I-Hydronephrosis: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimbangela ezingenzeka ze-hydronephrosis
• Yelashwa kanjani
• Izinkinga ezingenzeka ze-hydronephrosis

I-Hydronephrosis ukuvuleka kwezinso okwenzeka lapho umchamo ungeke wedlulele esinyeni ngakho-ke uqoqana ngaphakathi kwezinso. Uma lokhu kwenzeka, izinso azikwazi ukusebenza ngokujwayelekile futhi, ngakho-ke, umsebenzi wazo uyancipha, futhi kungaba khona nengozi yokuba nokuhluleka kwezinso.

Ngokuvamile, i-hydronephrosis ivela njengenkinga yesinye isifo, njengamatshe ezinso noma isimila egazini lomchamo, futhi kunconywa ukuthi uthintane nodokotela wezifo zengqondo noma udokotela ojwayelekile ukuthola imbangela yenkinga bese uqala ukwelashwa okufanele, ukuze gwema ukulandelana okungathi sína ngokwengeziwe.

Ezimweni eziningi, i-hydronephrosis ithinta eyodwa kuphela yezinso, kodwa futhi kungenzeka ukuthi uhlupheke nge-hydronephrosis yamazwe omabili, lapho izimpawu zingavela ngokushesha okukhulu futhi zibe namandla kakhulu, njengoba zombili izinso zithintekile.

Izimpawu eziyinhloko

Izimpawu zokuqala ze-hydronephrosis zinamandla futhi zivame ukufaka isifiso sokuchama kaningi nesifiso sokuzichamela ngokuzumayo. Noma kunjalo, ngokuhamba kwesikhathi, ezinye izimpawu zingavela, njenge:

• Ubuhlungu obuqhubekayo esiswini sangaphezulu nangemuva;
• Isicanucanu nokuhlanza;
• Ubuhlungu lapho uchama;
• Ukuzizwa kwesinye ngokugcwele ngisho nangemva kokuchama;
• Kunzima ukuchama;
• Ukwehliswa kwevolumu yomchamo;
• Umkhuhlane ophansi.

Ngaphezu kwalokho, abantu abane-hydronephrosis nabo basengozini enkulu yokuthola ukutheleleka komchamo, okuhambisana nezinye izimpawu ezinjengokushisa lapho uchama, umchamo onamafu, ubuhlungu beqolo kanye nokugodola, isibonelo. Bona uhlu oluphelele lwezimpawu zokutheleleka ngomgudu womchamo.

Noma nini lapho kusolwa inkinga yomchamo, kubalulekile ukuya kudokotela wezifo zabesifazane, i-nephrologist noma i-urologist ukuyokwenza izivivinyo zokuxilonga, njenge-ultrasound, ukuhlolwa komchamo noma ukuhlolwa kwegazi, ukuthola imbangela engaba khona bese uqala ukwelashwa okufanele.

Izimbangela ezingenzeka ze-hydronephrosis

I-Hydronephrosis ivame ukuqhamuka lapho kunesigaxa esivundlile, okuyiziteshi ezithwala umchamo kusuka ezinso uye esinyeni, ukuvimbela ukudlula komchamo. Ezinye izimo ezingadala leli bhulokhi ngamatshe ezinso, izicubu zomgudu womchamo noma i-prostate ekhulisiwe emadodeni, ngokwesibonelo.

Ngaphezu kwalokho, i-hydronephrosis nayo ivame kakhulu ngesikhathi sokukhulelwa, njengoba ukukhula kombungu ngaphakathi kwesibeletho kungagcina ngokucindezela umgudu wokuchama nokuvimbela ukudlula komchamo, oqala ukuqoqana ngaphakathi kwezinso.

Yelashwa kanjani

Ukwelashwa kwe-hydronephrosis kubandakanya ukususa umchamo onqwabelene nokususa imbangela yalesi sifo, ukuze umchamo ukwazi ukuhamba ngokukhululeka uye esinyeni bese ushiya izinso, kunciphise ukuvuvukala. Ngakho-ke, ukwelashwa kungahluka ngokuya ngesizathu se-hydronephrosis:

• Itshe lezinso: udokotela angancoma ukwelashwa kwe-ultrasound noma ukuhlinzwa ukususa itshe, kuya ngosayizi;
• Ukwandiswa kwendlala yesilisa emadodeni: inetha elincane lingabekwa ngaphakathi komgudu wokuchama ukukhulula ingcindezi ebangelwa yi-prostate futhi livumele ukuphuma komchamo;
• Ukutheleleka ngomchamo: ingelashwa kuphela ngokusebenzisa i-antibiotic, njenge-Ciprofloxacino.

Endabeni yamathumba, kungadingeka ukuthi uhlinzwe ukuze ususe isisindo, futhi kungadingeka ukwelashwa nge-chemo noma nge-radiotherapy, ngokwesibonelo. Qonda kangcono ukuthi isimila sesinye siphathwa kanjani.

Imvamisa, izinso ziyalulama cishe emasontweni ayisithupha ngemuva kokuqala kokwelashwa, kungabikho bungozi bezilonda ezintsha esithweni ngaphandle kwalezo esevele zivele kwaze kwaqala ukwelashwa.

Izinkinga ezingenzeka ze-hydronephrosis

Lapho i-hydronephrosis ingalashwa kahle, ukuvuvukala kwezinso kubangela ukulimala okuncane okuvimbela ukusebenza kwesitho. Ngakho-ke, ngokuhamba kwesikhathi, ukungalingani kwamaminerali abalulekile emzimbeni kungavela, kanye nokutheleleka okukhulu kwezinso kanye nengozi enkulu yokuba nokuhluleka kwezinso.