Nephroptosis sezintso: iimpawu kunye nonyango. Yeyiphi ukudla efakwa izigulane nephroptosis sezintso?

Onke amalungu oluntu zihlobene ngokusondeleyo kunye nabanye. Oku kuqinisekisa ukuba homeostasis (rhoqo yokusingqongileyo lwangaphakathi) apha emzimbeni, kudingeka kangaka ekusebenzeni eyiyo zonke iiseli. Ngokuyintloko iinkqubo ezixhasa constants ezibalulekileyo (iasidi, ubushushu, lwee- ion ezahlukeneyo) ziquka sentliziyo kunye womchamo. Ukusukela yokuqala ethi ibonelele kwegazi negazi, engundoqo inkcubeko medium, kwaye eyesibini - ulwabiwo metabolites ezingeyomfuneko, ulwelo kunye ityhefu.

Indima ye-izintso emzimbeni

Xa uqala kuqala, inkqubo wokuchama kubonakala kubalulekile okanye sentliziyo ngaphantsi kakhulu, yithini, sokuphefumla. Emva kokuba abantu ngokwaneleyo uhlala ngokuzolileyo kunye kidney sodwa, lo gama kungekho omnye kwemiphunga okanye intliziyo esinye nefuthe ngokucacileyo imeko yesigulane. Nangona kunjalo, oku nje ukungaqondi ngenxa ukusilela kwezintso umntu esifa ngokukhawuleza ukusuka zemiphunga okanye inhliziyo. Kwaye kwenzeka ngenxa toksinemii imibane-ngokukhawuleza, kuba imizimba ezimbini "isihluzi 'ophambili umzimba, yaye yonke imihla ukuba ampontshwe abaninzi iilitha igazi, lwaze izinto eziyingozi kunye nokuzithatha kokusingqongileyo.

imisebenzi metabolic

Ukongeza koku, izintso ukugcina igazi xi rhoqo kwilahleko eqhelekileyo kunye negazi, yaye kubo inkosi umalusi isalathisi - inkqubo renin-angiotensin-aldosterone (RAAS). Kwakhona, ngenxa permeability ukukhetha le emithanjeni ukuya parenchyma yale amalungu ibonelelwa balance secretory of electrolytes ezahlukeneyo kunye namacandelo osmotic kwigazi nezihlunu: isodiyam, potassium, calcium, nemagnesium, iswekile, iiproteins, ii-asidi, kunye nabanye abaninzi. Kananjalo inxaxheba erythropoiesis, njengoko benza into erythropoietin olukhethekile - stimulator of Yindibanisela iiseli ezibomvu umongo wethambo.

kidney nokwakheka

Ezi amalungu zidityaniswe kwaye ibekwe kummandla empontshwa ngapha nangapha kumhlathi spinal. Yokuba imbotyi-okwe ezibheke izabelo phakathi omnye komnye, yaye ezi misinga "esangweni", ziquka kwemithambo-luvo uphume eVienna, ureter kunye neempahla emithanjeni. Ezi zithinteli ukuba awuthwale kuphela ngaphandle ukutshintshiselana izinto nezintso, kodwa bakhonza njengenxalenye isixhobo kumise. Phakathi kwezi izidumbu isakhiwo ezintsokothileyo: yonke kuqala nephron glomerular capillary, apho, enyanisweni, igazi yahluzwa. Wabo kidney million enye, ngakumbi ukuba sihambe ngendlela tubule, nto leyo eyenzeka olunye uxinzelelo lwegazi reabsorption amanzi, ii-asidi acid, iswekile kunye neetyuwa, apho obhobhozayo sele ilungele umchamo eziziisekondari.

womchamo

Ngaphezu koko, iya indlela ende, sihlanganisana iikomityi ezincinane uze ezinkulu isinqe sezintso, yaye ekugqibeleni ungenamandla kungena ureter, esinyini, yaye ekugqibeleni ngalo urethra salawo aphumayo. Ngenxa yoko, ngamnye inkqubo wokuchama isebe umsebenzi walo, kunye nezigulo ezithile lunokwenzeka kuyo nayiphi na kuzo, ekhokelela ukungaphumeleli msebenzi. Oku, umzekelo, izintso okanye nephroptosis hydronephrosis, pyelonephritis, glomerulonephritis, urolithiasis, stricture enaso, urethritis, Ngokuzimela, kunye nabanye. Kweli nqaku, siza kugxininisa ngakumbi ngqo kwi sifo yokuqala, Noko ke, ngaphambi kokuqhubeka kubekeleni iintliziyo zenu oku, kufuneka ufunde ezinye iimpawu ezininzi isakhiwo umzimba.

ukulungisa sezintso

Bona akhiwe kule retroperitoneum, kungoko isixhobo ekhethekileyo entengo ukuxhasa ngokwayo kwinqanaba elifanayo (kwi thoracic 12 ukuya empontshwa omqolo 2nd). Oku kuquka ezibayeni peritoneal (ekunene kidney - ngenxa ngeentambo duodenal-hepatic kunye sezintso hepatic, nangasekhohlo - diafragalno-colonic ngenxa) ezikhethekileyo isilili sabo umsipha yokwakheka, iimpahla (okhankanywe ngaphambili), fascial izixhobo amafutha (imele ezininzi kuThixo ngemiqadi kunye esingxotyeni ezintathu fascial, kunye ukudala "iphedi ethambileyo" kunye nenkxaso eqinileyo) kunye noxinzelelo intra-esiswini, inika ombane izihlunu udonga esiswini. Ngoko ke, ezi zitho ngokwaneleyo ambathe ezisisigxina kummandla empontshwa. Kulo mzekelo, ilungelo kidney ifumaneka ngezantsi kancinane ekhohlo, kwaye yayisathe umsengi: le awo kwi izinto nokuphefumla, ukuba ndinyuke ndiye phantsi 1-2 cm, kodwa iziphumo ezithile zophendlo lwezifo ngaphaya umda ka-2 cm, baze emva koko baye behla ngezantsi imida oluqhelekileyo yimeko ebizwa ngokuba nephroptosis kunye nezintso.

Umyalezo weimeyile semngciphekweni

ukuhamba ezingahambi ixhaphake kakhulu kwabasetyhini kuba luphawulwa enkulu izixhobo eqine lungu xa kuthelekiswa namadoda, kwaye kuvela yezizathu ezininzi, indlela enye okanye omnye unobangela ubuthathaka kwefowuni kumise. izintso yokuqala nephroptosis kungabangela:

• ebukhali ukwehla kobunzima, ngenxa apho philisi umzimba amanqatha kuba nje ukubhitya, kwaye uba fluid ngakumbi;
• ukulimala kummandla empontshwa okanye ifascia esiswini bahlukumeze ukuthembakala okanye destructuring izintso isilili kwezihlunu, umz, nephroptosis sezintso kudla ikhapha hematoma ebuhlungu retroperitoneal;
• ezibukhali nokuphakamisa weight okanye lezemidlalo, apho kukho ingcinezelo enamandla izihlunu kunye noxinzelelo kwandisa intra-esiswini, kodwa le into nemisipha luya rhoqo phantsi kwempembelelo apho amathupha nga ezitshibilizayo kwindawo asezantsi;
• imposiso izixhobo dystrophy, kwelinye icala, zehlisa uxinzelelo lwegazi, nokulungiswa umsebenzi wayo iwela, nto leyo esisizathu sokuba nephroptosis kunye nokukhulelwa okanye yokuphila hypodynamic kangaka baye isandla ngesandla;
• ukongeza oonobangela ezifunyenwe ikhankanywe ngasentla extensibility ukwanda kunye namalaphu isenokuba ngenxa yofuzo, umzekelo, izigulo zomzimba nokuqina.

iimpawu

obubonakala Clinical Nephroptosis lungahlulwa-hlulwa zibe ngamanqanaba. Ngoko, xa abachaphazelekayo kidney lokuqala ithotywe 4-6 cm kwindawo nkqo yomguli kunye ngokuzenzekelayo ibuyisela kwi lenguqu yayo tye. Kweli nqanaba, isiguli ndinikhathaze ngakufuna kuphela intlungu onochuku kwicala uchaphazelekayo womGaqo esinqeni xa ephakamisa enzima, kunye amandla ngokukhawuleza emzimbeni. Nephroptosis washiya kidney ingaphantsi eqhelekileyo ngaphezu ekunene, ngenxa yokuba physiologically ephezulu, ngokunjalo nemiqondiso uninzi kukho indawo efanelekileyo. Ukuba kweli nqanaba sifo liphosiwe, oko siqhuba kwaye organ abachaphazelekayo uyakwazi ukuchaza ukuba inqanaba inkaba. Ngoko kuyabonakala ekunene kidney lwesibini kwisigaba nephroptosis, iimpawu ukuzihlonipha bakhe babengasekho ukunciphisa umzimba, kufuneka ibe intshukumo manual ebhedini yakhe. Iintlungu kweli nqanaba ziyanyuswa kwaye isasazwe phantse lonke esisu kunye shwaka kuphela xa ekunciphiseni izintso kunye nokwenza ngokuxwesileyo.

inkqubo isebenza

Kakhulu enamandla ngaphezu kukuba nephroptosis izintso zombini, nto leyo ukuphuhlisa kwesi sigaba, njengoko umgaqo, ngenxa yofuzo. Xa iqondo lomzimba ptosis kwintlungu zangasese ngoko sele rhoqo, kukho nangona ukuphumla kwaye okuncitshiswe kwindawo tyaba, njengoko kidney lingenako ukubuyela endaweni yaso yesiqhelo xa iindlela angqingqwa sifo ukungahoywa. Usongela uphuhliso yeengxaki ezinkulu ezifana hydronephrosis, umfutho wegazi, yokulunywa sezintso ngenxa urolithiasis, kwakunye organ enesifo kulula kakhulu baboniswa kusuleleko elinyukayo, kangangokuba kukho pyelonephritis.

lokufunyaniswa kwesifo

Ukuba isigulana kukho yokwakha obhityileyo, ugqirha nephroptosis umrhanelwa uyakwazi ikwasekelwe izikhalazo eqokelelweyo imbali kunye Ngokucofa-sezintso eludongeni esiswini.

Noko ke, cishe akunakwenzeka ukuba izigulane kutyeba okanye esisu dystrophy. Okulandelayo, ngenxa yokuba iimpawu yomguli Nephroptosis anikwe kwisigaba sokuqala saveyi - isaveyi ray okanye fluoroscopy ukuba bakwazi ukuchonga ukushukumiseka zophendlo lwezifo le kidney ochaphazelekayo. Ukuba kwesi sigaba ugqirha akrokrela nasiphi na isifo (urolithiasis, mgaqweni iziphene, hydronephrosis eziziisekondari ngemvumelwano sezintso nxamnye imvelaphi ngenxa yamafutha okanye lwegazi), kunokwenzeka ukuba aqhube urography excretory ngezinto umahluko efakwa. Le ndlela iye patency eziluncedo eziliqela, umzekelo, ukuba libonwa ngokulula of womchamo, kunye nomda okanye nephroptosis amatye zabo zezintso. Unyango kweli nqanaba uqale ekuqaleni, kufuneka uqale wenze enye ultrasound kwisisu, igazi nomchamo iimvavanyo esiswini, kwakunye nezityalo bacteriological ukuqinisekisa okanye ukwala uguqulelo sifo ezosulelayo.

iingxaki Long-term

Ngoko ke, kufuneka uhlaziye iinkcukacha koko nephroptosis wezintso kwaye nendlela ukufumanisa esi sifo. Kwakhona kwakubekwe ezixabisa kukuba iingxaki esi sifo zibonakala nje kuphela kwinkqubo womchamo. Ngoko, xa kungekho unyango olufanelekileyo, okanye, umzekelo, ukuba isigulane aliyigcini ukutya kwezintso Nephroptosis, le ukuphazamiseka ezikhula kwisiqwenga zesisu (ukuqhina / urhudo, ukudla, isicaphucaphu), yokulunywa sezintso unexhala ngakumbi, ngenxa yoko iphuhlisa neurasthenia yaye ephazamisa sicatshulwa eqhelekileyo umchamo, oko Oluma ancedisana ezingqongileyo, imizwa kunye imithambo yegazi. Oku kwandisa umngcipheko wegazi kunye iingxaki okanye isifo sezintso, ngomlinganiselo ogqithileyo zokuphuhlisa ukusilela kwezintso, nto leyo ke kaninzi iba unobangela wokufa malunga nesigulane eso.

therapy

Indlela yokuphatha kidney nephroptosis kwinqanaba lokuqala? Le mba iyatyhilwa. Ngenxa yoku, kubalulekile ukuba siphephe umthambo onzima, ukufaka amabhandeji okhethekileyo, ingakumbi ngexesha lokukhulelwa. Kwakhona zabelwa imisebenzi ngamnye kwezonyango, esinjongo ukomeleza izihlunu empontshwa. Isigulane kucetyiswa ukuba ukwandisa inzuzo yalo igunya, ubunzima, Kakade ke, ngaphakathi kwemida efanelekileyo. Enye into ebalulekileyo lokudla zonyango Nephroptosis kwezintso №7 kuphela isixa yetyuwa (leyo kutshintshwa ikumin okanye yejusi yelamuni), isuphu, okulula, ayi, ukutya okunamafutha, iilekese kunye imidumba. Ukuba isifo ingena Inyathelo 2 no-3 kunye iinzuzo ezinxulumene iingxaki, kuphela ukhetho ngasekhohlo nephropexy - kwendlela yotyando, awothi kidney ibuyiswa kulala yayo, zalungiswa. A uphuhliso izigulane ukusilela kwezintso kwi ihaemodialysis ibekwe kuba ngamaxesha ukucoca igazi buthi kunye metabolites eqhele benjenjalo ngenyameko kwakuthe kanye usempilweni kidney.