Hydronephrosis wa impso - zizindikiro, chithandizo

Hydronephrosis ya impso ndi matenda omwe amayamba kufalikira kwa pelvic yamphongo ndi calyx chifukwa cha kuphwanya mkodzo, ndipo pamapeto pake zimapangitsa kuti asokonezeke ndi zipsyinjo za impso komanso kusokonezeka kwakukulu pantchito ya chiwalo ichi.

Chizindikiro cha impso hydronephrosis

Pali magawo atatu pa chitukuko cha matendawa:

1. Nditha - pokhapokha phokoso la foal likulitsidwa, ntchito za impso siziphwanyidwa, kapena zimaphwanyidwa ku digiri yaing'ono.
2. Gawo lachiwiri - impso yowonjezeredwa ndi 15-20% poyerekeza ndi chizoloŵezi, makoma a pelvis ali opatulidwa, ndipo ntchito ya minofu imaphwanyidwa. Nthikiti imawongolera (ndi 20-40%).
3. III siteji - impso ikuwonjezeka ndi 1.5-2 nthawi, ntchito yake yafupika ndi 50%, mpaka kukana kwathunthu impso.

Malinga ndi kuopsa kwa zilondazi, nsomba parenchyma imasiyanitsa madigiri 4 a matendawa:

• renal parenchyma osakhudzidwa;
• kuwonongeka ndizing'ono;
• chowonongeko chachikulu;
• Kutsekemera kwathunthu kwa tsamba la renal parenchyma ndi kulephera kwina.

Malingana ndi kuti impso imodzi imakhudzidwa kapena onse awiri, imodzi ndi mbali ziwiri hydronephrosis imagawidwa.

Ndiponso, malingana ndi chifukwa chake, hydronephrosis imagawidwa mu congenital ndipo imapezedwa. Zomalizirazi zimayambitsidwa ndi urolithiasis, kuwonongeka kwa kapangidwe ka mkodzo, zotupa zosiyanasiyana, dyskinesia wa tsamba la mkodzo.

Zizindikiro za impso hydronephrosis

Hydronephrosis ikhoza kukhala yovuta komanso yosapitirira.

Mu acute hydronephrosis, zizindikiro zimatchulidwa kwambiri ndipo zimakula mofulumira. Pa nthawi yoyamba ya matendawa (pamene parenchyma sichiwonongeke, komanso ntchito ya impso siinakhudzidwe kwambiri), zizindikiro za matenda opweteka hydronephrosis zimatchulidwa kwambiri.

Chizindikiro chachikulu cha hydronephrosis ndi kupweteka kosalekeza kosalekeza m'munsi kumbuyo kwake, kukula kwake sikudalira nthawi ya tsiku. Ululu ukhoza kukhala kumalo komwe kumanja kapena kumanzere, malinga ndi impso yomwe imakhudzidwa. Kumayambiriro kwa matendawa, kupweteka kungafanane ndi kuukira kwa colic.

Zizindikiro zina zingakhalepo:

• magazi mu mkodzo;
• kawirikawiri amakakamiza kukodza ;
• kunyoza ndi kusanza;
• kuwonjezeka kwa kutentha (ngati matenda ali kumbuyo kwa hydronephrosis).

Mtundu wodwala wa matendawo umakula pang'onopang'ono ndipo umakhala wochepa kwambiri. Wodwala angasokonezedwe ndi kupweteka kwa nthawi yayitali kumbuyo, kumangomaliza kumwa mowa wambiri, kufooka, kutopa, kuthamanga kwa magazi .

Pamapeto pa matendawa, kutupa ndi kuwonongeka m'dera la lumbar, palpable, zimawoneka.

Kuchiza kwa hydronephrosis

Chithandizo cha hydronephrosis chimagwiritsidwa ntchito mwa njira yokha yopaleshoni. Chithandizo chodziletsa pa hydronephrosis cha impso sichingagwire ntchito ndipo chimagwiritsidwa ntchito kuchepetsa zizindikiro za matendawa ndi kukhazikitsa mkhalidwe wa wodwalayo asanayambe opaleshoni.

Monga chodzidzimutsa, madzi amtundu wa impso amachitika mu nthenda yoteroyo, yomwe imachotsa mkodzo pamphuno pogwiritsa ntchito singano yapadera, motero kupweteka kwa impso kumachepetsedwa.

Njira yothandizira opaleshoni iliyonse ndiyomwe imadalira Zimayambitsa kuswa kwa mkodzo komanso kuwonongeka kwa impso.

Choyamba, opaleshoni ndi hydronephrosis ndi cholinga chobwezeretsa mkodzo wamtunduwu ndikuchotsa chopinga chimene chinayambitsa. Ngati ntchito ya impso siikhudzidwa kwambiri, monga lamulo, opaleshoni ya pulasitiki ya pelens yamphongo (kubwezeretsedwa kwa kukula kwake kwachilendo) ndipo chilakolako chimachitidwa, chomwe chimapangitsa thupi kuti lizigwira ntchito bwino m'tsogolomu. Pamapeto pake a hydronephrosis, pamene impso imatha kugwira ntchito, mankhwala ake satha, amatha kuchotsedwa, chifukwa zovuta zowonjezereka zimakhala zotheka.