Yini i-vesicoureteral reflux, ukuthi ungayibona kanjani futhi uyiphathe kanjani
-Delile
I-Vesicoureteral reflux inguquko lapho umchamo ofinyelela esinyeni ubuyela ku-ureter, okwandisa ubungozi bokutheleleka ngomgudu womchamo. Lesi simo sivamise ukukhonjwa ezinganeni, lapho-ke sithathwa njengesishintshi sokuzalwa, futhi senzeka ngenxa yokwehluleka kwendlela evimbela ukubuya komchamo.
Ngakho-ke, njengoba umchamo ubuye uphethe ama-microorganism akhona emgodini we-urinary, kujwayelekile ukuthi ingane ithuthukise izimpawu nezimpawu zokutheleleka ngomgudu womchamo, njengobuhlungu lapho ichama nomkhuhlane, futhi kubalulekile ukuthi ingane yenze izivivinyo zemifanekiso ukuze ihlolwe ukusebenza kohlelo khona-ke kungenzeka ukuphetha ukuxilongwa bese uqala ukwelashwa okufanele.
Kungani kwenzeka
I-Vesicoureteral reflux yenzeka ezimweni eziningi ngenxa yokwehluleka kwendlela evimbela umchamo ukuthi ubuye ngemuva kokufinyelela esinyeni, okwenzeka ngesikhathi sokukhula kwengane ngesikhathi sokukhulelwa, ngakho-ke, kubhekwa njengokuguqulwa kokuzalwa.
Kodwa-ke, lesi simo singaba futhi ngenxa yofuzo, ukungasebenzi kahle kwesinye noma ukuvimbela ukugeleza komchamo.
Ungayibona kanjani
Lokhu kuguqulwa kuvame ukukhonjwa ngezivivinyo zokucabanga ezifana nesinye kanye ne-raythral radiography, ebizwa ngokuthi yi-voiding urethrocystography. Lokhu kuhlolwa kucelwa ngudokotela wezingane noma udokotela womchamo lapho kubonakala izimpawu zokutheleleka ngomgudu womchamo noma ukuvuvukala kwezinso, okubizwa nge-pyelonephritis. Lokhu kungenxa yokuthi kwezinye izimo umchamo ungabuyela ezinso, kuholele ekuthelelekeni nasekuvukeleni.
Ngokuya ngezimpawu ezibonwe ekuhlolweni nasezimpawu ezethulwe ngumuntu, udokotela angahlukanisa i-vesicoureteral reflux ngamazinga, okungukuthi:
- Ibanga I, lapho umchamo ubuyela kuphela ku-ureter futhi ngenxa yalokho uthathwa njengebanga elilula kakhulu;
- IBanga II, lapho kubuyela khona ezinso;
- Ibanga lesithathu, lapho kubuyela khona ezinso futhi ukuthamba kwesitho kuqinisekiswa;
- IBanga IV, lapho ngenxa yokubuyela okukhulu kwezinso nezitho zomzimba, izimpawu zokulahleka komsebenzi zingabonakala;
- IBanga V, lapho ukubuyela ezinso kukhulu kakhulu, okuholela ekuthambekeni okukhulu nasekuguqulweni kwe-ureter, kuthathwa njengezinga elibi kakhulu le-reflux ye-vesicoureteral.
Ngakho-ke, ngokwezinga le-reflux, izimpawu nezimpawu ezethulwayo kanye neminyaka yomuntu, udokotela uyakwazi ukukhombisa uhlobo oluhle kakhulu lokwelashwa.
Yelashwa kanjani
Ukwelashwa kwe-vesicoureteral reflux kufanele kwenziwe ngokusho kwesincomo se-urologist noma udokotela wezingane futhi kungahluka ngokuya ngezinga le-reflux. Ngakho-ke, kuma-refluxes kusuka ebangeni I kuya ku-III, kujwayelekile ukukhombisa ukusetshenziswa kwama-antibiotic, njengoba kungenzeka ukunciphisa izimpawu ezihlobene nokutheleleka kwamagciwane, ukukhuthaza ikhwalithi yempilo yomuntu. Ikakhulu ngoba lapho kwenzeka ezinganeni ezineminyaka engaphansi kwemihlanu ubudala, ukuphulukiswa okuzenzakalelayo kuvamile.
Kodwa-ke, esimweni se-grade IV ne-V refluxes, ukuhlinzwa kuvame ukunconywa ukuze kuthuthukiswe ukusebenza kwezinso futhi kunciphise ukubuya komchamo. Ngaphezu kwalokho, ukwelashwa okuhlinzekwayo kungakhonjiswa nakubantu abangaphendulanga kahle ekwelashweni ngama-antibiotic noma abake baba nezifo eziphindaphindayo.
Kubalulekile ukuthi abantu abatholakala ukuthi bane-vesicoureteral reflux babhekwe njalo ngudokotela, ngoba ngakho-ke kungenzeka ukuthi kuqashwe ukusebenza kwezinso, kukhuthaze ukusebenza kwaso okufanele.