Phakathi kwezifo ezahlukileyo ze-genitourinary system, i-reflux ye-vesicoureteral ebantwaneni yinkathazo enkulu kwiyeza zanamhlanje. Esi sifo sinika ukuphazamiseka okukhulu kwabagulayo kwaye kungekho unyango olwaneleyo kunokukhokelela ekukhubazekeni.
Ukuxilongwa kwe-DMR kumntwana - yintoni na?
I-urreder ureter reflux okanye iifriviated PMR yinkqubo xa umchamo ungena e-urea ngesizathu esithile ubuyela kwi-renal pelvis okanye i-stalent in the ureter. Isimo esinjalo senza ukuba usuleleke kwi-pyelonephritis, kwaye kwimeko embi kakhulu, ukuxubha kweentso. Kwezinye iimeko, i-reflux ye-vesicoureteral kubantwana ikwazi ukudlula ngokwayo, nangona ngeli xesha kwiintso kukho iinkqubo ezonakalisayo. Kwimeko ezininzi, kufuneka unyango olude okanye unyango olude.
I-reflux ye-Bladder-ureteral-causes
Isifo esingenabungozi se-reflux ye-vesicoureteral, izibangela zokuba zingabomama kwaye zifunyenwe, zibonakaliswe ngokuphulwa kwenkqubo yemigodi ekhoyo kwi-ureter. Izifo ngo-70% zamatyala zifunyanwe kubantwana abangaphantsi kwe-1. Ukungahambelani kwe-valve kwi-ureter kungabini kokuzalwa-PMR oyintloko, kunye nokufunyanwa - i-PMR yesibini. Kwimeko yesibini, izimbangela ziyi- cystitis (engapheliyo), ekhokelela ekugqibeleni komlomo kwisigxina kunye nokunciphisa amandla alo okugcina ngenxa yenkqubo eqhubekayo yokuvuvukala.
Umlinganiselo we-reflux ye-vesicoureteral kubantwana
Isifo sisifo se-reflux ye-vesicoureteral, iqondo elibaluleke kakhulu, elinoxhaswa kunyango kuxhomekeke kwisigaba. Izicubu ezincinci ezithintekayo kwi-vesicoureteral reflux kubantwana abachaphazelekayo, amathuba amakhulu okufumana umntwana. Yahlula:
- I-degree - umchamo uwela kuphela kwinxalenye ye-pelvic ye-ureter, ngaphandle kokuhamba phambili.
- I-II degree - ukuphuma komchamo kubonakala kuyo yonke i-ureter kunye nxalenye ye-pelal pelvis.
- I-III degree - eli nqanaba libonakaliswe ukwanda kwentlava, apho umchamo uphoswa khona, ngaphandle kokwandiswa kwe-ureter.
- I-IV degree-renal pelvis kunye ne-ureter zineenguqu ezibalulekileyo ngendlela yokwandisa.
- I-degree - ukunqunyulwa kweendonga zeentso ngenxa yokukhupha umchamo kwaye ngenxa yoko - ukuxubana kunye noxinzelelo lwemisebenzi.
Ukongezelela, ubunzima besifo sele bugwetywe ngokunciphisa umsebenzi wezintso. Yahlula:
- reflux ye-vesicoureteral ye-degree ye-1 - xa utshintsho luncinci kwaye umsebenzi wezintso awuchaphazelekayo;
- I-2-degree ye-reflux ye-vesicoureteral kubantwana ibonakaliswe ngokunciphisa ukusebenza kombutho odibeneyo ngo-30%
- I-degree-3 ye-reflux ye-vesicoureteral - xa izintso zisebenza kwi-60% yamandla apheleleyo;
- I-degrees 4 ye-vesicoureteral reflux iyona nqanaba elibi kakhulu yesifo, kuba umsebenzi wezintso uncitshiswe ngaphaya kwama-60%.
I-urreder ureter reflux kubantwana - iimpawu
I-refrex ye-ureteral kubantwana inezibonakaliso zesimo sesi sifo, ngamanye amaxesha esithathwa kwi-symptomatology ye- pyelonephritis . Ukukhawuleza xa kunokwenzeka ukukhulula imeko yentsana egulayo, kufuneka ufake isicelo sokuxilonga kumagqirha abafanelekileyo. Abazali mabaxelelwe ukuba umntwana ukhononda malunga:
- intloko;
- ukuvuvukala;
- u kuziva unxanwa;
- zixakeke kwiindawo ezinqeni;
- uxinzelelo lwegazi oluphezulu;
- ukunyuka kwamaqondo okunyuka;
- intlungu emva kokucoca
- utshintshe umbala we-urine (utywala, ubumnqama).
Isambatho kunye ne-refrex ye-refrex - ukuxilongwa
Ukuze uhlolisise i-MTCT kumntwana, kufuneka ufumane iklinikhi enokuzikhethela kwi-urology yabantwana. Oogqirha benza izinto ezinzima zeemviwo ukwenzela ukuba bafumane isiganga sesifo:
- uviwo oluphambili ngudokotela we-urologist nokwenza i-anamnesis;
- Uhlalutyo jikelele lomchamo ;
- uhlalutyo lwe-bacteriological umchamo (bakopsev);
- I-Ultrasonography yeentso kunye nezitho ezikufutshane esebenzisa iDoppler;
- ukuskena kweprogram ye-genitourinary;
- i-cystoscopy;
- urethrocystography;
- i radiography.
I-reflux ye-vesicoureteral iphathwa njani?
Isifo esinjalo njengesifo se-vesicoureteral reflux kubantwana, unyango lwabo lunokuhlala ixesha elide, luneentlobo ezimbini-ezikhutheleyo kunye ezingabonakaliyo. Kwimeko yokuqala, i-reverse casting of urine ivela kuphela ngokucoca, kwaye okwesibini, le nkqubo ayixhomekeke kwizizathu zangaphandle. I-reflux ye-Vicicrareteral iphathwa ngokuphumelelayo kubantwana, ingakumbi ngexesha elidala. Uphili phantse i-100%. Kukho iintlobo ezimbini zonyango - olulondolozayo nolugqirha. Izicwangciso zesithuba:
- unyango;
- ukuchaza izidakamizwa ukunciphisa uxinzelelo;
- kuthatha i antibiotics;
- phytotherapy;
- i-acupuncture;
- i-catheterization yehoraji ye-bladder;
- electrophoresis.
Ingenelelo yokuphanda iboniswe ukuba:
- ezinye iindlela zonyango azisebenzi;
- Ukongeza kwi-reflux, kukho ukungaqhelekanga kwesakhiwo sephepha lomchamo;
- ukuphinda kuphelelwe yintsholongwane ye-urinary engaphenduliyo unyango lwe-antibacterial.
Isambatho kunye ne-ureter reflux kubantwana - iingcebiso zeklinikhi
Ngenxa yokuba ukungabonakali kokungabonakaliyo kubantwana kubonwa njengengxaki enkulu yezobisi kunye ne-state, ubuchwepheshe bezobugcisa bexesha lwakhona luphuhliswa kwaye luqaliswa. I-II ne-II degree yesifo eso siphathwa ngokungagqirha, okwangama-65% amatyala anika amandla onamandla. Kodwa ukuba inkqubo yokuvuvukala ayikwazi ukunqunyulwa, kwanezi zigaba kunconywa ukwenza umsebenzi ophantsi osihlungu oza kuwulibala ngonaphakade ingxaki.
Ukulungiswa kwe-Endoscopic ye-reflux ye-vesicoureteral kubantwana
Indlela ekhoyo yanamhlanje kunye neyobuchule, enokukwazi ukunqoba i-reflux ye-vesicoureter 97% yintsebenzo ebizwa ngokuthi "endoscopy". Kuye, i-endoscope ekhethekileyo yocandelo, ukungenelela okuphazamisayo, okuphela kwemizuzu eyi-15 kuphela. Yonke inkqubo iphantsi kwe-anesthesia ye-mask kunye neentsuku ezingama-3-4 isigulane esincinane esele sichazwe kwikhaya lononophelo lwangaphantsi.