I-uropathy evimbelayo

I-uropathy evimbelayo yisimo lapho ukugeleza komchamo kuvinjelwe khona. Lokhu kubangela ukuthi umchamo ubuyele emuva futhi ulimaze eyodwa noma zombili izinso.

I-uropathy evimbelayo yenzeka lapho umchamo ungeke ukwazi ukuphuma ngomgudu womchamo. Umchamo ubuyela emuva ezinso bese ubangela ukuvuvukala. Lesi simo saziwa njenge-hydronephrosis.

I-uropathy evimbelayo ingathinta izinso elilodwa noma zombili. Kungenzeka ngokuzumayo, noma kube yinkinga yesikhathi eside.

Izimbangela ezivamile ze-uropathy evimbelayo zifaka:

• Amatshe esinye
• Amatshe ezinso
• I-Benign prostatic hyperplasia (i-prostate ekhulisiwe)
• Umdlavuza wesibeletho osezingeni eliphakeme
  
• Umdlavuza wesinye noma wesibeletho
• Umdlavuza wamakholoni
• Umdlavuza wesibeletho noma wesibeletho
• Umdlavuza we-Ovarian
• Noma yimuphi umdlavuza osakazekayo
• Izicubu ezibucayi ezenzeka ngaphakathi noma ngaphandle kwama-ureters
• Izicubu ezibucayi ezenzeka ngaphakathi kwe-urethra
• Izinkinga ngezinzwa ezinikeza isinye

Izimpawu zincike ekutheni inkinga iqala kancane noma ngokuzumayo, futhi uma ngabe inso elilodwa noma zombili ziyabandakanyeka. Izimpawu zingafaka:

• Ubuhlungu obumuncu ohlangothini ohlangothini. Ubuhlungu bungazwakala ohlangothini olulodwa noma zombili.
• Imfiva.
• Isicanucanu noma ukuhlanza.
• Ukuzuza kwesisindo noma ukuvuvukala (i-edema) yezinso.

Ungaba nezinkinga zokudlulisa umchamo, njenge:

• Nxusa ukuchama kaningi
• Nciphisa amandla okusakaza komchamo noma ubunzima bokuchama
• Ukushayela umchamo
• Ukungazizwa sengathi isinye siphelile
• Udinga ukuchama kaningi ebusuku
• Ukwehla kwenani lomchamo
• Ukuvuza komchamo (ukungasebenzi)
• Igazi emchameni

Umhlinzeki wakho wezokunakekelwa kwempilo uzo-oda izifundo ezisebenzayo noma ezithwebula izithombe ukuthola i-uropathy evimbelayo. Ukuhlolwa okuvame ukusetshenziswa kufaka:

• I-Ultrasound yesisu noma okhalo
• Ukuhlolwa kwe-CT kwesisu noma okhalweni
• I-pyelogram efakwa emithanjeni (IVP)
• Ukuvala i-cystourethrogram
• Ukuskena kabusha kwenuzi
• I-MRI
• Ukuhlolwa kwe-Urodynamic
• I-cystoscopy

Imithi ingasetshenziswa uma imbangela iyi-prostate ekhulisiwe.

Ama-stents noma ama-drain abekwe ku-ureter noma engxenyeni yezinso ebizwa nge-renal pelvis anganikeza ukukhululeka kwesikhashana kwezimpawu.

Amashubhu we-Nephrostomy, akhipha umchamo ezinso ngemuva, angasetshenziswa ukudlula ukuvinjelwa.

I-catheter ye-Foley, efakwe kwi-urethra iye esinyeni, nayo ingasiza ukugeleza komchamo.

Ukuphumula kwesikhashana okuvalekile kungenzeka ngaphandle kokuhlinzwa. Kodwa-ke, imbangela yokuvaleka kufanele isuswe futhi kulungiswe uhlelo lokuchama. Ukuhlinzwa kungadingeka ukuze kukhululwe isikhathi eside enkingeni.

Izinso zingadinga ukususwa uma ukuvinjelwa kubangela ukulahleka okukhulu komsebenzi.

Uma ukuvinjelwa kuqhamuka kungazelelwe, ukulimala kwezinso akunamathuba amancane uma inkinga itholakele yalungiswa khona manjalo. Imvamisa, ukulimala kwezinso kuyaphela. Ukulimala kwesikhathi eside ezinso kungenzeka uma ukuvinjelwa kube khona isikhathi eside.

Uma kungalimala izinso kuphela, mancane amathuba okuthi izinkinga zezinso ezingalapheki.

Ungadinga i-dialysis noma ukufakelwa izinso uma kukhona ukulimala kuzinso zombili futhi zingasebenzi, noma sekuvaliwe ukulungiswa.

I-uropathy evimbelayo ingadala ukulimala unomphela futhi okunzima ezinso, okuholela ekuhlulekeni kwezinso.

Uma inkinga idalwe ukuvinjelwa esinyeni, isinye singaba nomonakalo wesikhathi eside. Lokhu kungaholela ezinkingeni zokuchitha isinye noma ukuvuza komchamo.

I-uropathy evimbelayo ixhunyaniswe namathuba aphezulu okutheleleka ngomgudu womchamo.

Shayela umhlinzeki wakho uma unezimpawu ze-uropathy evimbelayo.

I-uropathy evimbelayo ingavinjelwa ngokwelapha ukuphazamiseka okungayibangela.

Uropathy - ukuvimbela

• I-catheterization yesinye - owesifazane
• I-catheterization yesinye - owesilisa
• 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.