• I-Shock wave lithotripsy: Amagagasi okushaqeka anamandla aphezulu athunyelwa esuka ngaphandle komzimba ukuze aphule amatshe ezinso futhi awaphoqe ukuba aphume ngomchamo.
• I-Ureteroscopy: Idivayisi enekhamera encane idluliselwa e-urethra ukuze iphule noma isuse amatshe ngokuphelele.
• Ukuhlinzwa: Uma unamatshe amakhulu kakhulu, okunzima ukuwasusa, kungase kudingeke ukuhlinzwa ukuze asuswe. Kungase kudingeke nokuhlinzwa ukuze kususwe izithiyo ezibangelwa amaqhubu noma izibazi.

Ingabe lokhu kungaba yinto engathi sína? Ngingakuvimbela kanjani?

Yebo, i-Hydronephrosis ingaba yingozi kakhulu uma ingelashwa ngokushesha. Ezimweni ezimbi kakhulu, ingalimaza izinso futhi iholele ekuhlulekeni kwezinso. Kuleso simo, kungadingeka i-dialysis noma ukufakelwa izinso.

Kodwa, ungakhathazeki! Abantu abaningi balulama ngokuphelele ngemva kokwelashwa okusheshayo. Akukho monakalo ohlala njalo ezinso.

Lokhu kungenxa yesinye isimo sezokwelapha esiyisisekelo, ngakho-ke ukuze uvimbele i-Hydronephrosis, kubalulekile ukwelapha lesi simo esiyisisekelo ngokushesha okukhulu. Uma ungumuntu othola amatshe ezinso, kubalulekile ukwenza izinguquko ezidingekayo endleleni yokuphila.

Udinga ngempela ukubona udokotela!

Uma unezimpawu ezilandelayo, ungazinaki . Bona udokotela wakho ngokushesha okukhulu.