Hydronephrosis

I-Hydronephrosis kwenzeka lapho i-urine iqongelela ekidini. Ngokuvamile, ukuvimba okubizwa ngokuthi ukuphazamiseka engxenyeni engaphezulu yomgudu wokuphuma kwe-urine kubangela ukuqongelela. Ukuvuvukala kwesibindi kungabangela. Lokhu kubangela ingxenye yekidini ebizwa ngokuthi i-renal pelvis ukuba iphume, noma ibe nomfutho. Kungabangela ukwenzakala kwesibindi, futhi ikidini lingase lingasebenzi kahle njengoba kufanele.

I-Hydronephrosis iwukuvuvukala kwesinye noma kokubili ama-kidney. Kwenzeka lapho i-urine ingakwazi ukuphuma ekidini futhi iqongelela ekidini ngenxa yalokho. Isimo singabangelwa ukuvimba emibhobheni ephuma i-urine ema-kidney. Kungenzeka futhi ngenxa yokwehluka okukhona ekuzalweni okwenza i-urine ingakwazi ukuphuma kahle. Kwabanye abantu, i-hydronephrosis ibangela ukonakala kwesibindi ngokuhamba kwesikhathi.

I-Hydronephrosis ingenzeka kunoma iyiphi iminyaka. Isimo ngokuvamile alibikeli zimpawu. Abantu ababa nezimpawu bangaba nobuhlungu eceleni nasemuva, ukuthamba okuhlungu, ukugabha nomkhuhlane. Ochwepheshe bezempilo banendlela ezihlukahlukene zokubona i-hydronephrosis. Izivivinyo zokuthola isimo zingenziwa phakathi nobukhulu noma ngezinye izikhathi ngaphambi kokuba ingane izalwe.

Ukuphathwa kwe-hydronephrosis kuncike esizathwini sesimo. Abanye abantu badinga imithi noma ukuhlinzwa ukuze bazizwe bephilile futhi bavimbele ukonakala kwesibindi. I-hydronephrosis ephansi ngezinye izikhathi iyahamba yodwa ngokuhamba kwesikhathi.

I-Hydronephrosis ivame ukungabangeli zimpawu. Kodwa uma izimpawu zivele, zingafaka: Ubuhlungu ohlangothini nasemuva okungase luye esizathwini esisezansi sikasendlini noma esihlathini. Ubuhlungu uma ukhishwa, noma uzizwe udinga ukuya ekhaya okuphapheme noma okuvela njalo. Isisu esiphazamisekile nokugabha. Ukuvuvukala. Ukwehluleka kokukhula kubantwana. Ukulahlekelwa isisindo noma ukulahlekelwa ukulangazelela ukudla. Igazi emathisini. Xhumana nochwepheshe wakho wezokunakekelwa kwezempilo uma unezimpawu ze-hydronephrosis. Izingane ezinemethiyeli zivame ukungabi nazimpawu. Kodwa yisa ingane yakho ukuhlolwa kwezempilo ngokushesha ngezimpawu ezinjengokuvuvukala okuphezulu.

Shaya ochwepheshe bakho bezempilo uma unezithonjana zokukhula kwama-hydronephrosis. Izingane ezincane ezinaleli gciwane zivame ukungabi nazimpawu. Kodwa-ke, yisa ingane yakho ukuhlolwa kwezempilo ngokushesha uma inezimpawu ezinjengomkhuhlane ophezulu.

Izimbangela ze-hydronephrosis zihlanganisa ukuvimba noma enye inkinga yempilo ethonya umthambo wokuphuma kwesisu. Umthambo wokuphuma kwesisu uhlanganisa izinso kanye ne-bladder. I-Urine igeleza kusuka ezinso iye e-bladder ngemibhobho ebizwa ngokuthi yi-ureters. I-Urine ishiya i-bladder nomzimba ngomunye umbhobho obizwa ngokuthi yi-urethra.

Ukuvimba okungenzeka noma okuphelele komthambo wokuphuma kwesisu kungavimbela i-urine ekuphumeni ezinso futhi kubangele ukukhula. Ezinye izinkinga eziphazamisa umthambo wokuphuma kwesisu zingabangela i-urine ukuthi igeleze ngemuva nge-ureters kusuka e-bladder iye ezinso. Uma i-urine igeleza ngendlela engafanele, isimo sibizwa ngokuthi yi-vesicoureteral reflux.

Izimbangela ze-hydronephrosis zihlanganisa okulandelayo:

• Izimo ezikhona ekuzalweni. Abanye abantwana bazalwa benokuvinjwa okungenzeka kwesisu esibizwa ngokuthi yi-ureteropelvic junction obstruction. Ngokuvamile, ukuvimba kwenzeka lapho isisu linamathela kwenye yemibhobho ethwala i-urine iye e-bladder. Le mibhobho ibizwa ngokuthi yi-ureters.

Abanye abantwana bazalwa bene-ureter engavamile. I-Urine igeleza ngemuva nge-ureter kusuka e-bladder iye esiswini. Uma ukugeleza kwesisu ngemuva kwenzeka, kubizwa ngokuthi yi-vesicoureteral reflux.

• Amatshe esisu. Lena yizakhiwo ezinzima zaminerali nama-salts ahlanganiswe ngaphakathi kwezinso.
• I-prostate ekhulu. I-prostate enkulu kakhulu ingabangela i-bladder ukuba ibe nezinkinga zokuphuma i-urine. I-Urine ingabuya ezinso.
• I-ureter elilimaziwe noma elimanziwe. Ukuhlinzwa kwe-pelvic okwenziwe ngokuqeda indawo yesisu kungalimaza i-ureter ngephutha. I-ureter ingaba manzi ngezizathu ezinjengokuthi ukwenzakala ngemuva kokuhlinzwa noma ukwelashwa nge-radiation ye-prostate cancer.
• Ukutheleleka komthambo wokuphuma kwesisu. Lolu hlobo lokutheleleka lungathinta noma yiliphi izingxenye lomthambo wokuphuma kwesisu, kuhlanganise izinso.
• Ukukhulelwa. Ukukhula kwesisu sokuphuma kwesisu kuvamile ngesikhathi sokukhulelwa. Ngokuvamile, i-hydronephrosis kubantu abakhulelwe ayibangeli izimpawu futhi ihamba ngemuva kokubeletha.
• Umkhuhlane. Ngezinye izinhlobo zomkhuhlane, i-tumor ingabangela ukuvimba komthambo wokuphuma kwesisu. Lokhu kuhlanganisa umkhuhlane we-bladder, i-cervix, i-colon ne-prostate.

Izimo ezikhona ekuzalweni. Abanye abantwana bazalwa benokuvinjwa okungenzeka kwesisu esibizwa ngokuthi yi-ureteropelvic junction obstruction. Ngokuvamile, ukuvimba kwenzeka lapho isisu linamathela kwenye yemibhobho ethwala i-urine iye e-bladder. Le mibhobho ibizwa ngokuthi yi-ureters.

Abanye abantwana bazalwa bene-ureter engavamile. I-Urine igeleza ngemuva nge-ureter kusuka e-bladder iye esiswini. Uma ukugeleza kwesisu ngemuva kwenzeka, kubizwa ngokuthi yi-vesicoureteral reflux.

Izimbangela ezingozi ze-Hydronephrosis kubantu abadala abaneminyaka engama-20 kuya kwengu-60 zihlanganisa ukuba owesifazane. Ubungozi obukhulu bungase bube ngenxa yezimo ezithile ezihlasela i-uterus, njengokukhulelwa. Kungase futhi kube ngenxa yezimo ezihlasela ama-ovari, njenge-cysts, ukwakheka kwama-pus kanye nomdlavuza. Izimbangela ezingozi zabantu abadala abangaphezu kweminyaka engama-60 zihlanganisa ukuba ne-prostate eyongeziwe noma ukuvinjelwa kwe-urinary tract ngumdlavuza.

I-Hydronephrosis ingabangela ezinye izimo zezempilo ebizwa ngokuthi yizinkinga. Ngaphandle kokwelashwa, abanye abantu abane-hydronephrosis eqatha bathuthukisa ukonakala okungapheli kwamalunga. Ngokungavamile, le simo lingabangela ukuthi ikilasi elithintekayo lilahle ikhono lokuhlunga igazi, okuthiwa futhi ukwehluleka kwesibindi.

Ukuxilongwa kuhilela izinyathelo eqembu lakho lokunakekelwa kwezempilo elilizithatha ukuthola ukuthi i-hydronephrosis iyona yona ebangela izimpawu zakho. Uchwepheshe wakho wezempilo uqala ngokukubuza ngezimpawu zakho nokwenza ukuhlolwa komzimba. Ungase uqondiswe kudokotela obizwa ngokuthi yi-urologist, otholela futhi aphathe izimo zesimiso sokususa amanzi.

Izivivinyo ezingasiza ukuthola ukuthi une-hydronephrosis yini zingafaka:

• Uvivinyo lwegazi ukuhlola ukuthi ama-kidney asebenza kahle kangakanani.
• Uvivinyo lwamanzi ukufuna izinkomba zokuthi ukutheleleka noma amatshe e-kidney kungase kube yimbangela yokuvinjwa.
• Ukuhlolwa kwe-ultrasound imaging ukubuka ama-kidney, ibladder nezinye izingxenye zendlela yokususa amanzi. Lo mvivinyo ungasiza ukuqaphela izimo zezempilo ezingase zikhona.
• Ukuhlolwa kwe-X-ray yendlela yokususa amanzi okusebenzisa i-dye ekhethekile ukuze kuvezwe ama-kidney, ama-ureters, ibladder ne-urethra. Lo mvivinyo ubizwa ngokuthi yi-CT urogram. Uthatha izithombe zendlela yokususa amanzi ngaphambi nangemva kokususa amanzi.

Uchwepheshe wakho wezempilo angase futhi aphakamise enye indlela yokuhlola izithombe, njenge-MRI. Enye indlela yokuhlola ebizwa ngokuthi yi-MAG3 scan ihlola umsebenzi we-kidney nokususwa kwamanzi.

Phakathi kokukhulelwa, ukuhlolwa okuvamile kwe-ultrasound kuvame ukuqaphela i-hydronephrosis ezinganeni ezingakazalwa.

Ukwelashwa kwe-hydronephrosis kuncike esizathwini sawo nokuthi izimpawu zibi kangakanani. Umgomo wokwelashwa ukunciphisa ukukhula kwesibindi nokuvimba ukulimala kwesibindi. Ungase udinga imithi, inqubo yokususa umchamo noma ukuhlinzwa. Kwabanye abantu, i-hydronephrosis emaphakathi iyaphela yodwa ngokuhamba kwesikhathi. Imithi Uchwepheshe wakho wezokunakekelwa kwezempilo angase akubhale imithi yokunciphisa ubuhlungu. Abanye abantu badinga imithi ebizwa ngokuthi ama-antibiotics ukuze basuse ukutheleleka kwezindlela zokukhishwa komchamo. Ngezinye izikhathi, izingane ezine-hydronephrosis zinikwa ama-antibiotics ukuvimba ukutheleleka. Izingane zivame ukungadingi ukwelashwa okunye. Zivame ukuba ne-hydronephrosis emaphakathi ephulukana yodwa. Izivivinyo zokwenza izithombe zingalandelela impilo yazo ngokuhamba kwesikhathi. Ukuhlinzwa noma ezinye izinqubo Ngezinye izikhathi, ukuhlinzwa kuyadingeka ukulungisa isithiyo noma ukulungisa ukugeleza emuva komchamo. Ukuhlinzwa kungase futhi kwenziwe ukuze kunciphise ubuhlungu obukhulu noma ukugabha okuvela ku-hydronephrosis. Ukuhlinzwa kungaba yindlela yokwelapha i-hydronephrosis ebangelwa izimo ezinjengalezi: Amatshe esibindi. I-prostate eyongeziwe. I-ureter evaliwe noma ecindezelekile. Umdlavuza. Abanye abantu badinga futhi ukuba nomchamo owengeziwe ususwe emzimbeni. Uchwepheshe wezokunakekelwa kwezempilo uyakwenza lokhu ngokufaka ithyube elithinwe elibizwa ngokuthi i-catheter esibindini. Ukwelashwa kwasekuqaleni kwe-hydronephrosis kusiza abantu abaningi ukuba baphile. Kusiza futhi ukuvimba ukulimala okungapheli kwesibindi. Cela i-aphoyintimenti