Ingabe izinso zakho ziyavuvukala? Kungenzeka yini ukuthi yi-Hydronephrosis? Ake sixoxe noNirogi Lanka!

Ingabe ngezinye izikhathi uzwa ubuhlungu obukhulu ohlangothini lwakho, esiswini, noma emhlane ongezansi, okuhambisana nesicanucanu? Mhlawumbe ubhekene nobunzima bobuhlungu ngesikhathi uchama noma ubona igazi emchameni wakho? Lokhu kungaba izimpawu zokuvuvukala kwezinso, isimo esaziwa ngokwezokwelapha ngokuthi i-Hydronephrosis. Ake sichaze ukuthi lokhu kusho ukuthini ngamagama alula.

Kuyini i-Hydronephrosis?

Kalula nje, i-Hydronephrosis yenzeka lapho ukuvaleka kwendlela yomchamo kuvimbela umchamo ukuthi ungagelezi usuka ezinso zakho uye esinyeni sakho, okubangela ukuthi inso eyodwa noma zombili zivuvuke. Cabanga ngakho njengokugoba epayipini lengadi—uketshezi luyabuya, okwenza umthambo uvuvuke. Odokotela ngezinye izikhathi babhekisela kulokhu ngokuthi 'ukwanda kwendlela yomchamo ephezulu.'

Ake sibukeze kafushane ukuthi uhlelo lwakho lomchamo lusebenza kanjani njengenethiwekhi yokuhlunga yemvelo yomzimba wakho kanye nokukhipha udoti:

• Izinso Ezimbili: Lezi zitho ezibalulekile zihlunga ubuthi kanye nemikhiqizo engcolile egazini lakho.
• Ama-ureter amabili: Lawa ngamapayipi athwala umchamo usuka ezinso uye kwesinye.
• Isinye: Isikhwama sokugcina umchamo esigcina umchamo kuze kube yilapho usukulungele ukuphuma.
• I-Urethra: Ipayipi elikhipha umchamo emzimbeni wakho.

I-Hydronephrosis yenzeka uma kukhona ukuvinjelwa noma kuphi kule ndlela, ikakhulukazi phakathi kwezinso kanye ne-ureter.

Lesi simo singavela ngezindlela ezahlukene. Kungaba ngokuzumayo (okukhulu) noma kukhule kancane ngokuhamba kwesikhathi (okungapheli) . Ukuvaleka kungaba ingxenye noma okuphelele. Uma kuthinta inso eyodwa kuphela, kubizwa ngokuthi 'i-unilateral hydronephrosis'; uma kuthinta kokubili, kuba 'i-bilateral hydronephrosis.' Ubukhulu bokuvuvukala bungahluka kusukela kokuncane kuya kokubalulekile.

Sivame kangakanani lesi simo?

I-Hydronephrosis ingathinta abantu banoma yibuphi ubudala. Kulinganiselwa ukuthi cishe umuntu oyedwa kwabayikhulu uzobhekana nalesi simo ngesikhathi esithile empilweni yakhe.

Ezinganeni ezincane, kungenzeka ngesikhathi zisesibelethweni, isimo esibizwa ngokuthi 'i-antenatal hydronephrosis.' Sibonakala cishe ku-1% wokukhulelwa. Ngenhlanhla, ezimweni eziningi, sixazululeka sodwa ngaphambi kokuba ingane izalwe.

Ziyini izimpawu ze-Hydronephrosis?

Izimpawu ze-Hydronephrosis zivame ukuncika embangela eyinhloko. Ngokuvamile, azikho nhlobo izimpawu . Njengoba kushiwo, izinsana ezine-hydronephrosis yangaphambi kokubeletha ngokuvamile azibonisi zimpawu ngemva kokuzalwa.

Kodwa-ke, uma izimpawu zibonakala, zingase zihlanganise:

• Ubuhlungu obungazelelwe, obukhulu: Ohlangothini lwakho, esiswini, noma emhlane ongezansi.
• Ukucanuzela noma ukuhlanza .
• Ukuchama okubuhlungu.
• Igazi emchameni.
• Ukutheleleka okuphindaphindiwe kwendlela yomchamo ( UTI ).
• Umuzwa oqhubekayo wokuthi isinye sakho asikaphumi ngokuphelele ngemva kokuchama.
• Izinguquko ekuvameni komchamo noma evolumu.

Ngenxa yokuthi umchamo uvalelekile, amagciwane anganda, okwandisa ingozi ye-UTI. Uma kwenzeka ukutheleleka, ungase uqaphele:

• Umkhuhlane, ukubanda, kanye nokukhathala.
• Ukuzwa ukushisa noma ubuhlungu ngesikhathi uchama.
• Umchamo onamafu noma oshintshile umbala.

Yini ebangela i-Hydronephrosis?

Imbangela eyinhloko ye-Hydronephrosis ukuvaleka noma 'ukuvaleka' noma kuphi emgudwini womchamo. Kunezimbangela eziningana ezingaba khona:

Izimbangela ezivamile kubantu abadala:

• Amatshe ezinso:Ama-hard deposits enziwe nge-calcium ne-oxalate angahlala ezinso noma kuma-ureters.
• Ukuvaleka komchamo: Ukuvaleka ngaphakathi kwama-ureter ngokwawo.
• Izimila: Ukukhula kwesinye, indlala ye -prostate , isibeletho , noma izitho eziseduze okucindezela indlela yomchamo.
• I-Benign prostatic hyperplasia (BPH): I-prostate ekhulisiwe emadodeni engacindezela i-urethra, okwenza kube nzima ukukhipha isinye.
• Ukuqina komchamo: Ukuncipha kwendlela yomchamo ngenxa yokulimala, ukutheleleka, noma ukuhlinzwa kwangaphambilini.
• Izinkinga ze-neurological noma zemisipha: Izinkinga ezithinta ukusebenza okuvamile kwezinso noma ama-ureter.
• Ukugcinwa komchamo: Ukungakwazi ukukhipha ngokuphelele isinye.
• I-Vesicoureteral reflux: Umchamo ogeleza usuka kwesinyeni uye ezinso.
• I-Ureterocele: Isimo lapho ingxenye engezansi ye-ureter ivuvukala iye esinyeni.

Izimbangela ezithile kwabesifazane:

• Ukukhulelwa: Njengoba ingane ikhula, isibeletho siyakhula, okungacindezela ama-ureter futhi kuvimbele ukugeleza komchamo.
• Ukwehla kwesibeletho: Lapho isibeletho sishintsha endaweni yaso evamile.
• I-Cystocele (isinyi esiwile): Lapho udonga oluphakathi kwesinyi nesinyi luba buthaka, okubangela ukuba isinyi sikhukhumale singene esinyini.

Izimbangela ze-fetus (ngaphambi kokubeletha):

• Ukukhiqizwa okwandisiwe komchamo wengane esanda kuzalwa.
• Ukuvaleka komchamo okubangelwa ukuzalwa.
• Ukugeleza komchamo kusuka kwesinye kuya ezinso.

Yiziphi izinkinga ezingaba khona?

Uma ingelashwa, i-Hydronephrosis enzima ingaholela ekulimaleni kwezinso, futhi ekugcineni, ukwehluleka kwezinso. Ezimweni ezinjalo, kungadingeka ukungenelela okufana ne-dialysis noma ukufakelwa kwezinso.

Kodwa-ke, ngicela ungesabi! Abantu abaningi bayalulama ngokuphelele kwi-Hydronephrosis ngaphandle kokulimala kwezinso unomphela. Isinyathelo esibaluleke kakhulu ukuhlala uzolile futhi ufune usizo lwezokwelapha ngesikhathi esifanele kochwepheshe baseNirogi Lanka.

I-Hydronephrosis ihlolwa kanjani?

Kubalulekile ukubonana nodokotela futhi uthole ukuxilongwa ngokushesha, njengoba i-hydronephrosis ingaholela ekulimaleni kwezinso isikhathi eside uma ingelashwa.

Udokotela wakho uzovame ukuhlonza lesi simo ngezinyathelo ezilandelayo:

• Ukuhlolwa Komzimba: Udokotela wakho uzobuza ngezimpawu zakho futhi ahlole izindawo zakho zesisu nezesinqe ukuze abone ukuthi zithambile noma zivuvukele. Bazobuyekeza umlando wakho wezokwelapha futhi babuze ukuthi kukhona yini umlando womndeni onezimo ezifanayo. Kwabesilisa, ukuhlolwa kwe-rectal kungenziwa ukuze kuhlolwe ukuthi i-prostate gland ikhulisiwe yini. Kwabesifazane, ukuhlolwa kwe-pelvic kungenziwa ukuze kunqunywe izinkinga ngesibeletho noma ama-ovari.
• Ukuhlolwa komchamo: Isampula yomchamo izohlolwa ukuze kuhlolwe igazi, amatshe, amagciwane, noma ukutheleleka. Kwezinye izimo, udokotela wakho kungadingeka asebenzise i-catheter ukuze athole isampula engenamagciwane.
• Ukuhlolwa Kwegazi: I-Complete Blood Count (CBC) ingenziwa ukuthola izifo. Ngaphezu kwalokho, ukuhlolwa okufana ne-creatinine, i-eGFR, kanye ne-BUN kuvame ukwenziwa ukuhlola ukusebenza kwezinso zakho.
• Izinqubo Zokuthwebula Izithombe: Ukuthwebula nge-ultrasound kuyithuluzi eliyinhloko lokuxilonga. Kuye ngezidingo zakho, kungadingeka ukuthwebula nge-CT noma i-MRI ukuze uthole umbono onemininingwane eminingi.

Ubuwazi ukuthi i-hydronephrosis enganeni engakazalwa ivame ukutholakala kusenesikhathi se-trimester yokuqala nge-ultrasound? Ivame ukutholakala ngesikhathi sokuhlolwa kwe-anatomy okuvamile kwamasonto angama-20. Uma itholakala, udokotela wakho uzoqapha ingane nge-ultrasound elandelayo; noma kunjalo, lesi simo sivame ukuxazululeka sodwa ngaphambi noma ngokushesha ngemva kokuzalwa.

Yiziphi izindlela zokwelapha i-hydronephrosis?

Umgomo oyinhloko wokwelashwa ukubuyisela ukugeleza komchamo okuvamile nokunciphisa ingcindezi nokuvuvukala kwezinso zakho. Ukwelashwa kuncike ngokuphelele embangela eyinhloko.

Ezimweni ezincane, kungase kungadingeki ukwelashwa, futhi udokotela wakho angase asikisele indlela 'yokulinda ubone'. Ukuhlinzwa kungenye indlela udokotela wakho angase ayicabangele. Kubalulekile ukuba nengxoxo evulekile nomhlinzeki wakho wezempilo mayelana nazo zonke izindlela zokwelapha ezitholakalayo.

Uma une-hydronephrosis engazelelwe ngenxa yokuvaleka, udokotela wakho angafaka ithubhu le-nephrostomy esikhumbeni sakho ukuze akhiphe umchamo owengeziwe ezinso. Ngaphandle kwalokho, angafaka ithubhu lepulasitiki elithambile elibizwa ngokuthi i-ureteral stent ku-ureter yakho ukuze lihlale livulekile futhi liqinisekise ukuthi umchamo ugeleza kahle.

Uma imbangela ingamatshe ezinso zakho noma kuma-ureter, izinketho ezilandelayo zingacatshangelwa:

• I-Shock Wave Lithotripsy: Lokhu kuyindlela yokwelapha evamile yamatshe ezinso. Ama-shock wave anamandla aphezulu asetshenziselwa ukuphula amatshe abe yizicucu ezincane, ezilawulekayo ezingadluliswa ngokwemvelo.
• I-Ureteroscopy: Kudluliswa i-scope encane nge-urethra yakho ukuthola nokususa noma ukuphula amatshe. Lokhu kuvame ukusetshenziselwa amatshe atholakala esinyeni noma engxenyeni engezansi yama-ureter.
• Ukuhlinzwa: Uma amatshe ezinso emakhulu kakhulu noma kunzima ukuwasusa, kungadingeka ukungenelela kokuhlinzwa. Kungadingeka futhi ukuhlinzwa ukuze kulungiswe ezinye izithiyo ezifana nezimila noma izicubu zesilonda.

Uma isimo sakho sibangelwa ukutheleleka komgudu womchamo (i-UTI) noma ukuncipha (ukuncipha) okubangelwa ukutheleleka, udokotela wakho uzokunikeza ama-antibiotic ukuze axazulule inkinga eyisisekelo.

Ingabe i-Hydronephrosis ingavinjelwa?

Njengoba i-hydronephrosis ibangelwa yizimo ezingaphansi, ukuvimbela kuhilela ukwelapha noma ukuphatha lezo zimbangela kusenesikhathi. Ukuhlonza izici zakho eziyingozi kuyisinyathelo esibalulekile ekuvikeleni.

Izimo ezandisa ingozi yakho yokuthola i-hydronephrosis zifaka:

• Amatshe ezinso.
• Umlando womdlavuza womgudu womchamo.
• Ukuhlinzwa kwangaphambilini kwendlela yomchamo.
• Ukutheleleka okuphindaphindiwe kwendlela yomchamo (UTIs).
• Amahlule egazi.
• Indlala ye-prostate ekhulisiwe.
• Ukukhulelwa (ngenxa yokucindezeleka kuma-ureters).

Ingabe i-Hydronephrosis iyinkinga enkulu?

Yebo, kungaba yingozi uma ingelashwa. Kodwa-ke, izimo eziningi zincane noma ziphakathi nendawo futhi aziholeli ezinkingeni ezinkulu zempilo zesikhathi eside. Ungesabi; ukungenelela kusenesikhathi kubalulekile.

Ingabe kufanele ngikhathazeke ngokuxilongwa kwami ​​kwe-Hydronephrosis?

Ungakhathazeki kakhulu ngokuxilongwa kwe-hydronephrosis. Ezimweni eziningi, ngokwelashwa okufanele, ungaphila impilo evamile ngaphandle kwezinkinga zesikhathi eside. Xoxa nganoma yimiphi imibuzo onayo mayelana nokululama kwakho, ukulungiswa kwendlela yokuphila, kanye nesikhathi esilindelekile sokululama nodokotela wakho eNirogi Lanka.

Kufanele ngimbone nini udokotela?

Kumelwe ubone udokotela ngokushesha uma uhlangabezana nezimpawu ezilandelayo:

• Ubuhlungu obukhulu obungazelelwe ohlangothini noma emhlane.
• Ukuhlanza okuqhubekayo.
• Izinguquko ekuchameni: Ukuchama kakhulu noma kancane kunokujwayelekile, ukuchama okubuhlungu, noma igazi emchameni wakho.
• Umkhuhlane ongaphezu kuka-38°C (100.5°F).

Imicabango Yokugcina

Ngamafuphi, i-hydronephrosis yisimo lapho izinso zivuvukala khona ngenxa yokunqwabelana komchamo. Ingathinta noma ubani. Ngenhlanhla, uma itholakale futhi yelashwa ngokushesha, ungavimbela izinkinga ezihlala isikhathi eside. Uma ubona izimpawu ezingavamile njengobuhlungu ohlangothini noma esiswini, isicanucanu, ukuhlanza, noma izinguquko emikhubeni yakho yokuchama, sicela uxhumane nochwepheshe. Uma imbangela isitholakele, udokotela wakho uzokuqondisa ngezindlela zokwelapha ezingcono kakhulu. Asikho isidingo sokwesaba; ukunakekelwa kwezokwelapha ngesikhathi esifanele kuyindlela yakho engcono kakhulu yokuzivikela.