Pyelectasia umbungu. Pyelectasia unyango sezintso foetal kwaye ubangela

Ngokutsho manani, pyelectasia umbungu lungenzeki rhoqo kakhulu - malunga ne-2% amatyala ngexesha oogqirha ultrasound ezingekazalwa babukela ngezifo ezifana. Kakade ke, oomama abakhulelweyo buza imibuzo malunga nokuba yintoni na isifo kunokuba kuyingozi, yaye yintoni unyango linikeza yesilungu.

Pyelectasia izintso yosana olungekazalwa - ntoni na?

Yintoni na kwesi sifo ndinaso? Ngelishwa, le leengxaki ezingekazalwa kwindawo yokubelekisa mihla kwanomsebenzi ezingabantwana apho, nangona kakhulu rhoqo. Pyelectasia - isimo ihamba ukwandiswa ngokugqithisileyo isinqe kwezintso, nto leyo kakhulu unxulunyaniswa ekuphazamiseni ukuhamba eqhelekileyo umchamo.

Kwiimeko ezininzi, ukugula yomntwana ukubonakala nkqu Esibelekweni ngeendlela eemviwo ultrasound. Sivame ukuxilongwa pyelectasia eseleyo kwi kwimveku kwakunye ekubulaleni kidney ekunene okanye ukwandiswa mazwe of isinqe. Ngokutsho izifundo izibalo, amakhwenkwe bachatshazelwa yi-mthetho ngamaxesha 2-3 kaninzi ngaphezu amantombazana. Eneneni, esi sifo ukuba ekhohlo lunganyangwa, kungakhokelela kubunzima yingozi.

Eyona eziphambili ezibangela wophuhliso izifo

yesilungu, kukho Zininzi izizathu ezinokubangela ukuba ukukhula okuthile isinqe kuchasene nencindi ngumchamo. Kuqala kubalulekile ukukhumbula ukuba kukho yofuzo. Ukongeza, ukungaqheleki fetal nxeba kwimeko ngexesha lokukhulelwa unina ndinesifo pyeloectasia. Kwelinye icala, ezi zinto umngcipheko ziquka isifo etsolo ukudumba yenkqubo wokuchama, lo mfazi bafudukela ngexesha yokumitha. Ngaphezu koko, ukuba nokwenzeka ukuphazamiseka kuphuhliso kidney eqhelekileyo xa umntwana kunye nokwanda kakhulu ngexesha lokukhulelwa, njengokuba pre-eclampsia, eclampsia, njalo-njalo. D.

Kwezinye iimeko, yombane ukuba pyeloectasia malformations ezahlukeneyo. Ngokomzekelo, abanye abantwana babe ivalve kwindawo lenguqu phakathi isinqe kunye ureter. Ngamanye amaxesha, le ureter ibe squashed yi imithambo yegazi enkulu okanye ezinye amagunya angabamelwane. Imiba yomngcipheko nazo ziquka ukukhula akulingani ukuyilwa amalungu ngexesha Palsy. Abanye abantwana isinqe ukukhuliswa sisiphumo yobuthathaka inkqubo dystrophy, elithanda kuvandlakanywa prematurity.

Indlela ukufumanisa ubukho sifo?

Amaninzi, izintso pyelectasia kwimveku banesifo kwisiqingatha sesibini ukukhulelwa (ngexesha ultrasound routine). Kakade ke, ukuxilongwa ngokusekelwe test enye kuphela akwenzeki, ngenxa yokuba umzimba womntwana lukhula rhoqo, eguqukayo natshintsha. Noko ke, loo nto ixela ukuba phambi kokuba 32 th ngeveki zokukhulelwa, ubungakanani isinqe sezintso ngu-4 mm, kwaye emva - up to 7-8 mm. Ukuba ngexesha loviwo ultrasound bafumanisa ukuba isinqe inkulu kwe-10 mm, kufanelekile ukuthetha malunga ubukho besi sifo.

Kwixesha elizayo, siya kuqhutywa iimvavanyo ezongezelelweyo lunokukhangela unobangela ngezifo. Iimpawu eziphambili emzimbeni pyeloectasia kuvela emva kokuzalwa. Kuyo nayiphi na imeko, isigulane emiselweyo izifundo umntwana ezifana urography efakwa, cystography, iimviwo radioisotope kwizintso kunye t. D.

Izifo abahamba pyeloectasia

Amaninzi pyelectasia kwimveku ibonisa ubukho izifo ezithile, ezibandakanya:

• Hydronephrosis - sisifo olubangelwa bubukho kwimiqobo apho kudibana phakathi isinqe kunye ureter. Ngelo xesha kwandise isinqe, kodwa imeko ureter ichanekile.
• Megaureter - esinye isifo elivela nge pyeloectasia. Xa izigulane efanayo ixesha babe reflux vesicoureteral. Ureter ayemxinwa kakhulu inxalenye esezantsi, kwaye esinyini, ukunyuka okukhulu koxinzelelo.
• reflux Vesicoureteral sikhatshwa reflux reflux umchamo kulo kwizintso, apho kukho ukwanda elikhulu isinqe sezintso.
• Ectopia - lokunye ukuphazamiseka apho ureter engeyoyangeli esinyini kunye lobufazi (amantombazana) okanye urethra (kumadoda). Amaninzi, oku ngezifo kwenzeka xa izintso kabini.
• Pyelectasia Ingane ukuba kwi-ureteroceles. Xa ngezifo ezifana kwi ekudibaneni ureter kwi esinyini distended kakhulu, kodwa umthombo libanzi kakhulu.

Eyona engundoqo iingxaki sifo

Kakade ke, kukho ngezifo ezifana naleyo yosana olungekazalwa azenzeki rhoqo kakhulu. Kwaye abantu abaninzi bamangalisiwe ngendlela yingozi kunokuba zophendlo lwezifo. Enyanisweni, le ngozi kulo mzekelo akanguye ukwandiswa isinqe sezintso, yaye izizathu ezikhokelela ekubeni ngezifo.

Ukuba ukugeleza umchamo ukusuka kidney kunzima, ichaphazela inkqubo womchamo. Ngokukodwa, kunye ngezifo ezifana waphawula ucinezelo ye ijwabu kwezintso. izakhiwo umzimba alunyangwanga kuqala yoma kancinane. Ukuncipha umsebenzi kidney kuyingozi umzimba uphela, yaye ngokufuthi iphela kunye nelahleko epheleleyo kwezakhiwo zezintso,, leyo, kunjalo ziyingozi. Ngaphezu koko, kwimvelaphi ekuma umchamo basenokuba nezahlukahlukeneyo izifo ukudumba, kuquka pyelonephritis. Kuyo nayiphi na Kwimeko pyeloectasia olukrokrelwayo kufuneka bangenele uviwo olupheleleyo kwaye ufumanise unobangela onokugula okunjalo.

Indlela yokuphatha pyeloectasia?

Enyanisweni, oogqirha ngeke sikwazi ukubona ukuba esi sifo baya kuqhubela phambili emva kokuzalwa. Umzekelo, kabini-bangakwicala pyelectasia kwimveku uthathwa ukuba imeko komzimba leyo ibangwa agqithisile ulwelo emzimbeni kamama nomntwana.

Kungenxa yoko le nto kwiiveki zokuqala okanye iinyanga yobomi umntwana ubaleka rhoqo iimvavanyo ezahlukeneyo ukuqinisekisa ukuba oogqirha uyakwazi ukubona ukuba esi sifo iqhubeka. Lidla inobulali, pyelectasia ngcathu uqobo kunye nobudala. Ukuba mpucuko anayenza, ugqirha unakho ukumisela unyango endala.

Therapy, kule meko ixhomekeke unobangela ngezifo. Umzekelo, ukuba isinqe ukwanda kwenzeka nxamnye urolithiasis, isigulane emiselweyo iziyobisi ezithile ezikhuthaza zokuchithwa ukusekwa eqinileyo kunye nokususwa ngokukhawuleza kwesanti kwenkqubo womchamo.

Kwezinye iimeko, uqhaqho kuyimfuneko?

Ngelishwa, ukuphelisa esi sifo ngeendlela angqingqwa abakwazi njalo. Umbuzo yokungenelela ngotyando elisombulula ugqirha ekubekeni iliso. Ngokomzekelo, ukuba umntwana kwafunyanwa pyelectasia eqhubela phambili, nto leyo sikhatshwa ekukhuleni koLudwe isinqe kunye ilahleko ngokuthe ngcembe komsebenzi kwezintso, kufuneka uqhaqho. Ngokutsho manani, malunga 25-40% amatyala, utyando lwenziwa ebuntwaneni.

Namhlanje, kukho iindlela ezininzi unyango lwesi sifo. Amaninzi ngexesha inkqubo, ugqirha lisusa umqobo ukuhamba eqhelekileyo nomchamo. Kwiimeko ezininzi, utyando olwenziwa ngokusebenzisa izixhobo endoscopic ebiqaliswe ngokusebenzisa urethra. inkqubo besisu iyafuneka kuphela kwiimeko ezinzima kakhulu.

Iingqikelelo ukuba umntwana

Ngelishwa, ukuthintela isifo esinjalo nzima. Inye kuphela iingcebiso abasetyhini abakhulelweyo, ingakumbi ukuba ngaba unembali izifo ezifanayo - esweni ngokusondeleyo imeko yempilo, ukuba bahloniphe imali eseleyo amanzi, kwakunye nexesha ukunyanga zonke izifo sezintso.

Yona ke sase- usana, amaxesha amaninzi emva kotyando ngobuchule babesenza sifo. Nangona kunjalo, akukho siqinisekiso sokuba kwizintso pyelectasia akayi kubuyela ebuntwaneni okanye ebudaleni. Yiloo nto abantwana abanjalo kufuneka umana usiya rhoqo yi oyingcaphephe - kuphela kuya kunika ithuba lokuba ukungaphili kwibakala lokuqala.