Ukuqina Kwesisu? Izimpawu, Izimbangela, Nokwelashwa

Iyini i-hydronephrosis?

I-Hydronephrosis kwenzeka lapho umchamo ubuyela emuva ekidini lakho, okubangela ukuba luqine njengobhola lwamanzi. Lokhu kwenzeka lapho kukhona okuvimba ukugeleza okujwayelekile komchamo ukusuka ekidini lakho kuya esibindini sakho.

Cabanga ngayo njengophayiphi lokubhuleka olune-kink kulo. Lapho umchamo ungakwazi ukugeleza ngokukhululekile ngendlela yakho yokukhishwa komchamo, ubuyeka ohlelweni lokuqoqa lekidini, uqina ithishu lekidini. Ukuqina okunjalo kungathinta ikidini elilodwa noma kokubili.

Isimo ngokwaso asiyona isifo kodwa kunokuba yisibonakaliso sokuthi kukhona okuhlupha ikhono lekidini lakho lokukhishwa kahle. Lingase liqale ngokuzumayo ngamahora noma kancane kancane ngamaviki kuya ezinyangeni, kuye ngalokho okubangela ukuvimba.

Ziyini izimpawu ze-hydronephrosis?

Abantu abaningi abane-hydronephrosis ephansi abanawo noma yimiphi impawu, ikakhulukazi uma ivela kancane kancane. Uma izimpawu zivele, zivame ukuxhomekeka ekutheni isimo siqale ngokushesha kangakanani nokuthi ukuvimba kuqina kangakanani.

Izimpawu ezivame kakhulu ongazibona zihlanganisa:

• Ubuhlungu ohlangothini noma emuva oluvela futhi luhambe
• Ukuphefumula nokugabha, ikakhulukazi ngesikhathi seziqephu zobuhlungu
• Ukuya ejimini njalo noma ukuzizwa sengathi udinga ukuya ejimini ngokushesha
• Ubunzima bokuqala ukuya ejimini noma umfula womchamo obuthakathaka
• Igazi emchameni wakho, okungenza ukuba ubukeke pinki noma obomvu
• Ukuqina nokuthandaza uma kukhona ukutheleleka

Ubuhlungu bungaba ukubamba okubuthakathaka kuya ekubambeni okukhulu, okukhulu okusakazekayo ukusuka emuva kuya e groin. Abanye abantu bakucacisa njengezimbangi zokungakhululeki okukhulu okwenza kube nzima ukuthola indawo ephumuzayo.

Uma uthola ubuhlungu obukhulu ngokuzumayo kanye nokuqina nokuthandaza, lokhu kungabonisa ukutheleleka okukhulu okudinga ukunakekelwa kwezokwelapha ngokushesha.

Ziyini izinhlobo ze-hydronephrosis?

Odokotela bahlukanisa i-hydronephrosis ngezindlela eziningi ukuze basize ekutholeni indlela yokwelapha engcono kakhulu. Ukuqonda lezi zigaba kungakusiza ukuba uxoxe kangcono ngesimo sakho nomhlinzeki wakho wezokunakekelwa kwezempilo.

Ngokuya ngesikhathi, i-hydronephrosis ingaba i-acute noma i-chronic. I-hydronephrosis e-acute iqala ngokuzumayo, ngokuvamile ibangela ubuhlungu obukhulu futhi idinga ukwelashwa ngokushesha. I-hydronephrosis e-chronic iqala kancane kancane ngezinyanga noma iminyaka futhi ingabangela kancane noma ayikho impawu ekuqaleni.

Isimo singaba unilateral, sithinta ikidini elilodwa kuphela, noma bilateral, sithinta kokubili ama-kidneys. I-hydronephrosis e-bilateral iyinkulu kakhulu ngoba ingathinta umsebenzi wakho jikelele wekidini ngokubaluleke kakhulu.

Odokotela futhi baqapha ubukhulu besimo kusuka kokuncane kuya kokukhulu kuye ngokuthi ikidini liqine kangakanani nokuthi lisasebenza kahle kangakanani. Izimo ezincane zingabonisa ukuqina okuncane, kuyilapho izimo ezinkulu zingabangela ukuqina okukhulu kwekidini nokunciphisa umsebenzi.

Yini ebangela i-hydronephrosis?

I-Hydronephrosis iqala lapho kukhona okuvimba ukugeleza okujwayelekile komchamo noma kuphi endleleni evela ekidini lakho kuya esibindini sakho. Lokhu kuvimba kwenzeka ezindaweni ezahlukene ohlelweni lwakho lokukhishwa komchamo ngezizathu ezahlukene.

Izimbangela ezivame kakhulu zihlanganisa:

• Amatshe ekidini abambekele e-ureter (iphayiphi ehlanganisa ikidini nesibindini)
• I-prostate enkulu kumadoda, engacindezela i-urethra
• Iziphumu e-bladder, i-prostate, noma ezindaweni ezizungezile
• I-scar tissue evela ekuhlinzweni kwangaphambili noma ekutholakaleni
• I-blood clots endleleni yokukhishwa komchamo
• Ukukhulelwa, lapho isisu esikhula khona singacindezela ama-ureters

Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa iziphambeko zokuzalwa ezithinta uhlelo lokukhishwa komchamo, njengokuvimbela kwe-ureteropelvic junction, lapho ukuxhumana phakathi kwekidini ne-ureter kuqina kakhulu. Izimo ze-neurological ezithinta umsebenzi wesibindini zingabangela ukubuyela emuva komchamo.

Ngesinye isikhathi, imithi ingabangela i-hydronephrosis yesikhashana ngokuthinta indlela esibindini sakho esikhishwa ngayo. Imithi ethile ye-anticholinergic esetshenziswa ezifo ze-allergies noma ekudidekeni inganciphisa ukucindezela kwesibindini, okubangela ukungapheleli kokukhishwa nokubuyela emuva okungenzeka.

Nini okumele ubona udokotela nge-hydronephrosis?

Kufanele uxhumane nodokotela wakho ngokushesha uma uthola ubuhlungu obukhulu ohlangothini noma emuva, ikakhulukazi uma buhambisana nokuphefumula, ukugabha, noma ubunzima bokuya ejimini. Lezi zimpawu zingabonisa ukuvimba okukhulu okudinga ukunakekelwa ngokushesha.

Funani ukunakekelwa kwezokwelapha okusheshayo uma uthola ukuqina nokuthandaza kanye nezimpawu zokukhishwa komchamo noma ubuhlungu obukhulu. Lo mhlanganiso ngokuvamile ubonisa ukutheleleka kwekidini, okungaba yingozi uma kungaphathwa.

Kufanele futhi ubona udokotela wakho uma ubona igazi emchameni wakho, unebunzima obuqhubekayo bokuya ejimini, noma uthola iziqephu eziphindaphindayo zobuhlungu bekidini. Ngisho nezimpawu ezincane ezingapheli kufanele ziqaphelwe yidokotela.

Kwabesifazane abakhulelwe, noma yiziphi izimpawu ezintsha zokukhishwa komchamo noma ubuhlungu emuva kufanele zixoxwe nomhlinzeki wakho wezokunakekelwa kwezempilo, njengoba i-hydronephrosis ehlobene nokukhulelwa ngezinye izikhathi ingabangela izinkinga.

Ziyini izici ezingaholela e-hydronephrosis?

Izici eziningi zingandisa amathuba akho okuthola i-hydronephrosis, nakuba ukuba nalezi zici ezingaholela akusho ukuthi uzoyithola ngokuqinisekile le simo. Ukuziqonda kungakusiza uhlale ulungile ezimpawu ezingase zivele.

Izici ezingaholela ezivamile zihlanganisa:

• Ukuba indoda eneminyaka engaphezu kuka-60 ngenxa yezinkinga ze-prostate ezikhulayo
• Ukuba nomlando wakho siqu noma womndeni wamathe ekidini
• Ukukhulelwa, ikakhulukazi phakathi kwesigamu sesibili nesesithathu
• Ukutholakala kwangaphambili kwesibindini noma izinkinga zekidini
• Imithi ethile ethinta umsebenzi wesibindini
• I-Diabetes, engalimaza izinzwa ezinqamula isisindo

Abanye abantu bazalwa beneziphambeko zesakhiwo ezenza babe namathuba amaningi okuthola i-hydronephrosis ekuphileni kwabo konke. Lokhu kungase kuhlanganise ukuxhumana okuqina phakathi kwekidini ne-ureter noma imithambo yegazi engavamile ecindezela indlela yokukhishwa komchamo.

Ukuba nezici eziningi ezingaholela akusho ukuthi uzoba nezinkinga, kodwa kufanele uxoxe nodokotela wakho ngesikhathi sokuhlola okujwayelekile, ikakhulukazi uma uthola noma yiziphi izimpawu zokukhishwa komchamo.

Ziyini izinkinga ezingase zivele nge-hydronephrosis?

Uma itholakala ngokushesha futhi iphethwe kahle, i-hydronephrosis ngokuvamile iphela ngaphandle kwezinkinga ezihlala njalo. Noma kunjalo, uma ingaphathwa, ingabangela izinkinga ezinkulu ezithinta umsebenzi wakho wekidini nokuphuza kwakho.

Izinkinga ezinkulu kakhulu zihlanganisa:

• Ukonakala okungapheli kwekidini okuvela ekucindezelweni nasekuqineni okungapheli
• Ukutholakala kwekidini okungasakazeka egazini lakho
• Ukulahlekelwa ngokuphelele komsebenzi wekidini ekidini elithintekile
• Uxinzelelo lwegazi oluphezulu oluvela ekonakaleni kwekidini
• Ukuntuleka komsebenzi wekidini uma kokubili ama-kidneys ethintekile kakhulu

I-hydronephrosis e-chronic ingabhubhisa kancane kancane ithishu lekidini, ngisho noma ungazizwa impawu. Ucindzelelo oluqhubekayo oluvela emchameni obuye emuva lungalimaza ama-unit okuhlanza athambile ekidini lakho, okubangela ukuphamba nokunciphisa umsebenzi ngokuhamba kwesikhathi.

Ukutholakala kuyingozi ngokukhethekile ngoba umchamo omi uhlinzeka ngendawo efanelekile yebhaktheriya yokukhula. Lokhu ukutholakala kungaba nzima ukuphatha futhi kunamathuba amaningi okusakazeka kwezinye izingxenye zomzimba wakho.

Izindaba ezinhle ukuthi izinkinga eziningi zingavikeleka ngokuxilongwa ngokushesha nokuphathwa okufanele. Ukunakekelwa okuqhubekayo okujwayelekile kusiza ukuqinisekisa ukuthi ama-kidneys akho ahlala enempilo.

Ungayivimba kanjani i-hydronephrosis?

Nakuba ungakwazi ukuvimba zonke izimo ze-hydronephrosis, ikakhulukazi lezo eziqalwa yiziphambeko zokuzalwa noma izimo ezithile zezokwelapha, ungathatha izinyathelo zokunciphisa ingozi yakho yokuthola ukuvimba okuvamise ukubangela.

Ukugcina umzimba uqiniswe kusiza ukuvimba amatshe ekidini, omunye wemibangela evamile ye-hydronephrosis. Zama ukuphuza amanzi anele ukuze umchamo wakho uhlale ubomvu obumnyama usuku lonke.

Ukuphatha izimo zezempilo ezikhona kahle kungakusiza futhi. Uma une-diabetes, ukugcina ushukela wegazi ulawulwa kahle kuvikela izinzwa ezisiza isisindo sakho ukuba sisebenze kahle. Amadoda ane-prostate enkulu kufanele asebenze nabadokotela babo ukuze aqaphe futhi aphathe isimo ngaphambi kokuba libe nezinkinga zokukhishwa komchamo.

Ukuphatha ukutholakala kwesibindini ngokushesha kuvimbela ukusakazeka kwawo kuma-kidneys akho noma ukubangela i-scar tissue engavimba ukugeleza komchamo. Ungayideli impawu njengokushisa ngesikhathi sokuya ejimini noma izifiso ezivamile zokuya ejimini.

Uma ukhulelwe, ukuya kuwo wonke ama-aphoyintimenti okukhulelwa kusiza udokotela wakho ukuqapha i-hydronephrosis ehlobene nokukhulelwa futhi uyilungise ngaphambi kokuba izinkinga zivele.

I-hydronephrosis ixilongwa kanjani?

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nomlando wakho wezokwelapha, bese enza ukuhlolwa komzimba. Cishe bazozwa isisu lakho nemuva ukuze bahlole ukuqina kwekidini noma ukubamba.

Ivivinyo elivamile kakhulu yi-ultrasound, esebenzisa amaza omsindo ukwenza izithombe zama-kidneys akho. Leli viyo elingenabuhlungu lingabonisa ngokucacile uma ikidini lakho liqine futhi lisize ukulinganisa ukuthi i-hydronephrosis iqinile kangakanani.

Udokotela wakho angase futhi a-ode amavivinyo egazi ukuze ahlole umsebenzi wakho wekidini futhi abuke izibonakaliso zokutheleleka. Uvivinyo lomchamo lungabonisa igazi, ibhaktheriya, noma ezinye izinto ezingavamile ezisiza ekutholeni imbangela ezikhona.

Uma kudingeka ulwazi oluqondile, ungase ube ne-CT scan noma i-MRI. Lezi zilingo zinikeza izithombe ezicacile futhi ngokuvamile zingabonisa ngokuqondile ukuthi yini ebangela ukuvimba, kungaba yilitshe, isiphumu, noma olunye uvivinyo.

Ngesinye isikhathi, udokotela wakho angase a-ode amavivinyo akhethekile njenge-intravenous pyelogram (IVP), lapho i-contrast dye isetshenziswa khona ukugqamisa uhlelo lwakho lokukhishwa komchamo kuma-X-rays. Lokhu kusiza ukubonisa ngokuqondile ukuthi ukuvimba kulimaza ukugeleza komchamo kuphi nokuthi kuqinile kangakanani.

Iyini ukwelashwa kwe-hydronephrosis?

Ukwelashwa kwe-hydronephrosis kugxile ekuqedeni ukuvimba nasekuvimbeni ukonakala kwekidini. Indlela ethile ixhomeke kulokho okubangela inkinga nokuthi isimo sakho siqinile kangakanani.

Ukuze uthole ukukhululeka ngokushesha kwezimpawu ezinkulu, udokotela wakho angase afake ipayipi elincane elibizwa nge-stent e-ureter yakho ukuze usize umchamo ugeleze eduze nokuvimba. Lokhu kungakunika ukukhululeka ngokushesha ngenkathi ulungiselela ukwelashwa okuqinile.

Izindlela zokwelapha ezivamile zihlanganisa:

• Imithi esiza ekuthuthukiseni amatshe amancane ekidini noma ukwelapha ukutholakala
• Ukwelashwa ngamaza omfutho ukuqhekeza amatshe amakhulu ekidini
• Ukuhlinzwa ukususa amatshe, iziphumu, noma i-scar tissue
• Izindlela zokwandisa izindawo eziqina endleleni yokukhishwa komchamo
• Ukwelashwa kwezimo ezikhona njenge-prostate enkulu

Izimo ezincane eziqalwa ukukhulelwa ngokuvamile ziyaphela ngokwazo ngemuva kokubeletha. Udokotela wakho uzoqapha isimo sakho ngokucophelela futhi angase a-commende ukulala ohlangothini lwakho ukuze unciphise ukucindezela kuma-ureters akho.

Nge-hydronephrosis e-chronic, ukwelashwa kugxile ekugcineni umsebenzi wekidini nasekuvimbeni izinkinga. Lokhu kungase kuhlanganise ukuqapha okujwayelekile, imithi yokulawula uxinzelelo lwegazi, noma izindlela zokwelapha ukuthuthukisa ukukhishwa komchamo.

Indlela yokuphatha i-hydronephrosis ekhaya?

Nakuba ukwelashwa kwezokwelapha kulungisa imbangela ezikhona, kunezinto eziningi ongazenza ekhaya ukuze uzizwe ukhululekile futhi usekele ukululama kwakho. Landela njalo imiyalo ethile yodokotela wakho kanye nalezi zinyathelo ezijwayelekile.

Ukulawula ubuhlungu ngokuvamile kuyinto ebalulekile. Ukwelashwa ngokushisa, njenge-heating pad emuva noma ohlangothini lwakho, kungasiza ekuqedeni ukungakhululeki. Imithi yokunciphisa ubuhlungu engathengwa ngaphandle njenge-acetaminophen ingasiza, kodwa hlola nodokotela wakho ngaphambi kokuthatha noma iyiphi imithi.

Ukugcina umzimba uqiniswe kubalulekile, ngaphandle uma udokotela wakho ekweluleka ngenye indlela. Ukuphuza amanzi amaningi kusiza ekuhlanzweni kohlelo lwakho lokukhishwa komchamo futhi kungasiza amatshe amancane ukuba adlule kalula. Hlose umchamo ocacile noma obumnyama njengesibonakaliso sokuqina okuhle.

Qapha izimpawu zakho ngokucophelela futhi ubhale noma yiziphi izinguquko. Qaphela ukuthi ubuhlungu buvela nini, bukhulu kangakanani, nokuthi unezinye izimpawu njengokuqina noma izinguquko ekuyini ejimini. Lolu lwazi lusiza udokotela wakho ukulungisa uhlelo lwakho lokwelapha.

Phumula uma udinga, ikakhulukazi ngesikhathi seziqephu zobuhlungu. Imisebenzi ephansi njengokuhamba ingasiza, kodwa gwema ukuzivocavoca okukhulu kuze kube yilapho udokotela wakho ekunika imvume.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nokuphathwa okufanele. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenza zibe ngcono noma zimbi.

Letha uhlu oluphelele lwazo zonke imithi oyithathayo, kufaka phakathi imithi yokwelapha, imithi engathengwa ngaphandle, kanye nezinye izinto. Imithi ethile ingathinta umsebenzi wekidini noma ibe nezinkinga zokukhishwa komchamo.

Lungiselela isifinyezo somlando wakho wezokwelapha, ikakhulukazi noma yiziphi izinkinga zekidini kwangaphambili, ukutholakala kwesibindini, amatshe ekidini, noma ukuhlinzwa okuhlanganisa uhlelo lwakho lokukhishwa komchamo. Umlando womndeni wesifo sekidini kubalulekile ukukhuluma ngawo.

Bhala imibuzo ofuna ukuyibuza udokotela wakho. Cabanga ukuthi ubuze ngembangela enokwenzeka ye-hydronephrosis yakho, ukuthi yiziphi izivivinyo ongazidinga, izindlela zokwelapha, nokuthi yini okulindelekile ngesikhathi sokululama.

Uma kungenzeka, letha ilungu lomndeni noma umngane ukuze akusize ukukhumbula ulwazi olubalulekile oluxoxwe ngesikhathi se-aphoyintimenti. Ukuvakashela kwasezokwelapha kungaba okunzima, futhi ukuba nokwesekwa kungaba usizo.

Iyini into ebaluleke kakhulu nge-hydronephrosis?

I-Hydronephrosis yisimo esingaphathwa esiqala lapho umchamo ubuyela emuva ekidini lakho ngenxa yokuvimba endaweni ethile ohlelweni lwakho lokukhishwa komchamo. Nakuba kungase kuzwakale kuyiqiniso, izimo eziningi ziphendula kahle ekwelapheni uma zitholakala ngokushesha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukunakekelwa kwezokwelapha ngokushesha kwenza umehluko omkhulu emiphumeleni. Ungayideli izimpawu njengobuningi emuva, ubunzima bokuya ejimini, noma igazi emchameni wakho.

Ngokwelashwa okufanele, abantu abaningi abane-hydronephrosis balulama ngokuphelele ngaphandle kokonakala okungapheli kwekidini. Ngisho nasezimweni ezinkulu, ukungenelela okusheshayo kungagcina umsebenzi wekidini futhi kuvimbele izinkinga.

Hlala uhlanganyela neqembu lakho lokunakekelwa kwezempilo, landela iziphakamiso zokwelapha, futhi ungangabazi ukubuza imibuzo. Ama-kidneys akho ayizitho ezibalulekile, futhi ukunakekela ngawo kuyitshalomali empilweni yakho ende nokuphila kahle.

Imibuzo evamile ebuzwa nge-hydronephrosis

Ingaphela yodwa i-hydronephrosis?

I-Hydronephrosis encane ngezinye izikhathi iphela ngaphandle kokwelashwa, ikakhulukazi uma iqalwa yizimo zesikhashana njengokukhulelwa noma ukudlula ilitshe elincane lekidini. Noma kunjalo, akufanele ulinde ukubona uma liyaphuka ngokwalo, njengoba i-hydronephrosis engaphathwa ingabangela ukonakala okungapheli kwekidini. Kuhlale kungcono ukuba noma yiziphi izimpawu zokukhishwa komchamo ziqaphelwe umhlinzeki wezokunakekelwa kwezempilo ongamisa ukuthi ukwelashwa kuyadingeka.

Ingabuhlungu yini i-hydronephrosis?

I-Hydronephrosis ingabuhlungu, kodwa akuwona wonke umuntu. Uma iqala ngokuzumayo, ngokuvamile ibangela ubuhlungu obukhulu ohlangothini noma emuva okungasakazeka e groin. Noma kunjalo, i-hydronephrosis e-chronic eqala kancane kancane ngokuhamba kwesikhathi ingabangela ukungakhululeki okuncane noma ayikho impawu yobuhlungu. Ukungabikho kobuhlungu akusho ukuthi isimo asibi, kungakho ukuxilongwa kwezokwelapha kubalulekile ngisho nasezimpawu ezincane.

Ungaphila ukuphila okujwayelekile nge-hydronephrosis?

Abantu abaningi abaphathwe ngempumelelo i-hydronephrosis baphila ukuphila okujwayelekile ngokuphelele. Ikhona into ebalulekile ukuthola ukwelashwa okufanele ukuze kulungiswe imbangela ezikhona futhi kuvimbelwe ukonakala kwekidini. Ngokunakekelwa okufanele kwezokwelapha, abantu abaningi bangabuyela kuzo zonke imisebenzi yabo evamile. Udokotela wakho uyonika isiqondiso esithile esisekelwe esimweni sakho siqu futhi angase a-commende ama-aphoyintimenti okuqapha okujwayelekile ukuze aqaphe umsebenzi wakho wekidini.

Kuthatha isikhathi esingakanani ukululama e-hydronephrosis?

Isikhathi sokululama sihluka kakhulu kuye ngembangela nobukhulu be-hydronephrosis yakho, kanye nohlobo lokwelashwa olufunekayo. Izimo ezilula ezihlanganisa amatshe amancane ekidini zingase ziphele phakathi kwezinsuku kuya emavikini, kuyilapho ukwelashwa okuhlinzwa kungase kudinge amaviki amaningana kuya ezinyangeni zokululama okuphelele. Udokotela wakho angakunika isikhathi esithile esisekelwe esimweni sakho esithile nehlelo lokwelapha.

Ingabe ngizodinga ukuhlinzwa nge-hydronephrosis?

Akuwona wonke umuntu one-hydronephrosis odinga ukuhlinzwa. Isidingo sokuhlinzwa sixhomeke kulokho okubangela ukuvimba nokuthi isimo sakho siqinile kangakanani. Izimo eziningi zingaphathwa ngemithi, izindlela ezingathinti kakhulu, noma ngokulungisa izimo ezikhona njenge-prostate enkulu. Udokotela wakho uyoncoma ukwelashwa okuphumelelayo okungenabuhlungu kakhulu esimweni sakho esithile, egcina ukuhlinzwa kwizimo lapho ezinye izindlela zinganelisi.