I-hydronephrosis eyimbumba

I-bilateral hydronephrosis ukukhuliswa kwezingxenye zezinso eziqoqa umchamo. Ukuhlangana kusho zombili izinhlangothi.

I-hydronephrosis eyimbumba yenzeka lapho umchamo ungakwazi ukukhipha izinso ungene esinyeni. I-Hydronephrosis ayisona isifo uqobo. Kwenzeka njengomphumela wenkinga evimbela umchamo ukuthi ungakhiphi izinso, ama-ureters nesinye.

Ukuphazamiseka okuxhunyaniswe ne-hydronephrosis yamazwe womabili kufaka:

• I-acute uropathy evimbela amazwe amabili - ukuvimba okungazelelwe kwezinso
• Isithintelo sokuvala isinye - ukuvinjelwa kwesinye, okungavumeli ukuphuma kwamanzi
• I-uropathy evimbelayo yamazwe omabili - ukuvinjelwa kancane kwezinso zombili kuvame kakhulu ekuvinjelweni okuvamile okukodwa
• Isinye se-neurogenic - isinye esingasebenzi kahle
• Ama-valves we-posterior urethral - i-flap ku-urethra ebangela ukukhishwa okungalungile kwesinye (kubafana)
• Prune isisu syndrome - ukungasichazi kahle isinye esibangela ukuhlukaniswa kwesisu
• I-Retroperitoneal fibrosis - izicubu ezibomvu ezikhuphukile ezivimba ama-ureters
• Ukuvinjelwa kwe-Ureteropelvic junction - ukuvinjelwa kwezinso lapho i-ureter ingena khona ezinso
• I-reflux ye-Vesicoureteric - isipele somchamo kusuka esinyeni kuze kufike ezinso
• Ukuqhuma kwesibeletho - lapho isinye sehla bese sicindezela endaweni yesitho sangasese. Lokhu kubangela ikink ku-urethra, evimbela umchamo ukuthi ungaphumi esinyeni.

Enganeni, izimpawu zenkinga zivame ukutholakala ngaphambi kokuzalwa ngesikhathi sokukhulelwa kwe-ultrasound.

Ukutheleleka komgudu womchamo enganeni esanda kuzalwa kungakhombisa ukuvinjelwa ezinso. Ingane endala ethola izifo eziphindaphindayo zomgudu womchamo nayo kufanele ihlolwe ukuvimba.

Inani eliphakeme kunalelejwayelekile lokutheleleka ngegciwane lomchamo imvamisa lilo kuphela uphawu lwenkinga.

Izimpawu ezivamile kubantu abadala zingafaka:

• Ukuhlungu obusemhlane
• Isicanucanu, ukuhlanza
• Imfiva
• Udinga ukuchama kaningi
• Ukwehla kokukhishwa komchamo
• Igazi emchameni
• Ukungakwazi ukubamba umchamo

Ukuhlolwa okulandelayo kungakhombisa i-hydronephrosis yamazwe amabili:

• I-CT scan yesisu noma izinso
• IVP (isetshenziswa kaningi)
• Ukukhulelwa (fetal) ultrasound
• Ukuskena kabusha
• I-Ultrasound yesisu noma izinso

Ukufaka ishubhu esinyeni (i-Foley catheter) kungavula ukuvinjelwa. Ezinye izindlela zokwelapha zifaka:

• Ukukhipha isinye
• Ukwehlisa ingcindezi ngokufaka amashubhu ezinso ngesikhumba
• Ukubeka ithubhu (i-stent) nge-ureter ukuvumela umchamo ugeleze usuke ezinso uye esinyeni

Imbangela eyinhloko yokuvinjelwa idinga ukutholakala futhi ilashwe uma nje umchamo usukhululekile.

Ukuhlinzwa okwenziwa ngenkathi umntwana esesibelethweni noma ngemuva nje kokuzalwa kungaba nemiphumela emihle ekwenzeni ngcono ukusebenza kwezinso.

Ukubuyiselwa komsebenzi wezinso kungahluka, kuye ngokuthi ukuvinjelwa kukhona isikhathi esingakanani.

Ukulimala kwezinso okungalungiseki kungavela ezimweni ezibanga i-hydronephrosis.

Le nkinga ivame ukutholakala ngumhlinzeki wezempilo.

I-ultrasound ngesikhathi sokukhulelwa ingabonisa ukuvinjelwa komgudu womchamo wengane. Lokhu kuvumela inkinga ukuthi yelashwe ngokuhlinzwa kusenesikhathi.

Ezinye izimbangela zokuvaleka, njengamatshe ezinso, zingatholakala kusenesikhathi uma abantu bebona izimpawu eziyisixwayiso zezinkinga zezinso.

Kubalulekile ukunaka izinkinga ezijwayelekile ngokuchama.

I-Hydronephrosis - eyimbili

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

Umdala JS. Ukuvinjelwa komgudu womchamo. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 540.

UFrøkiaer J. Ukuvinjelwa kwe-Urinary tract. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 38.

UGallagher KM, uHughes J.Ukuvinjelwa kwe-Urinary tract. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 58.

I-Nakada SY, i-Best SL. Ukuphathwa kokuvinjelwa okuphezulu komgudu womchamo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 49.