Ngenxa yintoni eyenza i-pyeloectasia?
Izizathu eziphambili zokuba umntwana usine-pelvis ephakamileyo yile:
- umphumo wezinto ezinobuthi kunye nezinto ezinobungozi kumzimba wesifazane kwimeko;
- i-genetic predisposition to disruption;
- Ukunciphisa i-ureters, ngenxa yokuba umchamo awushiyi ngokupheleleyo iinjongo, kodwa uqokelela ngaphakathi kwilungu, ukwandisa ngobukhulu;
- i-reflux ye-vesicoureteral (ukuphazamiseka kwevavve, ngokuqhelekileyo ayiyi kuvelisa ukuhamba komchamo we-urine kwi-vestile ukuya kwi-pelal pelvis);
- i-megourater - ukwandiswa kwe-canal ekhoyo kwi-ureter ngokwayo;
- uxinzelelo olwandisiweyo kwi-bladder.
Iyintoni intliziyo ekhutshweyo kwi-diagnostic child?
Ukusekwa kwesi sifo kubonakala rhoqo nge- ultrasound ngexesha lokukhulelwa, kwiiveki ezi-16 ukuya kwe-18. Ukuba eli pharamitha lidlula iiparitha ezivumelekile, ugqirha kwi-ultrasound nganye elandelayo ubeka iliso lomzimba.
Ukufumana ingqalelo ngokubanzi kwengxaki yokugula, abantwana abazalwa bavele benesiphelo, i-urrography, i-blood jikelele kunye nokuhlolwa komchamo.
Ingaba le ngxaki iphathwa njani kubantwana?
Ukunyangwa kwe-pyelonectasia kubantwana kwenziwa ngokuqwalasela ubunzima, ubunzima besifo. Kungakhathaliseki ukuba i-pelvis yesinxele okanye iphoso efanelekileyo ikhulisiwe (yandisiwe) kumntwana, okanye zombini, i-degrees of impairment i-3 degrees.
Okwesibini, uvavanyo oluxakekileyo lwe-urological lwenziwe ngokusekwa kwezizathu zesifo. Kule nqanaba, kukho amathuba aphezulu okusuleleka, ngoko ke, izenzo zogqirha zijoliswe ekuthintela ukubeka iliso ngokuqhubekayo kunye nokutyunjwa kwama-diuretics kwi-dose encinci (Aldakton, Urakton, Spironolactone).
Kwinqanaba lesithathu, xa isifo sifundekile yi-pyelonephritis, iicacaconphritis zixhomekeke kumlinganiselo wesilonda. Isiseko sonyango izidakamizwa zesifo sengculaza (Zinatsef, Ketotsef, Klaforan), uroantiseptics (Nevigramon, Palin).
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