I-Hydronephrosis yeentso yisifo apho kukho ukwandiswa kokuqhubela phambili kwe-pelal foal kunye ne-calyx ebangelwa ukuphulwa komkhuhlane, ekugqibeleni kuholele kwi-atrophy yezicubu zezintso kunye nokuphazamiseka okukhulu emsebenzini walo mzimba.
Ukwahlulelwa kwe-kidney hydronephrosis
Kukho amanyathelo amathathu ekuphuhlisweni kwesi sifo:
- I-stage - kuphela i-pelal pelvin yandisa, imisebenzi yeentso ayiphuli, okanye iphulwa kwizinga elingabalulekanga.
- Isigaba sesi-II - iinjongo zonyuka ngama-15-20% xa kuthelekiswa nokuqhelekileyo, iindonga zeeplavis zincinciweyo, kwaye imisebenzi yemisipha iphulwa. Umsebenzi we-renal wancitshiswa ngokucacileyo (ngo-20-40%).
- Isigaba se-III - iinjongo zonyuka ngamaxesha angama-1.5-2, umsebenzi wayo uncitshiswe ngaphezu kwe-50%, ukusalelwa ngokupheleleyo kweentso.
Ngokuxhomekeka kubukhulu bezilonda, i-renal parenchyma ihlukanisa ama-4 degrees esi sifo:
- i-renal parenchyma ayichaphazelekayo;
- umonakalo mncinane;
- umonakalo omkhulu;
- i-atrophy epheleleyo ye-renal parenchyma kunye nokungaphumeleli kwe-renal.
Ngokuxhomekeke ekubeni ingaba enye intso ichaphazelekayo okanye zombini, i-hydronephrosis enye kunye ne-two side side hydronephrosis iyahlula.
Kwakhona, kuxhomekeke kweso sizathu, i-hydronephrosis iyahlulwa ibe yintsholongwane kwaye ifunyenwe. Olu hlobo lokugqibela lunokubangelwa yi-urolithiasis, umonakalo kwipatheni ye-urinary, iifom ehlukahlukeneyo, i-dyskinesia yephepha lomchamo.
Iimpawu ze-kidney hydronephrosis
I-Hydronephrosis ingaba nzima kwaye ingapheliyo.
Kwi-hydronephrosis ephawulekayo, iimpawu zivakaliswa ngakumbi kwaye zikhule ngokukhawuleza. Kwinqanaba lokuqala lesi sifo (xa i-parenchyma ingabonakaliswa okwamanje, kwaye umsebenzi wezintso awuchaphazelekayo kakhulu), iimpawu zesifo esibangela ukuba i-hydronephrosis ichaneke ngakumbi.
Uphawu oluphambili lwe-hydronephrosis lubuhlungu obuqhubekayo obubuhlungu kumqolo ongaphantsi, ubunzima bawo abuxhomekeke kwixesha lemihla. Ubuhlungu buya kufakwa kwicala lasekunene okanye langasobunxele, kuxhomekeke kwiintlungu ezichaphazelekayo. Kwizigaba zokuqala zesifo, intlungu ingafana nokuhlaselwa kwecoal coal.
Ezinye iimpawu zingabandakanya:
- igazi kumchamo;
- ukukhawuleza ukuba ugonywe ;
- isicaphulo kunye nokuhlanza;
- ukwanda kwindleko yokushisa (xa ususuleleke kwimvelaphi ye-hydronephrosis).
Ifomu engapheliyo yesifo ikhula ngokuthe ngcembe kwaye iyakwazi ukuba yinto engapheliyo. Isigulane sinokuphazamiseka ngenxa yentlungu engapheliyo emva kwexesha eliphantsi, ukuqinisa emva kokusela utywala obuninzi, ubuthathaka, ukukhathala, uxinzelelo lwegazi .
Kwiimigangatho ezisekupheleni kwesi sifo, ukuvuvukala nokukhubazeka kwisithili esilungileyo, sinokubakhoka, singabonwa.
Unyango lwe-hydronephrosis
Unyango lwe-hydronephrosis lwenziwa kuphela yindlela yokuhlinzwa. Unyango olondolozo lwe-hydronephrosis lweentso alusebenzi kwaye lusetyenziswa kuphela ekunciphiseni iimpawu zesifo nokuzinzisa imeko yesigulane ngaphambi kokuhlinzwa.
Njengengxamiseko, i-kidney ye-kidney isenziwa kwisifo esinjalo, apho ukuqokelela umchamo kususwe kwi-pelvis ngokusebenzisa inaliti ekhethekileyo, ngoko ke uxinzelelo kwiintso luyancitshiswa.
Ingenelelo lokuphanda kwimeko nganye limele kwaye lixhomekeke kulo
Okokuqala, ukusebenza kunye ne-hydronephrosis kuhloswe ukubuyisela ukuphuma kwe-urine ngokuqhelekileyo kunye nokususa umqobo obangela ukuba. Ukuba umsebenzi wezintso awuchaphazeli kakhulu, njengomthetho, ukuhlinzwa kweplastiki ye-renal pelvis (ukubuyiselwa kobukhulu bayo obuqhelekileyo) kunye ne-ureter eyenziwa, evumela umzimba ukuba usebenze kakuhle ngokuzayo. Kwiimigangatho ezisekupheleni kwe-hydronephrosis, xa iinjongo ziyeka ukusebenza, unyango lwayo alukwazi, lusebhenxise ekutheni lususwe, kuba ezinye iingxaki ezinokuvuthayo zinokwenzeka.