Ryari Wagombye Kwitaho Ingene Impfubyi Y'umubyimba Ifite Ubunini?

Impfubyi nyinshi z'umubyimba zigeraho sentimetero eshatu ntizishobora kwangiza kandi ntizikenera ubuvuzi. Ni byo koko, abantu benshi bagenda bafite izi mpu pu nto z'amazi mu bibyimba byabo kandi ntibigeze babimenya. Abaganga bahitamo kwitondera cyane iyo impfubyi imeze hejuru ya sentimetero 3 kugeza kuri 4, cyane cyane niba igaragaza ibintu bidasanzwe cyangwa igatera ibimenyetso.

Impfubyi Y'umubyimba Ni Iki?

Impfubyi y'umubyimba ni urusabo rwa ruhande ruzuzuye amazi ruvuka ku cyangwa mu mubyimba wawe. Tekereza nk'ikintu cy'umufunzo w'amazi w'umufunzo upfa ku gice cy'umubyimba. Izi mpfubyi zifite inkuta nto kandi zikozweho amazi, ibintu bisukuye.

Impfubyi z'umubyimba zirasa ni zikomeye, cyane cyane uko ugenda usaza. Kugeza ku myaka 50, hafi umuntu umwe kuri batatu afite impfubyi imwe y'umubyimba. Kugeza ku myaka 70, iyo mibare iriyongera hafi ya kimwe cya kabiri cy'abantu bakuru bose. Benshi muri aba ni ibyo abaganga bita impfubyi zisanzwe, bivuze ko zidakanganye kandi ntizigera zigira ikibazo.

Imibyimba yawe ishobora kugira impfubyi nta mpamvu yihariye. Zivuka igihe uruhande rw'inyuma rw'umubyimba rutakara kandi rukora urusabo ruzuzwa n'amazi. Uyu muryango ugenda wihindura uko ugenda usaza kandi ntibivuze ko hari ikibazo ku mikorere myiza y'umubyimba wawe.

Ni Kuki Impfubyi Y'umubyimba Itera Kwitonderwa?

Impfubyi z'umubyimba zihinduka zishobora gutera kwitonderwa iyo zikanyuze kuri sentimetero 3 kugeza kuri 4 z'uburebure. Ariko, ubunini ubwarwo ntubushyira mu kaga. Impfubyi isanzwe ya sentimetero 5 ifite inkuta zihwanye n'amazi asukuye ishobora gutera kwitonderwa kuruta impfubyi ya sentimetero 2 ifite inkuta zikomeye cyangwa ibintu bidasanzwe.

Abaganga bakoresha uburyo bwo gushyira mu byiciro bita Bosniak kugira ngo bashyire mu byiciro impfubyi z'umubyimba. Ubu buryo bureba uko impfubyi yagaragara mu mashusho, atari ubunini bwayo gusa. Impfubyi zisanzwe zihabwa igice cya Bosniak 1, bivuze ko zidasanganywe, zivuye ku bunini bwazo. Ibyiciro 2 kugeza 4 birimo impfubyi zifite ibintu bidasanzwe bihungabanya bihitamo kwitonderwa cyane.

Iyo impfubyi igeze kuri sentimetero 4 kugeza kuri 5, umuganga wawe azashaka kuyikurikiranira hafi. Ku bunini bumeze gutyo, impfubyi zisanzwe zigera aho zigatera ibimenyetso mu kwitsinda ku bice biyegereye. Impfubyi zikomeye kuruta sentimetero 5 zifite amahirwe menshi yo gutera uburibwe cyangwa ibibazo, nubwo benshi bagikomeje gutera ibimenyetso.

Impfubyi nini cyane, izigeraho sentimetero 7 kugeza kuri 10 cyangwa zirenzeho, zihitamo guhabwa ubuvuzi. Izi zishobora kwitsinda ku bice by'umubyimba wawe, imitsi ijyana amaraso, cyangwa ibindi bice. Zishobora kugira ingaruka ku mikorere y'umubyimba wawe cyangwa gutera ububabare burambye. Ariko nanone, ibyemezo by'ubuvuzi biterwa n'ibimenyetso n'imiterere y'impfubyi, atari ubunini gusa.

Ni Iki Gitera Impfubyi Y'umubyimba Kugaragara Ko Iri Mu Kaga Kuruta Ubunini?

Inyubako y'imbere n'imiterere y'impfubyi bifite agaciro kuruta imibare yayo. Abaganga bareba neza ku bintu byihariye byashobora kugaragaza ikibazo. Ibi bimenyetso byo kwitondera bifasha gutandukanya impfubyi zidashobora kwangiza izo zigomba guhanganira.

Hano hari ibintu abaganga bafitamo kwitondera mu gushyira mu mucyo impfubyi z'umubyimba, buri kimwe cyiyongera ku ishusho yose y'ikaga:

• Inkuta zikomeye cyangwa zidasanzwe aho kuba iziciriritse, zihwanye n'inyubako y'impfubyi ishobora kuba ihanganye kuruta urusabo rusanzwe rwuzuye amazi.

• Septations, ni inkuta zo hagati zituma impfubyi igabanyamo, ishobora kugaragaza inyubako ihangananye.

• Calcifications cyangwa amabuye mu nkuta z'impfubyi rimwe na rimwe agaragara mu mpfubyi zidashobora kwangiza n'izishobora kwangiza.

• Ibice bikomeye cyangwa ibibyimba mu mpfubyi aho kuba amazi asukuye byongera urujijo ku bw'ubwiyongere bw'ibice bidashobora kwangiza.

• Kwiyongera hamwe n'ibishushanyo by'amaraso mu gihe CT cyangwa MRI bihuza amaraso menshi, bishobora kugaragaza ibice bifite ubuzima bihitamo gusuzumwa.

• Igitera impfubyi cyangwa ibice byo hanze aho kuba igishushanyo cyihwanye, ishobora kugaragaza impfubyi ikura mu buryo bidasanzwe.

Iyo umuganga wawe abona kimwe cyangwa byinshi muri ibi bintu, azashyira impfubyi mu gice cya Bosniak cyo hejuru. Ibi ntibivuze ko ari kanseri, ariko bivuze ko ukeneye kwitonderwa cyane cyangwa kwipimisha kugira ngo wumve ibyo uhanganyemo.

Impfubyi Z'umubyimba Zishobora Gutera Ibimenyetso?

Impfubyi ntoya z'umubyimba ntizigera zatera ibimenyetso kandi ntizigera. Ushobora kugira impfubyi ntoya nyinshi kandi ukumva utameze neza. Ibyimenyetso bikunze kugaragara iyo impfubyi imeze cyane ku buryo itsindira ibice byegereye cyangwa iyo ibibazo bibaye.

Iyo ibimenyetso bigaragara, bikunze kugaragara gahoro gahoro uko impfubyi igenda yiyongera mu mezi cyangwa mu myaka. Ushobora kubona ububabare buciriritse mu rubavu, inyuma, cyangwa hejuru y'igifu. Ubu bubabare busanzwe buguma buciriritse kandi buza bugasohoka aho kuba burambye.

Rimwe na rimwe impfubyi itera ibibazo byinshi iyo igeze ku bunini bwa ngombwa cyangwa igatera ibibazo. Reka ngusobanurire ibimenyetso bishobora kugaragara, wumve ko gutera ibi bimenyetso ntibivuze ko hari ikintu kibi kibaye, ahubwo ko umubiri wawe urimo kubwira impfubyi ko igomba kwitonderwa:

• Ububabare mu rubavu cyangwa inyuma bwumvikana buciriritse, burushaho kwiyongera mugihe ugenda cyangwa ufite imyanya imwe n'imwe.

• Kumva ufite igikoresho cyangwa igitutu mu gice cyo hejuru cy'igifu, cyane cyane iyo impfubyi imeze cyane.

• Amaraso mu nkari, ashobora kugaragara nk'umutuku, umutuku, cyangwa umuhondo niba impfubyi yiyongereye mu buryo bw'imbere.

• Inshwe n'ububabare bukomeye niba impfubyi yanduye, igatuma ibintu bishobora kwitwarwa vuba.

• Kudahagaza amaraso yiyongera cyangwa yariyongereye kuko impfubyi nini itsindira imitsi cyangwa ibice by'umubyimba.

• Kujya inkari kenshi cyangwa kumva ko uruhago rwawe rutagera ku mpera mu gihe impfubyi nini itsindira imisemburo yawe.

Ibi bimenyetso bikwiye kwitwarirwa na muganga, ariko ntibivuze ko uri mu kaga ako kanya. Benshi bashobora gusuzumwa kandi bakagera ku buvuzi bushobora gukoreshwa hamwe mugihe umuganga wawe yumvise uko ibintu bihagaze. Ndetse n'iyo ibimenyetso bigaragara, uburyo bw'ubuvuzi burahari kugira ngo bugufashe kumva neza.

Ni Ni Ibibazo Ni Ibibazo Bashobora Kugira Ku Impfubyi Z'umubyimba?

Nubwo impfubyi nyinshi z'umubyimba zidakunda kugira ikibazo, ibibazo byabaho mu bihe bidasanzwe. Kumva ibi bishobora gutuma wumva igihe ikintu kigenze neza. Ndetse n'iyo ibibazo bibaho, bikunze kugenda neza hamwe n'ubuvuzi bukwiye.

Indwara ni kimwe mu bibazo bishobora kuba, nubwo bitagenze kenshi. Impfubyi ishobora kwandura niba bagiteri bagezeho binyuze mu maraso yawe. Iyo ibi bibaye, uzumva uri nko mu bihe bikomeye ufite inshwe, imirara, n'ububabare bukomeye mu rubavu cyangwa mu mugongo. Iyi miterere ikeneye antibiyotike kandi rimwe na rimwe ikwirakwiza amazi afite indwara.

Kwishyira mu mpfubyi cyangwa mu mpfubyi bikunda kuba, cyane cyane ku mpfubyi nini. Ushobora kubona amaraso mu nkari zawe cyangwa kumva ububabare budasanzwe mu mugongo cyangwa mu rubavu. Benshi mu barwayi bacika, ariko ububabare bukomeye bushobora kwitabaza ubuvuzi. Iki kibazo nticyangiza ubuzima bwawe, ariko ishobora gutera ubwoba iyo kibaye.

Impfubyi ishyishya ni ibindi bidasanzwe aho inkuta z'impfubyi zishobora kuvunika. Impfubyi ntoya ntizigera zatera ibimenyetso kandi zigakira. Impfubyi nini ishobora gutera ububabare budasanzwe n'amaraso mu nkari zawe. Umubiri wawe uba uhuza amazi mu buryo busanzwe, nubwo ububabare bukomeye bushobora kugutera kwitabaza ibitaro byihutirwa.

Kenshi cyane, impfubyi nini cyane ishobora guhagarika gutembera kw'inkari z'umubyimba wawe. Ibi bibaho iyo impfubyi imeze cyane ku buryo ihagarika umuyoboro utwara inkari mu mubyimba wawe ujya ku ruhago rwawe. Ushobora kugira ububabare, indwara z'umubyimba, cyangwa kwangirika kw'umubyimba mu gihe ihagarara ridafashwe. Abaganga bashobora kubona iki kibazo binyuze mu mashusho kandi bakagusaba ubuvuzi bukwiye.

Mu bihe bidasanzwe, impfubyi ishobora kwitsinda ku bice by'umubyimba bihagije kugira ngo bigire ingaruka ku mikorere y'umubyimba. Ibi bikunze kuba ku mpfubyi nini cyane cyangwa iyo ufite impfubyi nyinshi zizuye umubyimba wawe. Umuganga wawe akurikiranira imikorere y'umubyimba binyuze mu bipimo by'amaraso, kandi ubuvuzi bushobora gufasha kubungabunga ubuzima bw'umubyimba niba iki kibazo cyiyongera.

Ni Kangahe Wagombye Kwitondera Impfubyi Z'umubyimba?

Impfubyi zisanzwe, ntoya z'umubyimba ntizigera zikeneye gusuzumwa. Niba umuganga wawe yasanze impfubyi isanzwe munsi ya sentimetero 3 ifite ibimenyetso byose by'impfubyi isanzwe, azakubwira ko uyireka. Nta gusuzumwa bisobanura ko nta kibazo.

Ku mpfubyi zisanzwe zikomeye gato, umuganga wawe ashobora gusaba ikizamini kimwe cyo gusubiramo nyuma y'amezi atandatu kugeza ku icumi n'abiri. Iki kimwe gusubiramo kimwe kiboneraho ko impfubyi ikomeje kuba impfubyi kandi ikomeje kugenda neza. Niba nta kintu cyahindutse, ubusanzwe ntukenera gusuzumwa. Umuganga wawe atekereza ko impfubyi zidasanzwe zidasanzwe zigenda zikomeza kugenda mu buryo budasanzwe.

Impfubyi zikomeye zikeneye kwitonderwa cyane bishingiye ku gice cyazo cya Bosniak. Impfubyi za Bosniak 2 zishobora kwitabaza amashusho buri mwaka mu myaka mike kugira ngo zishobore kumenya ko zikomeje kumeze neza. Impfubyi za Bosniak 2F, aho F isobanura gusubiramo, zikeneye kwitonderwa buri gihe mu mezi atandatu kugeza ku icumi n'abiri kuko zerekana ibimenyetso bishobora guhinduka uko ugenda.

Impfubyi zo hejuru, Bosniak 3 na 4, zihitamo gusuzumwa kwa muganga. Izi mibare yerekana ko hari kanseri ishobora kuba irimo, bityo abaganga bakagusaba kuyivanaho cyangwa nibura kwipimisha. Iyi nzu ituruka ku bw'umubare munini w'ubwitonzi aho kuba ubwumvikane ko kanseri ihari.

Ryari Abaganga Basabira Ubuvuzi Impfubyi Z'umubyimba?

Ubuvuzi bugomba kuba ngombwa iyo impfubyi itera ibimenyetso bikomeye bihindura ubuzima bwawe. Ububabare buhindura imirimo ya buri munsi, indwara ziyongera, cyangwa kuruka amaraso kenshi ni impamvu zihamye zo kwita ku buvuzi. Intego ni uguhindura uko wumva kandi ugakumira ibibazo by'ejo hazaza.

Umuganga wawe ashobora no gusaba ubuvuzi niba impfubyi imeze cyane ku buryo ihindura imikorere y'umubyimba. Iyi miterere ni iy'ibidasanzwe ariko ikomeye yo kwitwarira. Kubungabunga ubuzima bw'umubyimba wawe ni byiza, bityo kwivana ku mpfubyi ihanganye bifite akamaro nubwo itaratera ibimenyetso bikomeye.

Impfubyi zikomeye zifite ibintu bihanganye zikeneye ubuvuzi kugira ngo zizirure kanseri cyangwa zizibuze kwiyongera. Iyo amashusho agaragaza ibiranga muri gice cya Bosniak 3 cyangwa 4, gukoresha igikoresho cy'ibitaro bishobora kwemerera ababyaza guhanura ibice neza. Ubu buryo bwo kwemeza butanga amahoro mu mutima n'ubuvuzi bukwiye niba kanseri ihari.

Ku mpfubyi zikeneye ubuvuzi, abaganga bafite uburyo bwinshi butewe n'umubare. Reka ngusobanurire uburyo ikipe yawe y'abavuzi ishobora kuganiraho nawe, buri kimwe cyatoranijwe bishingiye ku biranga impfubyi yawe byihariye n'ubuzima bwawe muri rusange:

1. Sclerotherapy irimo gukama impfubyi n'urushinge kandi hanyuma ugashyiramo umuti ufasha inkuta z'impfubyi kwijandika hamwe, bikabuza ko yongera kuzuzwa n'amazi. Ubu buryo bukora neza ku mpfubyi zisanzwe zitera ibimenyetso.

2. Laparoscopic cyst decortication ikoresha utuboko duto n'ikamera kugira ngo ikure uruhande rw'inyuma rw'impfubyi. Iki gikoresho cy'ibitaro gito gifite ubwiyongere bwinshi kandi cyihuta mu kwiruka.

3. Partial nephrectomy ikuraho impfubyi hamwe n'ibice bike by'umubyimba uzenguruka. Ubu buryo busanzwe bukoreshwa ku mpfubyi zikomeye aho kanseri ari ikibazo, bikemerera guhanura neza ibice.

4. Complete nephrectomy, cyangwa gukura umubyimba wose, ntikenerwa kenshi ku mpfubyi gusa. Ubu bushobozi bushobora kuzaho niba umubyimba warangiritse bikomeye n'impfubyi nini nyinshi cyangwa niba kanseri yaragaragaye kandi yakwirakwiriye mu mubyimba.

Abantu benshi bakora neza nyuma yo kuvurwa impfubyi. Ubu buryo busanzwe bw'impfubyi bukoresha igihe gito cyo kwiruka, kandi ushobora gusubira ku mirimo ya buri munsi mu gihe cy'ibyumweru bike. Ndetse n'ibitaro bikomeye bikunze kugira ingaruka nziza hamwe n'igihe cy'ubuvuzi gikwiye n'ubuvuzi bwo gusubiramo.

Hari Impfubyi Z'umubyimba Zidasanzwe Wagombye Kwibuka?

Nubwo impfubyi nyinshi z'umubyimba zigenda zonyine kandi zigenda zibaho, bamwe mu bantu bagira impfubyi nk'igice cy'indwara zigenda mu muryango. Ibi bihe biratandukanye cyane n'impfubyi zisanzwe kandi bikenera uburyo bwo guhanura bwihariye. Kumva izi bishobora gutuma wumva ko uhanganyemo n'ikintu kirenze impfubyi isanzwe.

Polycystic kidney disease, cyangwa PKD, ni indwara y'umurage aho impfubyi nyinshi zigenda zikura mu mibyimba yombi uko ugenda usaza. Bitandukanye n'impfubyi zisanzwe, impfubyi za PKD zigenda ziyongera mu gihe cy'ubuzima bwawe kandi zishobora kugera aho zihindura imikorere y'umubyimba. Niba abanyamuryango benshi bafite impfubyi z'umubyimba cyangwa imibyimba yangiritse, PKD ishobora kuba impamvu y'ibanze. Gusuzumwa kwa genetik n'ubuvuzi bwihariye bifasha gucunga iyi ndwara.

Von Hippel Lindau disease ni indwara y'umurage idasanzwe itera impfubyi n'ibibyimba mu bice bitandukanye, harimo n'umubyimba. Abafite iyi ndwara bagira impfubyi nyinshi z'umubyimba kandi bakagira urugero rwo hejuru rwo kugira kanseri y'umubyimba. Iyi ndwara yitabaza gusuzumwa kenshi kandi ikunze guhura n'abaganga benshi bakorana kugira ngo bakurikiranire ubuzima bwawe.

Tuberous sclerosis complex ishobora gutera impfubyi z'umubyimba hamwe n'ibibyimba bidashobora kwangiza byitwa angiomyolipomas. Iyi ndwara y'umurage itera ibice byinshi by'umubiri kandi ikunze kugaragara mu buto, nubwo ibihe bito bishobora kutamenyekana kugeza ku buzima bukuru. Impfubyi z'umubyimba zinyurana cyane, kuva ku mpfubyi ntoya nkeya kugeza ku miterere y'impfubyi nyinshi.

Acquired cystic kidney disease igenda igaragara ku bantu bafite imibyimba yangiritse cyane, cyane cyane abari mu gihembwe cy'isuku. Imibyimba yangiritse itera impfubyi nyinshi uko ugenda, kandi izi mpfubyi zifite urugero rwo hejuru gato rwo kuba kanseri ugereranyije n'impfubyi zisanzwe. Gusuzumwa kenshi bigira uruhare mu kwita ku gihembwe cy'isuku niba ugize iyi ndwara.

Medullary sponge kidney ni indwara ibyara aho impfubyi zigenda zikura mu muyoboro w'umubyimba uva mu mibyimba imbere. Izi mpfubyi ziyongera ku bibazo by'amabuye mu mibyimba n'indwara z'umubyimba. Benshi mu bagize iyi miterere babaho ubuzima busanzwe hamwe n'ubuvuzi bukwiye bw'ibibazo iyo bibaye.

Icyo Ubona

Ku bantu bafite impfubyi nini cyangwa zikomeye, kuguma mubiganiro n'ikipe yawe y'abaganga bitanga ubufasha burambye. Kwitabira gahunda zo gusubiramo kandi ugahora uvuga ibimenyetso bishya vuba biboneza ko ibibazo bigaragara kare niba bigomba kubaho. Ubu bufatanye n'abaganga bawe bugufasha kumva ufite umutekano kandi witwarire neza.

Wibuke ko kubona impfubyi y'umubyimba akenshi biba ku bw'amahirwe, kandi ko gutahura ku bw'amahirwe ari amahirwe. Ufite ubu amakuru yerekeranye n'ubuzima bw'umubyimba wawe ibyo abantu benshi babuze. Niba impfubyi yawe ikeneye kwitonderwa cyangwa nta kwitonderwa na gato, kuyimenya bisobanura ko wowe n'umuganga wawe mushobora gufata ibyemezo bifite ubumenyi kubijyanye n'ubuvuzi bwawe buzakomeza.