I-JUP stenosis: kuyini, izimbangela nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Yini ebangela i-JUP stenosis
• Yelashwa kanjani
• Kungenzeka yini ukuthi ukhulelwe?

Uretero-pelvic junction (JUP) stenosis, obizwa nangokuthi ukuvimbela i-pyeloureteral junction, ukuvimbela umgudu womchamo, lapho ucezu lwe-ureter, isiteshi esithwala umchamo kusuka ezinso kuya esinyeni, lincane kunokujwayelekile, okwenza umchamo ungangeni kahle esinyeni, uqoqele ezinsweni.

I-JUP ivame ukutholakala ngisho nangesikhathi sokukhulelwa noma ngemuva nje kokuzalwa njengoba kuyisimo sokuzalwa, esivumela ukwelashwa okufanele ukwenziwa ngokushesha okukhulu, futhi kunciphisa amathuba okugcwala ngokweqile izinso, futhi ngenxa yalokho ukulahleka komsebenzi wezinso.

Ezinye zezimpawu ze-JUP stenosis zifaka ukuvuvukala, ubuhlungu kanye nokutheleleka okuphindaphindayo komchamo, okungaholela ezimweni ezinzima ukulahleka kwezinso ezithintekile, yingakho ukwelashwa okunconywayo kungukuhlinzwa.

Izimpawu eziyinhloko

Izimpawu ze-JUP stenosis zingavela ebuntwaneni, kepha akuvamile ukuthi zibonakale ebusheni noma ebudaleni. Izimpawu ezivame kakhulu kungaba:

• Ukuvuvukala kolunye uhlangothi lwesisu noma emuva;
• Ukwakhiwa kwamatshe ezinso;
• Ukutheleleka okuvamile komchamo;
• Ubuhlungu ohlangothini olulodwa lwangemuva;
• Umfutho wegazi ophakeme;
• Igazi emchameni.

Ukuqinisekiswa kokusolwa kwe-JUP kwenziwa ngezivivinyo zokucabanga, njenge-renal scintigraphy, i-X-ray kanye ne-ultrasound, okusetshenziselwa ukuhlukanisa phakathi kokuvinjelwa okukhulu, lapho umchamo ungeke usuke ezinso uye esinyeni futhi okudinga ukulungiswa kokuhlinzwa, i-dilation renal pielocalicial, okuwukuvuvukala kwezinso ngokwesibonelo, lapho kungakhonjiswa khona ukuhlinzwa. Bheka ukuthi yini i-pyelocalyal dilation nokuthi ukwelashwa kwenziwa kanjani.

Uma kwenzeka kusolwa i-JUP, kubalulekile ukubona i-nephrologist, njengoba ukubambezeleka kokuxilongwa kungaholela ekulahlekelweni kwezinso ezithintekile.

Yini ebangela i-JUP stenosis

Izimbangela ze-JUP stenosis azikaziwa, kepha ezimweni eziningi kuyinkinga yokuzalwa, okungukuthi, umuntu uzalwa enjalo. Kodwa-ke, kunezimbangela zokuvinjelwa kwe-JUP ezingabangelwa ngamatshe ezinso, amahlule egazi ku-ureter noma i-schistosomiasis, ngokwesibonelo.

Ezimweni ezingavamile, isizathu se-stenosis singaba ngenxa yokuhlukumezeka esiswini, njengokushaywa, noma izingozi ezibandakanya umthelela omkhulu kuleyo ndawo.

Yelashwa kanjani

Ukwelashwa kwe-JUP stenosis kwenziwa ngokuhlinzwa okubizwa nge-pieloplasty, futhi kuhlose ukuvuselela ukuhamba okujwayelekile komchamo phakathi kwezinso ne-ureter. Ukuhlinzwa kuhlala amahora amabili, kusetshenziswa i-anesthesia ejwayelekile, ngemuva kwezinsuku ezintathu zokulaliswa esibhedlela lowo muntu angabuyela ekhaya, futhi ezimweni eziningi izinso ziyakwazi ukwelulama ekulimaleni akutholile.

Kungenzeka yini ukuthi ukhulelwe?

I-JUP stenosis ayithinti ukuzala, ngakho-ke kungenzeka ukuthi ukhulelwe. Kodwa-ke, kuyadingeka ukuthi uhlole izinga lokulimala kwezinso, uma owesifazane ene-high blood pressure noma uma amazinga e-proteinuria ephezulu. Uma lawa manani eshintshwa, kunengozi enkulu yezinkinga ekukhulelweni, njengokuzalwa ngaphambi kwesikhathi noma ukushona komama, futhi ngenxa yalesi sizathu ukukhulelwa kungelulekwa yi-nephrologist.