I-Hydronephrosis yeentso zangasekhohlo sisifo esenzeka xa kukho ukuphulwa komkhuhlane kwaye kubonakaliswe ukwanda kwenkqubo yekombe kunye ne-pelvic. Iintlungu ezibuhlungu kwindawo yangasese kunye nokubuyisela kwindawo yangasemva - iimpawu zokuqala ze-hydronephrosis yeentso zangasekhohlo. Isi sifo sahlula kwi-primary okanye congenital. Isizathu esibalulekileyo sisifo se-dyskinesia ye-urinary tract, ukubeka ngokungavumelekanga komnatha we-renal, ukungahlawuli komntwana kwintsimbi, kunye neentsholongwane zentsholongwane kunye neentsholongwane zentsholongwane. Isizathu se-nephrosis yesibini okanye efunyenwe yi-nephrosis zizifo ezingenangqondo, izilwanyana ezincinci ze-pelvic, i-traum to tract cord. Ukunyuswa kwengcinezelo ye-intra-lateral kwandisa okuqukethwe kwe-calyx kwaye utshintshe ukulungiswa kwazo. Kukhona i-atrophy ye-muscle elula, ukuphela kweentliziyo. I-Hydronephrosis yeentso ezisekhohlo ibonakaliswe ngokubunjwa kweethambo ezixubileyo. Kukho iintlobo ezimbini zesifo - evulekile (kukho inxalenye ehambelanayo ye-parenchyma) kwaye ivaliwe (kummandla we-ureteral tubula). Esi sifo sidlula kwizigaba ezintathu: ukwandiswa kokuqala kuphela kwi-pelvis, okwesibini - iikompu zanda, ubukhulu be-parenchyma buyancipha, okwesithathu-i-atrophy ye-kidney parenchyma.
I-Hydronephrosis yeentso zangasekhohlo: iimpawu zeklinikhi
Izigulane zikhalaza ngevakalelo, i-raspiruyuschy, intlungu ebuhlungu kwicala lasekhohlo, kukho uxhala kunye nexhala, linciphisa inani lomchamo. Ngamanye amaxesha, i-mucus negazi zifumaneka kumchamo. Ngenxa yeenguqu zentsholongwane, izintso ziqala ukusebenza kakuhle, umzimba uqokelela ubuninzi beemveliso ezinobuthi. Ekugqibeleni, yonke into inokuphela kwisiphumo esibulalayo.
Ukuxilongwa kwe-hydronephrosis
Ukufumanisa i-hydronephrosis yeentso ezikhohlo nge-instrument, ukuhlolwa kwe-ultrasound kunye ne-radiography. Ukuxilonga kwe-urography kunye nezigaba ezahlukahlukeneyo zesifo: ukususela kwandiso lweeplovin ezintsheni ekulahlekelweni komsebenzi kunye ne-hydronephrosis. I-Hydronephrosis ngexesha lokukhulelwa lihamba neentlungu ezinqeni, kukho intlungu ebunyiweyo yommandla kwintlambo kunye ne-groin. Ekuhloleni umchamo, kukho i-micro- kunye ne-macrohematuria, ngelixa i-hydronephrosis iyanzima i-pyuria kunye ne-bacteriuria. Indlela yokuxilongwa kwe-X-ray ngexesha lokukhulelwa lichasene, ngoko ke, i-ultrasound yenziwa. Ngama-aseptic unilateral hydronephrosis, ukuhlutha kwesifo kulungile, kuba intliziyo enempilo ihlawulisa umsebenzi wesigulane. Ukuba i-hydronephrosis ivela ngexesha lokukhulelwa, akusiyo inkcazo yokuphazamiseka kwayo. Ukuphazamisa ukukhulelwa okufanayo kunye ne-hydronephrosis emibini, eyaqala ngaphambi kokukhulelwa. Kwakhona, ukukhulelwa kuphazamiseka ngokuxilongwa "kwe-unilateral hydronephrosis", ehamba kunye ne-azotemia kunye ne-pyelonephritis.
Indlela yokuphatha i-hydronephrosis?
Ngomzimba omnene wesifo, unyango olulondolozayo luyenziwa, lwandisa ithoni yephepha lomchamo. Kwaye kuyenzela ukuthintelwa kokuqhawulwa (ukutya, i-laxatives). I-hydronephrosis enegciwane, unyango lwe-antibacterial umiselwe, kwaye iziko lomchamo zihlolwa . Ngezigaba ezisekupheleni kwesi sifo, ukungenelela kokupakanyiswa kuyimfuneko. Ngethuba lokuhlinzwa, into ephambili kukuba kupheliswe ukukhutshwa kwendlela yokucima umthamo ukukhusela utshintsho kwiisisu zezintso.