I-hydronephrosis yamazwe amabini

I-hydronephrosis e-bilateral kukwandiswa kweendawo zezintso eziqokelela umchamo. Amabini athetha omabini amacala.

I-bilateral hydronephrosis yenzeka xa umchamo ungakwazi ukukhupha izintso uye kwisinyi. I-Hydronephrosis ayisosifo. Kwenzeka ngenxa yengxaki ethintela umchamo ukuba ungaphumi kwizintso, ureters, kunye nesinyi.

Ukuphazamiseka okunxulunyaniswa ne-hydronephrosis yamazwe amabini kubandakanya:

• Ukuchaphazeleka okuchaphazelayo kwamazwe amabini-ukuvaleka kweentso ngesiquphe
• Isithintelo esivelisayo sesithintelo - ukuvaleka kwesinyi, okungavumeli ukuhambisa amanzi
• Isifo sokuphazamiseka kwengqondo esinganyangekiyo esinganyangekiyo phakathi kwamazwe amabini-ukuvalwa ngokuthe ngcembe kwezintso zombini kuhlala kuthintelwa kwisinye.
• Isinyi se-Neurogenic - isinyi esingasebenzi kakuhle
• Iipvaluva zangasemva zangasemva - iimpempe kwi-urethra ebangela ukungabikho kakuhle kwesinyi (kubafana)
• I-Prune isisu esiswini-ukungabinanto yokuchitha isinyi ebangela ukubonwa sisisu
• I-Retroperitoneal fibrosis - ukwanda kwethishu ebomvu ethintela ii-ureters
• Ureteropelvic junction obstruction - ukuvalwa kwezintso kwindawo apho ureter ingena khona kwizintso
• Reflexx yeVesicoureteric - ukhuphelo lomchamo ukusuka kwisinyi ukuya kwizintso
• Ukuqhawuka kwesibeleko - xa isinyi sihla size sicinezele kwindawo yelungu lobufazi. Oku kubangela ikink kwi-urethra, ethintela umchamo ekuphumeni kwisinyi.

Emntwaneni, iimpawu zengxaki zihlala zifumaneka ngaphambi kokuzalwa ngexesha lokukhulelwa kwe-ultrasound.

Usulelo lwe-urinary kwi-usana olusandul 'ukuzalwa lunokubonisa ukuvalwa kwezintso. Umntwana osele ekhulile ofumana ukuphinda-phinda usulelo lomchamo kufuneka ahlolwe ukukhutshwa.

Inani eliphezulu kuneliqhelekileyo losulelo lomchamo kuhlala kuphela kwempawu zengxaki.

Iimpawu eziqhelekileyo kubantu abadala zingabandakanya:

• Umqolo obuhlungu
• Isicaphucaphu, ukugabha
• Ifiva
• Kufuneka uchame rhoqo
• Ukuncipha kwemveliso yomchamo
• Igazi kumchamo
• Ukungahambi kakuhle komchamo

Ezi mvavanyo zilandelayo zingabonisa i-hydronephrosis yamazwe amabini:

• Ukuhlolwa kwe-CT kwesisu okanye kwezintso
• IVP (isetyenziswa rhoqo)
• Ukukhulelwa (kosana olungekazalwa) ultrasound
• Ukuskena ngokutsha
• I-Ultrasound yesisu okanye izintso

Ukubeka ityhubhu kwisinyi (Foley catheter) kunokuvula ukucinywa. Olunye unyango lubandakanya:

• Ukucoca isinyi
• Ukuphelisa uxinzelelo ngokubeka iityhubhu kwizintso ngesikhumba
• Ukubeka ityhubhu (i-stent) ngokusebenzisa i-ureter ukuvumela umchamo ukuba uphume kwizintso ukuya kwisinyi

Unobangela oyintloko wokuvalelwa kufuneka ufumaneke kwaye uphathwe xa sele umchamo ukhululwe.

Utyando olwenziwe ngelixa umntwana esesibelekweni okanye kungekudala emva kokuzalwa kunokuba neziphumo ezilungileyo ekuphuculeni ukusebenza kwezintso.

Ukubuya komsebenzi wezintso kuyahluka, kuxhomekeke kubude bokubhloka okukhoyo.

Umonakalo wezintso ongenakuguqulwa unokubangelwa ziimeko ezibangela i-hydronephrosis.

Le ngxaki ihlala ifunyanwa ngumboneleli wezempilo.

I-ultrasound ngexesha lokukhulelwa ingabonisa ukukhutshwa kwendlela yomchamo womntwana. Oku kuvumela ingxaki ukuba inyangwe ngokuhlinzwa kwangoko.

Abanye oonobangela bokuvaleka, njengamatye ezintso, banokufunyanwa kwangethuba ukuba abantu baqaphela iimpawu zezilumkiso zeengxaki zezintso.

Kubalulekile ukuba unikele ingqalelo kwiingxaki ngokubanzi ngokuchama.

IHydronephrosis - yamazwe amabini

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

Umdala JS. Ukuvalwa kwendlela yokuchama. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 540.

UFrøkiaer J. Uthintelo lomjelo womchamo. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-10. IPhiladelphia, PA: Elsevier; 2016: isahluko 38.

UGallagher KM, uHughes J.Ukuthintelwa kwendlela yokuchama. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 58.

I-Nakada SY, eyona SL. Ulawulo lokuphazamiseka kwendlela ephezulu yomchamo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 49.