Isizathu sexesha elide, ukuvakalelwa okubuhlungu kwinqanaba lingaba lilitye e-ureter. Le meko ibonwa nge-urolithiasis, ukuphuma kwamatye. I-Pathology ingakhokelela ekuphuleni ukuphuma komchamo, obangela iklinikhi ethile.
Urolithiasis - yintoni le yabasetyhini?
Esi sifo, apho amatshe atholakala kwi-ureter kubasetyhini, ngokungafani nezinye iindawo ze-calculi (iinjongo, i-bladder), ibonakaliswe ngxaki ezinobungozi. Ngenxa yokuphula umthetho oqhelekileyo we-urine phantsi kwesenzo saso, ukukhishwa ngokuthe ngcembe kwimbumba ye-ureters kwenzeka. Ngenxa yoko, ukuphuma kwegazi kubonakala kwinqanaba elincinci, okubangela ukuba i-hypertrophic of muscle tissue, ukwephulwa kwenkqubo yokucoca. Ezi tshintsho zihamba kunye ne- urolithiasis .
Ukungabikho kwexesha elingapheliyo lonyango kubangela ukuqhubela phambili kwesi sifo, i-atrophy ye-nervous and muscle fibers, ukunciphisa kwi-tone ye-muscular ye-ureters kunye ne-bladder. Ngokuqhelekileyo xa i-membrane ye-mucous ibonakaliswe, ilitye e-ureter lenza ukuba usulele: i-pyelonephritis, i-cystitis ikhula. Esikhundleni somncinci omude, i-decubitus yenziwe, kunye nokugqithiswa kweendonga zenzeke, ezifuna ukungenelela okuphuthumayo.
Ilitye kwizizathu ezingabonakaliyo
Amatye e-ureter avela ngenxa yokufuduka kwabo kwi-bladder okanye izintso. Zinemilo ehlukeneyo kunye nobukhulu, isakhiwo kunye nokubunjwa kwazo kuyahluka. Ngokuqhelekileyo kwi-ureter, amatye angatshatanga, kwiindawo zokumelana nomzimba - inxalenye ye-pelvic-ureteric, kunye nomnqamlezo kunye nemithambo yegazi e-aliac. Ngokutsho kokugqithiswa koogqirha, kumatye agugu agcinwa, ububanzi bawo bungaphezulu kwe-2 mm.
Izizathu zokubunjwa kwamatye e-ureters zihambelana ngqo ne-urolithiasis. Ukubunjwa kweekhredithi kuququzelelwe ngolu hlobo:
- ukungondleki;
- umgangatho omgangatho wamanzi okusela;
- Izifo ezithathelwanayo ze-genitourinary system ( pyelonephritis , glomerulonephritis );
- ukugqitywa kokuphela kwebladder.
Ngokuqhelekileyo, i-urolithiasis ivela kwimvelaphi yezifo ezihamba kunye nokuphulwa kwe-urate, phosphate kunye ne-oxalate metabolism:
- gout;
- osteoporosis;
- ukulimala kwenkqubo ye-musculoskelet.
Ilitye kwiimpawu eziphazamisayo
Amancinci amancinci, angagqithisi i-lumen ye-ureter, angabonakali ngokwabo ixesha elide. Urolithiasis, iimpawu zazo ezingaphandle kwe-aggravation zifihliweyo, zingasaphazamisi isigulane ixesha elide. Kwamanye amaxesha, abafazi abanamaqela athathekayo abathintekayo beempawu zobunzima bomntu obunzima. Xa kukho ukuphulwa komkhuhlane, ophazamisa ilitye kwi-ureter, iimpawu kubasetyhini zifumana umlinganiso ocacileyo:
- intlungu ephosakeleyo ngokukhawuleza kwikhonkco yecalacholic-elial;
- isicefe
- ukuhlanza;
- ukuguquka;
- ukugcinwa kwesigxina;
- ukuxhatshazwa kwemisipha kwindonga yangaphambili.
Le symptomatology iyimpawu yecoal colic. Ikhula ngenxa yokuphazamiseka kwe-microcirculation kunye nezicubu zeengso. Oku kuqukumbela ukupheliswa kweentlungu, okubangela ukuhlaselwa kabuhlungu. Ngokuphindaphindiweyo ukuphuhliswa kwayo kuhambelana nokukhathazeka ngokomzimba, ukuhamba, ukukhwela kwizothutho - ilitye e-ureter litshintsha isikhundla sayo. Kwezinye iimeko, ukubonakala kwecoal coal kungakhupha isiselo esininzi.
Ilitye kwi-ureter - diagnostic
Abasetyhini abasisigxina esi sifo, banomdla oogqirha, nokuba i-ultrasound ibonakala kwi-ureter. Oogqirha bayaqaphela ukuba le ndlela yokuxilongwa yindlela ephezulu yokuqinisekisa ukuphulwa. Ngokuxilongwa kwe-ultrasound, oogqirha banako ukujonga ngeso lwakalo, ukugqiba indawo yee-concrements, ububanzi bayo bungaphezu kwe-1 mm. Ukutyhila i-ureterolithiasis, iimpawu ezingabikho, ezinye iindlela zokuxilonga zisetyenziswa:
- Uhlalutyo lomchamo jikelele (nqanaba izinga le-erythrocyte, i-leukocytes, iprotheni);
- igazi legazi;
- nkcubeko;
- Uvavanyo lwe-X-ray;
- urethroscopy;
- CT yeentso.
Ilitye linamathele kwi-ureter - kufuneka ndiyenze ntoni?
Le meko ihamba neentlungu ezinzima ze-paroxysmal, ngoko impawu zokuqala kufuneka zibizwa ngokuba yi-ambulensi. I-algorithm yonyango iphuhliswa ngokweziphumo zezifundo. Ngaphambi kokuba amatye e-ureter atyhidiwe, oogqirha bachonga indawo yabo, ububanzi, ubuninzi. Ngobunzima belitye kwi-ureter 2-3 mm, oogqirha banokuthatha ulawulo olulindelekileyo, ukuchaza izidakamizwa ezikhuthaza ukugqithiswa kwee-concrete kwi-genitourinary system (ilitye kwi-ureter ekhohlo). Kule nto iphelile, i-ureter ifakwe nge:
- Papaverine;
- Glycerol;
- Procaine.
Ukuchithwa kwamatye kwi-ureter
Ukunciphisa ubukhulu belitye kuvumela ukukhutshwa kabuhlungu kweenxalenye zayo ngaphandle. Ukutyunjwa kwamatye kwi-ureter nge-ultrasound yindlela eqhelekileyo. Ukongeza kuyo, ezinye iindlela zingasetyenziswa:
- laser lithotripsy;
- i-electrohydraulic lithotripsy.
I-lithotripsy ekude kunye ne-ultrasound yindlela elula kwaye ayibuhlungu. Ngelo xesha, i-wave frequency wave wave ifakwe kwingingqi ye-ureter apho ilitye likhona khona. Ngaphantsi kweempembelelo zabo kukho ukuphazanyiswa kwisakhiwo samatye, aphule kwiindawo. Ngenxa yoko, ngexesha, kukho ukuphuma okuzimeleyo kweengxenye ze-calculus ngaphandle ngaphandle kwamaphecana amanzi.
Ilitye liphuma njani kwi-ureter?
Ilitye elingaphantsi kweyesithathu le-ureter kaninzi lubangele izifo ezibangelwa yi-dysuric disorders. Ubuqili babo bunyuselwa kukufuduka kwe-calculus. Izigulana zikhula ngokuphindaphindiweyo, isithintelo esingaphendulwanga sokukhupha. Zihamba kunye nevakalelo zengcinezelo enamandla kwingingqi ephezulu ngaphezu kwe-pubis, ebangelwa ukucaphukisa i-receptors ye-bladder. Kwi-80-90% yamatyala, ilitye emlonyeni we-ureter livusa i-macrohematuria-ukubonakala kwegazi kwindawo yomchamo. Ngomlinganiselo omncinci wetye emva kokuphuma kwayo, ukuhlaselwa kuyayeka.
Iinkcazo zonyango lotyando lwe-urolithiasis
Ukuba umfazi akanalo ilitye elinye kwi-ureter, unyango lwamachiza lunqabile lunikezela. Oogqirha beli gama banokungenelela ukungenelelo. Inkqubo yokungenelela ngophakanyiso ichongiwe ngesiseko semiboniso yekliniki kunye nesimo somguli. Izibonakaliso eziphambili zokusebenza zi:
- Amatye anesisindo esingaphezulu kwe-1 cm.
- Ubungqina bentsholongwane engazange ibolekise kwi-antibacterial therapy.
- Ukuhlaselwa okunamandla, okungaxilwanga kwecoal colic.
- Ukuvalwa kwesifo esisodwa.
- Akukho mpawu kwi-lithotripsy.
Ukusebenza ukususa ilitye kwi-ureter
Xa umsebenzi uqhutyelwa, ilitye e-ureter lisuswa ngokufikelela ngqo kuyo. Ngokuqhelekileyo, ukungenelela okutyathwayo kutyunjelwe kwimeko yokuvalwa okupheleleyo kwe-urethra ukuba ilitye linamathele kwi-ureter, usulele okanye utyumla kwiphepha le-urinary. Umsebenzi uwenziwa phantsi kwe-anesthesia jikelele, i-laparoscopy. Emva kokuvulwa kwendawo yokubuyisela i-retroperitoneal, ugqirha uyasusa ilitye kwaye ihlolisise ubuchule bomchamo. Ukuba akunakwenzeka ukufikelela i-calculus ngaphandle kokulimaza ilungu, susa ilitye kwi-ureter emva kokuyifaka kwi-bladder.
Ukutya kunye ne-urolithiasis
Ngoxilongo lwe-urolithiasis, unyango luqala ngokulungiswa kokutya. Njengoko kuphawuliwe ngasentla, ezinye iimveliso zenze igalelo ekubunjweni kwamatye amatsha kunye nokukhula kwazo. Ukususela ekudleni kufuneka kubandakanyeke iimveliso eziqukethe i-oxalic acid:
- iklabishi;
- isipinashi;
- parsley;
- currant;
- sorrel.
Kule meko, ukwandisa inani lemveliso equkethe i-vitamin A (izaqathe, ithanga). Kubalulekile ukuqapha umthamo wokusetyenziswa kwamanzi, ukutya okungenani ii-2 ilitha zamanzi ngosuku. Oku kunceda ukunciphisa uxinzelelo lomchamo, kuphelisa ukuqokelela kweetyu kwizintso. Ityuwa yokupasa iyalingwa ngokupheleleyo ukuba ingabandakanyi kwizinto zokutya ukuze kuququzelele impilo yakho kwaye ikhawuleze inkqubo yonyango.