Phantse bonke abesetyhini, ngokukodwa xa beselula, ubuncinane kanye babhekana nezifo ze-urinary system. Emva kokuhlolwa okucokisekileyo, i-hydronephrosis yeentso zivame ukutyhilwa - yintoni na, ngelishwa, oogqirha abayicacisi ukuba bayichaze, beshiya isigulane ngokungazi ngokupheleleyo. Nangona kunjalo, kubaluleke kakhulu ukuba unolwazi olunjalo, kuba ulwazi olunokwethenjelwa lwe-pathology nokuqonda kwesifo sakhe luyinxalenye ebalulekileyo yonyango oluphumelelayo.
Ziziphi izifo zesifo se-hydronephrosis?
Ukugula phantsi kwengqalelo, eqinisweni, kukuguqulwa kweengtso.
Ngenxa yokuphulwa kokuphuma komchamo, kwaye, ngokufanelekileyo, ukugcinwa kwayo kwimizimba ye-excretory system, kukho ukunyuka kwengcinezelo (i-hydrostatic) kwi-pelvis kunye ne-calyces yeentso. Ngenxa yolu meko bawandisa, oko kukuthi, kubangela ukucima imithana yegazi, ukungonakaliswa kwesondlo sezitho, ukusebenza kwazo, ukuphuhliswa kweenkqubo ze-atrophic parenchyma.
Kwiimeko ezininzi, kukho i-hydronephrosis yesifo esisodwa. Oku kubangelwa kukuba, ngokuqokelela kwegazi emzimbeni kwelinye lamalungu, okwesibini kuthatha umthwalo ophindwe kabini ekususweni kwamanzi, ukuhlawulela ukungasebenzi.
I-hydateral hydronephrosis yeentso, njengomyalo, ikhula malunga nesifo seziganeko zangaphambili ze-urinary system, eyaphumelela kuzo zombini izibini ezibini.
Izigaba ze-kidney hydronephrosis
Ngokubhekiselele kumlinganiselo apho iinjongo ezilinakele zingenza imisebenzi yayo ngqo, izigaba ezintathu zezichazi zichazwe:
- Kwakukho ukwanda kwendawo yeplavic yelungu. Iinjongo ngokwazo azizange zenze utshintsho, okanye zingabalulekanga kwaye azichaphazeli ukusebenza kwayo.
- I-pelvis iphakanyiswe ngokubanzi kunye nokutyunjwa kweendonga zayo ngokufanayo. Ngelo xesha, ubukhulu beengso bonyuka (malunga ne-18-20%). Ikhono le-pelvis ekuphumeni umchamo lukhulu kakhulu, njengokuba kusetyenziswe iinjongo - ukususela kuma-20 ukuya kuma-40%.
- Ukwandiswa okunamandla, njenge-pelvis, kunye neekomityi, ngenxa yeenjongo zeentliziyo ezinjengekamelo eliphezulu. Ubukhulu belilungu landa ngeqela eli-1.5-2. Kuphazamiseka okukhulu kwemisebenzi yezintso eziwonakele, ngo-70-80%. Kwiimeko ezinzima, ngokuqhelekileyo uyeka ukusebenza.
Ngenxa yokuxilongwa kwe-kidney hydronephrosis, iimeko ze-parenchyma (izicubu ezinobumba phezulu) zelungu azibalulekanga. Ngokuxhomekeke kubukhulu bomonakalo, lesi sifo si-3 degrees:
- I-parenchyma igcinwe ngokupheleleyo.
- Izilonda zamathambo azibalulekanga.
- Umonakalo omkhulu wegobolondo.
- Iintsholongwane ezingasebenzi, ukungabikho kwe-parenchyma.
Iimpawu kunye nezizathu zezintso ze-hydronephrosis
Ubunzima bokubeletha buya kubangelwa ngenxa yezinto ezinjalo:
- ukungasebenzi kweendawo zeerthari kunye namagatsha ezintso;
- ukuphazamiseka kwendlela yokucoca;
- indawo engafanelekanga yendawo yokuhlaziya;
- iiplavesi, izakhiwo eziqhenqileyo;
- i-dyskinesia yephepha lomchamo.
Izizathu ze-hydronephrosis ezifunyenwe emva kokuzalwa zi:
- izicubu zesisu kunye nomlomo wesibeleko, ama-ovari;
- urolithiasis;
- Ukunciphisa umchamo we-urinary emva kokulimala;
- izifo ezinokuvuthayo zamalungu omzimba we-urinary nokuzala;
- umonakalo kwintambo yomthambo;
- Ukungena kwe-Malignant, i-metastase kwi-pelvis encinci okanye indawo ye-retroperitoneal;
- i-neoplasm ye-urinary tract.
Njengomthetho, ukuqhubela phambili kwe-hydronephrosis kungabonakali kwisigulane. Isibonakaliso kuphela sesifo sesifo esibuhlungu, esinoko rhoqo, kungakhathaliseki ukuba sisikhundla somzimba kunye nexesha lemihla. Ngamanye amaxesha ukushisa komzimba kuphakama ukuba usulelekile. Kwiimeko ezinqabileyo, igazi lidityaniswe kumchamo.
Kwiimigangatho ezisekupheleni kwesi sifo, unayo yonke imbonakalo yeklinikhi yokuhluleka kwezintso.
Iyintoni ingozi yesifo seentso hydronephrosis?
Ukuhlolwa kwesifo kunokuba nzima nakwezinye izifo, eziyingozi kwimpilo nangobomi:
- sepsis ;
- ukuhluleka kwezintso;
- pyelonephritis ;
- urolithiasis;
- ukuphuka kwesikhwama se-hydronephrosis;
- xi nzelelo.