Ukwenyuka kwiphilvis ye-renal kumntwana, ngelanga, akuqhelekanga. Esi sifo sibizwa ngokuba yi-pyeloectasia kwaye sinokuzalwa (kubonakala esibelethweni) okanye kufumaneka. Isifo sinokuchaphazela iincinci zisekhohlo kunye nekunene, kwaye ezinqabileyo zinezintso zombini ngexesha elinye.
Isizathu sesifo sihlala siqhelo:
- ukuphulwa kwemvelo yokuphuma komchamo kwi-pelvis kwaye, ngenxa yoko, ukuphulwa, ukujikeleza kwegazi ezintso;
- ukungaqhelekanga kokuphuhliswa kwiphepha eliphezulu le-urinary (ngokuqhelekileyo indawo engafanelekanga ye-ureter);
- ukuxhamla kwezifo zeengtso: ukuvuvukala, izibilini, amatye.
Esi sifo senziwa kwizigaba ezintathu:
- Ukwandiswa kwe-pelal pelvis, apho umsebenzi wezintso ungaphumeleli.
- Ukwandiswa kweepilvis kunye neengulube ze-calyx zomntwana, ngelixa umsebenzi wezintso uphazamisekile.
- Isigaba apho kutyunjwa khona izicubu kunye nokuphazanyiswa kweentso.
Ngokuqhelekileyo, isifo sifumaneka ngoncedo lwama-ultrasound, kwiveki ye-20 yokukhulelwa le nzala iyafumaneka, kodwa kwiimeko ezininzi i-intrauterine isifo sitshabalalisa ngokwayo ngenxa yesakhiwo sezitho kunye neenkqubo. Kwiintsana, isifo sinokufunyanwa ngokuvuvukala kwesisu kunye nokuba khona kwegazi kumchamo wengane esanda kuzalwa. Ngenyanga yokuqala yobomi umntwana ukhuthazwa ukuba enze i-kidney ultrasound. Ubungakanani be-pelal ye-renal buxhomekeke kwiminyaka yengane kwaye ngokuqhelekileyo:
- kwiminyaka emi-2-3 - 0.1-1 ml;
- I-3-5 iminyaka-2 ml;
- ebusheni - 6-8 ml.
Ukwandiswa kwe-pelal pelvis kubantwana kumaxesha amaninzi uphathwe, kodwa xa kwenzeka ukungonakaliswa kweentliziyo, uncedo olungenelelo luyafuneka. Unyango lwe-pelal ye-renal kumazinga okuqala uquka unyango lwezonyango, ukungena kwamathambo, kunye nokubeka iliso ngendlela yeenkqubo. Ingenelelo yokuphanda iqhutyelwa rhoqo yindlela yokwenza i-pyeloplasty, equka ukuchaneka kwengxenye encinci ye-ureter kunye nokubunjwa kwe-pelvis kunye ne-ureter.