I-Hydronephrosis yenso elilodwa

I-Hydronephrosis ukuvuvukala kwenso elilodwa ngenxa yokulondolozwa komchamo. Le nkinga kungenzeka ezinso elilodwa.

I-Hydronephrosis (ukuvuvukala kwezinso) kwenzeka njengomphumela wesifo. Akusona isifo uqobo lwaso. Izimo ezingaholela ku-hydronephrosis zifaka:

• Ukuvinjelwa kwe-ureter ngenxa yesibazi esibangelwa ukutheleleka kwangaphambili, ukuhlinzwa, noma ukwelashwa ngemisebe
• Ukuvinjelwa kwesibeletho esikhulisiwe ngesikhathi sokukhulelwa
• Ukukhubazeka kokuzalwa kohlelo lokuchama
• Ukugeleza emuva komchamo kusuka esinyeni kuya ezinso, okubizwa nge-vesicoureteral reflux (kungahle kwenzeke njengokukhubazeka kokuzalwa noma ngenxa ye-prostate ekhulisiwe noma ukuncipha kwe-urethra)
• Amatshe ezinso
• Umdlavuza noma izimila ezenzeka ku-ureter, esinyeni, okhalweni noma esiswini
• Izinkinga ngezinzwa ezinikeza isinye

Ukuvaleka nokuvuvukala kwezinso kungavela ngokuzumayo noma kungaqala kancane.

Izimpawu ezivamile zifaka:

• Ubuhlungu beFlank
• Isisindo esiswini, ikakhulukazi ezinganeni
• Isicanucanu nokuhlanza
• Ukutheleleka kwe-Urinary tract (UTI)
• Imfiva
• Ukuchama okubuhlungu (i-dysuria)
• Ukwanda kwemvamisa yomchamo
• Ukwanda kokuphuthuma komchamo

Kwezinye izimo, kungahle kungabikho zimpawu.

Isimo sitholakala ekuhlolweni kwe-imaging njenge:

• I-MRI yesisu
• I-CT scan yezinso noma isisu
• I-pyelogram efakwa emithanjeni (IVP)
• Ukuskena izinso
• I-Ultrasound yezinso noma isisu

Ukwelashwa kuya ngesizathu sokuvuvukala kwezinso. Ukwelashwa kungafaka:

• Ukubeka i-stent (ithubhu) esinyeni nasesiyeni ukuvumela umchamo ugeleze usuke ezinso uye esinyeni
• Ukubeka ithubhu ezinso ngesikhumba, ukuvumela umchamo ovinjiwe ukuthi uphume emzimbeni ungene esikhwameni sokuhambisa amanzi
• Ama-antibiotic wezifo
• Ukuhlinzwa ukulungisa ukuvinjelwa noma i-reflux
• Ukususwa kwanoma yiliphi itshe elibangela ukuvimba

Abantu abanenso elilodwa kuphela, abanokuphazamiseka kwesimiso sokuzivikela komzimba njengesifo sikashukela noma i-HIV, noma abake bafakelwa okuthile bazodinga ukwelashwa khona manjalo.

Abantu abane-hydronephrosis yesikhathi eside bangadinga ama-antibiotic ukunciphisa ubungozi be-UTI.

Ukulahlekelwa umsebenzi wezinso, i-UTI, nobuhlungu kungenzeka uma isimo sishiywa singelashwa.

Uma i-hydronephrosis ingelashwa, izinso ezithintekile zingalimala unomphela. Ukwehluleka kwezinso akuvamile uma ezinye izinso zisebenza ngokujwayelekile. Kodwa-ke, ukwehluleka kwezinso kuzokwenzeka uma kukhona inso eyodwa kuphela esebenzayo. I-UTI nobuhlungu kungenzeka futhi.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unezinhlungu eziqhubekayo noma ezinzima zomlenze, noma umkhuhlane, noma uma ucabanga ukuthi ungaba ne-hydronephrosis.

Ukuvimbela ukuphazamiseka okubanga lesi simo kuzoyivimbela ukuthi ingenzeki.

I-Hydronephrosis; I-hydronephrosis engapheli; I-hydronephrosis enamandla; Ukuvinjelwa kwe-Urinary; Unilateral hydronephrosis; I-Nephrolithiasis - i-hydronephrosis; Itshe lezinso - i-hydronephrosis; I-renal calculi - i-hydronephrosis; I-ureteral calculi - i-hydronephrosis; I-reflux ye-Vesicoureteral - i-hydronephrosis; Ukuvimbela i-uropathy - i-hydronephrosis

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

UFrøkiaer J. Ukuvinjelwa kwe-Urinary tract. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

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.