Chii chinonzi Ureteral Obstruction? Zviratidzo, Zvinokonzera, & Kurapa

Ureteral obstruction inoitika kana chimwe chinhu chakavharira kuyerera kweweti kuburikidza neimwe kana maviri ematepi ako e ureter. Aya ndiwo matumbo madiki anounza weti kubva kuitsvo dzako kuenda kubladder yako.

Funga nezve ureters yako semahosisi egadheni anobatanidza itsvo dzako kuenda kubladder yako. Kana vakavharirwa, weti inodzoka muitsvo dzako, izvo zvinogona kukonzera kurwadziwa uye zvinogona kukuvadza itsvo dzako kana zvisina kurapwa. Mashoko akanaka ndeakuti kazhinji kazhinji zvinogona kurapwa zvichitevera kana vanachiremba vakaziva chikonzero chekuvhara.

Ndeapi zviratidzo zve ureteral obstruction?

Chiratidzo chinonyanya kuzivikanwa ndechekurwadziwa kwenguva pfupi, kwakasimba kumusana kana divi rako rinouya nemazuva. Iyi kurwadziwa kazhinji inotanga munzvimbo yako ye flank uye inogona kufamba ichienda ku groin yako sezvo nguva ichifamba.

Heano zviratidzo zvaunogona kuona, kubva kune zvakajairika kusvika kune zvisingawanzoitiki:

• Kurwadziwa kwakasimba, kwakakomba kumusana, divi, kana mudumbu rako riri pasi
• Ropa muweti yako, kuita kuti ive pink, tsvuku, kana brown
• Kusvotwa uye kurutsa
• Kuenda ku toilet kazhinji kana kunzwa sekunge unoda kuenda ku toilet nekukurumidza
• Kunzwa kwekupisa kana uchienda ku toilet
• Fivha uye kunzunguza kana chirwere chakaitika
• Kuora kwekuyerera kweweti
• Kutemwa kwematumbo kana kumativi emaziso ako

Zvisingawanzoitiki, vamwe vanhu vanonzwa kumanikidzwa kwakanyanya kweropa kana kusakwanisa kuenda ku toilet zvachose kana ureters yese ikavharirwa. Kuwanda kwezviratidzo zvako kazhinji kunoenderana nekuti kuvhara kwakakurumidza sei uye kana kuri kuvhara kwenguva pfupi kana kwenguva refu.

Ndeapi marudzi e ureteral obstruction?

Ureteral obstructions inoratidzirwa zvichienderana nekuti dziri kupi uye zvinokonzera. Kunzwisisa aya marudzi kunobatsira vanachiremba kusarudza nzira yekurapa yakakodzera mamiriro ako chaiwo.

Zvichienderana nenzvimbo, kuvhara kunogona kuitika panzvimbo nhatu huru:

• Upper ureter obstruction pedyo neapo inobatanidza neitsvo yako
• Middle ureter obstruction pamwe chete ne nzira yayo kuburikidza ne pelvis yako
• Lower ureter obstruction pedyo neapo inopinda mubladder yako

Vanachiremba vanonyanya kuisawo kuvhara se intrinsic (zvinokonzerwa nechimwe chinhu mukati me ureter) kana extrinsic (zvinokonzerwa nekumanikidzwa kubva kunze kwezvikamu). Zvinokonzera intrinsic zvinosanganisira matombo eitsvo kana zvirwere mukati me ureter pachayo, nepo zvinokonzera extrinsic zvinosanganisira nhengo dziri pedyo kana tishu dzinotambanudza ureter.

Chii chinokonzera ureteral obstruction?

Matombo eitsvo ndiwo anokonzera zvakanyanya ureteral obstruction, anenge 80% yezviitiko. Aya madiki akaoma anoumbwa muitsvo dzako uye anogona kusungwa sezvo vachiedza kupfuura ne ureter yakamanikana.

Heano zvinokonzera zvikuru, kutanga nezvakajairika:

• Matombo eitsvo e saizi dzakasiyana siyana uye zvinhu
• Zvirwere mu ureter, bladder, kana nhengo dziri pedyo
• Tishu dzemakanda kubva ku opreation yapfuura kana zvirwere
• Ropa clots inoumbwa mushure mekuvadzwa kana opreation
• Lymph nodes dzakura dzinotambanudza ureter
• Kukura kwepamuviri, sezvo nhumbu inokura inogona kumanikidza ureters
• Zvinetso zvakajairika zviripo kubva pakuzvarwa

Zvinokonzera zvisingawanzoitiki zvinosanganisira kuzvimba kwakasimba kubva kune zvirwere senge retroperitoneal fibrosis, uko tishu dzemakanda dzinoumbwa kutenderera ureters yako. Dzimwe nguva, mishonga yakati kana nzira dzekurapa dzinogona zvakare kutungamira pakuvhara kwenguva pfupi, kunyange izvi zvisingawanzoitiki.

Rini unofanira kuona chiremba nekuda kwe ureteral obstruction?

Unofanira kutsvaga rubatsiro rwekurapa nekukurumidza kana iwe uchiona kurwadziwa kwakasimba kumusana kana divi rako rinouya nemazuva, kunyanya kana riine kusvotwa, kurutsa, kana ropa muweti yako. Aya maratidzo kazhinji anoratidza kuvhara kwakakomba kunoda kurapwa nekukurumidza.

Fonera chiremba wako nekukurumidza kana uine fivha uye kunzunguza pamwe chete nezviratidzo zveweti, sezvo izvi zvingaratidza chirwere chakakomba. Tsvagawo rubatsiro rwekukurumidza kana iwe usingakwanisi kuenda ku toilet zvachose kana kuona kudzikira kwakanyanya mukuyerera kweweti yako kwemaawa akawanda.

Kunyangwe zviratidzo zvishoma senge kurwadziwa kwenguva refu kumusana, kuchinja mumaitiro ekugara uchienda ku toilet, kana weti yakasviba zvinoda kushanya kwachiremba mukati mezuva rimwe kana maviri. Kurapwa kwenguva yakakodzera kunogona kudzivirira matambudziko uye kuchengetedza basa reitsvo dzako.

Ndeapi njodzi dze ureteral obstruction?

Zvinhu zvimwe zvinokukonzera kuti uve nechitarisiko chekuve ne ureteral obstruction. Kunzwisisa izvi kunogona kukubatsira kutora matanho ekudzivirira kana zvichibvira.

Zvinokonzera njodzi zvikuru zvinosanganisira:

• Nhoroondo yematombo eitsvo, izvo zvinoita kuti uve nechitarisiko chematombo ramangwana
• Kushaya mvura, sezvo weti yakakora inokurudzira kuumbwa kwematombo
• Nhoroondo yemhuri yematombo eitsvo kana matambudziko emukati meweti
• Zvimwe zvekudya, senge sodium yakawanda kana calcium shoma
• Zvirwere zvekurapa senge chirwere cheshuga, kumanikidzwa kwakanyanya kweropa, kana gout
• Kurapwa kenza yapfuura, kunyanya radiation kune nzvimbo yepelvic
• Kukura kwepamuviri, kunyanya mune wechipiri uye wechitatu trimester
• Zvinetso zvekurapa zvemukati meweti

Mishonga yakati, kusanganisira diuretics uye calcium supplements, inogona zvakare kuwedzera njodzi yako. Varume vanonyanya kukurumidza kuva nematombo eitsvo, nepo vakadzi vachikurumidza kuva nenjodzi panguva yepamuviri nekuda kwekuchinja kwemuviri.

Ndeapi matambudziko anogona kuitika e ureteral obstruction?

Kana zvisina kurapwa, ureteral obstruction inogona kutungamira kumatambudziko akakomba anokanganisa basa reitsvo dzako nehutano hwese. Kuwanda kunoenderana nekuti kuvhara kwakagara kwenguva yakareba sei uye kana kuri kuvhara kwenguva pfupi kana kwenguva refu.

Matambudziko akajairika anosanganisira:

• Chirwere cheitsvo (pyelonephritis), izvo zvinogona kuva ngozi yehupenyu
• Kukuvadzwa kweitsvo kubva kumanikidzwa kwenguva refu uye kuyerera kweweti
• Matombo eitsvo anokura achiri kubatwa
• Chirwere cheitsvo chekare kana kuvhara kuchigara kwenguva refu
• Kumanikidzwa kwakanyanya kweropa kubva pakusashanda zvakanaka kweitsvo
• Sepsis, chirwere chakakomba chinopararira mumuviri wako wese

Mu zvisingawanzoitiki, kuvhara kwakakwana kwe bilateral (ureters yese yakavharirwa) kunogona kukonzera kukundikana kweitsvo kwenguva pfupi, zvichikoshesa dialysis yekukurumidza. Mashoko akanaka ndeakuti kazhinji kazhinji matambudziko anogona kudzivirirwa nekuongororwa nekukurumidza nekurapwa kwakakodzera.

Ureteral obstruction inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira zvinokonzera zvese zve ureteral obstruction, unogona kudzikisa njodzi yako zvakanyanya nekutarisa pakudzivirira matombo eitsvo. Kazhinji kuvhara kunokonzerwa nematombo, saka kudzivirira ndiko kudzivirira kwako kwakanakisa.

Heano mazano ekudzivirira anoshanda:

• Inwa mvura yakawanda zuva rese kuchengetedza weti yakasanganiswa
• Dzora sodium kuti udzivise calcium muweti yako
• Idya calcium yakakwana kubva kune zvekudya, kwete zvinowedzerwa
• Dzora zvekudya zvine oxalates yakawanda senge spinach, nati, uye chocolate kana uri nechitarisiko che calcium oxalate stones
• Chengetera uremu hwakanaka kuburikidza nezvekudya zvakaringana uye kurovedza muviri
• Tevedzera mazano echiremba wako ekutonga zvirwere zvakaita sediabetis kana gout

Kana wakambova nematombo eitsvo kare, chiremba wako anogona kukurudzira kuchinja kwezvekudya kana mishonga zvichienderana nerudzi rwe matombo awakaita. Kuongororwa nguva nenguva kunogona kubatsira kubata matambudziko nekukurumidza.

Ureteral obstruction inoziviswa sei?

Chiremba wako anotanga nekubvunza nezvezviratidzo zvako nenhoroondo yekurapa, wobva aita bvunzo yemuviri. Vanogona kumanikidza mudumbu rako nekumusana kuti vaone kana paine kurwadziwa kana kutemwa kwematumbo.

Kuongororwa kwakawanda kunobatsira kusimbisa kuongororwa uye kuwana kuvhara:

• Kuongororwa kweweti kuti uone ropa, chirwere, kana makristasi
• Kuongororwa kweropa kuti uone basa reitsvo uye kutsvaga zviratidzo zvechirwere
• CT scan isina contrast, iyo ndiyo yakakosha yekuwana matombo
• Ultrasound kuona kana itsvo yako yakazvimba kubva kune weti yakadzoka
• Intravenous pyelogram (IVP) kuona kuyerera kweweti
• MRI mumamiriro ezvinhu chaiwo kana kuongororwa kwakasiyana kusina kujeka

CT scan kazhinji ndiyo bvunzo inobatsira zvikuru nekuti inogona kuratidza nzvimbo chaiyo nehukuru hwe matombo, pamwe chete nekuti itsvo yako yakakanganisika sei. Chiremba wako anogona kuraira bvunzo dzakawanda kana vakafungidzira zvinokonzera kunze kwe matombo eitsvo.

Kurapa kwe ureteral obstruction ndechii?

Kurapa kunoenderana nechinokonzera, kuwanda, uye nzvimbo yekuvhara kwako. Chinangwa chikuru ndechekubvisa kuvhara, kuchengetedza basa reitsvo, uye kudzivirira matambudziko.

Kune matombo eitsvo, sarudzo dzekurapa dzinosanganisira:

• Kumirira matombo madiki anogona kupfuura zvisina matambudziko
• Mishonga yekurwadziwa uye kuwedzera kunwa mvura kubatsira matombo kupfuura
• Mishonga senge alpha-blockers kudzoreredza misungo ye ureter
• Shock wave lithotripsy kuputsa matombo uchishandisa mafungu esound
• Ureteroscopy kubvisa kana kuputsa matombo ne scope yakamanikana
• Percutaneous nephrolithotomy kune matombo eitsvo makuru kwazvo

Kana uine kuvhara kwakasimba kana chirwere, chiremba wako anogona kutanga kuisa stent (chubhu diki) mu ureter yako kudzoreredza kuyerera kweweti nekukurumidza. Iyi nzira yenguva pfupi inoderedza kumanikidzwa paitsvo dzako uchironga kurapwa kwakakwana.

Kune zvinokonzera zvisiri matombo senge zvirwere kana tishu dzemakanda, kurapwa kunogona kusanganisira opreation, radiation therapy, kana mamwe maitiro chaiwo zvichienderana nechirwere chacho.

Nzira yekutonga sei zviratidzo pamba panguva ye ureteral obstruction?

Paunenge uchimirira kuona chiremba wako kana pakati pekurapwa, kune nzira dzakachengeteka dzekutonga kusagadzikana kwako. Zvisinei, yeuka kuti kuchengetedza kumba hakusi kutsiva kurapwa kwakakodzera kwechiremba.

Heano zvaunogona kuita kuti unzwe zviri nani:

• Isa kupisa kumusana kana divi rako uchishandisa heating pad pane low setting
• Tora mishonga yekurwadziwa yakaita seibuprofen kana acetaminophen sezvakarayirwa
• Inwa mvura yakawanda kubatsira kusuka system yako
• Edza kufamba zvishoma senge kufamba, izvo zvinogona kubatsira matombo kufamba
• Zorora munzvimbo dzauinzwa wakasununguka
• Dzivisa zvekudya zvine oxalates yakawanda kana uri nechitarisiko che calcium oxalate stones

Usambofa wakarega zviratidzo zvinowedzera kana kukanganisa kutsvaga rubatsiro rwekurapa. Kana kurwadziwa kwako kukura, iwe uine fivha, kana usingakwanisi kuenda ku toilet, aya ndiwo maratidzo aunoda rubatsiro rwekukurumidza rwekurapa.

Unofanira kugadzirira sei kuenda kwachiremba wako?

Kugadzirira zvakanaka kuenda kwachiremba wako kunobatsira chiremba wako kuita kuongororwa kwakakwana uye kugadzira chirongwa chekurapa chakakodzera iwe. Kugadzirira zvakanaka kunogona zvakare kukubatsira kunzwa wakasununguka uye usina kunetseka.

Usati waenda kwachiremba wako,unganidza ruzivo urwu rwakakosha:

• Nyora zviratidzo zvako zvese, kusanganisira pavakatanga uye kuti zvakakomba sei
• Rondedzera mishonga yese, zvinowedzerwa, uye mavhitamini aunotora
• Cherechedza nhoroondo yemhuri yako yematombo eitsvo kana matambudziko emukati meweti
• Uya nebvunzo dzapfuura kana kuongororwa kwemifananidzo kana uine
• Gadzira mibvunzo nezve mamiriro ako uye sarudzo dzekurapa
• Funga nezvekutora shamwari yakavimbika kana nhengo yemhuri kuti ikubatsire

Usazengurire kubvunza chiremba wako kuti atsanangure chero chinhu chisinganzwisisiki. Zvakakosha kuti unzwe wakasununguka nechirongwa chako chekurapa uye unoziva zvaunofanira kutarisira panguva yekuvandudzika.

Chii chinonyanya kukosha nezve ureteral obstruction?

Ureteral obstruction chirwere chinorapika chinoda rubatsiro rwekukurumidza rwekurapa kudzivirira matambudziko. Kazhinji kazhinji zvinokonzerwa nematombo eitsvo, izvo zvinogona kazhinji kutarisirwa zvichitevera ne kurapwa kwazvino.

Chinhu chakakosha chokurangarira ndechekusarega zviratidzo senge kurwadziwa kwakasimba kumusana, ropa muweti, kana kuchinja mumaitiro ekugara uchienda ku toilet. Kuongororwa nekukurumidza nekurapwa kunogona kuchengetedza basa reitsvo dzako uye kudzivirira matambudziko akakomba.

Nekurapwa kwakakodzera nekurapa uye matanho ekudzivirira, vanhu vazhinji vane ureteral obstruction vanovandudzika zvachose uye vanogona kutora matanho ekudzikisa njodzi yematambudziko ramangwana. Gara wakanyorova, tevera mazano echiremba wako, uye usazengurire kutsvaga rubatsiro kana uchida.

Mibvunzo inobvunzwa kazhinji nezve ureteral obstruction

Q.1 Zvinotora nguva yakareba sei kuti ibwe reitsvo ripfuure ne ureter?

Kazhinji matombo madiki eitsvo (asina 4mm) anopfuura zvisina matambudziko mukati memavhiki 1-3. Matombo makuru anogona kutora nguva yakareba kana kuda kurapwa kwechiremba. Chiremba wako anogona kuenzanisa nguva zvichienderana nehukuru hwebwe nenhamba yacho pane kuongororwa kwemifananidzo.

Q.2 Ureteral obstruction inogona kukonzera kukuvadzwa kweitsvo kwenguva refu here?

Hongu, kuvhara kwenguva refu kunogona kukonzera kukuvadzwa kweitsvo kwenguva refu, asi izvi kazhinji zvinotora mavhiki kusvika kumwedzi kuti zvibude. Nekurapwa kwenguva yakakodzera, vanhu vazhinji vanovandudzika basa reitsvo zvizere. Chinhu chikuru ndechekutsvaga rubatsiro rwekurapa nekukurumidza kana zviratidzo zvikaonekwa.

Q.3 Opreation inogara ichikosha here kune ureteral obstruction?

Kwete, opreation haisi nguva dzose inodiwa. Matombo madiki eitsvo kazhinji anopfuura zvisina matambudziko nekurapwa kwakapfava. Zvisinei, matombo makuru, kuvhara kwakakwana, kana zviitiko zvine chirwere zvinogona kuda kurapwa kwekuvhiya senge ureteroscopy kana stent placement.

Q.4 Pamuviri unogona kukonzera ureteral obstruction here?

Hongu, pamuviri unogona kukonzera ureteral obstruction, kunyanya mune wechipiri uye wechitatu trimester. Nhumbu inokura inogona kumanikidza ureters, kunyanya kurudyi. Izvi kazhinji zvinopera mushure mekubereka, asi dzimwe nguva zvinoda kuongororwa kana kurapwa panguva yepamuviri.

Q.5 Ndezvipi zvekudya zvandofanira kudzivisa kana ndine matombo eitsvo?

Zvekudya zvekudzivisa zvinoenderana nerudzi rwebwe rako. Kune calcium oxalate stones (yakajairika), dzora zvekudya zvine oxalates yakawanda senge spinach, nati, chocolate, uye tii. Kune uric acid stones, dzora zvekudya zvine purine yakawanda senge nhengo dzemhuka uye shellfish. Chiremba wako anogona kupa mazano chaiwo ezvekudya zvichienderana nekuongororwa kwako kwematombo.