Ayyukan tsarin urinary ya dogara ne da ƙaddarar tasirin ruwa. Idan tayarwa ya damu, damuwa yana faruwa, sakamakon sakamakon yaduwar kullun da kuma calyx. Wannan yana haifar da ci gaban kwayar cutar da kwayar halitta.
Hydronephrosis na koda - mece ce?
Lokacin da fitsari ya jinkirta a cikin tsarin raɗaɗi, ƙararsa tana karuwa akai-akai. Mafi yawan ruwa yana haifar da yaduwa daga cavities na koda da kuma alaƙa da magunguna, suna bayyana abin da yake hydronephrosis:
- matsin lamba a cikin ureter;
- lalacewa na filtration glomerular;
- rikice-rikice na pyelovenous, pyelolymphatic da pyeloarterial halin yanzu;
- ragewa da permeability na tubules;
- atrophy na nama interstitial, parenchyma;
- mutuwar nephrons.
Mene ne haɗarin hydronephrosis mai hatsari?
Ciwo mai ci gaba yana haifar da raguwa daga rassa na koda. Na farko, cutar na hydronephrosis yana tare da m cin zarafi na ayyukan da kwayoyin halitta kuma ba ya shafi yadda yanayin urinary ya shafi. Daga baya, akwai rashin cin nasara, wanda zai iya faruwa tare da sake dawowa. Idan babu magani mai mahimmanci, hawan gwiwar hydrogenphrosis na hakika zai shiga cikin wani mataki mai tsanani tare da raguwa ko katsewa daga ayyukan kwayoyin. Wannan yana cike da cikakkiyar rashin lafiya da guba tare da samfurori na ayyuka masu muhimmanci.
Hydronephrosis na kodan - sa
Masu ilimin lissafi suna kiran abubuwan da suka samo asali da kuma abubuwan da suka shafi rayuwa wanda ya riga ya zubar da cutar. Hydronephrosis - haddasa rukunin farko:
- da sauri mai girma, ci gaba akan ureters;
- posttraumatic ko postoperative ƙuntatawa na tubules tare da samuwar tsabta nama;
- embolism na jirgin ruwa;
- ciwo na kashin baya;
- ciwon daji na dama, hagu ko ƙwayar cuta;
- gaban duwatsu, yashi;
- endometriosis ;
- ovarian ovst;
- cututtuka masu kumburi na tsarin dabbobi;
- tarin fuka;
- metastases da sauransu.
Congenital hydronephrosis
Wani lokaci saukowa na fitsari yana damuwa akan bambance-bambance daban-daban a cikin tsarin fasalukan fitarwa. Hydronephrosis a gefen dama da hagu an gano shi tare da irin wadannan cututtuka:
- ƙuntatawa na urinary tubules;
- Ƙarin tsari, shinge da bawul a cikin urinary fili;
- Hanyar sarrafawa;
- ƙuntattun abubuwa da ke ciki a cikin mafitsara, urethra, bango da ureteral lumen, pelvis;
- dyskinesia da ƙetare;
- ureterocele.
Hydronephrosis na koda mai kyau sau da yawa yakan fito ne daga tsarin da ba daidai ba na babban maganin magunguna ko manyan rassansa. Wani jirgi na jini mai ƙazantar da shi yana da siffar zobe da aka siffata ta mai lalata. Wannan "takunkumi" yana hana al'ada na yanzu da kuma kawar da ruwa mai zurfi, yana haifar da fadada kofuna da lohanok hagu ko koda.
Hydronephrosis a Ciki
Matsalar da ake la'akari da ita ita ce abin da ke faruwa a lokacin daukar ciki, musamman daga 2rd bishter. Hydronephrosis na koda a lokacin daukar ciki yana tasowa sakamakon sakamakon karuwa a girman girman mahaifa. Gininsa ya fara faduwa cikin sararin samaniya kuma danna kan mai lalata. Da karin miƙa cikin mahaifa, yawancin ruwa yana kiyaye shi cikin koda.
Digiri na hydronephrosis
Dangane da rashin lafiyar cututtuka da kuma tsananin bayyanar cututtuka, sau uku matakai na cutar sun bambanta:
- Hydronephrosis 1 digiri (wanda aka ƙaddara) yana nuna cikakken adana ayyuka na ƙwayar koda. A cikin ƙashin ƙananan ƙwayar ƙwayar fitsari yana tarawa, don haka ganuwar da calyx na kwayoyin ba su da ƙarfin tasowa.
- Hydronephrosis na digiri na biyu (wani ɓangare na biya) an haɗa shi tare da canji na kyallen takalma na koda da aka lalace kuma ragewa a cikin ayyuka ta 40-45%. Domin yin amfani da tsarin jin daɗin aiki a al'ada, aikin hawan kwayar lafiya mai haɓaka ya karu.
- Hydronephrosis na digiri 3 (m) shi ne rashin cin nasara koda. Saboda matsanancin aiki, jiki mai lafiya ba zai iya jurewa da haɗari da fitsari ba, kuma rashin lafiya na cigaba ya ci gaba. Idan ba tare da farfadowa ba, wataƙila mai yiwuwa ne sakamakon sakamako.
Hydronephrosis na koda - bayyanar cututtuka
Abubuwan da aka kwatanta suna da wuya tare da manyan alamu na asibiti. Girma da ƙayyadadden bayyanar cututtuka sun dogara ne da mataki na hydronephrosis, abubuwan da ke haifarwa da tsawon lokacin ci gabanta, ƙwarewar ƙwayar urinary. A farkon lokacin, yana da kusan yiwuwa a gano cutar, babu alamu na rushewa da tsarin ƙwaƙwalwa da koda mai kyau.
Hydronephrosis - alamun cututtuka na tsanani mai tsanani:
- rashin jin daɗi a cikin baya baya;
- wahala mai tsanani;
- hauhawar jini na waje;
- rage ikon iya aiki;
- Nausea;
- Ƙungiyar gwano;
- zazzabi;
- vomiting;
- launi;
- rare da ƙasa da yawan urination;
- ciwo a baya da ƙananan baya;
- kumburi;
- anemia.
Hydronephrosis - Sanin asali
Don tsammanin ƙwayar da aka yi la'akari da cewa likitan urologist zai iya yin gwajin jiki, a yayin da ake lalata, ƙaddara, ƙwarewa. Don tabbatar da hydronephrosis na kudancin hagu ko hagu, ana buƙatar gwajin gwaje-gwajen da dama:
- jini (biochemistry, electrolytes);
- fitsari (general, unfolded, bakpos);
- Samfurori daga Nechiporenko, Reberga, Zimnitskiy, Addis-Kakovsky.
A ƙarshe, don tabbatar da ganewar asali na "hydronephrosis na koda dama" aikace-aikacen kayan aiki:
- yanayin hotunan magnetic girma ko lissafin hoto;
- retrograde ureteropyelography;
- amintattun abubuwa ;
- duban dan tayi diagnostics;
- Alamar bayani;
- Maɗaukaki na ƙarshe;
- chromocystoscopy;
- Renoangiography;
- Pyelography;
- radioisotope tsauri nephroscintigraphy da sauransu.
Jiyya na koda hydronephrosis
Farfesa na farfajiyar da aka gabatar da shi an tsara su ne daban-daban ga kowane mai haƙuri. Yadda za a bi da hydronephrosis an zaba ta hanyar urologist daidai da yanayin yanayin cutar, da mummunan bayyanar cututtuka, dalilin matsalar tarawa. Babban ayyuka na maganin warkewa:
- kawar da ruwa mai yawa daga urinary tsarin;
- yin rigakafi na yadawa da ƙwayar koda ta hakika da yaduwar jikinsa;
- normalization na fitsari bayyanar;
- kawar da dalilai masu tayar da hankali na aikin raguwa.
Hydronephrosis - magani ba tare da tiyata ba
Anyi amfani da farfadowa na Conservative kawai a farkon farkon cutar, lokacin da ake aiwatar da aikin urinary. Kwayar cututtuka "hydronephrosis" ya shafi yin amfani da magungunan cututtuka da dama na kungiyoyin:
- anti-mai kumburi - ketoprofen, Ibuprofen, Tenoxicam;
- anesthetics - Ketorolac, Naproxen, Indomethacin ;
- maganin rigakafi - Sumamed , Flemoxin Solutab, Clindamycin;
- hypotensive - Metoprolol, Physiotens, Albarel da sauransu.
Yin amfani da magungunan kantin magani ba hanya ce mai mahimmanci don magance koda ba. An wajabta magani a kan rana ta tiyata don tabbatar da yanayin, inganta lafiyar mai lafiya da kuma hana kamuwa da cutar urinary. Ba tare da wata hanya ba, za a ci gaba da ilimin lissafi.
Hydronephrosis - aiki
Za'a gudanar da zafin zabi mai mahimmanci mai mahimmanci ne kawai bayan ganewar ganewa. Na farko, yana da muhimmanci a gano dalilin da yasa hydronephrosis ya faru - an bunkasa lafiyar ne bisa ga abin da ya faru. A gaban duwatsun ko yashi a kyancin hagu, an ba da shawarar ƙaddamar da su (lithotripsy). An yi amfani da magudi ta hanyar amfani da tasirin ultrasonic da kuma rawanin radiyo.
Idan hydronephrosis na dama (hagu) koda yana haifar da ciwon sukari, an yanke shawara a kan hanyar da ake ciki na tumo. Bugu da ƙari, za a iya aiwatar da maganin radiation da kuma sinadaran. Sau da yawa, ba zai yiwu a cire kawai ƙwayar tumatir da metastases ba, don haka likitan likita ya bada shawara na gaba ko kuma cikakken sakon kwayar da aka samo shi, tare da magudi na daidai koda.
Tare da ciwon daji a cikin ci gaba da tsarin urinary, an yi filastik. Irin wannan aikin ana nufin mayar da al'ada na yanzu. A lokuta masu tsanani, yayin da hydronephrosis ke kaiwa ga ƙin ƙin ƙwayar koda, akwai hatsari na rikitarwa a madadin kamuwa da maye tare da samfurori na fitsari na fitsari, dole a cire sashin jikin (nephrectomy).