I-Hydronephrosis yezintso enye

I-Hydronephrosis kukudumba kwesinye sezintso ngenxa yokugcina umchamo. Le ngxaki inokwenzeka kwizintso enye.

IHydronephrosis (ukudumba kwezintso) kwenzeka njengesifo. Ayisosifo ngokwaso. Imiqathango enokubangela i-hydronephrosis ibandakanya:

• Ukuvaleka kwe-ureter ngenxa yokunqongophala okubangelwa lusulelo lwangaphambili, utyando, okanye unyango lwemitha
• Ukuvaleka kwisibeleko esandisiweyo ngexesha lokukhulelwa
• Iziphene zokuzalwa kwenkqubo yokuchama
• Ukubuyela umva komchamo kwisinyi ukuya kwizintso, ezibizwa ngokuba yi-vesicoureteral reflux (inokwenzeka njengesiphene sokuzalwa okanye ngenxa yeprostate eyandisiweyo okanye ukunciphisa umchamo)
• Amatye eentso
• Umhlaza okanye amathumba avela kwi-ureter, bladder, pelvis okanye esiswini
• Iingxaki zemithambo-luvo ebonelela ngesinyi

Ukuvalwa kunye nokudumba kwezintso kunokwenzeka ngesiquphe okanye kunokukhula kancinci.

Iimpawu eziqhelekileyo zibandakanya:

• Intlungu yeflank
• Ubunzima besisu, ngakumbi ebantwaneni
• Isicaphucaphu nokugabha
• Usulelo lwe-Urinary tract (UTI)
• Ifiva
• Ukuchama okubuhlungu (dysuria)
• Ukwanda rhoqo kumchamo
• Ukonyusa ukungxamiseka komchamo

Ngamanye amaxesha, kungangabikho zimpawu.

Le meko ifunyanwa kuvavanyo lokucinga njenge:

• I-MRI yesisu
• Ukuxilongwa kwe-CT kwezintso okanye isisu
• Ipyramogram efakwa ngaphakathi (IVP)
• Ukuskena izintso
• I-Ultrasound yezintso okanye isisu

Unyango luxhomekeke kwisizathu sokudumba kwezintso. Unyango lunokubandakanya:

• Ukubeka i-stent (ityhubhu) kwisinyi kunye ne-ureter ukuvumela umchamo ukuba uphume kwizintso uye kwisinyi
• Ukubeka ityhubhu kwizintso ngesikhumba, ukuvumela umchamo ovaliweyo ukuba uphume emzimbeni ungene kwingxowa yokuhambisa amanzi
• Amayeza okubulala iintsholongwane
• Ugqirha ukulungisa ukubhloka okanye ukubuyisela kwakhona
• Ukususwa kwalo naliphi na ilitye elibangela ukuvaleka

Abantu abanesintso esinye kuphela, abanamajoni omzimba afana nesifo seswekile okanye i-HIV, okanye abo batyandiweyo bayakufuna unyango kwangoko.

Abantu abane-hydronephrosis yexesha elide banokufuna i-antibiotics ukunciphisa umngcipheko we-UTI.

Ukuphulukana nomsebenzi wezintso, i-UTI, kunye neentlungu zinokwenzeka ukuba imeko ishiywe inganyangwa.

Ukuba i-hydronephrosis ayinyangwa, izintso ezichaphazelekayo zinokonakala ngokusisigxina. Ukusilela kwezintso kunqabile ukuba ezinye izintso zisebenza ngesiqhelo. Nangona kunjalo, ukusilela kwezintso kuyakwenzeka ukuba inye kuphela intso esebenzayo. I-UTI kunye neentlungu zinokwenzeka.

Fowunela umboneleli wakho wokhathalelo lwempilo ukuba uneentlungu eziqhubekayo okanye ezinzima zeplanki, okanye umkhuhlane, okanye ukuba ucinga ukuba unokuba ne-hydronephrosis.

Ukuthintela ukuphazamiseka okubangela le meko kuya kuyithintela ukuba ingenzeki.

IHydronephrosis; Hydronephrosis ezingapheliyo; Hydronephrosis oyingozi; Ukuthintela umchamo; I-hydronephrosis engafaniyo; Nephrolithiasis - hydronephrosis; Ilitye lentso - i-hydronephrosis; Uphawu lwe-renal - i-hydronephrosis; Ureteral calculi - hydronephrosis; I-reflux ye-Vesicoureteral - i-hydronephrosis; Ukuthintela uropathy - hydronephrosis

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

UFrøkiaer J. Uthintelo lomjelo womchamo. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

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.