Ingabe izinso zakho zivuvukele? Ingabe lokhu kungaba yi-hydronephrosis? Ake sixoxe!

Ingabe ngezinye izikhathi uzizwa unesicanucanu ngenxa yobuhlungu obukhulu ohlangothini lwakho, esiswini, noma emhlane? Noma ingabe uzwa ubuhlungu uma uchama , noma igazi emchameni wakho? Lokhu kungaba izimpawu zesimo esibizwa ngokuthi i-hydronephrosis, okuwukuvuvukala kwezinso . Ingabe singakhuluma ngalokhu ngamazwi alula?

Kuyini i-Hydronephrosis?

Kalula nje, i-hydronephrosis yisimo lapho kukhona ukuvaleka komchamo kusuka ezinso zakho kuya kwesinyeni sakho, okubangela ukuthi inso eyodwa noma zombili zivuvuke. Cabanga ngakho njengepayipi lamanzi elivalekile, eligcwala amanzi bese livuvukala. Odokotela ngezinye izikhathi bakubiza lokhu ngokuthi 'ukwanda komgudu womchamo ophezulu'.

Ake sizinike isikhashana sokuzikhumbuza ukuthi uhlelo lwethu lomchamo lusebenza kanjani. Lufana nohlelo lokuhlanza olususa imfucuza emzimbeni wethu.

• Kunezinso ezimbili , futhi lezi yizo ezihlunga futhi zihlukanise ubuthi kanye nemikhiqizo engcolile egazini.
• Bese kuba nama-ureter amabili , amapayipi amabili athwala umchamo usuka ezinso uye kwesinye.
• Kukhona isinyi , esifana nesikhwama esiqoqa futhi sigcine umchamo.
• Ekugcineni, kukhona i-urethra , ipayipi elithwala umchamo oqoqwe esinyeni uphume emzimbeni.

I-Hydronephrosis yenzeka uma kukhona ukuvinjelwa endaweni ethile kulesi simiso, phakathi kwezinso kanye ne-ureter.

I-Hydronephrosis ingavela ngezindlela ezahlukene. Ingavela ngokuzumayo, noma ingakhula kancane kancane ngokuhamba kwesikhathi . Ukuvaleka kungaba okuphelele noma okungaphelele. Uma kuthinta inso eyodwa kuphela, kubizwa ngokuthi 'i-unilateral hydronephrosis', futhi uma kuthinta izinso zombili, kubizwa ngokuthi 'i-bilateral hydronephrosis'. Inani lokuvuvukala lingahluka kusukela ekuvuvukeni okuncane kuya ekuvuvukeni okukhulu.

Sivame kangakanani lesi simo?

I-Hydronephrosis ingathinta noma ubani wanoma yimuphi ubudala. Kulinganiselwa ukuthi cishe oyedwa kubantu abadala abayi-100 uzoba nalesi simo ngesikhathi esithile empilweni yakhe.

Lokhu kungakhula ezinganeni ezincane, ikakhulukazi ngesikhathi zisesesibelethweni sikanina. Kubizwa ngokuthi 'i-antenatal hydronephrosis'. Kwenzeka cishe ku-1% wokukhulelwa. Kodwa ezimweni eziningi, kuba ngcono ngokwako ngaphambi kokuba umntwana azalwe.

Ziyini izimpawu ze-hydronephrosis?

Izimpawu ze-hydronephrosis zivame ukuncika esibangweni. Esikhathini esiningi , azikho nhlobo izimpawu . Njengoba ngishilo ekuqaleni, i-hydronephrosis yangaphambi kokubeletha, eyenzeka enganeni esibelethweni, ngokuvamile ayibonisi izimpawu kuze kube yilapho ingane isizelwe.

Kodwa uma kuvela izimpawu, zingase zihlanganise:

• Ubuhlungu obungazelelwe, obukhulu: ohlangothini lwakho, esiswini, noma emhlane.
• Ukucanuzela noma ukuhlanza .
• Ukuzwa ubuhlungu lapho uchama.
• Igazi emchameni.
• Ukutheleleka komgudu womchamo ( UTI ).
• Umuzwa wokuthi isinyi asikaphumi ngokuphelele ngisho nangemva kokuchama.
• Ukuchama cishe noma ngaphansi kwalokho okuvamile.

Manje, uma une-hydronephrosis, ngoba umchamo uvaleleke emzimbeni, kunethuba elikhulu lokuthi amagciwane akhulele emgudwini womchamo futhi abangele ukutheleleka komgudu womchamo (UTI). Uma lokhu kwenzeka, ungase ube nezimpawu ezifana nalezi:

• Umkhuhlane, ukubanda, kanye nokukhathala.
• Ukusha kanye nobuhlungu lapho uchama.
• Umchamo ongacacile futhi obukeka umnyama ngombala.

Yiziphi izimbangela ze-hydronephrosis?

Imbangela eyinhloko ye-hydronephrosis ukuvaleka, noma ukuvaleka, kokudlula komchamo endaweni ethile ohlelweni lwethu lomchamo. Kunezimbangela eziningi ezingaba khona zalokhu.

Izimbangela ezithinta abantu abadala:

• Amatshe ezinso: Lawa ngamatshe aqinile akhiwe nge-calcium ne-oxalate. Angahlala ezinso noma emgudwini womchamo.
• Ukuvaleka komchamo: Ukuvaleka kwama-ureter akho.
• Izimila: Izimila esinyeni, endlaleni ye-prostate , esibelethweni , noma kwezinye izitho eziseduze nohlelo lomchamo zingabangela ukuvaleka kokuhamba komchamo.
• I-Benign prostatic hyperplasia (BPH): Kwabesilisa, indlala ye-prostate ekhulisiwe ingabangela ingcindezi ku-urethra futhi yenze kube nzima ukuchama.
• Ukuncishiswa kwe-urethra: I-urethra ingaba mncane ngenxa yokulimala, ukutheleleka, ukukhubazeka kokuzalwa, noma ukuhlinzwa.
• Izinkinga zemizwa noma zemisipha: Lokhu kungathinta ukusebenza kwezinso noma ama-ureter akho.
• Ukugcinwa komchamo: Ukungakwazi ukukhipha umchamo ngokuphelele esinyeni.
• I-Vesicoureteral reflux: Ukugeleza komchamo emuva kusuka kwesinye kuya ezinso.
• I-Ureterocele: Lokhu kuwukuphuma kwengxenye engezansi ye-ureter iye esinyeni.

Izizathu eziqondile kwabesifazane:

Kulabo abanesibeletho, okungukuthi, abesifazane, i-hydronephrosis ingabangelwa yizici ezithile ezifana nalezi:

• Ukukhulelwa: Njengoba umntwana ekhula, isibeletho naso siyakhula, okungabeka ingcindezi kuma-ureter futhi kuvimbele ukugeleza komchamo.
• Ukuwa kwesibeletho: Isibeletho siwela phansi sisuka endaweni yaso evamile.
• I-Cystocele – isinyi esiwile: Udonga oluphakathi kwesinyi nesinyi luyabuthaka, okubangela ukuba isinyi siwele esinyini.

Izimbangela ezithinta ingane esibelethweni (ngaphambi kokubeletha):

Izici ezilandelayo zingabangela i-hydronephrosis yangaphambi kokubeletha kumntwana:

• Inani elikhulayo lomchamo okhiqizwa yingane.
• Ukuvimbela ukugeleza komchamo endaweni ethile ohlelweni lomchamo.
• Umchamo ugeleza usuka kwesinyeni uye ezinso.

Yiziphi izinkinga ezingaba khona ze-hydronephrosis?

Uma i-hydronephrosis iba nkulu, ingalimaza izinso futhi iholele ekuhlulekeni kwezinso. Uma kunjalo, kungadingeka ukuthi uhlolwe nge-dialysis noma ukufakelwa izinso.

Kodwa, ungesabi! Iningi labantu liyalulama ekuhlushweni yi-hydronephrosis futhi akukho monakalo ohlala njalo ezinso. Ngakho-ke kubalulekile ukungesabi bese ucela ukwelashwa ngokushesha.

I-Hydronephrosis ihlolwa kanjani?

Kubaluleke kakhulu ukubona udokotela bese uthola ukuxilongwa ngokushesha, njengoba i-hydronephrosis ingabangela umonakalo wezinso isikhathi eside.

Nansi indlela udokotela wakho axilonga ngayo lesi sifo:

• Ukuhlolwa ngokomzimba: Udokotela wakho uzobuza ngezimpawu zakho futhi ahlole izinso zakho nendawo yesinye ukuze abone ubuhlungu nokuvuvukala. Bazobuza nangomlando wakho wezokwelapha wangaphambilini nokuthi ngabe kukhona yini emndenini wakho oke waba nalezi zimo. Uma uyindoda, ukuhlolwa kwe-rectal kungenziwa ukuze kuhlolwe i-prostate gland ekhulisiwe. Uma ungowesifazane, ukuhlolwa kwe-pelvic kungenziwa ukuze kuhlolwe izinkinga ngesibeletho sakho noma ama-ovari.
• Ukuhlolwa komchamo:Kuzothathwa isampula yomchamo wakho bese kuhlolwa igazi, amatshe, amagciwane, noma ukutheleleka. Kungase kudingeke futhi usebenzise i-catheter ukuze uqoqe umchamo.
• 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.
• Izinqubo zokuthatha izithombe: Ukuhlolwa okuyinhloko ukuskena nge-ultrasound. Ngezinye izikhathi kungadingeka ukuskena nge-CT noma i-MRI.

Ubuwazi ukuthi ingane engakazalwa ingatholakala ine-hydronephrosis phakathi nekota yokuqala yokukhulelwa nge-ultrasound scan? Lokhu kuvame ukutholakala ngesikhathi se-ultrasound scan yamasonto angama-20. Uma itholakala, umama uzoba nezinye izikena eziningana ze-ultrasound ukuze aqaphe ingane. Kodwa esikhathini esiningi, izoba ngcono ngokwayo.

Yiziphi izindlela zokwelapha i-hydronephrosis?

Umgomo oyinhloko wokwelashwa ukubuyisela ukugeleza komchamo ezinso nokunciphisa ukuvuvukala kanye nengcindezi. Ukwelashwa kuncike embangela eyinhloko. Ngoba leyo yinkinga eyinhloko.

Ngezinye izikhathi, amacala amancane angewona amabi kakhulu azolulama ngokwawo ngaphandle kokwelashwa. Ngezinye izikhathi, udokotela wakho angase athathe indlela 'yokulinda ubone'. Ukuhlinzwa kungenye indlela udokotela wakho angase ayicabangele. Kufanele uxoxe ngazo zonke izinketho zakho zokwelapha nodokotela wakho.

Uma i-hydronephrosis ivele ngokuzumayo futhi ibangelwa ukuvaleka, udokotela wakho angafaka ithubhu le-nephrostomy esikhumbeni sakho liye ezinso zakho ukuze akhiphe umchamo omningi. Noma, angafaka ithubhu lepulasitiki elithambile elibizwa ngokuthi i-ureteral stent ukuze agcine ama-ureter akho evulekile ukuze umchamo ukwazi ukugeleza ngendlela evamile.

Uma imbangela ingamatshe ezinso noma emgudwini womchamo, kunezindlela zokwelapha ezifana nalezi:

• I-Shock wave lithotripsy: Lena yindlela yokwelapha evame kakhulu yamatshe ezinso. Ama-shock wave anamandla aphezulu asetshenziselwa ukuphula noma ukuphula amatshe abe yizicucu ezincane, okwenza kube lula ukuwakhipha emzimbeni.
• I-Ureteroscopy: Udokotela wakho uzodlulisa ipayipi elincane nge-urethra yakho ukuze aqhekeze futhi asuse amatshe. Le nqubo isetshenziselwa amatshe esinyeni noma engxenyeni engezansi ye-ureter. Ingasetshenziswa futhi kanye nezinye izinqubo zokuqhekeza amatshe.
• Ukuhlinzwa:Uma amatshe ezinso emakhulu kakhulu noma kunzima ukuwasusa, udokotela wakho kungadingeka ukuthi ahlinzwe ukuze asuswe. Ukuhlinzwa kungadingeka futhi uma kukhona izimila, izicubu ezibomvu, noma ezinye izinhlobo zokuvinjelwa.

Uma unesifo somgudu womchamo (UTI) noma uma i-urethra yakho inciphile ngenxa yokutheleleka, udokotela wakho uzokunikeza ama-antibiotic ukwelapha ukutheleleka.

Ingabe i-Hydronephrosis ingavinjelwa?

Njengoba i-hydronephrosis ibangelwa yisimo esingaphansi, ingavinjelwa ngokugwema noma ukwelapha imbangela engaphansi. Ukuthola izici ezikubeka engozini yokuthola lesi simo kungasiza nasekuvimbeleni.

Izimo ezandisa ingozi yokuthuthukisa i-hydronephrosis yilezi:

• Amatshe ezinso.
• Ukuba nomlando womdlavuza wohlelo lomchamo.
• Ukuhlinzwa kwangaphambilini okuhlobene nohlelo lomchamo.
• Ukutheleleka kwangaphambilini kohlelo lomchamo, njengokutheleleka komgudu womchamo (UTIs).
• Amahlule egazi.
• Ukwanda kwendlala ye-prostate.
• Ukukhulelwa (ngenxa yokuthi isibeletho sakho sisunduzela ethangeni lakho).

Ingabe i-hydronephrosis iyinkinga enkulu?

Yebo, lokhu kungaba yinkinga enkulu uma kungelashwa ngokushesha. Kodwa-ke, izimo eziningi zincane noma ziphakathi nendawo. Azibangeli izinkinga ezinkulu zempilo. Ngakho ungakhathazeki.

Ingabe kufanele ukhathazeke nge-hydronephrosis?

Ungakhathazeki kakhulu ngokuxilongwa ukuthi une-hydronephrosis. Ezimweni eziningi, ngokwelashwa, ungaphila impilo evamile ngaphandle kwezinkinga zesikhathi eside. Khuluma nodokotela wakho nganoma yimiphi imibuzo onayo mayelana ne-hydronephrosis kanye nokululama kwakho. Udokotela wakho uzokutshela uma udinga ukwenza noma yiziphi izinguquko zendlela yokuphila nokuthi kuzothatha isikhathi esingakanani ukuze ululame ngokugcwele.

Kufanele ubonane nini nodokotela?

Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Ubuhlungu obungazelelwe, obukhulu ohlangothini noma emhlane wakho.
• Ukuhlanza.
• Izinguquko ekuchameni kwakho: ukuchama okungaphezu noma okuncane kunokujwayelekile, ubuhlungu lapho uchama, igazi emchameni.
• Uma umkhuhlane ungaphezu kuka-100.5 Fahrenheit (38 Celsius).

Okokugcina, izinto okufanele uzikhumbule

Kulungile, ngakho-ke i-hydronephrosis esikhulume ngayo namuhla yisimo lapho izinso zivuvukala khona ngenxa yomchamo. Noma ubani angayithola le nto. Ngenhlanhla, uma lesi sifo sitholakala futhi selashwa kusenesikhathi, izinkinga ezivela kulesi simo zingavinjelwa.Uma unezimpawu ezingavamile, njengobuhlungu ohlangothini lwakho noma esiswini, isicanucanu, ukuhlanza, noma ushintsho enanini noma kaningi lokuchama, qiniseka ukuthi ubona udokotela. Uma imbangela ye-hydronephrosis isitholakele, udokotela wakho uzochaza izindlela eziningi zokwelapha ezitholakalayo kuwe. Ungesabi, ukwelashwa kwasekuqaleni kuyinto ebaluleke kakhulu.